Gallbladder kuchotsa - laparoscopy

Nkhumba imathandiza kwambiri thupi, chifukwa bile yomwe imasungidwa imathandiza kuti chimbudzi chikhale choyenera. Kuchotsa ndulu ndi laparoscopy ndizovuta kwambiri, ndipo muzitha kuzigwiritsa ntchito pokhapokha ngati njira zina zilibe ntchito. Opaleshoniyi imadziwika ndi chitetezo komanso mwachangu. Ikuthandizani kuti muchotse chiphuphu chomwe chimawonongeka kwambiri ndi nkhawa kwa thupi.

Laparoscopy yakuchotsa ndulu

Lero, laparoscopy imatha kulembedwa kwa mtundu uliwonse wa cholelithiasis. Komabe, musanapange chisankho pazochitika zake, nkhani iliyonse imaphunziridwa bwino chifukwa cha kupezeka kwa kutsutsana kulikonse. Ntchitoyi imayikidwa pamene:

• chithunzi ;
• Kuthamanga kwa acute cholecystitis (kupitirira masiku awiri);
• cholecystolithiasis (calcification).

Pachifukwa ichi, malo ofunikira ndi matenda omwe amapezeka ndi chikhodzodzo. Chifukwa chiyani amagwiritsira ntchito ultrasound ya peritoneum, yomwe, kuwonjezera pa miyalayi, imawulula polyposis yomwe ikuopsezedwa ndi chiwombankhanga.

Ndondomeko yokonzekera kuchotsa ndulu ndi laparoscopy ndizo:

• kufufuza kwa wodwalayo;
• kupanga coagulogram;
• Dokotala akuyesa zoyezetsa zofunikira kwa syphilis, HIV, hepatitis;
• kuyesa njira zothetsera chithandizo.

Pambuyo powerenga mkhalidwe wa wodwalayo ndikuyesa zoopsa zomwe zingakhalepo, dokotalayo akuganiza kuti azigwira ntchitoyo. Pamaso pa laparoscopy, ndiletsedwa kudya chakudya ndi madzi kwa maola sikisi, ndipo enema ikuchitika usiku watha. Masiku khumi musanachitike, ndi koyenera kusiya kumwa mankhwala monga:

• Aspirin;
• Anticoagulants;
• vitamini E;
• NSAIDs.

Miyeso yayikulu ya ntchitoyi ikuphatikizapo zochita:

1. Asanayambe kuchotsa nduluyo ndi laparoscopy, wodwalayo amapatsidwa mankhwala amodzi.
2. Pafupi ndi nthata, dokotala amapanga chitsulo chochepa chomwe azitrogeni ndi carbon dioxide zidzayambitsidwa.
3. Mu peritoneum, kupangidwanso kwina kumapangidwa, kudzera mwa zipangizo ndi kamera zomwe zimayambitsidwa, zomwe zimathandiza kudziwa malo a chiwalo.
4. Ngati mwala umapezeka, dokotala amalingalira zazomwe amachokera.
5. Pamapeto pake, timagwiritsidwe ntchito.
6. Pambuyo pa ola limodzi wodwala amadzuka, ndipo patapita masiku angapo amatha kupita kwawo.

Ndikoyenera kudziwa kuti panthawi ya opaleshoni katswiri angathe kudziwa njira zosiyanasiyana zochotsera miyalayi. Pankhani iyi, dokotala amachotsa miyala mwa njira izi:

• kugwiritsa ntchito telescope yapadera;
• ndi chithandizo cha otseguka;
• Pambuyo mapeto a laparoscopy ya ndulu amayamba ntchito ina ya mtundu wochepa wopweteka.

Zotsatira pambuyo kuchotsedwa kwa gallbladder ndi laparoscopy

Zomwe zimapweteketsa zimachitika mkati mwa miyezi iwiri chitatha. M'masiku oyambirira a wodwalayo akusokoneza:

• koliyali;
• mkamwa wouma;
• chills;
• kukondana ndi dysbiosis;
• Kuphwanya ndondomeko yamagazi;
• ululu mu hypochondrium yolondola;
• zolakwika.

Pa matenda aakulu monga matenda a gastritis, zilonda za m'mimba kapena chifuwa chachikulu, kuwonjezeka kwawo kumachitika.

Milandu yoopsa, pakhoza kukhala:

• kupweteka kwa m'mimba;
• kutupa mu peritoneum;
• bile;
• zopweteka zamtendere.

Kudya mutatha kuchotsedwa kwa gallbladder ndi laparoscopy

Pa nthawi ya kuchira ndikofunikira kutsatira malangizo onse a dokotala. Malamulo oyambirira amachokera pamakhalidwe okhwima:

1. Pa tsiku loyamba mutangotha ​​opaleshoni, mungatenge madzi okha.
2. Wodwala amaloledwa kumwa zakumwa zakuda, odzola kapena osowa.

Pambuyo pake, muyenera kutsatira zakudya zomwe zimatanthauza:

• kukana mafuta, kusuta, mchere;
• Kusiya kudya ndi mazira, bowa, soda, mowa;
• chiwerengero cha kalori cha mankhwala;
• Kugwiritsa ntchito kanyumba tchizi, kefir, masamba owiritsa, nsomba, tirigu.