Laparotomy Yofufuza: Chifukwa Chake Zachitika, Zomwe Muyenera Kuyembekezera

Zamkati

• Kodi laparotomy yofufuza ndi chiyani?
• Ndi liti ndipo ndichifukwa chiyani malipoti ofufuza amachitika?
• Zomwe muyenera kuyembekezera panthawiyi
• Zomwe muyenera kuyembekezera kutsatira ndondomekoyi
• Zovuta za laparotomy yowunikira
• Lumikizanani ndi dokotala ngati mukukumana ndi izi
• Kodi pali mitundu ina yazidziwitso yomwe ingatenge malo a laparotomy yowunikira?
• Zotenga zazikulu

Lapototomy yofufuza ndi mtundu wa opaleshoni yam'mimba. Sagwiritsidwe ntchito mobwerezabwereza monga kale, komabe amafunikabe m'malo ena.

Tiyeni tiwone bwino za laparotomy yowunikira komanso chifukwa chake nthawi zina imakhala njira yabwino kwambiri yazizindikiro zam'mimba.

Kodi laparotomy yofufuza ndi chiyani?

Mukakhala ndi opaleshoni yam'mimba, nthawi zambiri zimakhala zofunikira. Mungafunike kuchotsa zakumapeto kapena zitsamba, mwachitsanzo. Dokotalayo amapanga njira yoyenera ndikupita kukagwira ntchitoyo.

Nthawi zina, chifukwa cha kupweteka m'mimba kapena zizindikiro zina zam'mimba sizidziwika. Izi zitha kuchitika ngakhale atayesedwa kwathunthu kapena, pakagwa mwadzidzidzi, chifukwa palibe nthawi yoyesa. Ndipamene dokotala angafune kuchita laparotomy yofufuza.

Cholinga cha opaleshoniyi ndikufufuza m'mimba monse kuti mupeze gwero lavutoli. Ngati dokotalayo atha kuzindikira vutoli, chithandizo chilichonse chofunikira cha opaleshoni chitha kuchitika nthawi yomweyo.

Ndi liti ndipo ndichifukwa chiyani malipoti ofufuza amachitika?

Lapototomy yofufuza itha kugwiritsidwa ntchito ngati:

• kukhala ndi zizindikilo zazikulu kapena zazitali zam'mimba zomwe sizimadziwika.
• adakumana ndi vuto lalikulu m'mimba ndipo palibe nthawi yoyezetsa kwina.
• sali woyenera bwino pa opaleshoni ya laparoscopic.

Kuchita opaleshoniyi kungagwiritsidwe ntchito pofufuza:

Kuphatikiza pakuwunika, dotolo akhoza:

• tengani minofu kuti muyesere khansa (biopsy).
• Pangani kukonza kulikonse koyenera.
• khansa siteji.

Kufunika kwa laparotomy yowunikira sikuli kwakukulu monga kale. Izi ndichifukwa cha kupita patsogolo kwaukadaulo wazithunzi. Komanso, ngati kuli kotheka, laparoscopy ndi njira yocheperako yofufuzira pamimba.

Zomwe muyenera kuyembekezera panthawiyi

Lapototomy yofufuza ndi opaleshoni yayikulu. Kuchipatala, mtima wanu ndi mapapo anu zidzafufuzidwa kuti zitsimikizike kuti ndizotetezeka kugwiritsa ntchito mankhwala oletsa ululu. Mzere wolowa mkati (IV) udzaikidwa m'manja mwanu kapena m'manja. Zizindikiro zanu zofunikira zidzayang'aniridwa. Mwinanso mungafunike chubu chopumira kapena chitoliro.

Mukamachita izi, mudzagona, kotero simudzamva chilichonse.

Khungu lanu litatetezedwa ndi tizilombo toyambitsa matenda, pamakhala m'mimba mwanu. Dokotalayo adzayang'ana m'mimba mwanu kuti awonongeke kapena matenda. Ngati pali minofu yokayikitsa, nyemba zimatha kutengedwa kuti ziwunike. Ngati chifukwa cha vutoli chingadziwike, atha kuchitidwa opareshoni panthawi inayi.

Kutsekemera kudzatsekedwa ndi zokopa kapena zowonjezera. Mutha kusiyidwa ndi kanthawi kochepa kuti madzi amadzitulutse.

Mwinamwake mudzakhala masiku angapo m'chipatala.

Zomwe muyenera kuyembekezera kutsatira ndondomekoyi

Pambuyo pa opaleshoniyi, mudzasamukira kumalo ochira. Kumeneko, mudzayang'anitsitsa mpaka mutakhala tcheru. IV ipitiliza kupereka madzi. Itha kugwiritsidwanso ntchito ngati mankhwala opewera matenda ndikuthana ndi ululu.

Mutachoka kumalo ochira, mukulimbikitsidwa kuti mudzuke ndikuyenda mozungulira kuti muchepetse magazi. Simudzapatsidwa chakudya chokhazikika mpaka matumbo anu atayamba kugwira bwino ntchito. Catheter ndi kukhetsa m'mimba zidzachotsedwa masiku angapo.

Dokotala wanu akufotokozera zomwe apeza ndi zomwe akutsatira. Mukakonzeka kupita kunyumba, mudzapatsidwa malangizo okhudzana ndi kutulutsa zinthu omwe atha kukhala:

• Osakweza mapaundi opitilira asanu kwa milungu isanu ndi umodzi yoyambirira.
• Osasamba kapena kusamba mpaka mutapita kwa dokotala wanu. Sungani chembacho choyera komanso chouma.
• Dziwani zisonyezo za matenda. Izi zimaphatikizapo malungo, kapena kufiira kapena ngalande yachikaso kuchokera pachimbudzi.

Nthawi yobwezeretsa nthawi zambiri imakhala pafupifupi milungu isanu ndi umodzi, koma izi zimasiyanasiyana malinga ndi munthu. Dokotala wanu adzakupatsani lingaliro la zomwe muyenera kuyembekezera.

Zovuta za laparotomy yowunikira

Zina mwazovuta zomwe zachitika pakuchita opareshoni ndi:

• zoipa anachita mankhwala ochititsa dzanzi
• magazi
• matenda
• kudulira kumene sikumachiritsa bwino
• kuvulaza matumbo kapena ziwalo zina
• nthendayi

Zomwe zimayambitsa vutoli sizimapezeka nthawi zonse popanga opaleshoni. Izi zikachitika, dokotala wanu adzakuuzani za zomwe ziyenera kuchitika pambuyo pake.

Lumikizanani ndi dokotala ngati mukukumana ndi izi

Mukakhala kunyumba, funsani dokotala wanu ngati muli:

• malungo a 100.4 ° F (38.0 ° C) kapena kupitilira apo
• kuwonjezera kupweteka komwe sikukuyankha mankhwala
• kufiira, kutupa, kutuluka magazi, kapena ngalande zachikaso pamalo obowolera
• kutupa m'mimba
• wamagazi kapena wakuda, malo obisalira
• kutsegula m'mimba kapena kudzimbidwa kumatenga masiku opitilira awiri
• ululu pokodza
• kupweteka pachifuwa
• kupuma movutikira
• chifuwa chosatha
• nseru, kusanza
• chizungulire, kukomoka
• kupweteka kwa mwendo kapena kutupa

Zizindikiro izi zitha kuwonetsa zovuta zazikulu. Itanani dokotala wanu nthawi yomweyo ngati mungakumane nawo.

Kodi pali mitundu ina yazidziwitso yomwe ingatenge malo a laparotomy yowunikira?

Ma laparoscopy ofufuza ndi njira yocheperako yomwe imatha kuchitika m'malo mwa laparotomy. Nthawi zina amatchedwa "keyhole" opareshoni.

Pochita izi, chubu chaching'ono chotchedwa laparoscope chimalowetsedwa kudzera pakhungu. Kuwala ndi kamera kumamangiriridwa pa chubu. Chidacho chimatha kutumiza zithunzi kuchokera mkati mwamimba pazenera.

Izi zikutanthauza kuti dokotalayo amatha kuyang'ana pamimba kudzera pazowotchera pang'ono osati chachikulu. Ngati kuli kotheka, opaleshoni imatha kuchitidwa nthawi yomweyo.

Ikufunikirabe anesthesia wamba. Koma nthawi zambiri zimapangitsa kuti azikhala mwachidule kuchipatala, osakhala ndi zipsera, komanso kuchira msanga.

Ma laparoscopy ofufuza atha kugwiritsidwa ntchito potengera mtundu wa minofu ya biopsy. Amagwiritsidwanso ntchito kuzindikira matenda osiyanasiyana. Laparoscopy sangakhale yotheka ngati:

• muli ndi mimba yopotoka
• khoma la m'mimba limawoneka kuti latenga kachilomboka
• muli ndi zipsera zambiri zam'mbuyomu zochitira opaleshoni zam'mimba
• mwakhala ndi laparotomy m'masiku 30 apitawa
• uku ndi ngozi yowopsa moyo

Zotenga zazikulu

Laparotomy yowunikira ndi njira yomwe mimba imatseguka kuti ifufuze. Izi zimachitika pangozi zakuchipatala zokha kapena ngati mayeso ena azidziwitso sangathe kufotokoza zizindikilo.

Ndizothandiza kupeza zikhalidwe zambiri zam'mimba ndi m'chiuno. Vutoli likapezeka, chithandizo chamankhwala chimatha kuchitika nthawi yomweyo, zomwe zitha kuthetsa kufunikira kochitidwa opaleshoni yachiwiri.