Wehe i ka wehe gallbladder

ʻO ka wehe ʻana o ka gallbladder wehe i kahi ʻoki e wehe i ka gallbladder ma o kahi ʻoki nui i loko o kou ʻōpū.

ʻO ka gallbladder kahi mea e noho ma lalo o ke ake. Mālama ʻo ia i ka bile, kahi e hoʻohana ai i kou kino e hoʻoulu i nā momona i loko o ka ʻōpū liʻiliʻi.

Hana ʻia ka ʻokiʻoki ʻoiai ʻoe ma lalo o ka anesthesia ākea no laila e hiamoe ʻoe a ʻaʻohe ʻeha. E hana i ke ʻoki kino:

• Hana ka mea hana ʻoki i kahi 5 a 7 ʻīniha (12.5 a 17.5 kenimika) ʻoki i ka ʻaoʻao ʻākau i luna o kou ʻōpū, ma lalo pono o kou mau iwi ʻaoʻao.
• Wehe ʻia ka wahi i hiki i ka lōkōkō ke nānā i ka gallbladder a hoʻokaʻawale iā ia mai nā meaola ʻē aʻe.
• ʻO ke kaukoki ʻokiʻoki i ke kahena o ka bile a me nā kīʻaha koko e alakaʻi aku ai i ka ʻūpā.
• Hāpai haʻahaʻa ʻia ka gallbladder a lawe ʻia aku mai kou kino.

Hana ʻia kahi x-ray i kapa ʻia ʻo cholangiogram i kou wā ʻoki.

• E hana i kēia hoʻāʻo, hoʻokomo ʻia ka kala i loko o kāu kahena o ka bile maʻamau a lawe ʻia kahi x-ray. Kōkua ke kala i ka loaʻa ʻana o nā pōhaku ma waho o kāu gallbladder.
• Inā loaʻa nā pōhaku ʻē aʻe, hoʻoneʻe paha ke kauka iā lākou me kahi mea hana kūikawā.

Hana ke ʻoki ma kahi o 1 a 2 mau hola.

Pono ʻoe i kēia ʻoki inā loaʻa ʻoe i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe mai nā gallstones. Hiki paha iā ʻoe ke ʻoki inā ʻaʻole e hana maʻamau kāu gallbladder.

Pili pū nā ʻōuli maʻamau:

• ʻO ka huhū ʻole, ʻo ia hoʻi me ka momona, ka puʻuwai, a me ka ʻaila
• ʻO Nusea a me ka luaʻi
• ʻEha ma hope o ka ʻai ʻana, ma ka ʻākau ma luna a ma luna o waena o kou ʻōpū (ʻeha epigastric)

ʻO ke ala maʻamau e hemo i ka gallbladder ma o ka hoʻohana ʻana i kahi mea lapaʻau i kapa ʻia he laparoscope (laparoscopic cholecystectomy). Hoʻohana ʻia ke kaha o ka gallbladder open ke hiki ʻole ke hana palekana ʻia ke kahakaha laparoscopic. I kekahi mau hihia, pono e hoʻololi ke kaukōpō i kahi ʻoki ākea inā ʻaʻole hiki ke hoʻomau pono ʻia ke kahakaha laparoscopic.

Nā kumu ʻē aʻe no ka hemo ʻana o ka gallbladder e ka ʻoki ākea:

• Kahe koko ʻole i ka wā o ka hana laparoscopic
• Ka momona
• Pancreatitis (pehu i ka pancreas)
• Hāpai keiki (ke kolu o ka trimester)
• Nā pilikia o ke ake nui
• ʻO nā hana i hala i hala ma kahi o kou ʻōpū

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, kahe koko
• Maʻi kīnā

ʻO nā pilikia o ke kaha ʻana o ka gallbladder:

• Poino i nā kīʻaha koko e hele i ke ake
• Hoʻopilikia i ke kaila o ka bile maʻamau
• Hoʻopilikia i ka ʻōpū liʻiliʻi a nui paha
• Pancreatitis (li nui o ka pancreas)

Loaʻa iā ʻoe i kēia mau hoʻokolohua i hana ʻia ma mua o ke kahakaha ʻana.

• Nā hoʻokolohua koko (helu piha i ke koko, nā electrolytes, nā ake a me nā hoʻokolohua)
• ʻO ka x-ray a i ʻole electrocardiogram (ECG), no kekahi poʻe
• Kekahi mau lālaki x o ka gallbladder
• ʻO Ultrasound o ka gallbladder

E haʻi i kāu kauka a kahu maʻi paha:

• Inā hāpai ʻoe a hāpai paha ʻoe
• ʻO nā lāʻau, nā wikamina, a me nā mea hoʻopono ʻē aʻe āu e lawe nei, ʻo nā mea āu i kūʻai ai me ka ʻole o ka lāʻau

I loko o ka pule ma mua o ke kahakaha ʻana:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), a me nā lāʻau ʻē aʻe e hoʻokau iā ʻoe i kahi kiʻekiʻe o ke kahe ʻana o ke kahe i ka wā o ke ʻoki.
• E nīnau i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• E hoʻomākaukau i kou home no nā pilikia āu e loaʻa ana ma hope o ke ʻoki.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hoʻoulu i ka pō ma mua a i ʻole ke kakahiaka o kāu ʻoki kino.
• E hōʻea i ka haukapila i ka manawa.

Pono ʻoe e noho i ka haukapila no 3 a 5 mau lā ma hope o ka wehe ʻana o ka gallbladder wehe. I loko o kēlā manawa:

• E noi ʻia paha ʻoe e hanu i loko o kahi hāmeʻa i kapa ʻia he spirometer hoʻoikaika. Kōkua kēia i ka hana maikaʻi ʻana o kou mau māmā i ʻole e loaʻa ʻoe i ka maʻi ʻaʻai.
• E kōkua ke kahu iā ʻoe e noho i luna o kahi moe, kau i kou mau wāwae ma ka ʻaoʻao, a laila kū i luna a hoʻomaka e hele wāwae.
• I ka manawa mua, e loaʻa nā wai i kāu vein ma o ka paipu intravenous (IV). Ma hope koke iho, e noi ʻia ʻoe e hoʻomaka i ka inu wai a me ka ʻai ʻana i nā meaʻai.
• Hiki iā ʻoe ke ʻauʻau ʻoiai ʻoe ma ka haukapila.
• E noi paha ʻoe e komo i nā lāʻau kaomi ma luna o kou mau wāwae e kōkua ai i ka pale ʻana mai ke kūpē ʻana o ke koko.

Inā he mau pilikia i kou wā ʻoki, a inā he kahe kou, he ʻeha nui, a he kuni paha, pono paha ʻoe e noho lōʻihi i ka haukapila. E haʻi aku kāu kauka a kahu wahine paha iā ʻoe pehea e mālama ai iā ʻoe iho ma hope o kou haʻalele ʻana i ka haukapila.

Ola ka hapa nui o ka poʻe a loaʻa nā hopena maikaʻi mai kēia kaʻina hana.

Cholecystectomy - wehe; Gallbladder - wehe i ka cholecystectomy; Cholecystitis - wehe i ka cholecystectomy; ʻO Gallstones - wehe i ka cholecystectomy

• Papaʻai Bland
• Mālama ʻeha ʻeha - wehe
• Ke loaʻa ka nausea a me ka luaʻi

• ʻO Cholecystitis, CT scan
• Cholecystitis - cholangiogram
• ʻO Cholecystolithiasis
• Pākuʻi
• Wehe i ka gallbladder - Pūʻulu

Jackson PG, Evans SRT. ʻŌnaehana Biliary. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 54.

Rocha FG, Clanton J. ʻenehana o cholecystectomy: wehe a hoʻouka iki. I: Jarnagin WR, hoʻoponopono. ʻO Blumgart's Surgery of the Liver, Biliary Tract, a me Pancreas. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 35.