Mokhoa o ka sehloohong le o sebetsang ka ho fetisisa oa phekolo ea cholelithiasis kajeno ke cholecystectomy - ts'ebetso ea ho tlosa gallbladder. Empa hangata mokhoa ona ha o felise matšoao a khathatso ea mpa, e iponahatsang ka mofuta oa bohloko le bothata ba matšoafo. Ena ke postcholecystectomy syndrome (PHC).
Mabaka a lefu la postcholecystectomy syndrome
Lisosa tse tloaelehileng ka ho fetisisa tsa PCHP ke tsena:
- sekoti sa pampiri ea li-biliary ea extrahepatic;
- cyst ea bile duct;
- majoe ka li-ducts tsa bile;
- lefu la sebete;
- ho phalla ha bile;
- sekhahla sa 'mele hore se etsoe ka majoe.
Ka mor'a hore ho tlosoe gallbladder, bile e kena ka maleng, ka lebaka la ho senyeha ha lijo ho ferekanngoa 'me ka lebaka leo ho se lekane ha lesea la mala ho hlaha. Kahoo ho na le maikutlo a bohloko.
Tlhahlobo ea lefu la postcholecystectomy syndrome
Tlhahiso e kholo ka ho fetisisa e etsoa ka mokhoa oa ho qetela oa li-endoscopic cholangiopancreatography le manometry ea Oldy sphincter. Empa lisebelisoa tsa ho etsa lipatlisiso tse joalo li fumaneha litsing tse 'maloa tsa lipatlisiso.
Liteko tse tloaelehileng ka ho fetisisa tsa laboratori tse khethollang boemo:
- bilirubin;
- gamma glutamyl transferase;
- alkaline phosphatase;
- alanine le li-aspartic transaminases;
- amylase ;
- elastase;
- lipase.
Liteko tsena tsa laboratori li eletsoa hore li etsoe nakong, kapa ka hare ho lihora tse 6 ka mor'a tlhaselo e hlahlamang.
Matšoao a lefu la postcholecystectomy syndrome
Lipontšo tsa PCHP:
- bohloko bo ka lehlakoreng le letona le sebakeng sa epigastric, e leng se ka boela sa fana ka sebaka se nepahetseng sa scapula le morao;
- maloetse a fapa-fapaneng a ho itšireletsa a iponahatsang ka mokhoa oa ho nyekeloa ke pelo, flatulence, ho pata, letšollo, maikutlo a bohloko a monate molomong;
- hape le ponahalo ea lefuba.
Kemiso ea postcholecystectomy syndrome
Ha ho na sehlopha se le seng sa PCHP bakeng sa kajeno. Hangata ba sebelisa mokhoa o joalo:
- Ho hlahisa papillitis ea duodenal.
- Ho hlasela ha biliary (cholepancreatitis).
- Mokhoa oa ho khomarela ka matla (ho fokolloa ho sa foleng peritonitis) sebakeng se ka sehloohong.
- E khutlela morao ho thehoa ha majoe ka har'a methapo ea bile.
- Likarolo tsa bobeli tsa gastroduodenal (biliary kapa hepatogenic).
Phekolo ea lefu la postcholecystectomy syndrome
Mehato ea ho phekoloa ha PHC e lokela ho rereloa ho felisa mathata ao a sebetsang kapa a moralo ho tloha ho 'meleng oa sebete, ho sebete, sebete le li-pancre tse bakang bohloko.
E 'ngoe ea mekhoa ea phekolo ke lijo tse fokolang (ho fihlela makhetlo a 6-7 ka letsatsi). Ka nako e le 'ngoe le lefu la post-choledocystectomy syndrome, ho ja ho bontšoa - acid, e bohale, e halikiloeng le e tsuba e haneloa ka ho feletseng.
Ha ho na le bohloko ba paroxysmal, ho ka khoneha ho fana ka meriana ea bohloko, e kang:
- Mebeverin;
- Drotaverine.
Haeba sesosa sa bohloko ke ho haella ha enzyme, joale litokisetso tsa enzyme li laeloa ho ntlafatsa ts'ebetso ea lijo, tse kang:
- Khotso ea Panzinorm;
- Mokete;
- Creon .
Haeba ho thehoa hore ka mora ts'ebetso ea ho tlosa gallbladder, intestinal biocenosis e senyeha, joale lithethefatsi li laeloa ho tsosolosa e tloaelehileng ea intestinal microflora. Ka nako e ts'oanang,
- Furazolidone;
- Intetriks;
- Doxycycline.
Lichelete tsena li nkoa ka matsatsi a 5-7, 'me joale lithethefatsi tse kenyang malango a nang le libaktheria tse molemo:
- Linex;
- Bifidumbacterin le tse ling.
Likhoeli tse tšeletseng ka mor'a ts'ebetso, bakuli ba tlameha ho ba tlas'a taolo ea ngaka.