A cirurgia para retirar a vesícula biliar, tecnicamente chamada de colecistectomia, está indicada no caso de vesícula inflamada, pedras na vesícula ou, menos frequentemente, em casos de câncer.
Quando ocorre de forma programada e sem complicações, costuma ser uma cirurgia rápida, durando em média 45 minutos, necessitando de apenas 1 a 2 dias dias de repouso e com uma recuperação para as atividades normais em 1 a 2 semanas.
A cirurgia pode ser feita de 2 formas:
Cirurgia convencional, ou com corte, também conhecida como cirurgia aberta: feita através de um corte maior no abdômen, para retirada da vesícula. Costuma ter uma recuperação um pouco mais demorada, e deixa uma cicatriz mais visível;
Cirurgia por laparoscopia, ou por vídeo, também conhecida como cirurgia a laser: é feita com 4 furos no abdome, por onde o médico passa o material e uma pequena câmera para realizar a cirurgia com menor manipulação e menos cortes, sendo uma cirurgia de uma recuperação mais rápida, com menos dor e cicatriz menor.
Nesse tipo de complicações na pedra da vesícula, inicialmente o tratamento é clínico, e posteriormente o tratamento é com cirurgia.
Se for necessário ficar mais de 3 dias de repouso na cama, o médico pode indicar que seja realizada fisioterapia ainda no hospital para garantir a boa movimentação do corpo e para prevenir complicações respiratórias que podem acontecer após qualquer cirurgia. Se a pessoa precisar ficar de repouso dentro de casa estes exercícios podem ajudar: 5 exercícios para respirar melhor depois da cirurgia.
Como é o pós-operatório
Após passar o efeito da anestesia e dos analgésicos, a pessoa poderá sentir uma ligeira dor ou desconforto na região do abdômen, que também pode irradiar para a região do ombro ou do pescoço. Enquanto persistir a dor, o médico indicará o uso de analgésicos ou anti-inflamatórios, como Diclofenaco, Dipirona, ou Cetoprofeno, por exemplo.
- Quanto tempo de repouso é necessário
Após a cirurgia para retirada da vesícula, é indicado repouso inicial, mas logo que se consiga levantar, após 1 a 2 dias, é possível fazer pequenas caminhadas e atividades sem esforço. O regresso ao trabalho, assim como outras atividades do dia-a-dia como dirigir ou fazer exercícios leves só devem ser iniciados após 1 semana, no caso de cirurgia por laparoscopia, ou após 2 semanas, no caso da cirurgia convencional.
É também importante evitar ficar por muito tempo sentado ou deitado e, por isso, deve-se fazer pequenas caminhadas pela casa ao longo do dia. Entretanto, cada caso pode variar, por isso é importante seguir as orientações do médico.
- Como é a alimentação
Nos primeiros dias, é indicada uma dieta líquida ou pastosa e ter cuidado para não se movimentar excessivamente, garantindo assim a boa cicatrização da ferida cirúrgica. Em seguida, a alimentação passará a ser normal, porém é recomendada que seja pobre em gorduras, por isso o paciente deve evitar ingerir embutidos ou frituras, por exemplo. Veja como fazer uma dieta mais pastosa para os primeiros dias.
A cirurgia para retirar a vesícula não tem nenhuma relação com a perda de peso, por isso embora a pessoa possa emagrecer, é devido à dieta pobre em gorduras que deve fazer após a cirurgia. Com a retirada da vesícula, a bile que é produzida no fígado, vai continuar sendo produzida, mas em vez de ficar armazenada na vesícula, vai logo para o intestino para eliminar a gordura dos alimentos e não a gordura do corpo.
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