Opaleshoni ya Gallbladder: Asanafike Pambuyo ndi Pambuyo

Cholinga cha ndulu ndicho kuthandiza chimbudzi cha chakudya. Bile imathandiza kuthetsa mafuta kotero kuti ikhoza kulowa m'magazi kuti apereke zakudya m'thupi. Nkhumba imasunga bile, yomwe imapangidwa m'chiwindi kuti igwiritsidwe ntchito mu chimbudzi cha chakudya. Chakudya, makamaka mafuta, chimayambitsa kuchotsa bile kuchokera mu ndulu.

Zizindikiro za mavuto a ndulu ndi awa:

• Kutsekera mutatha kudya
• Kusagwirizana kwa chakudya chamadzulo
• Kudzikuza
• Nausea
• Kuthamanga
• Ululu wammbuyo
• Kukumverera kwathunthu
• Fever
• Chojambula choda
• Ululu pansi pa dzanja lamanja

Kuthamanga kwa gallbladder (gallstone), komwe kumakhala kowawa kwambiri, zimachitika pamene ndulu imalepheretsa bile kuchoka mu ndulu. Iwo akhoza ngakhale kulakwitsa chifukwa cha vuto la mtima, ndipo mosiyana. Musanyalanyaze zizindikiro zomwe zingakhale matenda a mtima, kuphatikizapo kupweteka kwa mkono wamanzere ndi kupweteka pachifuwa.

Kuyesera kutsimikizira kuti vuto liridi ndondomeko ya ndulu kungaphatikizepo:

• Kuyeza magazi, kuphatikizapo amylase, lipase, kuchuluka kwa magazi (CBC) ndi mayesero a ntchito ya chiwindi
• Mimba ya ultrasound
• Radionuclide mawonekedwe
• Matenda a m'mimba a CT

Kawirikawiri, opaleshoniyo imakonzedweratu, koma panthawi ya kutupa kwakukulu, opaleshoni ya ndulu ikhoza kuchitidwa mofulumira pambuyo pa matenda. Kuyezetsa matenda a ndulu kumaphatikizapo kuyeza thupi, kuyezetsa magazi, komanso kuganizira zochitika m'mimba zomwe zingathe kuzindikira kuti pali mitsempha yam'mimba.

An ERCP, kapena endoscopic retrograc retrograde cholangiopancreatography, ndi njira yochepetsetsa yochepetsera mitsempha, mwina kapena isanachitike asanayambe kuchita opaleshoni. Chigamulocho chapangidwa kuchokera pa kukula ndi chiwerengero cha ndondomeko, ndi chikhalidwe cha ndulu.

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Zimene Mungadye Musanayambe Kuchotsa Opaleshoni

Kupewa zakudya zamtundu wambiri kungakuthandizeni kupewa "chifuwa" -kumenya ululu kwa anthu omwe ali ndi matenda a ndulu - monga zakudya izi zimadziwika kuti zikhale zotsekemera kuchokera ku ndulu zomwe zimapangitsa kuti zisokonezeke. Zakudya zokazinga, zakudya za mafuta ndi zakudya zina zomwe zili ndi mafuta ochuluka ziyenera kupezedwa ndi anthu omwe ali ndi vuto la ndulu. Zambiri zimasonyeza kuti mazira ayenera kupeŵedwanso.

Chinthu chinanso chimene chimayambitsa kupweteka kwa chifuwa ndikudya zakudya zomwe mumamva kapena zimayambitsa matenda. Mwachitsanzo, anthu ambiri ali ndi mphamvu zokhudzana ndi mkaka, koma zizindikiro zimakhala zofewa (mphuno, kupweteka m'mimba) kotero amapitiriza kudya zakudya zomwe zili ndi mkaka. Kwa anthu awa, zakudya zomwe iwo amadwala zimakhala zovuta kwambiri kusiyana ndi zakudya zina zomwe zimayambitsa ululu waukulu wa ndulu ndipo ayenera kupeŵa. Mayi ndi chitsanzo chimodzi chokha. Kwa ena kungakhale gluten, kwa ena, izo zikhoza kukhala chinachake chosiyana kwambiri.

Ngati pali zakudya zomwe mumazidya zomwe zimayambitsa zizindikiro zokhudzidwa monga kuvulaza, kutentha kapena kupweteka m'mimba, zimakhala zovuta kuposa zakudya zina zomwe zimayambitsa ndulu. Kawirikawiri, chakudya chokhala ndi zipatso ndi ndiwo zamasamba, mafuta ochepa ndi nyama ndi abwino.

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Anesthesia kwa Gallbladder Surgery

Anesthhesia wambiri amagwiritsidwa ntchito pa opaleshoni ya ndulu. Kuchita opaleshoni kumayamba ndi kayendedwe ka chitetezo cha IV kuti athetsere wodwalayo. Pomwe mankhwalawa atha kugwira ntchito, wopereka mankhwala a anesthesia amapatsa chubu, kupuma kudzera m'kamwa mwake.

Pomwe mpweya wopuma uli pamalo, mankhwala amaperekedwa kuti wodwalayo agone ndikum'pweteka. Pambuyo pake chubu imagwirizanitsidwa ndi mpweya woti apereke mpweya m'mapapo a wodwalayo panthawiyi.

Potsatira ndondomekoyi, wodwalayo amatha kuyang'anira zizindikiro zofunika za wodwalayo ndipo amapereka mankhwala oyenera.

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Pa Gallbladder Surgery: The Procedure

Njira yowonjezereka yomwe amagwiritsidwa ntchito pa opaleshoni ya ndulu ndiyo njira ya laparoscopic , yomwe imagwiritsa ntchito kamera ndi zochepa zomwe zimawonetseratu opaleshoniyo, mmalo mwa kugwedeza kwakukulu. Njira ya laparoscopic yakhala "yoyendera golide;" komabe, opaleshoni ikhoza kutembenuzidwa kuchitidwe "lotseguka" mwamsanga ngati dotolo akuwona kuti ndi kofunikira kapena ngati mavuto akuyamba.

Dokotalayu amayamba ndi zoyikidwa zing'onozing'ono zinayi, pafupifupi theka la inchi yaitali, kumtunda kwa kumtunda kwa mimba. Zomwe mwaziganizirazi zimathandiza dokotalayo kuika opaleshoni m'mimba. Chombo chachitatu chimagwiritsidwa ntchito poika laparoscope , chida chomwe chiri ndi kuwala ndi kanema kamera kamalola dokotala wa opaleshoni kuwona opaleshoni pa khungu pamene akugwira ntchito. Chombo chachinayi chimagwiritsidwa ntchito poika phukusi limene limatulutsa mpweya woipa wa carbon dioxide, kutsegula m'mimba kuti chiwonetsedwe bwino komanso malo ogwira ntchito.

Nkhumba imagawidwa ndi minofu yathanzi ndipo imayikidwa mu thumba lopanda kanthu kuti lilowemo limodzi mwa zochepa zomwe zimawonekera. Ngati ndulu ikukulitsidwa kapena yowumitsidwa, ndipo sungagwirizane ndi zochitika za laparoscopic, opaleshoniyo imasanduka njira yotsegula kuti athe kuchotsa minofuyo.

Dokotalayo akuyesa malo omwe nduluyo imachotsedwamo ndipo amatseka madontho omwe anali ogwirizana nawo. Ngati palibe zizindikiro zothamanga kapena matenda , chipika chimene chimapangitsa mpweya woipa m'thupi kumachotsedwa ndipo mpweya wotsala umachoka pamagulu atachotsedwa. Zomwe zimagwiritsidwa ntchitozo zimatsekedwa ndi zofunikira, zomangira kapena zomatira.

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Pambuyo pa Opaleshoni ya Gallbladder

Pambuyo pa opaleshoni ya ndondomeko yatha, wodwalayo amaloledwa kupumula pang'onopang'ono, ndipo mpweya wopuma umachotsedwa. Wodwala amatumizidwa ku Post-Anesthesia Care Unit kuti ayang'ane pamene mankhwala osokoneza bongo amatha.

Pa nthawi ya kuchira, wodwalayo adzayang'anitsitsa kwambiri ndi ogwira ntchito kuti azindikire zowawa, kusintha kwa zizindikiro zofunika kapena zovuta zilizonse kuchokera ku opaleshoni. Ngati palibe vuto ndipo wodwalayo ali maso, amatha kupita kuchipatala ola limodzi kapena awiri atatha opaleshoni.

Masana atatha opaleshoni, wodwalayo amadziwika kuti ali ndi zizindikiro, kuphatikizapo matenda , kutuluka m'magazi, ndi kuphulika kwa bile, zomwe zimakhala zovuta koma zovuta zomwe zimafunika kuti opaleshoni yachiwiri ikonzekere. Magazi amatengedwanso ndi kusanthuledwa kuti athandize kuyang'anira thanzi la wodwalayo.

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Kupeza Pambuyo pa Opaleshoni ya Gallbladder

Odwala ambiri amatha kupita kunyumba mkati mwa opaleshoni maola 24 kuti apitirizebe kuchipatala ndi kubwerera kuntchito zawo za tsiku ndi tsiku pasanathe sabata. Ntchito yowonjezereka yowonjezera ikhoza kukhala ndi nthawi yowonjezera ya machiritso.

Ochepa peresenti ya odwala amafunika kudya mafuta ochepa, otsika kwambiri mu masabata angapo atatha opaleshoni kuti asatengeke ndi kutsekula m'mimba atatha kudya. Ngati kutsekula m'mimba kumapitirira ngakhale kusintha kwa zakudya, dokotala ayenera kuuzidwa. Izi zimakhala zachilendo, koma zingayambitse mavuto aakulu ngati apitiriza kuchira.

• Kulimbana ndi Kutsekula Kumimba Pambuyo pa Opaleshoni Yopangira Gallbladder

Kuchita opaleshoni kumafuna kusamalidwa kochepa ndipo kungathe kutsukidwa ndi sopo ndi madzi panthawi yachisamba. Ngati chitsulocho chikutsekedwa ndi zomangira zomangira, zidzasungidwa paokha, kapena zikhoza kuchotsedwa ndi dokotala wa opaleshoni paulendo wa ofesi. Madzi osefukira kapena kuwunika kwakukulu kwa zofunikila ziyenera kuwonetsedwa.

Mawu Ochokera:

Kupweteka kwapakhosi kumakhala kofanana ndi ululu mu ola limodzi mutatha kudya, ndipo nthawi zambiri zimakhala zosavuta kwambiri. Nthawi zambiri, ululu wa m'mimba sayenera kunyalanyazidwa, kaya nthendayi ndi yodalirika kapena ayi.

Ngati mukuganiza kuti mukukumana ndi nkhanza, funsani chithandizo chamankhwala m'malo mosanyalanyaza zomwezo ndikuyembekeza kuti zidzatha. Ululu ukhoza kuwonjezereka pakapita nthawi.

_Zotsatira:

_{Kabuku ka Cholecystectomy. Kalasi ya American of Surgeons. 2006 http://www.facs.org/public_info/operation/cholesys.pdf}