Gallbladder Kuvhiya: Pamberi Pakati uye Pashure

Chinangwa chenduru ndechekubatsira kudyiwa kwezvokudya. Iyo bile inobatsira kuputsa mafuta kuitira kuti inogona kuiswa mukati meropa kuitira kupa mishonga mumuviri. Iyo nduru yakachengetedza bile, iyo inoitwa muchiropa kuti ishandiswe mukudya kwezvokudya. Zvokudya, kunyanya kudya kwemafuta, zvinokonzera kusunungurwa kwebibi kubva ku-gallbladder.

Zviratidzo zvezvinetso zvehondo zvinosanganisira:

• Kuvhara mushure mekudya
• Kudyidzana kwezvokudya zvakashata
• Indigestion
• Nausea
• Kudzora
• Kutambudzika shure
• Kunzwa kuzara
• Fever
• Clay-colored stool
• Pain pasi pekoko rorudyi

Gallbladder (gallstone) kurwisa, iyo inogona kuva inorwadza, inowanzoitika apo guru rinodzivirira bile kubva pakubuda kwegungwa. Vanokwanisa kunyange kukanganisa nokuda kwekurwadziwa kwepfungwa, uye pamwe chete. Usambokanganwa zviratidzo zvingangodaro zvinorwadza mwoyo, zvinosanganisira kurwadziwa kwemaoko kusara uye kurwadziwa kwepfupa.

Kuedza kusimbisa kuti dambudziko nderokuti dambudziko rinogona kunge rinosanganisira:

• Kuongorora ropa, kusanganisira amylase, lipase, kukwana ropa rakazara (CBC) uye chiedza chekushanda
• Abdominal ultrasound
• Radionuclide scan
• Abdominal CT scan

Muzviitiko zvakawanda, chirwere ichi chinorongerwa mberi, asi mumamiriro ezvinhu ekuputika kwakanyanya, chirwere chenduru chinogona kuitwa nokukurumidza pashure pekuongororwa. Kuongororwa kwechirwere chenduru kunosanganisira kuongorora mumuviri, kuongororwa kweropa, pamwe nekugona kufungidzira mumimba kunogona kuona kuvepo kwematombo nemagetsi.

An ERCP, kana kuti endoscopic retrograde cholangiopancreatography, ndiyo nzira isina kuderedza yakawanda yekurapa maronda, angaita kana kuti haagoni kuitwa asati agadzirisa chirongwa. Ichisarudzo chakaitwa maererano nehukuru uye nhamba yematombo ematombo, uye mamiriro ehururu.

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Zvokudya Kudya Gallbladder Removal Surgery

Kudzivisa kudya kwemafuta kunogona kubatsira kudzivirira gallbladder "kurwisa" - kurwadziwa kweguruva muvanhu vane gallbladder chirwere - sezvo izvi zvinodyiwa zvinozivikanwa kuti zviwedzere kuchengetedza kubva mumhepo yakasvibira iyo inotenderera inoita kuti isakanganise. Zvokudya zvakabikwa, zvokudya zvinokisa uye mamwe marudzi ezvokudya zvine marefu emafuta zvakakodzera zvinofanira kudziviswa nevanhu vane nharo dzemagetsi. Zvinyorwa zvakawanda zvinoratidza kuti mazai anofanirawo kudziviswa.

Chimwe chinhu chinowanzogadzirisa chirwere cheguruva chiri kudya kudya waunofunga kana kuti kuita kuti chirwere chinenge chichiita. Semuenzaniso, vanhu vazhinji vane hunzwisisiro kumiti yemishonga, asi zviratidzo zvinyoro (chirwere chinoputika, mudumbu chinogumbura) saka vanoramba vachidya zvokudya zvine mairi. Kune vanhu ava, zvikafu zvavanokonzerwa nazvo zvinowedzera kune zvimwe zvekudya zvinokonzera kurwadziwa kwakanyanya kweguruvladder uye kunofanira kudziviswa. Dairy muenzaniso mumwe chete. Kune vamwe zvinogona kunge zvakagwinya, kune vamwe, zvinogona kunge zvakasiyana zvachose.

Kana pane zvokudya mune zvekudya zvako zvinowanzokonzera zviratidzo zvekunzwisisika zvakadai sokuputika, gesi kana kushungurudzika kwepamuviri, zvichave zvakanyanya kudarika zvimwe zvekudya zvinokonzera kurwisa. Nenzira yakawanda, kudya kwakapfuma mumichero nemiriwo, kuderera mumafuta uye nyama yakanaka.

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Anesthesia yeGallbladder Surgery

Jenesi anesthesia inoshandiswa panguva yekuvhiyiwa kwegorobladder. Kuvhiya kunotanga nehutungamiri hwehutano hweVIV kuitira kuti utadze murwere. Kamwe kamwe mishonga inotanga kushanda, anesthesia muperekedzi anoisa bhuku rinofema, kana endotracheal tube , kuburikidza nemuromo wemurwere kupinda mumhepo.

Kamwe kana kuputika kweputi kuripo, zvinodhaka zvinopiwa kupa murwere kurara uye kubata / kudzivirira marwadzo. Iyo tube iyo inobva yabatanidzwa kune ventilator kuti ipe mhepo kumapapu emurwere panguva iyo nzira.

Penguva iyo nzira, anesthesiologist nguva dzose anocherechedza zviratidzo zvinokosha zvevarwere uye anopa chero mishonga inodikanwa.

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Munguva yeGallbladder Surgery: The Procedure

Imwe nzira inowanzoshandiswa pakushandiswa kwegorovladder ndiyo nzira yaparparcopic , iyo inoshandisa kamera uye zvishomanana zvisinganzwisisiki kufungidzira kuvhiyiwa, panzvimbo pekunyanya kukuru. Iyo nzira yaparascopic yave yakava "yegoridhe yakaenzana;" zvisinei, kuvhiyiwa kunogona kushandurirwa ku "yekuti" nzira inokurumidza nokukurumidza kana chiremba anovhiya achiona zvichidikanwa kana kana zvinetso zvichiitika.

Chiremba anovhiya anotanga nemafungiro mana maduku, anenge hafu inendi yakareba, mudenga rekumusoro kwemuviri. Zvimwe zviviri izvi zvinoshandiswa zvinopa chiremba chiremba kuti aise zvigadzirwa zvokuvhiya mudumbu remuviri. Chechi yechitatu inoshandiswa kuisa iyo laparoscope , chiridzwa chine chiedza uye vhidhiyo kamera inobvumira chiremba chiremba kuti aone kuvhiyiwa pamutambo paanenge achishanda. Chechina chinoshandiswa chinoshandiswa kuisa ganda rinounza carbon dioxide gesi, rinoputira mimba kuti ribvone kutarisa zviri nani uye imwe nzvimbo yekushanda.

Iyo nduru inoparadzaniswa kubva kune mishonga ine utano uye inoiswa muhombodo isina kubvumira kuti ibviswe kudarika imwe yezvinhu zviduku zvisinganzwisisiki. Kana chirongo chacho chakawedzerwa kana chakaomeswa, uye hachikwanikwi kuburikidza nekufungidzirwa kwe laparoscopic, chirwere chacho chinoshandurwa nenzira yakasununguka yekubvumira kubviswa kwemashuga.

Chiremba wacho anoongorora nzvimbo iyo ganda rakabviswa uye rinovhara madhara akanga akabatanidzwa naro. Kana pasina zviratidzo zvokudonha kana kutapukirwa , gomba rinoputika carbon dioxide mudumbu rinobviswa uye iyo yakasara gasi inodonha kunze kwezvinoonekwa sezvo zvigadzirwa zvabviswa. Izvo zvinowanikwa zvino zvinovharwa nezvinyorwa, mashizha kana mabhandeji ekunamatira.

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Pashure peGallbladder Surgery

Mushure mokunge chirwere chegungwa chakapera, murwere anobvumirwa kupfuudza zvishoma, uye kufema kunobviswa. Murwere anobva atakurwa kuenda ku Post-Anesthesia Care Unit kuti aongorore apo anesthesia zvinodhaka zvachose kupfeka.

Munguva iyi yekugadzirisa, murwere achanyatsotariswa nevashandi nokuda kwezviratidzo zvekutambudzika, kuchinja muzviratidzo zvinokosha kana chero zvinetso kubva pakuvhiya. Kana pasina dambudziko rinowanikwa uye murwere akasvinura, vanogona kutamirwa kuchipatara muawa imwe kana maviri mushure mekuvhiyiwa.

Pazuva mushure mekuvhiyiwa, murwere anocherechedza zviratidzo zvezvinetso, kusanganisira kutapukirwa , kubuda ropa, uye kuputika kwebi, chiitiko chisingawanzo asi chakakomba chinoda kuti chirwere chechipiri chigadzirise. Ropa rinotorwa uye rinongororwa kubatsira kubatsira kutarisa utano hwevarwere.

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Kuwanazve Pashure peGallbladder Surgery

Vakawanda vanorwara vanogona kuenda kumba mukati maawa makumi maviri ekuvhiyiwa kuti varambe vachidzoka kubva pakuvhiyiwa uye kudzokera kumabasa avo ezuva nezuva mushure pevhiki. Basa rakaoma rinowedzera rinoda nguva refu yekuporesa.

Chikamu chiduku chevarwere chinoda kudya kwemafuta, kwema-high-fiber mumavhiki mashomanana apfuura mushure mekuvhiyiwa kudzivirira kusagadzikana nekurwara shure kwekudya. Kana chirwere chinoramba chiripo pasinei nekuchinja kwezvokudya, chiremba wacho anofanira kuudzwa. Izvi zvinowanzojairika, asi zvinogona kuunza nyaya dzakakomba kana ichienderera mberi mushure mekupora.

• Kutsungirira Dhirrhea Mushure meGallbladder Surgery

Izvo zvinoshandiswa pakuvhiya zvinoda kutarisirwa zvishoma uye zvinogona kucheneswa nesipo nemvura munguva yewaini. Kana kuvharwa kwaivharwa nemabhanji ekubatanidza, vanozowa voga, kana kuti vanogona kubviswa nechiremba chiremba panguva yekushanya kwehofisi. Chero kusvibiswa kwakasvibiswa kana kuti kubwinya kwakanyanya kwekufungidzirwa kunofanira kuziviswa.

Shoko Rinobva:

Gallbladder marwadzo anowanzobatanidzwa nekurwadziwa munguva iyo mushure mekudya, uye kazhinji inononoka kuti iwedzere zvakasimba. Sezvo mutemo wehuwandu, kurwadziwa kwepamuviri hakufaniri kuregererwa, pasinei nokuti chironda chinenge chichifungidzirwa chiripo kana kwete.

Kana iwe uchifunga kuti uri kurwisana nehondo, tsvaka kurapwa pane kungozvinyima uye uchifunga kuti ichaenda. Iyo kurwadziwa kunogona kukura kupfuura nguva.

_Sources:

_{Cholecystectomy Brochure. American College of Surgeons. 2006 http://www.facs.org/public_info/operation/cholesys.pdf}