Laparoscopy

Zamkati

• Chifukwa chiyani laparoscopy imachitika?
• Kodi kuopsa kwa laparoscopy ndi kotani?
• Kodi ndimakonzekera bwanji laparoscopy?
• Kodi laparoscopy imachitika bwanji?
• Zimatenga nthawi yayitali bwanji kuchira kuchokera ku laparoscopy?
• Zotsatira za laparoscopy

Kodi laparoscopy ndi chiyani?

Laparoscopy, yomwe imadziwikanso kuti laparoscopy yoyezetsa magazi, ndi njira yoyezera matenda yomwe imagwiritsidwa ntchito kupenda ziwalo zamkati mwamimba. Ndi njira yotsika pang'ono, yolowererapo yocheperako yomwe imangofunika pang'ono chabe.

Laparoscopy imagwiritsa ntchito chida chotchedwa laparoscope poyang'ana ziwalo zam'mimba. Laparoscope ndi chubu chachitali, chowonda chokhala ndi kuwala kothamanga kwambiri komanso kamera yayitali kutsogolo. Chidacho chimalowetsedwa kudzera pobowola m'mimba m'mimba. Ikamayenda, kamera imatumiza zithunzi kuwunikira kanema.

Laparoscopy imalola dokotala wanu kuwona mkati mwathupi munthawi yeniyeni, popanda opaleshoni yotseguka. Dokotala wanu amathanso kupeza zitsanzo za biopsy panthawiyi.

Chifukwa chiyani laparoscopy imachitika?

Laparoscopy imagwiritsidwa ntchito pozindikira komanso kuzindikira komwe kumayambitsa kupweteka kwa m'chiuno kapena m'mimba. Nthawi zambiri amachitidwa ngati njira zosafunikira sizingathandize pakuwunika.

Nthawi zambiri, mavuto am'mimba amathanso kupezeka ndi maluso monga:

• ultrasound, yomwe imagwiritsa ntchito mafunde akumveka kwambiri kuti apange zithunzi za thupi
• CT scan, yomwe ndi ma X-ray apadera omwe amatenga zithunzi za thupi
• Kujambula kwa MRI, komwe kumagwiritsa ntchito maginito ndi mawailesi kuti apange zithunzi za thupi

Laparoscopy imachitika pamene mayeserowa samapereka chidziwitso chokwanira kapena kuzindikira kwa matenda. Njirayi itha kugwiritsidwanso ntchito kutenga biopsy, kapena mtundu wa minofu, kuchokera ku chiwalo china m'mimba.

Dokotala wanu angakulimbikitseni laparoscopy kuti muwone ziwalo zotsatirazi:

• zowonjezera
• ndulu
• chiwindi
• kapamba
• matumbo ang'ono ndi matumbo akulu (colon)
• ndulu
• m'mimba
• m'chiuno kapena ziwalo zoberekera

Poona maderawa ndi laparoscope, dokotala amatha kuzindikira:

• misa ya m'mimba kapena chotupa
• madzimadzi m'mimbamo
• matenda a chiwindi
• mphamvu ya mankhwala ena
• momwe khansa yapita patsogolo

Komanso, dokotala wanu atha kuchitapo kanthu kuti athetse vuto lanu atangomupeza.

Kodi kuopsa kwa laparoscopy ndi kotani?

Zowopsa zomwe zimakhudzana ndi laparoscopy ndikutuluka magazi, matenda, komanso kuwonongeka kwa ziwalo m'mimba mwanu. Komabe, izi sizimachitika kawirikawiri.

Mukatha kuchita izi, ndikofunikira kuti muwone zizindikiritso zilizonse za matenda. Lumikizanani ndi dokotala ngati mukumva:

• malungo kapena kuzizira
• kupweteka m'mimba komwe kumakulirakulira pakapita nthawi
• kufiira, kutupa, kutuluka magazi, kapena ngalande m'malo opumira
• nseru mosalekeza kapena kusanza
• chifuwa chosatha
• kupuma movutikira
• kulephera kukodza
• mutu wopepuka

Pali chiopsezo chochepa chowonongeka kwa ziwalo zomwe zimayesedwa pa laparoscopy. Magazi ndi madzi ena amatha kulowa mthupi lanu ngati chiwalo chaboola. Poterepa, mufunika opaleshoni ina kuti mukonze zowonongekazo.

Zowopsa zochepa ndizo:

• zovuta zochokera ku anesthesia wamba
• kutupa kwa khoma la m'mimba
• chotsekera magazi, chomwe chimatha kupita m'chiuno, miyendo, kapena mapapo

Nthawi zina, dotolo wanu akhoza kukhulupirira kuti chiwopsezo chodziwitsa laparoscopy ndichokwera kwambiri kuti chisapindulitse kugwiritsa ntchito njira yocheperako. Izi zimachitika nthawi zambiri kwa iwo omwe adachitidwapo opaleshoni yam'mimba m'mbuyomu, zomwe zimawonjezera chiopsezo chogwiritsa ntchito zomata m'mimba. Kuchita laparoscopy pamaso pa zomata kumatenga nthawi yayitali ndikuwonjezera chiopsezo chovulaza ziwalo.

Kodi ndimakonzekera bwanji laparoscopy?

Muyenera kuuza dokotala za mankhwala aliwonse omwe mumamwa. Dokotala wanu angakuuzeni momwe angagwiritsire ntchito njira izi zisanachitike komanso zitatha.

Dokotala wanu akhoza kusintha mlingo wa mankhwala aliwonse omwe angakhudze zotsatira za laparoscopy. Mankhwalawa ndi awa:

• maanticoagulants, monga ochepetsa magazi
• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), kuphatikizapo aspirin (Bufferin) kapena ibuprofen (Advil, Motrin IB)
• mankhwala ena omwe amakhudza magazi
• mankhwala azitsamba kapena zakudya
• vitamini K

Muyeneranso kuuza dokotala ngati muli ndi pakati kapena mukuganiza kuti mungakhale ndi pakati. Izi zimachepetsa chiopsezo chovulaza mwana wanu yemwe akukula.

Asanachitike laparoscopy, dokotala wanu amatha kuyitanitsa kuyesa magazi, kukodza kwam'mimba, electrocardiogram (EKG kapena ECG), ndi X-ray pachifuwa. Dokotala wanu amathanso kuyesa mayeso ena ojambula, kuphatikizapo ultrasound, CT scan, kapena MRI scan.

Mayeserowa atha kuthandiza dokotala kuti amvetsetse zovuta zomwe zimayesedwa pa laparoscopy. Zotsatirazo zimapatsanso dokotala wanu chitsogozo chowoneka mkati mwa mimba yanu. Izi zitha kupititsa patsogolo mphamvu ya laparoscopy.

Muyenera kupewa kupewa kudya ndi kumwa kwa maola osachepera asanu ndi atatu lisanachitike laparoscopy. Muyeneranso kukonzekera kuti wachibale kapena mnzanu adzakutengereni kunyumba mukamaliza. Laparoscopy nthawi zambiri imagwiritsidwa ntchito pogwiritsa ntchito mankhwala oletsa ululu, omwe amatha kukupangitsani kuti muziwodzera komanso kuti musayendetse galimoto kwa maola angapo mutachitidwa opaleshoni.

Kodi laparoscopy imachitika bwanji?

Laparoscopy nthawi zambiri imachitika ngati njira yothandizira odwala. Izi zikutanthauza kuti mudzatha kupita kunyumba tsiku lomwelo ndi opaleshoni yanu. Zitha kuchitidwa kuchipatala kapena kuchipatala.

Mwinanso mungapatsidwe mankhwala ochititsa dzanzi a mtundu uwu wa opareshoni. Izi zikutanthauza kuti mudzagona kudzera mu njirayi ndipo simungamve kupweteka kulikonse. Kuti mukwaniritse anesthesia wamba, mzere wamitsempha (IV) umayikidwa mu umodzi mwamitsempha yanu. Kudzera mu IV, dokotala wanu wochita opaleshoni angakupatseni mankhwala apadera komanso kukupatsirani madzi.

Nthawi zina, mankhwala oletsa ululu am'deralo amagwiritsidwa ntchito m'malo mwake. Mankhwala ochititsa dzanzi am'derali amachititsa kuti dzanzi likhala lende, choncho ngakhale mutadzakhala muli ogalamuka panthawi ya opaleshoniyi, simungamve kupweteka kulikonse.

Pakati pa laparoscopy, dokotalayo amadula pamimba pamimba, kenako amalowetsa chubu chaching'ono chotchedwa cannula. Mankayi amagwiritsidwa ntchito kupatsira m'mimba mwanu mpweya wa kaboni dayokisaidi. Mpweya uwu umalola dokotala wanu kuwona ziwalo zanu zam'mimba bwino.

Mimba yanu ikakhala ndi mpweya, dokotalayo amalowetsa laparoscope podutsamo. Kamera yolumikizidwa ndi laparoscope imawonetsa zithunzizo pazenera, kulola ziwalo zanu kuti ziwonedwe munthawi yeniyeni.

Chiwerengero ndi kukula kwazomwe zimadulidwa zimadalira matenda omwe dokotala wanu akuyesera kutsimikizira kapena kuwachotsa. Nthawi zambiri, mumachokera pamitundu imodzi mpaka inayi yomwe ili pakati pa 1 ndi 2 sentimita m'litali. Izi zimalola zida zina kulowetsedwa. Mwachitsanzo, dokotala wanu wa opaleshoni angafunikire kugwiritsa ntchito chida china cha opaleshoni kuti apange biopsy. Pakati pa biopsy, amatenga tinthu tating'onoting'ono tating'onoting'ono kuti tiwayese.

Ndondomekoyo ikachitika, zida zimachotsedwa. Zochita zanu zimatsekedwa ndi zomata kapena tepi ya opaleshoni. Mabandeji atha kuyikidwa pazomwe zingachitike.

Zimatenga nthawi yayitali bwanji kuchira kuchokera ku laparoscopy?

Opaleshoniyo ikatha, mudzawonedwa kwa maola angapo musanatuluke mchipatala. Zizindikiro zanu zofunika, monga kupuma kwanu ndi kugunda kwa mtima, zidzayang'aniridwa mosamala. Ogwira ntchito kuchipatala awunikiranso zovuta zilizonse za ochititsa dzanzi kapena ndondomekoyi, komanso kuwunika ngati magazi akutuluka nthawi yayitali.

Nthawi yomwe mumasulidwe izikhala zosiyanasiyana. Zimatengera:

• momwe thupi lanu lilili
• mtundu wa mankhwala ochititsa dzanzi ogwiritsidwa ntchito
• zomwe thupi lanu limachita kuchitidwa opaleshoni

Nthawi zina, mungafunike kugona m'chipatala usiku wonse.

Wachibale kapena mnzanu adzafunika kukuthamangitsani kupita kunyumba mukalandila ochititsa dzanzi. Zotsatira za anesthesia nthawi zambiri zimatenga maola angapo kuti zitheke, chifukwa zimatha kukhala zosayendetsa bwino mukamachita izi.

M'masiku otsatira laparoscopy, mumatha kumva kupweteka pang'ono komanso kupweteka m'malo omwe munapangidwira. Kupweteka kulikonse kapena kusapeza bwino kuyenera kusintha mkati mwa masiku ochepa. Dokotala wanu akhoza kukupatsani mankhwala kuti muchepetse ululu.

Zimakhalanso zofala kukhala ndi ululu wamapewa pambuyo pa njira yanu. Ululuwo nthawi zambiri umakhala chifukwa cha mpweya wa kaboni dayokisaidi womwe umagwira m'mimba mwanu kuti mupange malo ogwiritsira ntchito zida zopangira opaleshoni. Mpweyawo umatha kukhumudwitsa diaphragm yanu, yomwe imagawana mitsempha ndi phewa lanu. Zingayambitsenso kuphulika. Vutoli liyenera kutha pakadutsa masiku angapo.

Mutha kuyambiranso kuchita zinthu zachilendo mkati mwa sabata. Muyenera kupita kukakumana ndi dokotala wanu patatha milungu iwiri kuchokera ku laparoscopy.

Nazi zinthu zina zomwe mungachite kuti muwone bwino:

• Yambani ntchito zopepuka mukangotha, kuti muchepetse ziwopsezo zamagazi.
• Gonani mokwanira kuposa momwe mumachitira.
• Gwiritsani ntchito lozenges pakhosi kuti muchepetse kupweteka kwa pakhosi.
• Valani zovala zosasunthika.

Zotsatira za laparoscopy

Ngati biopsy idatengedwa, wodwala amafufuza. Dokotala wamankhwala ndi dokotala yemwe amachita bwino kusanthula kwa minofu. Lipoti lofotokoza zotsatirazi litumizidwa kwa dokotala wanu.

Zotsatira zabwinobwino kuchokera ku laparoscopy zimawonetsa kusapezeka kwa magazi m'mimba, hernias, ndi zotsekeka m'mimba. Amatanthauzanso kuti ziwalo zanu zonse ndi zathanzi.

Zotsatira zosazolowereka zochokera ku laparoscopy zimawonetsa zinthu zina, kuphatikiza:

• zomatira kapena zipsera zopangira opaleshoni
• hernias
• appendicitis, kutupa matumbo
• fibroids, kapena kukula kosazolowereka m'mimba
• zotupa kapena zotupa
• khansa
• cholecystitis, kutupa kwa ndulu
• endometriosis, matenda omwe minofu yomwe imapanga chiberekero imakula kunja kwa chiberekero
• kuvulala kapena kupwetekedwa ndi chiwalo china
• m'chiuno yotupa matenda, matenda a ziwalo zoberekera

Dokotala wanu amakonzekera kukumana nanu kuti mudzayang'ane zotsatira. Ngati atapezeka kuti ali ndi vuto lalikulu lachipatala, dokotala wanu amakambirana nanu njira zoyenera zochiritsira ndipo adzagwira nanu ntchito kuti mupeze njira yothanirana ndi vutoli.