Opaleshoni ya robotic
Kuchita maloboti ndi njira yochitira opareshoni pogwiritsa ntchito zida zazing'ono kwambiri zolumikizidwa ku mkono wa roboti. Dokotalayo amayendetsa mkono wa roboti ndi kompyuta.
Mudzapatsidwa mankhwala oletsa ululu kuti mugone komanso musamve ululu.
Dokotalayo amakhala pamalo okwerera makompyuta ndikuwongolera mayendedwe a loboti. Zipangizo zing'onozing'ono zopangira opaleshoni zimamangiriridwa m'manja a loboti.
- Dokotalayo amadula pang'ono kuti alowetse zida m'thupi lanu.
- Kachubu kocheperako kamene kali ndi kamera yolumikizidwa kumapeto kwake (endoscope) imalola dokotalayo kuti aziwona zithunzi zokulitsa za 3-D za thupi lanu pomwe opaleshoniyi ikuchitika.
- Lobotiyo imagwirizana ndi kayendedwe ka dzanja la dokotalayo kuti agwiritse ntchito njirayi pogwiritsira ntchito tinthu tating'onoting'ono.
Kuchita ma Robotic ndikofanana ndi ma laparoscopic. Itha kuchitidwa kudzera pakucheka pang'ono kuposa opaleshoni yotseguka. Kusuntha kochepa, kolondola komwe kungatheke ndi mtundu uwu wa opareshoni kumakupatsirani zabwino zina kuposa njira zofananira za endoscopic.
Dokotalayo amatha kuyenda pang'ono, molondola pogwiritsa ntchito njirayi. Izi zitha kuloleza dokotalayo kuti azichita opaleshoni podula pang'ono komwe kamodzi kumatha kuchitidwa ndi opaleshoni yotseguka.
Dzanja la roboti likayikidwa pamimba, zimakhala zosavuta kuti dokotalayo azigwiritsa ntchito zida zopangira opaleshoni kuposa kuchita opaleshoni ya laparoscopic kudzera mu endoscope.
Dokotalayo amathanso kuwona komwe opaleshoni imachitidwa mosavuta. Njirayi imalola dokotalayo kuyenda m'njira yabwino kwambiri.
Kuchita ma Robotic kumatha kutenga nthawi yayitali kuti achite. Izi ndichifukwa cha kuchuluka kwa nthawi yofunikira kukhazikitsa loboti. Komanso, zipatala zina sizingakhale ndi njirayi. Komabe zikukhala zofala kwambiri.
Kuchita ma Robotic kungagwiritsidwe ntchito m'njira zingapo, kuphatikiza:
- Mitsempha ya Coronary imadutsa
- Kudula minofu ya khansa m'malo obisika amthupi monga mitsempha, mitsempha, kapena ziwalo zofunika mthupi
- Kuchotsa ndulu
- M'chiuno m'malo
- Kutsekemera
- Kuchotsa kwathunthu kapena pang'ono kwa impso
- Kuika impso
- Kukonza ma valve a Mitral
- Pyeloplasty (opaleshoni kukonza kutsekeka kwa ureteropelvic mphambano)
- Zamgululi
- Wopanga prostatectomy
- Wopanga cystectomy
- Tubal ligation
Opaleshoni ya Robotic sangagwiritsidwe ntchito nthawi zonse kapena njira yabwino yochitira opareshoni.
Zowopsa za anesthesia ndi opaleshoni iliyonse ndi monga:
- Zomwe zimachitika ndi mankhwala
- Mavuto opumira
- Magazi
- Matenda
Kuchita ma Robotic kuli ndi zoopsa zambiri monga opaleshoni yotseguka ndi laparoscopic. Komabe, kuopsa kwake ndikosiyana.
Simungathe kukhala ndi chakudya kapena madzi kwa maola 8 musanachite opaleshoni.
Mungafunike kutsuka matumbo anu ndi enema kapena mankhwala ofewetsa tuvi tolimba tsiku lomwelo asanamuchite opaleshoni zamankhwala amtundu wina.
Lekani kumwa aspirin, oonda magazi monga warfarin (Coumadin) kapena Plavix, mankhwala oletsa kutupa, mavitamini, kapena zowonjezera zina masiku 10 asanachitike.
Mudzatengedwera kuchipinda chobwezeretsa pambuyo pa ndondomekoyi. Kutengera mtundu wa opareshoni yochitidwa, mungafunike kugona mchipatala usiku umodzi kapena masiku angapo.
Muyenera kuyenda patatha tsiku limodzi mutatha kuchita izi. Momwe mukukhudzira posachedwa zimadalira maopareshoni omwe adachitidwa.
Pewani kukweza kapena kupondereza mpaka dokotala atakupatsani zabwino. Dokotala wanu angakuuzeni kuti musayendetse galimoto kwa sabata limodzi.
Mabala opangira maopareshoni ndi ocheperako kusiyana ndi opareshoni yotseguka. Ubwino wake ndi:
- Kuchira mwachangu
- Kupweteka pang'ono ndi magazi
- Chiwopsezo chochepa chotengera matenda
- Kukhala mwachipatala mwachidule
- Zipsera zazing'ono
Opaleshoni yothandizira maloboti; Opaleshoni ya laparoscopic; Opaleshoni ya laparoscopic mothandizidwa ndi robotic
Dalela D, Borchert A, Sood A, Peabody J. Zomwe zimayambira pa ma robotic. Mu: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, olemba. Hinman’s Atlas of Urologic Surgery. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 7.
Goswami S, Kumar PA, Mets B. Anesthesia yochita opareshoni mwachangu. Mu: Miller RD, Mkonzi. Anesthesia wa Miller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 87.
Muller CL, Wokazinga GM. Tekinoloje yakutsogolo pakuchita opareshoni: informatics, robotic, zamagetsi. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 15.