Cholelithiasis tau yau dua nyob rau xyoo tas los no. Ib qho kev daws teeb meem rau qhov teeb meem no, thiab tej zaum qhov ntau tshaj plaws, yog kev tshem tawm ntawm lub gallbladder. Peb yuav xav txog qhov tshwm sim ntawm kev tshem tawm lub cev hauv kab lus no.
Hepatocytes (lub siab hlwb) tsim cov kua tsib, uas khaws cia rau hauv lub gallbladder. Los ntawm qhov ntawd, cov kua tsib nkag mus rau hauv duodenum, pab txoj kev zom zaub mov tom qab noj mov. Qhov no acid-muaj hepatocyte secretion kuj plays lub luag hauj lwm bactericidal thiab fights teeb meem microorganisms uas yuam kev nkag mus rau hauv lub cev.
Kev tsim pob zeb
Gallstones tuaj yeem tsim rau ntau yam laj thawj. Tab sis qhov tseem ceeb tshaj plaws yog tseem ua txhaum ntawm cov txheej txheem metabolic hauv lub cev. Qhov no tej zaum yuav yog vim yog rog dhau los yog rog, tshwj xeeb tshaj yog tias daim siab muaj rog. Noj ntau cov tshuaj, suav nrog cov tshuaj tiv thaiv hormonal, ua rau muaj kev pheej hmoo ntawm kev tsim cov lej (nrog raupob zeb tsim) cholecystitis.
Kev noj zaub mov tsis zoo tuaj yeem ua rau tus mob no. Cov teeb meem zoo li no tuaj yeem cuam tshuam nrog kev noj cov zaub mov uas muaj roj (cholesterol) siab (cov nqaij rog, ob lub raum, hlwb, butter, qe), thiab siv cov dej ntxhia ntau rau lub sijhawm ntev thiab cov khoom noj muaj calorie tsawg.
Cov yam ntxwv ntawm lub cev ntawm cov qauv ntawm lub gallbladder (khoov thiab khoov) tuaj yeem ua rau muaj mob cholecystitis. Qhov no yog qhov txaus ntshai nrog cov teeb meem tshwm sim, piv txwv li, txhaws ntawm cov kua tsib ducts. Kev tshem tawm ntawm lub gallbladder tuaj yeem daws qhov teeb meem. Qhov tshwm sim ntawm kev tshem tawm, raws li txoj cai, tsis ua rau muaj kev phom sij, yog tias kev ua haujlwm tau ua tiav raws sijhawm thiab los ntawm cov kws tshaj lij tsim nyog.
Indications rau kev phais
Cov lus qhia tseem ceeb rau kev tshem tawm ntawm lub gallbladder feem ntau:
- kev phom sij ntawm cov kua tsib txhaws;
- cov txheej txheem mob hauv lub gallbladder;
- mob cholecystitis, tsis tuaj yeem ua rau kev kho mob.
Nyob rau hauv cov xwm txheej zoo li no, nws raug nquahu kom tshem lub gallbladder. Cov txiaj ntsig ntawm kev tshem tawm tsis tuaj yeem kwv yees ua ntej. Tab sis lub sijhawm ua haujlwm txo qis qhov tshwm sim tsis zoo. Hmoov tsis zoo, kev ua haujlwm nws tus kheej tsis tshem tawm qhov ua rau lub cev tsis zoo. Thiab tom qab cholecystectomy, nws yuav siv sij hawm ntxiv rau lub cev kom hloov mus ua haujlwm zoo thaum tsis muaj lub cev.
Yog tus neeg mob tau txhawj xeeb tas li txog kev mob hnyav zuj zuscholecystitis, tom qab ua haujlwm nws tus mob yuav zoo dua. Cov dej num ntawm lub gallbladder tshem tawm yuav raug coj los ntawm cov kab mob nyob ze. Tab sis nws yuav tsis tshwm sim tam sim ntawd. Nws yuav siv sij hawm ntau lub hlis kom lub cev rov tsim dua.
Kev tshem tawm ntawm lub gallbladder: qhov tshwm sim ntawm kev tshem tawm
Cholecystectomy tuaj yeem ua tau los ntawm laparoscopic lossis txoj hauv plab. Nyob rau hauv rooj plaub uas tus neeg mob tau tsim qhov tseeb ntawm tus kab mob hnyav los yog muaj cov pob zeb loj uas tsis tuaj yeem tshem tawm lwm txoj hauv kev, kev ua haujlwm hauv plab yog ua - tshem tawm ntawm lub gallbladder. Laparoscopy hauv lwm qhov xwm txheej tsis sib xws yog qhov cuam tshuam tshaj plaws.
Laparoscopic cholecystectomy yog ua raws li kev tswj hwm lub computer. Qhov no yog kev ua haujlwm tsis zoo. Tom qab tshem tawm ntawm lub gallbladder, tus neeg mob yog nyob rau hauv lub intensive kev saib xyuas rau thawj 2 teev nyob rau hauv kev saib xyuas tas li ntawm cov neeg ua haujlwm kho mob. Tom qab ntawd, nws raug xa mus rau ib pawg ntseeg tsis tu ncua. Nws tsis pub haus thiab noj zaub mov rau thawj 6 teev. Tom qab ntawd koj tuaj yeem muab tus neeg mob ib khob dej yam tsis muaj roj.
Los ntawm tsev kho mob, tus neeg mob tuaj yeem raug tso cai mus tsev rau hnub 2-4. Qhov no yog ua raws li lub sij hawm ntawm rehabilitation. Hauv kev tsis sib haum xeeb cholecystectomy, tus neeg mob feem ntau yog so rau ib hlis.
Yuav ua li cas tom qab cholecystectomy?
Cov kua tsib tom qab tshem lub gallbladder nkag mus rau hauv txoj hnyuv tas li, nws tsis muaj qhov chaw khaws cia, thiab nws ua kua ntau dua. Qhov no ua rau qee qhov kev hloov hauv plab:
- kua tsib copes phem phemkab mob. Lawv tuaj yeem sib ntxiv thiab ua rau plab zom mov.
- Qhov tsis muaj lub zais zis ua rau qhov tseeb tias cov kua tsib acids tsis tu ncua ua rau duodenal mucosa. Qhov tseeb no tuaj yeem ua rau mob thiab txhim kho duodenitis.
- Qhov no cuam tshuam txoj hnyuv, thiab cov zaub mov tuaj yeem muab pov rov qab rau hauv plab thiab txoj hlab pas.
- Cov txheej txheem zoo li no tuaj yeem ua rau muaj kev mob plab, mob plab, mob plab lossis enteritis.
Sim zam txhua yam teeb meem no yuav pab tau xaiv cov zaub mov kom raug. Lub cev ua si kuj yuav tsum tau txo qis ib ntus. Ntawm ib feem ntawm lub plab zom mov, txhua yam kev ua txhaum cai yog ua tau. Cov kab mob hauv plab los yog, conversely, cem quav, tsam plab yog ua tau. Koj yuav tsum tsis txhob ntshai qhov no. Cov no yog qhov tshwm sim ib ntus.
Kev noj qab haus huv tom qab kev phais
Thaum thawj hnub tom qab kev ua haujlwm, nws tsuas yog tso cai haus dej hauv cov dej me me xwb, tab sis tsis pub ntau tshaj li ib nrab ib liter hauv ntim. Hauv 7 hnub tom ntej, tus neeg mob cov zaub mov suav nrog:
- nqaij nyug nqaij nyug (nqaij nyug, nqaij qaib mis tsis tawv nqaij) chopped;
- oatmeal lossis buckwheat porridge rau ntawm dej;
- cov khoom noj tshiab (yogurt, kefir, tsev cheese tsis muaj rog);
- ci txiv tsawb thiab txiv apples.
Rau lub sijhawm kho dua tshiab, cov khoom raug txwv:
- tag nrho cov khoom noj kib;
- ntsim thiab qab ntsev;
- ntses (txawm boiled);
- tshuaj yej los yogkas fes;
- cawv;
- chocolate;
- sweets;
- baking.
khoom noj ntxiv
Ntxiv mus, thawj ob lub hlis tom qab kev ua haujlwm, koj yuav tsum ua raws li kev noj zaub mov tsis zoo. Nws yog lub npe hu ua kev noj zaub mov zoo 5. Cov zaub mov hauv qab no tso cai rau hauv daim ntawv txiav los yog pureed:
- nqaij npuas boiled los yog steamed;
- ntses ntses dawb;
- qe boiled (koj tuaj yeem siv lub omelette siav hauv qhov cub);
- stewed lossis boiled zaub (taub dag, zucchini, cauliflower, carrots, qos yaj ywm);
- txiv hmab txiv ntoo, txiv hmab txiv ntoo thiab lawv cov puree, ci txiv apples;
- cov kua txiv tshiab diluted nrog dej;
- rosehip broth;
- tea tsis muaj zog;
- rye croutons.
Cov khoom noj uas ua rau muaj roj ntau ntxiv (peas, zaub qhwv dawb thiab liab, thiab lwm yam) yuav tsum tsis suav nrog. Tom qab 2-3 lub hlis, koj tuaj yeem ntxiv rau kev noj haus:
- cereal tais (mov, barley, millet, thiab lwm yam);
- tsev cheese, nyuaj cheeses (mild);
- zib ntab, jam (tsis ntau tshaj 30 grams tauj ib hnub);
- citrus;
- pastry nag hmo xwb (cov ncuav qab zib tshiab tseem txwv).
Nyob rau hauv ob xyoos tom ntej no, tshem tawm tag nrho cov qhob noom xim kasfes, ice cream, ncuav mog qab zib, pastries tshiab. Noj mov me me 5-6 zaug ib hnub.
Txhua yam dej haus uas muaj cawv (txawm tias me me) tseem raug txwv. Qhov no tuaj yeem ua rau muaj kev tawm tsam ntawm tus mob pancreatitis.
Tshuaj kho mob tom qab phais
Kev kho mob tsawg tsawg tom qab tshem lub gallbladder. Yog tias kuaj pom cov txheej txheem inflammatory hauv lub gallbladder, cov tshuaj tua kab mob raug muab tshuaj tom qab ua haujlwm. Kev kho kab mob tua kab mob yog nqa tawm hauv tsev kho mob thawj peb hnub. Qhov no yog ua los tiv thaiv kev txhim kho ntawm cov teeb meem tom qab phais.
Yog tus neeg mob yws qhov mob, tej zaum yuav muab tshuaj kho mob. Lawv tsuas yog siv rau thawj 2-3 hnub. Tom qab ntawd koj tuaj yeem hloov mus rau antispasmodics "Drotaverin", "No-shpa", "Buscopan". Cov tshuaj no feem ntau yog noj hauv cov ntsiav tshuaj ntev txog 10 hnub.
Tom qab tshem lub gallbladder, kev kho mob hauv tsev tuaj yeem txuas ntxiv mus. Txhawm rau txhim kho lithogenicity ntawm cov kua tsib, kev npaj muaj ursodeoxycholic acid yog siv, uas txo qhov ua tau microcholelithiasis (qhov tsim ntawm microscopic calculi txog li 0.1 cm loj). Nws tuaj yeem yog Ursofalk. Nws yog siv nyob rau hauv daim ntawv ntawm ib tug suspension los yog capsules. Noj cov tshuaj no ntev heev - los ntawm 6 lub hlis mus rau ob xyoos.
Hmoov tsis zoo, cholecystectomy tsis tau lees paub tag nrho kev tiv thaiv ntawm kev tsim pob zeb ntxiv, vim tias cov kua tsib nrog nce lithogenicity (muaj peev xwm tsim pob zeb) tsis nres.
Kev tshem tawm ntawm lub gallbladder: tus nqi ntawm kev ua haujlwm
Txoj haujlwm no tuaj yeem ua tau ob qho tib si dawb thiab them nqi. Lawv ua haujlwm dawb raws li txoj cai kho mob hauv xeev kev kho mobtsev kawm ntawv. Kev ua haujlwm pub dawb yog ua los ntawm cov kws tshaj lij uas tsim nyog. Qhov no feem ntau yog kev npaj ua haujlwm. Thaum muaj xwm txheej ceev, nws tsuas yog ua tau yog tias tus neeg mob lub cev tsis zoo zuj zus lawm thiab muaj kev hem thawj ntawm cov teeb meem loj lossis txaus ntshai rau lub neej.
Cov chaw kho mob them nyiaj thiab cov chaw kho mob tuaj yeem ua cholecystectomy rau qee tus nqi. Hauv cov chaw kho mob sib txawv, tus nqi rau kev ua haujlwm zoo li no tuaj yeem yog los ntawm 18 txhiab rubles rau 100. Nws tag nrho yog nyob ntawm thaj chaw thaj chaw ntawm lub tsev kho mob thiab nws lub koob meej. Tsis tas li ntawd, tus nqi ntawm kev ua haujlwm hauv cov chaw zov me nyuam raug cuam tshuam los ntawm qhov tseeb tias leej twg yuav ua haujlwm - nws yuav yog tus kws phais neeg zoo tib yam lossis tus kws kho mob sciences.
