Ukuhlinzwa ukususa gallbladder

Cholecystectomy - ukuhlinzwa ukhishwe gallbladder. Kunezindlela eziningana ukususa isibindi bubble: Kulula ovulekile futhi laparoscopic ukufinyelela cherezbryushnoy. Kufanele kuqashelwe ukuthi kuze kube manje, ukuvula elahlekile ukuqondana abo endleleni. Kaningi, odokotela abahlinzayo ozama ukuyisebenzisa ukususwa laparoscopic, ngoba le ndlela kuyinto wezinwele hhayi kuphela ngaphezulu, kodwa engatheli yezinkinga ezinzima ezifana nasezinkingeni ezilandela ngemva kokuhlinzwa, ezifana nokuhlinzwa evulekile.

Laparoscopic gallbladder ukususwa wenziwa ngaphansi ukubulawa kwezinzwa okuvamile e egumbini lokuhlinza. Iziguli kwavele ukulungiselela preoperative, okwathi ngemva kwalokho izinzwa kunikezwa.

Udokotela ohlinzayo kwenza ezintathu noma ezine ukusikeka projection endaweni kwesibindi kuya esiswini. Cuts musa idlule 2 cm - lena ngempela ngokwanele ukwethulwa trocars. Ngokulandelayo, esifundeni besisu kuyadingeka ukuze "kuqhunyiswa", lokhu kwethulwa ethile igesi ngokusebenzisa tube. Le nqubo kwenziwa kudokotela umbono kangcono indawo emizimbeni isihlobo komunye nomunye.

Ukuhlinzwa ukususa gallbladder senzeka ngezigaba eziningana ngokulandelana:

- ukusebenzisa izibopho ukuze uvule imbobo fibrosis futhi hepatic imikhumbi emikhulu igazi (ngakho udokotela ohlinzayo akuvumeli ukulahlekelwa igazi);

- ukususwa oqondile kwesinye nenyongo;

- laparoscopic suturing sebeziqhumbuza.

Ngakho, ukusebenza ukhishwe isinye nenyongo sihamba umgodi ngaphandle Ukungena ku komgodi ongaphakathi kwamathumbu. amadivaysi Modern laparoscopic uvumele nokuzala umfanekiso izitho zangaphakathi esikrinini kuyinto izinga okusezingeni eliphezulu kakhulu, ngakho ukususwa esinyeni cavernous kuyinto engeke asebenze.

Nokho, kwezinye izimo, lo dokotela alikwazi laparoscopic nenyongo iziqukathi. Lokhu kwenzeka uma:

- yezifo igazi eligeleza onaso hemostasis ezimalini;

- Isikhumulo futhi uthi comatose;

- izifo urological kwamaphaphu, inhliziyo nezinso.

Uma isiguli sekutholakele ukuthi sine- a peritonitis gallstone, ithumba gallbladder, kanye khona ukukhulelwa, noma ezinye izinqubo ukuthi ezingapheli zingayilimaza inkambo ukuhlinzwa laparoscopic, udokotela ohlinzayo eningase nikhethe ukufinyelela evulekile.

Kufanele kuqashelwe ukuthi ukungabi khona Izimo kungcono uma kwenziwa ukususwa laparoscopic we gallbladder. Izibuyekezo iziguli emva lolu hlobo lokuhlinzwa ingcono kakhulu ngemva cholecystectomy ezivamile.

Ngemva kwezinsuku ezimbalwa nje ngemva laparoscopy, iziguli kungaholela ekuphileni okuvamile, nje kancane ngenkathi okulinganisela umsebenzi wabo ngokomzimba.

Yini yezinkinga singenzeka ngemva gallbladder ukususwa?

1. Ukopha.
2. Peritonitis, septicemia noma ubovu ukuvuvukala.
3. Suture ukwehluleka, nokulimala, fistulas kanye abscesses isilonda kuhlinzwa.
4. Ukwakheka amatshe e-Amapayipi Bile.
5. Ukuchitha Bile ngokusebenzisa imbobo.
6. Propensity kuya thrombosis.
7. Exacerbation izifo ezingamahlalakhona emathunjini (isilonda).
8. Umonakalo izitsha kwezinso futhi mapayipi.
9. Umzimba wakho uxabana imithi noma ama-ejenti ukuze izinto zokubulala izinzwa.

Ukuze bagweme ukubanjwa, ukwakheka amatshe e-Amapayipi nokugcina i umzimba, kubalulekile ukuhambisana ekhethekile yokudla ngemva cholecystectomy. Iziguli kufanele ayishiye ngokuphelele imikhiqizo ezithuthukisa kumiswa Bile futhi kuthinte isibindi.

Udinga udla njalo kancane kwadlula amahora ambalwa. Isibalo ukudla ongafinyelela 6-8, kodwa lokhu akufanele iyayithusa iziguli.

Kufanele babe yingxenye ekudleni okuthosiwe, nezitini, ukudla ngibhema kanye ukosa inyama kanye ngosawoti.

Kungcono njalo ukusebenzisa ngesitimu, ukukufaka ekudleni ukudla okwengeziwe isibilile kanye nesobho (hhayi okunamafutha umhluzi).