Vhura kubvisa nduru

Vhura kubvisa nduru kuvhiya kubvisa nduru kuburikidza nekucheka kukuru mudumbu rako.

Iyo nduru inhengo inogara pasi pechiropa. Iyo inochengetera bile, iyo iyo yako muviri inoshandisa kugaya mafuta mune diki ura.

Kuvhiya kunoitwa iwe uri pasi peanesthesia saka unenge wakarara uye usina kurwadziwa. Kuita kuvhiyiwa:

• Chiremba anovhiya anoita 5 kusvika ku7 inch (12.5 kusvika 17.5 masentimita) akachekwa muchikamu chepamusoro kurudyi chedumbu rako, pazasi pembabvu dzako.
• Nzvimbo yacho yakavhurwa kuitira kuti chiremba anovhiya agone kuona nduru nekuipatsanura kubva kune dzimwe nhengo.
• Chiremba anovhiya iyo duct ye bile uye tsinga dzeropa dzinotungamira kune nduru.
• Iyo nduru inosimudzwa zvinyoronyoro ichibviswa uye kubviswa kubva mumuviri wako.

X-ray inonzi cholangiogram inogona kuitwa panguva yekuvhiyiwa kwako.

• Kuti uite iyi bvunzo, dhayi inorowa mune yako yakajairika bile duct uye x-ray inotorwa. Iyo dhayi inobatsira kutsvaga mabwe anogona kunge ari kunze kweguropa rako.
• Kana mamwe matombo akawanikwa, chiremba anovhiya anogona kuabvisa nechinhu chakakosha.

Kuvhiya kunotora anenge 1 kusvika 2 maawa.

Iwe ungangoda kuvhiyiwa uku kana iwe uine marwadzo kana zvimwe zviratidzo kubva kune nduru. Iwe unogona zvakare kuda kuvhiyiwa kana yako gallbladder isiri kushanda zvakajairika.

Zviratidzo zvakajairika zvinogona kusanganisira:

• Kuzvidya mwoyo, kusanganisira kuzvimba, kutsamwa, uye gasi
• Kusvotwa uye kurutsa
• Marwadzo mushure mekudya, kazhinji munzvimbo yekumusoro kurudyi kana yepamusoro nzvimbo yedumbu rako (epigastric pain)

Nzira yakajairika yekubvisa nduru ndeyokushandisa chokurapa chinonzi laparoscope (laparoscopic cholecystectomy). Vhura kuvhiya nduru kunoshandiswa apo kuvhiyiwa kweparoscopic hakugone kuitwa zvakachengeteka. Mune zvimwe zviitiko, chiremba anovhiya anofanirwa kuchinjira kuvhiya yakavhurika kana kuvhiya kweparoscopic kusingakwanise kuenderera mberi zvinobudirira.

Zvimwe zvikonzero zvekubvisa nduru nekuvhiya kwakavhurika:

• Kubuda ropa kusingatarisirwi panguva yekuvhiya kweparoscopic
• Kufutisa
• Pancreatitis (kuzvimba mupancreas)
• Kubata (chetatu trimester)
• Zvinetso zvakakomba zvechiropa
• Kuvhiya kwekare munzvimbo imwechete yedumbu rako

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kuwanda kweropa
• Utachiona

Ngozi dzekuvhiya nduru ndeidzi:

• Kukuvadza kumidziyo yeropa inoenda kuchiropa
• Kukuvadza kune yakajairwa bile duct
• Kukuvadza kune ura hudiki kana hukuru
• Pancreatitis (kuzvimba kwepancreas)

Iwe unogona kunge uine bvunzo dzinotevera dzakaitwa usati wavhiyiwa:

• Kuongororwa kweropa (yakazara ropa kuverenga, electrolyte, chiropa uye itsvo bvunzo)
• Chest x-ray kana electrocardiogram (ECG), kune vamwe vanhu
• Dzakati wandei x-ray dzendunduru
• Ultrasound yeguruva

Udza chiremba wako kana mukoti:

• Kana iwe uri kana ungave uine pamuviri
• Ndeapi madhiragi, mavitamini, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga pasina mushonga

Pakati pevhiki pamberi pekuvhiyiwa:

• Iwe unogona kukumbirwa kuti urege kutora aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), uye chero mimwe mishonga inokuisa panjodzi huru yekubuda ropa panguva yekuvhiyiwa.
• Kumbira chiremba wako kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.
• Gadzirira imba yako kune chero matambudziko aungave uchikomberedza mushure mekuvhiyiwa.
• Unozoudzwa nguva yekuuya kuchipatara.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Shower husiku hwakatangira kana mangwanani ekuvhiyiwa kwako.
• Svika kuchipatara nenguva.

Ungangoda kugara muchipatara kwemazuva matatu kusvika mashanu mushure mekubviswa kwenduru. Munguva iyoyo:

• Iwe unogona kukumbirwa kufemera muchigadzirwa chinonzi incentive spirometer. Izvi zvinobatsira kuti mapapu ako ashande zvakanaka kuitira kuti usabatwe nemabayo.
• Mukoti anozokubatsira kugara pamubhedha, urembedze makumbo ako padivi, uyezve wosimuka wotanga kufamba.
• Pakutanga, iwe unogashira zvinwiwa mumutsipa wako kuburikidza neye intravenous (IV) chubhu. Nguva pfupi yapfuura, iwe uchakumbirwa kutanga kunwa zvinwiwa uye kudya chikafu.
• Uchakwanisa kugeza iwe uchiri muchipatara.
• Iwe unogona kukumbirwa kupfeka kumanikidza masokisi emakumbo ako kuti ubatsire kudzivirira reropa kubva pakuumba.

Kana paive nezvinetso panguva yekuvhiyiwa kwako, kana kana uine ropa, kurwadziwa kwakanyanya, kana fivha, ungangoda kugara muchipatara kwenguva refu. Chiremba wako kana manesi anokuudza maitiro ekuzvichengeta wega kana wabva muchipatara.

Vanhu vazhinji vanopora nekukurumidza uye vane mibairo yakanaka kubva munzira iyi.

Cholecystectomy - yakavhurika; Gallbladder - yakavhurika cholecystectomy; Cholecystitis - yakavhurika cholecystectomy; Matombo ematombo - yakavhurika cholecystectomy

• Bland kudya
• Kuchengeta ronda rekuvhiya - rakavhurika
• Paunenge uine kusvotwa uye kurutsa

• Cholecystitis, CT scan
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Gallbladder
• Kubviswa kweGallbladder - Series

Jackson PG, Evans SRT. Biliary maitiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 54.

Rocha FG, Clanton J. Nzira ye cholecystectomy: yakavhurika uye zvishoma inoparadza. Muna: Jarnagin WR, rakanyorwa. Kuvhiya kwaBlumgart kweRopa, Biliary Tract, uye Pancreas. 6th ed. Philadelphia, PA: Elsevier; 2017: chits. 35.