Nzira yakakosha uye inobudirira yekurapa kwecholelithiasis nhasi inonzi cholecystectomy - kushanda kubvisa nduru. Asi nzira iyi haisi nguva dzose inopedza zviratidzo zvekusuruvara kwemuviri, izvo zvinoratidzika mumhando yekutambudzika uye dyspeptic distemper. Iyi ndiyo postcholecystectomy syndrome (PHC).
Zvinokonzera postcholecystectomy syndrome
Zvinonyanya kukosha zvePCHP ndezvi:
- chironda cheyodheheta yezvebhuku rinowanikwa;
- cyst of the bile duct;
- matombo mumidha;
- chiropa chiropa;
- kupera kwe bile;
- iyo mhepo yemuviri inotemwa nematombo.
Mushure mokubviswa kweguruvladder, bile inopinda mumukati chichivhiringidza, semugumisiro wekudya kwezvokudya kunovhiringidzika uye semugumisiro kushaya kukwana kwepachivi microflora kunoitika. Nokudaro kune marwadzo anorwadza.
Kuongororwa kwe postcholecystectomy syndrome
Icho chinonyanya kudzidzisa chiri kuita endoscopic retrograde cholangiopancreatography uye manometry ye Oldy sphincter. Asi zvigadzirwa zvekuita zvakadaro zvinongowanikwa mune zvishomanana zvitsvakurudzo.
Inonyanya kuongororwa ma laboratory inotarisana nehuwandu:
- bilirubin;
- gamma glutamyl transferase;
- alkaline phosphatase;
- alanine uye aspartic transaminases;
- amylase ;
- elastase;
- lipase.
Iyi miedzo yebhroreta inofanirwa kuitwe kana panguva, kana mukati maawa matanhatu mushure mekurwisa kunotevera.
Zviratidzo zve postcholecystectomy syndrome
Zviratidzo zvePCHP:
- marwadzo ari kurudyi uye epigastric region, iyo inogona kupawo nzvimbo yekodha yakanaka uye kumashure;
- zvinetso zvakasiyana-siyana zvekudya zvinozviratidza pachavo nenzira yekunyunyuta, flatulence, kuvimbiswa, kurara, kunzwa kwekunwa kunorwa mumuromo;
- uyewo chitarisiko chejerice.
Urongwa hwe postcholecystectomy syndrome
Hakuchina sarudzo imwe yePCHP yezuva ranhasi. Kazhinji kacho vanoshandisa nzira yakadaro:
- Kutora duodenal papillitis.
- Biliary pancreatitis (cholepancreatitis).
- Kushingaira kwekubatanidza matanho (asingagumi chine pirinonitis) muchikamu chemukati.
- Inodzokorora mukuumbwa kwematombo mu bile duct.
- Secondary gastroduodenal ulcers (biliary or hepatogenic).
Kurapa kwe postcholecystectomy syndrome
Nzira dzekurapwa kweFC dzinofanira kuve nechinangwa chekubvisa zvirwere zvinoshanda kana zvivako kubva pamakumbo emimba, chiropa, bile nepancreas zvinokonzera marwadzo.
Imwe yenzira dzokurapa ndeyezvokudya zvishoma (kusvika kusvika 6-7 kakawanda pazuva). Panguva imwe chete ne-post-choledocystectomy syndrome, kudya kunoratidzwa - asidi, yakapinza, yakabikwa uye yakasvuta zvinodyiwa zvachose zvisingabatanidzwi.
Kana paine marwadzo epoxysmal, zvinokwanisika kupa mishonga inorwadza, yakadai se:
- Mebeverin;
- Drotaverine.
Kana chinokonzera marwadzo kushayikwa kwe enzyme, zvirongwa zve enzyme zvinorayirwa kuti zvigadziridze kudya, zvakadai se:
- Panzinorm forte;
- Festal;
- Creon .
Kana zvakasimbiswa kuti mushure mokuvhiyiwa kubvisa nduru, gumbo rebiocenosis rinovhiringidzika, saka zvinodhaka zvinorayirwa kuti zvidzore zvakakwana mumatumbo microflora. Panguva imwecheteyo,
- Furazolidone;
- Intetriks;
- Doxycycline.
Mari idzi dzinotorwa mazuva 5-7, uye zvino zvinodhaka zvinokonzera matumbo ane bhakitiriya anobatsira:
- Linex;
- Bifidumbacterin nevamwe.
Mwedzi mitanhatu mushure mekuvhiyiwa, varwere vanofanira kunge vari pasi pekutarisirwa kwechiremba.