Umsebenzi ukuze ususe enyongweni. Ukulungiselela utyando ekunokukhethwa

Ngoku isifo Gallstone sele waba ngomnye nesenzeko zixhaphakileyo phakathi ngezifo esiswini, notyando ukususa enyongweni - indlela isisombululo kakhulu le ngxaki.

isifo Gallstone - ntoni na?

Esi sifo linxulunyaniswa lokusekwa kwi bile duct ne amatye nenyongo isinyi (calculi). Le kuphuhliswa ngenxa yezi zizathu zilandelayo:

• ngxi okanye utshintsho kuhlanganiselo enyongweni;
• iinkqubo arhabaxa;
• bilification ukungathobeli (zeDyskinesia).

Kumafa, kukho iintlobo ezintathu zamatye. Avamise kakhulu (80-90% amatyala) kukho amatye cholesterol. nokudaleka negalelo kwisiqulatho cholesterol elidlulileyo enyongweni. Xa oku kwenzeka ukuyilwa ziikristale ngenxa yokulahlwa kwe-cholesterol kwenze kwemfuneko. Ukuba motility lwesinye inyongo wonakele, ngoko kwe- aziboniswa kwindawo isisu, kwaye sihlale ngaphakathi kuyo kwaye uqale ukukhula.

amatye sombala kwakheka ngenxa yokwanda sokonakalisa iiseli - iiseli ezibomvu. Amaninzi oko ibonakala anemia hemolytic. Kukho kwakhona yimfundo mixed. Bona ziyintlanganisela iifom zombini. Le nto ndiyibhalayo cholesterol, yibilirubin kunye calcium.

Nokuba msebenzi kuyimfuneko

Wonk 'ubani kuye kwafunyaniswa kunye enyongweni, makabuzwe kungekudala emva koko unokubuza enoba yokungenelela yentsebenziswano okanye uya kwanela kunyango endala. Kufanelekile ukuba sikhankanye ukuba amatye ngokwabo izizathu ukususa senyongo. Ukuba ngaba zibonisa ngokwabo, yaye musa kuchaphazela ukusebenza okuqhelekileyo neminye imibutho, umsebenzi awukwazi kucinga. Nakuba kunjalo, ukuba kukho buhlu- senyongo, yaphula imeko jikelele, yellowness, imfuno engxamisekileyo ukuya kugqirha. Yaba nguye lowo, emva kokuba uphando luya kwenza isigqibo asinike ungenelelo operative kuyimfuneko kwaye ukuba yintoni na. Kodwa lindela ukuba cholecystitis senyongo kuthetha sele iqalile inkqubo arhabaxa. Ukuba kakhulu ukuyi- isigqibo, amathuba ukubuyisela ngokupheleleyo impilo emva kotyando kakhulu lincitshiswe. Nokuba kukho ukuhlasela enye, enyongweni ngcono ukususa.

Ubungqina obubonakalayo buxela ukuba ukuhlinza

Xa isigqibo imfuneko kotyando, iingcali zidla ingqalelo ezi zinto zilandelayo:

• phambi yamatye (calculi) ezinobukhulu obahlukileyo, yomxhaso yesithathu lwesinye inyongo;
• ukuba sifo a ekuhlaseleni of intlungu senyongo (yokulunywa biliary), lo msebenzi wenziwa nokuba ubukhulu concrements;
• Ukuba amatye zicwangciswe esinyini inyongo kunye imibhobho;
• ngelixa kuncitshiswa ukukwazi senyongo lokuba nesivumelwano okanye kokuqhawulwa yayo epheleleyo;
• uphuhliso pancreatitis biliary;
• yi breakage kodonga senyongo;
• kunye occlusion we bile eqhelekileyo hepatic.

Kukho izikhokelo ngamazwe yokuqingqa imfuneko usebenzela cholelithiasis. UPawulos iingongoma ababelwe nezibonisi ezahlukeneyo zokuxilonga, ugqirha uza kuqinisekisa ukuba utyando iyafuneka, kwakunye ezibonisa lwezizalwane ngokupheleleyo yona.

iintlobo zemisebenzi

Ngokuqhelekileyo, inkqubo ukuyilwa enyongweni - akukho ukuzila. Kakade ke, ukuba ngaba unelishwa, kwaye yezigulane iza kukusa esibhedlele ngotyando ngokuhlaselwa etsolo, apho kwafunyaniswa ukuba cholecystitis, senyongo, ukhetho onayo incinci. Kodwa ke inkoliso yabantu abayaziyo malunga ngxaki kwangaphambili nogqirha wakho bonke thethana iinkcukacha, amisele umhla utyando ezicwangcisiweyo.

Xa yesilungu, kukho iindlela ezimbini yokususa senyongo (cholecystectomy)

• cholecystectomy evulekileyo - indlela zemveli ngokondla lokuvula kwisisu;
• cholecystectomy laparoscopy - ayibobuchule mihla ikhethwa namhlanje.

cholecystectomy evulekileyo

Lo msebenzi ukususa enyongweni i utyando zakudala. Emva icandelo ecaleni osembindini ka esisu yenziwe ukuhlolwa kwisisu, kunye nokususwa nenyongo isinyi, ukuba kuyimfuneko, semibhobho (iityhubhu ufakelo, ukuze kuqinisekiswe nencindi onesiphumo exudate kunye nezinye neencindi zomzimba).

Nangona ukuvela iindlela zale mihla ophezulu-zobugcisa, cholecystectomy izakuvula efanelekileyo. Oku kunokucaciswa into yokuba ezinye iikliniki azinazo izixhobo okanye neengcali kuyimfuneko iziqinisekiso ukuphumeza iinkqubo laparoscopy. Ukongeza kwezi, kukho Izimo ethile.

senyongo Laparoscopy

Le yenye indlela kotyando izifo gallstone. Ukuza kuthi ga ngoku, le ndlela iya kuya kuxhaphaka ngakumbi ngenxa impumelelo yayo, ephantsi iimpembelelo, ukuncitshiswa amagama recovery. Olu tyando lwenziwa usebenzisa laparoscope - a isixhobo okhethekileyo, nto leyo evumela ukufikelela kwi-organ eyonakeleyo nge multiple ukuhlatywa udonga esiswini ngenxa apho ezandleni kwaziswa kwaye, eneneni, a laparoscope. Le ndlela ivumela ukuba ukususa kuphela senyongo lo kokushiya zixela, kodwa kwezinye iimeko kususwe amatye kuphela, eshiya umzimba endaweni. Indlela efanayo isetyenziswa hayi kuphela unyango lwesifo gallstone, kodwa ngenxa yokususwa appendicitis, unyango hernias inguinal, ezinye izifo izifo, kunye nemisebenzi diagnostic. Nangona iingenelo ecacileyo cholecystectomy laparoscopy, le ndlela iye Izimo yayo. Ezi ziquka:

• ithumba, ibekwe kwindawo ukusebenza;
• kwiinyanga zokugqibela ezintathu ekhulelwe;
• sifo kakhulu cardiopulmonary.

Kwakhona, khumbula ukuba xa utyando laparoscopy, xa kwimeko ubunzima incinane egcine, oogqirha kudlule ukuvula cholecystectomy. Utsho iphela-5% utyando laparoscopy.

Ukulungiselela utyando

Njengazo naziphi na, uqhaqho ukususa amatye senyongo kufuna ezinye uqeqesho. Ngaphandle phando standard kuquka ihlaziya yonikezelo (ICBC kunye urinalysis, ngamachiza igazi, coagulation - uphando igazi ekunqandeni, umsebenzi kwesibindi tests), kubalulekile ukwenza ultrasonography esiswini, electrocardiography, isifuba X-ray, ngokutsho nezalathisi FGS kunye colonoscopy, kwaye ukufumana ingxelo womsebenzi ongeyotitshala. Ngaphezu koko, ukulungiselela utyando ekunokukhethwa luquka amachiza ukurhoxiswa echaphazela coagulability igazi. Ezi ziquka iindidi anticoagulants novithamini E, non-steroidal amachiza-ukudumba. Kwiintsuku ezimbalwa ngaphambi kokuba msebenzi ufuna ingqalelo eyodwa yokudla cholelithiasis. Le menu akufuneki ibe izidlo enzima, yaye ukususela ezinzulwini zobusuku ngosuku xa nokusebenza kwenziwa, kuyimfuneko ukuba ngaphandle ukutya nento eselwayo. Ngosuku olwandulela umhla zokurhweba nokucoca kwamathumbu kusasa nangokuhlwa kwenza ohlambululayo enemas okanye ukuthatha amachiza ezizodwa. Kusasa uthathe ishawa anesepha antibacterial.

Ithuba postoperative

Namhlanje kunzima sekufika umntu cholecystectomy. Lo msebenzi ukususa enyongweni kuye belibele "kwi umsinga", kwaye imalunga yaninzi nje appendectomy. Isigulane sele iiyure ezine emva kokuba igqityiwe msebenzi, apho akunakwenzeka ukuba asele aze enze intshukumo ezibukhali uvumelekile ukuba ebhedini. Wena ke ukuqala ukuba usele amanzi ngaphandle igesi iinxalenye ezincinane (1-2 pharynx, kodwa ml hayi ngaphezulu kwama-500). Emva kweeyure ezintandathu emva kotyando laparoscopy isigulane nivuke. Yenza kube ngcono, ukuba kukho umntu evela kubasebenzi bezempilo okanye izalamane, ekubeni emva kokuba umzimba ixesha elide bahlala kwindawo oxwesileyo kwaye imo zomzimba, xa uzama ukufumana phezulu kusenokubakho isiyezi kunye waphela. Ngosuku olulandelayo emva kokuba umsebenzi umguli Ungasa ngokukhululekileyo esibhedlele.

Emva kotyando, ukutya kakhulu cholelithiasis. Menu yosuku singabandakanya ukutya engamanzi - isidudu phezu kwamanzi, isuphu ukungondleki, iimveliso zobisi. Olunye ekutyeni inokuquka yenkomo ebilisiweyo, chicken ibele, ama-apile wazosa izonkana okanye bananas. Kufuneka kukhunjulwe ukuba kwiveki yokuqala emva kokuba umsebenzi kungavumelekanga utywala, iti eyomeleleyo okanye ikofu, iswekile, amafutha kunye nokutya okunamafutha.

therapy litholytic

Ukuba ukungenelela kuhlinzwa kuyinto akwenzeki ngenxa kwizifo kakhulu somatic okanye ukuphazamiseka of igazi ekunqandeni, kwakunye ukwala umguli ukusuka utyando, ebibanjwe unyango litholytic. Le ndlela, apho iifayile ezisetyenziswa imixube equka asidi inyongo, ekujongwe ukunyibilikisa amatye kwakhiwa. Ekubeni kubalulekile ukuqwalasela ukuba ubude bexesha unyango inokwahluka ukusuka komnye unyaka ukuya kwiminyaka emibini, yaye ukuba kunokwenzeka wavala enyongweni ngokupheleleyo, oko akuthethi ukuba akayi kuvela kwakhona. Ukongeza, ngethuba unyango inokuba ingxaki ezahlukeneyo sifo gallstone, kuquka nezo zifuna ungenelelo yotyando.

Iikhrayitheriya Therapy litholytic

Enye Unyango umda litholytic iimfuneko ezithile yeekhrayitheriya zesi sifo:

1. Enyongweni cholesteric kuyimfuneko, kunye nemilinganiselo esingadlulanga 20 mm.
2. Umsebenzi we senyongo basindiswe namatye abangekho ngaphezu kwesiqingatha umthamo wayo.
3. Esinganyangekiyo kokuhlambeleyo inyongo bile kufuneka agcine patency yayo.
4. Ekubeni ukuyilwa amatye hayi ngaphezulu kweminyaka emibini.
5. Xa imbali kumele kubekho ikhondo gingxi zesi sifo - iintlungu inobulali, iindywala athile kwesisu.

Unyango lwenziwa phantsi ultrasound qho kwiinyanga 3-6. Ukuba emva kweenyanga ezintandathu akukho uphuculo, ngoko ke kuthathwa kuphumelele, kwaye kwakhona waphakamisa umba zotyando. Ukuba unyango litholytic kube yimpumelelo, ukuze babone ngexesha le enyongweni elisandul 'ukusekwa, US ukwenza ubuncinane kanye ngeenyanga ezintathu.