Kuongorora chirwere chinonzi laparoscopy

Kuongorora laparoscopy inzira inobvumidza chiremba kuti atarise zvakananga pane zviri mudumbu kana muchiuno.

Maitiro acho anowanzoitwa muchipatara kana chipatara chekuvhiya chiri pasi peanesthesia (paunenge wakarara uye usina kurwadziwa). Maitiro acho anoitwa nenzira inotevera:

• Chiremba anovhiya anoita akacheka (incision) pazasi peguvhu rebhatani.
• Tsono kana chubhu ine mhango inonzi trocar inoiswa mune iyo incision. Carbon dioxide gasi inoendeswa mudumbu kuburikidza nesero kana chubhu. Iyo gasi inobatsira kuwedzera nzvimbo, ichipa anovhiya nzvimbo yakawanda yekushanda, uye inobatsira chiremba anovhiya kuona nhengo zvakajeka.
• Kamuvhidhiyo kamera (laparoscope) inozoiswa kuburikidza netrokari uye inoshandiswa kuona mukati mepabvi rako nedumbu. Zvimwe zvidimbu zvidiki zvinogona kugadzirwa kana zvimwe zviridzwa zvichidikanwa kuti uwane maonero ari nani ezvimwe nhengo.
• Kana iwe uine gynecologic laparoscopy, dhayi inogona kujekeswa mumuromo wako wechibereko kuitira kuti chiremba avheneke iwo anoona fallopian machubhu.
• Mushure mekuongorora, gasi, laparoscope, uye zviridzwa zvinobviswa, uye macheka akavharwa. Iwe unenge uine mabhandiji pamusoro penzvimbo idzi.

Tevedzera rairo pakusadya kana kunwa usati wavhiyiwa.

Ungangoda kumira kunwa mishonga, kusanganisira marwadzo ekudzora marwadzo, pazuva kana bvunzo yezuva risati rasvika. Usachinje kana kurega kutora chero mishonga usati watanga kutaura nemupi wako wezvehutano.

Tevedzera chero mimwe mirairo kuti ungagadzirira sei maitiro.

Iwe haunzonzwa kurwadziwa panguva yekuita. Mushure meizvozvo, zvichemo zvinogona kunge zvichirwadza. Chiremba wako anogona kunyorera anodzora marwadzo.

Iwe unogona zvakare kuve nekurwadziwa kwepafudzi kwemazuva mashoma. Iyo gasi inoshandiswa panguva yekuita inogona kutsamwisa diaphragm, iyo inogovana mimwe yemitsipa yakafanana nebendekete. Iwe unogona zvakare kuve nekuwedzera kukurudzira kuda kuita weti, sezvo iyo gasi inogona kuisa kumanikidza padundira.

Uchapora kwemaawa mashoma kuchipatara usati waenda kumba. Iwe haugone kugara husiku mushure me laparoscopy.

Hauzobvumidzwa kutyaira kumba. Mumwe munhu anofanira kuwanikwa kuti akuendese kumba mushure mekuita.

Kuongorora chirwere chinonzi laparoscopy kunowanzoitirwa zvinotevera:

• Tsvaga chinokonzeresa chekurwadziwa kana kukura mudumbu nenzvimbo yepelvic apo x-ray kana ultrasound mhedzisiro isina kujeka.
• Mushure me Tsaona kuti uone kana paine kukuvara kune chero nhengo mudumbu.
• Pamberi pematanho ekurapa gomarara kuti uone kana gomarara rapararira. Kana zvirizvo, kurapwa kuchachinja.

Iyo laparoscopy yakajairika kana pasina ropa mudumbu, hapana hernias, hapana hutumbo hwekudzivirira, uye isina kenza mune chero nhengo dzinoonekwa. Icho chibereko, fallopian machubhu, uye mazai ane akaenzana saizi, chimiro, uye ruvara. Chiropa chinowanzoitika.

Mhedzisiro isina kujairika inogona kunge iri nekuda kwenzvimbo dzakasiyana, kusanganisira:

• Mavara matsvuku mukati medumbu kana pelvis (adhesions)
• Appendicitis
• Masero kubva mukati mechibereko ari kukura mune dzimwe nzvimbo (endometriosis)
• Kuzvimba kwenduru (cholecystitis)
• Ovarian cysts kana kenza yeiyo ovary
• Utachiona hwechibereko, ovari, kana fallopian machubhu (pelvic anogumbura chirwere)
• Zviratidzo zvekukuvara
• Kupararira kwekenza
• Mamota
• Noncancerous mamota echibereko senge fibroids

Pane njodzi yekutapukirwa. Iwe unogona kuwana maantibayoti kudzivirira iyi kuomarara.

Pane njodzi yekubaya nhengo. Izvi zvinogona kukonzera zvirimo mumatumbu kubuda. Panogona zvakare kuve nekubuda ropa mukati medumbu mhango. Aya matambudziko anogona kutungamira mukuvhiya nekuvhurika nekukurumidza (laparotomy).

Kuongorora laparoscopy kunogona kusakwanisika kana uine kuzvimba ura, fluid mukati medumbu (ascites), kana iwe wakamboitwa oparesheni yapfuura.

Laparoscopy - kuongorora chirwere; Laparoscopy yekuongorora

• Pelvic laparoscopy
• Mukadzi wekubereka anatomy
• Incision yemudumbu laparoscopy

Falcone T, Walters MD. Kuongorora chirwere chinonzi laparoscopy. Mune: Baggish MS, Karram MM, eds. Atlas yePelvic Anatomy uye Gynecologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2016: chits. 115.

Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B. Yekuongorora laparotomy - laparoscopic. Mu: Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B, kubvunza eds. Maitiro Akakosha Ekuvhiya. Philadelphia, PA: Elsevier; 2016: chits 1.