Nge-cholecystitis kanye nokuba khona kwenani elikhulu lamatshe amakhulu, ukuhlinzwa okubizwa nge-cholecystectomy kwenziwa. Njenganoma yikuphi ukungenelela okuhlinzayo, le nqubo inemiphumela ethile futhi idinga isikhathi sokutakula. Ngokuvamile emva kokususwa kwe-gallbladder, uhlangothi olungakalungi lubuhlungu futhi kunzima kuwo. Ezimweni eziningi, lezi zimpawu (postcholecystectomy syndrome) zanyamalala ngemva kwamasonto amabili.
Kungani lesi sifo silimala ngokushesha ngemva kokususwa kwe-gallbladder?
Njengomthetho, ukusebenza kwe-organ kunamandla kwenziwa nge-laparoscopic. Naphezu kokuncipha okuncane kwe-cholecystectomy enjalo, ngemuva kwayo kusekhona ukulimala kwezicubu ezithambile, lapho umzimba ngokushesha usabela khona ngenqubo evulekile yokuvuvukala. Ngaphezu kwalokho, ukwakha isikhala esanele sokususwa kwe-gallbladder, isikhumba sesisu sisanda ngokugcwalisa i-carbon dioxide.
Lezi zimbangela yizimbangela eziyinhloko zokukhathazeka ngokushesha ngemva kokuhlinzwa. Ngokuvamile ezinsukwini zokuqala ezingu-2-4, ama-anesthetics ajojelwe ngaphakathi noma ngokukhipha. Ezinyangeni ezi-1-1,5 ezilandelayo emva kokususwa kwe-gallbladder kukhona izinhlungu eceleni kobuthakathaka ngenxa yokuthi umzimba uvumelanisa nezimo zokuguqula uhlelo lokugaya. I-bile iyaqhubeka ikhiqizwa yisibindi ngokwezinto zangaphambili, kuye ngokuthi okuqukethwe komthamo kanye namafutha okudla okudliwe, kodwa ayizibutheli, kepha igeleza phansi emideni bese ingena ngokushesha emathunjini.
Ubuhlungu obukhulu ngemva kokususwa kwe-gallbladder
Kulezo zimo lapho i-postcholecystectomy syndrome inamandla kakhulu, ihambisana nesicashu noma ukuhlanza, ukuphazamiseka kwe-dyspepsia ngesifo sohudo noma ukuqothulwa, ukwanda komshini wokushisa komzimba, sikhuluma ngezinkinga zokuhlinzwa noma ukuqhuma kwezifo ezingapheliyo.
Izizathu zalesi simo zingaba:
- i-pancreatitis ;
- ukunamathela emkhakheni we-biliary;
- i-hepatitis;
- ukutholakala kwamatshe ashiywe ebhodini elivamile le-bile;
- ukucasuka kwamathumbu amakhulu;
- i-duodenitis;
- ukwakheka kwe-neoplasm engavundile kusukela engxenyeni yokuhamba kwe-cystic;
- isilonda se-duodenum;
- ukunciphisa ama-bile ducts, i-spasm yabo;
- i-dyskinesia ye-bile ducts .
Ngaphezu kwalokho, ubuhlungu obukhulu ngakwesokudla ngemva kokususwa kwe-gallbladder kubangelwa ukuphulwa kokudla. Ukulungiswa kabusha nge-cholecystectomy kuhilela ukudla okuvamile nokuhlukaniswa ngokuvinjelwa noma ukukhishwa okuphelele kokudla okunamafutha, okuthosiwe, okubabayo, okune-acidikhi nosawoti. Ukusetshenziswa kwemikhiqizo enjalo kudinga inqwaba ye-bile yokugaya, futhi uma kungekho tank yokugcina (bubble), akwanele. Izingcezu zokudla ezingafakelwe zingena emathunjini, okudala ukubhubhisa, ubuhlungu, flatulence, kanye nezifo zesibalo.
Isixazululo senkinga siwukunamathela ngokuqinile ekudleni okunqunyiwe kanye nokwelapha okufanayo kwesifo esabangela i-postcholecystectomy syndrome.
Isibindi sishaya ngemva kokususwa kwe-gallbladder
Ngokutholwa okujwayelekile nokuzivumelanisa komzimba ngezindlela ezintsha zokusebenza, isibindi senza inani elifanele le-bile, elanele ukugaya ukudla okudlayo. Ngokuvamile kune-sylrome ye-cholestasis, ekhonjiswe ukuqubuka kwamanzi emidayeni yangaphakathi yelungu. Ngesikhathi esifanayo, i-bile iba yimbi kakhulu futhi iyeka ukugeleza ngokukhululekile ibe lumen emathunjini. Ngesikhathi esifanayo, igazi landa okuqukethwe kwe-bilirubin ne-enzyme yesibindi, okubangela ukudakwa komzimba, kuhambisane nobuhlungu obungenakulinganiswa esibhedlela nesibindi se-hypochondrium.
Ukwelashwa kwe-cholestasis kuhilela ukuphathwa kwamalungiselelo e-choleretic, i-hepatoprotectors nokulungiswa kokudla.