Laparoscopy

Zvemukati

• Nei laparoscopy ichiitwa?
• Ndeipi njodzi dzelaparoscopy?
• Ndino gadzirira sei laparoscopy?
• Laparoscopy inoitwa sei?
• Zvinotora nguva yakareba sei kupora kubva pa laparoscopy?
• Mhedzisiro ye laparoscopy

Chii chinonzi laparoscopy?

Laparoscopy, inozivikanwawo sekuongorora laparoscopy, chirwere chekuvhiya chinoshandiswa kuongorora nhengo dziri mudumbu. Iyo yakaderera-njodzi, zvishoma zvinokanganisa maitiro zvinongoda zvidiki zvidiki.

Laparoscopy inoshandisa chiridzwa chinonzi laparoscope kutarisa nhengo dzemudumbu. Laparoskopu ithubhu refu, yakatetepa ine mwenje wepamusoro-soro uye kamera yepamusoro pamberi. Chishandiso chinoiswa kuburikidza necision mumadziro emudumbu. Sezvo ichifamba, kamera inotumira mifananidzo kune vhidhiyo yekutarisa.

Laparoscopy inobvumira chiremba wako kuti aone mukati memuviri wako munguva chaiyo, pasina kuvhiyiwa pachena. Chiremba wako zvakare anogona kuwana biopsy sampuli panguva iyi maitiro.

Nei laparoscopy ichiitwa?

Laparoscopy inowanzo shandiswa kuona uye kuongorora panobva kurwadziwa kwepamuviri kana kwepamuviri. Inowanzoitwa kana nzira dzisiri dzinokanganisa dzisingakwanise kubatsira nekuongorora.

Muzviitiko zvakawanda, matambudziko emimba anogona zvakare kuongororwa nehunyanzvi hwekufungidzira senge:

• ultrasound, iyo inoshandisa yakakwira-frequency kurira mafungu kugadzira mifananidzo yemuviri
• CT scan, inova nhevedzano yeakasarudzika maX-ray anotora mifananidzo yemuchinjikwa
• MRI scan, iyo inoshandisa magetsi nemasaisai eredhiyo kugadzira mifananidzo yemuviri

Laparoscopy inoitwa kana bvunzo idzi dzisingape ruzivo rwakakwana kana njere yekuongororwa. Maitiro acho anogona zvakare kushandiswa kutora biopsy, kana sampuro yetishu, kubva kune imwe nhengo mudumbu.

Chiremba wako anogona kukurudzira laparoscopy kuti uongorore nhengo dzinotevera:

• appendikisi
• nduru
• chiropa
• chirwatata
• dumbu ura uye ura hwakakura (colon)
• chirwatata
• dumbu
• chiuno kana nhengo dzekubereka

Nokucherechedza nzvimbo idzi ne laparoscope, chiremba wako anogona kuona:

• dumbu kana bundu
• Urume mudumbu mhango
• chirwere chechiropa
• kushanda kwemamwe marapirwo
• iyo danho uko imwe kenza yakafambira mberi

Zvakare, chiremba wako anogona kukwanisa kupindira kuti arape mamiriro ako nekukurumidza mushure mekuongororwa.

Ndeipi njodzi dzelaparoscopy?

Njodzi dzinowanzoitika dzinosanganisirwa nelaparoscopy kubuda ropa, hutachiona, uye kukuvara kwenhengo mudumbu rako. Zvisinei, izvi hazviwanzo kuitika.

Mushure mekuita kwako, zvakakosha kuti utarise chero zviratidzo zvehutachiona. Bata chiremba wako kana iwe uchinge wawana:

• kupisa kana kutonhora
• kurwadziwa kwepamuviri kunova kwakanyanya kuwedzera nekufamba kwenguva
• kutsvuka, kuzvimba, kubuda ropa, kana drainage pane iyo incision nzvimbo
• kuenderera mberi kusvotwa kana kurutsa
• kuramba chikosoro
• mweya wekufema
• kutadza kuita weti
• musoro wakareruka

Pane njodzi diki yekukuvara kunhengo dziri kuongororwa panguva ye laparoscopy. Ropa uye zvimwe zvinwiwa zvinogona kubuda mumuviri wako kana nhengo yakabayiwa. Muchiitiko ichi, iwe uchazoda kumwe kuvhiyiwa kugadzirisa kukanganisa.

Njodzi dzisina kujairika dzinosanganisira:

• zvinetso kubva kune yakawanda anesthesia
• kuzvimba kwemadziro edumbu
• ropa rakavhara, iro raigona kuenda kumapanga ako, makumbo, kana mapapu

Mune mamwe mamiriro ezvinhu, chiremba wako anovhiya angatenda kuti njodzi yekuongorora laparoscopy yakanyanya kukwirira kuti ubvumire mabhenefiti ekushandisa nzira isinganetsi. Mamiriro ezvinhu aya anowanzoitika kune avo vakambovhiiwa mudumbu, izvo zvinowedzera mukana wekuumba bato pakati pezvivakwa mudumbu. Kuita laparoscopy pamberi pekunamatira kunotora nguva yakareba uye kunowedzera njodzi yekukuvadza nhengo.

Ndino gadzirira sei laparoscopy?

Iwe unofanirwa kutaurira chiremba wako nezve chero mushonga kana pamusoro-the-counter mishonga yauri kutora. Chiremba wako anokuudza kuti anofanirwa kushandiswa sei zvisati zvaitika uye mushure mekuita.

Chiremba wako anogona kushandura dhizaini yemimwe mishonga inogona kukanganisa mhedzisiro yeparoscopy. Iyi mishonga inosanganisira:

• anticoagulants, senge rinocheka ropa
• nonsteroidal anti-inflammatory drugs (NSAIDs), kusanganisira aspirin (Bufferin) kana ibuprofen (Advil, Motrin IB)
• mimwe mishonga inobata kuvhara ropa
• mishonga kana zvekudya zvinowedzera
• vhitamini K

Iwe unofanirwa zvakare kuudza chiremba wako kana iwe uri nepamuviri kana kufunga kuti ungangove uine nhumbu. Izvi zvinoderedza njodzi yekukuvara kumwana wako ari kukura.

Pamberi pe laparoscopy, chiremba wako anogona kuraira kuongororwa kweropa, urinalysis, electrocardiogram (EKG kana ECG), uye chest X-ray. Chiremba wako anogona zvakare kuita mimwe bvunzo yekufungidzira, inosanganisira iyo ultrasound, CT scan, kana MRI scan.

Aya miedzo inogona kubatsira chiremba wako kuti anzwisise zvirinani iko kushomeka kuri kuongororwa panguva ye laparoscopy. Mhedzisiro yacho inopawo chiremba wako gwara rekuona mukati medumbu rako. Izvi zvinogona kuvandudza kushanda kwe laparoscopy.

Iwe ungangoda kudzivisa kudya uye kunwa kwemaawa masere pasati laparoscopy. Iwe unofanirwa zvakare kuronga kuti nhengo yemhuri kana shamwari ikudzosere mota kumba mushure mekuita. Laparoscopy inowanzoitwa pachishandiswa anesthesia, izvo zvinogona kukuwisira hope uye kutadza kutyaira kwemaawa akati wandei mushure mekuvhiyiwa.

Laparoscopy inoitwa sei?

Laparoscopy inowanzoitwa senzira yekurapa varwere. Izvi zvinoreva kuti iwe unozokwanisa kuenda kumba zuva rimwe chete sekuvhiyiwa kwako. Inogona kuitwa muchipatara kana nzvimbo yekuvhiya yekurapa.

Iwe ungangove unopihwa yakajairika anesthesia yerudzi urwu rwekuvhiya. Izvi zvinoreva kuti iwe ucharara kuburikidza nemaitiro uye hauzonzwa chero kurwadziwa. Kuti uwane anesthesia yakajairika, mutsinga (IV) mutsetse unowanikwa mune imwe yetsinga dzako. Kuburikidza neiyo IV, wako anesthesiologist anogona kukupa iwe chaiyo mishonga uye pamwe nekupa hydration nemvura.

Mune zvimwe zviitiko, anesthesia yemuno inoshandiswa pachinzvimbo. Anesthetic yemuno inovhara nzvimbo, saka kunyangwe iwe uchange wakamuka panguva yekuvhiyiwa, hauzonzwa chero kurwadziwa.

Munguva ye laparoscopy, chiremba anovhiya anoita incision pazasi peguvhu rako bhatani, uyezve woisa diki chubhu inonzi cannula. Iyo cannula inoshandiswa kufutisa dumbu rako ne carbon dioxide gasi. Iyi gasi inobvumira chiremba wako kuti aone nhengo dzako dzemimba zvakajeka.

Kana dumbu rako rangozara mweya, chiremba anovhiya anoisa iyo laparoscope kuburikidza necision. Iyo kamera yakanamatira kune laparoscope inoratidza mifananidzo pachiratidziri, ichibvumira nhengo dzako kuti dziwonekwe munguva chaiyo.

Iyo nhamba uye saizi yekutsemura zvinoenderana nezvakanyanya chirwere chiremba wako ari kuyedza kusimbisa kana kutonga kunze. Kazhinji, iwe unowana kubva kune imwe kusvika kune ina incision iyo imwe neimwe iri pakati pe1 ne2 masendimita pakureba. Izvi zvinodzora zvinobvumira zvimwe zviridzwa kuiswa. Semuenzaniso, chiremba wako anovhiya angangoda kushandisa chimwe chishandiso chekuvhiya kuti aite biopsy. Munguva yebiopsy, ivo vanotora svumbunuro diki yetissue kubva kunhengo kuti iongororwe.

Mushure mekuita kwacho kwaitwa, zviridzwa zvinobviswa. Maitiro ako anobva avharwa nesiteki kana tepi yekuvhiya. Mabhanhire anogona kuiswa pamusoro pezvinoitwa.

Zvinotora nguva yakareba sei kupora kubva pa laparoscopy?

Kana kuvhiya kwapera, iwe uchaonekwa kwemaawa akati wandei usati waburitswa muchipatara. Zviratidzo zvako zvakakosha, sekufema uye kurova kwemoyo wako, zvichatariswa zvakanyanya. Vashandi vemuzvipatara vanozotarisawo kana paine kusagadzikana kweanesthesia kana maitiro, pamwe nekutarisa kubuda kweropa kwenguva refu.

Nguva yekusunungurwa kwako ichasiyana. Zvinoenderana ne:

• mamiriro ako epanyama
• mhando yeanesthesia yakashandiswa
• maitiro emuviri wako pakuvhiyiwa

Mune zvimwe zviitiko, ungatofanira kugara muchipatara husiku.

Nhengo yemhuri kana shamwari inoda kukuendesa kumba kana iwe wakagamuchira general anesthesia. Mhedzisiro yeanesthesia kazhinji inotora maawa akati wandei kupera, saka zvinogona kunge zvisina kuchengetedzeka kutyaira mushure mekuita.

Mumazuva anotevera laparoscopy, unogona kunzwa kurwadziwa kwepakati nepakati uye kurovera munzvimbo dzaigadzirwa. Chero kurwadziwa kana kusagadzikana kunofanira kusimudzira mukati memazuva mashoma. Chiremba wako anogona kukunyorera mishonga kuti usunungure kurwadziwa.

Zvakajairika kuva nekurwadziwa kwepafudzi mushure mekuita kwako. Marwadzo acho anowanzo guma nekasi yekabhoni dhayokisaidhi inoshandiswa kukwizisa dumbu rako kuti ugadzire nzvimbo yekushandira yezviridzwa zvekuvhiya. Iyo gasi inogona kutsamwisa diaphragm yako, iyo inogovana tsinga nefudzi rako. Izvo zvinogona zvakare kukonzera kumwe kuputika. Iko kusagadzikana kunofanira kuenda mukati memazuva mashoma.

Iwe unogona kazhinji kutangazve zvese zvakajairwa zviitiko mukati mevhiki. Iwe unozofanirwa kuenda kune yekutevera-musangano kusangana nachiremba wako anenge mavhiki maviri mushure mekaroscopy.

Hezvino zvimwe zvinhu zvaunogona kuita kuti uve nechokwadi chekudzoka kwakanaka:

• Kutanga kuita kwechiedza nekukurumidza kana uchinge wagona, kuitira kuti udzikise njodzi yako yekugwamba kweropa.
• Wana kurara kwakawanda kupfuura zvaunowanzoita.
• Shandisa huro dzehuro kuti udzikise kurwadziwa kwehuro.
• Pfeka mbatya dzakasununguka.

Mhedzisiro ye laparoscopy

Kana bhiopsy ikatorwa, chiremba anoiongorora. Nyanzvi yezvirwere chiremba anonyanya kuongorora kuongorora kwemaviri. Chirevo chinotsanangura zvakabuda chichaendeswa kuna chiremba wako.

Zvakajairika mhedzisiro kubva ku laparoscopy inoratidza kusavapo kwekubuda ropa mudumbu, hernias, uye ura hwemukati. Zvinoreva zvakare kuti nhengo dzako dzese dzakagwinya.

Mhedzisiro isina kujairika kubva ku laparoscopy inoratidza mamwe mamiriro, kusanganisira:

• adhesions kana ekuvhiya mavanga
• hernias
• appendicitis, kuzvimba kwetumbo
• fibroids, kana kukura zvisina kujairika muchibereko
• cysts kana mamota
• gomarara
• cholecystitis, kuzvimba kwenduru
• endometriosis, kusagadzikana uko iyo nyama inoumba lining yechibereko inokura kunze kwechibereko
• kukuvara kana kushungurudzika kune imwe nhengo
• pelvic anogumbura chirwere, hutachiona hwenhengo dzekubereka

Chiremba wako acharonga musangano newe kuti uende pamusoro pemhedzisiro. Kana chirwere chakakomba chikawanikwa, chiremba wako anokurukura nzira dzakakodzera dzekurapa newe uye achashanda newe kuti uwane chirongwa chekugadzirisa mamiriro iwayo.