Kufufuza m'mimba

Kufufuza m'mimba ndi opareshoni kuti muwone ziwalo ndi kapangidwe kanu m'mimba mwanu (pamimba). Izi zikuphatikiza:

• Zowonjezera
• Chikhodzodzo
• Chikhodzodzo
• Matumbo
• Impso ndi ureters
• Chiwindi
• Miphalaphala
• Nkhumba
• Mimba
• Chiberekero, timachubu, ndi mazira (mwa akazi)

Opaleshoni yomwe imatsegula mimba amatchedwa laparotomy.

Lapototomy yofufuza imachitika mukakhala pansi pa anesthesia. Izi zikutanthauza kuti mukugona ndipo simukumva kupweteka.

Dokotalayo amadula pamimba ndikuyang'ana ziwalo zam'mimba. Kukula ndi malo omwe amadulidwa opangira opaleshoni zimadalira matenda ena ake.

Chidziwitso chingatengedwe panthawiyi.

Laparoscopy imalongosola njira yomwe imagwiridwa ndi kamera yaying'ono yomwe imayikidwa m'mimba. Ngati kuli kotheka, laparoscopy idzachitika m'malo mwa laparotomy.

Wothandizira zaumoyo wanu angakulimbikitseni laparotomy ngati kuyerekezera kwa m'mimba, monga ma x-ray ndi ma CT scan, sikunapereke chidziwitso cholondola.

Ma laparotomy ofufuzira atha kugwiritsidwa ntchito kuthandizira kuzindikira ndikuchiza matenda ambiri, kuphatikiza:

• Khansa ya ovary, colon, kapamba, chiwindi
• Endometriosis
• Miyala
• Dzenje m'matumbo (m'matumbo)
• Kutupa kwa zakumapeto (pachimake appendicitis)
• Kutupa kwamatumba am'matumbo (diverticulitis)
• Kutupa kwa kapamba (pachimake kapena matenda kapamba)
• Chiwindi chotupa
• Matumba a matenda (retroperitoneal abscess, abscess m'mimba, zotupa m'chiuno)
• Mimba kunja kwa chiberekero (ectopic pregnancy)
• Zilonda zam'mimba m'mimba (zomatira)

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za opaleshoniyi ndi izi:

• Chidwi chodziwika bwino
• Kuwonongeka kwa ziwalo zam'mimba

Mupita kukacheza ndi omwe amakupatsani mwayiwo kukayezetsa magazi musanachite opareshoni. Wopereka wanu adza:

• Chitani mayeso athupi lathunthu.
• Onetsetsani kuti matenda ena omwe mungakhale nawo, monga matenda ashuga, kuthamanga kwa magazi, kapena mavuto amtima kapena mapapo akuyang'aniridwa.
• Chitani mayeso kuti muwonetsetse kuti mudzatha kupirira opaleshoniyi.
• Ngati mumasuta, muyenera kusiya kusuta milungu ingapo musanachite opareshoni. Funsani omwe akukuthandizani kuti akuthandizeni.

Uzani wothandizira wanu:

• Ndi mankhwala ati, mavitamini, zitsamba, ndi zina zowonjezera zomwe mukugwiritsa ntchito, ngakhale zomwe mwagula popanda mankhwala.
• Ngati mwakhala mukumwa mowa wambiri, kuposa 1 kapena 2 zakumwa patsiku
• Ngati mungakhale ndi pakati

Sabata isanachitike opaleshoni yanu:

• Mutha kupemphedwa kuti musiye kumwa magazi pang'ono. Zina mwa izi ndi aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), clopidogrel (Plavix), kapena ticlopidine (Ticlid).
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Konzani nyumba yanu kuti mudzabwerere kuchipatala.

Patsiku la opareshoni yanu:

• Tsatirani malangizo a omwe amakupatsani za nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mutenge ndi madzi pang'ono.
• Fikani kuchipatala nthawi yake.

Muyenera kuyamba kudya ndi kumwa moyenera masiku awiri kapena atatu mutachitidwa opaleshoni. Nthawi yayitali yomwe mungakhale mchipatala zimatengera kukula kwa vutolo. Kuchira kwathunthu kumatenga pafupifupi milungu inayi.

Opaleshoni yofufuza; Laparotomy; Lapototomy yofufuza

• Dongosolo m'mimba
• Kumangiriza kwapelvic
• Kufufuza m'mimba - mndandanda

Sham JG, Reames BN, He J. Management wa khansa ya periampullary. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 545-552.

Magulu RA, Carter SN, Postier RG. Mimba yam'mimba. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 45.