午夜片无码AB区在线播放APP

登錄
首頁 >> 推拿艾灸 >> 健康綜合

膽囊炎的早期癥狀

生(sheng)活百事(shi)通 2023-09-21 13:34:37

由于工作的(de)壓力、飲食、生活環境等(deng)等(deng)各種原因,我(wo)們(men)現代社會(hui)的(de)人(ren)很容易生病,不(bu)是(shi)因為生活條件的(de)舒適,我(wo)們(men)的(de)身(shen)體(ti)(ti)(ti)變得(de)“矯情”,事實(shi)上我(wo)們(men)現代人(ren)非常(chang)注重(zhong)養(yang)生。但(dan)是(shi)不(bu)是(shi)說(shuo)注重(zhong)養(yang)生,疾(ji)(ji)病就(jiu)不(bu)來找(zhao)你。疾(ji)(ji)病那是(shi)無孔不(bu)入(ru)的(de),只要有一點的(de)空隙(xi)就(jiu)會(hui)侵入(ru)人(ren)體(ti)(ti)(ti)。我(wo)們(men)身(shen)體(ti)(ti)(ti)的(de)常(chang)見(jian)病有:感冒發燒、肺炎、支氣管(guan)炎、膽(dan)囊(nang)炎等(deng),現在(zai)詳細說(shuo)下(xia)膽(dan)囊(nang)炎。

膽(dan)囊(nang)(nang)炎可以說是我們人類(lei)比(bi)較常(chang)見的(de)一(yi)(yi)種(zhong)疾(ji)病了,說常(chang)見的(de)理由是因為它的(de)發(fa)病率比(bi)較高(gao)。膽(dan)囊(nang)(nang)炎其實(shi)又分為急性(xing)(xing)膽(dan)囊(nang)(nang)炎和慢性(xing)(xing)膽(dan)囊(nang)(nang)炎兩種(zhong),那(nei)么,患上這兩種(zhong)膽(dan)囊(nang)(nang)炎的(de)早期癥狀又分別有哪(na)些呢?下面(mian)一(yi)(yi)一(yi)(yi)介紹。

膽(dan)(dan)(dan)(dan)囊炎(yan)常(chang)(chang)與(yu)膽(dan)(dan)(dan)(dan)石(shi)癥合并存在。右(you)上腹劇(ju)痛(tong)或絞痛(tong),多為結石(shi)或寄(ji)生蟲嵌(qian)頓(dun)梗阻膽(dan)(dan)(dan)(dan)囊頸部所致(zhi)的急(ji)性膽(dan)(dan)(dan)(dan)囊炎(yan),疼(teng)痛(tong)常(chang)(chang)突然發作(zuo),十分(fen)劇(ju)烈,或呈(cheng)現(xian)絞痛(tong)樣。膽(dan)(dan)(dan)(dan)囊管非(fei)梗阻性急(ji)性膽(dan)(dan)(dan)(dan)囊炎(yan)時,右(you)上腹疼(teng)痛(tong)一般不(bu)劇(ju)烈,多為持續性脹痛(tong),隨(sui)著膽(dan)(dan)(dan)(dan)囊炎(yan)癥的進展,疼(teng)痛(tong)亦可加重,疼(teng)痛(tong)呈(cheng)現(xian)放射性,最常(chang)(chang)見的放射部位是右(you)肩部和(he)右(you)肩胛骨下角等處。

1.急性(xing)膽囊炎的早期(qi)癥狀和急性(xing)無(wu)結石性(xing)膽囊炎基本相同。

(1)①疼(teng)痛(tong)右(you)上(shang)(shang)腹(fu)(fu)劇痛(tong)或(huo)(huo)絞痛(tong),多(duo)(duo)為結石(shi)或(huo)(huo)寄生蟲嵌頓梗阻(zu)膽(dan)(dan)囊(nang)頸部(bu)(bu)所致的(de)(de)急(ji)性(xing)(xing)膽(dan)(dan)囊(nang)炎;疼(teng)痛(tong)常(chang)(chang)突(tu)然發(fa)(fa)作(zuo),十分(fen)劇烈(lie)(lie),或(huo)(huo)呈現(xian)(xian)絞痛(tong)樣,多(duo)(duo)發(fa)(fa)生在進食(shi)高脂食(shi)物后,多(duo)(duo)發(fa)(fa)生在夜(ye)間;右(you)上(shang)(shang)腹(fu)(fu)一般性(xing)(xing)疼(teng)痛(tong),見于膽(dan)(dan)囊(nang)管非梗阻(zu)性(xing)(xing)急(ji)性(xing)(xing)膽(dan)(dan)囊(nang)炎時,右(you)上(shang)(shang)腹(fu)(fu)疼(teng)痛(tong)一般不劇烈(lie)(lie),多(duo)(duo)為持續(xu)性(xing)(xing)脹痛(tong),隨著膽(dan)(dan)囊(nang)炎癥(zheng)(zheng)(zheng)的(de)(de)進展,疼(teng)痛(tong)亦可(ke)加重,疼(teng)痛(tong)呈現(xian)(xian)放(fang)射性(xing)(xing),最常(chang)(chang)見的(de)(de)放(fang)射部(bu)(bu)位是(shi)右(you)肩(jian)部(bu)(bu)和(he)右(you)肩(jian)胛骨下角(jiao)等處(chu),乃系膽(dan)(dan)囊(nang)炎癥(zheng)(zheng)(zheng)刺激右(you)膈神(shen)經末(mo)梢和(he)腹(fu)(fu)壁周圍神(shen)經所致。②惡心、嘔吐是(shi)最常(chang)(chang)見的(de)(de)癥(zheng)(zheng)(zheng)狀,如惡心、嘔吐頑(wan)固或(huo)(huo)頻繁(fan),可(ke)造成(cheng)脫(tuo)水,虛(xu)脫(tuo)和(he)電解質紊亂(luan),多(duo)(duo)見于結石(shi)或(huo)(huo)蛔蟲梗阻(zu)膽(dan)(dan)囊(nang)管時。③畏寒(han)、寒(han)戰(zhan)、發(fa)(fa)熱(re)(re)輕型(xing)病例常(chang)(chang)有(you)畏寒(han)和(he)低熱(re)(re);重型(xing)病例則可(ke)有(you)寒(han)戰(zhan)和(he)高熱(re)(re),熱(re)(re)度(du)(du)可(ke)達39℃以上(shang)(shang),并可(ke)出現(xian)(xian)譫語(yu)、譫妄等精神(shen)癥(zheng)(zheng)(zheng)狀。④黃疸較少見,如有(you)黃疸一般程(cheng)度(du)(du)較輕,表示感染經淋巴管蔓延(yan)到了肝(gan)(gan)臟,造成(cheng)了肝(gan)(gan)損害,或(huo)(huo)炎癥(zheng)(zheng)(zheng)已侵犯膽(dan)(dan)總管。

(2)腹(fu)部檢查可見右上(shang)(shang)腹(fu)部及(ji)上(shang)(shang)腹(fu)中部腹(fu)肌(ji)緊張(zhang)、壓痛(tong)、反跳痛(tong)、Murphy征陽性(xing)。伴膽囊(nang)(nang)積膿(nong)或(huo)(huo)膽囊(nang)(nang)周(zhou)圍膿(nong)腫(zhong)者(zhe),于右上(shang)(shang)腹(fu)可捫(men)及(ji)有(you)壓痛(tong)的(de)(de)包塊或(huo)(huo)明顯腫(zhong)大的(de)(de)膽囊(nang)(nang)。當腹(fu)部壓痛(tong)及(ji)腹(fu)肌(ji)緊張(zhang)擴展到(dao)腹(fu)部其他區域或(huo)(huo)全(quan)腹(fu)時(shi),則(ze)提示膽囊(nang)(nang)穿孔。或(huo)(huo)有(you)急性(xing)腹(fu)膜(mo)炎(yan)。有(you)15%~20%的(de)(de)病人因膽囊(nang)(nang)管周(zhou)圍性(xing)水腫(zhong)、膽石壓迫及(ji)膽囊(nang)(nang)周(zhou)圍炎(yan)造成肝臟(zang)損害,或(huo)(huo)炎(yan)癥累及(ji)膽總管,造成Oddi括約肌(ji)痙(jing)攣和水腫(zhong)、導致(zhi)膽汁排出障(zhang)礙,可出現輕度黃(huang)疸(dan)(dan)。如黃(huang)疸(dan)(dan)明顯加深,則(ze)表示膽總管伴結(jie)石梗阻或(huo)(huo)并(bing)發膽總管炎(yan)的(de)(de)可能(neng)。嚴(yan)重病例可出現周(zhou)圍循環衰竭(jie)征象。血壓常偏低,甚至可發生感染性(xing)休克,此種情況尤易見于化膿(nong)壞疽型(xing)重癥病例時(shi)。

2.慢性(xing)膽囊炎(yan)的(de)早期癥狀

(1)持續(xu)性右(you)上腹鈍痛或不適(shi)感;有惡心、噯氣(qi)、反酸、腹脹和(he)胃部(bu)灼(zhuo)熱等消化不良癥(zheng)狀;右(you)下肩胛區疼痛;進食(shi)高(gao)脂(zhi)或油膩(ni)食(shi)物后(hou)癥(zheng)狀加重;病(bing)程長,病(bing)情(qing)經過有急(ji)性發作和(he)緩(huan)解相交替的特(te)點,急(ji)性發作時與急(ji)性膽囊炎癥(zheng)狀同,緩(huan)解期有時可無任何癥(zheng)狀。

(2)膽(dan)囊區可有(you)輕度壓痛(tong)(tong)和叩擊痛(tong)(tong),但無反跳(tiao)痛(tong)(tong);膽(dan)汁(zhi)淤積病例(li)可捫到脹(zhang)大的膽(dan)囊;急性發作時右(you)上腹(fu)可有(you)肌(ji)緊(jin)張,體(ti)溫正常或(huo)有(you)低熱,偶(ou)可出現(xian)黃疸。膽(dan)囊壓痛(tong)(tong)點(dian)在右(you)腹(fu)直肌(ji)外緣(yuan)與肋弓的交(jiao)點(dian),胸(xiong)椎壓痛(tong)(tong)點(dian)在8~10胸(xiong)椎旁,右(you)膈神經壓痛(tong)(tong)點(dian)在頸部右(you)側胸(xiong)鎖乳突肌(ji)兩下角之間。

通過(guo)對急性膽(dan)(dan)囊(nang)炎和慢性膽(dan)(dan)囊(nang)炎這兩種(zhong)膽(dan)(dan)囊(nang)炎早(zao)期癥狀(zhuang)的(de)了解,方便我(wo)們(men)以(yi)后自(zi)己(ji)(ji)檢查。如(ru)(ru)果(guo)發(fa)現自(zi)己(ji)(ji)有以(yi)上(shang)類(lei)似癥狀(zhuang),但是又拿不(bu)定(ding)(ding)主(zhu)意的(de)時(shi)候,一定(ding)(ding)要及(ji)時(shi)去醫院檢查,因為(wei)(wei)任(ren)何病都不(bu)能拖,要及(ji)時(shi)治(zhi)療(liao),才(cai)會(hui)盡早(zao)盡好(hao)的(de)治(zhi)好(hao)。如(ru)(ru)果(guo)我(wo)們(men)被確診為(wei)(wei)膽(dan)(dan)囊(nang)炎,我(wo)們(men)在服藥(yao)的(de)同時(shi)還(huan)要對飲食適當控(kong)制,要做(zuo)到三餐定(ding)(ding)時(shi),堅決禁食油(you)膩(ni)、油(you)炸、高膽(dan)(dan)固(gu)醇(chun)食物。

針灸培訓

本文地址(zhi)://n85e38t.cn/jiankangzonghe/44627.html.

聲明: 我(wo)們致力于保護作者版權,注重分享,被(bei)刊用文(wen)章因無法核實真實出(chu)處(chu),未(wei)能及時(shi)(shi)與作者取得聯(lian)系(xi),或(huo)有版權異(yi)議的,請(qing)聯(lian)系(xi)管理(li)員,我(wo)們會立即處(chu)理(li),本站部分文(wen)字與圖片(pian)資源來自于網(wang)絡,轉載是(shi)出(chu)于傳遞更多(duo)信息(xi)之目(mu)的,若有來源標注錯誤或(huo)侵犯了您(nin)的合法權益,請(qing)立即通知我(wo)們(管理(li)員郵箱:),情況屬實,我(wo)們會第一時(shi)(shi)間(jian)予以刪除,并(bing)同時(shi)(shi)向您(nin)表示歉(qian)意,謝(xie)謝(xie)!

上一篇:

下一篇(pian):

相關文章