Ebhekene nethemba lokuhlinzwa ukuze kususwe i-gallbladder, ngokuqinisekile wonke umuntu uzofuna ukwazi ukuthi yiziphi izindlela zokwelashwa okukhona, ukuthi kudlula kanjani nokuthi kuthatha isikhathi esingakanani, futhi nokuthi yikuphi isikhathi sokulungiselela nokuvuselela.
Izindlela zokwenza umsebenzi ukususa i-gallbladder
Ngamhlanjesi emithini yezokwelapha kunezinto ezimbili ezihlukahlukene zokufeza lo msebenzi:
- i-laparoscopic - ukungenelela kokuhlinzwa kwenziwa ngezingcingo ezincane edongeni lomzimba ngezixhobo zokuhlinza ezincane;
- yendabuko (i-cavitary noma evulekile) - ukususwa kwenziwa nge-15-cm ubude ukusuka ngakwesokudla.
Ukulungiselela ukusebenza
Izinqubo zokulungiselela zilandelayo:
- Izinsuku ezingu-2-3 ngaphambi kokusebenza okuhleliwe, udokotela angakwazi ukubeka ama- laxatives , ukuhlanza amathumbu.
- Uma uthatha noma yimiphi imithi eyengeziwe, kufanele wazi ngalokhu kudokotela wakho, kungenzeka ukuba ukhansele izidakamizwa ezithinta ukweqa kwegazi .
- Ukudla kokugcina akufanele kube amahora angaphansi kuka-8-10 ngaphambi kokuhlinzwa, kubuye kuphakanyiswe ukuthi ungaphuzi amanzi amahora angu-4.
Ukuhlinzwa kwe-laparoscopic ukususa i-gallbladder
Indlela yokuhlinzwa yama-laparoscopic isetshenziswa ezimweni eziningi. Lo msebenzi wenziwa ngaphansi kwe-anesthesia jikelele, futhi uhlala amahora angu-1-2. Ngesikhathi sokuhlinzwa, ukufakwa kwezicucu ezingu-3-4 ezi-5 no-10 mm zenziwa odongeni lwesisu. Ngabo, amathuluzi akhethekile kanye nekhamera ye-micro-video ithunyelwa ukulawula inqubo. I-carbon dioxide isungulwa emgodini wesisu, okuzovumela ukuphefumula isisu futhi unikeze indawo yokuxhaphaza. Emva kwalokhu, isisu sisuswa ngokuqondile. Ngemuva kokuhlola kokulawula kwe-bile ducts, izindawo zezingxoxo zihlanganiswa ndawonye futhi isiguli sithunyelwa ekamelweni lokunakekelwa okukhulu. Ukuhlala esibhedlela ngemuva kokungenelela kokusebenza - usuku. Futhi ngosuku olulandelayo ungabuyela endleleni evamile yokuphila, ugcine ukudla nezinye izincomo zedokotela olaphayo.
Isikhathi sokuvuselela sithatha izinsuku ezingaba ngu-20, kuye ngezici zomuntu ngamunye.Ukuhlinzwa kwe-Cystic ukususa i-gallbladder
Ukusebenza okungenalutho kwe-gallbladder ukususwa kwenziwa okwamanje kuphela uma kukhona izinkomba:
- i-foci enkulu yokuvuvukala noma ukutheleleka kwesisu;
- umthamo omkhulu wamatshe noma usayizi wabo;
- ukuvela kwezimo ezingalindelekile ku-laparoscopy;
- ukungqubuzana kwe-laparoscopy.
Kukhona ukusebenza kwe-lumbar, kanye ne-laparoscopy, ngaphansi kwe-anesthesia ejwayelekile. Ekuqaleni kwe-scalpel, ukusika kwesokudla kunokwenziwa, kancane ngaphansi kwezimbambo, ubude obuyi-15 cm. Khona-ke, izitho eziseduze ziphoqelelwe ukuba zifinyelele kwisayithi eliqhutshwayo kanye nokususwa ngokwaso. Ngemuva kwalokho, ukuhlolwa kokulawulwa kwe-bile ducts kwenziwa ukutholakala kwamatshe futhi kungenzeka ukusikwa. Mhlawumbe, ithubhu ye-drainage izofakwa kuwo ukuze igcobe i-lymph. Ngemuva kwezinsuku ezingu-3-4, isusiwe. Izidakamizwa zokubulala umzimba zizosetshenziswa ezinsukwini ezimbalwa zokuqala, ngakho-ke ngeke kudingeke ukhuthaze ubuhlungu obunamandla obuvela ekuhlambiseni. Ukwakhiwa kwezibhedlela ngesikhathi sokuhlinzwa kwebhande kuthatha izinsuku ezingu-10-14. Isikhathi sokuvuselela siyizinyanga ezingu-2-3.
Yini okudingeka ukwazi ngemuva kokususa i-gallbladder?
Ngemuva kokusebenza ukususa i-gallbladder kufanele ilandele izincomo zikadokotela wakho. Khumbula eminye imithetho eyokusiza ukuthi ululame ngokushesha:
- Izinyanga zokuqala akufanele ziphakamise izinto ezinzima kunama-4-5 kg.
- Gwema izenzo ezibandakanya ukusetshenziswa komzamo womzimba.
- Yamukela ukudla okukhethekile.
- Zenza njalo ukugqoka noma ukuphatha ukucubungula kwe-laparoscopic.
- Ukuvakashela odokotela ngokucophelela bese uhamba ngokuhlola.
- Uma kukhona izimpawu ezingathandeki ezivela, kungcono futhi ukubonana nodokotela.
- Uma kunokwenzeka, sebenzisa ukwelashwa kwe-spa;
- Ungakhohlwa mayelana nokuhamba okulula.