Ukususwa kwe-gallbladder: iziphumo zokususwa. Unyango emva kokususwa kwe gallbladder

Isifo seGallstone kwiminyaka yamuva nje "sincinci". Esinye sezicombululo kule ngxaki kwaye, mhlawumbi, eyona nto iyona nto iyona kususwa kwe gallbladder. Imiphumo yokususwa kwimizimba esiya kuyiqwalasela kweli nqaku.

I-Hepatocytes (iiseli zesibindi) zivelisa ibil, eqokelela kwi-gallbladder. Ukusuka apho, i-bile ifika kwi-colon 12, inceda inkqubo yokugaya emva kokutya. Imfihlo ye-asipthi ye-hepatocytes idlala indima ye-bactericidal kwaye ilwa nama-microorganism ezinobungozi obanjwe ngengozi emzimbeni.

Izizathu zokubunjwa kwamatye

Amatye e-gallbladder angenziwa ngenxa yezizathu ezahlukahlukeneyo. Kodwa into ephambili emva kwayo konke ukuphulwa kweenkqubo ze-metabolic emzimbeni. Oku kuya kunxulumaniswa nokugqithisa okanye ukugqithisa, ngakumbi ukuba ukuhlanjululwa kwamanzi kwesibindi kuphuhliswa. Ukwamkelwa kwenani elikhulu lamachiza, kuquka i-hormonal contraceptive, landisa ingozi yokubala (kunye nokwakhiwa kwamatye) i-cholecystitis.

Ukuphazamiseka kwondlo kungaphinde kubangele le ntsho. Izifo ezinjalo zinokudityaniswa nokutya okuphezulu kwi-cholesterol (inyama enamafutha, izintso, ubuchopho, ibhotela, amaqanda) kunye nokusetyenziswa kwamanzi amancinci kakhulu ixesha elide kunye nezidlo eziphantsi kweekhalori.

Iimpawu ze-anatomical zesakhiwo se- gallbladder (kinks kunye neendoda) zingaphinde zikhuphe i-cholecystitis. Kuyingozi kwiinkathazo ezinokwenzeka, umzekelo, ukucinywa kwama-bin ducts. Ukususwa kwe-gallbladder kunokusombulula ingxaki. Imiphumo yokususwa, njengommiselo, ayifaki ingozi, ngaphandle kokuba umsebenzi uqhutyelwa ngexesha kunye neengcali eziqeqeshe kakhulu.

Izimpawu zokusebenza

Izibonakaliso eziphambili zokususwa kwe-gallbladder zidla ngokuba:

• Ingozi yokucinywa kwee-bin ducts;
• Iinkqubo ezivuthayo kwi-gallbladder;
• I-cholecystitis engapheliyo, engeyiyo ingeniso yokunyanga.

Kwiimeko ezinjalo, kucetyiswa ukuba ususe i gallbladder. Imiphumo yokususwa ayikwazi ukuqikelela kwangaphambili. Kodwa imiphumo engathandekiyo ekhokelela ekusebenziseni okungathandekiyo ngexesha likhokelela ekuncinci. Ngelishwa, lo msebenzi ngokwawo awusususisi imbangela yeengxaki zokubunjwa kwe-bile. Kwaye emva kwe-cholecystectomy kuya kuthatha ixesha elithile ukuba umzimba uzinze usebenze ngokuvisisana ngokungabikho kweli candelo.

Ukuba isiguli sisoloko sikhathazekile ngokunyuka kwe- cholecystitis engapheliyo, emva kokuhlinzwa, imeko yakhe iya kuphucula. Imisebenzi ye-gallbladder esuswe iya kuthathwa ngamalungu asondeleyo. Kodwa akuyi kwenzeka ngokukhawuleza. Kuya kuthatha iinyanga eziliqela ukuvuselela umzimba.

Ukususwa kweGallbladder: Imiphumo yokususwa

I-Cholecystectomy ingenziwa nge-laparoscopic okanye indlela yokuhamba. Kwiimeko xa isiguli sinesifo esomeleleyo okanye ubukho bamatye amakhulu angenakususwa nangayiphi na enye indlela, ukusebenza okungaqhelekanga kwenziwa - ukususwa kwe- gallbladder. I -laparoscopy kwiimeko ezizezona zixakeke kakhulu zifanelekileyo.

I-laparoscopic cholecystectomy yenziwa phantsi kolawulo lwekhompyutha. Oku kusebenza kakubi kakhulu. Emva kokusebenza kokususa i-gallbladder, isigulane siseyunithi yokunyamekela kakhulu kwiiyure zokuqala ezi-2 phantsi kolawulo oluqhubekayo lwabasebenzi bezonyango. Emva koko, udluliselwa kwiwadi eqhelekileyo. Ungaphuzi uze uthathe ukutya kuzo iiyure eziyi-6 zokuqala. Emva koko unika umtshini omnye wamanzi kwisigulane ngaphandle kwegesi.

Ukususela esibhedlele isigulane sinokukhishwa ekhaya ngosuku lwesi-2-4. Emva koko kuza ixesha lokuvuselela. Kwi-cholecystectomy engenakuyinkimbinkimbi, isigulane sisoloko sihlala kwikhefu lokugula inyanga.

Kwenzeka ntoni emva kwe-cholecystectomy?

Emva kokuba kususwe i-gallbladder kumathumbu kuza rhoqo, akukho ndawo yokuqokelela kuyo, kwaye iya kuba yinkomo. Oku kungenisa utshintsho oluthile ekusebenzeni kwamathumbu:

1. I-liquid ye-bile iyakunzima ngokubhekiselele kumachiza ezinobungozi. Baya kwandisa kwaye babangele ukunyanzelisa.
2. Ukungabikho kwe-gallbladder kubangela ukuba i-bile acids ihlale icaphukisa i-mucosa ye-duodenum. Le nyaniso inokubangela ukuvuvukala kunye nophuhliso lwe-duodenitis.
3. Oku kuphazamisa umsebenzi we-motor intestine, kwaye izidlo zokutya ziyakwazi ukuxhaswa kwisisu nangesisu.
4. Inkqubo enjalo inokukhokelela ekuphuhliseni i-gastritis, i-esophagitis, i-colitis okanye i-enteritis.

Zama ukuphepha zonke ezi ngxaki ziyakunceda ukutya okukhethiweyo. Umthwalo wenyama, nawo, uya kuncitshiswa ixesha elithile. Ukususela kwicala lokutya, zonke iintlobo zokuphazamiseka zinokwenzeka. Ukuphazamiseka kwamathumbu okanye, ngokuchaseneyo, ukuzithemba, ukuvuvukala kunokwenzeka. Akufanele ukwethuke. Ezi ziqhamo zesikhashana.

Ukutya emva kokuhlinzwa

Ngexesha lokuqala iiyure ezingama-24 emva kokusebenza, kuvunyelwe ukusela kuphela amancinci amancinci yamanzi angabonakaliyo, kodwa angabi ngaphezu kwehafu yesitha. Ngexesha leentsuku ezi-7 ezilandelayo ukutya kwesigulane kuquka:

• I-fat ephekiweyo inyama (inyama yenkomo, inkukhu yenkukhu ngaphandle kwesikhumba) kwifom etyumkileyo;
• Iisobho kwi-broth yemifuno;
• I-oatmeal okanye ibhakede ye-buckwheat emanzini;
• Imveliso yobisi olumuncu olutsha (i-yoghurt, i-kefir, i-curd curd);
• Iibhanana ezibhaka kunye namaapulo.

Ngexesha lokubuyiselwa, iimveliso zivumelekile:

• Zonke ukutya okuthosiweyo;
• I-Sharp neyetyuwa;
• Intlanzi (ikwabiliswa);
• Itiye eqinile okanye ikhofi;
• Naluphina utywala;
• Tshokolethi;
• I i festile;
• Ukubhaka.

Ukutya okunye

Ukongezelela, ngeenyanga ezimbini zokuqala emva kokusebenza, kubalulekile ukunamathela kwisondlo sokutya. Oku kwaziwa ngakumbi njengenombolo yokutya 5. Kuvunyelwe ukusebenzisa le miveliso elandelayo kwifom ephosiweyo okanye ekhutshiwe:

• Inyama ephikiweyo ibilisiwe okanye i-steamed;
• Intlanzi emhlophe yolwandle;
• Iqanda elibilisiwe (unako u-omelet upheke ehovini);
• Izitshizi okanye imifuno ebilisiwe (ithanga, i-zucchini, i-cauliflower, izaqathe, iitapile);
• Izithelo, amajikijolo kunye namazambane ahlambulukileyo avela kubo, apheka ii-apula;
• Ijezi ezityanisiweyo ngokutsha zihlanjululwa ngamanzi;
• Umhluzi wenyuka;
• I-tea ayinamandla;
• Amakhonkco e-Rye.

Iimveliso ezandisa ukwenziwa kwegesi (iigasi, iklabishi emhlophe kunye neklabhu ebomvu, njl. Emva kweenyanga eziyi-2-3 unokongeza kwisondlo:

• Izitya ezisuka kwiisinkile (ilayisi, ibhalley yepararl, i-millet, njl.);
• I-Cottage ushizi, iintlobo ezinzima zeeshizi (zihluthe);
• Inyosi, i-jam (engekho ngaphezu kwe-30 grams ngosuku);
• Iziqhamo zeCitrus;
• Ukubhaka kuphela izolo (ukubhaka okutsha kusenqatshelwe).

Kwimibini emibini ezayo, phelisa ngokupheleleyo i-ts'oletele, i-ayisikrimu, iigleke, i-buns esitsha. Ukutya ukutya okuncinane ama-5-6 ngamaxesha.

Ngaphantsi kokuvalwa, zikho na iziphuzo ezinokusetyenziswa kotywala (nangona ubuncinci). Oku kunokubangela ukuhlaselwa kwe-pancreatitis embi.

Amayeza emva kokuhlinzwa

Emva kokususwa kwe- gallbladder, unyango lwamayeza lufunekayo ubuncinci. Xa iinkqubo zokuvuvukala zitholakala kwi-gallbladder, i-antibiotics imiselwe emva kokusebenza. Ulwaphulo lwe-antibiotics lwenziwa esibhedlele iintsuku ezintathu zokuqala. Oku kwenziwa ukwenzela ukuthintela ukuphuhliswa kweengxaki zokuhamba emva kokusebenza.

Ukuba isigulane sikhalazela intlungu, i-analgesics inokumiselwa. Zisetyenziselwa kuphela iintsuku zokuqala ezingu-2-3. Emva koko unokuya kwi-spasmolytics "iDotaverin", "Akukho-shpa", "Buskopan". La mayeza aqhelekileyo athatyathwa kwifomu yeethebhulethi zingadlulanga iintsuku ezili-10.

Emva kokususwa kwe-gallbladder, unyango ekhaya luyaqhubeka. Ukuphucula i-lithogenicity ye-bile, iziyobisi eziqukethe i-ursodeoxycholic acid, ezenza kube lula ukunciphisa i-microcholithiasis (ukubunjwa kwembono ezincinci ukuya kwi-0.1 cm ngobukhulu). Ingaba yiziyobisi "Ursofalk." Isetyenziswe ngendlela yokumiswa okanye iifomsile. Ukufunyanwa kwesi siza kuqhubeka ixesha elide - ukusuka kwiinyanga ezi-6 ukuya kwiminyaka emi-2.

Ngelishwa, i-cholecystectomy ayiniki isiqinisekiso esipheleleyo sokuthintela ukubunjwa kwamatye, ekubeni ukuveliswa kwe-bile kunye ne-lithogenicity eyandisiweyo (ukukwazi ukwenza amatye) akupheli.

Ukususwa kweGallbladder: indleko yokuhlinzwa

Lo msebenzi ungenziwa ngaphandle kokuhlawulwa, kwaye uyahlawulwa. Ukuhlawulwa kwentlawulo kusebenza kwiprojekti yonyango kumaziko oluntu. Ukuqhutywa kwamahhala kwenziwa ngabachwephesha abaneengcali. Ngokuqhelekileyo oku kusebenza ngokucwangcisiweyo. Kwimeko engxamisekileyo, yenziwa kuphela xa imeko yesigulane ihlawule ngokugqithiseleyo kwaye kukho ingozi yokuxinzelela okanye ingozi ebomini.

Amaziko ezonyango ezihlawulwe kunye neekliniki angenza i-cholecystectomy ngexabiso elithile. Kwiiklinikhi ezahlukeneyo amaxabiso aloo msebenzi angabuka kwii-ruble eziyi-18 ukuya kwi-100. Into yonke incike kwindawo yengingqi yeklinikhi kunye nodumo lwayo. Kwakhona, iindleko zokusebenza kumaziko anjalo zichaphazelwa yinyaniso eya kwenza umsebenzi - uza kuba nguvulindlela oqhelekileyo okanye ugqirha wezobugcisa.