Iyo gallbladder chikamu chinokosha chekudya kwekudya. Anounganidza bile nokuda kwekudya kwezvokudya, anochengetedza muviri kubva pamagumisiro anogumbura echinhu ichi uye anoratidza huwandu hwakawanda hwehwo. Zvimwe zvirwere zve gallbladder zvinogona kutungamirira mukuputsa kwehutano hwechirongwa ichi, sechigumisiro icho chikamu chinofanira kubviswa.
Ndeipi rinodiwa kubvisa nduru?
Chiratidzo chakanaka chokubvisa nduru chivako ndiko kuumbwa kwematombo. Apo cholecystectomy inorayirwa, izvo zvinoratidza zvichagoverwa pasi apa, izvi zvinoreva kuti nhengo yave ichivhiringidzika, yarega kugadzirisa mabasa ayo. Pasinei nekuvhiya kunodiwa mukuvapo kwematombo, kugadzirisa chiremba munyaya imwe neimwe, asi nechirwere chakadaro, vanachiremba vanowanzobvisa chimiro. Kupwanya uye kuedza kubvisa matombo hakutungamiri kumigumisiro yaidiwa, nokuti chirwere chenduru chinoumba mutsva mutsva munguva pfupi.
Kubviswa pamwe nekushanda kweguruvladder kunoratidzwa munyaya dzinotevera:
- gangrene ye gallbladder;
- cholesterosis (cholesterol yakaiswa pamadziro echando);
- kupinda mukati mu bile ducts yedombo;
- kuvhara nhengo pamusana wechigarire cholecystitis;
- big polyps mu gallbladder ;
- neoplasms mu bladder;
- kuvhiringidza mumukaka kunokonzerwa nebwe rakapinda mukati mumukumbo kubva mumaronda kuburikidza ne fistula.
Nzira dzekubvisa nduru
Kubviswa kwegorobladder kunoreva kupindira kunowanzoitwa. Achirondedzera kuti chii chinonzi cholecystectomy, mhando nemigumisiro yokuvhiya, vanachiremba vanocherechedza murwere kuti kubudirira kwayo kunoenderana nemhizha yechirembachire, hutano huzhinji hwomurwere uye mufambiro wake munguva inotevera. Iko kune marudzi matatu echolecystectomy:
- Vhura classical - yekare nzira yekubvisa gallbladder;
- Minimally invasive yakazaruka - yekutanga basa rakadaro rakaitwa makore anoda makumi mashanu akapfuura;
- Laparoscopy - yakave yakawanikwa nekuda kwekufambira mberi mune teknolojia yezvokurapa.
Laparoscopic cholecystectomy
Kana zvakakosha kubvisa nduru, laparoscopy ndiyo nzira yakanakisisa. Laparoscopy, pakuenzanisa nemamwe marudzi echolecystectomy, ine zvinyorwa zvishoma, zvinokonzera kushungurudzika, nemigumisiro shoma uye nguva yekudzorera. Laparoscopy haisi kuitwa pamberi pekuvhiringidza, kubatisisa uye zvimwe zvinhu zvepanyama.
Kuvhiyiwa kwepadoscopic inoshandiswa uchishandisa chigadzirwa cheparascopic. Inokubvumira kuratidza chimiro chemuviri wechipfuva. Kuvhiya kunotanga nemapctures akawanda emadziro emimba, umo manipulators uye kamera zvinowanikwa. Nekuiswa kwekhabhoni dioxyde muimba, bvisa mudumbu remadziro uye uvandudze nzira yekutora nduru. Nhengo yacho inotanga kudzivirirwa kubva pachiropa, iyo inobva yabviswa kuburikidza nehuputi.
Vhura cholecystectomy
Kuvhiya uku kubvisa bibi kunobatsira kuwana ruzivo rwakakwana kumudumbu wemuviri pakuita zvakakosha zvinoshandiswa manipulations: kushanda zvikamu zvakapoteredza, kuongorora bicy ducts, kuita ultrasound kana cholangiography. Nokuda kweizvi, kudurwa pamwe chete neKocher kunoitwa pamadziro emadziro emukati. Vhura cholecystectomy ine dambudziko rakadaro:
- zvikwangwani zvikuru zvinoonekwa;
- kwenguva refu yekudzikinura;
- zvimwe zvinetso zvakaenzaniswa ne laparoscopy.
Upenyu mushure mokubviswa kwe gallbladder
Mushure mokuvhiya, zvinotora anenge mwedzi mina kuti zvienderane nemamiriro ezvinhu akachinja ehupenyu. Mutoro mukuru panguva ino ndiyo bile ducts uye chiropa, iyo inofanirwa kubhadhara kusavapo kwechirongwa. Mune nguva ino zvakakosha kuti titevedzere kudya, kwete kuti tibatanidze mishonga. Kugamuchirwa zvirongwa zvezvechiremba kunofanira kusarudzwa nachiremba pamusana pekusavapo kwebhokisi rinosarudzwa.
Mushure mokuvhiya kuti abvise ganda, kwenguva yakati murwere achaona matambudziko nechigaro, icho chichadzoka apo muviri unofananidzwa. Pashure pemwedzi 4-6 munhu anogona kutora hupenyu hunozivikanwa, asi panguva imwe chete iye achafanira kutevedzera maitiro ekudya kusvikira pakuguma kwemazuva ake. Kusiyana kubva pakudya kunotungamirira kumanzwisisiro asina kufadza mumugwagwa wezvokudya, matambudziko ane chigaro, marwadzo munharaunda yepigastric.
Kubviswa kwebhaariary - postoperative nguva
Kushandisa cholecystectomy kunoreva nzira dzekuporesa dziri nyore. Mushure mokubviswa kwenduru, murwere anochengetwa muimba huru yekuchengetedza kwemaawa akawanda pasi pekutarisirwa kwevashandi. Mushure memaawa mashanu, murwere anopiwa kupa gorofu, uye shure kwemaawa matanhatu kusvika maawa manomwe unogona kudya zvishoma. Zuva rakatevera murwere anoda kutanga kutamira zvishoma. Mushure memazuva mashomanana, murwere anenge abviswa kubva mumvura, uye, pasina kusangana, anosunungurwa pazuva rechitatu. Nguva yose iyi nemwedzi mitatu inouya murwere ari pane kudya kwezvokudya.
Mishonga pashure pokubviswa kwe gallbladder
Mishonga pashure pokubviswa kwegorobladder inoderedzwa. Mumazuva ekutanga, vanachiremba vanokwanisa kupa mishonga inorwadza kana murwere anorwadziwa zvikuru. Ne spasm yebazi rebiliary, spasmolytics inogona kudanwa kwenguva pfupi. Kuvandudza zvinhu zve bile, zvinodhaka ne ursodeoxycholic acid zvinoshandiswa:
- Hepatosan;
- Ursosan ;
- Enterosan;
- Ursofalk.
Kudya mushure mekubviswa kwe gallbladder
Chikafu chakakwana mushure mekubviswa kweguruva kunobata nguva yekudzorera uye inovandudza hukama hwemurwere. Varwere vanosara vasina nduru inoda kuziva chii chinogona kudyiwa mushure mekubvisa nduru, uye kudya chikamu kanomwe pazuva. Izvi zvinokurudzira kuumbwa kwe bile uye kudzivirira kusagadzikana kwezvirongwa. Hafu yeawa asati adya, zvinokosha kunwa kirasi yemvura, uye kwezuva rose zvinobatsira kunwa zvinenge 2 litita emvura yakachena.
Zvokudya zvinofanira kuva zvitsva, kuitira kuti tisagumbura shungu dzekudya. Kudya mushure mokubvisa gorosi rinoratidza kuti haugone kudya. Menyu mushure mekubviswa kwenduru inofanira kuva yakanyatsogadzirisa uye ine nhamba shoma yezvibereko zvakadai:
- mafuta uye zvokudya zvekudya;
- chingwa nehoteri zvigadzirwa;
- sweets uye confectionery;
- mbatata;
- macaroni;
- doro.
Zvingano zvezuva nezuva zvinogona kuva nezvikafu zvakadaro:
- Kumbodya: albumen omelet, mukaka pamukaka, chai.
- Chipiri chekudya chamangwanani: chikamu chekottage cheese, muto wembwa.
- Zvokudya zvemasikati: mukisi wemuchero pamwe nekuwedzerwa kwezviyo, chidimbu chekukukiwa kana chizivo, karoti puree, michero jelly.
- Snack: aple yakabikwa, nekottage cheese uye uchi.
- Kudya: mvura yevhu, mbatata yakasviba, hove yakabikwa, tei.
- Kudya kwekupedzisira: michero jelly, kefir.
Kubviswa kwegorobladder - migumisiro
Chero chero nzira yekuvhiya inoshandiswa, mutumbi chero upi zvawo unosangana nekushungurudzika uye unoda nguva yekuvakazve hutano hwekuita. Kana murwere akaitwa cholecystectomy, zvinetso zvichataurwa munguva yekutanga postoperative period. Murwere acharwadziwa uye achirwadziwa, kuora mwoyo, kuora mukati mudumbu, achave nezvinetso nechitsiko. Zvishoma nezvishoma, manzwiro aya achaderera.
Kuderedza kupora kunogona kuwirirana nehutachiviri hwepamuviri:
- pancreatitis ;
- gastritis;
- hepatitis;
- kusagadzikana kwe sphincter yaOdidi;
- reflux.
Pazvinetso mushure mokuvhiya kuti abvise ganda uye kudiwa kwekukurumidzira kurapwa kunoratidza zviratidzo zvakadaro:
- high temperature;
- kurwadziwa kukuru;
- kuora kwemaoko emaziso;
- icteric skin.