Ụzọ kachasị mma na usoro kachasị dị irè nke ọgwụgwọ cholelithiasis taa bụ cholecystectomy - arụ ọrụ iji wepụ gallbladder. Ma usoro a anaghị ekpochapụ ihe mgbaàmà nke abdominal discomfort, nke na-egosipụta onwe ya n'ụdị mgbu na dyspeptic distemper. Nke a bụ postcholecystectomy syndrome (PHC).
Ihe kpatara ọrịa postcholecystectomy
Ihe kachasị akpata PCHP bụ:
- union nke biliary trahe extrahepatic;
- cyst nke bile duct;
- nkume na bile ducts;
- ọrịa imeju;
- stagnation nke bile;
- ihe dị n'anụ ahụ ka e guzobere nkume.
Mgbe mwepụ nke gallbladder, bile na-abanye n'ime eriri afọ ahụ, nke a na-eme ka mgbaze nri ghara ịkụda ya, n'ihi ya, enweghi ike ịchepụta microflora intestinal. N'ihi ya enwere mmetụta mgbu.
Nchoputa nke ọrịa postcholecystectomy
Ihe kachasị mma na-ebu nke endoscopic retrograde cholangiopancreatography na manometry nke Oldy sphincter. Ma ngwá ọrụ maka iduzi nchọpụta dị otú ahụ bụ nanị n'ime ụlọ ọrụ nyocha ole na ole.
Ihe nyocha ule kachasị na-ekpebi ọkwa:
- bilirubin;
- gamma glutamyl transferase;
- alkaline phosphatase;
- alanine na transaminases aspartic;
- amylase ;
- elastase;
- lipase.
Achọpụta ihe nyocha ndị a bụ ihe dị mma ị ga-eme ma n'oge, ma ọ bụ n'ime awa 6 mgbe ọgụ ọzọ gasịrị.
Mgbaàmà nke ọrịa postcholecystectomy
Ihe ngosi nke PCHP:
- ihe ngbu na n'akụkụ aka nri na mpaghara epigastric, nke nwekwara ike inye mpaghara mpaghara scaam na azụ;
- nsogbu dị iche iche na-egbu nri nke na-egosipụta onwe ha n'ụdị ọgbụgbọ, flatulence, afọ ntachi, afọ ọsịsa, mmetụta dị ilu na ọnụ;
- nakwa ọdịdị nke jaundice.
Nhazi nke postcholecystectomy ọrịa
Enweghị otu nhazi nke PCHP maka taa. Ọtụtụ na - ejikarị usoro ihe dị otú a:
- Na-amụba papilitis duodenal.
- Biliary pancreatitis (cholepancreatitis).
- Usoro nchikota aru (nke na-adịghị ala ala nke na-adịghị ala ala) n'ime oghere ndị dị n'ime ụwa.
- Na-adabere na e guzobere nkume na okporo mmiri bile.
- Ọrịa gastroduodenal nke abụọ (biliary ma ọ bụ hepatogenic).
Ọgwụgwọ nke ọrịa postcholecystectomy
A ghaghị iji usoro maka ọgwụgwọ PHC mee ihe iji kpochapụ nsogbu ahụ ma ọ bụ nrụpụta ihe site na akụkụ eriri afọ, imeju, mmiri bile na pancreas nke na-akpata mgbu.
Otu n'ime usoro ọgwụgwọ bụ nri dị mkpirikpi (ruo 6-7 ugboro n'ụbọchị). N'otu oge ahụ na ọrịa post-choledocystectomy, a na-egosi nri - acid na-egbusi, e ghere eghe ma na-ese anwụrụ.
Mgbe enwere ihe mgbu paroxysmal, ọ ga-ekwe omume ịkọ ọgwụ ọgwụ mgbochi, dị ka:
- Mebeverin;
- Drotaverine.
Ọ bụrụ na ihe kpatara mgbu bụ ngụkọta enzyme, mgbe ahụ, a na-eme ndokwa mmezigharị iji melite mgbaze, dị ka:
- Panzinorm ike;
- Festal;
- Creon .
Ọ bụrụ na a kwadoro na mgbe ọrụ ahụ wepụsịrị gallbladder, a na-akụghasị nje ahụ, mgbe ahụ, a na-egbochi ọgwụ ọjọọ iji weghachite microflora nkịtị. N'otu oge ahụ,
- Furazolidone;
- Nnyeòhèrè
- Doxycycline.
A na - ewere ego a ụbọchị 5-7, mgbe ahụ, ọgwụ ọjọọ na - achịkwa eriri afọ na - enwe nje bacteria ndị bara uru:
- Linex;
- Bifidumbacterin na ndị ọzọ.
Ọnwa isii mgbe ọrụ gasịrị, ndị ọrịa aghaghị ịnọ n'okpuru nlekọta nke dọkịta.