Ukususwa kwe-gallbladder ye-Laparoscopic

Ukususwa kwe-gallaparladic gallbladder ukuhlinzwa ukususa i-gallbladder usebenzisa i-medical device ebizwa nge-laparoscope.

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

Ukuhlinzwa usebenzisa i-laparoscope kuyindlela ejwayelekile yokususa i-gallbladder. I-laparoscope yishubhu elincane elikhanyayo elenza udokotela abone ngaphakathi kwesisu sakho.

Ukuhlinzwa kokukhishwa kwe-gallbladder kwenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile ngakho-ke uzobe ulele futhi ungenazinhlungu.

Umsebenzi wenziwa ngale ndlela elandelayo:

• Udokotela ohlinzayo usika 3 kuya ku-4 esiswini esincane esiswini sakho.
• I-laparoscope ifakwa ngenye yokusikeka.
• Ezinye izinsimbi zezokwelapha zifakwa ngokusebenzisa okunye ukusikeka.
• Igesi idonswa esiswini sakho ukukhulisa isikhala. Lokhu kunikeza udokotela ohlinzayo indawo eyengeziwe yokubona nokusebenza.

I-gallbladder isuswe lapho kusetshenziswa i-laparoscope nezinye izinsimbi.

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

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

Kwesinye isikhathi udokotela ohlinzayo akakwazi ukukhipha ngokuphumelelayo i-gallbladder esebenzisa i-laparoscope. Kulokhu, udokotela ohlinzayo uzosebenzisa ukuhlinzwa okuvulekile, lapho kusikwa khona okukhudlwana.

Ungakudinga lokhu kuhlinzwa uma unezinhlungu noma ezinye izimpawu ezivela enyongweni. Ungase futhi uyidinge uma i-gallbladder yakho ingasebenzi ngokujwayelekile.

Izimpawu ezivamile zingafaka:

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

Abantu abaningi banokululama okusheshayo nezinkinga ezimbalwa ngokuhlinzwa kwe-laparoscopic kunokuhlinzwa okuvulekile.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

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

Izingozi zokuhlinzwa kwe-gallbladder zifaka:

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

Ungase ube nokuhlolwa okulandelayo ngaphambi kokuhlinzwa kwakho:

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

Tshela umhlinzeki wakho wezempilo:

• Uma ukhulelwe noma kungenzeka ukhulelwe
• Imiphi imithi, amavithamini, nezinye izithasiselo ozithathayo, ngisho naleyo oyithenge 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.
• Udokotela wakho noma umhlengikazi uzokutshela 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.

Uma ungenankinga, uzokwazi ukuya ekhaya lapho uzokwazi ukuphuza iziphuzo kalula futhi ubuhlungu bakho bungelashwa ngamaphilisi ezinhlungu. Iningi labantu liya ekhaya ngosuku olufanayo noma ngosuku olulandelayo lokuhlinzwa.

Uma kube nezinkinga ngesikhathi sokuhlinzwa, noma uma wopha, ubuhlungu obukhulu, noma umkhuhlane, kungadingeka uhlale esibhedlela isikhathi eside.

Iningi labantu lilulama ngokushesha futhi linemiphumela emihle evela kule nqubo.

I-cholecystectomy - i-laparoscopic; I-gallbladder - ukuhlinzwa kwe-laparoscopic; Ama-gallstones - ukuhlinzwa kwe-laparoscopic; I-cholecystitis - ukuhlinzwa kwe-laparoscopic

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

• I-gallbladder
• I-gallbladder anatomy
• Ukuhlinzwa nge-Laparoscopic - uchungechunge

UJackson PG, u-Evans SRT. Uhlelo Biliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. 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, iphethini le-Biliary kanye namaPancreas. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2017: isahluko 35.