Nge-cholecystitis kunye nokubakho kwenani elikhulu lamatye amakhulu, umsebenzi obizwa ngokuba yi-cholecystectomy wenziwa. Njengawo nongenelelo olungenelelo, le nkqubo inemiphumo ethile kwaye idinga ixesha lokubuyisela. Ngokuqhelekileyo emva kokususwa kwe-gallbladder, icala elilungileyo libuhlungu kwaye kukho ubunzima kuyo. Kwiimeko ezininzi, ezi zimpawu (postcholecystectomy syndrome) zanyamalala emva kweveki ezingama-2-3.
Kutheni le nto ibuhlungu ngokukhawuleza emva kokususwa kwe gallbladder?
Njengomthetho, ukusetyenziswa kokugqithisa ilungu kwenziwa ngendlela ye-laparoscopic. Naphezu kokunciphisa okuncinci kwe-cholecystectomy, emva kwayo kusekho ukulimala kwezicubu ezithambileyo, apho umzimba uphendule ngokukhawuleza ngenkqubo yokuvuvukala. Ukongezelela, ukudala indawo eyaneleyo yokususwa kwe-gallbladder, isisu esiswini sisanda ngokuzalisa i-carbon dioxide.
Ezi zinto zizona zinto ezibangela ukuphazamiseka ngokukhawuleza emva kokuhlinzwa. Ngokuqhelekileyo kwiintsuku zokuqala ezi-2-4, i-anesthetics ifakwe kwi-intravenously okanye nge-infusion. Iinyanga ezi-1-1,5 ezilandelayo emva kokususwa kwe-gallbladder kukho iintlungu kwicala lobuthathaka obuthathaka ngenxa yokuba umzimba uyavumelana nezimo zokuguqulwa kwenkqubo yokutya. Ibheya iyaqhubeka iveliswa ngesibindi kwixabiso langaphambili, kuxhomekeke kumxholo wexabiso kunye nomnqatha wokutya okudliwe, kodwa ayizihlanganisi, kodwa ihamba emanqeni kwaye ivele ingene emathunjini.
Intlungu ebuhlungu emva kokususwa kwe gallbladder
Kuloo meko xa i-postcholecystectomy syndrome ixineke kakhulu, ihamba kunye nesicupunu okanye ukuhlanza, ukuphazamiseka kwe-dyspepsia ngendlela yokurhoxisa okanye ukugqithiswa, ukwanda kweqondo lokushisa komzimba, sithetha ngeengxaki zokuhlinzwa okanye ukunyanzeliswa kwezifo ezingapheliyo.
Izizathu zolu meko zi nokuba:
- pancreatitis ;
- ukunamathela kwiphepha lebhiliyari;
- i hepatitis;
- ubukho belitye lokusalela kwi-buct ye-bony efanayo;
- ukucaphuka komathumbu omkhulu;
- duodenitis;
- ukwakheka kwe-neoplasm engenanto ukusuka kwisele ye-cystic;
- isilonda se duodenum;
- Ukunciphisa i-bile ducts, i-spasm;
- i-dyskinesia ye-bile ducts .
Ukongezelela, intlungu enzulu ngakwesokudla emva kokususwa kwe-gallbladder ibangelwa kukuphulwa kokutya. Ukubuyiselwa kwe-cholecystectomy kuquka ukutya kunye nokuhluthwa okupheleleyo kunye nokukhutshwa okupheleleyo kwamanqatha, okuthosiweyo, ama-spicy, acidic and salty foods. Ukusetyenziswa kweemveliso ezinjalo kufuna i-bile eninzi yokutya, kwaye ekungabikho kwetanki yokugcina (bubble), akwanele. Iziqwenga zokutya ezingenakwenziwa zingena emathunjini, ezibangela ukuqhaqha, intlungu, ukuphazamiseka, kunye neengxaki zesitoreji.
Isisombululo sengxaki ixhomekeke ngokukhawuleza kwisondlo esinqunyiwe kunye nonyango olufanayo lwesifo esabangela i-postcholecystectomy syndrome.
Ibhubhane likhula emva kokususwa kwe gallbladder
Ngokuqhelekileyo kunye nokulungelelaniswa komzimba kwiindlela ezintsha zokusebenza, isibindi senza umlinganiselo ofanele we-bile, okwaneleyo ukugaya ukutya kokutya. Ngokuqhelekileyo kukho i-sylrome ye-cholestasis, ebonakaliswa ngokugqithisa kwamanzi emacaleni angaphakathi. Ngexesha elifanayo, i-bile iba yimbi kwaye iyeka ukuhamba ngokukhululekile ukuya emathunjini emathumbu. Ngexesha elifanayo, igazi likhulisa umxholo we-bilirubin kunye ne-enzyme yesibindi, ephazamisa ukuxhatshazwa komzimba, kunye neentlungu ezinobunzima kwisibindi kunye ne-hypochondrium.
Ukunyangwa kwe-cholestasis kubandakanya ukulawulwa kwamalungiselelo e-choleretic, i-hepatoprotectors kunye nokulungiswa kokutya.