Ukususwa we gallbladder: nemiphumela ukususwa. Ukwelashwa ngemva kokususwa esinyeni nenyongo

isifo Gallstone kuyinto okuningi "ngezicabha" eminyakeni yamuva. Omunye ikhambi lale nkinga futhi, mhlawumbe, ezivame kakhulu - kuyinto kokususwa gallbladder. Imiphumela ukususwa emzimbeni, futhi sizobe ukumboza kulesi sihloko.

Hepatocytes (amaseli isibindi) akhiqiza Bile, okuyinto buthelela ku gallbladder. Kusuka lapho Bile engena duodenum 12, ukusiza inqubo ukugaya ngemva kokudla. Lokhu uketshezi azibukhali hepatocytes nakho kufeza indima amagciwane futhi ilwisane eziyingozi amagciwane, ngephutha wabanjwa emzimbeni.

Izimbangela kumiswa itshe

Amatshe atholakala enyongweni ungakheka ngenxa yezizathu ezihlukahlukene. Kodwa eyinhloko namanje kungukuphula izinqubo umzimba emzimbeni. Lokhu kungase kuhlobane zokukhuluphala noma ukukhuluphala ngokweqile, ikakhulukazi uma ethuthukisa okunamafutha isibindi. Ukuphuza esiningi izidakamizwa, kuhlanganise izinto zokuvimbela inzalo hormone kwandisa ingozi calculous (kumiswa amatshe) cholecystitis.

kwemikhuba yokudla kungaba kuvuse lesi sifo. Ukuphazamiseka okunjalo kungenzeka ukuthi umataniswe ne yokwamukela ukudla ephezulu cholesterol (inyama amanoni, izinso, ubuchopho, ibhotela, amaqanda), futhi ukusetshenziswa kwamanzi ezilamatshe isikhathi eside futhi okunama-kilojoule amancane ukudla.

izici yokwakheka isakhiwo we gallbladder (Kinks futhi amajika) ukwenza okuthandayo ungase ubangele i cholecystitis calculous. Lokhu ingozi yezinkinga kungenzeka, ezifana Bile imbobo occlusion. Ungakwazi ukuxazulula inkinga ukususa gallbladder. Imiphumela ukususwa ngokuvamile hhayi eyingozi, inqobo nje uma msebenzi wenziwa isikhathi tisebenti leticeceshiwe letinemakhono kakhulu.

Izinkomba esinyathelweni

I izinkomba esiyinhloko ukususwa esinyeni nenyongo avame:

• ingozi ka ukuvaleka Amapayipi Bile;
• ukuvuvukala kwesinye nenyongo;
• cholecystitis okungamahlalakhona, akuyona amenable ekwelashweni olandelanayo.

Ezimweni ezinjalo kuhle ukuqhuba kokususwa gallbladder. Imiphumela ukususwa ayikwazi wabikezela kusengaphambili. Kodwa isikhathi esichithwa ukusebenza imiphumela engathandeki lincane. Ngeshwa, ukusebenza uqobo akusho uqede zonke izimbangela zokuhlupheka iziyaluyalu Bile. Futhi ngemva kwesikhathi esithile cholecystectomy liyadingeka ukuze umzimba ingashintshwa ukuze asebenze kahle, singekho walo mzimba.

Uma isiguli njalo ahlushwa exacerbation of cholecystitis okungamahlalakhona, ngemuva kokuhlinzwa isimo sakhe siba ngcono. Ukususwa komsebenzi gallbladder kuzothatha izitho eseduze. Kodwa lokhu ngeke kwenzeke ngokuphazima kweso. Kuzothatha izinyanga ezimbalwa kabusha umzimba.

Ukususwa we gallbladder: nemiphumela ukususwa

Cholecystectomy kungase kwenziwe indlela laparoscopic noma cavitary. Ezimweni lapho isiguli isungule yokuthi ukutheleleka enamandla noma khona amatshe amakhulu, okuyinto ayikwazi ukususwa nganoma iyiphi enye indlela, kwenziwe ukuhlinzwa kwamathumbu - ukususwa the gallbladder. Laparoscopy lonke amacala ayinzima, efanele kunayo.

cholecystectomy Laparoscopic wenziwa ngaphansi kolawulo ikhompyutha. Lona umsebenzi ngaphansi esibuhlungu. Ngemva ekususweni gallbladder 2 chasa nesineke sokuqala egunjini labagula kakhulu lesigceme ngaphansi ebhekiwe yezisebenzi zokwelapha. Ngemva kwalokho wathunyelwa ikamelo njalo. Akuvunyelwe ukuba baphuze bese ukuthatha akukho ukudla amahora okuqala angu-6. Khona-ke omunye anganikeza emphinjeni lesiguli ngaphandle igesi amanzi.

Kusukela esibhedlela isiguli kungenzeka ukuthi kakade avunyelwe ukuhamba ekhaya ngoba 2-4 ngosuku. Lokhu kulandelwa ukunyakazisa amalungu omzimba. Ngo ayinzima cholecystectomy isiguli esibhedlela, ngokujwayelekile phakathi ngenyanga.

Kwenzekani ngemva cholecystectomy?

Bile ngemva kokususwa gallbladder ukuze emathunjini uya njalo, yena kayinandawo wakha, futhi liba uketshezi ngaphezulu. Kwenza izinguquko ezithile esikhathini emathunjini:

1. Bile Liquid nakakhulu ukuba sibhekane ngokuphumelelayo nezilwanyana ezincane eziyingozi. Abakwazi nande kubangele ukuqunjelwa.
2. gallbladder Ukungabi kuholela yokuthi Bile acid njalo obulimaza 12 isilonda duodenal. Leli qiniso kungabangela ukuvuvukala kanye nentuthuko yayo duodenitis.
3. Lokhu kwephula umsebenzi motor emathunjini, futhi ungqimba ukudla bungadida-emuva isisu emphinjeni.
4. Le nqubo ingase kuhilelani ukuthuthukiswa kolwelwesi, esophagitis, enteritis kanye nesifo.

Zama ukugwema Yize sekwenze konke loko ngeke akhethwe kahle Ukudla. Ukuvivinya umzimba futhi ngesikhathi kuyodingeka zingancishiswa. Kusukela isimiso sokugaya ukudla bungene kungenzeka noma yiluphi uhlobo lenkinga. Okungenzeka wamathumbu neziyaluyalu, noma, Ngakolunye uhlangothi, ukuqunjelwa, ukubuyisa. Ungesabi lokhu. Lokhu yinto yesikhashana.

Ukudla emva kokuhlinzwa

Phakathi nezinsuku zokuqala emva kokuhlinzwa uvunyelwe sips amancane kuphela isiphuzo amanzi non-carbonated, kodwa hhayi ngaphezulu kuka-isigamu ilitha. Ezinsukwini ezingu-7 ukudla lesiguli kuhlanganisa:

• ukuncika inyama abilisiwe (yenkomo, inkukhu webele ngaphandle kwesikhumba) ngefomu oluyimpuphu;
• amasobho yemifino umhluzi;
• oat noma nokunye okufana nokolweni amanzi;
• imikhiqizo yobisi fresh (yogurt, kefir, amafutha ongaphakeme cottage shizi);
• ubhanana nezitini kanye apula.

On kwesikhathi zokuhlumelelisa imikhiqizo kungavunyelwe:

• Zonke ukudla okuthosiwe;
• abukhali futhi okunosawoti;
• inhlanzi (ngisho abilisiwe);
• itiye eqinile noma ikhofi;
• kuzoba khona utshwala;
• ushokoledi;
• amaswidi;
• namakhekhe.

ukudla okwengeziwe

Ngaphezu kwalokho, phakathi nezinyanga ezimbili zokuqala emva kokuhlinzwa, kubalulekile ukuba ahlale edla ukudla uyazonga. Okuningi kunjengoba inombolo Ukudla 5. Livu pha ukusebenzisa le mikhiqizo e oluyimpuphu noma shabby eyaziwa:

• inyama ebomvu abilisiwe noma steamed;
• ezimhlophe uhlobo lwe-sea inhlanzi;
• Iqanda abilisiwe (omelet kungenziwa kuphekwe kuhhavini);
• imifino steamed noma ibilisiwe (ithanga, zucchini, cauliflower, izaqathe, amazambane);
• izithelo, izithelo kanye bahlanganise kubo, apula wabhaka;
• ayo fresh, buhlanjululwe ngamanzi;
• umhluzi okhalweni;
• itiye kunalokho ebuthakathaka;
• rye crackers.

Imikhiqizo ezithuthukisa gassing (ipea, iklabishi ezimhlophe futhi zibomvu, njll). Akhishiwe. kungenziwa Ekupheleni kwezinyanga 2-3 ekudleni wanezela:

• ukudla okusanhlamvu (irayisi, ibhali, amabele, njll);
• cottage shizi, ushizi kanzima (hhayi abukhali);
• uju, ujamu (akukho kuka 30 amagremu ngosuku);
• ezisawolintshi;
• Kuphela namakhekhe izolo (namakhekhe fresh usavinjelwe).

Eminyakeni emibili eyalandela aluqede ngokuphelele ushokoledi, ice cream, amakhekhe, ukubhaka fresh. Ukudla ukudla amancane izikhathi 5-6 ngosuku.

Banned kukhona noma iyiphi iziphuzo equkethe utshwala (ngisho nengcosana). Lokhu kungaba kuvuse ngokuhlasela pancreatitis oyingozi.

ukwelashwa izidakamizwa emva kokuhlinzwa

Ngemva ekususweni ukwelashwa gallbladder imithi edingekayo ubuncane. Phezu ukuthola izinqubo ukuvuvukala kule nenyongo sesinye ukuhlinzwa esimisiwe antibiotic. Ukwelapha umuntu ngemithi elwa namagciwane wenziwa esibhedlela izinsuku ezintathu zokuqala. Lokhu kwenziwa ukuvimbela ukuthuthukiswa yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa.

Uma isiguli ekhononda ubuhlungu, ejenti analgesic angabelwa. Zisetshenziswa kuphela zokuqala ezingu 2-3. Khona-ke ungaya antispasmodics "Drotaverinum" "Cha-spa," "Buscopan." Le mithi kaningi ithathwa ngefomu iphilisi hhayi izinsuku ezingaphezu kuka-10.

Ngemva ekususweni gallbladder ukwelashwa ekhaya kungase baqhubeka. Ukuze uthuthukise lithogenicity Bile isicelo ukwakhiwa equkethe ursodeoxycholic acid, okuyinto kunciphisa mikroholelitiaz kungenzeka (ukwakheka ezincane usayizi concrements 0.1 cm). Lokhu kungaba izidakamizwa "Ursofalk". It isetshenziswa njengendlela ukumiswa noma amaphilisi. Ukuthatha izidakamizwa eside - kusukela ezinyangeni ezingu-6 kuya eminyakeni emibili.

Ngeshwa, cholecystectomy akuqinisekisi ukunqanda ukuhlasela kwezinye itshe ekwakhekeni, isb. K. A ukukhiqizwa Bile anda lithogenic (akwazi ukwakha inhlobo amatshe) is hhayi inqanyulwe.

Ukususwa we gallbladder: intengo kuthengiselana

Lo msebenzi kungaba kwenziwe kokubili mahhala futhi imali. MAHHALA bahlinza inqubomgomo yezempilo ezindaweni zokusiza ngezempilo zomphakathi. ukusebenza Mahhala uqhutshwa izisebenzi eziqeqeshiwe. Ngokuvamile lokhu ukuhlinzwa kobuholi. I-oda eziphuthumayo Kwenziwa kuphela uma isimo lesiguli yawohloka ngokushesha futhi kunosongo sengozini yokuthola izifo noma ezisongela ukuphila.

nezikhungo zezokwelapha Paid nasemitholampilo ungachitha cholecystectomy ngoba ngenani elithile. Ezahlukahlukene imitholampilo amanani eyohlinzwa enjalo kungaba isukela ayizinkulungwane 18. Ruble 100. Konke kuncike indawo yesifunda emtholampilo nokuqashelwa yayo. Futhi, izindleko nokusebenza ezindaweni ehlaselwe Empeleni ngubani afeze ukuhlinzwa - kuzoba udokotela ohlinzayo abavamile noma udokotela wesayensi yezokwelapha.