[간호학] 우측 상복부 통증
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[간호학] 우측 상복부 통증에 대한 자료입니다.
목차
I. 우측 상복부 통증의 원인

1. 복부의 구분
2. 우측 상복부에 위치한 기관
3. 우측 상복부 통증의 원인
-Discussion
-Reference

본문내용
3. 우측 상복부 통증의 원인
1)Cholecystitis
①Definition

Cholecystitis refers to a painful inflammation of the gallbladder's wall. The disorder can occur a single time (acute), or can recur multiple times (chronic).

②Description

The gallbladder is a small, pear-shaped organ in the upper right hand corner of the abdomen. It is connected by a series of ducts (tube-like channels) to the liver, pancreas, and duodenum (first part of the small intestine). To aid in digestion, the liver produces a substance called bile, which is passed into the gallbladder. The gallbladder concentrates this bile, meaning that it reabsorbs some of the fluid from the bile to make it more potent. After a meal, bile is squeezed out of the gallbladder by strong muscular contractions, and passes through a duct into the duodenum. Due to the chemical makeup of bile, the contents of the duodenum are kept at an optimal pH level for digestion. The bile also plays an important part in allowing fats within the small intestine to be absorbed.

③Causes and symptoms

In about 95% of all cases of cholecystitis, the gallbladder contains gallstones. Gallstones are solid accumulations of the components of bile, particularly cholesterol, bile pigments, and calcium. These solids may occur when the components of bile are not in the correct proportion to each other. If the bile becomes overly concentrated, or if too much of one component is present, stones may form. When these stones block the duct leaving the gallbladder, bile accumulates within the gallbladder. The gallbladder continues to contract, but the bile cannot pass out of the gallbladder in the normal way. Back pressure on the gallbladder, chemical changes from the stagnating bile trapped within the gallbladder, and occasionally bacterial infection, result in damage to the gallbladder wall. As the gallbladder becomes swollen, some areas of the wall do not receive adequate blood flow, and lack of oxygen causes cells to die.

When the stone blocks the flow of bile from the liver, certain normal byproducts of the liver's processing of red blood cells (called bilirubin) build up. The bilirubin is reabsorbed into the bloodstream, and over time this bilirubin is deposited in the skin and in the whites of the eyes. Because bilirubin contains a yellowish color, it causes a yellowish cast to the skin and eyes that is called jaundice.

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