Laparoscopic nduru kubviswa

Laparoscopic gallbladder kubviswa kuvhiya kubvisa nduru uchishandisa chishandiso chekurapa chinonzi laparoscope.

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

Kuvhiya uchishandisa laparoscope ndiyo nzira yakajairika yekubvisa iyo nduru. Laparoskopu ipepa rakatetepa, rakabatidzwa rinoita kuti chiremba aone mukati medumbu rako.

Kuvhiyiwa kwegallbladder kunoitwa iwe uri pasi peanesthesia saka unenge wakarara uye usina kurwadziwa.

Iko kuvhiya kunoitwa nenzira inotevera:

• Chiremba anovhiya anoita matatu kusvika mana akacheka mudumbu rako.
• Iyo laparoscope inoiswa kuburikidza nechimwe chekucheka.
• Zvimwe zvekurapa zviridzwa zvinoiswa kuburikidza nekumwe kucheka.
• Gasi inoputirwa mudumbu rako kuti uwedzere nzvimbo. Izvi zvinopa chiremba anovhiya nzvimbo yekuona nekushanda.

Iyo nduru inozobviswa uchishandisa laparoscope nezvimwe zviridzwa.

X-ray inonzi cholangiogram inogona kuitwa panguva yekuvhiyiwa kwako.

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

Dzimwe nguva chiremba anovhiya haagoni kutora zvakachengeteka nduru achishandisa laparoscope. Muchiitiko ichi, chiremba anovhiya achashandisa kuvhiya kwakavhurika, uko kunoitwa kucheka kukuru.

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

Zviratidzo zvakajairika zvinogona kusanganisira:

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

Vanhu vazhinji vane kukurumidza kupora uye mashoma matambudziko nekuvhiya kweparoscopic pane kuvhiya kwakavhurika.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

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

Ngozi dzekuvhiya nduru dzinosanganisira:

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

Iwe unogona kunge uine bvunzo dzinotevera dzakaitwa usati wavhiyiwa:

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

Udza mupi wako wezvehutano:

• Kana iwe uri kana ungave uine pamuviri
• Ndeapi mishonga, mavhitaminzi, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga usina mushonga

Pakati pevhiki pamberi pekuvhiyiwa:

• Iwe unogona kubvunzwa kumira 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.
• Chiremba wako kana mukoti achakuudza 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.

Kana usina kana dambudziko, unozokwanisa kuenda kumba kana uchinge uchikwanisa kunwa zvinwiwa zviri nyore uye kurwadziwa kwako kunogona kurapwa nemapiritsi ekurwadza. Vanhu vazhinji vanoenda kumba nezuva rimwe chete kana zuva rinotevera rekuvhiyiwa uku.

Kana paive nezvinetso panguva yekuvhiyiwa, kana kana uine kubuda ropa, kurwadziwa kwakanyanya, kana fever, ungangoda kugara muchipatara kwenguva yakareba.

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

Cholecystectomy - laparoscopic; Gallbladder - laparoscopic kuvhiya; Gallstones - laparoscopic kuvhiya; Cholecystitis - laparoscopic kuvhiya

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

• Gallbladder
• Gallbladder anatomy
• Laparoscopic kuvhiya - akateedzana

Jackson PG, Evans SRT. Biliary maitiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 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.