Kuchotsa ndulu ndi: monga njira kusankha?

Kuchotsa ndulu, kapena cholecystectomy, - iyi ndi imodzi mwa njira zabwino koposa kuchitira gallstones, mavuto ake ndi matenda ena. Malinga ndi matenda makamaka ndi dokotala wodwala amasankha imodzi mwa njira ziwiri - laparotomy (miyambo lotseguka opaleshoni) kapena laparoscopy (asang'ambe opaleshoni). Tiyeni tione zimene ali pakati pa izi njila nanga ubwino.

Kodi laparotomy?

Laparotomy - miyambo opaleshoni ndondomeko chifukwa kutsegula zonse m'mimba. Kuchotsa ndi ndulu ndi laparotomy otchedwa cholecystectomy chikhalidwe. Ndondomeko anachita ntchito mankhwala ochititsa dzanzi ambiri kudzera ang'ambe thupilo ndi 3-5 cm pa zapambuyo khoma m'mimba. Pa opaleshoni, dokotalayo amachotsa ndulu, ziwiya ndiye sutured ndi ang'ambe thupilo.

The ntchito njirayi ndi kuti ang'ambe thupilo lalikulu zowoneka ndi palpation kuti aone mkhalidwe wa limba. Open opaleshoni kuti achotse ndulu ndi amatenga nthawi zochepa kuyerekeza ndi ndondomeko asang'ambe kuti nthawi zambiri amagwira ntchito yofunika kwambiri. Komanso, njira imeneyi zimathandiza inu kupewa kuthamanga kwa magazi mu zonse m'mimba, amene akhoza kusokoneza ntchito ya kachitidwe kupuma ndipo mtima.

Pa nthawi yomweyo, cholecystectomy miyambo ali ndi zovuta zake, Pakati kwambiri zoopsa ndipo nthawi yaitali konzanso. Kuchira pambuyo cholecystectomy amatenga pafupi masabata awiri, koma wodwala ayenera kukhala kunyumba kwa mwezi umodzi.

laparoscopy ndi chiyani?

Pali njira zambiri yaulemu ya kuchotsa ndulu - laparoscopic cholecystectomy. njirayi sikutanthauza ndi ang'ambe thupilo lalikulu, kuchotsa ndulu wapangidwa kudzera mabowo ka osapitirira 1, 5 cm pa zapambuyo khoma m'mimba, imene zida wapadera. Childs, chifukwa ntchito pamafunika 2-4 puncture. Mu umodzi mabowo jekeseni chamawonedwe dongosolo - laparoscope, yomwe transmits fano pa nsalu yotchinga polojekiti. zochita zina zonse akutsatiridwa mwa zida tosaoneka kuti amakulolani kuchita opaleshoni, pafupifupi popanda kuwononga minofu ozungulira.

Kuchira pambuyo laparoscopic ndulu mu pasanathe milungu iwiri, ndi Tingafinye Nthawi zambiri pasanafike masiku asanu ndondomeko. Ubwino waukulu wa opaleshoni asang'ambe pafupifupi palibe mabala, ndi chiopsezo kochepa matendawo. Monga ulamuliro, pambuyo ndondomeko odwala pafupifupi ululu. N'zotheka kuonetsetsa kayendedwe zochepa manja dotolo, komanso kumaonjezera kuthamanga mu m'mimba zibowo zam'mano laparoscopy mwa kuipa.

Kodi mungayembekezere pambuyo kuchotsa ndulu ya?

odwala ambiri amene opaleshoni kuti achotse ndulu, ndikudabwa chimene zotsatira njirayi pa moyo wawo ina. Uthenga wabwino kuti kusapezeka kwa thupi ili sikungawononge ndondomeko ya chimbudzi, chifukwa thupi liri ndi kuthekera kuti azolowere zinthu zatsopano. Odwala mulibe kutsatira zakudya okhwima: ndikofunikira okha kuchepetsa ntchito trudnousvaivaemyh nyama mafuta monga mafuta anyama ndi soseji nkhosa ndi chakudya zokometsera. Pambuyo kuchotsa ndulu n'kofunika kudya kawirikawiri, makamaka analimbikitsa unagawanika chakudya (chakudya yaing'ono nthawi 5-6 pa tsiku).

Osowa zosokonezeka pambuyo cholecystectomy monga kapamba, m'mimba ndi biliary mavuto thirakiti kukanika. Nthawi zina pali kupweteka ululu m'mimba ndi matenda a mpando. Nthawi zambiri, mavuto amenewa akhoza kukhala bwinobwino mankhwala.