Laparoscopy - ndi ... Laparoscopy ku matenda achikazi

Nthawi zambiri pali zochitika pamene munthu ayenera opaleshoni. A zaka zingapo zapitazo, madokotala ntchito laparotomy. Pochita ndondomeko ya wodwala kutumikiridwa tulo ndi mankhwala ochititsa ambiri, kenako incised m'mimba khoma, minofu, ndi minofu. Kenako, ntchito mwai zofunika ndi minofu sutured mu zigawo. Njira alowererepo ali kuipa ambiri ndi zotsatira zake. N'chifukwa chake chitukuko cha mankhwala Kodi chilili.

M'zaka zaposachedwapa, pafupifupi malo zachipatala ali ndi zinthu zonse kwa opaleshoni zambiri yosalekerera.

laparoscopy

Iyi ndiyo njira ya opaleshoni kapena matenda, kenako munthu mwamsanga kubwerera kayendedwe moyo watsiku ndi tsiku ndi kupeza osachepera matenda mwai.

Laparoscopy ku matenda achikazi

Kugwiritsa ntchito mpheto izi walandira kwambiri ndithu kutchuka. Ngati dotolo sizingatheke kuti apange matenda molondola wodwala, mtundu uwu wa ndondomeko zothandiza kwambiri imeneyi. Laparoscopy ku matenda achikazi ntchito mankhwalawa kapena kuchotsa zotupa, kuchitira osabereka mu akazi. Komanso, njira imeneyi kudzakuthandizani kuthetsa mosamalira kwambiri adhesions ndi kuchotsa endometriosis.

ntchito zina

Kuwonjezera pa matenda ndi mankhwala a pathologies matenda angathe kuchitidwa laparoscopic ndulu, matumbo, m'mimba ndi ziwalo zina. Nthawi zambiri, pamene ntchito njira imeneyi ikuchitika kuchotsa chiwalo kapena mbali yake.

Zikuonetsa kuti alowererepo

Laparoscopy - njira Malangizo amene ali zikuonetsa kuti, monga opaleshoni ina:

• Amphamvu mkati magazi.
• Chophukacho wa limba ndi.
• Female osabereka popanda zimayambitsa anapereka.
• Zotupa za n'kuwasanganiza ndi, chiberekero, kapena ziwalo zina m'mimba.
• Kufunika kuchotsa kuvala kapena Ukalawu.
• Pamaso pa adhesions, zomwe zimabweretsa kusapeza kwambiri kwa munthu.
• Chithandizo cha mimba ectopic.
• Ndi chitukuko cha endometriosis ndi matenda ena.

Nthawi zina, laparoscopy - si zabwino mankhwala njira ndi zimafuna ntchito laparotomy.

Contraindications kuti alowererepo

Laparoscopy sanayambe anachita milandu zotsatirazi:

• Pamaso pa magawo choopsa cha mtima kapena matenda a mtima.
• Pa kukhala munthu ali chikomokere.
• Ngati muli ndi osauka magazi clotting.
• Pakuti chimfine kapena kafukufuku zoipa (kupatula milandu mwadzidzidzi, musati kulekerera ikuchedwa).

asanachite opareshoni

Wodwala tikulimbikitsidwa kuti kafukufuku yaing'ono asanachite opareshoni. kafukufuku onse anapatsidwa udindo munthu ayenera kutsatira malamulo, amene ali kuchipatala. Laparoscopy kumaphatikizapo anakonza isanafike kafukufukuyu:

• kusanthula magazi ndi kuphunzira amuzolengedwa wa chonse pamodzi.
• Khama la clotting magazi.
• Urinalysis.
• Pogwira x-ray ndi kuphunzira ECG.

Ngati ikuchitika opaleshoni mwadzidzidzi, adokotala okha kuti mndandanda osachepera nkhani, monga:

• magazi kuti gulu ndi clotting.
• kuthamanga kayesedwe.

kukonzekera mtima

ntchito anakonza zambiri yoti nthawi preprandial. Chadzulo mpheto wodwalayo bwino kuchepetsa kugwiritsa ntchito chakudya madzulo. Muzipatula wodwala mankhwala, amene mobwerezabwereza m'mawa asanachite opareshoni.

Pa tsiku limene mpheto ntchito yake, mtima wa zoletsedwa kumwa ndi kudya.

Popeza laparoscopy - ichi ndi njira kwambiri yaulemu ya opaleshoni, ndiye mu njira ya ntchito yaying'ono ake zipangizo komanso ang'ambe thupilo ka zonse m'mimba umatulutsa.

Uyambe, wodwala kutumikiridwa boma tulo. Anesthetist linaŵerengera mlingo zinafunika mankhwala, kutenga nkhani za jenda, kulemera, kutalika ndi zaka za wodwalayo. Pamene mankhwala ochititsa dzanzi anachita, munthuyo olumikizidwa kwa makina. Izi ndi zofunika kuonetsetsa kuti pa ntchito ndi kunalibe mwadzidzidzi, kuyambira alowererepo ziwalo m'mimba ongoyendayenda.

Wautali mtima mpweya m'mimba ndi mpweya wapadera. Izi zingathandize dokotala ulere kusuntha zipangizo mu zonse m'mimba ndi sichitipeza mpanda wake chapamwamba.

Inde ya opaleshoni

Pambuyo yokonza wodwala udzatha, dokotala akupanga amacheka zochepa za zinthu zonse m'mimba. Ngati chotupa cha imagwiridwa laparoscopy, ang'ambe thupilo wapangidwa pamimba m'munsi. Ngati mukufuna opaleshoni kwa intestine, ndulu ndi m'mimba, amacheka ali pa malo a chandamale malo.

Kuwonjezera m'maenje kakang'ono zida, dokotalayo zimapangitsa ang'ambe thupilo, amene ndi akuluakulu pang'ono. M'pofunika kukhazikitsa makamera kanema. Kawirikawiri kuchita odulidwa ili pamwamba m'michombo kapena pansipa.

Ndipotu cha zida anayambitsa mpanda m'mimba ndi camcorder chikugwirizana molondola, dokotala amaona pa nsalu yotchinga chachikulu kangapo zikuluzikulu chithunzi. Kuganizira kuti, akachite mwai zofunikira m'thupi la munthu.

Laparoscopy nthawi imeneyi akhoza zosiyanasiyana, kuyambira mphindi 10 kuti ola limodzi.

Chikhalidwe pambuyo opaleshoni

Akamaliza wa mwai dokotala amachotsa zipangizo ndi manipulators wa zonse m'mimba pang'ono deflates, zomwe zikutipatsa khoma m'mimba. Pambuyo pake, wodwalayo Amapatsa moyo osinthasintha zipangizo kulamulira.

dokotala limafufuza mmene bongo ndi zochita za munthu, ndiyeno amaponya moleza kuchipatala postoperative. magulu onse wodwala akutsatiridwa mosamalitsa pa wilutcheya wapadera mothandizidwa ndi ogwira ntchito kuchipatala.

Mu maola ochepa poyamba ali osavomerezeka kupereka chakumwa mtima ngati kusanza angayambe. Pamene munthu wayamba kuchoka ochititsa dzanzi, mukhoza kumupatsa madzi opanda pakhosi munthu.

Patangopita maola, izo tikulimbikitsidwa kukweza thupi chapamwamba ndipo yesetsani kukhala tsonga. Imani sitingakayikire kale kuposa maola asanu pambuyo opaleshoni udzatha. Njira choyamba pambuyo alowererepo pa izo tikulimbikitsidwa kuti mothandizidwa ndi ena, monga pali chiopsezo chachikulu kutaya kutsitsimuka.

Tingafinye wa wodwalayo ikuchitika masiku asanu kapena sabata pambuyo opaleshoni, anapereka umoyo ndi mphamvu positive. Sutures ndi kuchotsedwa ang'ambe thupilo pambuyo pa avareji masabata awiri pambuyo alowererepo pa.

Kuchira pambuyo opaleshoni

Ngati inu ankapatsidwa zotupa pambuyo chotupa laparoscopic kapena mpukutu zace wotumidwa kufufuza histological. Only pambuyo pa kulandira zotsatira za mtima awerenge yotsatira chithandizo.

Pamene inu kuchotsa ndulu kapena chiwalo china cha Kupenda histological ikuchitika pa kufunika kwa matenda zina.

Ngati opaleshoni zinachitikadi pa matupi akazi, thumba losunga mazira pambuyo laparoscopy ayenera nthawi "mpumulo." Kuchita izi, dotolo salamula ndi mahomoni kutero. Komanso, wodwalayo limasonyeza lililonse odana ndi yotupa ndi antibacterial mankhwala.

kusankha kuchipatala

Musanayambe adzapatsidwa akukonda kukhazikitsidwa, omwe udzachitike laparoscopy, mtengo wa ntchito ndi m'chipatala ayenera kuonedwa ndipo anagwirizana ndi dokotala nawo. Santhulani ntchito ndi kukonzanso ndalama m'malo osiyanasiyana ndi mwanzeru.

Ngati opaleshoni mwamsanga, ndiye, osalephera, palibe amene akufunsa za zokonda, ndipo iwe udzalalira kuthandizidwa mu zipatala anthu. Pankhaniyi, mtengo wa laparoscopy alibe. mwai onse ikuchitika pamaso pa inshuwalansi ufulu.

Zotsatira ndi mavuto opaleshoni

Nthawi zambiri, laparoscopy kuli ndi ubwino pa thanzi la munthu. Komabe nthawi zina, mavuto amene mungakumane ndondomeko mpheto, kenako.

Mwina Vuto lalikulu ndi mapangidwe adhesions. Izi ndi zotsatira mosalephera za phukusi opaleshoni. Akuti pa laparotomy, ndi chitukuko cha adhesions uli wachangu ndi yapadera kwambiri.

Vuto lina kumene kungachitike pa ntchito za - ndi choipa kwa ziwalo pafupi kutumikiridwa manipulators. Choncho, izo angayambe magazi mkati. N'chifukwa chake pa mapeto a mpheto kwa dotoloyo anayendela zonse m'mimba ndi ziwalo kuwonongeka.

Pambuyo pa opaleshoni, wodwalayo mwina kubva m'dera phewa. Izi sankaganiza ndipo sukhala sabata zingapo. Chotero kusapeza chifukwa chakuti "akuyendayenda" thupi ufuna mpweya kubwereketsa ndipo amachita pa maselo ndi minofu mitsempha.

Osaopa wa laparoscopy m'tsogolo. Ndi njira ambiri waulemu wa mankhwala opaleshoni. Musati odwala ndi kukhala wathanzi!