Pelvic laparoscopy

Pelvic laparoscopy kuvhiyiwa kuongorora nhengo dzechiuno. Iyo inoshandisa chishandiso chekuona chinonzi laparoscope. Kuvhiya kwacho kunoshandiswawo kurapa zvimwe zvirwere zvenhengo dzechiuno.

Paunenge wakarara zvakadzama uye usingarwadziwe pasi peanesthesia, chiremba anoita hafu-inch (1.25 masentimita) yekucheka akachekwa muganda riri pazasi peguvhu bhatani. Carbon dioxide gasi inoputirwa mudumbu kubatsira chiremba kuona nhengo zviri nyore.

Iyo laparoscope, chishandiso chinoratidzika sediki teresikopu ine mwenje uye vhidhiyo kamera, inoiswa kuitira kuti chiremba akwanise kuona nzvimbo yacho.

Zvimwe zviridzwa zvinogona kuiswa kuburikidza nezvimwe zvidiki zvidiki mudumbu rezasi. Paunenge uchiona vhidhiyo yekutarisa, chiremba anokwanisa ku:

• Tora maturu sampuli (biopsy)
• Tarisa chikonzero chechero zviratidzo
• Bvisa zvinyoro zvinyoro kana zvimwe zvisikwa zvisina kujairika, senge kubva ku endometriosis
• Gadzirisa kana bvisa chikamu kana zvese zvemazai kana zvechibereko machubhu
• Gadzirisa kana kubvisa zvikamu zvechibereko
• Ita dzimwe nzira dzekuvhiya (senge appendectomy, kubvisa lymph node)

Mushure me laparoscopy, iyo carbon dioxide gasi inosunungurwa, uye iyo micheka yakavharwa.

Laparoscopy inoshandisa kucheka kwekuvhiya kudiki pane kuvhiya kwakavhurika. Vazhinji vanhu vane maitiro aya vanokwanisa kudzokera kumba zuva rimwe chetero. Iyo incision diki zvakare zvinoreva kuti kupora kunokurumidza. Kune kushomeka kwekurasikirwa kweropa nekuvhiyiwa kwepaparoscopic uye kurwadziwa kushoma mushure mekuvhiyiwa.

Pelvic laparoscopy inoshandiswa zvese kuongororwa uye kurapwa. Inogona kukurudzirwa ku:

• Chinhu chisina kujairika chepelvic kana cyst ovarian yakawanikwa uchishandisa pelvic ultrasound
• Gomarara (ovari, endometrial, kana remuromo) kuti uone kana rapararira, kana kubvisa lymph node kana tishu.
• Chirwere (chenguva refu) kurwadziwa kwepamuviri, kana pasina chimwe chikonzero chakawanikwa
• Ectopic (tubal) pamuviri
• Endometriosis
• Kuoma kubata pamuviri kana kuva nemwana (kushaya mbereko)
• Kamwe kamwe, kurwadziwa kwakakomba kwepelvic

Laparoscopy yepelvic inogona kuitwawo ku:

• Bvisa chibereko chako (hysterectomy)
• Bvisa uterine fibroids (myomectomy)
• "Sunga" machubhu ako (tubal ligation / sterilization)

Ngozi dzekuvhiya chero kwepamuviri dzinosanganisira:

• Kubuda ropa
• Ropa rinovhara mugumbo kana mutsinga wepelvic, iyo yaigona kuenda kumapapu uye, kashoma, kuuraya
• Matambudziko ekufema
• Kukuvadza kunhengo dziri pedyo uye zvinyama
• Zvinetso zvemwoyo
• Utachiona

Laparoscopy yakachengeteka kupfuura nzira yakavhurika yekugadzirisa dambudziko.

Nguva dzose udza mupi wako wehutano:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi madhiragi auri kutora, kunyangwe madhiragi, mahebhu, kana zvinowedzeredza zvawakatenga pasina mushonga

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kukumbirwa kumira kutora aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti zvive zvakaoma kuti ropa rako rigadzike.
• Kumbira mupi wako kuti ndeapi mishonga iwe yaunogona kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire.
• Ronga kuti mumwe munhu akudzose kumba mushure mekuvhiyiwa.

Pazuva rekuvhiyiwa kwako:

• Iwe unowanzo bvunzwa kuti usamwe kana kunwa chero chinhu pakati pehusiku husiku usati waitwa oparesheni, kana maawa masere usati wavhiyiwa.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
• Mupiki wako anokuudza nguva yekuuya kuchipatara kana kukiriniki.

Iwe unozoshandisa imwe nguva munzvimbo yekudzoresa paunomuka kubva kune iyo anesthesia.

Vanhu vazhinji vanokwanisa kuenda kumusha zuva rimwe chetero nemaitiro acho. Dzimwe nguva, iwe ungangoda kugara husiku, zvinoenderana nekuvhiyiwa kwakaitwa uchishandisa laparoscope.

Iyo gasi inoputirwa mudumbu inogona kukonzera kusagadzikana kwemimba kwemazuva 1 kusvika maviri mushure mekuita. Vamwe vanhu vanonzwa kurwadziwa kwemutsipa nefudzi kwemazuva mazhinji mushure meparaposcopy nekuti iyo carbon dioxide gasi inoshatisa diaphragm. Sezvo gasi rinosvirwa, uku kurwadziwa kuchapera. Kurara pasi kunogona kubatsira kudzikisa marwadzo.

Iwe unozowana tsamba yemushonga wekurwadziwa kana kuudzwa kuti ndeipi mishonga yekurwadziwa yaunogona kutora.

Unogona kudzokera kuzviitiko zvako zvakajairika mukati mezuva rimwe kana maviri. Zvisinei, Usasimudze chero chinhu chinopfuura mapaundi gumi (4.5 kilograms) kwemavhiki matatu mushure mekuvhiyiwa kuti uderedze njodzi yako yekuwana hernia mune yako incision.

Zvichienderana nemaitiro anoitwa, iwe unogona kazhinji kutanga kuita bonde zvekare nekukurumidza kana chero kubuda ropa kwamira. Kana iwe uine hysterectomy, iwe unofanirwa kumirira kwenguva yakareba usati waita zvepabonde zvakare. Bvunza mupiki wako izvo zvinokurudzirwa maitiro auri kuita.

Fonera mupiki wako kana iwe uine:

• Kubuda ropa kubva mukati memukadzi
• Fivha iyo isingaendi
• Kusvotwa uye kurutsa
• Kutambudzika kwakanyanya kwepamuviri

Celioscopy; Kuvhiya kwebhandi-bhendi; Pelviscopy; Gynecologic laparoscopy; Kuongorora laparoscopy - gynecologic

• Pelvic laparoscopy
• Endometriosis
• Pelvic kunamatira
• Ovarian cyst
• Pelvic laparoscopy - akateedzana

Kudzoka FJ, Cohn DE, Mannel RS, Fowler JM. Basa rekuvhiya kushoma kunoparadza mune gynecologic malignancies. Mune: DiSaia PJ, Creasman WT, Mannel RS, McMeekin DS, Mutch DG, eds. Clinical Gynecologic Oncology. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 21.

Burney RO, Giudice LC. Endometriosis. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 130.

Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy uye laparoscopy: zvinoratidza, zvinopesana, uye matambudziko. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.

Patel RM, Kaler KS, Landman J. Zvinokosha zve laparoscopic uye robotic urologic kuvhiyiwa. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 14.