Laparoscopy ya kanema: ndi ya chiyani, imachitidwa bwanji ndipo ikuchira bwanji

Zamkati

• Kodi videolaparoscopy ya
• Momwe videolaparoscopy imagwirira ntchito
• Pamene siziyenera kuchitidwa
• Kodi Kuchira
• Zovuta zotheka

Videolaparoscopy ndi njira yomwe ingagwiritsidwe ntchito pozindikira komanso kuchiza, yotsirizira amatchedwa videolaparoscopy yochita opaleshoni. Videolaparoscopy imachitidwa ndi cholinga chowonera zomwe zimapezeka m'mimba ndi m'chiuno ndipo, ngati kuli kofunikira, kuchotsa kapena kukonza kusinthako.

Kwa amayi, laparoscopy imachitika makamaka pozindikira komanso kuchiza matenda a endometriosis, komabe sikumayeso koyamba komwe kumachitika, chifukwa ndizotheka kufikira matenda ena kudzera m'mayeso ena, monga transvaginal ultrasound ndi magnetic resonance, mwachitsanzo, wowononga.

Kodi videolaparoscopy ya

Videolaparoscopy itha kugwiritsidwa ntchito ngati njira yodziwira matenda komanso ngati njira yothandizira. Pogwiritsidwa ntchito pozindikira, videolaparoscopy (VL), yotchedwanso matenda a VL, itha kukhala yothandiza pakufufuza ndi kutsimikizira:

• Mavuto a gallbladder ndi zowonjezera;
• Endometriosis;
• Matenda a peritoneal;
• Chotupa m'mimba;
• Matenda achikazi;
• Matenda omatira;
• Zowawa zam'mimba zopanda chifukwa chilichonse;
• Ectopic mimba.

Chikawonetsedwa kuti chithandizire, chimalandira dzina la opaleshoni ya VL, ndipo chitha kuwonetsedwa kuti:

• Kuchotsa ndulu ndi zowonjezera;
• Kukonza kwa Hernia;
• Mankhwala Hydrosalpinitis;
• Kuchotsa zilonda zamchiberekero;
• Kuchotsa zomatira;
• Tubal ligation;
• Chiwerewere chonse;
• Kuchotsa Myoma;
• Chithandizo cha ziwalo zoberekera;
• Kuchita opaleshoni ya amayi.

Kuphatikiza apo, videolaparoscopy imatha kuwonetsedwa kuti ipangire ma ovari biopsy, komwe ndikuwunika komwe kukhulupirika kwa minofu ya chiberekero kumawunikiridwa mopepuka. Mvetsetsani chomwe chiri komanso momwe biopsy imachitikira.

Momwe videolaparoscopy imagwirira ntchito

Videolaparoscopy ndimayeso osavuta, koma amayenera kuchitika poyambitsa dzanzi ndipo amapangidwa pang'ono m'chigawo chapafupi ndi mchombo momwe chubu chaching'ono chokhala ndi maikolofoni chiyenera kulowa.

Kuphatikiza pa kudulidwa uku, mabala ena ang'onoang'ono nthawi zambiri amapangidwa m'mimba momwe zida zina zimadutsira kuti zifufuze m'chiuno, m'mimba kapena pochita opaleshoniyi. Microcamera imagwiritsidwa ntchito kuwunikira ndikuwunika mkati mwa gawo lonse la m'mimba, zomwe zimapangitsa kuzindikira kusintha ndikusintha kuchotsedwa kwake.

Kukonzekera koyezetsa kumaphatikizapo kuyesa mayeso am'mbuyomu, monga kuwunika koyambirira kwa opareshoni ndi opaleshoni, ndipo mayesowa akafufuza m'mimba, ndikofunikira kutulutsa m'matumbo pogwiritsa ntchito mankhwala ofewetsa tuvi pansi pa upangiri wa zamankhwala tsiku lotsatira mayeso.

Pamene siziyenera kuchitidwa

Videolaparoscopy sayenera kuchitidwa ngati ali ndi pakati, mwa anthu omwe ali ndi vuto la kunenepa kwambiri kapena ngati munthuyo ali ndi vuto lalikulu.

Kuphatikiza apo, sichikupezeka pamatenda a m'mimba mwa peritoneum, khansa m'chigawo cham'mimba, kuchuluka kwa m'mimba, kutsekeka m'matumbo, peritonitis, chophukacho m'mimba kapena pomwe sikutheka kugwiritsa ntchito mankhwala oletsa ululu.

Kodi Kuchira

Kuchira kuchokera ku opareshoni ya laparoscopic ndikwabwino kuposa kuchitira opareshoni, popeza kuchepa ndi kutuluka magazi panthawi yochita opaleshoni ndizochepa. Nthawi yochira kuchokera ku opaleshoni ya laparoscopic imatenga masiku 7 mpaka 14, kutengera ndondomekoyi. Pambuyo pa nthawi imeneyi, munthuyo amatha kubwerera pang'onopang'ono kuzinthu zatsiku ndi tsiku malinga ndi zomwe amamuuza.

Pambuyo pa videolaparoscopy, ndikwabwino kumva kupweteka m'mimba, kupweteka m'mapewa, kukhala ndi matumbo otsekedwa, kumva kutupa, kudwala komanso kumva ngati kusanza. Chifukwa chake, panthawi yakuchira, munthu ayenera kupumula momwe angathere ndikupewa kugonana, kuyendetsa galimoto, kuyeretsa nyumba, kugula ndi kuchita masewera olimbitsa thupi m'masiku 15 oyamba.

Zovuta zotheka

Ngakhale kuyezetsa uku ndikwabwino kwambiri kumaliza matenda ena ndikumachira bwino, akagwiritsidwa ntchito ngati njira yothandizira, komanso njira zina zochitira opaleshoni, videolaparoscopy imabweretsa mavuto ena azaumoyo, monga kukha mwazi m'zinthu zofunika monga chiwindi kapena ndulu., Kutuluka kwa m'matumbo, chikhodzodzo kapena chiberekero, chophukacho pamalo olowera zida, matenda a tsambalo ndikuwonjezeka kwa endometriosis, mwachitsanzo.

Kuphatikiza apo, ikachitidwa pachifuwa, pneumothorax, embolism kapena emphysema imatha kuchitika. Pachifukwa ichi, ma videolaparoscopy samapemphedwa kuti akhale njira yoyamba yodziwira matenda, kugwiritsidwa ntchito ngati njira yothandizira.