Iyo nduru inoita basa rinokosha mumutumbi, sezvo bile yakachengetwa mairi inobatsira pakudya zvakakwana. Kubviswa kwegorobladder nelaparoscopy ndeyeyero yakanyanya, uye shandisa iyo chete kana dzimwe nzira dzisingabatsiri. Basa racho rinoratidzirwa nekuchengeteka uye kubudirira. Iko inokubvumira kubvisa bhururo ine uwandu husina kunaka nekudzvinyirirwa kwomuviri.
Laparoscopy nokuda kwekubviswa kweguruvladder
Nhasi, laparoscopy inogona kurongerwa chero ipi zvayo ye cholelithiasis. Zvisinei, tisati taita chisarudzo pamusoro pemufambiro wayo, nyaya imwe neimwe inonyatsodzidza nokuda kwekuvapo kwezvimwe zvinopesana. Basa racho rinorayirwa apo:
- mechanical jaundice ;
- kurwiswa kweaiclecystitis yakaoma (kupfuura mazuva maviri);
- cholecystolithiasis (calcification).
Muchiitiko ichi, nzvimbo inokosha ndiyo kuongororwa kwezvirwere uye kuonekwa kwematombo mubheji. Sei uchishandisa ultrasound ye peritoneum, iyo, kuwedzera pamatombo, inoratidza polyposis inotyisidzirwa nechirwere chemuviri.
Zvirongwa zvekugadzirira kwekubviswa kwe gallbladder ne laparoscopy dzinosanganisira:
- kuongorora murwere;
- kuita coagulogram;
- kuongororwa kwechiremba kuongororwa kwakakosha kwechirwere, HIV, hepatitis;
- kuongororwa kwenzira dzinogoneka dzokurapa.
Mushure mekudzidza mamiriro ehutano uye nekuongorora njodzi dzinogona kuitika, chiremba anosarudza kuita basa racho. Pamberi pe-laparoscopy, zvinorambidzwa kudya chikafu nemvura kune maawa matanhatu, uye enema inoitwa usiku huripo. Mazuva gumi asati asvika, zvakakosha kumira kutora mishonga yakadai seyi:
- Aspirin;
- Anticoagulants;
- vitamini E;
- NSAIDs.
Nhanho huru dzekushanda dzinosanganisira zviito zvakadai:
- Pamberi pekubviswa kwegorobladder ne laparoscopy, murwere anopiwa anesthesia.
- Pedyo nenhizha, chiremba anoita zviduku zvishoma izvo nitrogen uye carbon dioxide zvichaiswa.
- Mune peritoneum, chimwe chinhu chinogadziriswa chinoitwa, kuburikidza izvo zvigadzirwa uye kamera zvinoshandiswa, izvo zvinoita kuti zvikwanise kutsanangura nzvimbo yenhengo.
- Kana dombo richiwanika, chiremba anosarudza kuwedzera kwavo.
- Pachigumo chekupedzisira, mashizha anoshandiswa.
- Pashure peawa imwe murwere anomuka, uye mushure memazuva mashomanana anogona kuenda kumba.
Zvakakosha kuziva kuti panguva yekuvhiya nyanzvi inokwanisa kutsanangura nzira dzakasiyana dzekubvisa mabwe. Muchiitiko ichi, chiremba anobvisa matombo mune imwe yenzira dzinotevera:
- vachishandisa teresikopu chaiyo;
- nerubatsiro rwekushanda kwakasununguka;
- mushure mekuguma kwe laparoscopy ye gallbladder inotanga imwe shanduko yeumuto husingaoneki.
Migumisiro mushure mokubviswa kweguruvladder ne laparoscopy
Ikunzwa kusuruvara kunoonekwa mukati memwedzi miviri mushure mekuita. Mumazuva okutanga omurwere anokanganisa:
- biliary colic;
- akaoma muromo;
- chills;
- flatulence uye dysbiosis;
- kukanganisa kwegadziriro yekudya;
- kurwadziwa mukati mekunaka hypochondrium;
- eructation.
Mukusingaperi kwezvirwere zvakadai segastritis, mudumbu chilonda kana pancreatitis, kuwedzera kwavo kunoonekwa.
Mumamiriro ezvinhu akaoma, pangavapo:
- intra-mimba masimba;
- kuputika mu peritoneum;
- bile flow;
- hepatic abscesses.
Kudya mushure mokubviswa kweguruvladder ne laparoscopy
Munguva yekudzorera nguva yakakosha kutevera mirairo yese yechiremba. Mitemo inokosha inobva pakuteerera kune kudya kwakasimba:
- Pazuva rokutanga mushure mekuvhiya, unogona kutora mvura chete.
- Murwere anobva abvumirwa kunwa mbwaira yakaoma yai, jelly kana mors.
Nokudaro, iwe unofanira kutevera kudya kunoreva:
- kuramba kubva kumafuta, kusvuta, munyu;
- Kurega kubva pakudya mazai, mushwa, soda, doro;
- koriori kuverenga kwezvigadzirwa;
- kushandisa kottage cheese, kefir, miriwo yakabikwa, hove, zviyo.