Hanyar da ta fi dacewa da magani na cholelithiasis a yau shi ne cholecystectomy - wani aiki don cire gallbladder. Amma wannan hanya baya kawar da bayyanar cututtuka na rashin tausayi na ciki, wanda ke nuna kanta a cikin irin ciwo da duspeptic distemper. Wannan shi ne ciwon cututtuka na postcholecystectomy (PHC).
Sanadin cututtuka na postcholecystectomy
Sanadin abubuwan da suka fi dacewa na PCHP sune:
- launi na ƙwayar biliary mai ƙaura;
- cyst na bile duct;
- duwatsu a cikin bile ducts;
- ciwon hanta;
- stagnation na bile;
- da karfin jiki zuwa kafawar dutse.
Bayan kawar da gallbladder, bile ya shiga cikin hanzarin ciki, saboda sakamakon abin da ake narkewa da abinci ya ɓace kuma sabili da haka rashin daidaituwa na microflora na ciki yake faruwa. Saboda haka akwai abubuwan jin dadi.
Sanin asibiti na cututtuka na postcholecystectomy
Mafi kyawun bayani yana dauke da finoscopic retrograde cholangiopancreatography da manometry na Oldy sphincter. Amma kayan aiki don gudanar da irin wannan ƙwaƙwalwar ne kawai a cikin wasu ƙananan bincike.
Gwaje-gwaje masu gwaje-gwaje mafi yawa waɗanda suka ƙayyade matakin:
- bilirubin;
- gamma glutamyl transferase;
- alkaline phosphatase;
- alanine da aspartic transaminases;
- amylase ;
- elastase;
- lipase.
Wadannan gwaje-gwaje na gwaje-gwajen sune dabara don a gudanar ko dai a lokacin, ko cikin sa'o'i 6 bayan harin na gaba.
Kwayar cututtuka na ciwo na postcholecystectomy
Alamomin PCHP:
- ciwo a gefen dama da yankin yankin, wanda kuma zai iya ba yankin yankin Sakamakon dama da baya;
- daban-daban cuta masu narkewa da ke nuna kansu a cikin nau'i na zuciya, flatulence, maƙarƙashiya, zawo, jin daɗin ciwo a baki;
- Har ila yau bayyanar jaundice.
Ƙayyade na ciwo na postcholecystectomy
Babu kayyadadden tsarin PCHP a yau. Mafi sau da yawa suna amfani da wannan tsarin:
- Stenosing duodenal papillitis.
- Biliary pancreatitis (cholepancreatitis).
- Tsarin aiki na harkar aiki (iyakancecciyar kwakwalwa ta kullum) a cikin sararin samaniya.
- Komawa wajen kafa giraben dutse.
- Abubuwa na biyu na gastroduodenal ulcers (biliary ko hepatogenic).
Jiyya na ciwo na postcholecystectomy
Matakan da za a yi don maganin PHC ya kamata a yi amfani da shi wajen kawar da waɗannan ayyuka ko kuma tsarin tsarin daga gastrointestinal tract, hanta, ƙwayar bile da pancreas da ke haifar da ciwo.
Ɗaya daga cikin matakan kiwon lafiyar abinci ne mai ƙarfi (har zuwa sau 6-7 a rana). A lokaci guda tare da ciwon cututtuka na post-choledocystectomy, ana nuna cin abinci - acid, dafi, kayan soyayyen da kayan ƙanshi an cire su gaba ɗaya.
Idan akwai ciwo mai haɗari, zai yiwu a rubuta takalmin magani, kamar:
- Mebeverin;
- Drotaverine.
Idan dalilin zafi shi ne raunin enzyme, to, an tsara shirye-shirye na enzyme don inganta narkewa, kamar:
- Panzinorm karfi;
- Festal;
- Creon .
Idan an tabbatar da cewa bayan aiki don cire lalacewa, an cire kwayar halitta ta jiki, to, an umurci kwayoyi don mayar da microflora na tsakiya na al'ada. A lokaci guda,
- Furazolidone;
- Hanyar sadarwa;
- Doxycycline.
Ana daukar kuɗin nan kwanakin kwana biyar, sa'an nan kuma kwayoyi da suke cinye hanji tare da kwayoyin amfani:
- Linex;
- Bifidumbacterin da sauransu.
Bayan watanni shida bayan aiki, dole ne marasa lafiya su kasance karkashin kulawar likita.