Lapototomy yowunikira: ndi chiyani, ikamawonetsedwa ndi momwe imachitikira

Zamkati

• Pofufuza laparotomy ikusonyezedwa
• Momwe zimachitikira
• Zovuta zotheka

Kufufuza, kapena kufufuzira, laparotomy ndi kuyezetsa kozindikira komwe kumadulidwa pamimba kuti muwone ziwalozo ndikuzindikira chifukwa cha chizindikiro kapena kusintha kwamayeso ojambula. Njirayi iyenera kuchitidwa m'chipinda chogwiritsira ntchito ndi wodwalayo atakhala pansi, chifukwa ndi njira yovuta.

Ndikulimbikitsidwa kuti munthuyo akhale mchipatala kuti amuperekeze ndikuchira mwachangu pamachitidwe, kuwonjezera pakuchepetsa chiwopsezo cha zovuta, monga kukha magazi ndi matenda.

Pofufuza laparotomy ikusonyezedwa

Ma laparotomy ofufuzira amachitidwa kuti azindikire, ndipo amachitidwa pakakhala zizindikilo zosintha m'mimba.

Nthawi zambiri imakhala njira yosankhira, koma imatha kuganiziridwanso pakagwa mwadzidzidzi, monga ngozi zazikulu zamagalimoto, mwachitsanzo. Chifukwa chake, mayeso awa atha kuwonetsedwa kuti mufufuze:

• Akukayika magazi m'mimba;
• Zotupa m'matumbo;
• Kutupa kwa zakumapeto, m'matumbo kapena kapamba;
• Pamaso pa abscesses mu chiwindi;
• Zizindikiro zosonyeza khansa, makamaka kapamba ndi chiwindi;
• Kukhalapo kwa zomata.

Kuphatikiza apo, laparotomy yowunikira itha kugwiritsidwanso ntchito kufufuza zina mwazimayi, monga endometriosis, khansa yamchiberekero ndi khansa ya pachibelekero komanso ectopic pregnancy. Komabe, nthawi zambiri, m'malo mwa laparotomy, laparoscopy imachitika, momwe mabowo ena ang'onoang'ono amapangidwa mdera lam'mimba lomwe limalola kudutsa kwa chida chamankhwala cholumikizidwa ndi maikolofoni, kulola kuwonera munthawi yeniyeni popanda chofunikira. kudula kwakukulu kumafunika. Mvetsetsani momwe videolaparoscopy imagwirira ntchito.

Pakati pa laparotomy yowunikira, ngati pali kusintha kulikonse, ndizotheka kusonkhanitsa zitsanzo zamatumbo ndikuzitumiza ku labotore kukayesa. Kuphatikiza apo, ngati vuto lirilonse lipezeka pakuwunika, laparotomy yothandiziranso imatha kuchitidwa, yomwe imafanana ndi njira yomweyo koma ndi cholinga chothandizira ndikuwongolera zomwe zasinthidwa.

Momwe zimachitikira

Laparotomy yowunikira imachitika mchipinda chogwiritsira ntchito, pomwe wodwalayo amakhala pansi pa anesthesia ndipo amakhala pakati pa 1 ndi 4 maola kutengera cholinga cha mayeso. Anesthesia ndi yofunika kuti munthu asamve kalikonse panthawiyi, komabe sizachilendo kuti pambuyo poti ululuwo watha, munthuyo amamva kupweteka komanso kusapeza bwino.

Pambuyo pochita dzanzi ndi kuyamba kwa zomwe zimachitika, mdulidwe umapangidwa mdera lam'mimba, kukula kwake kumasiyanasiyana malinga ndi cholinga cha mayeso, ndipo nthawi zina, kumachepetsa pafupifupi m'mimba monse. Kenako, adokotala amafufuza dera, kuwunika ziwalo ndikuwona zosintha zilizonse.

Kenako, m'mimba mwatsekedwa ndipo munthuyo ayenera kukhala mchipatala masiku angapo kuti athe kuyang'anitsitsa motero, zovuta zimatha kupewedwa.

Zovuta zotheka

Popeza ndi njira yovutikira yomwe amafunikira mankhwala ochititsa dzanzi, pakhoza kukhala zovuta zina zokhudzana ndi njirayi, komanso zovuta zokhudzana ndi kugundana, chiopsezo chowonjezeka chakutuluka magazi ndi matenda, mapangidwe a hernias ndi kuwonongeka kwa chiwalo chilichonse chomwe chili m'dera lam'mimba. .

Ngakhale ndizosowa, zovuta izi zimachitika pafupipafupi pakufunika kuchita laparotomy yowunikira mwadzidzidzi kapena ngati wodwalayo akusuta, anthu omwe amakonda kumwa zakumwa zoledzeretsa kapena omwe ali ndi matenda osachiritsika, monga matenda ashuga kapena kunenepa kwambiri. Chifukwa chake, pamaso pa izi, ndikofunikira kulumikizana ndi adotolo kuti njirayi ikuchitika mosamala ndipo chifukwa chake zovuta zimapewa.