Vula ukususwa kwe-gallbladder

Ukususwa kwe-gallbladder evulekile ukuhlinzwa ukususa i-gallbladder ngokusika okukhulu esiswini sakho.

I-gallbladder isitho esihlala ngaphansi kwesibindi. Igcina i-bile, esetshenziswa ngumzimba wakho ukugaya amafutha emathunjini amancane.

Ukuhlinzwa kwenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile ngakho-ke uzobe ulele futhi ungenazinhlungu. Ukwenza ukuhlinzwa:

• Udokotela ohlinzayo usika amasentimitha ama-5 kuye kwayi-7 (12.5 kuye ku-17.5 sentimitha) engxenyeni engakwesokudla esiswini sakho, ngezansi nje kwezimbambo zakho.
• Indawo iyavuleka ukuze udokotela ohlinzayo akwazi ukubuka inyongo bese eyihlukanisa nezinye izitho.
• Udokotela ohlinzayo usika umgudu wenyongo nemithambo yegazi eholela enyongweni.
• I-gallbladder ikhishwa ngobumnene isuswe emzimbeni wakho.

I-x-ray ebizwa ngokuthi i-cholangiogram ingenziwa ngesikhathi sokuhlinzwa kwakho.

• Ukwenza lokhu kuhlolwa, udayi ufakwa emgodleni wakho ojwayelekile we-bile bese kuthathwa i-x-ray. Idayi isiza ekutholeni amatshe angahle abe ngaphandle kwenyongo yakho.
• Uma kutholakala amanye amatshe, udokotela ohlinzayo angawasusa ngensimbi ekhethekile.

Ukuhlinzwa kuthatha amahora awu-1 kuya kwangu-2.

Ungakudinga lokhu kuhlinzwa uma unezinhlungu noma ezinye izimpawu ezivela enyongweni. Ungadinga nokuhlinzwa uma i-gallbladder yakho ingasebenzi ngokujwayelekile.

Izimpawu ezivamile zingafaka:

• Ukugaya, kufaka phakathi ukuqunjelwa, isilungulela, negesi
• Isicanucanu nokuhlanza
• Ubuhlungu ngemuva kokudla, imvamisa engxenyeni ephezulu yesokudla noma ephezulu yesisu sakho (ubuhlungu be-epigastric)

Indlela ejwayelekile yokususa i-gallbladder ukusebenzisa insimbi yezokwelapha ebizwa nge-laparoscope (laparoscopic cholecystectomy). Ukuhlinzwa kwe-gallbladder evulekile kuyasetshenziswa lapho ukuhlinzeka nge-laparoscopic kungenakwenziwa ngokuphepha. Kwezinye izimo, udokotela ohlinzayo udinga ukushintshela ekuhlinzeni okuvulekile uma ukuhlinzeka nge-laparoscopic kungakwazi ukuqhubeka ngempumelelo.

Ezinye izizathu zokususa i-gallbladder ngokuhlinzwa okuvulekile:

• Ukopha okungalindelekile ngesikhathi sokuhlinzwa kwe-laparoscopic
• Ukukhuluphala ngokweqile
• I-Pancreatitis (ukuvuvukala kwamanyikwe)
• Ukukhulelwa (i-trimester yesithathu)
• Izinkinga ezinzima zesibindi
• Ukuhlinzwa kwangaphambilini endaweni efanayo yesisu sakho

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi
• Ukutheleleka

Izingozi zokuhlinzwa kwe-gallbladder yilezi:

• Ukulimala kwemithambo yegazi eya esibindi
• Ukulimala emgodleni we-bile ovamile
• Ukulimala kwamathumbu amancane noma amakhulu
• I-Pancreatitis (ukuvuvukala kwamanyikwe)

Ungahle wenze izivivinyo ezilandelayo ngaphambi kokuhlinzwa:

• Ukuhlolwa kwegazi (ukubalwa okuphelele kwegazi, ama-electrolyte, ukuhlolwa kwesibindi nezinso)
• I-x-ray yesifuba noma i-electrocardiogram (ECG), yabanye abantu
• Ama-x-ray amaningana we-gallbladder
• I-Ultrasound ye-gallbladder

Tshela udokotela wakho noma umhlengikazi:

• Uma ukhulelwe noma kungenzeka ukhulelwe
• Yimiphi imishanguzo, amavithamini, nezinye izithako ozithathayo, ngisho nalezo ozithenge ngaphandle kadokotela

Phakathi nesonto ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), uvithamini E, i-warfarin (i-Coumadin), kanye nanoma iziphi ezinye izidakamizwa ezikubeka engcupheni enkulu yokopha phakathi nokuhlinzwa.
• Buza udokotela wakho ukuthi yimiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa kwakho.
• Lungisa ikhaya lakho nganoma yiziphi izinkinga ongase ube nazo ngemuva kokuhlinzwa.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha izidakamizwa udokotela wakho akutshele ukuthi uziphuze ngophuzo oluncane lwamanzi.
• Shower ubusuku obandulela noma ekuseni yokuhlinzwa kwakho.
• Fika esibhedlela ngesikhathi.

Ungadinga ukuhlala esibhedlela izinsuku ezintathu kuya kwezi-5 ngemuva kokukhishwa kwe-gallbladder evulekile. Ngaleso sikhathi:

• Ungacelwa ukuthi uphefumulele kudivayisi ebizwa nge-incentive spirometer. Lokhu kusiza ekugcineni amaphaphu akho esebenza kahle ukuze ungatholi inyumoniya.
• Umhlengikazi uzokusiza uhlale embhedeni, ulenga imilenze yakho eceleni, bese usukuma uqale ukuhamba.
• Ekuqaleni, uzothola uketshezi emthanjeni wakho ngethambo le-intravenous (IV). Ngokushesha ngemuva kwalokho, uzocelwa ukuthi uqale ukuphuza iziphuzo nokudla ukudla.
• Uzokwazi ukugeza ngenkathi usesibhedlela.
• Ungacelwa ukuthi ugqoke amasheya okucindezela emilenzeni yakho ukusiza ukuvimbela igazi ukuba lingakhi.

Uma kube nezinkinga ngesikhathi sokuhlinzwa kwakho, noma uma wopha, ubuhlungu obukhulu, noma umkhuhlane, kungadingeka ukuthi uhlale esibhedlela isikhathi eside. Udokotela wakho noma abahlengikazi bazokutshela ukuthi ungazinakekela kanjani ngemuva kokuphuma esibhedlela.

Iningi labantu lilulama ngokushesha futhi linemiphumela emihle evela kule nqubo.

I-cholecystectomy - evulekile; I-gallbladder - i-cholecystectomy evulekile; I-cholecystitis - i-cholecystectomy evulekile; Amatshe amatshe amatshe - i-cholecystectomy evulekile

• Ukudla kweBland
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Lapho unesicanucanu nokuhlanza

• I-Cholecystitis, i-CT scan
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• I-gallbladder
• Ukususwa kwe-gallbladder - Series

UJackson PG, u-Evans SRT. Uhlelo Biliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 54.

I-Rocha FG, i-Clanton J. Technique ye-cholecystectomy: ivulekile futhi ihlasele kancane. Ku: Jarnagin WR, ed. Ukuhlinzwa kukaBlumgart kwesibindi, iBiliary Tract, namaPancreas. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2017: isahluko 35.