Tlosa gallbladder tlosa

Ho tlosoa ha gallbladder ke ho buuoa ho tlosa gallbladder ka ho khaola ka mpeng.

Gallbladder ke setho se lutseng ka tlase ho sebete. E boloka bile, eo 'mele oa hau o e sebelisang ho sila mafura maleng a manyane.

Ho buuoa ho etsoa ha o ntse o le ka tlase ho anesthesia ka hona o tla robala le ho utloa bohloko. Ho etsa opereishene:

• Ngaka e buoang e seha lisenthimithara tse 5 ho isa ho tse 7,5 (lisenthimithara tse 12,5 ho isa ho 17.5) karolong e kaholimo ho mpa ea mpa, ka tlasa likhopo tsa hao.
• Sebaka sena se buletsoe hore ngaka e buoang e bone nyooko ebe ee arola ho litho tse ling.
• Ngaka e buoang e seha mokelikeli oa bile le methapo ea mali e lebisang ho gallbladder.
• Sefuba se ntšoa ka bonolo ebe sea tlosoa 'meleng oa hau.

X-ray e bitsoang cholangiogram e ka etsoa nakong ea ts'ebetso ea hau.

• Ho etsa tlhahlobo ena, dae e kenngwa ka mokokotlong oa hau o tloaelehileng oa bile mme x-ray e nkuoa. Dae e thusa ho fumana majoe a ka bang kantle ho gallbladder ea hau.
• Haeba ho fumanoa majoe a mang, ngaka e buoang e ka a tlosa ka sesebelisoa se khethehileng.

Ho buuoa ho nka lihora tse ka bang 1 ho isa ho tse 2.

U kanna ua hloka opereishene ena haeba u na le bohloko kapa matšoao a mang a tsoang ho gallstones. U kanna ua hloka ho buuoa haeba gallbladder ea hau e sa sebetse ka mokhoa o tloaelehileng.

Matšoao a tloaelehileng a ka kenyelletsa:

• Ho itšehla thajana, ho kenyelletsa ho ruruha, ho otloa ke pelo le khase
• Ho nyekeloa le ho hlatsa
• Bohloko kamora ho ja, hangata karolong e kaholimo ho le letona kapa bohareng ba mpa ea hao (bohloko ba epigastric)

Mokhoa o tloaelehileng haholo oa ho tlosa gallbladder ke ho sebelisa sesebelisoa sa bongaka se bitsoang laparoscope (laparoscopic cholecystectomy). Opereishene e bulehileng ea gallbladder e sebelisoa ha opereishene ea laparoscopic e sa khone ho etsoa ka polokeho. Maemong a mang, ngaka e buoang e hloka ho fetohela opereisheneng e bulehileng haeba ho buuoa ka laparoscopic ho ke ke ha tsoela pele ka katleho.

Mabaka a mang a ho tlosa gallbladder ka ho buuoa ka bolokolohi:

• Ho tsoa mali ho sa lebelloang nakong ea ts'ebetso ea laparoscopic
• Botenya
• Pancreatitis (ho ruruha ka manyeme)
• Bokhachane (trimester ea boraro)
• Mathata a matla a sebete
• Ho buuoa nakong e fetileng sebakeng se le seng sa mpa ea hau

Likotsi tsa anesthesia le ho buuoa ka kakaretso ke:

• Liketso tsa meriana
• Mathata a phefumolohang
• Ho tsoa mali, ho koala mali
• Tšoaetso

Likotsi tsa ho buuoa ka gallbladder ke:

• Tšenyo ea methapo ea mali e eang sebeteng
• Ho lematsa mokokotlo o tloaelehileng oa bile
• Ho lematsa mala a manyane kapa a maholo
• Pancreatitis (ho ruruha ha manyeme)

U kanna oa etsoa liteko tse latelang pele u etsoa opereishene:

• Liteko tsa mali (palo e felletseng ea mali, li-electrolyte, liteko tsa sebete le liphio)
• X-ray sefubeng kapa electrocardiogram (ECG), bakeng sa batho ba bang
• Li-x-ray tse 'maloa tsa gallbladder
• Ultrasound ea gallbladder

Bolella ngaka kapa mooki oa hau:

• Haeba u imme kapa u ka ima
• Ke lithethefatsi life, livithamini le lisebelisoa tse ling tseo u li nkang, le tseo u li rekileng ntle le lengolo la ngaka

Bekeng ea pele ho ts'ebetso:

• U ka kopuoa ho emisa ho noa aspirin, ibuprofen (Advil, Motrin), vithamine E, warfarin (Coumadin), le lithethefatsi tse ling tse u behang kotsing e kholo ea ho tsoa mali nakong ea ts'ebetso.
• Botsa ngaka ea hau hore na ke lithethefatsi life tseo u lokelang ho li noa ka letsatsi la ts'ebetso ea hau.
• Lokisetsa ntlo ea hau mathata afe kapa afe ao u ka bang le ona ha u qeta ho buuoa.
• U tla bolelloa nako ea ho fihla sepetlele.

Letsatsing la ho buuoa:

• Latela litaelo tsa hore na u khaotse ho ja le ho noa neng.
• Nka lithethefatsi tseo ngaka ea hau e u joetseng tsona hore u li noe ka ho noa metsi hanyane.
• Shower bosiung ba pele kapa hoseng ha ho buuoa.
• Fihla sepetlele ka nako.

U kanna ua hloka ho lula sepetlele matsatsi a 3 ho isa ho a mahlano kamora ho tlosoa ha nyooko. Nakong eo:

• U ka kopuoa ho phefumoloha sesebelisoa se bitsoang incentive spirometer. Sena se thusa ho boloka matšoafo a hao a sebetsa hantle hore o se ke oa tšoaroa ke nyumonia.
• Mooki o tla u thusa hore u lule betheng, u fanyehe maoto a hao lehlakoreng, ebe u ema 'me u qala ho tsamaea.
• Qalong, o tla amohela maro ka methapong ea hau ka mothapo oa methapo (IV). Nakoana kamora moo, o tla kopuoa ho qala ho noa maro le ho ja lijo.
• U tla khona ho hlapa ha u ntse u le sepetlele.
• U ka kopuoa ho roala masokisi a khatello maotong a hau ho thusa ho thibela lesela la mali ho theha.

Haeba ho bile le mathata nakong ea opereishene ea hau, kapa haeba u tsoa mali, bohloko bo boholo, kapa feberu, u ka hloka ho lula sepetlele nako e telele. Ngaka kapa baoki ba hao ba tla u joetsa hore na u ka itlhokomela joang ha u tsoa sepetlele.

Batho ba bangata ba fola kapele mme ba fumana litholoana tse ntle ho tsoa ts'ebetsong ena.

Cholecystectomy - bulehileng; Gallbladder - cholecystectomy e bulehileng; Cholecystitis - cholecystectomy e bulehileng; Majoe a majoe - cholecystectomy e bulehileng

• Lijo tsa Bland
• Tlhokomelo ea leqeba la ho buoa - e bulehile
• Ha u na le ho nyekeloa ke pelo le ho hlatsa

• Cholecystitis, CT e hlahloba
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Sefuba
• Ho tlosoa ha gallbladder - Letoto

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.

Rocha FG, Clanton J. Mokhoa oa cholecystectomy: o bulehileng ebile o hlasela hanyane. Ka: Jarnagin WR, e hlophisitsoeng. Opereishene ea Blumgart ea Sebete, Pampiri ea Biliary, le Manyeme. La 6th. Philadelphia, PA: Elsevier; 2017: khaolo ea 35.