Lawe ka laparoscopic gallbladder

ʻO ka hemo ʻana o ka gallbladder laparoscopic kahi ʻoki e wehe i ka gallbladder me ka hoʻohana ʻana i kahi lāʻau lapaʻau i kapa ʻia he laparoscope.

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.

ʻO ke kaha me ka hoʻohana ʻana i ka laparoscope ke ala maʻamau e hemo ai i ka gallbladder. ʻO ka laparoscope kahi paipu lahilahi, kukui i mea e ʻike ai ke kauka i loko o kou ʻōpū.

Hana ʻia ke kaha o ka hemo Gallbladder ʻoiai ʻoe ma lalo o ka anesthesia ākea no laila hiamoe ʻoe a ʻaʻohe ʻeha.

Hana ʻia ka hana i ke ala aʻe:

• Hana ke kauka iā 3 a 4 mau ʻoki liʻiliʻi i loko o kou ʻōpū.
• Hoʻokomo ʻia ka laparoscope ma o kekahi o nā ʻoki.
• Hoʻokomo ʻia nā mea olakino ʻē aʻe ma o nā ʻoki ʻē aʻe.
• Hoʻomoe ʻia ka Gas i loko o kou ʻōpū e hoʻonui i ka hakahaka. Hāʻawi kēia i ke kaukipala i kahi lumi hou aʻe e ʻike a hana ai.

Lawe ʻia ka gallbladder e hoʻohana ana i ka laparoscope a me nā mea kani ʻē aʻe.

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 kiʻi ʻia kahi kiʻi 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.

I kekahi manawa ʻaʻole hiki i ke kaukoki ke lawe palekana i ka gallbladder me ka hoʻohana ʻana i ka laparoscope. I kēia hihia, e hoʻohana ka kaukōkō i kahi ʻoki hamama, kahi e ʻoki nui ʻia ai.

Pono ʻoe i kēia ʻoki inā loaʻa ʻoe i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe mai nā gallstones. Pono paha ʻoe ia inā ʻaʻole holo pono kāu gallbladder.

Pili pū nā ʻōuli maʻamau:

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

Loaʻa ka hapa nui o ka poʻe i ka wikiwiki a me ka liʻiliʻi o nā pilikia me ke kahakaha laparoscopic ma mua o ka ʻoki ākea.

Nā pōpilikia no ka anesthesia a me ke kahakaha ma nā ʻano āpau:

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

Nā pilikia no ka ʻoki ʻana o ka gallbladder:

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

Loaʻa paha iā ʻoe kēia mau hoʻokolohua i hana ʻia ma mua o kāu ʻoki ʻana.

• Nā hoʻokolohua koko (helu piha i ke koko, nā electrolytes, a me nā hoʻāʻo ʻana o nā puʻupaʻa)
• 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 mea mālama ola:

• Inā hāpai ʻoe a hāpai paha ʻoe
• He aha nā lāʻau, nā wikamina, a me nā mea hoʻopili 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 ke kahe kiʻekiʻe 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 aku kāu kauka a kahu wahine paha iā 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.

Inā ʻaʻohe ou pilikia, hiki iā ʻoe ke hoʻi i ka home ke hiki ke inu maʻalahi i nā wai a hiki ke mālama ʻia kou ʻeha me nā lāʻau ʻeha. Hele ka hapa nui o ka poʻe i ka home i ka lā like a i ʻole ka lā ma hope o kēia ʻoki.

Inā he mau pilikia i ka wā o ke ʻoki ʻana, a inā he kahe kou, he ʻeha nui, a he kuni paha, pono paha ʻoe e noho lōʻihi i ka haukapila.

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

Cholecystectomy - laparoscopic; Gallbladder - ʻoki laparoscopic; Gallstones - ʻoki kino laparoscopic; Cholecystitis - ʻoki kino laparoscopic

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

• Pākuʻi
• Anatomia Gallbladder
• ʻOki kino Laparoscopic - moʻo

Jackson PG, Evans SRT. ʻŌnaehana Biliary. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 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.