Surgery wepụ gallbladder

Cholecystectomy - ịwa ahụ iji wepụ gallbladder. E nwere ọtụtụ ụzọ na-ewepụ imeju afụ: mfe oghe, na-laparoscopic ohere cherezbryushnoy. Ọ ga-kwuru na ụbọchị, na-emeghe ụzọ efu ha mkpa. More ugboro ugboro, dọkịta na-awa na-agbalị iji a laparoscopic mwepụ, n'ihi na usoro a na-abụghị nanị ihe omezi isi, ma na-adịghị amị dị oké postoperative nsogbu, dị ka na-emeghe ịwa.

Laparoscopic gallbladder mwepụ a rụrụ n'okpuru general ná Nkụnwụ na ọrụ ime ụlọ. Ọrịa wara preoperative nkwadebe, mgbe nke ahụ ná Nkụnwụ na-nyere.

The dọkịta na-awa na-eme ka atọ ma ọ bụ anọ, he na ntule nke ebe imeju na gootu. He adịghị gafere 2 cm - nke a bụ nnọọ ezu maka iwebata trocars. Ọzọ, na abdominal region dị mkpa iji "ịfụ", nke a na ẹkenam a ụfọdụ ego nke gas site na tube. Nke a na usoro a na-eme na nke dọkịta a mma echiche nke ebe nke aru nke ikwu na onye ọ bụla ọzọ.

Surgery wepụ gallbladder na-ewe ebe ọtụtụ ndị nọchiri nkebi:

- itinye clamps na cystic duct na hepatic nnukwu ọbara arịa (otú ahụ ka dọkịta na-awa na-adịghị ekwe ka ọnwụ nke ọbara);

- kpọmkwem mwepụ nke ńsí eriri afo;

- laparoscopic suturing mbepụ.

N'ihi ya, na-arụ ọrụ iji wepụ ńsí eriri afo aga oghere enweghị penetration n'ime abdominal oghere. Modern laparoscopic ngwaọrụ ekwe mụta nwa onyinyo nke esịtidem akụkụ na ihuenyo bụ nnọọ elu mma, otú cavernous eriri afo mwepụ bụ impractical.

Otú ọ dị, n'ọnọdụ ụfọdụ, ndị dọkịta na-awa ike jide laparoscopic ńsí containers. Nke a na-eme mgbe:

- ọrịa nke ọbara-eru site na syndrome keukpa hemostasis;

- Ọnụ na comatose ekwu;

- urological ọrịa nke akpa ume, obi na akụrụ.

Ọ bụrụ na onye ọrịa na-chọpụtara na a gallstone peritonitis, etuto gallbladder, nakwa dị ka ọnụnọ nke afọ ime, ma ọ bụ ndị ọzọ na usoro nke nwere ike imetụta N'ezie nke laparoscopic usiakidem, ndị dọkịta na-awa nwere ike na-ahọrọ na-emeghe ohere.

Ọ ga-kwuru na na-anọghị nke contraindications kacha mma rụrụ laparoscopic mwepụ nke gallbladder. Nyocha nke ọrịa mgbe a waa ya ụdị ahụ bụ nnọọ mma karịa mgbe ot cholecystectomy.

Mgbe nanị ụbọchị ole na ole mgbe a laparoscopy, ọrịa nwere ike ịkpata kwesịrị ndụ, dị nnọọ a obere mgbe ịmachi ha emega ahụ.

Gịnị nsogbu nwere ike ime mgbe gallbladder mwepụ?

1. Ọbara ọgbụgba.
2. Peritonitis, septicemia ma ọ bụ purulent mbufụt.
3. Agịga ọdịda, ichihịa, fistulas na ahụ etuto na-awa ahụ ọnya.
4. The guzobere nkume opi mgbailu.
5. Agbapụta n'ahụ nke bile site na mbepụ.
6. Propensity ka thrombosis.
7. Exacerbation nke-adịghị ala ala ọrịa nke eriri afọ (ọnyá afọ).
8. Mebiri gbasara akụrụ arịa na ducts.
9. Allergies na ọgwụ ma ọ bụ mmadụ maka ná Nkụnwụ.

Dị ka ihe nchebe, e guzobere nkume nke dị n'ebe ducts na ịnọgide na-enwe ihe organism, ọ dị mkpa ime na a pụrụ iche na-eri mgbe cholecystectomy. Ọrịa kwesịrị kpamkpam ahapụ ngwaahịa na welie guzobere bile na-emetụta imeju.

Ị mkpa na-eri obere nri ọtụtụ awa ka e mesịrị. The ọnụ ọgụgụ nke nri nwere ike iru 6-8, ma nke a ekwesịghị itu egwu ọrịa.

Ga-ekwe n'aka nri nke e ghere eghe, butere, na-ese siga oriri, nakwa dị ka barbecues na salting.

Ọ kasị mma mgbe niile na-eji steamer, na-agụnye ke nri nke ọzọ fermented oriri na soups (bụghị ọdụdụ efere).