Ho tlosa gallbladder - laparoscopic - ho tsoa

Ho tlosa gallbladder ea laparoscopic ke ho buuoa ho tlosa gallbladder ho sebelisa sesebelisoa sa bongaka se bitsoang laparoscope.

U ne u e-na le ts'ebetso e bitsoang laparoscopic cholecystectomy. Ngaka ea hau e ile ea fokotsa makhetlo a 1 ho isa ho a mane ka mpeng ea hau mme ea sebelisa sesebelisoa se khethehileng se bitsoang laparoscope ho ntša gallbladder ea hau.

Ho fola ho tsoa ho laparoscopic cholecystectomy ho tla nka libeke tse 6 ho batho ba bangata. U kanna oa khutlela mesebetsing e tloaelehileng bekeng kapa tse peli, empa ho ka nka libeke tse 'maloa ho khutlela boemong ba hau bo tloaelehileng ba matla. U kanna oa ba le a mang a matšoao ana ha u ntse u hlaphoheloa:

• Bohloko bo ka mpeng ea hau. U kanna oa utloa bohloko lehetleng le le leng kapa ka bobeli. Bohloko bona bo tsoa khase e setseng ka mpeng ea hau kamora 'opereishene. Bohloko bo lokela ho kokobela ka matsatsi a 'maloa ho isa ho beke.
• 'Metso O bohloko o tsoang pompong ea ho hema. Lilo tsa 'metso e ka ba tse thobang.
• Ho nyekeloa ke pelo mohlomong le ho lahla. Ngaka ea hao e buoang e ka u fa moriana oa ho nyekeloa ke pelo ha ho hlokahala.
• Mantle a hlephileng ka mor'a ho ja. Sena se ka nka libeke tse 4 ho isa ho tse 8. Leha ho le joalo, maemong a mang e ka nka nako e teletsana.
• Ho rohakana ho potoloha maqeba a hao. Sena se tla itsamaela.
• Bofubelu ba letlalo bo pota-potile maqeba a hao. Sena se tloaelehile haeba e le haufi le ho koaloa.

Qala ho tsamaea kamora ho buuoa. Qala mesebetsi ea hau ea letsatsi le letsatsi hang ha o ikutloa joalo. Tsamaea ka tlung 'me u hlape,' me u sebelise litepisi bekeng ea hau ea pele u le hae. Haeba ho utloisa bohloko ha u etsa ntho e itseng, khaotsa ho e etsa.

U ka khona ho khanna kamora beke kapa ho feta haeba u sa noe lithethefatsi tse matla tsa bohloko (li-narcotic) le haeba u ka tsamaea kapele ntle le ho sitisoa ke bohloko haeba u hloka ho nka khato maemong a tšohanyetso. Se ke oa etsa mosebetsi o boima kapa oa phahamisa ntho efe kapa efe e boima bonyane libeke tse 'maloa. Nako efe kapa efe, haeba ts'ebetso efe kapa efe e baka bohloko kapa e hohela, se ke oa e etsa feela.

U ka khona ho khutlela mosebetsing oa deske kamora beke ho latela hore na u na le bohloko bo bokae le hore na u na le matla hakae. Bua le mofani oa tlhokomelo ea bophelo haeba mosebetsi oa hau o le 'meleng.

Haeba li-suture, li-staples kapa sekhomaretsi li sebelisitsoe ho koala letlalo la hau, u ka hlobola maqeba 'me ua itlhatsoa letsatsing ka mor'a ho buuoa.

Haeba mabanta a theipi (Steri-strips) a sebelisitsoe ho koala letlalo la hau, koahela maqeba ka sekoaelo sa polasetiki pele o hlapa bekeng ea pele kamora ho buuoa. Se ke oa leka ho hlatsoa masela a Steri. Ba tloheleng ba le bang.

Se ke oa inela ka bateng kapa ka bateng e chesang, kapa ua sesa ho fihlela ngaka ea hau eu joetsa hore e lokile.

Ja lijo tse nang le fiber e ngata. Noa likhalase tsa metsi tse 8 ho isa ho tse 10 letsatsi le leng le le leng ho thusa ho nolofatsa mantle. U kanna ua batla ho qoba lijo tse mafura kapa tsa linoko nakoana.

Eya leetong la ho latella le mofani oa hau libeke tse 1 ho isa ho tse 2 kamora ho buuoa.

Bitsa mofani oa hau haeba:

• Mocheso oa hau o kaholimo ho 101 ° F (38.3 ° C).
• Maqeba a hau a ho buoa a tsoa mali, a khubelu kapa a futhumetse ha o ama kapa o na le draina e teteaneng, e mosehla kapa e tala.
• U na le bohloko bo sa thušoeng ke meriana ea bohloko.
• Ho thata ho hema.
• U na le sefuba se sa foleng.
• Ha u khone ho noa kapa ho ja.
• Letlalo la hao kapa karolo e tšoeu ea mahlo a hao e ba bosehla.
• Litulo tsa hau ke 'mala o moputsoa.

Cholecystectomy laparoscopic - ho tsoa; Cholelithiasis - ho tsoa ha laparoscopic; Calculator ea biliary - ho tsoa ha laparoscopic; Majoe a majoe - ho tsoa ha laparoscopic; Cholecystitis - ho tsoa ha laparoscopic

• Sefuba
• Anatomy ea gallbladder
• Ho buuoa ka laparoscopic - letoto la lihlooho tse

Webosaete ea American College of Surgeons. Cholecystectomy: Ho tlosoa ha gallbladder ho buoa. Lenaneo la thuto ea bakuli ba lingaka tsa bongaka ba Amerika. www.facs.org/~/media/files/education/patient%20ed/cholesys.ashx. E fihlile ka la 5 November, 2020.

Brenner P, Kautz DD. Tlhokomelo ea bakuli ba kenang kamora 'ts'ebetso ea kalafo ea laparoscopic cholecystectomy. MOTSOALLE J. 2015; 102 (1): 16-29. PMID: 26119606 e fetotsoe.ncbi.nlm.nih.gov/26119606/.

Jackson PG, Evans SRT. Tsamaiso ea biliary. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 54.

Ka potlako CRG, Biers SM, Arulampalam THA. Maloetse a Gallstone le mathata a amanang le ona. Ka: Ka potlako CRG, Biers SM, Arulampalam THA, eds. Mathata a Bohlokoa a ho Buuoa, Tlhahlobo le Tsamaiso. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 20.

• Cholecystitis e bohloko
• Cholecystitis e sa foleng
• Majoe a majoe

• Maloetse a Gallbladder
• Majoe a majoe