Kuchotsa ndulu ya laparoscopic

Kuchotsa ndulu ya laparoscopic ndi opaleshoni yochotsa nduluyo pogwiritsa ntchito chipangizo chamankhwala chotchedwa laparoscope.

Ndulu ndi chiwalo chomwe chimakhala pansi pa chiwindi. Amasunga bile, yomwe thupi lanu limagwiritsa ntchito kupukusa mafuta m'matumbo ang'onoang'ono.

Opaleshoni pogwiritsa ntchito laparoscope ndiyo njira yofala kwambiri yochotsera ndulu. Laparoscope ndi chubu chowonda, chowala chomwe chimalola adotolo kuwona mkati mwa mimba yanu.

Opaleshoni ya gallbladder imachitika mukakhala kuti mukudwala anesthesia kotero kuti mudzakhala mukugona komanso osamva ululu.

Ntchitoyi yachitika motere:

• Dokotalayo amadula mabala atatu kapena anayi m'mimba mwanu.
• Laparoscope imalowetsedwa kudzera m'modzi mwa mabalawo.
• Zida zina zamankhwala zimalowetsedwa kudzera pakucheka kwina.
• Gasi imaponyedwa m'mimba mwanu kukulitsa danga. Izi zimapatsa dotolo mpata wambiri kuti awone ndikugwira ntchito.

Nduluyo imachotsedwa pogwiritsa ntchito laparoscope ndi zida zina.

X-ray yotchedwa cholangiogram itha kuchitidwa mukamachita opaleshoni.

• Kuti muchite izi, utoto umalowetsedwa munjira yanu yodziwika ya bile ndipo chithunzi cha x-ray chimatengedwa. Utoto umathandiza kupeza miyala yomwe ikhoza kukhala kunja kwa ndulu yanu.
• Ngati miyala ina ipezeka, dokotalayo akhoza kuwachotsa ndi chida chapadera.

Nthawi zina dokotalayo sangathe kutulutsa ndulu pogwiritsa ntchito laparoscope. Poterepa, dokotalayo adzagwiritsa ntchito opaleshoni yotseguka, momwe amachekera kwambiri.

Mungafunike opaleshoniyi ngati muli ndi ululu kapena zisonyezo zina kuchokera ku ndulu. Mwinanso mungafunike ngati ndulu yanu sikugwira bwino ntchito.

Zizindikiro zodziwika zimaphatikizapo:

• Kudzimbidwa, kuphatikizapo kuphulika, kutentha pa chifuwa, ndi mpweya
• Ululu mukatha kudya, nthawi zambiri kumtunda chakumanja kapena chapakati pamimba mwanu (kupweteka kwa epigastric)
• Nseru ndi kusanza

Anthu ambiri amachira mwachangu komanso amakhala ndi mavuto ochepa opareshoni ya laparoscopic kuposa opareshoni yotseguka.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana
• Matenda

Zowopsa za opaleshoni ya ndulu ndi monga:

• Kuwonongeka kwa mitsempha yamagazi yomwe imapita pachiwindi
• Kuvulaza njira yodziwika ya bile
• Kuvulala kwamatumbo ang'onoang'ono kapena m'matumbo
• Pancreatitis (kutupa kwa kapamba)

Mutha kukhala ndi mayeso otsatirawa musanachite opaleshoni yanu:

• Kuyezetsa magazi (kuwerengera kwathunthu magazi, ma electrolyte, ndi mayeso a impso)
• X-ray pachifuwa kapena electrocardiogram (ECG), ya anthu ena
• Ma x-ray angapo a ndulu
• Ultrasound ya ndulu

Uzani wothandizira zaumoyo wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati, mavitamini, ndi zina zowonjezera zomwe mukugwiritsa ntchito, ngakhale zomwe mwagula popanda mankhwala

Sabata isanachitike opaleshoni:

• Mutha kufunsidwa kuti musiye kumwa aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amakupatsani chiopsezo chotaya magazi panthawi yochita opaleshoni.
• Funsani dokotala wanu mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Konzani nyumba yanu pamavuto aliwonse omwe mungakhale nawo mukatha opaleshoni.
• Dokotala wanu kapena namwino adzakuuzani nthawi yoti mufike kuchipatala.

Patsiku la opareshoni:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe dokotala adakuwuzani kuti mumwe pang'ono pokha madzi.
• Sambani usiku watha kapena m'mawa wa opareshoni yanu.
• Fikani kuchipatala nthawi yake.

Ngati mulibe vuto lililonse, mudzatha kupita kwanu mukadzamwa zakumwa mosavuta ndipo ululu wanu ukhoza kuchiritsidwa ndi mapiritsi opweteka. Anthu ambiri amapita kunyumba tsiku lomwelo kapena tsiku lotsatira opaleshoni imeneyi.

Ngati panali zovuta panthawi yochita opareshoni, kapena ngati mukutaya magazi, kupweteka kwambiri, kapena malungo, mungafunikire kukhala mchipatala nthawi yayitali.

Anthu ambiri amachira msanga ndipo amakhala ndi zotsatira zabwino kuchokera munjira imeneyi.

Cholecystectomy - laparoscopic; Gallbladder - opaleshoni ya laparoscopic; Miyala yamiyala - opaleshoni ya laparoscopic; Cholecystitis - opaleshoni ya laparoscopic

• Zakudya za Bland
• Chisamaliro cha bala la opaleshoni - chotseguka
• Mukakhala ndi nseru ndi kusanza

• Chikhodzodzo
• Thupi la gallbladder
• Opaleshoni ya laparoscopic - mndandanda

Jackson PG, Evans SRT. Dongosolo Biliary. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 54.

Rocha FG, Clanton J. Njira ya cholecystectomy: yotseguka komanso yowonongeka pang'ono. Mu: Jarnagin WR, Mkonzi. Opaleshoni ya Blumgart ya Chiwindi, Biliary Tract ndi Pancreas. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2017: mutu 35.