Utyando lweVesicle: yenziwa njani kwaye ichacha njani

Umxholo

• Kwenziwa njani
• Injani i-postoperative
• 1. Lidinga ixesha elingakanani ixesha lokuphumla
• 2. Kunjani ukutya
• Umngcipheko onokubakho wotyando

Utyando lokususa i-gallbladder, ebizwa ngokuba yi-cholecystectomy, lubonakaliswa xa kuchongwa amatye akwinyongo emva kokwenza uvavanyo lokucinga okanye uvavanyo lwelabhoratri, njengomchamo, okanye xa kukho imiqondiso ebonisa inyongo evuthayo. Yiyo loo nto, xa kusenziwa i-gallstone diagnostic, utyando lunokucwangciswa kwaye luhlala lukhawuleza, luhlala umyinge wemizuzu engama-45, kwaye ludinga kuphela iintsuku ezi-1 ukuya kwezi-2 zokuphumla kunye nokubuyiselwa kwemisebenzi yesiqhelo kwiveki ezi-1 ukuya kwezi-2.

Nangona amaxesha amaninzi utyando lwenziwa ngendlela ecwangcisiweyo, inokwenziwa kwakhona ngokungxamisekileyo, ngakumbi xa kukho iimpawu ezinxulumene noko, ezinjenge-colic kunye neentlungu ezibuhlungu, njengoko kunokuba luphawu lokudumba kunye / okanye usulelo , kufuna ukwenziwa kotyando ukunqanda iingxaki.

Kwenziwa njani

Utyando lunokwenziwa ngeendlela ezi-2:

• Utyando oluqhelekileyo, okanye ngokusikwa, okwaziwa nangokuthi kukuhlinzwa okuvulekileyo: kwenziwa ngokusika okukhulu esiswini, ukususa i-gallbladder. Ihlala ithatha ixesha elide ukuba iphinde ibuye, kwaye ishiya inxeba elibonakalayo;
• Utyando lweLaparoscopic, okanye ngevidiyo: yenziwa ngemingxunya emi-4 esiswini, apho ugqirha agqitha izinto kunye nekhamera encinci ukwenza utyando ngokungaphathwa kakuhle kunye nokusikeka okuncinci, ukwenza utyando lokuchacha ngokukhawuleza, iintlungu ezingaphantsi kunye nokuncinci. isiva.

Omabini la matyando ayenziwa phantsi kweanesthesia ngokubanzi kwaye ihlala ithatha iintsuku ezi-1 ukuya kwezi-2 zokulaliswa esibhedlele. Nangona kunjalo, ukuba isisu sidumbile, njengakwezinye iingxaki ngenxa yamatye enyongo, njenge-cholangitis okanye i-pancreatitis, kungathatha ixesha elide ukubuyela kwimeko yesiqhelo.

Ukuba kunyanzelekile ukuba uhlale ngaphezulu kweentsuku ezintathu ebhedini, ugqirha usenokubonisa ukuba i-physiotherapy isenziwa esibhedlele ukuqinisekisa ukuhamba kakuhle komzimba kunye nokukhusela iingxaki zokuphefumla ezinokwenzeka emva kotyando. Ukuba umntu ufuna ukuphumla ekhaya, le mithambo inokunceda: imithambo emi-5 yokuphefumla ngcono emva kotyando.

Injani i-postoperative

Emva kokudlula kwisiphumo se-anesthesia kunye neentlungu, umntu unokufumana iintlungu okanye ukungaphatheki kakuhle esiswini, esinokuthi sikhuphe egxalabeni okanye entanyeni. Ngethuba nje iintlungu ziqhubeka, ugqirha uya kuncomela ukusetyenziswa kwe-analgesics okanye iziyobisi ezichasayo, ezinje ngeDipyrone okanye iKetoprofen, umzekelo.

1. Lidinga ixesha elingakanani ixesha lokuphumla

Emva kotyando lokususa i-gallbladder, ukuphumla kokuqala kubonisiwe, kodwa kwakamsinya nje ukuba ube nakho ukuphakama, emva kweentsuku ezi-1 ukuya kwezi-2, kunokwenzeka ukuba uhambe kancinci kunye nemisebenzi ngaphandle komzamo. Ukubuyela emsebenzini, kunye neminye imisebenzi yemihla ngemihla, njengokuqhuba okanye ukwenza umthambo kancinci, kufuneka kuqalwe kuphela emva kweveki e-1, kwimeko yotyando lwe-laparoscopic, okanye emva kweeveki ezi-2, kwimeko yotyando oluqhelekileyo.

Kubalulekile ukunqanda ukuhlala okanye ukulala ixesha elide, ke kuya kufuneka uthathe uhambo olufutshane ujikeleze indlu imini yonke. Nangona kunjalo, imeko nganye inokwahluka, ke kubalulekile ukuba ulandele imiyalelo kagqirha.

2. Kunjani ukutya

Kwiintsuku zokuqala, kuboniswa ukutya okungamanzi okanye okwe-pasty kwaye ulumke ungahambeli ngokugqithisileyo, ngaloo ndlela uqinisekisa ukuphiliswa kwenxeba lotyando. Ukutya kuya kuba yinto yesiqhelo, kodwa kuyacetyiswa ukuba kunciphe kumanqatha, ke isigulana kufuneka sikuphephe ukutya iisoseji okanye ukutya okuqhotsiweyo, umzekelo. Nantsi indlela yokwenza ukutya okunencasa ngakumbi kwiintsuku zokuqala.

Ukuze ufunde okungakumbi malunga nento onokuyitya kwaye ongayityi ukubukela:

Utyando lokususa i-gallbladder alunanto yakwenza nokwehla kobunzima, nangona umntu enokuthi anciphise umzimba, kungenxa yokutya okunamafutha asezantsi ekufuneka bewenzile emva kotyando. Ngokususwa kwe-gallbladder, i-bile eveliswayo esibindini iya kuqhubeka nokuveliswa, kodwa endaweni yokuba igcinwe kwi-gallbladder, iya kwangoko emathunjini ukuphelisa amanqatha ekutyeni hayi amanqatha emzimbeni.

Umngcipheko onokubakho wotyando

Umngcipheko woqhaqho lwe-gallbladder awuncinci, nangona kunjalo eyona nto imbi kukulimala kwi-bile duct, hemorrhage okanye usulelo olunokuthi lwenzeke kulo naluphi na ungenelelo lotyando.

Ke ngoko kuyacetyiswa ukuba uye kwangoko kwigumbi likaxakeka ukuba umkhuhlane ungaphezulu kwama-38ºC, ukuba inxeba lotyando linobofu, ukuba ulusu namehlo ajika abe tyheli, okanye ukuba uphelelwa ngumphefumlo, ukugabha okanye iintlungu ziyavela ezingaphuculiyo ngamayeza iboniswe ngugqirha.

Jonga xa utyando lusetyenziselwa ukunyanga umhlaza kwi: Unyango lomhlaza wenyongo