Ukususwa we gallbladder: njengoba indlela ukukhetha?

Ukususwa we gallbladder, noma cholecystectomy, - ke ingenye yezindlela eziphumelela kakhulu zokwenza aphathe amatshe atholakala enyongweni, yezinkinga zayo kanye nezinye izifo. Kuye isifo esithile nodokotela nesineke ukhetha eyodwa yezindlela ezimbili - laparotomy (ukuhlinzwa bendabuko evulekile) noma laparoscopy (ukuhlinzwa kancane koda). Ake sibheke iyini ngamunye yalezi zindlela futhi zisiza ngani.

Uyini laparotomy?

Laparotomy - bendabuko eyohlinzwa ngoba kokuvula komgodi ongaphakathi kwamathumbu. Ukususwa kwezimiso le gallbladder ngu laparotomy ngokuthi cholecystectomy bendabuko. Inqubo wenziwa usebenzisa izinzwa ngokusebenzisa imbobo 3-5 cm on anterior udonga besisu. Phakathi ukuhlinzwa, udokotela ohlinzayo kususa gallbladder, izitsha bese sutured futhi imbobo.

Inzuzo yale nqubo kuba ukuthi imbobo enkulu zibukeke futhi palpation ukuhlola isimo isitho. ukuhlinzwa Vula ukususa gallbladder futhi ngokuvamile kuthatha isikhathi esingaphansi kuqhathaniswa izinqubo kancane koda ukuthi ngokuvamile udlala indima ebalulekile. Futhi, le ndlela ikuvumela ukuba ugweme umfutho wegazi ophakeme esikhathini ngalo ingaphakathi lesisu, okungase kuphazamise umsebenzi amasistimu zokuphefumula futhi senhliziyo.

Ngesikhathi esifanayo, le cholecystectomy oyisiko nezihibe, phakathi lapho okubuhlungu kakhulu futhi isikhathi eside ukuvuselelwa. Emumva cholecystectomy kuthatha cishe amasonto amabili, kodwa isiguli kufanele uhlale ekhaya ngenyanga.

Kuyini laparoscopy?

Kukhona indlela kahle yokususa gallbladder - cholecystectomy laparoscopic. Le nqubo akudingi imbobo enkulu, ekususweni gallbladder yenziwa ngokusebenzisa izimbobo ezincane ezingekho ngaphezu 1, 5 cm on anterior udonga besisu, lapho zingamathuluzi ekhethekile. Ngokuvamile, umsebenzi kudinga 2-4 wokubhoboza. Kwelinye izimbobo injected uhlelo optic - laparoscope, okuyinto okuhambisa isithombe esikrinini qapha. Zonke ezinye izenzo kwenziwe esebenzisa amathuluzi ezincane ezikuvumela ukwenza ukuhlinzwa, cishe ngaphandle kokulimaza nezicubu eziseduze.

Emumva gallbladder laparoscopic esikhathini esingaphansi kwamasonto amabili, futhi akhiphe Ngokuvamile kwenziwa zingakapheli izinsuku eziyi emihlanu ngemva kokuhlinzwa. Inzuzo enkulu ukuhlinzwa kancane koda cishe akukho izibazi, futhi engenazo izingozi sakugcina ukuxakeka. Njengomthetho, emva inqubo ezigulini cishe akukho ubuhlungu. Okungenzeka ukwaba ukunyakaza elinganiselwe kwezandla likadokotela ohlinzayo, kanye ukwanda ukugandeleleka besisu ingaphakathi laparoscopy Phakathi bokwenza.

Yini okumele uyilindele ngemva kokususwa gallbladder?

Iziguli eziningi ngubani ahlinzwe ukususa gallbladder, bezibuza ukuthi umphumela le nqubo ukuphila kwabo kamuva. Izindaba ezinhle ukuthi ukungabi khona lokhu umzimba ngeke kuthinte inqubo ukugaya, ngoba umzimba unekhono nezimo ezintsha. Iziguli akudingeki ahlale edla ukudla okuqinile: kubalulekile kuphela ukuthi ukhawule ukusetshenziswa trudnousvaivaemyh ezilwane ezifana nesinqumela futhi imvu eyosiwe nokudla okunongwe kakhulu. Ngemva ekususweni gallbladder kubalulekile ukudla njalo, ikakhulukazi Kunconywa ukuba uhlukanise ukudla (ukudla amancane izikhathi 5-6 ngosuku).

yezinkinga ezingavamile ngemva cholecystectomy zihlanganisa pancreatitis, isisu biliary izinkinga ipheshana ukungasebenzi. Ngezinye izikhathi kukhona ezidabukile besisu ubuhlungu nokuphazamiseka kwesitulo. Ezimweni eziningi, lezi yezinkinga kungaba imithi ngempumelelo.