Доброе время суток! Меня зовут Халисат Сулейманова — я фитотерапевт. В 28 лет себя вылечила от рака матки травами (больше про мой опыт выздоровления и почему я стала фитотерапевтом читайте здесь: Моя история). Перед тем как лечиться по народным методам описанным в интернете, просьба, консультируйтесь со специалистом и лечащим врачом! Это сэкономит ваше время и деньги, поскольку заболевания разные, травы и методы лечения разные, а есть еще сопутствующие заболевания, противопоказания, осложнения и так далее. Пока добавить нечего, но если Вам нужна помощь в подборе трав и методик лечения, можете меня найти вот по контактам:
- болезни печени, такие к примеру, как портальная гипертензия, алкогольный гепатит или цирроз;
- ушиб (находясь в состоянии алкогольного опьянения можно травмировать орган, так как в этот период его защита существенно снижается);
- употребление низкокачественных спиртных напитков в больших количествах.
Вино и селезенка
Вино как и пиво, хоть и имеют в своем составе меньше этанола чем водка, негативно сказываются на состоянии органа. Постоянная интоксикация, появляющаяся на фоне регулярного употребления алкогольных напитков может вызвать появление во всех системах организма полиорганной недостаточности, причем в первую очередь в зону риска попадают поджелудочная, печень и селезенка. В том случае если болевые ощущения появились лишь после единичного приема алкогольной продукции, то нужно обратиться за консультацией к специалисту.
Клинические же проявления последствий от употребления этанола могут проявляться в такой симптоматике:
- озноб;
- головные боли и головокружения;
- диспепсические расстройства, проявляющиеся тошнотой и рвотными позывами;
- возможно появление болей в левом боку, которые очень часто путают с желудочными болями;
- отечность и спленомегалия (увеличение органа в размерах), выявить которые можно при пальпации.
Спиртное после операции
А после удаления селезенки можно ли пить алкоголь? В запущенных случаях, когда негативное воздействие от различных факторов нанесло непоправимый ущерб, то орган в основном приходится удалять. Но многих людей, в особенности, те, которые любят выпить интересует можно ли употреблять спиртное при отсутствующем органе.
Ответ же очевиден — прием напитков в составе которых присутствует этанол сразу после удаления любых внутренних органов строго воспрещается. Что касается возможности употреблять спиртное в дальнейшем, то тут следует проконсультироваться с лечащим врачом, однако подобное решение является по большей части индивидуальным. Продолжительность реабилитационного периода напрямую зависит от того насколько сильным было произведенное воздействие на организм.
Для многих людей алкогольные напитки являются неотъемлемой частью их жизни. В случаях, которые связаны с лечебной терапией, такой вопрос «можно ли пить алкоголь без селезенки?» неуместен, так как сочетание этих двух компонентов могут привести к серьезным осложнениям, которые могут закончиться летальным исходом. Чтобы избежать такой участи врачи настоятельно рекомендуют не употреблять, как в предоперационный, так и в послеоперационный период спиртосодержащей продукции.
Организм человека – сложная система связанных между собой органов и тканей. В организме нет ничего лишнего: удаление селезенки будет иметь последствия.
Так как селезенка не относится к жизненно важным органам, принято считать, что от ее отсутствия существенно ничего не изменится. Разберемся, так ли это.
Функции органа
Селезенка – одиночный орган овальной формы, по сути, пузырь, расположенный в левом подреберье, чуть левее желудка.
Внутренняя ткань селезенки называется пульпой, делится на красную и белую: красная часть содержит в себе элементы крови, белая часть состоит из лимфоидной ткани, которая вырабатывает лимфоциты. Сверху орган покрыт плотной соединительной тканью, которая служит своеобразной капсулой.
Функции селезенки долгое время были непонятны врачам. Лекари прошлого окружали ее ореолом таинственности, считая, что именно она выделяет черную желчь, которая вгоняет человека в хандру, делает злым и желчным.
В наше время ее считали железой без выводных протоков, поэтому относили ее к эндокринным органам, считая, что она гормонально регулирует работу костного мозга. Последние исследования органа доказали, что селезенка – лимфоидный орган и относится к иммунной системе.
Подробнее о лимфе и ее токе можно почитать тут.
Этот орган очень важен для здоровья человека:
- Формирует гуморальный (антитела могут отделяться от клетки, продвигаться по лимфатическому руслу и поражать чужеродные тела на любом расстоянии) и клеточный (лимфоциты создают рецепторы, которые зафиксированы строго на мембране клетки, убивают чужеродные клетки только при прямом контакте) иммунитет;
- Является своеобразным фильтром крови: за минуту пропускает через себя около 200 мл крови, отделяя от кровотока дефектные или отжившие клетки, накапливает их, а потом уничтожает;
- Накапливает в себе железо, необходимое для построения эритроцитов;
- Сохраняет в себе моноциты, лимфоциты, тромбоциты и запас эритроцитов, которые при острой нехватке их в организме выбрасываются в кровяное русло.
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Показания к удалению
Здоровая селезенка – охранник здоровья, но существуют заболевания и ситуации, когда само ее присутствие наносит человеку вред или даже угрожает жизни. В этих случаях ее удаляют:
- Открытое повреждение (ранение или неудачное оперативное вмешательство);
- Закрытое повреждение (удар, падение с высоты);
- Спонтанный разрыв (при опухоли, некоторых инфекционных заболеваниях);
- При чрезмерном увеличении органа;
- При заболеваниях крови (лейкоз, гемолитическая желтуха);
- Абсцесс, который нельзя вскрыть;
- Поражения печени (цирроз);
- Лимфома;
- При поврежденных кровеносных сосудах в органе;
- Киста;
- Гиперспленизм (чрезмерная активация какой-то одной функции);
- Инфаркт.
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Противопоказания
Во время принятия решения об операции медики взвешивают, чего больше принесет пациенту удаление – пользы или вреда. Если по каким-то причинам возможны осложнения, угрожающие жизни пациента, от операции отказываются. Таких ситуаций немного, но все они крайне серьезны:
- Если у пациента есть тяжелые заболевания сердечно-сосудистой системы (сердце может не перенести наркоза);
- Легочные заболевания в тяжелой форме (невозможно применение анестезии);
- Коагулопатия, которую невозможно контролировать (нельзя повысить свертываемость крови);
- Склонность организма к образованию спаек (возникшие после операции спайки могут ограничить функции других органов);
- Терминальная стадия онкозаболевания.
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Операция: подготовка и проведение
Перед операцией больной проходит подготовку, которая включает в себя анализы и аппаратное обследование:
- Различные анализы мочи и крови;
- Электрокардиограмма;
- Рентген брюшной полости;
- УЗИ селезенки и органов-соседей;
- КТ (по индивидуальным показаниям);
- За две недели до операции обязательно проводится превентивная вакцинация;
- Отменяются все препараты, которые могут разжижать кровь (аспирин, плавикс);
- Выясняют наличие аллергической реакции на медпрепараты.
Есть два вида спленэктомии:
- Полостная операция: Надрезают стенку брюшины и раздвигают мышцы. Связки, удерживающие селезенку, отрезают, а сосуды зажимают скобками. Селезенку извлекают и, если нет кровотечения, рану зашивают, сверху накладывают стерильную повязку;
- Лапароскопия: В стенке брюшины делают несколько небольших разрезов. В полость закачивают газ, чтобы появилось свободное место для работы инструментами. В другое отверстие вводят лапароскоп, он передает изображение на экран. Через остальные разрезы вводят инструменты и начинается ампутация селезенки.
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Послеоперационный период
Если сразу после операции не возникло осложнений, то уже через неделю пациента выпишут из больницы.
Функции удаленного органа принимают на себя печень и лимфатические узлы. Но чтобы организм перестроился, требуется время. Реабилитация обычно занимает 2-3 месяца. Больному необходимо следовать указаниям врача, касающимся поведения в обычной жизни и диеты:
- Не стоит бывать в многолюдных местах, ведь после ампутации селезенки иммунитет снижается, значит, организм становится уязвим перед болезнетворными вирусами;
- По этой же причине в сезон гриппа необходимо проходить вакцинацию противовирусными препаратами;
- Надо отказаться от поездок в те страны, где малярия и гепатит – обычное дело;
- Следует принимать иммунностимуляторы и травяные чаи, которые могут повысить сопротивляемость организма инфекциям;
- Даже если ничего не беспокоит, для профилактики время от времени следует посещать врача.
Очень важна и диета, которая предусматривает только разрешенные продукты, которые нужно варить или запекать, но никак не жарить:
- Пища с большим содержанием белка (нежирные рыба и мясо, птица);
- Крупы варить на воде;
- Супы из овощей;
- Кефир, ряженка, творог;
- Овощи (горошек, помидоры, капуста, морковь, чеснок);
- Фрукты;
- Ягоды (смородина, клубника, арбуз);
- Хлеб только вчерашний;
- Мед;
- Орехи;
- Молоко, чай.
Категорически не следует употреблять:
- Жирное мясо и субпродукты (почки, мозги);
- Сало;
- Яйца в любом виде;
- Любые консервы;
- Кислые фрукты и ягоды;
- Свежеиспеченные булки и хлеб;
- Сладости;
- Алкоголь и напитки с газом, кофе и какао;
- Приправы, уксус, горчицу, перец;
- Редиску, редьку, хрен, грибы;
- Все маринованное и копченое;
- Соли можно только 10 гр в сутки.
Что касается физической активности, то первые нагрузки возможны только через месяц. Это простая гимнастика, прогулки пешком, упражнения в воде.
Последствия удаления
Последствия после операции по удалению селезенки одинаковы и для мужчин, и для женщин.
Любое инвазивное вмешательство в организм может иметь негативные последствия, могут быть они и после спленэктомии:
- В плазме крови снижается количество защитных белков, что приводит к нарушению фагоцитарной функции. Пациенты становятся восприимчивыми к гнойным инфекциям, и это может закончиться сепсисом. Это особенно опасно в первые два года после операции;
- Увеличивается риск заболеть при переохлаждении;
- Защитные силы организма очень снижены, поэтому больше «шансов» заболеть пневмонией, менингитом, гепатитом;
- Может нарушиться работа печени или желчного пузыря.
После операции меняется состав крови:
- Если увеличено количество тромбоцитов, то возможна тромбоэмболия сосудов мозга, тромбоз сердца. Чтобы этого не случилось, пациентам назначают лекарства, разжижающие кровь, не позволяющие тромбоцитам склеиваться;
- Возможен лейкоцитоз, то есть повышенное содержание в крови лейкоцитов.
Посмотрите видео о последствиях удаления селезенки:
Компенсаторные возможности человеческого организма огромны.
Жизнь без селезенки не заканчивается, ее функции принимают на себя другие органы.
Чтобы качество жизни не изменилось в худшую сторону, человек должен быть внимательным к своему здоровью: поднимать всемерно свой иммунитет, беречься инфекций, правильно питаться, не заниматься самолечением и время от времени проверяться у врача.
Случилась непредвиденное…Сирены машин, мигалки, люди в белых халатах и свет ламп в операционной. Пришел в себя и услышал диагноз – вам удалена селезенка. Другой случай – плановый. Но также грустный диагноз, врач рекомендует пройти спленэктомию. Целый список с анализами, госпитализация, лампы, наркоз, реанимация. Суть одна – удалена селезенка.
Что это за орган? Какие функции выполняет в организме? Как жить дальше и каковы последствия, прогноз операции? Эти вопросы задает себе и лечащему врачу пациент. Попробуем разобраться в этом вопросе.
Селезенка. За что отвечает этот орган в теле человека
Селезенка располагается в левом подреберье в промежутке между 9 и 11 парой ребер.
Селезенка долгое время считалась второстепенным органом человека. Существовало даже мнение, что другие органы следует беречь, а этот не жалко. Это продолжалось до тех пор, пока не были изучены ее функции и строение.
Селезенка насыщена кровеносными сосудами. Кровь, попадая в этот орган, получает свежую порцию развивающихся лейкоцитов – клеток, ответственных за иммунную защиту организма.
В селезенке происходит утилизация отживших клеток крови, вирусов, инородных частиц, попавших в кровеносную систему. Кроме этого, орган отвечает за кроветворение и процессы коагуляции крови.
Располагается этот орган в левом подреберье в промежутке между 9 и 11 парой ребер. На внешний вид селезенка походит на кофейное зерно. Жить без нее можно. Человек продолжает вести активный образ жизни и не становится инвалидом.
Зачем удалять селезенку? Показания к проведению операции
Селезенка удаляется при повреждении кровеносных сосудов в самом органе.
В человеческом теле нет лишних или ненужных органов. И поэтому селезенку удаляют только по жизненно важным показаниям, а не подчиняясь желаниям пациента. Операция спленэктомии проводится в следующих случаях:
- Травмы органа, несовместимые с дальнейшим выполнением его функций.
- Разрыв селезенки, несмотря на причины его вызвавшие. Это может быть травма, прием лекарственных средств, острая интоксикация, опухоли и инфекционные заболевания, такие как мононуклеоз.
- Повреждение кровеносных сосудов в селезенке. Внутреннее кровотечение.
- ВИЧ-инфекция.
- Миелофиброз – замещение тканей костного мозга фиброзными тяжами.
- Лейкемия, опухоли органа различной этиологии.
- Патологическое увеличение селезенки.
Хирургическое вмешательство бывает экстренным – как правило, вследствие травмы – и плановым.
Спленэктомия. Как проходит операция
Спленэктомия — хирургическая операция по удалению селезенки.
В XX веке удаление селезенки проходило под общим наркозом. Это была широкополосная операция с длительным периодом восстановления.
Современные методики позволяют спасти орган, наложить швы. Иногда небольшие участки уже удаленной ткани селезенки подшивают к стенке брюшины.
Они способны прирастать и увеличиваться в размерах. При достижении объема в 1 см ткань способна выполнять функции изъятого органа. В настоящее время спленэктомия с полным доступом проводится в исключительных случаях:
- Увеличение линейных размеров селезенки
- Ожирение пациента с большим жировым слоем в операционной области.
Во всех других случаях спленэктомию проводят при помощи лапароскопа. Сама процедура длится от 45 минут до 1 часа под общим наркозом. После операции орган направляется на гистологическое исследование.
Если вмешательство прошло без осложнений, то на 4 день после операции пациент покидает хирургическое отделение. Полное восстановление происходит в течение 1–1,5 месяцев. Это зависит от причин, вызвавших хирургическое вмешательство – была ли это травма, экстренная операция или плановая, диагноз пациента.
Жизнь после спленэктомии. Ближайшие последствия и правила поведения
Боли в левом подреберье после операции должны насторожить пациента.
Все последствия условно делятся на ближайшие, которые могут произойти сразу после вмешательства или в период реабилитации, и отдаленные. И в том, и в другом случае многое зависит от поведения пациента. Ближайшие последствия спленэктомии:
- Кровотечения
- Инфицирование раневой поверхности
- Ранение прочих органов и тканей
- Появление кровяных сгустков или тромбов
- Грыжи на месте введения инструментов в брюшную полость
- Изменения в формуле крови. Это осложнение может сохраняться в течение всей жизни
- Сепсис
- Нарушение функций печени и ЖКТ
Все эти патологии считаются ближайшими и особенно опасными в течение 2 лет после хирургического вмешательства. Что должно насторожить пациента в этот период:
- Сильные боли в прооперированной области
- Любые признаки инфекции – боли, жжение, гнойные выделения, повышение температуры тела, озноб
- Кровотечение или любые другие выделения из места введения инструментов
- Кашель
- Тошнота, рвота, прочие диспепсические расстройства
- Отдышка
Возникновение любого из этих симптомов является поводом для срочного визита к врачу. Снизить риск развития ближайших осложнений помогут следующие действия:
- Лапароскопия – это щадящая методика. Но вы должны помнить, что у вас удалили орган. Поэтому никаких трудовых подвигов сразу после выписки.
- Уточните у врача, когда вам можно принимать душ, купаться. Прием горячей ванны временно откладывается, так как повышается риск кровотечения.
- Не переохлаждайтесь. Это та ситуация когда лучше вспотеть, чем замерзнуть.
- Не садитесь за руль в течение 1,5 месяцев после операции.
- Не посещайте места большого скоплению людей. У вас снижен иммунитет, и любой вирус может перерасти в серьезное заболевание.
- Не принимайте обезболивающие препараты, содержащие аспирин.
- Не поднимайте тяжести, легкая атлетика также временно под запретом.
- Принимайте назначенные врачом препараты.
- На любом приеме сообщайте врачу о том, что у вас удалена селезенка.
Жизнь после спленэктомии. Отдаленные последствия
Последствием удаления селезенки может быть развитие панкреатита.
Отдаленные последствия возникают и развиваются в течение жизни после реабилитационного периода.
Удаление любого органа наносит удар по иммунитету, а при спленэктомии убирают именно орган, участвующий в формировании защиты нашего организма. Отдаленные последствия резекции селезенки:
- Снижение иммунитета, и как следствие риск инфицирования повышается
- Образование тромбов в сосудах печени
- Развитие панкреатита
- Ателектаз легких – спадание или безвоздушность альвеол органа
Снизить вероятность развития отдаленных осложнений могут следующие рекомендации:
- Вакцинация в осенне-зимний период от гриппа.
- Избегать появляться в людных местах в период эпидемий. Не стоять в очередях, не передвигаться в общественном транспорте, по возможности не посещать лечебные учреждения.
- Перед поездкой в экзотические страны обязательно сделать все рекомендуемые прививки.
- Периодически проходить профилактический осмотр и УЗИ системы ЖКТ, сдавать анализы мочи, крови – общий и печеночные пробы.
- Не желательны поездки в страны, где можно получить малярию.
- Не забывать про личную гигиену. После посещения общественных учреждений обязательно мыть руки. Это убережет вас от гепатита.
- Вести здоровый образ жизни и правильно питаться.
- Не применять лекарственные препараты без назначения врача и показаний.
- При простуде или других инфекционных заболеваниях сразу обращаться к врачу.
Придерживаться этих правил легко. И не только после спленэктомии, но и пациентам с полным комплектом органов. И риск возникновения отдаленных осложнений будет стремиться к нулю.
Удалена селезенка. Рекомендации по питанию
Жирную и острую пищу следует убрать из рациона после удаления селезенки.
Природа умна. И если по какой-то причине человек теряет орган, то другие органы начинают выполнять часть его функций, компенсируя тем самым недостачу. В случае спленэктомии за иммунную защиту организма начинает отвечать лимфатическая система и печень.
Поэтому важно придерживаться щадящей диеты. В реабилитационном периоде она направлена на снижение нагрузки на печень, травмированную брюшину и другие органы ЖКТ. В дальнейшем рекомендуется придерживаться принципов здорового питания. Из рациона следует убрать:
- Тяжелые и жирные блюда
- Острые приправы и маринад
- Жирное мясо
- Блюда, приготовленные в большом количестве жира, во фритюре
- Жирные наваристые костные бульоны и блюда на их основе
- Крепкий кофе и спиртные напитки
- Сигареты и наркотические препараты
Что можно есть после удаления селезенки:
- Врачи рекомендуют ввести в рацион большое количество овощей, как сырых, так и приготовленных
- Фрукты в любом количестве – свежие и приготовленные
- Жидкость из расчета 30 г на 1 кг веса пациента
- Крупяные блюда
- Молочные и кисломолочные продукты с небольшим процентом жирности
- Рыба, мясо – выбирайте нежирные сорта или куски. В первое время после операции готовьте на пару или в духовке
- Лекарственные травы, улучшающие отток желчи и функции печени, следует пропивать периодически курсами по рекомендации врача
Прогноз для пациента после спленэктомии
Удаление селезенки не является критической ситуацией для организма.
Как будет жить пациент после операции, возникнут ли осложнения, зависит от нескольких факторов:
- Причина, по которой была назначена операции – травма, опухоли и какого генеза, инфекции, критическое увеличение в размерах. При злокачественных новообразованиях прогноз неблагоприятный
- Как проходило вмешательство – методика проведения, процент кровопотери, травмы соседних органов.
- Состояние пациента после спленэктомии – как быстро пришел в себя после наркоза, состояние в реанимации
- Постоперационный период – скорость заживления, отсутствие воспалительных или инфекционных процессов в местах введения инструментов.
- Дальнейшее поведение пациента в течение жизни.
Удаление селезенки не является критической ситуацией для организма. В целом прогноз благоприятный, так как функции органа компенсируются. Длительность и качество жизни пациента зависят от поведения человека на этапе реабилитации и в дальнейшем.
Подробно о селезенке расскажет видеоматериал:
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