Injongo ye gallbladder kukunceda ukugaya ukutya. I-bile ibangela ukutshabalalisa ioli ukwenzela ukuba ikwazi ukungena kwigazi ukuze inike izondlo kumzimba. I-gallbladder igcina i-bile, eyenziwa kwisibindi ukuze isetyenziswe ekutyeni ukutya. Ukutya, ngokukodwa ukutya okunamafutha, kubangela ukukhululwa kwe-bile kwi-gallbladder.
Iimpawu zeengxaki ze-gallbladder ziquka:
- Ukuthintela emva kokutya
- Ukunganyamezeli kokutya
- Ukunyanzelisa
- I sizathu
- Ukuvutha
- Umqolo obuhlungu
- Uvakalelwa ukuzaliseka
- Fever
- Isigqoko esinemibala ebomvu
- Ubuhlungu phantsi kweengalo ezilungileyo
Ukuhlaselwa kwe-Gallbladder (gallstone), okunokuba bubuhlungu kakhulu, ngokuqhelekileyo kwenzeka xa i-gallstone ikhusela ibhilidi ekuphumeni kwe-gallbladder. Bangakwazi ukuphosakela ngenxa yokuhlaselwa kwentliziyo, kwaye ngokuphambene. Ungalokothi uzibekele iimpawu ezingabakho ukuhlaselwa intliziyo, kuquka intlungu yesandla sasekhohlo kunye nentlungu yesifuba.
Ukuvavanya ukuqinisekisa ukuba ingxaki impela ingxaki ye-gallbladder ingaquka:
- Iimvavanyo zegazi, kuquka i-amylase, i-lipase, inani legazi elipheleleyo (CBC) kunye novavanyo lomsebenzi wesibindi
- Isisu se-abdominal
- I-Radionuclide
- I-CT yesisu
Kwiimeko ezininzi, utyando lusetyenziswe kwangaphambili, kodwa kwiimeko zokuqhaqhaqhaqha, ukuhlinzwa okwenziwe nge-gallbladder kungenziwa ngokukhawuleza emva kokuxilongwa. Ukuvavanywa kwesifo se-gallbladder kubandakanya ukuhlolwa ngokomzimba, ukuhlolwa kwegazi kunye nokubonakala komzimba okungabonakalisa ukuba khona kwama-gallstones kunye ne-blockages.
I-ERCP, okanye i-endoscopic retrograde ye-cholangiopancreatography, yinkqubo encinci yokunyanga i-gallstones, inokwenziwa okanye ingenakwenziwa ngaphambi kokucwangcisa ukuhlinzwa. Isigqibo senziwe ngokusekelwe kubukhulu kunye nenani lama-gallstones, kunye nemeko ye-gallbladder.
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Yintoni ongayidla Ngaphambi kweGallbladder Ukususwa kweNtsholongwaneUkuphepha ukutya okunamafutha kunokunceda ukukhusela i-gallbladder "ukuhlaselwa" - intlungu ye-gallbladder kubantu abanesifo se-gallbladder-njengoko oku kudlayo kwaziwa ukuba kwandiswe imfihlo kwi-gallbladder ephendulela ekukhohliseni. Ukutya okuthosiweyo, ukutya okunamafutha kunye nezinye iintlobo zokutya eziqulethe amanqanaba aphakamileyo amanqatha kufuneka ziphetshwe ngabantu abanobunzima be-gallbladder. Imithombo emininzi ibonisa ukuba amaqanda nawo kufuneka agwenywe.
Olunye uhlobo oluqhelekileyo lweentlungu zesifo se-gallbladder zidla ukutya ozinqabileyo okanye obangela ukusabela komzimba. Ngokomzekelo, abantu abaninzi banomdla kwiimveliso zobisi, kodwa iimpawu zincinci (iipumlo ezixhambileyo, isisu esisisigxina) ngoko baqhubeka besidla ukutya okuqulethe ubisi. Kula bantu, ukutya abaye banako ukutya kunokuba baninzi ngaphezu kokutya okunye okubangela ukuba buhlungu buhlungu kwaye bufanele kugwenywe. Ubisi ngumzekelo omnye. Kweminye ingaba i-gluten, kwabanye, ingaba yinto ehluke ngokupheleleyo.
Ukuba kukho ukutya ekudleni kwakho okubangela ukuba kubonakale iimpawu zentshukumo ezinjengezibilini, igesi okanye isisu esicasulayo, kuya kuba nzima ngaphezu kokunye ukutya kunokubangela ukuhlasela kwe-gallbladder. Ngokuqhelekileyo, ukutya okunotye kwizityalo kunye nemifuno, okuphantsi kwamafutha kunye nenyama kukuhle.
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I-Anesthesia yeGallbladder SurgeryI-anesthesia jikelele isetyenziswe ngexesha lotyando lwe-gallbladder. Utyando luqala ngokulawulwa kwe-IV sedative ukuze kukhululeke isiguli. Xa isilwanyana sisebenza kakuhle, umniki-mhlaba we-anesthesia ufaka ityhufumla yokuphefumula, okanye i- endotracheal tube , ngomlomo wesigulane kwi-windpipe.
Emva kokuba ityhubhu yokuphefumula isendaweni, iziyobisi zinikezwa ukuba isigulane silale kwaye siphathe / sithintele intlungu. Itheyibhu iyaxhunywa kwi- ventilator ukunika umoya kwimiphunga yesigulane ngexesha le nkqubo.
Ngethuba le nkqubo, i-anesthesiologist ihlolisisa rhoqo imiqondiso ebalulekileyo yesigulane kwaye inika nayiphi na imithi.
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Ngethuba le-Gallbladder Surgery: InkquboIindlela eziqhelekileyo ezisetyenziselwa ukuhlinzwa ngethambo lwe-gallbladder yindlela yokwenza i- laparoscopic , esebenzisa ikhamera kunye neembalwa ezincinane ukucinga ukuba utyando, endaweni yokuzibandakanya okukhulu. Indlela ye-laparoscopic ibe "yegolide yegangatho;" nangona kunjalo, ukuhlinzwa kungaguqukela kwinkqubo "evulekile" ngokukhawuleza ukuba ugqirha ubona kuyimfuneko okanye ukuba kukho iingxaki.
Udokotela ogqirha uqala ngeentlobo ezine ezincinane, malunga nehafu yesentimitha ubude, kwicala lasekunene lesisu. Ezi zimbini zezi zihlandlo zivumela ukuba ugqirha abeke izixhobo zokugada kwisisu esiswini. Isicatshulwa sesithathu sisetyenziselwa ukufaka i- laparoscope , isixhobo esinekhamera yokukhanya kunye nevidyo evumela ukuba ugqirha ukuba abuke ukuhlinzwa kwi-monitor xa usebenza. Isicatshulwa sesine sisetyenziswe ekufakeni isango elikhupha i-carbon dioxide gesi, isithintela isisu ukuze kuvumeleke ukuboniswa okungcono kunye nendawo yokusebenza.
I-gallbladder ihlukaniswe kwimizimba enempilo kwaye ifakwe kwisibhakabhaka esingasinyanisi ukuvumela ukuba idlule enye yezinto ezincinci. Ukuba i-gallbladder ikhulisiwe okanye iyanzima, kwaye ayikwazi ukuhambelana ngokucaciswa kwe-laparoscopic, utyando luguqulwa kwindlela evulekileyo yokuvumela ukukhutshwa kwezicubu.
Ugqirha uphinde uhlolisise indawo apho i-gallbladder isuswe kwaye ivala iingcambu ezixhunyiwe kuyo. Ukuba akukho zibonakaliso zokuphazamiseka okanye ukusuleleka , i-port ephazamisa i-carbon dioxide kwisisu isuswe kwaye igesi eseleyo ikhupha ngaphandle kwezinto ezifunyenwe njengoko izixhobo zisuswa. Izibhengezo zivaliwe ngokutya, izibonda okanye amabhanti amathintelo.
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Emva kweGallbladder SurgeryEmva kokuba utyando lwe-gallbladder luphelile, isigulane sivumelekile ukuba siphakamise, kwaye ishubhu yokuphefumula isuswe. Isigulane sithunyelwa kwiCandelo leNgcaciso ye-Post-Anesthesia ukubeka iliso ngelixa izidakamizwa ze-anesthesia zigugile ngokupheleleyo.
Ngethuba lesi sigaba sokubuyisela, isiguli siya kubonwa ngokugqithiseleyo ngabasebenzi ngempawu zentlungu, utshintsho kwiimpawu ezibalulekileyo okanye nayiphi na ingxaki evela kutyando. Ukuba akukho zixazululo ziyabonwa kwaye isigulane siphapheme, banokudluliselwa kwigumbi lesibhedlele iyure okanye ezimbini emva kokuhlinzwa.
Ngomhla emva kokuhlinzwa, isigulane siyagcinwa ngeempawu zeengxaki, kubandakanya ukusuleleka , ukuphuma kwamanzi, kunye nokuvuza kwe-bile, imeko engabonakaliyo kodwa eyimfuneko efuna ukuhlinzwa okwesibini ukulungisa. Igazi libuye lidibene kwaye lihlalutye ukuze lincede ukubeka esweni impilo yomguli.
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Ukubuyisela emva kwe-Gallbladder SurgeryUninzi lwezigulane ziyakwazi ukuya ekhaya zingama-24 iiyure zokuhlinzwa ukuze ziqhubeke zibuyele ekusebenziseni ukuhlinzwa kwaye zibuyele kwimisebenzi yazo yemihla ngemihla ngaphantsi kweveki. Umsebenzi onzima ngakumbi unokufuna ixesha elide lokuphilisa.
Ipesenti encinci yezigulana zifuna i-fat fat-fat-fiber yokutya kwiiveki ezimbalwa emva kokuhlinzwa ukukhusela ukungathandeki kunye nokuhuda emva kokutya. Ukuba isifo sohudo siyaqhubeka nangona kukho utshintsho lokutya, ugqirha kufuneka uxelelwe. Le ngxaki ayiqhelekanga, kodwa inokubangela imiba enzulu xa iqhubeka emva kokuphulukana.
Ukubandakanywa kokugqitywa kufuna ukunyamekela kwaye kunokuhlambuluka ngesepha kunye namanzi ngexesha lokuhlamba. Ukuba isicatshulwa sasivaliwe ngamabhanki amathintelo, baya kuwa, okanye basuswe nguvulindlela ngexesha lokutyelela iofisi. Naluphi na umdaka ococekileyo okanye obomvu obuninzi bokubakho okufunekayo kuxelwe.
ILizwi Ku:
Iintlungu ze-Gallbladder zixhatshazwa ngeentsimbi emva kweyure emva kokutya, kwaye zidla ngokukhawuleza zibe nzima. Njengomgaqo jikelele, iintlungu zesisu akufanele zinyanzeliswe, nokuba i-gallbladder ngumthombo osolwayo okanye awukho.
Ukuba ucinga ukuba unesifo se-gallbladder, khangela unyango kunokuba ungayihoxisi kwaye unethemba lokuba uya kuhamba. Intlungu ingaba nzima ngaphezu kwexesha.
Imithombo:
I-Cholecystectomy Brochure. Ikholeji yase-American of Surgeons. 2006 http://www.facs.org/public_info/operation/cholesys.pdf