Nokubviswa gallbladder: migumisiro rokubvisa. Treatment pashure kubviswa nduru dundira

Gallstone chirwere zvikuru "tawanazve simba" mumakore achangopfuura. Imwe dambudziko iri, uye zvichida, rakajairika - ndiye kubviswa gallbladder. Migumisiro nokubviswa muviri, uye tichaita kufukidza munyaya ino.

Hepatocytes (chiropa masero) pave bile, izvo uchingounganidza ari gallbladder. Kubva ipapo bile anopinda duodenum 12, kubatsira chirongwa kugaya pashure kudya. Izvi acidic secretion pamusoro hepatocytes unoitawo basa bactericidal uye anorwa inokuvadza Micro-zvinenge, netsaona abatwa mumuviri.

Zvinokonzera ibwe inotungamirwa

Matombo omunduru zvingaite nezvikonzero zvakasiyana-siyana. Asi chinonyanya ichiri kutyora metabolic pezvakaitwa pamuviri. Izvi zvinogona chokuita kufuta kana kufutisa, kunyanya kana dzichiri mafuta chiropa. Kunwa yakawanda zvinodhaka, kusanganisira hormone nhumbu kunowedzera ngozi calculous (nokuumbwa nematombo) cholecystitis.

Kudya zvinetso zvinogona kukonzera chirwere ichi. Zvirwere zvakadai zvinogona chokuita negashiro mukuru-remafuta akawandisa zvokudya (nyama mafuta, itsvo, uropi, ruomba, mazai), uye kushandiswa kwazvo mineralized mvura kwenguva refu uye kuderedzwa mafuta zvokudya.

Anatomical zviri nemamiriro ose gallbladder (kinks uye Bends) kunogonawo kukonzera munhu calculous cholecystitis. ngozi iyi inobvira yematambudziko, akadai bile mutsinga dzinofamba nemukaka occlusion. Angapedza dambudziko kubvisa gallbladder. Migumisiro rokubvisa Kazhinji hazvina ngozi, chero kuti oparesheni rinoitwa nguva uye zvikuru unyanzvi nyanzvi.

Zvairatidza kuti Step

Huru zvairatidza kuti kubviswa nduru dundira vanowanzobatwa:

• nengozi blockage of bile ducts;
• kuzvimba nduru dundira;
• chisingaperi cholecystitis, hakusi amenable kuti kuchinja kurapwa.

Muzviitiko zvakadaro zvinokurudzirwa kuitisa kubviswa gallbladder. Migumisiro rokubvisa hazvigoni zvafanotaurwa pachine. Asi nguva aipedza oparesheni zvisingadiwi migumisiro kushoma. Zvinosuruvarisa, kuvhiyiwa pacharo haritauri kubvisa zvinokonzera kusagadzikana bile. Vamwe nguva pashure cholecystectomy kunodiwa kuitira kuti muviri pahunenge hwachinja kushanda zvakanaka tisina muviri ichi.

Kana murwere aigara achinetswa exacerbation echirwere cholecystitis, avhiyiwa ezvinhu ake anovandudza. Nokubviswa gallbladder basa Achatora pedyo zvomukati. Asi ichi hakuzosviki pakarepo. Zvichatora inoverengeka kuvakazve muviri.

Nokubviswa gallbladder: Migumisiro rokubvisa

Cholecystectomy anogona anoitwa laparoscopic kana cavitary nzira. Muzviitiko apo murwere akagadza chokwadi akasimba noutachiona kana kuvapo mabwe makuru, zvisingagone kubviswa neimwe nzira, akaita abdominal kuvhiya - kubviswa pakati gallbladder. Laparoscopy mune mamwe nyore kacho, kupfuura akakodzera.

Laparoscopic cholecystectomy rinoitwa pasi kudzora kombiyuta. Uyu zvishoma chaizvo kushanda. Pashure nokubviswa gallbladder 2 chasa wokutanga murwere ari yevanorwara zvikuru wadhi pasi kuramba pokudzora navanachiremba. Pashure paizvozvo hwakatamisirwa nguva kamuri. Havabvumirwi kunwa uye kutora zvokudya maawa 6 yokutanga. Zvadaro munhu anogona kupa huro murwere pasina gasi mvura.

Kubva muchipatara murwere anogona nechekare vachabvumidzwa kuenda kumba 2-4 zuva. Izvi zvinoteverwa nguva vapore. In nyore cholecystectomy murwere muchipatara, kazhinji mukati mwedzi.

Chii chinoitika pashure cholecystectomy?

Bile pashure nokubviswa gallbladder kusvikira ura anoenda nguva, iye haana kuvaka, uye anova zvokunwa. Inoita zvimwe zvachinja muura:

1. Liquid bile kuipa kurarama dzinokuvadza tusingaoneki. Vanogona kuwanda uye kukonzera fufune.
2. Kushaikwa gallbladder kunotungamirira kuti bile acids vanogara tsamwisa 12 duodenal urikanwi. Izvi zvinogona kukonzera kuzvimba uye ayo kukura duodenitis.
3. Izvi anoputsa injini basa ura, uye zvokudya zvakawanda zvinogona kukanda-kudzokera mudumbu uye yegurokuro.
4. Izvi zvinogona kunotoreva kukura gastritis, esophagitis, enteritis uye colitis.

Edza kudzivisa matambudziko ose aya zvakanaka vakasarudzwa zvokudya. basa muviri vo nguva zvichabviswa kuderedzwa. Kubva zvomudumbu maitiro angave chero mhando rusvingo. Possible bowel zvinetso, kana, Ukuwo, kupatira, flatulence. Usatya izvi. Ichi kwekanguva kutanga.

Diet pashure pokuvhiyiwa

Mumazuva okutanga pashure pokuvhiyiwa anobvumirwa duku chete sips chokunwa isiri carbonated mvura, asi kwete kupfuura hafu fő. Mumazuva akatevera mazuva 7 zvokudya murwere zvinosanganisira:

• Uchasendamira nyama yakabikwa (nyama, huku zamu pasina ganda) mu weupfu chimiro;
• soups muriwo muto;
• O kana Buckwheat mvura;
• kutsva dheri zvigadzirwa (yogati, kefir, pasi mafuta koteji chizi);
• zvakabikwa mabhanana uye maapuro.

On rokuchinjwa nguva vari wairambidza zvigadzirwa:

• All zvakakanyiwa namafuta zvokudya;
• inopinza uye vava;
• hove (kunyange yakabikwa);
• simba tii kana kofi;
• chero doro;
• chokoreti;
• zvihwitsi;
• pastries.

zvimwe zvokudya

Uyezve, mumwedzi miviri pashure pokuvhiyiwa wokutanga, zvakakodzera kutevedzera neusimbe zvokudya. More inozivikanwa se kudya nhamba 5. Yakabvumirwa makapiwa kushandisa zvigadzirwa izvi weupfu kana shabby:

• dzakaonda nyama yakabikwa kana steamed;
• chena gungwa hove marudzi;
• Yakabikwa zai (omelet inogona yakabikwa muchoto);
• steamed kana yakabikwa muriwo (nhanga, zucchini, konifurawa, makarotsi, mbatatisi);
• zvibereko, michero uye naMashi navo, zvakabikwa maapuro;
• itsva facial, rakasanganiswa nemvura;
• muto hudyu;
• tii asi simba;
• rye tika.

Products kuti tiwedzere gassing (pizi, chena uye tsvuku makabheji, etc.). Dziripowo. Pakupera 2-3 mwedzi vari kudya kunogona akawedzera:

• zvokudya ezviyo (mupunga, bhari, mhunga, etc.);
• koteji chizi, nesimba chizi (kwete unopinza);
• uchi, jamhu (hapana zvinopfuura 30 magiramu pazuva);
• Citrus;
• Chete zuro pastries (matsva pastries zvichiri kurambidzwa).

Mumakore maviri akatevera kubvisa zvachose chocolate, aizikirimu, makeke, matsva kubika chingwa. Kudya zviduku zvokudya 5-6 kanomwe pazuva.

Kurambidzwa vari chero zvinwiwa zvine doro (kunyange zvishoma). Izvi zvinogona kumutsa kurwisa rikwanise pfungwa nomuviri zvemwana asati.

Drug kurapwa pashure pokuvhiyiwa

Pashure nokubviswa gallbladder kurapwa mishonga inodiwa mashoma. Pamusoro kuonekwa kuti anogumbura pezvakaitwa vari munduru dundira oparesheni yakatarwa inorwisa mabhakitiriya. Inorwisa mabhakitiriya kurapa rinoitwa muchipatara mazuva matatu okutanga. Izvi zvinoitwa kudzivisa chitange postoperative yematambudziko.

Kana murwere anonyunyuta marwadzo, marwadzo vamiririri anogona kupiwa. Ivo anoshandiswa 2-3 mazuva okutanga chete. Zvadaro unogona kuenda antispasmodics "Drotaverinum" "No-Spa," "Buscopan." zvinodhaka aya kazhinji kutora piritsi muchimiro kwete mazuva anopfuura 10.

Pashure nokubviswa gallbladder musha kurapwa kunogona mberi. Kuti uvandudze lithogenicity bile kushandisa Formulations ane ursodeoxycholic acid, izvo zvinoderedza zvaibvira mikroholelitiaz (inotungamirwa nemaziso saizi concrements kuti 0.1 cm). Izvi zvinogona kuva mushonga "Ursofalk". It rinoshandisirwa kuva kuturika kana capsules. Kutora zvinodhaka refu - kubva 6 months makore maviri.

Zvinosuruvarisa cholecystectomy hakuvimbisi kudzivisa mimwe ibwe inotungamirwa, kureva. K. A Kugadzirwa bile yakawedzera lithogenic (kukwanisa kuumba matombo) haisi wakagumiswa.

Nokubviswa gallbladder: asi kutengeserana mutengo

oparesheni Izvi zvinogona kuitwa zvose vakasununguka uye kubhadhara. FREE ushande utano Mutemo outano paruzhinji. Free mashandiro ari kuitiswa neZvapupu vashandi vanokwanisa. Kazhinji ichi ndicho zvokuwedzera kuvhiyiwa. The chimbichimbi kuti rinoitwa chete kana murwere nemamiriro dzakaderera zvikuru uye pane ngozi dzakakomba yematambudziko kana upenyu pangozi.

Paid zvokurapa nzvimbo uye makiriniki anogona kupedza cholecystectomy kuti mumwe mutengo. Akasiyana makiriniki mitengo kuti kuvhiyiwa kwakadaro ingabva 18 zviuru. Rubles kusvika 100. It zvose kunobva remunharaunda nzvimbo yacho kukiriniki uye ayo nomukurumbira. Uyewo, mari remapazi iri nzvimbo sei chokwadi ndiani achaita kuvhiyiwa - ichava zvake chiremba kana chiremba kuti sayenzi yezvokurapa.