Kuzindikira laparoscopy

Kuzindikira laparoscopy ndi njira yomwe imalola dokotala kuti aziyang'ana mwachindunji zomwe zili m'mimba kapena m'chiuno.

Njirayi imachitika kuchipatala kapena malo opangira odwala opatsirana opatsirana pogwiritsa ntchito anesthesia (mukamagona komanso osamva ululu). Njirayi imachitika motere:

• Dokotalayo amadula (cheka) pang'ono pansi pamimba.
• Singano kapena chubu chabowo chomwe chimatchedwa trocar chimayikidwa mu chembedwe. Mpweya wa carbon dioxide umadutsa m'mimba kudzera mu singano kapena chubu. Gasi amathandizira kukulitsa malowa, kupatsa dotolo mpata wambiri kuti agwire ntchito, komanso kumathandiza dokotalayo kuti aziwona bwino ziwalozo.
• Kamera yaying'ono kwambiri (laparoscope) imayikidwa kudzera mu trocar ndipo imagwiritsidwa ntchito kuwona mkati mwa mafupa anu ndi pamimba. Angadulidwe pang'ono ngati zida zina zikufunika kuti muwone bwino ziwalo zina.
• Ngati muli ndi lapynosologic laparoscopy, utoto utha kubayidwa m'chibelekero chanu kuti dokotalayo azitha kuwona machubu.
• Pambuyo pa mayeso, gasi, laparoscope, ndi zida zimachotsedwa, ndipo mabala amatsekedwa. Mudzakhala ndi mabandeji m'malo amenewo.

Tsatirani malangizo osadya kapena kumwa musanachite opaleshoni.

Mungafunike kusiya kumwa mankhwala, kuphatikizapo mankhwala opatsirana opweteka, tsiku lomaliza kapena lisanachitike. MUSASinthe kapena kusiya kumwa mankhwala musanalankhule ndi omwe amakuthandizani.

Tsatirani malangizo ena aliwonse okonzekera ndondomekoyi.

Simudzamva kupweteka panthawiyi. Pambuyo pake, zocheperako zitha kukhala zopweteka. Dokotala wanu angakupatseni mankhwala ochepetsa ululu.

Muthanso kukhala ndi ululu wamapewa masiku angapo. Gasi yomwe imagwiritsidwa ntchito pochita izi imatha kukwiyitsa chifundikiro, chomwe chimagwirana chimodzimodzi ndi phewa. Muthanso kulakalaka kukodza, chifukwa mpweya umatha kukakamiza chikhodzodzo.

Mudzachira kwa maola ochepa kuchipatala musanapite kunyumba. Simungakhale usiku mutatha laparoscopy.

Simudzaloledwa kuyendetsa galimoto kupita kunyumba. Winawake ayenera kupezeka kuti akutengereni kunyumba pambuyo poti achite izi.

Kuzindikira laparoscopy nthawi zambiri kumachitika chifukwa cha izi:

• Pezani chomwe chimayambitsa kupweteka kapena kukula m'mimba ndi m'chiuno pomwe x-ray kapena zotsatira za ultrasound sizikudziwika.
• Pambuyo pangozi kuti muwone ngati pali kuvulala kwa ziwalo zilizonse m'mimba.
• Asanachitike njira zochizira khansa kuti mudziwe ngati khansayo yafalikira. Ngati ndi choncho, mankhwala asintha.

Laparoscopy ndichizolowezi ngati mulibe magazi m'mimba, mulibe hernias, palibe zotsekeka m'matumbo, komanso mulibe khansa m'ziwalo zilizonse zowoneka. Chiberekero, timachubu ta mazira, ndi thumba losunga mazira ndi za kukula, mawonekedwe, ndi utoto wabwinobwino. Chiwindi chimakhala chachilendo.

Zotsatira zachilendo zitha kukhala chifukwa cha zinthu zingapo, kuphatikiza:

• Zilonda zamkati mkati mwa pamimba kapena m'chiuno (zomata)
• Zowonjezera
• Maselo ochokera mkati mwa chiberekero omwe amakulira m'malo ena (endometriosis)
• Kutupa kwa ndulu (cholecystitis)
• Ziphuphu zamchiberekero kapena khansara ya ovary
• Kutenga kwa chiberekero, mazira, kapena mazira (matenda opatsirana m'mimba)
• Zizindikiro zovulala
• Kufalikira kwa khansa
• Zotupa
• Zotupa zopanda khansa zam'mimba monga fibroids

Pali chiopsezo chotenga matenda. Mutha kupeza maantibayotiki kuti muchepetse vutoli.

Pali chiopsezo choboola chiwalo. Izi zitha kupangitsa zomwe zili m'matumbo kutuluka. Pakhoza kukhalanso magazi m'mimbamo yam'mimba. Zovuta izi zitha kubweretsa kuchitidwa opaleshoni yotseguka (laparotomy).

Matenda a laparoscopy sangakhale otheka ngati muli ndi matumbo otupa, madzimadzi m'mimba (ascites), kapena mudachitidwapo opaleshoni yapitayi.

Laparoscopy - matenda; Ma laparoscopy ofufuza

• Ziphuphu zam'mimba
• Matupi achikazi oberekera
• Kukula kwa laparoscopy m'mimba

Falcone T, Walters MD. Kuzindikira laparoscopy. Mu: Baggish MS, Karram MM, olemba. Atlas of Pelvic Anatomy and Gynecologic Opaleshoni. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 115.

Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B. Wofufuza laparotomy - laparoscopic. Mu: Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B, kufunsa eds. Njira Zofunikira Zopangira Opaleshoni. Philadelphia, PA: Elsevier; 2016: chap 1.