Symptom Courvoisier: hō'ike'ike a kōkua

Ka digestive'ōnaehana hanaʻia kekahi kuleana pili i nui - e hāʻawi mai iā mākou i ka pōʻino ha awina. 'O nā'ōpena o ka'ōnaehana'ōpena ka ma'alahi e a'o i ka ho'ohālikelike'ana i kekahi po'e'ē a'e, akā, he ko'iko'i nui ke kau'ana i ka hana holo'oko'a. Nui nā'ano ma'i o nā'ōlohelohe o nā'ōnaehana o kēia pūnaewele. 'O kekahi o ka mea kūpono'ole kalohelohe, he ma'i ia i kapa'ia'o ka "Courvoisier symptom".

He aha ka hō'ailona o ka Courvoisier?

'O kēia hō'ailona e hiki i nā po'e akamai ke ho'oholo me ka loa'a'ole o kekahi pilikia, no ka mea,'a'ole hiki ke ho'opili'ia nā hō'ike'ike lā'au me kekahi mea. 'O kēia ma'i ka mea i'ike'ia ma ke alo o kahi gallbladder nui i ho'onui'ia. 'O ka mea kupaianaha he'ano pa'akikī ia, a no ka ho'opā'ana ho'i. Eia kekahi hō'ailona me ka hō'ailona. I ka nui pinepine'ole nā kānaka i ka ho'olohe i ka leo'ili melemele a me ka ho'opili'ana o ka'ōpū. Loa'a mākou i ka'oia'i'o inā'a'ole'eha, a laila'a'ole pono e hopohopo. Akā'o ka'ike'ana o kēia hō'ailona hiki ke ho'omaopopo iā mākou no nā mea he nui.

Nā kumu o ka ma'i pilikino

Hō'ike'ia ka hō'ike o ka Courvoisier ma muli o ke kāpili'ia'ana o ka pēle tumoro nui ma kahi kokoke i ka papilla nui o ka ma'i ululā'au duodenal (Fater nipple) ai'ole ka piko o ke po'o o ka pancreas. 'O ka hapanui pinepine'ana o kēia'ōpū he kino. Mai kēia mea, hiki ke ho'oholo'ia'o ka hō'ailona o ka Courvoisier ka hopena o kekahi ma'i o ke kanaka. 'A'ole kēia'ano o ke kino i kūpono no ka ma'i like choledocholithiasis.

No ke aha la ka laau awaawa, bladder 'aʻole i kau?

'O ka ho'onui'ana i ke gallbladder a me ka jaundice e hō'ike i kahi'āpona hana'ino ma mua. Ke hō'ike'ia ka hō'ike Courvoisier-Terrier, hiki ke kumu o ka hopena i ka ma'i ma'amau ('oiai'o kēia ka hopena i nā manawa he nui). Aia i e gallstones. I kēia manawa wale nō, lilo'o ia i mea ho'opuka iā ia iho. He aha ka mea, no ke aha e ho'olō'ihi'ole ai kēia kino, e hā'awi ana i ka manawa e ha'alele ai i ka bile, akā'oki wale'ia? Eia ke'ano o kēia'ano: ua lilo ka gallbladder i "kumu" no ka'ike'ia o nā pōhaku, me ka hana o ka hana'ana i nā mea ma'i pathogenic, ua pilikia'o ia i ka cholecystitis mau. 'O ka hopena o kēia, ho'ololi nā lobrous-cicatricial i nā mahele o ka pūpū a me ke alaka'i'ana i ka'oia'i'o ua lilo ia i mea kūpono'ole. No kėia kumu, me ka li'ili'i loa - he kani a he pöhaku paha - ua koli ÿia ka gallbladder, a ua hiki ke hana hou.

He aha hou aku e hiki ai ke hele pū me kēia hō'ailona?

'O nā mea nui o ke kūlana o kahi kanaka, i kona'ike'ana i kahi hō'ailona o Courvoisier, ua hō'ike'ia ma luna nei. Akā, aia nā'ikepili ma luna o nā ho'opi'i a nā po'e noi e pili ana i kekahi mau kumu pō'ino. He nui nā mea ma'i e ho'omaopopo'ana i ka pinepine o ka'umeka'ana, i kekahi manawa paha e hiki ke kaumaha i ka'āpana'āina a me ka hypochondrium pono. Eia kekahi, ua'ōlelo kekahi po'e ma'i aia kekahi mau'ano e like me ka nawaliwali a me ka pouli o ka mimi. Hō'ike'ia kēia a pau e ke ka'ina o ka inu'ana ma muli o ke pani o ka bile.

Ma ka ho'ohui'ana i kēia mau māhele a pau i ho'okahi hō'ailona, pono ka'oihana e ho'onui i nā ho'ā'o ho'okolohua a me nā ho'ā'o'ana no ka'ike'ana i nā'ike'ē a'e. He mea nui kēia, no ka mea, e hilina'i hou'ia ka mea e pili ana i kēia. I ho'āʻo e huai ae i ke alo o kēia mau symptoms: Ortner, ʻo St George-Musso, Murphy. Inā, ma hope o nā hopena o nā kānalua, he'awa'aha ko lākou mau hō'ailona, a laila, he mea ia e like me ka hō'ailona o Courvoisier.

Me ka hō'oia'ana o nā'ano pilikino, hiki ke hana'ia nā'ano lapa'au e like me cholecystectomy, papillosfinecterotomy a choledochotomy.