I-gallbladder idlala indima ebalulekile emzimbeni, ngoba i-bile egciniwe kuyo inegalelo ekugayeni okujwayelekile. Ukususwa kwe-gallbladder yi-laparoscopy kuyinkinga enkulu, futhi usebenzise kuyo kuphela uma ezinye izindlela zingasebenzi. Ukusebenza kubonakala ngokuphepha nokusebenza kahle. Ikuvumela ukuthi ususe i-bubble enomonakalo omncane nokucindezeleka komzimba.
I-Laparoscopy yokususwa kwe-gallbladder
Namuhla, i-laparoscopy ingabekwa kunoma yiluphi uhlobo lwe-cholelithiasis. Kodwa-ke, ngaphambi kokuthatha isinqumo ngokuziphatha kwayo, icala ngalinye lihlolisiswa ngokucophelela ukuba khona kwanoma yikuphi ukuphikisana. Ukusebenza kunqunywe uma:
- i-jaundice yomshini ;
- ukuhlaselwa kwe-cholecystitis (isikhathi esingaphezu kwezinsuku ezimbili);
- i-cholecystolithiasis (ukubalwa).
Kulesi simo, indawo ebalulekile ukuxilongwa kwezifo nokutholakala kwamatshe esibelethweni. Kungani usebenzisa i-ultrasound ye-peritoneum, okuyiyo, ngaphezu kwamatshe, yembula i-polyposis esongelwa isimo sesisu.
Izinyathelo zokulungiselela ukukhishwa kwe-gallbladder ne-laparoscopy zihlanganisa:
- ukuhlolwa kwesiguli;
- ukwenza i-coagulogram;
- ukuhlolwa kukadokotela ukuhlolwa okudingekayo kwe-syphilis, i-HIV, i-hepatitis;
- ukuhlola izindlela ezingenzeka zokwelapha.
Ngemva kokutadisha isimo sesiguli nokuhlola izingozi ezingenzeka, udokotela unquma ukuqhuba ukusebenza. Ngaphambi kwe-laparoscopy, kunqatshelwe ukuba udle ukudla kanye noketshezi lwamafutha amahora ayisithupha, futhi i-enema iqhutshwa ngobusuku obuphambili. Izinsuku eziyishumi ngaphambi kwenqubo, kubalulekile ukuyeka ukuthatha imithi enjengokuthi:
- I-Aspirin;
- Anticoagulants;
- i-vitamin E;
- Ama-NSAID.
Izindlela eziyinhloko zokusebenza zihlanganisa izenzo ezinjalo:
- Ngaphambi kokususwa kwe-gallbladder ne-laparoscopy, isiguli sinikezwa i-anesthesia.
- Eduze inkaba, udokotela wenza ukuchotshozwa okuncane okuzothathwa ngalo i-nitrogen ne-carbon dioxide.
- Ku-peritoneum, kunomunye umonakalo owenziwe, lapho kuzofakwa khona izinto zokusebenza kanye nekhamera, okwenza kube lula ukucacisa indawo yendawo.
- Uma kutholakala itshe, udokotela unquma ukukhishwa kwawo.
- Esigabeni sokugcina, kusetshenzwa iziqu.
- Ngemva kwehora isiguli sivuka, futhi ngemva kwezinsuku ezimbalwa angaya ekhaya.
Kufanele kuqaphele ukuthi ngesikhathi sokusebenza udokotela angakwazi ukunquma izindlela ezahlukene zokukhipha amatshe. Kulokhu, udokotela ususa amatshe ngenye yezindlela ezilandelayo:
- besebenzisa i-telescope ekhethekile;
- ngosizo lomsebenzi ovulekile;
- emva kokuphela kwe-laparoscopy ye-gallbladder iqala enye inhlobo yohlu oluthile olungavamile.
Imiphumela ngemva kokususwa kwe-gallbladder yi-laparoscopy
Izinzwa zokungahambi kahle ziyabonakala zingakapheli izinyanga ezimbili ngemuva kwenqubo. Ezinsukwini zokuqala zesiguli ukuphazamiseka:
- i-colic biliary;
- umlomo owomile;
- izikhukhula;
- flatulence kanye dysbiosis;
- ukwephula inqubo yokugaya ukudla;
- ubuhlungu ku-hypochondrium efanele;
- ukukhishwa.
Ezikhathini ezingavamile zezifo ezinjalo njenge-gastritis, isisu sesisu noma ukuphazamiseka kwamanye amazwe, ukugqama kwabo kubonakala.
Ezimweni ezimbi, kungenzeka kube khona:
- i-intra-esiswini esiswini;
- ukuvuvukala ku-peritoneum;
- ukugeleza kwe-bile;
- amaqebelengwane ase-hepatic.
Ukudla ngemva kokususwa kwe-gallbladder yi-laparoscopy
Ngesikhathi sokutakula kubalulekile ukulandela yonke imiyalelo kadokotela. Imithetho eyisisekelo isekelwe ngokunamathela kokudla okuqinile:
- Ngosuku lokuqala emva kokusebenza, ungathatha amanzi kuphela.
- Ngaleso sikhathi isiguli sivunyelwe ukuphuza iqanda elinamaqabunga amaqabunga, i-jelly noma i-mors.
Ngokulandelayo, kufanele ulandele ukudla okusho ukuthi:
- ukwenqaba kwamanoni, ukubhema, usawoti;
- Ukukhishwa ekudleni kwamaqanda, amakhowe, i-soda, utshwala;
- ukubalwa kwekhalori yemikhiqizo;
- ukusetshenziswa kwe-cottage shizi, i-kefir, imifino ephekiwe, inhlanzi, okusanhlamvu.