Indlela ephambili kunye neyona ndlela ephumelelayo yokonyango ye-cholelithiasis namhlanje yi-cholecystectomy - umsebenzi wokususa i-gallbladder. Kodwa le nqubo ayisoloko isusa iimpawu zesisu esiswini, esizibonakalisa ngendlela yentlungu kunye ne-dyspeptic distemper. Le yi-postcholecystectomy syndrome (PHC).
Iimbangela ze-postcholecystectomy syndrome
Izizathu eziqhelekileyo zePCHP zi:
- isilonda sephepha le-biliary extrahepatic;
- i-cyst ye-bile duct;
- amatye kwiindawo ezinobumba;
- isifo sesibindi;
- ukunyuka kwe-bile;
- ukuxhamla komzimba ukuba kusetyenziswe amatye.
Emva kokususwa kwe-gallbladder, i-bile ingena emathunjini, ngenxa yoko ukutya kokutya kukuphazamiseka kwaye ngenxa yoko ukungalingani kwe-microflora yamathumbu kwenzeka. Ngenxa yoko kukho intlungu ebuhlungu.
Ukuxilongwa kwe-postcholecystectomy syndrome
Iyona nkcazelo eyona nto iqhubela phambili ye-endoscopic retrograde ye-cholangiopancreatography kunye ne-manometry ye-Oldy sphincter. Kodwa izixhobo zokuqhuba olo xilongo kuphela kumaziko ambalwa ophando.
Iimvavanyo eziqhelekileyo zelabhoratri ezenza izinga:
- bilirubin;
- gamma glutamyl transferase;
- alkaline phosphatase;
- i-alanine kunye ne-transaminase ehamba phambili;
- amylase ;
- elastase;
- lipase.
Ezi mvavanyo zelabhoratri ziyacetyiswa ukuba zenziwe ngethuba, okanye emva kweeyure ezingama-6 emva kokuhlaselwa okulandelayo.
Iimpawu ze-postcholecystectomy syndrome
Iimpawu zePCHP:
- intlungu kwicala elifanelekileyo kunye nommandla we-epigastric, onokunika kwakhona ummandla wesigapula esifanelekileyo kunye nomva;
- izifo ezahlukeneyo zokugaya ezibonakalisa ngokwabo ngesisongela, ukubethelwa, ukubethelela, isifo sohudo, umuzwa wokunambitheka komlomo;
- Kwakhona ukubonakala kwe-jaundice.
Ukwahlula kwe-postcholecystectomy syndrome
Akukho luhlu olulodwa lwe-PCHP namhlanje. Ngokuqhelekileyo basebenzisa loo ndlela:
- Stenosing papillitis ye-duodenal.
- I-panicreatitis ye-Biliary (cholepancreatitis).
- Inkqubo yokumelana ngokusebenzayo (i-peritonitis engapheliyo) kwisithuba esincinci.
- Ubuyela kwakhona ekubunjweni kwamatye kwi-bile duct.
- Izilonda ze-gastroduodenal zesibini (ibhiliyari okanye i-hepatogenic).
Unyango lwe-postcholecystectomy syndrome
Imilinganiselo yokunyanga kwe-PHC kufuneka ijoliswe ekupheliseni ezo zifo ezichaphazelekayo okanye ezakhiweyo ukusuka kwinqanaba lomzimba, isibindi, i-bile ne-pancreas ezibangelwa intlungu.
Enye yeendlela zokwelapha kukutya okuxubekileyo (ukuya kumaxesha angama-6-7 ngosuku). Ngexesha elifanayo kunye ne-post-choledocystectomy syndrome, ukutya kuboniswa - i-asidi, ebukhali, edibeneyo kunye nemveliso yokubhema ayifakiwe ngokupheleleyo.
Xa kukho intlungu ye-paroxysmal, kunokwenzeka ukuba imisele imithi yeentlungu, njengale:
- Mebeverin;
- Drotaverine.
Ukuba imbangela yentlungu i-inzyme deficiency, i-enzyme amalungiselelo anqunyelwe ukuphucula ukugaya, njengoku:
- I-forte ye-Panzinorm;
- Umdla;
- Creon .
Ukuba kusekwa ukuba emva kokusebenza ukususa i-gallbladder, i-intestinal biocenosis iyaphazamiseka, ngoko imichiza inqunyelwe ukubuyisela i-microstlora yangaphakathi yamathumbu. Ngelo xesha,
- Furazolidone;
- Intetriks;
- Doxycycline.
Ezi mali zithathwa iintsuku ezingama-5-7, kwaye ke iziyobisi ezenza i-colonize ngamathumbu anebhaktheriya eluncedo:
- Linex;
- Bifidumbacterin nabanye.
Kwiinyanga ezintandathu emva kokusebenza, izigulana kufuneka zibe phantsi kweliso logqirha.