Phais kom tshem tawm cov gallbladder

Cholecystectomy - phais kom tshem tawm cov gallbladder. Muaj ntau txoj kev uas tshem tawm daim siab npuas: yooj yim qhib thiab laparoscopic nkag cherezbryushnoy. Nws yuav tsum tau muab sau tseg hais tias rau hnub tim, qhib txoj kev poob lawv qhov tseeb. Ntau heev, cov neeg phais yog sim siv ib tug laparoscopic tshem tawm, vim hais tias txoj kev no tsis yog tsuas yog ntau Kws caws plaub hau, tab sis tsis dais xws mob loj heev postoperative teeb meem, xws li qhib phais.

Laparoscopic gallbladder tshem tawm yog ua nyob rau hauv kev tshuaj loog nyob rau hauv lub khiav hauj lwm chav tsev. Cov neeg mob underwent preoperative npaj, tom qab uas lub tshuaj loog yog muab.

Tus kws phais ua peb los yog plaub txiav nyob rau hauv lub projection cheeb tsam ntawm lub siab mus rau lub plab. Tej qhov nqaij ntuag tsis pub tshaj 2 cm - qhov no yog heev txaus rau cov kev taw qhia ntawm trocars. Tom ntej no, lub plab thaj av ntawd yog tsim nyog los "tshuab", qhov no yog ua tswvcuab ib qhov nqi ntawm cov roj los ntawm lub raj. Qhov no txoj kev yuav ua li cas rau tus kws kho mob ib tug zoo dua saib ntawm lub qhov chaw nyob ntawm lub cev txheeb ze rau txhua tus lwm yam.

Phais kom tshem tawm cov gallbladder yuav siv sij hawm qhov chaw nyob rau hauv ob peb successive theem:

- thov clamps rau lub cystic ciav thiab hepatic loj cov hlab ntsha (li tus kws phais tsis pub tsis tau kev ntshav);

- ncaj qha tshem tawm ntawm lub tsib lub zais zis;

- laparoscopic suturing incisions.

Yog li, lub lag luam kom tshem tawm cov tsib zais zis kis kab noj hniav tsis allergic rau hauv lub plab kab noj hniav. Niaj hnub nimno laparoscopic pab kiag li lawm cia rau cov me nyuam cov duab ntawm lub sab hauv nruab nrog cev rau qhov kev tshuaj ntsuam yog heev zoo, yog li cavernous zais zis tshem tawm yog tsis tau yus.

Txawm li cas los, nyob rau hauv tej lub sijhawm, tus kws phais yuav tuav tsis tau laparoscopic tsib ntim. Qhov no tshwm sim thaum:

- kab mob ntawm cov ntshav ntws los ntawm tus syndrome them tsis tau yus tej nqi hemostasis;

- Terminal thiab raw lub xeev;

- urological kab mob ntawm lub ntsws, lub plawv thiab ob lub raum.

Yog hais tias ib tug neeg mob thiaj paub tias yog nrog ib tug gallstone peritonitis, rwj gallbladder, raws li zoo raws li lub xub ntiag ntawm cev xeeb tub, los sis lwm yam dab uas yuav adversely cuam tshuam rau hauv chav kawm ntawm laparoscopic phais, tus kws phais yuav xum qhib mus saib.

Nws yuav tsum tau muab sau tseg tias nyob rau hauv lub qhaj ntawv ntawm contraindications zoo tshaj plaws nqa laparoscopic tshem tawm ntawm lub gallbladder. Xyuas ntawm cov neeg mob tom qab no hom ntawm kev phais yog npaum li cas zoo dua tom qab cov pa cholecystectomy.

Tom qab ob peb hnub tom qab ib tug laparoscopy, cov neeg mob yuav ua lub neej zoo, yog ib tug me ntsis thaum limiting lawv lub cev ua si.

Yuav ua li cas mob yuav tshwm sim tom qab gallbladder tshem tawm?

1. Los ntshav.
2. Peritonitis, Septicemia los yog purulent o.
3. Suture tsis ua hauj lwm, nqaij doog, fistulas thiab ua paug nyob rau hauv lub phais mob.
4. Cov tsim ntawm lub pob zeb nyob rau hauv cov kua tsib ducts.
5. Tawm ntawm cov kua tsib los ntawm lub incision.
6. Propensity rau thrombosis.
7. Exacerbation ntawm tus kab mob cov kab mob ntawm txoj hnyuv (rwj).
8. Puas raum hlab ntsha thiab ducts.
9. Kev ua xua tshuaj los cov neeg ua hauj rau tshuaj loog.

Raws li ib tug yuam, tus tsim ntawm lub pob zeb nyob rau hauv lub ducts thiab tswj ib tug kab mob, nws yog tsim nyog los ua raws li nrog ib tug tshwj xeeb cov zaub mov tom qab cholecystectomy. Cov neeg mob yuav tsum tau kiag li tso tseg cov khoom uas txhim khu lub tsim ntawm cov kua tsib thiab muaj feem xyuam rau lub siab.

Koj yuav tsum noj me me mov noj rau ob peb teev tom qab. Tus nab npawb ntawm cov zaub mov yuav ncav cuag 6-8, tab sis qhov no yuav tsum tsis txhob ntshai cov neeg mob.

Yuav tsum tau cais los ntawm cov khoom noj khoom kib, ci, haus cov zaub mov, raws li tau zoo raws li Barbecues thiab salting.

Nws yog qhov zoo tshaj plaws mus yeej ib txwm siv lub steamer, kom muaj nyob rau hauv cov khoom noj los ntawm ntau fermented zaub mov thiab kua zaub (tsis fatty broth).