Ukususwa kwenyongo yeLaparoscopic

Ukususwa kwenyongo ye-laparoscopic lutyando lokususa i-gallbladder usebenzisa isixhobo esibizwa ngokuba yi-laparoscope.

I-gallbladder lilungu elihlala ngaphantsi kwesibindi. Igcina i-bile, esetyenziswa ngumzimba wakho ukwetyisa amafutha kumathumbu amancinci.

Utyando usebenzisa i-laparoscope yeyona ndlela iqhelekileyo yokususa i-gallbladder. I-laparoscope yityhubhu encinci, ekhanyisiweyo evumela ugqirha ukuba abone ngaphakathi kwesisu sakho.

Utyando lokususa i-gallbladder lwenziwa ngelixa uphantsi kwe-anesthesia ngokubanzi ukuze ulale kwaye ungabi nazintlungu.

Umsebenzi wenziwa ngale ndlela ilandelayo:

• Ugqirha wenza i-3 ukuya kwi-4 yokusika okuncinci esiswini sakho.
• I-laparoscope ifakwe kwenye yokusika.
• Ezinye izixhobo zonyango zifakwa kwezinye izinto ezisikayo.
• Irhasi iyafakwa kwisisu sakho ukwandisa indawo. Oku kunika ugqirha igumbi elingaphezulu ukuba abone kwaye asebenze.

I-gallbladder isuswe kusetyenziswa i-laparoscope kunye nezinye izixhobo.

I-x-ray ebizwa ngokuba yi-cholangiogram inokwenziwa ngexesha lotyando.

• Ukwenza olu vavanyo, idayi ifakwe kwi-bile duct yakho kwaye umfanekiso we-x-ray uthathwa. Idayi inceda ekufumaneni amatye anokuba ngaphandle kwenyongo yakho.
• Ukuba amanye amatye afunyenwe, ugqirha wotyando unokuwasusa ngesixhobo esikhethekileyo.

Ngamanye amaxesha ugqirha wotyando akanakukhupha i-gallbladder ngokukhuselekileyo esebenzisa i-laparoscope. Kule meko, ugqirha uya kusebenzisa utyando oluvulekileyo, apho kusikwe khona okukhulu.

Ungaludinga olu tyando ukuba unentlungu okanye ezinye iimpawu ezivela kwiinyongo. Unokuyidinga kwakhona ukuba i-gallbladder yakho ayisebenzi ngokuqhelekileyo.

Iimpawu eziqhelekileyo zingabandakanya:

• Ukunyanzeliswa, kubandakanya ukuqaqamba, ukutsha kwentliziyo, kunye negesi
• Ubuhlungu emva kokutya, ngokuqhelekileyo kwindawo ephezulu okanye ephezulu yesisu sakho (intlungu ye-epigastric)
• Isicaphucaphu nokugabha

Uninzi lwabantu luyachacha ngokukhawuleza kunye neengxaki ezimbalwa zotyando lwe-laparoscopic kunokuhlinzwa ngokuvulekileyo.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi
• Usulelo

Iingozi zotyando lwe-gallbladder zibandakanya:

• Ukonakala kwimithambo yegazi eya esibindini
• Ukwenzakala kwendlela eqhelekileyo yenyongo
• Ukwenzakalisa amathumbu amancinci okanye ikholoni
• Ipancreatitis (ukudumba kwepancreas)

Unokuba novavanyo olulandelayo olwenziweyo ngaphambi kotyando lwakho:

• Uvavanyo lwegazi (ukubala okupheleleyo kwegazi, ii-electrolyte, kunye novavanyo lwezintso)
• I-x-ray yesifuba okanye i-electrocardiogram (ECG), yabanye abantu
• I-x-ray ezininzi ze-gallbladder
• I-Ultrasound ye-gallbladder

Xelela umboneleli wakho wezempilo:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza, iivithamini kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo

Ngexesha leveki ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), ivithamin E, warfarin (Coumadin), kunye nezinye iziyobisi ezikubeka emngciphekweni omkhulu wokopha ngexesha lotyando.
• Buza ugqirha wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.
• Lungisa ikhaya lakho ngazo naziphi na iingxaki onokuthi ubenazo emva kotyando.
• Ugqirha okanye umongikazi wakho uza kukuxelela ukuba ufike nini esibhedlele.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Ukuhlamba ubusuku obungaphambi okanye kusasa kokuhlinzwa kwakho.
• Fika esibhedlele ngexesha.

Ukuba awunangxaki, uyakukwazi ukugoduka xa ukwazi ukusela ulwelo ngokulula kwaye iintlungu zakho zinokunyangwa ngeepilisi zentlungu. Uninzi lwabantu luya ekhaya ngemini enye okanye ngosuku olulandelayo emva kolu tyando.

Ukuba bekukho iingxaki ngexesha lotyando, okanye ukopha, iintlungu ezininzi, okanye umkhuhlane, kungafuneka uhlale esibhedlele ixesha elide.

Uninzi lwabantu luchacha ngokukhawuleza kwaye luneziphumo ezilungileyo kule nkqubo.

Icholecystectomy - laparoscopic; I-gallbladder - utyando lwe-laparoscopic; Gallstones - utyando lwe-laparoscopic; I-cholecystitis-utyando lwe-laparoscopic

• Ukutya kweBland
• Unonophelo lwenxeba lotyando - luvulekile
• Xa unesicaphucaphu nokugabha

• Inyongo
• I-gallbladder anatomy
• Utyando lweLaparoscopic-uthotho

UJackson PG, uEvans SRT. Inkqubo yeBiliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 54.

I-Rocha FG, i-Clanton J. Technique ye-cholecystectomy: evulekileyo kunye nehlaselo elincinci. Ku: Jarnagin WR, ed. Utyando lukaBlumgart lweSibindi, iTeknoloji yeBiliary kunye neePancreas. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 35.