Ndi cholecystitis komanso kupezeka kwa miyala yambiri, opaleshoni yotchedwa cholecystectomy imachitika. Monga njira iliyonse yothandizira opaleshoni, njirayi ili ndi zotsatira zina ndipo imafuna nthawi yowonjezera. Kawirikawiri pambuyo pa kuchotsedwa kwa ndulu, mbali yowongoka imapweteka ndipo pali kulemera kwake. Nthaŵi zambiri, zizindikiro (postcholecystectomy syndrome) zimatha pakatha masabata 2-3.
Nchifukwa chiyani zilondazo zimapweteka nthawi yomweyo mutachotsa ndulu?
Monga lamulo, opaleshoni yokhala ndi zodzikongoletsa pa limba imagwiritsidwa ntchito ndi njira ya laparoscopic. Ngakhale kuti pang'onong'ono pang'onong'ono ya cholecystectomy yotere, pambuyo pake pangokhala kuvulala kwa mapepala ofewa, omwe thupi limatuluka mwamsanga ndi kutentha kotupa. Kuonjezerapo, kupanga malo okwanira kuchotsa ndulu, mimba ya m'mimba ikukula mwa kudzazidwa ndi carbon dioxide.
Zifukwa izi ndizo zimayambitsa zovuta mwamsanga mutatha opaleshoni. Kawirikawiri masiku oyambirira 2-4, anesthetics amalowetsedwa mkati mwathu kapena mwa kulowetsedwa. Patapita miyezi 1-1,5 yotsatira kuchotsedwa kwa ndulu kumeneko pali ululu pambali ya mphamvu yofooka chifukwa chakuti thupi limasinthika mpaka kusintha kwa kayendedwe kake kameneka. Matumbo amapitirirabe kupangidwa ndi chiwindi poyambirira, malingana ndi kuchuluka kwa mafuta ndi zakudya zomwe zimadya, koma sizimadzikongoletsera, koma zimatuluka m'madzi ndipo nthawi yomweyo zimalowa m'matumbo.
Ululu waukulu pambuyo pa kuchotsedwa kwa ndulu
Zikatero pamene postcholecystectomy syndrome imakhala yovuta kwambiri, kuphatikizapo kunyoza kapena kusanza, matenda a dyspepsia monga kutsekula m'mimba kapena kutsekemera, kuwonjezeka kwa kutentha kwa thupi, tikukamba za mavuto a opaleshoni kapena kuchulukitsidwa kwa matenda aakulu.
Zifukwa za vutoli zingakhale:
- kupweteka ;
- kumamatira mu tsamba la biliary;
- chiwindi;
- kukhalapo kwa mwala wotsalira mu bwalo lotchedwa bile duct;
- kupsa mtima kwa matumbo akulu;
- duodenitis;
- kupanga mapulogalamu osakanikirana kuchokera kumtsinje wotsalira;
- chilonda cha duodenum;
- zochepetsetsa za bile, spasm;
- dyskinesia wa bile ducts .
Kuonjezerapo, ululu waukulu pamanja pambuyo pa kuchotsedwa kwa ndulu nthawi zambiri umayamba chifukwa cha kuphwanya zakudya. Kukonzekera ndi cholecystectomy kumaphatikizapo chakudya chogawidwa komanso chosagawanika ndi choletsedwa kapena kuchotsedwa kwathunthu kwa mafuta, zokazinga, zokometsera, zakumwa zamchere ndi zamchere. Kugwiritsiridwa ntchito kwa mankhwalawa kumafuna bile wochuluka chifukwa cha chimbudzi, ndipo popanda tank yosungirako (bubble), sikokwanira. Zakudya zosavomerezeka zimalowetsa m'matumbo, zomwe zimabweretsa kupweteka, kupweteka, flatulence, ndi matenda a sitolo.
Yankho la vutoli ndilo kumatsatira mwatcheru zakudya zoperekedwa ndi matenda omwe amachititsa postcholecystectomy syndrome.
Chiwindi chimayambira pambuyo pochotsa ndulu
Ndibwino kuti thupi lanu lizikhala bwino komanso lizikhala ndi njira zatsopano zogwirira ntchito, chiwindi chimapanga kuchuluka kwa bile, kokwanira kudya chakudya. Kawirikawiri pali matenda a cholestasis, omwe amadziwika ndi kuphulika kwa madzi m'kati mwake. Panthawi imodzimodziyo, bile imakhala yochuluka ndipo imasiya kutuluka momasuka m'mimba m'mimba. Panthawi imodzimodziyo, magazi amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, zomwe zimachititsa kuti thupi likhale loledzeretsa, limodzi ndi ululu wopweteka kwambiri m'chiwindi ndi hypochondrium.
Chithandizo cha cholestasis chimaphatikizapo kuyendetsa choleretic kukonzekera, hepatoprotectors ndi kukonza zakudya.