Mepee gallbladder iwepụ

Mepee gallbladder bụ ịwa ahụ iji wepu gallbladder site na nnukwu ịkpụ gị afọ.

Gallbladder bụ akụkụ nke na-anọdụ n'okpuru imeju. Ọ na-echekwa bile, nke ahụ gị na-eji agbaze abụba na obere eriri afọ.

A na-awa ahụ mgbe ị na-anọ n'okpuru nhụjuanya izugbe ka ị wee hie ụra ma nwekwaa mgbu. Thewa ahụ:

• Dọkịta na-awa ahụ na-eme ka sentimita 5 ruo 7 (12.5 ruo 17.5 centimeters) belata n'akụkụ aka nri nke afọ gị, n'okpuru ọgịrịga gị.
• Emeghere mpaghara ahụ ka dọkịta dọkịta nwere ike ịlele gallbladder ma kewaa ya na akụkụ ndị ọzọ.
• Dọkịta na-awa ahụ na-ebipu eriri bile na arịa ọbara nke na-eduga na gallbladder.
• Gallbladder ji nwayọ wepụta ma wepu ya n'ahụ gị.

Enwere ike ịme x-ray akpọrọ cholangiogram n'oge ịwa ahụ gị.

• Iji mee nnwale a, a na-etinye dye n'ime ụzọ bile gị nke nkịtị ma were x-ray. The dai na-enyere aka ịchọta nkume nke nwere ike ịbụ n'èzí gị gallbladder.
• Ọ bụrụ na achọta nkume ndị ọzọ, dọkịta na-awa ahụ nwere ike wepu ya na ngwaọrụ pụrụ iche.

Surgerywa ahụ na-ewe ihe dịka 1 ruo 2 awa.

Surgery nwere ike ịwa ahụ a ma ọ bụrụ na ị nwere ihe mgbu ma ọ bụ mgbaàmà ndị ọzọ sitere na gallstones. I nwekwara ike chọọ ịwa ahụ ma ọ bụrụ na eriri afọ gị anaghị arụ ọrụ nke ọma.

Ihe mgbaàmà ndị a na-ahụkarị nwere ike ịgụnye:

• Afọ, gụnyere ahu mmiri, nrekasi obi, na gas
• Ọgbọ na ọgbụgbọ
• Mgbu mgbe ị risịrị nri, na-abụkarị akụkụ aka nri elu ma ọ bụ elu n'etiti afọ gị (epigastric mgbu)

Zọ kachasị esi ewepu gallbladder bụ site na iji ngwa ọgwụ akpọ laparoscope (laparoscopic cholecystectomy). A na-eji ịwa ahụ gallbladder emeghe mgbe ịwa ahụ laparoscopic enweghị ike ịme n'enweghị nsogbu. N'ọnọdụ ụfọdụ, ọ dị mkpa ka dọkịta na-awa ahụ gbanwee gaa na ịwa ahụ na-emeghe ma ọ bụrụ na enweghị ike ịga n'ihu n'ịwa ahụ laparoscopic.

Ihe ndị ọzọ kpatara iwepụ gallbladder site na ịwa ahụ na-emeghe:

• Ọbara na-atụghị anya ya n'oge ọrụ laparoscopic
• Ibu
• Pancreatitis (mbufụt na pancreas)
• Ime ime (ọnwa atọ)
• Nsogbu imeju siri ike
• Surwa ahụ gara aga n'otu mpaghara afọ gị

Ihe ize ndụ nke ọgwụ nchịkwa na ịwa ahụ n'ozuzu ya bụ:

• Mmeghachi omume na ọgwụ
• Nsogbu iku ume
• Ọbara ọgbụgba, mkpụkọ ọbara
• Ofufe Ọrịa

Ihe ize ndụ nke ịwa ahụ gallbladder bụ:

• Mmebi nke arịa ọbara nke na-aga imeju
• Mmebi nke eriri bile nkịtị
• Mmebi nke obere ma ọ bụ nnukwu eriri afọ
• Pancreatitis (mbufụt nke pancreas)

May nwere ike ịnwale ule ndị a tupu ịwa ahụ:

• Nyocha ọbara (nyocha ọbara zuru ezu, electrolytes, imeju na akụrụ)
• Igbe x-ray ma ọ bụ electrocardiogram (ECG), maka ụfọdụ ndị
• Ọtụtụ ụzarị ọkụ nke gallbladder
• Ultrasound nke gallbladder

Gwa dọkịta gị ma ọ bụ nọọsụ:

• Ọ bụrụ na ị dị ma ọ bụ nwee ike ime ime
• Kedu ọgwụ, vitamin, na ihe mgbakwunye ndị ọzọ ị na-a evenụ, ọbụlagodi ndị ị zụtara na-enweghị ndenye ọgwụ

N'ime izu tupu ịwa ahụ:

• Enwere ike ịgwa gị ka ị kwụsị ị aspụ ọgwụ aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), na ọgwụ ọ bụla ndị ọzọ na-etinye gị n'ihe ize ndụ ka ukwuu nke ọbara ọgbụgba n'oge ịwa ahụ.
• Jụọ dọkịta gị nke ị ga-a takeụ n'ụbọchị ịwa ahụ gị.
• Kwadebe ụlọ gị maka nsogbu ọ bụla ị nwere ike ịgagharị na ịwa ahụ.
• A ga-agwa gị mgbe ị ga-abata n'ụlọ ọgwụ.

N'ụwa nke ịwa ahụ:

• Soro ntuziaka banyere mgbe ị ga-akwụsị iri nri na ị drinkingụ ihe ọ drinkingụ drinkingụ.
• Were ọgwụ ndị dọkịta gwara gị were obere mmiri wee takeụọ.
• Thesaakwa abalị tupu ma ọ bụ ụtụtụ nke ịwa ahụ.
• Abịa n’ụlọ ọgwụ n’oge.

Nwere ike ịnọ n'ụlọ ọgwụ maka ụbọchị 3 ruo 5 mgbe ewepụsịrị gallbladder. N'oge ahụ:

• Enwere ike ịgwa gị ka ị kuru n'ime ihe akpọrọ spirometer na-akpali akpali. Nke a na - enyere aka ime ka akpa ume gị rụọ ọrụ nke ọma ka ị ghara ịrịa oyi baa.
• Nọọsụ ahụ ga-enyere gị aka ịnọdụ ala n'ihe ndina, kwụgidere gị ụkwụ n'akụkụ, wee bilie ma malite ije ije.
• Na mbu, ị ga - enweta mmiri mmiri n’ime akwara gị site n’ime eriri afọ (IV). N’oge na-adịghị anya, a ga-agwa gị ka ịmalite ị drinkingụ mmiri mmiri na iri nri.
• Ga-enwe ike ịsa ahụ mgbe ị ka nọ n'ụlọ ọgwụ.
• Enwere ike ịgwa gị ka ị yikwasị sọks nrụgide n'ụkwụ gị iji nyere aka gbochie mkpụkọ ọbara ịmalite.

Ọ bụrụ na enwere nsogbu n’oge ịwa ahụ gị, maọbụ ọ bụrụ na ị nwere ọbara ọgbụgba, nnukwu ihe mgbu, ma ọ bụ ahụ ọkụ, ị nwere ike ịnọ ụlọ ọgwụ ogologo oge. Dọkịta gị ma ọ bụ ndị nọọsụ ga-agwa gị otu esi elekọta onwe gị mgbe ịpụchara ụlọ ọgwụ.

Ọtụtụ mmadụ na-agbake ngwa ngwa ma nwee nsonaazụ ọma site na usoro a.

Cholecystectomy - oghe; Gallbladder - imeghe cholecystectomy; Cholecystitis - imeghe cholecystectomy; Gallstones - emeghe cholecystectomy

• Bland nri
• Nlekọta ọnya ịwa ahụ - emeghe
• Mgbe ị na-agbọ agbọ na agbọ

• Cholecystitis, nyocha CT
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Gallbladder
• Gallbladder iwepụ - Usoro

Jackson PG, Evans SRT. Usoro biliary. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 54.

Rocha FG, Clanton J. Usoro nke cholecystectomy: mepee ma pere aka. Na: Jarnagin WR, ed. Umwa Ahụ nke Blumgart nke Imeju, Biliary Tract, na Pancreas. Nke isii. Philadelphia, PA: Elsevier; 2017: isi 35.