Appendectomy - Nchiyani ichi?

Chithandizo cha appendicitis nthawi zonse umakhala likhale ntchito. Matendawa wodwala Kwalamulidwa Kukonzekera: kutenga mayeso, kuchita x-ray ndi mbiri ultrasound kuphunzira. Pokhapokha zotsatira za kafukufukuyu Zitatero appendectomy. Pali mitundu ingapo ya opaleshoni. Za iwo tikambirana mwatsatanetsatane m'nkhani lero.

appendicitis ndi chiyani?

Izi pachimake matenda opaleshoni yodziwika ndi ululu pamimba, ndi zizindikiro za kuledzera. Iwo amakhala ndi kutukusira kwa zakumapeto - zakumapeto. Ana, iye wakhala nawo mbali pa chitetezo chokwanira m'deralo. Komabe, ntchito ili atayika pa nthawi. Kumapeto amakhala opanda ntchito mawonekedwe. Choncho, kuchotsa ake wosachita zotsatira zoipa kwa chamoyo.

Appendicitis nthawi matenda a achinyamata. Zimayambitsa kutupa akadali osadziwika. Madokotala anasonyeza maganizo osiyana ndi malingaliro. Ngakhale kuphweka n'zopanda matenda awulule izo pa siteji oyambirira ndi zovuta. Kudwala nthawi zambiri "masked" ndi matenda ena, ndi atypical chifukwa. Kaya chifukwa panali appendicitis, appendectomy - ndi Baibulo lokhalo la chithandizo.

Zikuonetsa kuti Khwelero

Appendectomy amatanthauza siyana alowererepo, yomwe imachitika pa maziko mwadzidzidzi. Mu nkhani iyi, umboni waukulu opaleshoni - kutupa mu mawonekedwe pachimake. opaleshoni kusankidwa Amasankhidwa zinachitikira adzalowerera appendicular. kudwala iyi, imene zakumapeto merges ndi malo matumbo, omentum kapena peritoneum. Pambuyo kuchepa (pafupifupi miyezi 2-3 pa isanayambike matenda) opaleshoni imagwiridwa. Ngati zizindikiro za kuledzera kukula zokha amapezeka abscess chotupa ndi peritonitis wotsatira, wodwalayo akufunikira alowererepo mwadzidzidzi.

Kukonzekera ndondomeko

Opaleshoni appendectomy kumatenga zosaposa ora limodzi. Pa nthaŵi ya ntchito wamba kapena m'dera ochititsa dzanzi. Kusankha ndi chimake makamaka zimadalira m'badwo wodwala, chikhalidwe ndi kukhalapo kwa pathologies m'munsili. Mwachitsanzo, ana ndi anthu onenepa, komanso matenda okhudza ubongo kapena overexcitation mantha amalangiza mankhwala ochititsa dzanzi ambiri. Odwala Taphunzira kukula kwa thupi ochititsa dzanzi makamaka m'deralo. gulu Izi zikuphatikizapo amayi apakati, kuyambira ambiri ochititsa dzanzi ali kungasokoneze mwana wosabadwayo.

Appendectomy - opaleshoni mwadzidzidzi. Iwo sinafike nthawi yokwanira yokonzekera wodwalayo. Choncho, pamaso pa phukusi A mlingo wa chiphasochi: MAGAZI ndi mkodzo, ultrasound, X-ray. Pofuna kuti achotse pathologies zokhudzana akazi analimbikitsanso kufunsa gynecologist a.

Asanalankhule ntchito mu chikhodzodzo catheter akonzedwa, chapamimba lavage anachita. Pakuti kudzimbidwa wasonyeza mankhwala. sitepe onse kukonzekera kumatenga salinso kuposa maola 2. Pambuyo pa kutsimikizira matenda a dokotala komanso ndiyo yeniyeni chimake alowererepo. Lero, ntchito zimenezi m'njira zingapo (makolo laparoscopic ndi transluminal).

Aliyense wa iwo zidzafotokozedwa mwatsatanetsatane m'munsimu.

appendectomy miyambo

Appendicitis mankhwala motere zikhoza kugawidwa m'magulu awiri. Choyamba, dokotala amalandira Intaneti, kenako atuluka ndondomeko ya kuchotsa cecum. Kusokonezedwa amatenga ola n'komwe.

Kuti tidzalowe zakumapeto chofuna, dokotalayo wopanga ang'ambe thupilo pakhungu mu lamanja iliac dera. m'litali ndi amangoona 7 cm. mfundo lina ndi mfundo Mc Burneya. Pambuyo kung'ambika wa khungu ndi mafuta dokotala akulowa mwachindunji mu zonse m'mimba. Minofu ndi akunyalanyaza popanda amacheka. Mdani wotsiriza ndi peritoneum. Komanso akhoza kudula kudzera pakati clamps lapansi.

Ngati adhesions ndi adhesions mu peritoneum ndi kwina, dokotalayo anapeza kuti kuchotsa kwa cecum ndi kumapeto. Kuchotsa zakumapeto n'zotheka m'njira ziwiri: retrograde ndi antegrade. Njira wotsiriza zambiri ntchito. Mu katswiri izi bandaging ziwiya mesenteric, ndondomeko akusokoneza achepetsa pa maziko, ndipo pamene sutured ndi mabala. Retrograde appendectomy anachita mu ndondomeko zosiyanasiyana. Choyamba, kudula zakumapeto, chitsa chake aikidwa mu intestine, kodi superimposed stitches. Kenako magawo katswiri sutured ziwiya mesenteric, izo chikutha. Kufunika ngati opareshoni chifukwa cha kutanthauzira kwa kumapeto mu danga retroperitoneal , kapena kukhalapo kwa adhesions angapo.

transluminal appendectomy

Izi opaleshoni asang'ambe. Mabwinja zakumapeto chofuna ikuchitika mwa zida kusintha kuti dokotala amaika mwa orifices chilengedwe cha thupi.

Watsala zotheka m'njira ziwiri: transvaginal kapena transgastralno. Mbali yoyamba, zida ndi anaikapo kupyolera ang'ambe thupilo yaing'ono nyini, ndipo chachiwiri - mpanda m'mimba. Chotero opareshoni zambiri ubwino. Iwo amakhala ndi nthawi wochepa ndi ovuta, kuchira mwamsanga ndipo pakalibe zilema kuwoneka. Mwatsoka, ngati ndondomeko si anachita zonse chipatala kokha amalipiritsa maziko.

Laparoscopic appendectomy

Izi opaleshoni asang'ambe zimagawidwa monga mankhwala chosaopsa. Ndi Ubwino:

• otsika zoopsa;
• yopanda chilema zodzikongoletsera;
• mofulumira kuchira;
• ntchito mankhwala oletsa ululu pamalopo;
• otsika Mwina matendawo.

Komano, laparoscopic appendectomy ali kuipa angapo. Mwachitsanzo, chifukwa kukhazikitsa amafuna zipangizo zodula kapena zapamwamba, ndipo dokotala ayenera kudziwa zogwirizana. Nthawi makamaka akuluakulu matenda, makamaka ngati peritonitis, ndi kosathandiza ndi woopsa.

ndi mfundo zikuluzikulu zomwe ndi laparoscopic appendectomy? Zokambirana ntchito zikuphatikizapo:

1. Kugwira puncture yaing'ono m'michombo lapansi. Kudzera mwa iye, dokotala amaika laparoscope ndi akuyendera mkati patsekeke.
2. The malo ena obisika ndi hypochondrium bwino Komanso zinthu zina mabala. N'zofunika kwa oyamba a zida opaleshoni. dokotala wamvetsetsa zakumapeto, nsalu ndi amadula Mitsempha mesentery. Pambuyo ndondomeko izi atachotsedwa thupi.
3. Katswiri kuchititsa remediation m'mimba waika M'mimbamo ngalande, ngati n'koyenera.

Only mu nthawi zina, mavuto kugwirizana ndi appendectomy laparoscopic. Inde wochita umalamulidwa ndi madokotala angapo, kotero zotsatira zodzikongoletsera anatsimikiza ndi khama ndi luso lawo.

nthawi kuchira

Pa konzanso lofunika kwambiri ndi kusamalira chilonda. Mavalidwe anapangidwa tsiku, ndi pamaso pa kukhazikitsidwa ngalande - tsiku.

odwala ambiri amadandaula ululu komanso ngakhale kupweteka maola angapo pambuyo alowererepo pa. Zizindikiro amenewa amaonedwa kukhala zachilengedwe, iwo sayenera mantha. Mu zochitika mwadzidzidzi dokotala n'kukulemberani ndi analgesics mtima.

odwala kwambiri nthawi ayambe wakonda kusunga okhwima bedi zina, kutchula kufooka. Izi ndi zolakwika. Mwamsanga wodwala iyamba kusuntha, chindichepere chiopsezo matendawo. Ngakhale kukhala moyo waufupi padziko m'dera kuchipatala walola intestine kuti agwirizane ntchito mofulumira.

contraindications

opaleshoni ali pafupifupi palibe contraindications. Komabe, makhalidwe abwino ndondomeko dokotala ayenera kuunikira mmene alili. Mwachitsanzo, laparoscopic appendectomy ali osavomerezeka milandu zotsatirazi:

1. Panatenga maola oposa 24 pambuyo zizindikiro woyamba wa matendawa.
2. Pamaso wotsagana njira yotupa kapepala kakuti m'mimba.
3. Poyamba matenda matenda a mtima kwambiri kapena machitidwe m'mapapo mwanga.

Mu milandu, laparoscopic appendectomy njira m'malo chikhalidwe.

zosokonezeka zotheka

Maonekedwe a zosokonezeka pambuyo alowererepo ndi zotheka, kotero wodwalayo amafuna polojekiti zonse. Ntchito yokha chikuchitika bwinobwino ndi mavuto obwera zambiri kumachitika chifukwa zachilendo ndondomeko kutanthauzira mu zonse m'mimba.

Kodi mavuto odwala appendectomy angayembekezere? Chotsatira ambiri opaleshoni imatengedwa msoko fester. Ndi vuto anakumana ndi aliyense Wopirira ndi wachisanu. N'zothekanso chitukuko cha peritonitis, thromboembolism, matenda zomatira. The Vuto yoopsa kwambiri sepsis, pamene purulent kutupa amakhala aakulu.

Mtengo wa ndondomeko ndi mtima umboni

Appendectomy - opareshoni amene amagwiritsidwa ikuchitika mwadzidzidzi. Pamene chosowa chithandizo munthu akhoza kufa. Choncho, kulankhula za mtengo wa mtundu uwu wa mankhwala, n'kosathandiza. appendectomy Traditional ndi ufulu. Social udindo wa wodwalayo, msinkhu wake ndiponso unzika ziribe kanthu. kuti awa ali limati zamakono zonse.

Madokotala angapulumutse moyo wa munthu, kumupanga iye opareshoni. Komabe, kutsatira-ndi diagnostics zambiri amafuna ndalama zina. Mwachitsanzo, wamba magazi mayeso kapena mayesero mkodzo Ndipafupifupi 500 rubles. Malangizo kwa akatswiri apadera kulipira pang'ono kuposa 1 ths. Rubles. Ndalama pambuyo alowererepo, kugwirizana ndi kufunika koti tipitirize chithandizo, kawirikawiri yokutidwa ndi inshuwalansi.

Appendectomy - ndi opaleshoni posakonzekera. Choncho, maganizo odwala pa mankhwala yokonzedwa zambiri zosiyanasiyana. Ngati kudwala mokwanira, ndi mankhwala khalidwe chisamaliro ndi maganizo yake adzakhala positive. Makamaka chidwi masamba laparoscopy. Patapita masiku ochepa chabe pambuyo alowererepo pa wodwala kubwerera ku moyo bwino. njira yovuta ya matenda anasamutsa zikuipiraipirabe, ndi kukumbukira zoipa odwala muyaya.