Kubviswa kwe gallbladder: sei ungasarudza?

Kubviswa kwegorobladder , kana cholecystectomy, ndeimwe yenzira dzakanakisisa dzekurapa chilelithiasis, zvinetso zvayo nezvimwe zvirwere. Zvichienderana nehutano hwechirwere uye chirwere chemurwere, chiremba anosarudza imwe yemhando mbiri - laparotomy (chirwere chepachivande chakavhiyiwa) kana laparoscopy (inoshandiswa zvishoma nezvishoma). Ngationgororei kuti imwe neimwe yeizvi nzira ndeipi uye ndeipi inobatsira.

Chii chinonzi laparotomy?

Laparotomy chirongwa chekuvhiya chinowanzogadzirisa dumbu remuviri. Kubviswa kwegorobladder nenzira yeparparotomy inonzi chidimbu cholecystectomy . Nzira yacho inoshandiswa uchishandisa anesthesia yakawanda kuburikidza ne 3-5 cm incision pamwe nechepakati pamadziro emadziro. Panguva yokuvhiyiwa, chiremba anovhiya gorofu, ndokusvina midziyo uye ronda rokuvhiya.

Kubudirira kweiyo nzira ndeyekuti kuvharwa kukuru kunokubvumira kuti uone uye kuongorora pechirongwa chechimiro chenhengo. Basa rakasununguka rokubvisa doro rinowanzotora nguva shomanana kudarika nzira dzisina kumira dzisingaiti, iyo inowanzoita basa rinokosha. Uyewo, iyi nzira inodzivirira kuwedzera kwemaviri mukati memimba yepamuviri, iyo inogona kukonzera basa remhepo yekufema nemoyo.

Panguva imwecheteyo, chelecystectomy yemasikirwo ine zvipingamupinyi zvayo, pakati payo zvinotambudza zvikuru uye nguva refu yekugadzirisa. Kudzorerwa mushure mekunyanya kusarudzwa kunenge kwemavhiki maviri, asi murwere anofanira kugara kumba kwemwedzi.

Chii chinonzi laparoscopy?

Panewo imwe nzira ine munyoro yekunyora kubvisa - laparoscopic cholecystectomy . Izvi hazvirevi kuvharwa kukuru, kubviswa kwegorobladder kunoitwa kuburikidza nediki duku punctures dzisingasviki 1, 5 cm mukati memadziro emadziro emukati, mune zvigadzirwa zvinokosha zvinowanikwa. Kazhinji 2-4 punctures inodiwa kuti iite basa. Mune imwe yemakomba inotanga optical system - a laparoscope, iyo inotumira chifananidzo kune chekuona chinyorwa. Zvimwe zviito zvose zvinoitwa kuburikidza nekubatsirwa kwezvinhu zviduku, izvo zvinobvumira kuita basa, zvichida pasina kukuvadza maviri.

Kudzorera mushure mokunge laparoscopy ye gallbladder inotora nguva inopfuura mavhiki maviri, uye kubudiswa kunowanzoitwa mushure memazuva mashanu mushure mekuita. Kubudirira kukuru kwekuvhiya kwechidiki kusinganzwisisiki ndiko kunenge kusina kusakwana kwezvikanda uye pangozi yakawanda yezvinetso. Sezvo mutemo, mushure mokunge izvi zvaitika, varwere vanenge vasingadi kurwadziwa. Pakati pezvikanganiso zve laparoscopy zvinogona kuonekwa kushoma kwemaoko emachiremba, uyewo kuwedzera kukumanikidzwa mumakumbo emimba.

Chii chaungatarisira mushure mekubviswa kwegorobladder?

Varwere vazhinji vane chirwere chokubvisa nduru inofarira kuti nzira iyi ichakanganisa sei upenyu hwavo hwemangwana. Mashoko akanaka ndeokuti kusavapo kwechirongwa ichi hakuzokanganisa nzira yekudya, sezvo muviri unokwanisa kugadzirisa mamiriro matsva. Varwere havatombofaniri kubatanidzwa pakudya kwakanyanya: zvinongodiwa chete kuderedza kushandiswa kwemafuta akaoma-digestible yemafuta, akadai semarara uye gwayana rakabikwa, uye zvokudya zvinonaka. Mushure mokubviswa kwenduru, zvinokosha kudya nguva dzose, kunyanya kukurudzirwa chikamu chekudya (zvikamu zviduku 5-6 kazuva).

Kazhinji zvinetso mushure mekunyanya kunetseka kunosanganisira pancreatitis, zvinetso zvepamu uye bile duct dysfunction. Dzimwe nguva kune kuora kwemimba nemarwadzo. Kakawanda, matambudziko akadaro ari kukonzera kurapwa kwemishonga.