Gilashin gallbladder wani ɓangare ne na tsarin kwayar halitta. Yana tara bile don narkewa da abinci, yana kare jiki daga mummunan sakamako na wannan abu kuma yana nuna yawancin abu. Wasu cututtuka na gallbladder zai iya haifar da saɓin aikin wannan kwayar, saboda sakamakon abin da za'a cire shi.
Yaushe ne ya zama dole a cire cirewa?
Tabbas da aka nuna dasu don kawar da mafitar ganyayyaki shine kafawar duwatsu. Lokacin da aka umarci cholecystectomy, an nuna alamun abin da ke ƙasa, wannan yana nufin cewa an rushe gawar, ya daina yin aikinsa. Ko aiki ya zama dole a gaban duwatsu, don magance likita a kowane hali, amma tare da irin wannan cuta, likitocin likitoci suna yunkurin cire kwayar. Crushing da kokarin ƙoƙarin cire duwatsu ba zai kai ga sakamakon da ake so ba, saboda magungunan ganyayyaki yana haifar da sababbin abubuwa a cikin gajeren lokaci.
Ana cire ta tare da aikin gallbladder a cikin wadannan sharuɗɗa:
- gangrene na gallbladder;
- cholesterosis (ƙwayar cholesterol a kan ganuwar mafitsara);
- shiga cikin bile ducts na dutse;
- Tsayar da kwayar halitta a kan tushen kullin cholecystitis;
- manyan polyps a cikin gallbladder ;
- neoplasms a cikin mafitsara;
- haɗuwa na intestinal da ya haifar da dutse wanda ya koma cikin hanji daga gallbladder ta hanyar fistula.
Hanyar da za a cire gallbladder
Cire wajan gallbladder na nufin magungunan kwakwalwa na kowa. Da yake bayyana abin da yake cholecystectomy, iri da sakamakon sakamakon tiyata, likitoci suna kula da mai haƙuri cewa tasirinsa ya dogara da fasaha na likita, lafiyar lafiyar mai haƙuri da kuma halinsa a cikin lokaci na baya. Akwai nau'i uku na cholecystectomy:
- Bude na gargajiya - hanya mafi tsufa don kawar da gallbladder;
- Ƙananan mamaye bude - da farko irin wannan aiki da aka yi game da 45 da suka wuce;
- Laparoscopy - ya zama samuwa saboda ci gaba a fasahar likita.
Laparoscopic cholecystectomy
Idan akwai wajibi don cire gallbladder, laparoscopy shine mafi kyawun zaɓi. Laparoscopy, idan aka kwatanta da wasu nau'o'in cholecystectomy, yana da ƙananan ƙwayoyin cuta, rauni mai rauni, ƙananan sakamako da lokaci na dawowa. Laparoscopy ba a yi a gaban kumburi, adhesions da wasu siffofi na jiki.
Laparoscopic tiyata an yi ta amfani da na'urar laparascopic. Yana ba ka damar nuna hoton gabobin ciki. Aikin yana farawa tare da hanyoyi da dama na bango na ciki, inda aka saka manipulators da kyamara. Tare da gabatarwar carbon dioxide a cikin rami, tada raunin ciki da kuma inganta tsarin kula da mafitsara. An cire sutura ta farko daga hanta, sannan a cire shi ta hanyar fashewa.
Bude cholecystectomy
Wannan aiki don cire bile yana taimakawa wajen samun damar samun damar shiga cikin rami na ciki don yin aikin haɗar da ake bukata: gabobin aiki da ke kusa da juna, yana gwada bile ducts, yin duban dan tayi ko cholangiography. Don haka, an sanya wani katako tare da Kocher a bango na ciki. Bude cholecystectomy yana da irin wannan rashin amfani:
- m manyan scars;
- tsawon lokaci na dawowa;
- karin matsalolin idan aka kwatanta da laparoscopy.
Rayuwa bayan kawar da gallbladder
Bayan aiki, yana ɗaukan kimanin watanni 4 don daidaitawa ga yanayin canji na rayuwa. Babban kyauta a wannan lokacin shine bile ducts da hanta, wanda dole ne ya biya domin rashin kwayar. A wannan lokacin yana da muhimmanci a ci gaba da cin abinci, ba don yin amfani da magani ba. Dole ne likita ya kamata a nada shi likitoci don ganin rashi mummunan kumfa.
Bayan aikin da zai cire magungunan, to wani lokaci mai haƙuri zai fuskanci matsalolin matsaloli, wanda zai sake dawowa kamar yadda jiki yayi daidai. Bayan watanni 4-6 mutum zai iya haifar da rayuwa ta saba, amma a lokaci guda dole ne ya bi halin kirki har zuwa ƙarshen kwanakinsa. Kashewa daga cin abinci zai haifar da rashin jin dadin jiki a cikin sashin kwayar cuta, matsaloli tare da tarin zuciya, ciwo a yankin yankin.
Ana cire lokaci na biliary - postoperative
Tsarin cholecystectomy yana nufin ƙaddarar sauƙi. Bayan kawar da gallbladder, an yi haƙuri a cikin mai kula da kulawa mai kulawa da yawa a karkashin kulawar ma'aikatan likita. Bayan sa'o'i 5, an ba da haƙuri zuwa hawa hawa a hankali, kuma bayan sa'o'i 6-7 za ku ci kadan. Kashegari mai haƙuri ya fara fara motsi kadan. Bayan 'yan kwanaki, an cire mai haƙuri daga malalewa, kuma, idan ba tare da rikitarwa ba, an cire shi a rana ta uku. Duk wannan lokacin da watanni uku masu zuwa 3 masu haƙuri suna kan abincin abincin abincin.
Jiyya bayan kawar da gallbladder
Magunguna bayan da aka rage girman gallbladder. A farkon kwanan nan, likitoci zasu iya ba da maganin ciwo idan mai haƙuri ya ji zafi mai tsanani. Tare da yaduwa na yankin biliary, ana iya ba da izinin maganin spasmolytics dan lokaci. Don inganta halayen bile, ana amfani da kwayoyi tare da acid ursodeoxycholic:
- Hepatosan;
- Ursosan ;
- Shigarwa;
- Ursofalk.
Cin bayan da aka cire gallbladder
Abincin jiki mai kyau bayan kawar da gallbladder yana rinjayar tsawon lokacin dawowa kuma inganta lafiyar mai haƙuri. Marasa marasa lafiya da suka bar ba tare da wani gallbladder bukatar sanin abin da za a iya ci ba bayan da aka cire gallbladder, kuma ku cinye sau 6 a rana. Wannan zai haifar da samuwar bile kuma ya hana matakan da ya dace. Rabin sa'a kafin cin abinci, yana da muhimmanci a sha gilashin ruwa, kuma duk tsawon rana yana da amfani a sha a kalla 2 lita na ruwa mai tsabta.
Abinci ya kamata dumi, don haka kada yayi fushi da tsarin narkewa. Abinci bayan cire kayan gallstone ya nuna cewa baza ku ci ba. Bayanan da aka yi bayan cirewar gallbladder ya kamata a daidaita kuma dauke da mafi yawan yawan waɗannan samfurori:
- mai da kuma abincin gwangwani;
- abinci da man shanu;
- Sweets da kayan ado;
- dankali;
- macaroni;
- abubuwan giya.
Tsarin yau da kullum zai iya kunshi irin wannan jita-jita:
- Breakfast: albumen omelet, madara a madara, shayi.
- Na biyu karin kumallo: wani ɓangare na cuku gida, wani broth na dogrose.
- Abincin rana: miya mai tsami tare da ƙarin hatsi, wani kaza mai kaza ko naman alade, salin puree, jelly.
- Abincin burodi : madara apple, tare da cuku da zuma.
- Abincin dare: ruwa mai laushi, mai dankali, mai kifi, shayi.
- Karshe na karshe: 'ya'yan itace jelly, kefir.
Gyara gallbladder - sakamakon
Kowace hanya ana aiki, jiki a cikin kowane hali na jin dadin ƙarfafawa kuma yana buƙatar lokaci don sake sake tsarin tsarin ilimin lissafi. Idan wanda aka yi haƙuri ya zama cholecystectomy, za a bayyana matsalolin a cikin lokacin da suka fara aiki. Mai haƙuri zai ji zafi da ciwo mai zafi, ƙwannafi, nauyi a cikin ciki, zai sami matsala tare da dako. A hankali, waɗannan za su rage.
Tsayar da maidawa zai iya haɗuwa da sashin gastrointestinal:
- launi
- gastritis;
- hepatitis;
- dysfunction na sphincter na Oddi;
- reflux.
A kan matsalolin bayan aiki don cire gallbladder da kuma bukatar gaggawa na kiwon lafiya nuna irin wannan bayyanar cututtuka:
- high zazzabi;
- zafi mai tsanani;
- yellow sclera na idanu;
- icteric fata.