Zvirwere zvakasiyana-siyana zvegungwa zvinowanzosangana nekuumbwa kwematombo akaoma kana matombo anopesana nehuwandu hwekupararira kweB bile nekudya. Izvi zvinonzi cholecystitis uye zvinosanganisira kubviswa zvakakwana kwesimbi, cholecystectomy. Laparoscopy ye gallbladder ndeyekuti, kusvika zuva, iyo inonyanya kupindira uye inopfuurira nzira yekuvhiya. Basa iri rinobudirira uye rakachengeteka sezvinobvira kune murwere.
Ko ganda rakabviswa sei ne laparoscopy?
Izvozvo zvinonzi cholecystectomy inoitwa pasi rose (endotracheal) anesthesia . Pakarepo mushure mekunge avete nehope kumurwere kuburikidza nesophagus, purojekiti inoiswa mukati mudumbu. Nekubatsira kwaro, mvura yakanyanya kudarika uye magasi zvinobviswa, kurutsa kusingagumi kunodziviswa. Uyewo, boka rechiremba rinobatanidza munhu kumushonga wepombi yemapapu, ipapo iwe unogona kuenderera mberi kuchiitiko chacho pachako.
Chokutanga, chiremba anovhiya anoita zviduku zviduku zvina mudumbu remuviri. Kuburikidza nechimwe chazvo, gorosi yakasvibiswa inoshandiswa, ichibvumira mishonga kupararira nekukurumidza uye kuwedzera nhengo, iyo inofambisa kuonekwa kwekupedzisira.
Muchizimburo chimwe nechimwe, zvigadzirwa zviduku zvinoshandiswa zvinowanikwa zvine dambudziko rakakwana rokunakisa ganda, asi panguva imwechete zvinoshanduka, naizvozvo kana uchishanda sechiremba, dambudziko rekukuvara kune nhengo dzomunharaunda harisi. Uyewo mumakumbo ekudzivirira aikonzera mavhidhiyo kamera yakaiswa, yakashongedzerwa nechiedza, chimiro chayo chinoparidzirwa kumeso ekuvhiya.
Nokuda kwechilecystectomy, zvakakosha kupedza kubvisa duct (holedoch) uye mishonga, saka vanochera zvakanyatsogadzirwa (zvikamu) zvakagadzirwa nesimbi. Mushure meizvi, nyanzvi inoita zvinonzwisisika uye inonyatsogadzirisa lumen yemidziyo yakawanda yeropa. Kubviswa kwegorobladder kunonoka pamwe chete nekakuvadza cauterization (coagulation) yenzvimbo dzeropa, kusagadzikana kwemashutu akachinjwa. Nhengo yacho inobviswa kuburikidza nekwenyoro duku pedyo nevanhizha.
Mushure mokunge cholecystectomy, chirwere chepamuviri chinoshambidzwa nesarudzo ye-antiseptic, uye mapctures anogunun'una kana kuiswa chisimbiso. Dzimwe nguva mune rimwe ravo kwemazuva maviri rinoshandisa mvura duku.
Kugadzirira laparoscopy ye gallbladder
Anenge mazuva gumi vasati vambovhiyiwa, aspirin uye mamwe anticoagulants, vitamin E uye ayo ane complexes, kwete-steroidal anti-inflammatory drugs inorega.
Mumanheru manheru ezvo nzira yacho, enema yekuchenesa inoitwa, mushure mezvo inofanira kuva nyore kudya, asi isati yasvika masikati. Kubvira pakati peusiku zvinorambidzwa kunwa mvura uye kutora chero kudya. Mambakwedza isati yasvika cholecystectomy inema inodzokororwa.
Postoperative nguva mushure mekubviswa kweguruvladder ne laparoscopy
Pakarepo mushure mekuvhiyiwa, murwere anotamira kune wadhi, paanomuka mukati meawa imwe. Pamusoro pemangwanani mana ekupedzisira murwere anozofanira kutarisana nemubhedha wakazorora zororo, asi mushure menguva yakatarwa iwe uchakwanisa kugara pasi, kufamba, kunwa mvura yakachena pasina gasi.
Kana paine kusuruvara uye kurwadziwa munguva yekushanda kwenguva refu ye gallbladder kubviswa, nzira ye laparoscopy inogadza Cerukal nemishonga inorwadza, dzimwe nguva - boka rinonyangadza. Uyewo, kudzivirira utachiona, antibiotics inotenderwa.
Kubva pazuva rechipiri mushure mekuda kwekudya, inobvumirwa kutora zvokudya zvakasvibirira - chikafu chisina simba, nyama yakachena yakagadzirwa, skim cottage cheese kana yogurt.
Kubudiswa kunogadzirwa pazuva rechitatu-7, zvichienderana nekugara kwehutano, kusanganiswa kwezvinhu zvakakuvadzwa.
Kuvandudza kumba pamushure pe laparoscopy ye gallbladder
Kudzorerwa kwemurwere kunosanganisira kuchengetwa kwezvokudya № 5 paPevzner, kudziviswa kwekuita basa. Munhu mushure mekushaya cholecystectomy haagoni kukwidza zviyereso, kuita chero basa rakaoma, kunyange kumativi eimba.
Zvinokurudzirwa kupfeka zvipfeko zvepurasitiki zvine chiuno chakanyanyisa kuitira kuti chigadziko chisatsamwisa uye hachigadziri nzvimbo dzinoputika. Zuva rega-rega zvinotarisirwa kugadzirisa zvigadzirwa nemagadziro akasarudzwa nechiremba, uyewo kuvakata nemapuranga pachigadziko chesilika.
Mushure memazuva 8-10, nguva yekudzorera inoguma, kana sutures yakanyatsogadziriswa, uye hapana matambudziko.