Opaleshoni kuchotsa ndulu

Cholecystectomy - opaleshoni kuti achotse ndulu. Pali njira zingapo kuchotsa chiwindi kuwira: zosavuta poyera ndi laparoscopic mwayi cherezbryushnoy. Tikumbukenso kuti tsiku, kutsegula njira anataya kufunika awo. kawirikawiri, madokotala akuyesa ntchito kuchotsa laparoscopic, chifukwa njira imeneyi si kwambiri hairdresser, koma sumabala amphamvu chotero mavuto postoperative, monga opaleshoni lotseguka.

Laparoscopic ndulu kuchotsa imagwiridwa pansi ochititsa dzanzi ambiri mu chipinda cha opareshoni. Odwala anakumana kukonzekera preoperative, kenako mankhwala oletsa ululu amaperekedwa.

Dokotalayo zimapangitsa mabala atatu kapena anayi m'dera ziyerekezo kwa chiwindi kwa m'matumbo. Mabala musalumphe 2 cm - ichi ndi zokwanira kwa oyamba trocars. Kenako, dera m'mimba m'pofunika "aphulitsa", awa anayambitsa kuchuluka kwa mpweya mwa chubu. njirayi zachitika kwa dokotala lingaliro bwino malo a matupi wachibale wina ndi mzake.

Opaleshoni kuchotsa ndulu chikuchitika mu magawo angapo motsatizana:

- kugwiritsa clamps kwa ritsa enaake ndi kwa chiwindi ziwiya lalikulu magazi (kotero dokotala salola imfa ya magazi);

- mwachindunji kuchotsa chikhodzodzo ndulu;

- laparoscopic suturing amacheka.

Choncho, ntchito kuchotsa chikhodzodzo ndulu akudutsa M'mimbamo popanda malowedwe mu zonse m'mimba. Modern zipangizo laparoscopic kulola kubereka chifanizo cha ziwalo mkati pa zenera ndi mkulu quality, kotero cavernous chikhodzodzo kuchotsa ndi kosathandiza.

Komabe, zinthu zina, dokotala sizingatiletse laparoscopic ndulu muli. Izi zimachitika pamene:

- matenda a magazi loyenda ku matenda insolvent hemostasis;

- osachiritsika ndipo limati comatose;

- matenda Urological a m'mapapo, mtima ndi impso.

Ngati wodwala akapezeka ndi gallstone peritonitis, abscess ndulu, komanso pamaso pa mimba, kapena njira zina kuti akhoza kusokoneza njira ya opaleshoni laparoscopic, dokotalayo amakonda kupeza lotseguka.

Tikumbukenso kuti sitili pa contraindications bwino anagwira laparoscopic kuchotsa ndulu ya. Reviews odwala pambuyo mtundu wa opaleshoni kuposa pambuyo cholecystectomy ochiritsira.

Patapita masiku ochepa pambuyo laparoscopy ndi, odwala kungachititse moyo wabwinobwino, pang'ono chabe pamene Kuchepetsa ntchito yawo thupi.

Kodi mavuto angayambe pambuyo ndulu kuchotsa?

1. Magazi.
2. Peritonitis, septicemia kapena purulent kutupa.
3. Suture kulephera, kufinya, fistulas ndi abscesses mu bala opaleshoni.
4. Mapangidwe miyala ducts ya ndulu.
5. Kumaliseche kwa ya ndulu kudzera ang'ambe thupilo lapansi.
6. Propensity kwa thrombosis.
7. Exacerbation matenda aakulu za m'mimba (chilonda).
8. Kuwononga ziwiya aimpso ndi ducts.
9. Chifuwa kuti mankhwala kapena wothandizila kwa mankhwala ochititsa dzanzi.

Monga kukonzekereratu, ndi mapangidwe miyala ducts ndi kukhalabe chamoyo, m'pofunika kutsatira wapadera zakudya pambuyo cholecystectomy. Odwala ayenera kwathunthu kusiya mankhwala kuti kumapangitsanso mapangidwe ya ndulu kusintha chiwindi.

Muyenera chakudya yaing'ono patapita maola angapo. chiwerengero cha chakudya angafikire 6-8, koma siziyenera mantha odwala.

Tisawasale zakudya za yokazinga, zowotcha zakudya kusuta, komanso kanyenya saloledwa ndi salting.

Ndi bwino nthawi zonse ntchito Sitima, kuti monga mu zakudya zakudya zambiri thovu ndi soups (osati mafuta msuzi).