I-gallbladder idlala indima ebalulekileyo emzimbeni, ekubeni ibhile egcinwe kuyo inomdla wokutya okuqhelekileyo. Ukususwa kwe-gallbladder yi-laparoscopy yindlela elungeleyo, kwaye uyisebenzise kuphela xa ezinye iindlela zingasebenzi. Ukusebenza kubonakaliswe ukhuseleko kunye nokusebenza kakuhle. Ikuvumela ukuba ususe umbhobho onomonakalo omncinci kunye noxinzelelo lomzimba.
I-Laparoscopy yokukhutshwa kwe gallbladder
Namhlanje, i-laparoscopy inokumiselwa nayiphi na uhlobo ye-cholelithiasis. Nangona kunjalo, ngaphambi kokuba uthathe isigqibo malunga nokuziphatha kwayo, imeko nganye ifundwe ngokucacileyo malunga nokuba kukho nayiphi na ingqinano. Ukusebenza kusekwe xa:
- i-jaundice yomatshini ;
- ukuhlaselwa kwe-cholecystitis (ngaphezulu kweentsuku ezimbini);
- i-cholecystolithiasis (kubalwa).
Kule meko, indawo ebalulekileyo kukuxilongwa kwezifo kunye nokufunyanwa kwamatye kwi-bladder. Kutheni usebenzisa i-ultrasound ye-peritoneum, leyo, ngaphezu kwetshe, ibonisa i-polyposis esongelwa yimeko yesifo.
Amanyathelo okulungiselela ukukhutshwa kwe gallbladder ne laparoscopy zibandakanya:
- uviwo lwe sigulane;
- ukwenza i coagulogram;
- uviwo logqirha lweemvavanyo eziyimfuneko malunga ne-syphilis, i-HIV, i-hepatitis;
- ukuvavanywa kwezindlela zokwenza unyango.
Emva kokufunda imeko yesigulane nokuvavanya ingozi efanelekileyo, ugqirha ugqibe ukuqhuba umsebenzi. Ngaphambi kwe-laparoscopy, akuvumelekile ukuba adle ukutya kunye ne-liquid ngeeyure ezintandathu, kwaye i-enema iqhutywe ngobusuku obuphambili. Kwiintsuku ezilishumi phambi kwenkqubo, kubalulekile ukuyeka ukuthatha amayeza anjenge:
- Aspirin;
- Anticoagulants;
- vitamin E;
- NSAID.
Izigaba eziphambili zomsebenzi ziquka izinto ezinjalo:
- Ngaphambi kokususwa kwe gallbladder nge laparoscopy, isigulane sinikwa i-anesthesia.
- Ephantse kwintonga, ugqirha wenza i-incision encinci apho i-nitrogen ne-carbon dioxide iya kuqaliswa.
- Kwi-peritoneum, esinye isicatshulwa senziwa, apho izixhobo kunye nekhamera zenziwe, okwenza kube lula ukucacisa indawo yendawo.
- Ukuba ilitye lifunyenwe, ugqirha ugqiba kwi-extraction.
- Kwinqanaba lokugqibela, izicatshulwa ziyasetyenziswa.
- Emva kweyure isigulane sisukuma, kwaye emva kweentsuku ezimbalwa angaya ekhaya.
Kubalulekile ukuba uqaphele ukuba ngexesha lokusebenza ingcali inokumisela iindlela ezahlukeneyo zokukhipha amatye. Kule meko, ugqirha ususa amatye ngeendlela ezilandelayo:
- usebenzisa i-telescope ekhethekileyo;
- ngoncedo lomsebenzi ovulekile;
- emva kokuphela kwe-laparoscopy ye-gallbladder iqalisa enye inxaxheba yolu hlobo oluncinci lwangena.
Iziphumo emva kokususwa kwe-gallbladder yi-laparoscopy
Iimvakalelo zokungahambi kakuhle ziyajongwa zingangenyanga ezimbini emva kwenkqubo. Kwiintsuku zokuqala zesigulane ukuphazamisa:
- colic biliary;
- umlomo owomileyo;
- ukuphosa;
- i-flatulence kunye ne-dysbiosis;
- ukuphulwa kwenkqubo yokugaya;
- intlungu kwi-hypochondrium efanelekileyo;
- ukuziphatha.
Kwiimeko ezingapheliyo zezifo ezinjalo njenge-gastritis, isisu esiswini okanye i-pancreatitis, ukugqithisa kwabo kubonakala.
Kwiimeko ezinzima, kunoku:
- i-intra-esiswini esiswini;
- ukuvuvukala kwi-peritoneum;
- ukuhamba kwebhile;
- amaqhekeza ahlambulukileyo.
Ukutya emva kokususwa kwe-gallbladder yi-laparoscopy
Ngexesha lokubuyiselwa kubalulekile ukulandela yonke imiyalelo yesigqirha. Imigaqo ephambili isekelwe ekuthobeleni ukutya okuqinileyo:
- Ngosuku lokuqala emva kokusebenza, ungathatha amanzi kuphela.
- Isigulane sivumelekile ukuba siphuze iqanda lesilwanyana esibomvu, i-jelly okanye i-mors.
Emva koko, kufuneka ulandele ukutya okunokuthi:
- ukwala kwinqatye, ukutshaya, utywa;
- Ukukhutshwa ekudleni kwamaqanda, amakhowe, i-soda, utywala;
- Ukubalwa kweekhalori zeemveliso;
- Ukusetyenziswa kwe-cottage cheese, i-kefir, imifuno ebilisiwe, intlanzi, ukutya okusanhlamvu.