Inhloso ye-gallbladder ukusiza ukugaya ukudla. I-bile iyasiza ukuqeda amafutha ukuze ingene emzimbeni wegazi ukuze unikeze izakhi emzimbeni. I-gallbladder igcina i-bile, eyenziwa esibindi ukuze isetshenziswe ekugayeni kokudla. Ukudla, ikakhulukazi ukudla okunamafutha, kubangela ukukhululwa kwe-bile kusuka ku-gallbladder.
Izimpawu zenkinga ye-gallbladder zifaka:
- Ukuvimbela ngemuva kokudla
- Ukungahambisani kokudla okuncane
- Ukuzithoba
- I-nausea
- Ukuvota
- Ukuhlungu obusemhlane
- Ukuzwa ukugcwala
- Fever
- Isitembu esinombala obomvu
- Ubuhlungu ngaphansi kwesandla sokunene
Ukuhlaselwa kwe-Gallbladder (gallstone), okungaba buhlungu kakhulu, ngokuvamile kwenzeka lapho ugongolo luvimbela ibhala ngokuphuma ngaphandle kwe-gallbladder. Bangakwazi ngisho nokuphutha ngenxa yesifo senhliziyo, futhi ngokuphambene nalokho. Ungalokothi uphazamise izimpawu ezingase zihlaselwe yinhliziyo, kuhlanganise nobuhlungu besandla sobunxele nobuhlungu besifuba.
Ukuhlola ukuqinisekisa ukuthi inkinga ngempela impikiswano ye-gallbladder ingafaka:
- Ukuhlolwa kwegazi, kubandakanya i-amylase, i-lipase, inani eliphelele legazi (CBC) kanye nokuhlolwa komsebenzi wesibindi
- I-ultrasound yesisu
- I-Radionuclide scan
- I-CT yesisu ye-Abdominal
Ezimweni eziningi, ukuhlinzekwa kuhlelwe kusengaphambili, kodwa lapho kwenzeka ukuvuvukala okukhulu, ukuhlinzeka nge-gallbladder kungenziwa ngokuphuthumayo ngemva kokuxilongwa. Ukuhlolwa kwesifo se-gallbladder kuhlanganisa ukuhlolwa ngokomzimba, ukuhlolwa kwegazi, kanye nokufaneka kwezitho zangasese okungase kutholakale ukutholakala kwama-gallstones nama-blockages.
I-ERCP, noma i-endoscopic retrograde ye-cholangiopancreatography, inqubo encane engavamile yokwelapha ama-gallstones, kungenzeka noma angenziwa ngaphambi kokuhlela ukuhlinzwa. Isinqumo senziwe ngokususelwa ngobukhulu kanye nenani lamagumbi amancane, nesimo se-gallbladder.
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Yini ongayidla Ngaphambi kokuhlinzwa kokususwa kwe-GallbladderUkugwema ukudla okunamafutha kungasiza ekuvimbeleni i-gallbladder "ukuhlaselwa" - ubuhlungu be-gallbladder kubantu abanesifo se-gallbladder- njengoba lokhu kudla kuyaziwa ukwandisa imicibisholo esuka enkongweni ye-gallbladder ephendukayo iholela ekungcoleni. Ukudla okuthosiwe, ukudla okunamafutha kanye nezinye izinhlobo zokudla eziqukethe amazinga aphakeme amafutha kufanele kugwenywe ngabantu abanenkinga yokungena. Imithombo eminingi ikhombisa ukuthi amaqanda kufanele agwenywe futhi.
Esinye isisindo esidabukisayo sobuhlungu be-gallbladder siyadla ukudla owuzwayo noma obangela ukusabela okweqile. Isibonelo, abantu abaningi banomzwelo emikhiqizweni yobisi, kodwa izimpawu zithobekile (impumu egijima, isisu sithukuthele) ngakho baqhubeka bedla ukudla okuqukethe ubisi. Kulaba bantu, ukudla okuyizinto eziyingozi kakhulu kunokunye ukudla okubangela ubuhlungu obuningi be-gallbladder futhi kufanele kugwenywe. Ubisi luyisibonelo esisodwa nje. Kwabanye kungase kube gluten, kwabanye, kungase kube into ehluke ngokuphelele.
Uma kukhona ukudla ekudleni kwakho okuvame ukubangela izimpawu zokuzwela ezifana nokubhubhisa, igesi noma isisu esidabukisayo, kuyoba amathuba ngaphezu kokunye ukudla okubangelwa ukuhlasela kwe-gallbladder. Ngokuvamile, ukudla okucebile izithelo nemifino, amafutha aphansi nenyama kuyinto enhle.
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I-Anesthesia ye-Gallbladder UkuhlinzwaI-anesthesia jikelele isetshenziswa ngesikhathi sokuhlinzwa kwe-gallbladder. Ukuhlinzwa kuqala ngokuphathwa kwe-IV sedative ukuze uphumule isiguli. Lapho isidakamizwa sisebenza, umhlinzeki we-anesthesia ufaka ithubhu lokuphefumula, noma i- tube endotracheal , ngomlomo wesiguli ungene emoyeni.
Uma isibhubhe sokuphefumula sisendaweni, izidakamizwa zinikezwa ukuthi isiguli sigqoke futhi siphathe / sigweme ubuhlungu. Ithebhu isuke ixhunywe ku- ventilator ukunikeza umoya emaphashini esiguli ngesikhathi senqubo.
Phakathi nenqubo, i-anesthesiologist ihlale ihlola izimpawu ezibalulekile zesiguli futhi inikeza noma yimiphi imithi edingekayo.
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Phakathi ne-Gallbladder Ukuhlinzwa: InquboInqubo ejwayelekile kunazo zonke esetshenziselwa ukuhlinzeka nge-gallbladder yiyona ndlela ye-laparoscopic , esebenzisa ikhamera kanye nezimbalwa ezimbalwa zokucubungula ukubona ngeso lengqondo ukuhlinzwa, esikhundleni sokuzihlanganisa okukhulu. Indlela ye-laparoscopic isibe "i-standard standard yegolide;" noma kunjalo, ukuhlinzwa kungashintshwa kwindlela "evulekile" ngokushesha uma udokotela ohlinzayo ebona kuyadingeka noma uma kuvela izinkinga.
Udokotela ohlinzayo uqala ngokucubungula okuncane okuncane, cishe ingxenye yesigamu intshi eside, ngakwesokudla kwesisu sesisu. Okubili kwalokhu kuqondiswa kuvumela ukuthi udokotela ohlinzayo abeke izinto zokuhlinza emgodini wesisu. I-incision yesithathu isetshenziselwa ukufaka i- laparoscope , ithuluzi elinokukhanya nekhamera yevidiyo evumela ukuthi udokotela ohlinzayo babheke ukuhlinzwa kumqapha ngenkathi esebenza. Ukufakwa kwesine kusetshenziselwa ukufaka ibhuloho elikhishwa igesi le-carbon dioxide, elithinta isisu ukuze kuvumeleke ukubukeka kangcono kanye nendawo engaphezulu yokusebenza.
I-gallbladder ihlukaniswe nezicubu ezinempilo futhi ifakwe esikhwameni esiyimpoqo ukuze ivumele ukuthi idlulise enye yezinto ezincane ezibhekwayo. Uma i-gallbladder ikhulisiwe noma ikhuni, futhi ingakwazi ukulingana ngokusebenzisa ukuqondiswa kwe-laparoscopic, ukuhlinzwa kuguqulwa kwindlela yokuvula ukuvumela ukukhishwa kwezicubu.
Udokotela ohlinzayo uhlola indawo lapho i-gallbladder isuswe khona futhi ivala amathanga ayexhunywe kuwo. Uma kungekho zibonakaliso zokuvuza noma ukutheleleka , ichweba elivutha i-carbon dioxide esiswini isuswe futhi igesi elisele liphuma ngaphandle kwezingxoxo njengoba izinsimbi zisuswa. Lokhu kuhloswe kuthiwa kuvaliwe ngama-apples, stitches noma bandage bandages.
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Ngemuva kokuhlinzwa kwe-GallbladderNgemuva kokuba ukuhlinzwa kwe-gallbladder kuqedile, isiguli sivunyelwe ukuphumula kancane, futhi ithubhu yokuphefumula isusiwe. Isiguli sisuke sithunyelwa ku-Post-Anesthesia Care Unit ukuze siqaphele ngenkathi izidakamizwa ze-anesthesia zigqoke ngokuphelele.
Phakathi nalesi sigaba sokubuyiselwa, isiguli sizobe sibheke ngokucophelela ngabasebenzi ngezibonakaliso zobuhlungu, izinguquko ezimpawu ezibalulekile noma yiziphi izinkinga ezivela ekuhlinzekeni. Uma kungabikho izinkinga ezigciniwe futhi isiguli siphapheme, zingadluliselwa ekamelweni lesibhedlela ihora noma amabili emva kokuhlinzwa.
Phakathi nosuku emva kokuhlinzwa, isiguli sigcinwa ngezibonakaliso zezinkinga, kufaka phakathi ukutheleleka , ukuphuma kwegazi, kanye nokuvuza kwe-bile, isimo esingavamile kodwa esibucayi esidinga ukuhlinzekwa kwesibili ukulungisa. Igazi liyadonselwa futhi lihlaziywe ukuze kusize ukuqapha impilo yesiguli.
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Ukubuyisela emva kokuhlinzwa kwe-GallbladderIziguli eziningi zikwazi ukubuyela ekhaya zingakapheli amahora angu-24 okuhlinzwa ukuze ziqhubeke zilulame kusukela ekuhlinzeni futhi zibuyele emisebenzini yazo evamile yansuku zonke ezingaphansi kwesonto. Umsebenzi onzima kakhulu ungadinga isikhathi sokuphulukisa eside.
Iphesenti encane yeziguli zidinga ukudla okunamafutha aphansi, okuphezulu-ama-fibre emasontweni ambalwa okuqala ngemva kokuhlinzwa ukuvimbela ukungakhululeki nokuhuda ngemva kokudla. Uma isifo sohudo siqhubeka naphezu kokushintsha kokudla, udokotela ohlinzayo kufanele aziswe. Le nkinga ayiyona into engavamile, kodwa ingaba nezindaba ezibalulekile uma iqhubeka ngemva kokuvuselela.
Ukubhekwa okuhlinzekwayo kudinga ukunakekelwa okuncane futhi kungahlanzwa nge-sese namanzi ngesikhathi seshazi. Uma ukuchotshozwa kuvaliwe ngama-bandages wokunamathisela, bazokwehla bodwa, noma bangasuswa ngudokotela ohlinzayo ngesikhathi sokuvakasha kwehhovisi. Noma yikuphi ukugeleza okungcolile noma ukubomvu okuphawulekayo kwezingxoxo kumele kubikwe.
Izwi elivela:
Ubuhlungu be-Gallbladder buvame ukuhlotshaniswa nobuhlungu ehoreni ngemva kokudla, futhi ngokuvamile kuvame ukulinganisela ukuze kube namandla kakhulu. Njengomthetho jikelele, ubuhlungu besisu abufanele bushaywa indiva, kungakhathaliseki ukuthi i-gallbladder ngumthombo osolisayo noma cha.
Uma ucabanga ukuthi uhlaselwa yi-gallbladder, funa ukwelashwa kunokuba uyishaya indiva futhi uthemba ukuthi uzohamba. Ubuhlungu bungaba bubi ngaphezu kwesikhathi.
Imithombo:
I-Cholecystectomy Brochure. I-American College of Abahlinzayo. 2006 http://www.facs.org/public_info/operation/cholesys.pdf