Izifo ezahlukahlukeneyo ze-gallbladder zihlala zihamba kunye nokwakhiwa kwamatye aqingqiweyo okanye amatye aphazamisa ukujikeleza kwe-bile kunye nokutya. Le meko ibizwa ngokuba yi-cholecystitis kwaye ibandakanya ukususwa ngokupheleleyo kwelungu, i-cholecystectomy. I-Laparoscopy ye-gallbladder, ukuza kube yimhla, eyona ndlela yokunyanzelisa nokunyuka kwengenelelo yokungenelela. Lo msebenzi usebenza ngokufanelekileyo kwaye ukhuselekileyo kunokwenzeka kwisigulane.
Njani i-gallbladder isuswe yi-laparoscopy?
Olu hlobo lwe-cholecystectomy lwenziwa phantsi kwe-anesthesia jikelele (endotracheal). Ngokukhawuleza emva kokulala ebhedlele kwisigulane, isalathisi sifakwa kwisisu. Ngoncedo lwaso, ukuphuma kwamanzi kunye ne-gas kususwa, ukuhlanza okungahleliwe kuphephe. Kwakhona, iqela loogqirha lidibanisa umntu kumphunga womphunga wamaphaphu, ngoko unokuqhubeka nokusebenza ngokwalo.
Okokuqala, udokotela ohlinzayo wenza izinto ezi-4 ezincinci kwisisu esiswini. Ngomnye wabo, igazi ekhethekileyo yerhasi iyaziswa, ivumela izicubu ukuba zisasaze ngokukhawuleza kwaye zandise izitho, eziququzelela ukubonakala kwendlela elandelayo.
Kwisixhobo ngasinye, izixhobo zokucoca ezincinci zifakwe ezinobunzima obaneleyo ngokugqithisa i-gallbladder, kodwa ngexesha elifanayo ziguquguqukayo, ngoko xa usebenza njengogqirha, umngcipheko wokulimala kumalungu angummelwane awuncinci. Kwakhona kwisigxina sesisu esisisigxina sekhamera yevidiyo sifakwe, sixhotywe nge-flashlight, umfanekiso ozosasazwa kweso sigqirha.
Ngenxa ye-cholecystectomy, kuyimfuneko ukucima okokuqala i-holadoch (holedoch) kunye neetriyeri, ngoko zicatshulwa ngokucokisekileyo (izicatshulwa) zenziwe ngensimbi. Emva koko, iingcali zenza izigqibo kwaye ziqwalasela ngokucophelela i-lumen yemithambo emikhulu yegazi. Ukususwa kwe-gallbladder kuphuza kunye ne-cauterization (coagulation) yendawo yokuphuma kwamanzi, ukuchithwa kwezicubu ezitshintshileyo. Iqumrhu lisuswa kwisincinci esincinci kufuphi neveli.
Emva kokukhethwa kwe-cholecystectomy, isisu esiswini sasihlanjululwa ngesisombululo se-antiseptic, kwaye iiplctures zixutywa okanye zitywinwe. Ngamanye amaxesha kwelinye lazo iintsuku ezingama-1-2 zibeka umjelo omncinci.
Ukulungiselela i-laparoscopy ye gallbladder
Malunga neentsuku ezili-10 phambi kokuhlinzwa, i-aspirin kunye nezinye i-anticoagulants, i-vitamin E kunye ne-complexes zayo, izidakamizwa ezingekho-stteroidal anti-inflammatory zivaliwe.
Ngobusuku ekupheleni kwenkqubo, i-enema yokuhlambulula iyenziwa, emva koko kufuneka kube lula ukuyidla, kodwa ngaphambi ko-6 ntambama. Ukususela phakathi kobusuku akuvunyelwe ukusela amanzi kwaye athathe ukutya. Ngentsasa ngaphambi kokuba i-cholecystectomy i-enema iphindwe.
Ixesha emva kokususwa kwe-gallbladder yi-laparoscopy
Ngokukhawuleza emva kokuhlinzwa, isigulane sitshintshwa kwiwadi, apho ivuka khona ngeyure eli-1. Ngaphezulu kweeyure ezingama-4-6 ezilandelayo isigulane kufuneka sithobele ukuphumla kwebhedlele esiqinileyo, kodwa emva kwexesha elibiweyo uza kukwazi ukuhlala phantsi, uhambe, uphuze amanzi ahlambulukileyo ngaphandle kwegesi.
Xa kunesicasuliso kunye nentlungu kwithuba lokuhamba emva kwe-gallbladder ukususwa, indlela ye-laparoscopy ibeka iCerukal kunye neyeza zonyango, ngamanye amaxesha - iqela lezonyango. Kwakhona, ukuthintela usulelo, i-antibiotic inyanzelekile.
Ukususela ngomhla wesi-2 emva kokunyuka kwe-cholecystectomy kuvumelekile ukuba kuthathe ukutya okutya okulula-umhluzi onobuthakathaka, inyama ecocekileyo, i-cottage shiese okanye i-yogurt.
Ukukhutshwa kwenziwa ngomhla we-3-7, kuxhomekeke kwimpilo yesigulane, ukuhlanganiswa kwezicubu ezinobungozi.
Ukubuyiselwa ekhaya emva kwe-laparoscopy ye gallbladder
Ukubuyiselwa kwesigulane kubandakanya ukugcinwa kokutya № 5 kwi-Pevzner, umqathango wokusebenza ngokomzimba. Umntu emva kwe-cholecystectomy akakwazi ukuphakamisa izisindo, enze nayiphi na imisebenzi enzima, kwaneenxa zonke kwendlu.
Kunconywa ukuba ugqoke ngaphantsi kweengubo zangaphantsi kunye nesinqe esiphezulu ukwenzela ukuba isalathisi ayicasuli kwaye ayiguquli indawo yokuhamba. Yimihla ngemihla kuyimfuneko ukucoca ukucutshulwa ngamalungiselelo aqeshwe ngugqirha, kwaye unamathele nge-plaster kwisiseko selikalika.
Emva kweentsuku eziyi-8-10, ixesha lokuvuselela liphela, ukuba i-sutures ihlanganisiwe ngokufanelekileyo, kwaye akukho zixazululo.