RESUMEN
Early postoperative rehabilitation of the patients presenting with cholelithiasis and experiencing psychoemotional stress is designed to restore the function of bile secretion, enhance their adaptive capabilities, and normalize the psychovegetative status for the purpose of preventing further progress of the disease and reducing the risk of the development of post-cholecystectomy syndrome. The inclusion of drinking mineral water, magnetic laser therapy, and UHF therapy in the combined rehabilitative treatment of such patients results in the appreciable enhancement of all functional abilities of the body manifest as the significant improvement and normalization of clinical and laboratory characteristics (elimination of clinical symptoms of the disease, improvement of general and biochemycal parameters of peripheral blood). Simultaneously, the adaptive capabilities and the psychovegetative status of the patients improved as apparent from the increased lymphocyte count, normalization of the Kerdo and Hildebrandt indices and indices of stress level, decreased psychoemotional stress, enhancement of physical functioning characteristics. Taken together, these changes account for the high effectiveness of the above procedures of early postoperative rehabilitation of the patients presenting with cholelithiasisand experiencing psychoemotional stress (94.7%).
Asunto(s)
Colelitiasis/rehabilitación , Colelitiasis/cirugía , Terapia por Luz de Baja Intensidad/métodos , Magnetoterapia/métodos , Microondas/uso terapéutico , Estrés Psicológico/rehabilitación , Colelitiasis/psicología , Terapia Combinada , Humanos , Aguas Minerales/administración & dosificación , Aguas Minerales/uso terapéutico , Síndrome Poscolecistectomía/prevención & control , Síndrome Poscolecistectomía/psicología , Prevención Secundaria , Estrés Psicológico/psicología , Resultado del TratamientoAsunto(s)
Colecistectomía , Colelitiasis/rehabilitación , Colelitiasis/cirugía , Glicosaminoglicanos/uso terapéutico , Magnetoterapia , Equilibrio Ácido-Base/efectos de los fármacos , Adulto , Anciano , Bilis/química , Colelitiasis/sangre , Colelitiasis/fisiopatología , Terapia Combinada , Ácidos Grasos Volátiles/análisis , Heces/química , Femenino , Glicosaminoglicanos/administración & dosificación , Humanos , Intestinos/efectos de los fármacos , Intestinos/fisiopatología , Hígado/irrigación sanguínea , Hígado/efectos de los fármacos , Hígado/fisiopatología , Pruebas de Función Hepática , Masculino , Persona de Mediana Edad , Factores de Tiempo , Resultado del Tratamiento , Adulto JovenRESUMEN
Early rehabilitation after open cholecystectomy or cholecystectomy from a mini-approach was performed in 101 patients with cholelithiasis treated surgically at Ust-Kachka health resort. Changes in clinico-laboratory indices reflecting the condition of hepatopancreatobiliary system and central hemodynamics before and after rehabilitation were studied depending on the variant of cholecystectomy. Advantages of early rehabilitation of patients after different variants of cholecystectomy at Ust-Kachka health resort in normalization of general condition of the patients and in prevention of functional disorders progression early after operation are demonstrated.