Izifo ezihlukahlukene ze-gallbladder zivame ukuhambisana nokwakhiwa kwamatshe aqinile noma amatshe aphazamisa ukujikelezwa okuvamile kwe-bile nokugaya. Lesi simo sibizwa ngokuthi i-cholecystitis futhi sihilela ukususwa okuphelele kwesitho, i-cholecystectomy. I-laparoscopy ye-gallbladder, kuze kube yimanje, indlela yokugcizelela kakhulu nokuqhubekayo yokungenelela kokuhlinzwa. Lokhu kusebenza kokubili kuyasebenza futhi kuphephile ngangokunokwenzeka isiguli.
I-gallbladder isuswe kanjani i-laparoscopy?
Loluhlobo lwe-cholecystectomy lwenziwa ngaphansi kwe-anesthesia jikelele (endotracheal). Ngokushesha ngemva kokulala esibhedlela ngesiguli, i-probe ifakwe ngaphakathi esiswini. Ngosizo lwaso, uketshezi oludlulayo namagesi kususiwe, ukuhlanza okungahleliwe kuvinjelwe. Futhi, iqembu labodokotela lixhuma umuntu kumphemeli wamaphaphu wokufakelwa, bese ungaqhubeka nokusebenza ngokwayo.
Okokuqala, udokotela ohlinzayo wenza izilinganiso ezincane ezine emgodini wesisu. Ngomunye wabo, kutholakala igesi ekhethekile oyinyumba, evumela izicubu ukuba zisakaze ngokushesha futhi zandise izitho, ezenza kube lula ukubonakala.
Ngomshini ngamunye, izinsimbi zokuhlinza ezincane zifakiwe ezinobunzima obwanele bokudlula i-gallbladder, kodwa ngesikhathi esifanayo ziguquguquka, ngakho-ke uma usebenza njengodokotela, ingozi yokulimaza izitho ezingomakhelwane ayilutho. Futhi emgodini wesisu kukhona ikhamera yevidiyo ephezulu yokulungiswa efakwe, ifakwe i-flashlight, isithombe esasakazwa ekuqapha kwayo.
Ukuze uthole i-cholecystectomy, kuyadingeka ukuba unqunywe okokuqala ukudoba kwesisu (holedoch) nemithambo yegazi, ngakho-ke bahlungwa ngokucophelela (iziqeshana) ezenziwe ngensimbi. Emva kwalokhu, ochwepheshe wenza lokho okufakiwe futhi ngokucophelela uphonsa isibani semithambo emikhulu yegazi. Ukususwa kwe-gallbladder kuphuza nge-cauterization ngesikhathi esisodwa (ukugcoba) kwezindawo eziphaphayo, ukuxilongwa kwezicubu eziguquliwe. Isidumbu sisuswe ngesikhumba esincane eduze nenkaba.
Ngemuva kwe-cholecystectomy, isigxobo esiswini somzimba sihlanjululwa ngesisombululo se-antiseptic, futhi ama-punctures ahlanganiswa noma asindiwe. Ngezinye izikhathi kwelinye lazo izinsuku ezingu-1-2 zibeka amanzi amancane.
Ukulungiselela i-laparoscopy ye-gallbladder
Cishe izinsuku ezingu-10 ngaphambi kokuhlinzwa, i-aspirin namanye ama-anticoagulants, i-vitamin E kanye ne-containing complexes, izidakamizwa ezingezona izidakamizwa ezingavumeli ukuvuvukala ziyavalwa.
Ngobusuku kusihlwa kwenkambiso, kwenziwa i-enema yokuhlanza, emva kwalokho kufanele kube lula ukudla, kodwa ngaphambi kuka-6 ntambama. Kusukela phakathi kwamabili akuvunyelwe ukuphuza amanzi futhi athathe ukudla. Ekuseni ngaphambi kwe-cholecystectomy i-enema iphindaphindiwe.
Isikhathi se-Postoperative ngemuva kokususwa kwe-gallbladder yi-laparoscopy
Ngokushesha ngemva kokuhlinzwa, isiguli sisuswa esigodini, lapho evuka kungakapheli ihora elilodwa. Emasontweni amane ama-4-6 alandelayo isiguli kumele sithobele ukuphumula kombhede oqinile, kodwa emva kwesikhathi esibekiwe uzokwazi ukuhlala phansi, uhambe, uphuze amanzi ahlanzekile ngaphandle kwegesi.
Uma kunesicasuli kanye nobuhlungu esikhathini sokuthunyelwa kwe-gallbladder, indlela ye-laparoscopy ibeka imithi ye- Cerukal nemithi ebuhlungu, ngezinye izikhathi - iqembu lama-narcotic. Futhi, ukuvimbela ukutheleleka, ama-antibiotic ayadingeka.
Kusukela ngosuku lwesibili emva kwe-cholecystectomy kuvunyelwe ukuthatha ukudla okulula okudlayo - umhluzi obuthakathaka wezinkukhu, inyama emhlophe eqoshiwe, i-cottage shizi noma i-yogurt.
Ukukhishwa kwenziwa ngosuku lwesithathu nesikhombisa, kuye ngokuthi inhlalakahle yesiguli, ukuhlanganiswa kwezicubu ezilinakele.
Ukuvuselelwa ekhaya ngemuva kwe-laparoscopy ye-gallbladder
Ukubuyiselwa kwesiguli kuhlanganisa ukugcina ukudla okungukuthi № 5 ku-Pevzner, ukuvinjelwa kokusebenza ngokomzimba. Umuntu emva kwe-cholecystectomy akakwazi ukuphakamisa izisindo, enze noma yimuphi umsebenzi onzima, ngisho nasendlini.
Kunconywa ukuba ugqoke izingubo zangaphansi ezithambile ngezinwele ezigqamile ukuze indwangu ingacasuli futhi ingagcini izindawo zokugaya. Nsuku zonke kuyadingeka ukucubungula ukulungiswa ngamalungiselelo akhethwe udokotela ohlinzayo, futhi ukunamathela nge-plaster ngesisekelo solika.
Ngemuva kwezinsuku ezingu-8-10, isikhathi sokuvuselela siphelela, uma ngabe i-sutures ihlanganisiwe kahle, futhi ayikho inkinga.