Opaleshoni Marmara mu varicocele: Ndemanga

Microsurgical ntchito Marmara - ndi mtundu wa opaleshoni pofuna kuchiza matenda anacemerwa varicocele. Analiika urologist kudziwika mitsempha uviform plexus testicle (varicocele), pamene wodwala anadandaula cha ululu mu scrotum kapena pamene kwambiri kuchepetsa kukula kwa mazira, kuchepetsa ntchito yake.

Benefits Marmara ntchito pa njira zina za kulimbana ndi varicocele

Opaleshoni Marmara chaka chilichonse ambiri madokotala anazindikira kuti njira kwambiri ndi odalirika mankhwala varicocele. Ubwino waukulu ndi:

- mu chiwerengero chaching'ono cha kumwa, womwe wapangidwa zikomo zotheka kwa magalasi microsurgical ndi microscopes, amene amalola pokonza mitsempha laling'ono;

- digiri ka traumatization minofu;

- mu ang'ono ndi inconspicuous rumen kukula kwa si masentimita oposa 2;

- sitili pafupifupi ululu pambuyo opaleshoni;

- kusintha khalidwe ndi kuchuluka kwa umuna;

- luso msanga kubwerera wodwalayo moyo wabwinobwino.

Ochepa chabe kusiyana ntchito pakati pa njira ya Ivanissevich kapena laporaskopii, njira ya Marmar. Ntchito Ivanissevich kumafuna kung'ambika aponeurosis, tingayambe minofu zoopsa za zapambuyo khoma m'mimba, kuwonjezera nthawi ya konzanso ndi kulimbikitsa ululu postoperative. Opaleshoni ya Marmara limakupatsani kupirira onse Kumanzere ndi dzanja lamanja varicocele. Ndi kusintha kwa spermatogenesis ndi chonde kuwunika idzachitika mkati miyezi 6-9. Amuna ambiri pambuyo opaleshoni kuti Marmara kale angathe kukhala makolo mu zaka zingapo zotsatira.

ndi zizindikiro za opaleshoni Marmara Kodi

Waukulu ndipo ambiri, ndi umboni kokha pamene anatumizidwa Marmara opareshoni, akukhulupirira varicocele - nthenda yomwe angayambe popanda amalembedwa mawonetseredwe matenda pafupifupi asymptomatic.

Koma nthawi zambiri, mwina kwa akatswiri, odwala akudandaula za kulemera mu scrotum, kupweteka kwa testicle. Kuzionetsetsa anaulula kuvutika mu kusanthula umuna, omwe ndi kuphwanya kupanga umuna ndi testes lapansi. chithandizo Non-opaleshoni ya matenda sizotheka, makamaka pamene mavuto zomwe zingachititse osabereka. Opaleshoni Marmara mu varicocele, malingana ndi kuwerengera dziko, amalola kubwezeretsa kwathunthu zoberekera limba ntchito.

Varicocele: chiri, kusiyana ndi zinadzala

Matendawa kumafuna mitsempha testicular wa chingwe spermatic, amene chikugwirizana ndi kuphwanya mavavu sanali kubwerera, zomwe zili mu mitsempha. Kuti ndi valavu wathanzi amalola kayendedwe ka magazi kudzera m'mitsempha mbali imodzi yokha, kuwonongeka mu mavavu musataye iwo mwayi kuletsa kubwerera otaya magazi. kuwonjezeka aliyense mu kuthamanga umayambitsa magazi amamuchititsa kumbuyo.

Zimayambitsa matenda

Varicocele mwina kumasonyeza:

- kobadwa nako mavavu venous;

- ndi kobadwa nako kufooka kwa mpanda mtima;

- kuthamanga mu mafupa a chiuno kapena scrotum, imbaenda kink, ndipo kusintha mawonekedwe mitsempha pang'onopang'ono wothinikizidwa.

Pofuna kukonza kudwala ichi, pali njira zosiyanasiyana, mwachitsanzo, ndi opaleshoni kapena laparoscopic Ivanissevich njira. N'chifukwa chiyani kukhala ndi njira otchuka a Marmar? Opaleshoni pafupifupi kumatha kuthekera kwa kuwonongeka kwa minofu m'mimba khoma, mitsempha testicular kuwonongeka, yatsoka kutupa.

Contraindications opaleshoni Marmara

Mofanana ndi ndondomeko iliyonse opaleshoni, ngakhale mu ndondomeko kwambiri ndi otetezeka kungakhale contra-zikuonetsa:

- exacerbation siteji ya pathologies aakulu ziwalo mkati;

- miyezi isanu ndi umodzi pambuyo sitiroko, mtima kapena matenda ena matenda ischemic mtima;

- kutukusira kwa dongosolo urogenital;

- fuluwenza, SARS ndi matenda ena opatsirana.

Kodi kukonzekera alowererepo

Opaleshoni Marmara ndipo pokonzekera zikutanthauza wozengereza muyezo kuchuluka kafukufuku: mayesero ambiri, matenda ndi amuzolengedwa magazi, coagulation, kusanthula ECG pa RW, chindoko, HIV, matenda a chiwindi, kufufuza dzanzi asanachite opareshoni.

Preoperative akhoza kumatheka kapena, Tikawonetsetsa, yafupika malingana ndi kuchuluka kwa kusokonezedwa anakonza, zaka ndi chikhalidwe ambiri wodwala.

Ndizoonekeratu asanalankhule opaleshoni:

- kumeta tsitsi ngati, m'dera adziwitse ntchito. Izi zichitike mwaulemu, popanda ang'ambe thupilo wa khungu ndi maonekedwe a mkwiyo zina.

- Ena madokotala kupereka miyambo ya odana ndi yotupa kapena mankhwala mankhwala amene amachepetsa chiopsezo kutupa m'dera olanda. Supplementation akuyamba masiku pang'ono ntchito.

- General ochititsa dzanzi kapena msana ochititsa dzanzi ikukhudza chakudya otsiriza palibe pasanafike 10 madzulo. Chadzulo opaleshoni saloledwa kudya, kumwa, kusuta. Usiku woti opaleshoni ndipo m'mawa wa opaleshoni anachita mankhwala.

- mankhwala ochititsa dzanzi Local sikutanthauza kudya kapena kuyeretsa mankhwala.

- phwando anticoagulants ayenera anasiya masiku 5 patsogolo ntchito adzaimira. M'malo mwake, prescribers otsika maselo kulemera heparins, omwe amachepetsa chiopsezo magazi ntchito kapena pambuyo ntchito.

Opaleshoni Marmara mu varicocele, ndemanga imene umboni kwa dzuwa mkulu wa njira limachititsa kuti abwezeretse venous panopa ndi kuteteza outflow wa machende magazi poizoni. Postoperative zisadzachitikenso amapezeka% 5-7 kokha odwala.

Mitundu ya mankhwala ochititsa dzanzi: kodi kuti prepochtitelnee

Khalidwe Marmara ntchito kungakhale pogonekedwa ndi mankhwala ambiri, amene, monga zamoyo zina, dzanzi anachita pamene wodwala ali m'tulo ndi n'kudzuka pambuyo ntchito.

mankhwala ochititsa dzanzi msana kuthetsa m'munsi lanu lonse theka la thupi. Pokha zilili m'dera la ndime msana.

mankhwala ochititsa dzanzi pawokha dzanzi yekha gawo olanda, wodwalayo adzakhala maso koma Simumva kuwawa. zaka Vposlednee ndi madokotala kupereka mmalo mankhwala oletsa ululu pamalopo amatanthauza.

Monga opaleshoni

Opaleshoni limayamba ndi chakuti dokotala dissects dera khungu subpahovoy, akuchita ang'ambe thupilo kukula kwa 1.5 - 2 cm ili spermatic chingwe, limene kwa mayiko ndi linanena bungwe chilondacho.. Kudzera maso ndi dokotalayo limatchula testicular mtsempha ndi nsalu zawo. Madokotala amakonda kugwiritsa ntchito mankhwala oletsa ululu pamalopo, ngati wodwalayo mwina anafunsa kukoka ndi kumangitsa kuti amalola dokotala kuti bwino kuona zonse, ngakhale zinthu zazing'ono, varicose mitsempha ndi nthambi venous. The maso amalola kuti kuvala ndondomeko wovomerezeka, popanda zitsamba misempha pafupi, ziwiya lymph ndi mitsempha. Pambuyo kutsekera kwa mitsempha onse mu bala ngalande ndi maphunziro a mphira. Pambuyo pake, ang'ambe thupilo ndi superimposed aseptic bandeji.

Opaleshoni alowererepo kumatenga kwa mphindi 30-40. Wodwala ndiye kuwapititsa ku chipinda kuchira, kumene anakhala maola angapo moyang'aniridwa ndi achipatala. Patadutsa maola awiri, potaya alili, adokotala akhoza mlekeni apite kunyumba.

Nthawi postoperative

Akuti konzanso pambuyo opaleshoni osachepera Marmara. nthawi ochepa izo zidzakhala zofunikira kubwera kwa kuvala, ngati simungathe kugwira ndondomeko kunyumba. Kale patapita masiku angapo wodwala mokwanira kubwerera ku njira yake moyo watsiku ndi tsiku. Komabe, Ndi bwino kuti asale kugonana, kuchokera zolemera ndi yonyamula katundu, ndi masewera, kuti kusasiya umphumphu wa matabwa a. Izi zikutsimikiziridwa ndi umboni mtima. Sutures amachotsedwa pambuyo masiku 7-8. A chilonda yaing'ono adzakhala ili pansipa mzere atavala kabudula, m'dera limene tsitsi timayamba kuti akhalabe wosaoneka. Opaleshoni Marmara, ndemanga zimene ziri zabwino zochokera odwala ndi madokotala, sayambitsa testicular manja kapena hydrocephalus, kapena mavuto ena alionse amene tingayembekezere mitundu ina ya alowererepo pa opaleshoni. Opaleshoni imeneyi zimathandiza inu akonzedwe ndi kuteteza zina varicose mitsempha, kuwongolera ya umuna.

Mu maganizo a anthu ambiri, Marmara ntchito - ndi njira yachidule ndi bwino ndiyotani pakuchotsa varicocele, amene anawalola kupewa mavuto postoperative, ululu, ululu komanso zipsera unsightly.