Vhidhiyo laparoscopy: ndeyei, inoitwa sei uye iri kupora sei

Zvemukati

• Chii chinonzi videolaparoscopy ye
• Maitiro evideolaparoscopy anoitwa
• Kana isingafanirwe kuitwa
• Kudzorera sei
• Zvinogona kuitika

Videolaparoscopy inzira inogona kushandiswa kune zvese kuongororwa uye kurapwa, iyo yekupedzisira ichinzi yekuvhiya videolaparoscopy. Videolaparoscopy inoitwa nechinangwa chekucherechedza zvivakwa zviripo mudumbu uye mudumbu uye, kana zvichidikanwa, kubvisa kana kugadzirisa kwekuchinja.

Mumadzimai, laparoscopy inoitwa kunyanya kuongororwa uye kurapwa kwe endometriosis, zvisinei iyi haisi yekutanga bvunzo inoitwa, sezvo zvichikwanisika kusvika pakuongororwa kuburikidza nedzimwe bvunzo, senge transvaginal ultrasound uye magnetic resonance, semuenzaniso, izvo zvishoma inopinda.

Chii chinonzi videolaparoscopy ye

Videolaparoscopy inogona kushandiswa zvese senzira yekuongorora uye senzira yekurapa. Kana ikashandiswa pakuongorora, videolaparoscopy (VL), inonziwo chirwere VL, inogona kubatsira mukuferefeta nekusimbisa kwe:

• Matambudziko egallbladder uye appendikisi;
• Endometriosis;
• Chirwere chePeritoneal;
• Bundu remudumbu;
• Gynecological zvirwere;
• Adhesive syndrome;
• Kurwadziwa kusingaperi kwemudumbu pasina chikonzero chiri pachena;
• Ectopic nhumbu.

Kana ichiratidzirwa nezvekurapa, inogamuchira zita rekuvhiya VL, uye inogona kuratidzwa ye:

• Kubviswa kweguruva uye apendikisi;
• Hernia kururamisa;
• Hydrosalpinitis kurapwa;
• Kubviswa kwezvironda zvemazai;
• Kubvisa kunamatira;
• Tubal ligation;
• Yese hysterectomy;
• Myoma kubviswa;
• Kurapwa kwejenital dystopias;
• Kuvhiya kwevakadzi.

Uye zvakare, vhidhiyoolaparoscopy inogona kuratidzwa kuita ovarian biopsy, inova ongororo umo kutendeka kwetishu yechibereko kunoongororwa microscopically. Nzwisisa kuti chii uye kuti biopsy inoitwa sei.

Maitiro evideolaparoscopy anoitwa

Videolaparoscopy bvunzo yakapusa, asi inofanirwa kuitwa pasi peanesthesia uye inoumbwa nekucheka padiki padhuze neguvhu panofanira kupinda chubhu ine microcamera.

Pamusoro pekucheka uku, kumwe kucheka kudiki kunowanzoitwa mudumbu mudunhu umo zvimwe zviridzwa zvinopfuura kuongorora pelvic, mudumbu kana kuita oparesheni. Iyo microcamera inoshandiswa kuongorora uye kuongorora iyo yese yemukati medumbu dunhu, ichiita kuti zvikwanise kuona shanduko uye kusimudzira kubviswa kwayo.

Kugadzirira kwekuita bvunzo kunosanganisira kuita bvunzo dzakapfuura, senge preoperative uye ongororo yekuongorora, uye kana bvunzo iyi ichiongorora dumbu, zvinofanirwa kubvisa ura zvachose uchishandisa laxatives pasi pezano rezvekurapa zuva rakapfuura bvunzo.

Kana isingafanirwe kuitwa

Videolaparoscopy haifanire kuitwa kana paine kubata kwepamuviri, mune vanhu vane kufutisa kwakanyanya kana kana munhu wacho atadza zvakanyanya.

Uye zvakare, haina kuratidzwa mune tibhii mu peritoneum, kenza mudumbu mudumbu, yakakura dumbu uremu, hutumbo kuvhiringidza, peritonitis, dumbu heni kana kana zvisingaite kuisa general kutindivadza.

Kudzorera sei

Kudzoreredza kubva pakuvhiya kweparoscopic kuri nani pane kuvhiya kwakajairika, sezvo paine mashoma kutemwa uye kubuda ropa panguva yekuvhiya kushoma. Iyo yekudzoreredza nguva kubva pakuita laparoscopic kuvhiyiwa inotora kubva pamazuva manomwe kusvika gumi nemana, zvinoenderana nemaitiro. Mushure menguva iyi, munhu anokwanisa kudzoka zvishoma nezvishoma kuzviitiko zvezuva nezuva zvinoenderana nezano rekurapa.

Pakarepo mushure mevideolaparoscopy, zvakajairika kunzwa kurwadziwa mudumbu, kurwadziwa mumapendekete, kuva netumbo rakabatwa, kunzwa kubatikana, kurwara uye kunzwa sekurutsa. Naizvozvo, panguva yekudzoreredza, munhu anofanirwa kuzorora zvakanyanya sezvinobvira uye kudzivisa kuita bonde, kutyaira, kuchenesa imba, kushopota uye kurovedza muviri mumazuva gumi nemashanu ekutanga.

Zvinogona kuitika

Kunyangwe bvunzo iyi iri yakanakisa kupedzisa kuongororwa kwezvimwe zvirwere uye kuve nekupora zvirinani, painoshandiswa senzira yekurapa, pamwe nedzimwe nzira dzekuvhiya, videolaparoscopy inopa dzimwe njodzi dzehutano, dzakadai sekubuda ropa munhengo dzakakosha dzakadai sechiropa kana spleen., kuputika kwemukati, dundira kana chibereko, hernia panzvimbo yemusuwo wezviridzwa, hutachiona hwesaiti uye kuwedzera kwe endometriosis, semuenzaniso.

Mukuwedzera, kana ichiitwa pachifuva, pneumothorax, embolism kana emphysema inogona kuitika. Neichi chikonzero, videolaparoscopy haiwanzo kukumbirwa senzira yekutanga yekuongorora zvirwere, ichinyanya kushandiswa senzira yekurapa.