Ho tlosoa ha gallbladder ea laparoscopic

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

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 buoa ka laparoscope ke mokhoa o tloaelehileng haholo oa ho tlosa gallbladder. Laparoscope ke tube e tšesaane, e bonesitsoeng e lumellang ngaka ho bona ka mpeng.

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

Ts'ebetso e etsoa ka tsela e latelang:

• Ngaka e buoang e etsa maqeba a manyenyane a mararo ho isa ho a mane ka mpeng ea hau.
• Laparoscope e kentsoe ka e 'ngoe ea sehiloeng.
• Lisebelisoa tse ling tsa bongaka li kentsoe ka maqeba a mang.
• Khase e kenella ka mpeng ea hau ho holisa sebaka. Sena se fa ngaka e buoang sebaka se eketsehileng sa ho bona le ho sebetsa.

Joale gallbladder e tlosoa ho sebelisoa laparoscope le lisebelisoa tse ling.

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 setšoantšo sa x-ray se 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.

Ka linako tse ling ngaka e buoang e sitoa ho ntša gallbladder e sireletsehile e sebelisa laparoscope. Tabeng ena, ngaka e buoang e tla sebelisa opereishene e bulehileng, moo ho etsoang khaola e kholo.

U kanna ua hloka opereishene ena haeba u na le bohloko kapa matšoao a mang a tsoang ho gallstones. U kanna ua e hloka 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
• Bohloko kamora ho ja, hangata karolong e kaholimo ho le letona kapa bohareng ba mpa ea hao (bohloko ba epigastric)
• Ho nyekeloa le ho hlatsa

Batho ba bangata ba hlaphoheloa kapele ebile ba na le mathata a fokolang ka ho buuoa ka laparoscopic ho feta ka ho buuoa ka bolokolohi.

Likotsi tsa anesthesia le ho buuoa ka kakaretso li kenyelletsa:

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

Likotsi tsa ho buuoa ka gallbladder li kenyelletsa:

• Tšenyo ea methapo ea mali e eang sebeteng
• Ho lematsa mokokotlo o tloaelehileng oa bile
• Ho lematsa mala a manyane kapa kolone
• 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 le liteko tsa liphio)
• X-ray sefubeng kapa electrocardiogram (ECG), bakeng sa batho ba bang
• Li-x-ray tse 'maloa tsa gallbladder
• Ultrasound ea gallbladder

Bolella mofani oa tlhokomelo ea bophelo ba hau:

• Haeba u imme kapa u ka ima
• Ke meriana efe, livithamine le lisebelisoa tse ling tseo u li nkang, esita 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.
• Ngaka kapa mooki oa hau o tla u joetsa hore na o fihla sepetlele neng.

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.

Haeba u se na mathata, u tla khona ho ea hae ha u se u khona ho noa maro habonolo 'me bohloko ba hau bo ka phekoloa ka lipilisi tsa bohloko. Batho ba bangata ba ea hae ka letsatsi le le leng kapa ka letsatsi le hlahlamang la ho buuoa hona.

Haeba ho bile le mathata nakong ea opereishene, kapa haeba u tsoa mali, bohloko bo boholo, kapa feberu, u ka hloka ho lula sepetlele nako e telele.

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

Cholecystectomy - laparoscopic; Gallbladder - opereishene ea laparoscopic; Li-gallstones - opereishene ea laparoscopic; Cholecystitis - opereishene ea laparoscopic

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

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

Jackson PG, Evans SRT. Tsamaiso ea biliary. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Motheo oa Biological oa Tloaelo ea Kajeno ea Thibelo. 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.