Cholecystectomy ntawm Apollo Tsev Kho Mob, Lucknow

Vim li cas cov neeg mob xaiv Apollo Tsev Kho Mob Lucknow rau Cholecystectomy

• Cov keeb kwm ntawm pawg neeg: Apollo Tsev Kho Mob tau pib xyoo 1983 ua thawj lub tsev kho mob hauv Is Nrias teb thiab niaj hnub no ua haujlwm ntau dua 70 lub tsev kho mob nrog ntau dua 10,000 lub txaj, muab kev nkag mus rau chav tsev kho mob hauv Lucknow rau cov txheej txheem kho mob thoob plaws pawg, cov txheej txheem tshuaj xyuas thiab cov tes hauj lwm thib ob.
• Ib lub tsev kawm ntawv tshwj xeeb hauv Lucknow: Tsev Kho Mob Apollomedics Super Specialty, Lucknow yog ib lub tsev kho mob loj nyob rau ntawm Kanpur Road Lucknow uas muaj kev pabcuam thaum muaj xwm txheej ceev, kev kho mob tseem ceeb thiab kev txhawb nqa los ntawm cov txhab ntshav - tseem ceeb vim tias feem ntau ntawm cov neeg mob gallbladder tshwm sim ua xwm txheej ceev ceev es tsis yog kev phais mob uas tau npaj tseg.
• Kev phais mob dav dav thiab GI ua pab pawg: Kev phais mob cholecystectomy ntawm Apollo Lucknow yog ua los ntawm pab pawg kws phais mob dav dav, laparoscopic thiab gastrointestinal ua haujlwm nrog rau cov kws kho mob gastroenterologists, anesthesiologists thiab intensivists. Tus naj npawb ntawm cov kws phais neeg ua haujlwm thiab lawv cov xyoo ntawm kev paub dhau los tau teev nyob rau ntawm nplooj ntawv "Nrhiav Kws Kho Mob" ntawm tsev kho mob thiab tuaj yeem lees paub thaum lub sijhawm teem caij.
• Kev nkag mus tsawg kawg nkaus raws li lub neej ntawd: Tus qauv plaub-qhov chaw nres nkoj thiab txo-qhov chaw nres nkoj laparoscopic cholecystectomy yog txoj hauv kev niaj hnub, nrog rau kev hloov pauv qhib thaum twg anatomy, cov nplaum ntom ntom lossis los ntshav ua rau nws yog qhov kev xaiv zoo dua.
• Kev txhawb nqa rau cov gallbladder nyuaj: Kev kuaj mob endoscopy hauv qhov chaw rau ERCP, kev kuaj mob cholangiography thaum lub sijhawm phais yog tias qhia, kev thaij duab hluav taws xob nrog ultrasound, CT thiab MRCP, thiab kev thaub qab HPB/hepatology rau kev xav tias muaj pob zeb hauv cov kav dej kua tsib lossis raug mob hauv cov kav dej kua tsib.
• Kev saib xyuas thoob plaws cov pab pawg hnub nyoog: Cov txheej txheem rau cov neeg laus, rau cov neeg mob laus uas muaj mob plawv, raum lossis mob ntshav qab zib, thiab rau cov hluas thiab cov menyuam yaus uas muaj pob zeb hauv lub zais zis uas cuam tshuam nrog kab mob ntshav dawb, qhov twg kev siv tshuaj loog rau menyuam yaus thiab kev tawm tswv yim rau menyuam yaus tau npaj tseg.
• Cov lus qhia txog kev kho kom rov zoo uas siv tau rau Is Nrias teb: Cov lus qhia no suav nrog kev zaum zawm, zaum ceg sib tshooj, chav dej zoo li Is Nrias teb, pw hauv pem teb, kev ua haujlwm hauv lub tuam tsev thiab hauv tsev, thiab cov neeg saib xyuas tsev neeg tuaj yeem pab li cas hauv thawj ob lub lis piam.
• Lub rooj sib tham txog kev pov hwm thiab TPA hauv tsev kawm ntawv rau kev tso cai ua ntej tsis siv nyiaj ntsuab, ntxiv rau kev pab rau cov neeg mob uas taug kev los ntawm cov cheeb tsam thoob plaws Uttar Pradesh.

Peb tsis cog lus tias yuav muaj qhov tshwm sim tshwj xeeb. Peb cog lus tias yuav ua qhov kev ntsuam xyuas ncaj ncees seb koj puas xav tau kev phais mob, piav qhia meej txog cov kev pheej hmoo, thiab cov txheej txheem los tswj cov teeb meem yog tias lawv tshwm sim.

Txheej txheem cej luam

Cholecystectomy, kev phais tshem tawm lub gallbladder, yog ib qho kev phais mob uas siv ntau rau cov tib neeg uas muaj teeb meem cuam tshuam nrog gallbladder. Ntawm Apollo Tsev Kho Mob Lucknow, peb txaus siab rau peb lub koob npe nrov rau kev ua tau zoo hauv kev kho mob, siv cov thev naus laus zis tam sim no thiab cov txheej txheem phais siab heev los txhawb cov txiaj ntsig zoo rau peb cov neeg mob. Nrog pab pawg kws phais neeg txawj thiab kev cog lus rau kev saib xyuas tus kheej, Apollo Tsev Kho Mob Lucknow yog qhov kev xaiv zoo rau cholecystectomy hauv cheeb tsam. Peb cov neeg mob ntseeg peb tsis yog rau peb txoj kev txawj ntse kho mob xwb tab sis kuj rau peb txoj kev khuv leej rau kev kho mob.

Vim li cas Cholecystectomy thiaj li tsim nyog

Feem ntau, kev phais mob cholecystectomy yog qhov tsim nyog rau cov neeg mob uas muaj pob zeb hauv lub zais zis, mob ntawm lub zais zis (cholecystitis), lossis lwm yam kab mob ntsig txog lub zais zis. Pob zeb hauv lub zais zis tuaj yeem ua rau mob hnyav, teeb meem zom zaub mov, thiab cov teeb meem xws li mob pancreatitis lossis kab mob. Los ntawm kev tshem tawm lub zais zis, peb tuaj yeem txo cov tsos mob no thiab txo qhov kev pheej hmoo ntawm cov teeb meem ntxiv. Cov txheej txheem feem ntau yog ua laparoscopically, uas txhais tau tias cov qhov me me, mob tsawg dua, thiab lub sijhawm rov zoo sai dua rau feem ntau cov neeg mob. Ntawm Apollo Tsev Kho Mob Lucknow, peb xyuas kom meej tias txhua tus neeg mob tau txais kev soj ntsuam kom meej kom txiav txim siab seb puas yog cholecystectomy tiag tiag, kho peb txoj hauv kev rau cov kev xav tau ntawm tus kheej.

Kev pheej hmoo ntawm kev ncua

Kev ncua sijhawm phais mob cholecystectomy thaum nws qhia tau tias yuav ua rau muaj kev pheej hmoo loj rau kev noj qab haus huv. Cov pob zeb hauv lub zais zis tuaj yeem ua rau mob cholecystitis sai sai, ua rau mob plab hnyav, kub taub hau, thiab muaj teeb meem xws li lub zais zis tawg lossis kis kab mob. Cov mob no yuav xav tau kev phais mob ceev, uas tuaj yeem nyuaj dua thiab muaj kev pheej hmoo ntau dua li cov txheej txheem npaj tseg. Ntawm Apollo Tsev Kho Mob Lucknow, peb hais txog qhov tseem ceeb ntawm kev cuam tshuam raws sijhawm. Peb pab neeg lub hom phiaj yog muab kev saib xyuas sai sai, kom cov neeg mob tau txais kev kho mob ua ntej muaj teeb meem tshwm sim.

Cov txiaj ntsig ntawm Cholecystectomy

Kev phais cholecystectomy tuaj yeem txhim kho lub neej zoo rau cov neeg uas muaj cov tsos mob ntawm gallstones. Ntau tus neeg mob tau txais kev pab los ntawm kev mob rov qab thiab cov tsos mob ntawm kev zom zaub mov tom qab kev phais. Kev tshem tawm ntawm lub gallbladder feem ntau xaus lub voj voog ntawm biliary colic tawm tsam, tso cai rau cov tib neeg rov qab mus rau cov haujlwm ib txwm yam tsis ntshai ntawm qhov mob hnyav tam sim ntawd. Qee tus neeg mob kuj tshaj tawm tias kev noj mov zoo li yooj yim dua tom qab, txawm hais tias tsawg tus neeg pom tias cov quav xoob lossis tsis haum rog rau ib ntus. Ntawm Apollo Tsev Kho Mob Lucknow, peb tsis yog tsuas yog tsom mus rau txoj kev phais tab sis rau kev rov zoo tag nrho, kom ntseeg tau tias cov neeg mob tau txais kev txhawb nqa uas lawv xav tau thoob plaws lawv txoj kev taug kev.

Kev npaj thiab rov qab

Kev npaj rau cholecystectomy muaj ob peb kauj ruam tseem ceeb los xyuas kom meej qhov kev phais zoo. Nov yog qee cov lus qhia tswv yim:

1. Kev sab laj: Teem sijhawm sib tham nrog peb cov kws phais mob ntawm Apollo Tsev Kho Mob Lucknow. Lawv yuav soj ntsuam koj tus mob, tham txog cov txheej txheem, thiab teb cov lus nug uas koj muaj.
2. Cov lus qhia ua ntej phais: Ua raws li cov lus qhia ua ntej phais uas koj pab neeg saib xyuas kev noj qab haus huv muab, uas tej zaum yuav suav nrog kev txwv kev noj zaub mov thiab kev hloov kho tshuaj.
3. Npaj kev thauj mus los: Vim tias koj yuav raug tshuaj loog, npaj kom muaj ib tus neeg tsav koj mus tsev tom qab ua tiav cov txheej txheem.
4. Kev Saib Xyuas Tomqab Tomqab: Tom qab phais mob tas, ua raws li koj tus kws phais mob cov lus qhia txog kev ua ub ua no, kev noj zaub mov, thiab kev saib xyuas qhov txhab. Kev so yog qhov tseem ceeb rau kev rov zoo.
5. Kev teem caij tom qab: Tuaj koom txhua qhov kev teem sijhawm rov qab los saib xyuas koj tus mob kom koj thiaj li tau saib xyuas thiab daws txhua yam teeb meem.

Ntawm Apollo Tsev Kho Mob Lucknow, peb ua qhov tseem ceeb rau koj txoj kev rov zoo los ntawm kev muab kev saib xyuas thiab kev txhawb nqa tom qab, kom ntseeg tau tias koj muaj peev txheej koj xav tau rau txoj kev kho kom zoo.

Cov Lus Qhia Tam Sim No Hais Li Cas

Kev txiav txim siab ntawm Apollo Lucknow yog ua raws li cov lus qhia hauv tebchaws thiab thoob ntiaj teb uas tau tshaj tawm es tsis yog kev nyiam ntawm kws phais mob xwb:

• Cov Lus Qhia Txog Tokyo Xyoo 2018 (TG18) tseem yog tus qauv siv rau kev kuaj mob thiab ntsuas qib mob cholecystitis thiab mob cholangitis. TG18 txhawb nqa kev phais mob laparoscopic cholecystectomy thaum ntxov rau Qib I thiab qib II mob cholecystitis hauv cov neeg mob uas muaj zog, es tsis yog kev coj ua qub ntawm kev txias thiab ua haujlwm tom qab rau lub lis piam. Rau Qib III (kev ua haujlwm tsis zoo ntawm lub cev) lossis cov neeg mob uas muaj kev pheej hmoo siab, TG18 txhawb nqa kev ntws dej sai sai (percutaneous cholecystostomy) ua ntej, nrog rau kev phais tom qab.
• Cov lus qhia ntawm Lub Koom Haum Thoob Ntiaj Teb rau Kev Phais Mob Thaum Muaj Xwm Ceev (WSES) xyoo 2020 txog kev mob cholecystitis mob hnyav ib yam li ntawd, pom zoo kom phais thaum ntxov, zoo tshaj plaws tsis pub dhau xya hnub tom qab muaj tsos mob thiab tsis pub dhau kaum hnub tom qab nkag mus rau hauv tsev kho mob yog tias ua tau, thiab pom zoo rau "kev xav tseem ceeb ntawm kev nyab xeeb" thiab kev phais mob cholecystectomy lossis kev hloov pauv mus rau lwm qhov ua cov tswv yim zoo rau kev kho mob hauv lub zais zis uas nyuaj.
• Cov lus qhia txog kev xyaum ua haujlwm hauv Is Nrias teb: cov Lub Koom Haum Is Nrias teb ntawm Cov Kws Phais Mob Plab Hnyuv Endo (IAGES) tau tshaj tawm cov lus pom zoo thiab cov lus qhia txog kev nyab xeeb-cholecystectomy rau kev xyaum hauv Is Nrias teb, thiab Association ntawm Surgeons ntawm Is Nrias teb (ASI) phau ntawv qhia thiab cov ntaub ntawv CME kuj tseem hais txog laparoscopy ua tus qauv, cov ntaub ntawv yuav tsum tau ua ntawm qhov kev xav tseem ceeb ntawm kev nyab xeeb, thiab qhov qis qis rau kev siv cholangiography lossis kev hloov pauv hauv kev phais. Indian Society ntawm Gastroenterology thiab INASL kev taw qhia yog qhov tseem ceeb thaum cov pob zeb hauv lub zais zis muaj feem cuam tshuam nrog pancreatitis lossis kab mob siab ntev.
• Kev ceeb toom txog mob qog noj ntshav hauv lub zais zis tshwj xeeb rau sab qaum teb Is Nrias teb: Thaj chaw Ganga, suav nrog Uttar Pradesh thiab Bihar, muaj ib qho ntawm cov neeg mob qog nqaij hlav siab tshaj plaws hauv ntiaj teb. Yog li ntawd, cov kws phais neeg Is Nrias teb qhia kom muaj qhov qis dua rau kev phais rau cov neeg mob uas muaj lub zais zis tuab lossis calcified (porcelain), polyps ntawm 10 hli lossis ntau dua, polyps loj hlob, lossis gallstones loj dua li 3 cm. Qhov kev pheej hmoo hauv cheeb tsam no yog qhov tseeb thiab feem ntau tsis tau tham txog vim li cas tus neeg mob Lucknow yuav raug qhia kom phais txawm tias muaj cov tsos mob me me.
• Cov pob zeb uas tsis muaj tsos mob ("ntsiag to"): Cov lus qhia ib txwm qhia kom tsis txhob phais mob rau cov pob zeb uas tsis muaj zog tiag tiag rau cov neeg laus uas noj qab nyob zoo, tsuas yog muaj cov yam ntxwv txaus ntshai saum toj no, thiab rau cov neeg uas muaj ntshav tsis txaus, lossis cov neeg uas tab tom phais mob plab.

Cov pov thawj hauv qee qhov chaw tseem tab tom hloov pauv - piv txwv li, qhov txiaj ntsig tseeb ntawm kev kuaj mob cholangiography thaum lub sijhawm phais, thiab cov txiaj ntsig mus sij hawm ntev ntawm kev phais mob subtotal cholecystectomy - yog li cov lus qhia raug siv nrog kev txiav txim siab hauv kev kho mob thiab tham nrog koj.

Lub Sijhawm Phais Mob thiab Theem Ua Ntej Kev Kho Mob

Thaum twg teem sijhawm phais mob

• Xwm txheej ceev / kev nkag mus rau tib qho chaw: Mob cholecystitis mob hnyav, mob pancreatitis uas tau ploj mus lawm, mob daj ntseg nrog mob cholangitis tom qab tso zis tawm, lossis mob gallbladder perforation.
• Xaiv ua ntej (hnub mus txog ob peb lub lis piam): Mob plab hnyuv rov tshwm sim dua, thawj zaug mob hnyav, lossis tom qab ERCP rau pob zeb hauv cov kav dej kua tsib? Tso lub zais zis rau hauv qhov chaw tom qab ERCP muaj kev pheej hmoo siab ntawm kev mob ntxiv.
• Kev xaiv kawm uas tau npaj tseg (lub lim tiam): Mob cholecystitis ntev, cov polyps hauv lub zais zis raug saib xyuas, cov neeg mob xav tau kev kho mob ntshav qab zib, ntshav tsis txaus, ntshav siab lossis lub plawv ua ntej.
• Ncua Sijhawm: Thawj peb lub hlis lossis thaum kawg ntawm peb lub hlis ntawm cev xeeb tub uas cov tsos mob tuaj yeem tswj tau, sepsis uas tseem tab tom tshwm sim los ntawm lwm qhov chaw, lossis thaum lub sijhawm txias tom qab muaj mob hnyav yog qhov muaj kev nyab xeeb dua.

Kev npaj ua ntej txheej txheem

• Kev kuaj mob ultrasound hauv plab yog qhov kev kuaj thawj zaug; MRCP lossis endoscopic ultrasound raug ntxiv yog tias xav tias muaj pob zeb hauv cov kua tsib. CT yog siv rau cov teeb meem nyuaj lossis muaj kev xav tsis thoob.
• Kev kuaj ntshav: suav cov ntshav tag nrho, kev ua haujlwm ntawm daim siab, amylase lossis lipase, kev ua haujlwm ntawm lub raum, qab zib hauv ntshav thiab HbA1c, cov ntaub ntawv coagulation, pawg ntshav, cov cim kab mob viral.
• Kev ntsuam xyuas lub plawv thiab tshuaj loog: ECG, duab hauv siab yog tias qhia, echocardiography rau cov neeg mob laus dua lossis cov neeg uas muaj keeb kwm mob plawv; kev kuaj mob ua ntej siv tshuaj loog raug tso cai.
• Cov Tshuaj: cov tshuaj ua kom cov ntshav nyias xws li aspirin, clopidogrel, warfarin lossis cov tshuaj anticoagulants tshiab dua yuav tsum tau tham ua ntej thiab tsuas yog tsum tau txais kev qhia los ntawm kws kho mob xwb. Metformin, SGLT2 inhibitors thiab cov koob tshuaj insulin raug hloov kho thaum lub sijhawm yoo mov.
• Kev yoo mov: feem ntau tsis txhob noj cov khoom khov rau rau txog yim teev thiab cov kua dej ntshiab raug tso tseg li ob teev ua ntej siv tshuaj loog, raws li koj tus kws kho mob hais.
• Tsum tsis txhob haus luam yeeb thiab haus luam yeeb los yog siv gutkha sai li sai tau ua ntej phais mob; nws txo tau cov teeb meem hauv siab thiab qhov txhab.
• Kho cov kab mob ntshav tsis txaus ua ntej qhov twg ua tau? Nws yog ib qho tshwm sim rau cov neeg mob hauv North Indian thiab cuam tshuam rau kev rov zoo.

Cov Kev Xaiv Txuj Ci Sib Piv

Cov Txheej Txheem Qee Zaum Ua Tib Lub Sijhawm

• Kev kuaj mob cholangiography lossis laparoscopic ultrasound hauv kev phais kos duab cov kav dej kua tsib thaum lub cev tsis meej lossis xav tias muaj pob zeb hauv cov kav dej.
• Kev tshawb nrhiav cov kua tsib hauv lub cev Laparoscopic hauv qee kis ntawm cov pob zeb hauv cov kav dej, zam kev ERCP sib cais.
• Kho qhov txhab ntawm txoj hlab ntaws, epigastric lossis me me pom nyob rau tib lub xaib.
• Mob siab biopsy thaum muaj kab mob siab ntev lossis rog siab xav tau kev soj ntsuam thiab nws muaj kev nyab xeeb ua li ntawd.
• Appendicectomy tsuas yog tias muaj qhov qhia meej xwb, tsis yog ib txwm muaj.
• Adhesiolysis rau cov neeg mob uas tau phais plab ua ntej.
• Kev npaj txiav qhov seem khov lossis kev txiav ntev Yog tias muaj mob qog nqaij hlav hauv lub zais zis uas tsis tau xav txog thaum lub sijhawm phais mob, qhov no yog qhov yuav tsum xav txog tiag tiag hauv thaj chaw no. Kev phais mob qog nqaij hlav uas paub tseeb tias yog qhov tseeb feem ntau yog ua tiav tom qab kev ntsuam xyuas tag nrho.

Kev Rov Qab Zoo Ib Theem Ib Theem

Cov ntawv sau txog kev ua ub no hauv Is Nrias teb

• Chav dej zaum thiab chav dej Indian: Feem ntau cov neeg yuav zoo tom qab li ib mus rau ob lub lis piam nrog laparoscopy, ntev dua tom qab phais qhib. Lub rooj zaum lossis lub rooj zaum yas uas tsa siab nyob ze yuav pab tau rau thawj ob lub lis piam. Tsis txhob siv zog ntau dhau? Thov kom muaj tshuaj ua kom cov quav mos yog tias koj cem quav.
• Zaum hla ceg hauv pem teb: Feem ntau yuav xis nyob li ob mus rau peb lub lis piam. Siv ib lub ncoo thiab sawv los ntawm phab ntsa lossis lub rooj zaum es tsis txhob siv zog plab tam sim ntawd.
• Pw hauv pem teb: Txaus siab, tab sis kev sawv ntawm lub plab yuav ua rau koj lub plab nruj. Rau thawj lub lim tiam, dov koj ib sab thiab siv koj txhais tes thawb koj lub cev, lossis pw saum lub txaj pw khov kho yog tias muaj.
• Kev ua haujlwm hauv tsev: Yuav tsum tos li ob mus rau peb lub lis piam ua ntej yuav ntxuav, so, sib tsoo, haus dej thiab nqa menyuam yaus ntawm lub duav. Qhov no yog qhov tseem ceeb tshaj plaws rau tsev neeg los npaj ua ntej seb leej twg yuav ua haujlwm hauv chav ua noj thiab kev khiav tsev kawm ntawv.
• Kev mus ncig ua si ob lub log: Tsis txhob caij tsheb lossis caij tus neeg zaum ntawm txoj kev ntxhib li ob mus rau peb lub lis piam; cov tsheb uas ua rau cov chaw nres nkoj puas tsuaj.

Cov Qauv Rau Kev Rov Qab Mus Ua Haujlwm, Kev Ua Si thiab Kev Ua Haujlwm Hnyav

Lub sijhawm xwb tsis yog qhov kev sim. Rov qab los thaum koj tuaj yeem hais tias yog rau tag nrho cov no:

• Qhov mob tswj tau yam tsis muaj tshuaj tua kab mob muaj zog.
• Cov qhov txhab qhuav, kaw thiab tsis liab, kub lossis tawm.
• Muaj peev xwm taug kev tau 20-30 feeb, nce ntaiv thiab hnoos yam tsis mob heev.
• Noj zaub mov sib xyaws ib txwm yam tsis ntuav; plab zom mov zoo.
• Tsis kub taub hau, thiab tsis muaj mob daj ntseg los yog zis dub.
• Rau cov tsav tsheb: muaj peev xwm nres thaum muaj xwm txheej ceev thiab tig mus xyuas cov chaw dig muag.
• Rau kev ua haujlwm hauv gym, kabaddi, cricket, wrestling lossis ua haujlwm hnyav tes: tshem tawm thaum lub sijhawm saib xyuas, feem ntau tom qab plaub txog rau lub lis piam rau laparoscopy thiab rau txog kaum ob lub lis piam tom qab phais qhib, maj mam nce qhov hnyav dua li rov pib dua ntawm qhov hnyav tag nrho.

Tiv Thaiv Teeb Meem Tom Qab Tshem Tawm Lub Qog Ntsws

Lub zais zis tsis tuaj yeem rov tsim cov pob zeb, tab sis cov pob zeb hauv cov hlab zis thiab lwm yam teeb meem zom zaub mov tseem tuaj yeem tshwm sim. Kev ntsuas zoo:

• Noj cov pluas noj tsis tu ncua; kev yoo mov ntev thiab tom qab ntawd noj cov pluas noj kib hnyav yog qhov ua rau tsis xis nyob. Kev yoo mov ua kev zoo siab ua raws li kev noj zaub mov nplua nuj feem ntau ua rau muaj cov tsos mob - faib cov khoom noj tawm mus rau lwm qhov.
• Txo cov khoom noj txom ncauj kib tob tob, cov roj ghee ntau, cov roj malai, cov roj yaj thiab cov kua mis uas muaj mis qab zib rau ob peb lub lis piam thawj zaug, tom qab ntawd maj mam rov qab noj dua raws li koj kam noj.
• Ntxiv cov fiber uas yaj tau - oats, dals, txiv hmab txiv ntoo, isabgol yog tias qhia - uas yuav pab yog tias cov quav xoob.
• Txo qhov hnyav kom ruaj khov dua li kev noj zaub mov kom poob phaus; kev poob phaus sai sai nws tus kheej ua rau muaj pob zeb hauv cov kav dej kua tsib.
• Tswj ntshav qab zib thiab kho cov triglycerides siab.
• Ua kom lub cev nquag; 30 feeb ntawm kev taug kev sai sai rau feem ntau hnub yog txaus.
• Qhia txog kev rov tshwm sim ntawm tib qho mob plab sab xis sab saud, mob daj ntseg lossis quav daj ntseg? pob zeb hauv txoj hlab pas uas tseem tshuav lossis pob zeb tshiab kho tau, feem ntau yog los ntawm ERCP.
• Tuaj koom nrog koj daim ntawv qhia txog keeb kwm ntawm cov qog nqaij hlav. Qhov no yog txoj hauv kev los kuaj pom tus mob qog nqaij hlav thaum ntxov, thiab nws yog ib kauj ruam tseem ceeb tshaj plaws hauv thaj chaw no.

Menyuam yaus, Cov neeg laus dua thiab lwm yam xwm txheej tshwj xeeb

Cov menyuam yaus thiab tub ntxhais hluas

Cov pob zeb hauv cov menyuam yaus feem ntau muaj feem cuam tshuam nrog cov mob ntshav xws li thalassemia, kab mob sickle cell lossis hereditary spherocytosis, lossis rog dhau thiab noj zaub mov ntev ntev hauv cov hlab ntshav. Laparoscopic cholecystectomy yog qhov ua tau zoo, thiab hauv cov kab mob ntshav nws tuaj yeem ua ke nrog splenectomy raws li txoj kev npaj tseg, nrog rau kev txhaj tshuaj tiv thaiv kab mob thiab kev hloov ntshav npaj ua ntej. Kev txhawb nqa kev siv tshuaj loog rau menyuam yaus thiab kev qhia niam txiv yog qhov tseem ceeb.

Cov laus

Cov neeg mob laus feem ntau muaj tsawg dua cov tsos mob tab sis muaj ntau yam teeb meem, thiab kev mob ua ke ua rau muaj kev pheej hmoo ntau dua li kev laus nws tus kheej. Kev soj ntsuam lub plawv, lub raum thiab kev noj zaub mov kom zoo, kev txav mus los thaum ntxov, kev kho lub hauv siab, kev tiv thaiv kev chim siab thiab kev tshuaj xyuas cov tshuaj thinning ntshav tseem ceeb heev. Rau cov neeg mob uas tsis muaj zog heev, kev tso dej cholecystostomy lossis kev tswj hwm tsis phais yuav yog qhov kev xaiv zoo dua, lees txais qhov kev pheej hmoo ntawm kev rov tshwm sim.

Cev xeeb tub

Cov pob zeb hauv lub zais zis uas muaj tsos mob thaum cev xeeb tub feem ntau raug kho los ntawm kev phais, zoo dua yog thaum lub sijhawm peb lub hlis thib ob, nrog rau kev koom tes ntawm kws kho mob poj niam. Cov kev mob rov tshwm sim thaum cev xeeb tub muaj lawv tus kheej cov kev pheej hmoo, yog li qhov kev txiav txim siab yog nyob ntawm tus kheej.

Ntshav Qab Zib, Rog Rog, Cirrhosis thiab Anticoagulation

Cov neeg mob ntshav qab zib yuav tuaj lig nrog kev kis kab mob hnyav; kev rog dhau ua rau kev phais nyuaj dua; cirrhosis thiab portal hypertension ua rau muaj kev pheej hmoo ntawm kev los ntshav thiab xav tau kev pab los ntawm kws kho mob siab; cov neeg mob uas siv tshuaj anticoagulant xav tau daim ntawv qhia kev sib txuas lus. Tag nrho cov no yog cov laj thawj uas yuav tsum npaj es tsis txhob ncua mus txog thaum muaj xwm txheej ceev.

Yog Koj Txiav Txim Siab Tsis Phais Mob

Kev tsis kam phais lossis ncua kev phais yog qhov kev xaiv raug cai, thiab nws yuav tsum yog qhov paub txog.

• Cov pob zeb uas ntsiag to tiag tiag uas tsis muaj cov yam ntxwv txaus ntshai yuav tsis ua teeb meem; kwv yees li ib mus rau ob ntawm ib puas tus neeg txhua xyoo muaj cov tsos mob.
• Thaum koj muaj ib qho mob ntawm cov biliary, kev tawm tsam ntxiv yog qhov tshwm sim - feem ntau ntawm cov neeg mob muaj lwm qhov mob hauv ib xyoos lossis ob xyoos.
• Tej zaum cov teeb meem ntawm kev tos suav nrog mob cholecystitis tam sim ntawd, gallbladder empyema lossis perforation, pob zeb poob rau hauv cov kav dej kua tsib ua rau mob jaundice lossis cholangitis, gallstone pancreatitis, thiab tsis tshua muaj gallstone ileus.
• Kev phais mob thaum muaj xwm txheej ceev hauv lub plab o tuaj yeem ua rau muaj kev hloov pauv mus rau kev phais qhib ntau dua, raug mob rau cov kua tsib, nyob ntev dua thiab raug nqi ntau dua li kev phais uas tau npaj tseg.
• Hauv Uttar Pradesh tshwj xeeb, cov pob zeb uas nyob ntev thiab lub zais zis o tuaj yeem cuam tshuam nrog mob qog nqaij hlav zais zis, uas feem ntau kuaj pom lig dhau los kho.
• Cov tshuaj xws li ursodeoxycholic acid tsuas yaj cov pob zeb me me uas muaj roj cholesterol qeeb qeeb xwb, ua haujlwm tsawg tsawg, thiab feem ntau cov pob zeb rov qab los tom qab nres.
• Yog koj xaiv tos, pom zoo rau ib txoj kev npaj: paub cov cim ceeb toom, khaws koj cov ntawv qhia ultrasound, thiab rov qab los sai sai yog tias mob, kub taub hau lossis mob daj ntseg.

Dab Tsi Cuam Tshuam Rau Tus Nqi ntawm Cholecystectomy

Peb tsis tshaj tawm cov nqi pob khoom ntawm no, vim tias tus lej kawg nyob ntawm koj qhov teeb meem kho mob. Thov nug Apollo Lucknow lub chaw them nqi lossis lub chaw pov hwm kom tau txais kev kwv yees sau ntawv tshwj xeeb rau koj.

Kev Pov Hwm, Kev Kho Mob Tsis Siv Nyiaj Ntsuab thiab Cov Ntawv Sau Hauv Is Nrias teb

• Cholecystectomy feem ntau yog ib qho kev phais mob uas muaj kev pov hwm. raws li kev pov hwm kev noj qab haus huv tus qauv, vim nws yuav tsum tau pw hauv tsev kho mob. Kev phais mob laparoscopic hauv chaw zov menyuam feem ntau kuj raug them, tab sis paub meej qhov no hauv koj cov lus pov hwm.
• Lub sijhawm tos tseem ceeb. Feem ntau cov cai lij choj hauv Is Nrias teb muaj lub sijhawm tos thawj zaug li ntawm 30 hnub rau kev mob, thiab ntau daim ntawv teev cov pob zeb hauv lub zais zis thiab kev phais lub zais zis ntawm cov neeg mob. kev zam tshwj xeeb rau cov kab mob tshwj xeeb nrog lub sijhawm tos ob xyoos (qee zaum ib xyoos, peb xyoos lossis plaub xyoos nyob ntawm tus neeg pov hwm). Yog tias koj daim ntawv pov hwm yog tshiab, nug koj tus neeg pov hwm ua ntawv sau ua ntej teem sijhawm phais mob xaiv tau.
• Cov kab lus uas muaj kab mob ua ntej lawm: Yog tias muaj ntaub ntawv pov thawj txog pob zeb hauv lub zais zis ua ntej koj yuav daim ntawv pov hwm, lub sijhawm tos kab mob uas twb muaj lawm - feem ntau yog ob txog plaub xyoos, thiab txog li peb xyoos raws li cov cai tswjfwm tam sim no rau cov ntawv pov hwm tshiab - yuav siv tau.
• Kev them nqi raws li kev npaj tseg piv rau kev them nqi thaum muaj xwm txheej: Kev phais mob ntawm lub zais zis yuav luag txhua zaus yog qhov npaj tseg lossis xwm txheej ceev mob kev thov nyiaj, tsis yog kev thov nyiaj raug mob. Cov cai lij choj kev raug mob ntawm tus kheej tsis them rau nws. Yog tias koj tsuas yog tuav daim ntawv pov hwm kev raug mob lossis mob hnyav xwb, kos seb qhov twg yuav tsum tau them tiag tiag.
• Txoj Kev Tsis Muaj Nyiaj Ntsuab: Qhia koj daim npav kho mob, tus lej pov hwm thiab daim npav ID nrog lub chaw pov hwm Apollo ua ntej nkag mus. Lub tsev kho mob xa daim ntawv thov kev tso cai ua ntej nrog kev kuaj mob, cov txheej txheem npaj thiab kev kwv yees rau koj lub tuam txhab pov hwm lossis TPA. Cov rooj plaub npaj tseg zoo tshaj plaws yog pib peb txog xya hnub ua haujlwm ua ntej; cov xwm txheej ceev raug ua tiav tom qab nkag mus.
• Txoj kev them rov qab: Them koj tus kheej thiab thov tom qab. Khaws cov ntaub ntawv qhia txog kev tawm tsev kho mob, daim nqi kawg nrog kev sib cais, cov ntawv txais nyiaj, cov ntawv tshawb nrhiav, cov ntawv xa khoom siv lossis cov khoom siv tau, daim ntawv qhia txog histopathology thiab cov tshuaj.
• Feem ntau tsis tau them nqi: Cov khoom siv uas tsis yog khoom siv kho mob, cov nqi pabcuam rau cov neeg saib xyuas, cov nqi xauj chav tsev siab dua li koj pawg tsim nyog, cov nyiaj tso nkag, thiab cov nyiaj rho tawm raws li qhov sib piv uas siv rau kev txwv nqi xauj chav tsev.
• Cov phiaj xwm ntawm tsoomfwv thiab cov tuam txhab lag luam: Txawm hais tias Ayushman Bharat PM-JAY, CGHS, ECHS, cov phiaj xwm hauv xeev lossis koj tus tswv ntiav haujlwm txoj kev sib koom tes hauv tuam txhab tam sim no tau muaj kev lees paub thiab siv tau ntawm lub tsev kho mob no, thiab txhua qhov kev them nqi koom nrog, yuav tsum tau lees paub ncaj qha nrog lub rooj pov hwm ua ntej nkag mus, vim tias qhov xwm txheej ntawm kev lees paub tuaj yeem hloov pauv.

Npaj Koj Txoj Kev Nkag Mus Kawm thiab Yuav Nqa Dab Tsi

• Daim npav ID uas muaj duab los ntawm tsoomfwv thiab daim qauv theej, ntxiv rau qhov ntawd rau koj tus neeg saib xyuas tseem ceeb.
• Daim npav pov hwm, daim ntawv pov hwm, cov ntaub ntawv TPA thiab txhua tsab ntawv tso cai ua ntej.
• Tag nrho cov ntawv sau tshuaj yav dhau los, cov duab ultrasound thiab MRCP, cov ntawv qhia ntshav, ECG, thiab kev tshem tawm ua ntej siv tshuaj loog.
• Ib daim ntawv teev cov tshuaj uas muaj cov koob tshuaj, suav nrog cov tshuaj ayurvedic, homeopathic lossis cov tshuaj ntsuab - qee yam cuam tshuam rau kev los ntshav thiab kev siv tshuaj loog.
• Khaub ncaws paj rwb xoob qhib pem hauv ntej, ib daim phuam qhwv caj dab lossis ib daim pam ntev, khau khiab uas muaj qhov tuav, thiab ib lub hnab me me rau cov khoom siv hauv chav dej.
• Yog koj siv tsom iav, lub thawv rau hniav cuav, lub tshuab ua pa, lub ntsuas glucometer lossis lub tshuab CPAP.
• Lub charger, lub hwj chim bank, thiab ib qho nyiaj ntsuab me me los yog daim npav rau cov khoom siv me me.
• Ib tug neeg laus uas ntseeg tau rau tsawg kawg yog 24 teev thawj zaug, thiab zoo dua yog pab nyob hauv tsev rau ib lub lim tiam.
• Tso cov hniav nyiaj hniav kub, kub thiab cov khoom muaj nqis tseg hauv tsev. Tshem cov xim pleev rau tes thiab pleev pleev raws li tau qhia.
• Npaj ib lub tsheb rau kev mus tsev. Tsis txhob npaj tawm tsev thaum hmo ntuj yog tias koj nyob deb.

Cov Cim Ceeb Toom Uas Yuav Tsum Tau Tshuaj Xyuas Sai

Hu rau tsev kho mob lossis mus rau chav kho mob ceev yog tias, tom qab phais lawm, koj muaj cov tsos mob nram qab no:

• Kub taub hau siab tshaj 38°C los yog 100.4°F, los yog txias heev.
• Mob plab hnyav lossis mob zuj zus es tsis yog mob zuj zus.
• Qhov muag daj los yog daim tawv nqaij daj, zis tsaus, los yog quav daj ntseg, xim av nplaum.
• ntuav ntuav los yog tsis muaj peev xwm ua kom cov kua dej qis.
• Cov kua qaub ncaug xim ntsuab, xim av los yog xim av tawm ntawm qhov txhab, los yog qhov liab thiab o nthuav dav.
• Ib lub plab tawv, o thiab tsis muaj quav lossis cua tawm.
• Ua tsis taus pa, mob hauv siab, lossis mob plab hlaub thiab o.
• Los ntshav ntawm qhov chaw nres nkoj, lossis tsaus muag thiab lub plawv dhia ceev.
• Tsis muaj zis tawm tau ntau teev, lossis qaug zog thiab tsis meej pem.

Ua ntej phais, tib txoj cai no siv rau mob plab sab saud hnyav nrog rau kub taub hau lossis mob daj ntseg - qhov kev sib xyaw ua ke ntawd yuav tsum tsis txhob tswj hwm hauv tsev.

Rau Cov Neeg Mob Uas Mus Los Ntawm Cov Cheeb Tsam Thiab Cov Nroog Nyob Ze

Lucknow yog lub chaw xa mus rau ntau qhov nruab nrab thiab sab hnub tuaj Uttar Pradesh. Cov neeg mob feem ntau taug kev los ntawm Barabanki, Sitapur, Hardoi, Unnao, Kanpur, Rae Bareli, Lakhimpur Kheri, Bahraich, Gonda, Faizabad?Ayodhya, Sultanpur, Amethi, Pratapgarh, Shahjahanpur, Fatehpur thiab Basti, thiab los ntawm Nepal ciam teb cov cheeb tsam.

• Xa cov ntawv qhia ua ntej. Qhia koj cov ultrasound, cov ntawv qhia ntshav thiab cov tshuaj noj ua ntej mus ncig kom kev sab laj muaj txiaj ntsig thiab txo qhov kev kuaj rov ua dua.
• Npaj ib qho qauv mus ntsib ob zaug yog tias ua tau: mus ntsib kws kho mob ib zaug xwb kom tau kev sab laj thiab kev kuaj mob, ces mam li nkag mus rau hauv tsev kho mob rau hnub uas tau lees paub lawm, es tsis txhob mus ncig ntau zaus.
• Kev siv nyiaj rau kev nyob li peb txog tsib hnub nyob ib puag ncig txoj kev phais laparoscopic uas tau npaj tseg kom tso cai rau kev kuaj xyuas ua ntej siv tshuaj loog thiab kev tshuaj xyuas qhov txhab thawj zaug, thiab ntev dua rau kev phais qhib lossis phais nyuaj.
• Tus neeg saib xyuas nyob: Nug lub chaw pabcuam txog cov tsev qhua thiab cov chaw nyob ze; tsis txhob cia siab rau kev pw ib hmos hauv chav pw tshwj tsis yog tias tau tso cai rau koj chav.
• Rov qab taug kev: Nyiam lub rooj zaum hauv lub tsheb lossis lub tsheb ciav hlau uas tau teem tseg ua ntej dua li caij tsheb npav ntev ntawm txoj kev tsis zoo rau ob lub lis piam thawj zaug. Tso tseg kev mus ncig ntev thiab taug kev txhua lossis ob teev kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws.
• Kev thaub qab hauv zos: Ua ntej koj tawm hauv tsev kho mob, sau ib daim ntawv qhia txog koj txoj kev tawm hauv tsev kho mob, daim ntawv teev cov tshuaj, cov lus qhia hnav khaub ncaws thiab lub npe ntawm qhov chaw ze tshaj plaws uas koj tuaj yeem pom sai sai thaum hmo ntuj.
• Rov qab soj qab: Nug seb koj qhov kev tshuaj xyuas thawj zaug thiab kev sib tham txog daim ntawv qhia txog histopathology puas tuaj yeem ua tau los ntawm kev sib tham hauv xov tooj yog tias kev mus ncig nyuaj.

Kev Sib Txuas Lus thiab Kev Teem Caij