Laparotomy Yekuongorora: Nei Yaitwa, Chii Chaunotarisira

Zvemukati

• Chii chinonzi laparotomy yekuongorora?
• Ndeipi uye nei lap rekutsvagisa richiitwa?
• Chii chaunotarisira panguva yekuita
• Chii chaunotarisira kutevera maitiro
• Matambudziko eaparotomy yekuongorora
• Bata chiremba wako kana iwe ukaona izvi zviratidzo
• Kune mamwe mafomu ekuongororwa anogona kutora nzvimbo yekuongorora laparotomy?
• Makiyi ekutora

Kuongorora laparotomy rudzi rwekuvhiya mudumbu. Haisi kushandiswa kakawanda sezvayaimboita, asi ichiri kudikanwa mune mamwe mamiriro.

Ngatinyatsoongororai laparotomy yekuongorora uye nei dzimwe nguva iri sarudzo yakanakisa yezviratidzo zvemudumbu.

Chii chinonzi laparotomy yekuongorora?

Paunenge uchivhiyiwa mudumbu, zvinowanzoitirwa chinangwa chakati. Ungangoda kuti appendix yako ibviswe kana kuti hernia rigadziriswe, semuenzaniso. Chiremba anovhiya anogadzira akakodzera uye anoenda kunoshanda padambudziko iri.

Dzimwe nguva, chikonzero chekurwadziwa nemimba kana zvimwe zviratidzo zvemudumbu hazvisi pachena. Izvi zvinogona kuitika kunyangwe kuyedzwa zvakakwana kana, mune yekukurumidzira mamiriro, nekuti hapana nguva yekuyedzwa. Ndipo apo chiremba angangoda kuita laparotomy yekuongorora.

Chinangwa chekuvhiya uku ndechekuongorora dumbu rese remukati kuti uwane panobva dambudziko. Kana chiremba anovhiya akaona dambudziko, chero kurapwa kunodiwa kunogona kuitika ipapo ipapo.

Ndeipi uye nei lap rekutsvagisa richiitwa?

Laparotomy yekuongorora inogona kushandiswa kana iwe:

• vane zvakakomba kana zverefu-zvenguva dumbu zviratidzo zvinoshaya kuongororwa.
• ndakave nekushungurudzika kukuru kwemimba uye hapana nguva yekumwe kuyedzwa.
• haasi mukwikwidzi akanaka wekuvhiya laparoscopic.

Kuvhiya uku kunogona kushandiswa kuongorora:

Pamusoro pekuongorora kunoonekwa, chiremba anovhiya anogona:

• tora sampu yetissue kuyedza cancer (biopsy).
• gadzira chero gadziriso inodiwa yekuvhiya.
• gomarara repanzvimbo.

Iko kudiwa kwekutsvagisa laparotomy haina kukura senge yaimbove iri. Izvi zvinokonzerwa nekufambira mberi kweyekufungidzira tekinoroji. Zvakare, pazvinogoneka, laparoscopy inzira isinganetsi yekuongorora dumbu.

Chii chaunotarisira panguva yekuita

Kuongorora laparotomy ndiko kuvhiya kukuru. Muchipatara, mwoyo wako nemapapu zvichaongororwa kuti zvive nechokwadi chekushandisa anesthesia yakajairika. Mutsara (IV) mutsetse uchaiswa muruoko rwako kana ruoko. Zviratidzo zvako zvakakosha zvichaongororwa. Iwe unogona zvakare kuda kufema chubhu kana catheter.

Munguva yekuita, iwe unenge wakarara, saka haunganzwe chero chinhu.

Kamwe kana ganda rako rikaiswa utachiona, refu yakatwasuka incision ichaitwa padumbu rako. Chiremba anovhiya anozoongorora dumbu rako kuti rikuvara here kana kuti chirwere. Kana paine zvinyama zvinofungidzirwa, sampuro inogona kutorwa kuitira biopsy. Kana chikonzero chechinetso chikagadziriswa, inogona kurapwa kurapwa panguva ino futi.

Iyo incision ichavharwa ne stitches kana staples. Iwe unogona kusiiwa uine chidimbu chenguva pfupi kuti urege mvura yakawandisa ichiyerera ichibuda.

Iwe ungangopedza mazuva akati wandei muchipatara.

Chii chaunotarisira kutevera maitiro

Mushure mekuvhiyiwa, iwe uchaendeswa kunzvimbo yekunaya. Ikoko, iwe unenge uchitariswa zvakatarwa kusvikira iwe wanyatso gara. IV ichaenderera ichipa zvinwiwa. Inogona zvakare kushandiswa kumishonga yekudzivirira hutachiona uye kubvisa marwadzo.

Mushure mekubva munzvimbo yekudzoreredza, iwe unozokurudzirwa kusimuka uye kufamba famba kuti ubatsire kudzivirira kuwonda kweropa. Iwe haugone kupihwa chikafu chenguva dzose kusvikira ura hwako hwave kushanda zvakajairika. Iyo catheter uye dumbu dhureini ichabviswa mukati memazuva mashoma.

Chiremba wako achatsanangura zvakawanikwa pakuvhiya uye nematanho anotevera anofanira kunge ari. Paunenge wagadzirira kuenda kumba, iwe unozopihwa madhisheni ekuraira ayo anogona kusanganisira:

• Usasimudze anodarika mashanu pondo kwemavhiki matanhatu ekutanga.
• Usageze kana kugeza kusvikira wawana kuenda-mberi kubva kuna chiremba wako. Chengeta incision yakachena uye yakaoma.
• Ngwarira zviratidzo zvehutachiona. Izvi zvinosanganisira kupisa muviri, kana kutsvuka kana yero drainage kubva kune iyo incision.

Nguva yekudzoreredza inowanzo kuve kutenderera kwemavhiki matanhatu, asi izvi zvinosiyana kubva pamunhu kuenda kumunhu. Chiremba wako achakupa pfungwa yezvaunotarisira.

Matambudziko eaparotomy yekuongorora

Zvimwe zvinogona kunetsa zvekuvhiya kwekuongorora ndezvi:

• maitiro akaipa kune anesthesia
• kubuda ropa
• hutachiona
• incision isingarape zvakanaka
• kukuvara ura kana dzimwe nhengo
• incisional hernia

Chikonzero chechinetso hachiwanzo kuwanikwa panguva yekuvhiyiwa. Kana izvo zvikaitika, chiremba wako achataura newe nezve izvo zvinofanirwa kuitika zvinotevera.

Bata chiremba wako kana iwe ukaona izvi zviratidzo

Paunenge uchinge wave kumba, bata chiremba wako kana uine:

• fever ye100.4 ° F (38.0 ° C) kana yakakwira
• kuwedzera marwadzo asingapinduri kumushonga
• kutsvuka, kuzvimba, kubuda ropa, kana yero drainage pane iyo incision saiti
• kuzvimba mudumbu
• Ropa kana dema, zvigaro zvekugara
• manyoka kana kuputirwa kunotora mazuva anodarika maviri
• kurwadziwa nekuita weti
• kurwadziwa pachipfuva
• mweya wekufema
• kuramba chikosoro
• kusvotwa, kurutsa
• dzungu, kupera simba
• kurwadziwa kwegumbo kana kuzvimba

Zviratidzo izvi zvinogona kuratidza kukomba kwakakomba. Dana chiremba wako pakarepo kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiita

Kune mamwe mafomu ekuongororwa anogona kutora nzvimbo yekuongorora laparotomy?

Yekutsvaira laparoscopy inzira isinganetsi inokonzeresa iyo inogona kazhinji kuitwa panzvimbo ye laparotomy. Iyo dzimwe nguva inonzi "keyhole" kuvhiya.

Mune maitiro aya, chubhu diki inonzi laparoscope inoiswa kuburikidza neganda. Chiedza uye kamera zvakanamatira pombi. Chishandiso chinokwanisa kutumira mifananidzo kubva mukati medumbu kune skrini.

Izvi zvinoreva kuti chiremba anovhiya anogona kuongorora dumbu kuburikidza nemaitiro mashoma mashoma pane kuita hombe. Kana zvichikwanisika, nzira dzekuvhiya dzinogona kuitwa panguva imwe chete.

Izvo zvichiri kuda general anesthesia. Asi inowanzo gadzirira kupfupika kwekugara muchipatara, kushomeka kwekukuvara, uye kukurumidza kupora.

Laparoscopy yekutsvagisa inogona kushandiswa kutora sampuro yeshutu yebhiopsy. Izvo zvakare zvinoshandiswa do diagnose hwakawanda mamiriro. Laparoscopy inogona kusakwanisika kana:

• une dumbu rakamonyoroka
• madziro edumbu anoita kunge ane hutachiona
• une akawanda apfuura maronda ekuvhiya mudumbu
• iwe wave uine laparotomy mukati memazuva makumi matatu apfuura
• iyi ndiyo ngozi inotyisa

Makiyi ekutora

Kuongorora laparotomy inzira iyo dumbu rinovhurwa nekuda kwekutsvaga. Izvi zvinoitwa chete mukukurumidzira kwekurapa kana kana kumwe kuongorora kwekukanganisa kusingakwanise kutsanangura zviratidzo.

Inobatsira pakuongorora mamiriro mazhinji anosanganisira dumbu uye chiuno. Kana dambudziko rikawanikwa, kurapwa kunogona kuitwa panguva imwe chete, zvichizobvisa kudiwa kwekuvhiyiwa kwechipiri.