ʻO ke kumu nui a me ka maikaʻi loa o ka mālamaʻana i nā cholelithiasis i kēia lā, he cholecystectomy - kahi hana e wehe i ka gallbladder. Akāʻo kēia kaʻina hanaʻaʻole e wehe mau i nā hōʻailona o ka maʻi palupalu, e hōʻike ana iā ia iho ma keʻano o kaʻeha a me ka dissemper dyspeptic. ʻO kēia ka postcholecystectomy syndrome (PHC).
Nā kumu o ka maʻi postcholecystomy
ʻO nā kumuhana maʻamau o ka PCHP:
- leona o ka biliary extrahepatic tract;
- ke kani o ke alanui bile;
- nā pōhaku i loko o nā alalele;
- maʻi maʻi;
- ka ulu o bile;
- ke kūpono o ke kino i ka hoʻonohonoho pōhaku.
Ma hope o ka weheʻiaʻana o ka pilapū, komo ka bile i ka'ōpū o ke aloha, no ka hopena o kaʻaiʻana i ka meaʻai a no ka hopena ua pukaʻole kahi hua'ōlelo o ka microflora kino. No laila, aia nā manaʻo kaumaha.
Ka hōʻoiaʻana o ka maʻi postcholecystomy
ʻO ka meaʻoi aku o kaʻikeʻana e hoʻopukaʻia ana e ka dialogiopancreatgraphy endoscopic a me ka manometry o ka spancter Oldy. Akā,ʻo nā mea hana no ka hanaʻana i kēlāʻano diagnostics aia wale nō i kahi mau kikowaena noiʻi.
Nā ho'āʻo hoʻokolohua maʻamau e hoʻoholo i ka pae:
- bilirubin;
- gamma glutamyl transferase;
- alkaline phosphatase;
- alanine a me aspartic transaminases;
- amylase ;
- elastase;
- ka lipase.
E pono i kēia mau ho'āʻo lepera e hanaʻia i ka manawa, aiʻole i loko o 6 mau hola ma hope o ka hoʻouka houʻana.
Nā hōʻailona o ka maʻi postcholecystomy
Nā Hōʻailona o ka PCHP:
- ka eha ma kaʻaoʻao'ākau a me ka'āpana'āpana, e hiki ai ke hāʻawi i ka'āpana'ākau o ka māmā a me ka hope;
- nā maʻiʻehaʻeha e hōʻike ana iā lākou iho ma keʻano o ka nausea, ka liʻiliʻi, ka paʻa, ka maʻi pahū, ka huhū o ka waha;
- a me keʻano o ka jaundice.
Ka ho'ālaʻana i ka maʻi postcholecystomy
ʻAʻole he hoʻohālikelike hoʻokahi o ka PCHP no kēia mau lā. ʻO ka hapanui ka hoʻohana pinepineʻana i kēia pūnaehanaʻana:
- Papilitis papalū lapaʻau.
- ʻO Biliary pancreatitis (cholepancreatitis).
- Ke kaʻina hana o ke kuʻuna maʻamau (ka palena lōʻihi o ka lōʻihi) ma ka māhele honua.
- Hoʻokuʻiʻia i ke kūkuluʻiaʻana o nā pōhaku i loko o ke alanui bale.
- ʻO ke poʻoʻelua o ka maʻi maʻi (biliary a hepatogenic).
Hana i ka maʻi postcholecystomy
ʻO nā kumu no ka hōʻailonaʻana o PHC he mea ia e hoʻoholoʻia ai ka hoʻopauʻiaʻana o nā maʻi hana a me nā hoʻohālikelike mai ka'ōpū o ka luahine, ka ate, ka wai o ka bile a me ka paniʻeha e hoʻopilikia ai.
ʻO kekahi o nā mea olakino he meaʻai liʻiliʻi (e hiki i ka 6-7 manawa i ka lā). Ma ka manawa like me ka maʻi post-choledocystectomy, hōʻikeʻia ka meaʻai - kaʻawaʻawa, koi, palai a hoʻopauʻia nā huapalapala.
Ke loaʻa ka maʻi paroxysmal, hiki ke kau i nā lāʻauʻona, e like me:
- Mebeverin;
- ʻO Drotaverine.
Inā he kumu makeʻole ka hopena o kaʻeha, a laila ua hoʻoponoponoʻia nāʻano enzyme no ka hoʻonuiʻana i kaʻeneʻiaʻana, e like me:
- Panzinorm ikaika;
- Kalikū;
- Creon .
Inā ua hoʻokumuʻia ma hope o ka hana e hoʻoneʻe ai i ka gallbladder, ua hoʻopauʻia ka biostosis o ka'ōpū, a laila ua kauʻia nā lāʻau lapaʻau e hoʻihoʻi hou i ka microflora intestinal maʻamau. Ma ka manawa like,
- Furazolidone;
- Pā'ālua;
- Doxycycline.
Laweʻia kēia mau kālā i nā lā he 5, a lailaʻo nā lāʻau lapaʻau e hoʻoluliluli i nā'ōpū me ka huapona waiwai:
- Linex;
- ʻO Bifidumbacterin a me nā mea'ē aʻe.
Iʻeono mau mahina ma hope o ke kaheʻana, pono nā maʻi ma lalo o ka nānā a ke kauka.