Cystectomy - siyini lesi

Izinqubo zokuhlinza ngaso sonke isikhathi ukuba ukwesaba abantu, ngoba kokungenela has izingozi. Nokho, ngaphandle kwalezi manipulations ukwenza kungenzeka. Omunye kokungenela kuhlinzwa kuyinto cystectomy. Le nqubo, okuyinto eyenziwa emagatsheni ahlukahlukene bokuhlinzwa. It is kuboniswe ezimweni lapho ukwelashwa ngoludala akunamthelela. Njenganoma iyiphi inqubo op, cystectomy wenziwa kuphela ngaphansi izinkomba esiqinile. Futhi njengalokhu kumiselwe abantu ngumuntu emva ukuhlolwa oqeqeshiwe. Ukusebenza wenziwa esibhedlela. Ngaphambi kwakhe ukufeza ukulungiselela ledzingekako emzimbeni.

Cystectomy - siyini lesi

Njengoba wazi, njalo ukuhlinzwa kubhekisela esenzakalweni esiyisimangaliso kuhlinzwa ikakhulukazi. Ngokwesibonelo, Urology, proctology, Oncology nokunye. D. Noma kunjalo, kukhona eziningi lezo zinqubo, okuyinto ezibhekwa jikelele. Ukuze lawo lingelawo cystectomy. Lo msebenzi, ngo-okuqondwe ukususwa izinhlumba. izimila ezinjalo ingozi kungenzeka cishe noma isiphi isitho yangaphakathi. Simila - esiyindilinga umgodi noma okusaqanda, egcwele okuqukethwe ketshezi. Ivame ukutholakala zitholiwe esibelethweni, isibindi, izinso kanye wesinye. Futhi, kungenzeka simila kwakheka umsele impande nezinsini.

Ngaphezu kwalokho, kukhona enjalo eyohlinzwa njengoba cystectomy esinyeni. Lokhu kuhlinza kunemiphumela value ehlukile ngokuphelele, njengoba ongakaphathelani izinhlumba. Ngaphansi kwalo yigama lezokwelapha ehloselwe ukususwa isitho ngokwayo - esinyeni. Ngokuvamile, i-operation ezifana wenziwa ngenxa pathologies oncological.

Ngayiphi izifo wenziwa cystectomy

Cystectomy - ukwelashwa olukhulu, ngoba kuhilela ukususwa ephelele simila nge igobolondo layo. Le nqubo kuba odokotela abahlinzayo ezahlukene amaphrofayli. Phakathi kwabo - ochwepheshe ukwenza ukuhlinzwa phezu thoracic futhi besisu izitho, urologists, oncologists, odokotela bamazinyo, gynecologists. Naphezu kwakho konke lokhu, inqubo siqu simila ukususwa kumele udokotela ohlinzayo ngamunye. Nokho, ngasiphi izifo ukwenza cystectomy? Naphezu kweqiniso lokuthi lo simila kungenzeka cishe noma isiphi isitho, ukuhlinzwa okunjalo akuyona njalo kwenziwa. Ngezinye izikhathi izimila benign ngemithi. Kwezinye izimo-ke kuyadingeka ukuba kususwe lonke isitho (ngokwesibonelo, lapho nginesimila esikhulu izinso). Kumele kukhunjulwe ukuthi uma beqhuba cystectomy Izimo ezikhona. Ngezinye izikhathi ukwenza ukuhlinzwa okunjalo kuyinto engeke asebenze ngenxa okusezingeni eliphezulu impilo engozini. Ukuze izifo lapho cystectomy wenziwa zihlanganisa:

1. simila wesibeletho. Lokhu kusho kutsi ngelizinga lelikhulu, engesiyo amenable ukuba yingaba yini engakusiza.
2. Simila isibindi. Eziningi zalezi zokwakheka aqukethe hhayi kuphela uketshezi kodwa futhi amagciwane (echinococcosis). Kulokhu, lo msebenzi kuphela izindlela zokwelashwa.
3. Simila ku ngalo ingaphakathi ngomlomo. Kungase ube kwasendaweni ezahlukene. Lesi sifo ekwelapheni udokotela wamazinyo.
4. Simila kwamanyikwe. Naphezu kweqiniso lokuthi kuba isimila kungavamile ukuba ingozi, ukuhlinza lesi sitho ayingozi. Ngakho-ke, ukwenza cystectomy amanyikwe kumele abanolwazi lochwepheshe.

Ngaphandle lezi zifo, ukuhlinzwa Kungase kudingeke izinhlelo zokuphepha mammary futhi izinhlumba yegilo, coccyx futhi t. D. Kulezi zimo, isu yokwelapha enqunywe kuye ngobukhulu besikhumba saleso kumiswa.

Izimpawu ze-cystectomy olukhulu

Ngaphezu ukususwa izinhlumba lezi zidumbu cystectomy olukhulu - ukuhlinza esinyeni. Inkomba esemqoka ukuqaliswa salo isimila esinomdlavuza. Umdlavuza kungase noma zibe isinye, futhi ikhule ibe ingaphakathi umzimba kusukela nezicubu eziseduze. Ngokuvamile libhekisela kubantu abasungula okuthile izimila, umdlavuza wesibeletho, kanye endometrial, wesibeletho, wesinye ingemuva. umzimba Cystectomy esinyeni (bubble) - kuyinto kususwe ngokuphelele noma ngokwengxenye. Njengoba sazi ukuthi ukwenza inqubo enjalo kuyashaqisa izimbangela ukukhubazeka, wenziwa kuphela ezimweni lapho ezinye izindlela zokwelashwa musa asize. Izinkomba ngoba cystectomy zingezinye zezifo ezilandelayo:

1. Common umzimba wesibeletho esinyeni liyakhula libe ukushuba izicubu.
2. papilloma Multiple ngokufanele phezu engaphakathi komzimba.
3. Phinda kumiswa izimila emva kokwelashwa kuhlinzwa odlule (umdlavuza yansukuzonke).
4. Ukuhluma neoplasm abulalayo kwesinye izitho eduze.

Nge amafomu kangako ubudlova okuba nomdlavuza ngokuphawulekayo, odokotela abahlinzayo uzame ukugwema cystectomy olukhulu. Ezimweni ezinjalo, kungagcini ukususwa olungaphelele uhlaka endaweni lapho isimila itholakala.

Ukulungiselela cystectomy esinyeni

Ukusebenza cystectomy - ukuhlinzwa okukhulu cavernous. Ngakho-ke, ngaphambi kokuqala inqubo, isiguli kufanele uzilungiselele. Kusukela operation kungaholela ukuthuthukiswa ukuthelelana ukhalo, kuba ngaphambili ezidingekayo ukuqala reception kwama-antibiotic. imikhiqizo ezinconyiwe "Erythromycin" futhi "neomycin". Futhi, ezinsukwini ezingu-14 ngaphambi ukuhlinzwa kufanele uphuze imithi aqukethe bifidobacteria futhi lactobacilli. Ziyakwazi kudingekile hhayi kuphela ngenxa yokwelapha ngemithi elwa namagciwane, kodwa futhi ukuthuthukisa wamathumbu umsebenzi ngemva kokuhlinzwa.

Sikhishwe iqiniso lokuthi wokugaya ukudla uhlelo izitho umngcele wesinye, zidinga uhlobo olukhethekile lokudla. Kufika ezinsukwini ezingu-3 ngaphambi cystectomy kufanele ayifakiwe imikhiqizo trudnousvoyaemye. Ivunyelwe ukusetshenziswa uketshezi (amanzi asemabhodleleni, amanzi amaminerali ngaphandle gas, itiye, ayo) umhluzi kanye jellies. Ngaphambi msebenzi wenziwa purgation. Ngenxa yale njongo zisebenzisa laxatives ekhethekile noma enemas inombolo.

Sibambe cystectomy esinyeni

Cystectomy wenziwa ngezigaba eziningana ngokulandelana. Isinyathelo sokuqala uqhutshwa ukubulawa kwezinzwa okuvamile. Ukuze kube lula ukufinyelela kwesinye, isiguli kufanele ibe esikhundleni esikhethekile. Isiguli ibekwe emhlane wakhe, ukhalo is wakhuliswa 45 degrees kuqhathaniswa ikhanda nezinyawo sekupheleni. Imbobo senziwa umugca losemkhatsini esifubeni. Iqala esifundeni we symphysis pubic luphele 2-3 cm ngenhla indandatho enkabeni. Isinyathelo sokuqala ukuba uthole ukuthi cystectomy nokuzijabulisa urinary ukudala izimo ngoba outflow yayo (bheke). Ngemva kwalokho, le extirpation isitho. Umthamo ukuhlinzwa incike nokudlanga yesimila. Ngokuvamile, ngaphezu kwesinye, susa lymph node eseduze kanye nezinye izitho. Ngo abesifazane, kuba phambi odongeni sangasese, urethra. Ngo imakwe isimila infiltrative ukukhula, ukukhiqiza extirpation kwesibeletho futhi ezikhiqiza amaqanda. In amadoda, ngaphezu kwesinye, ngokuvamile kufanele ususe endlaleni engasesinyeni kanye vesicles kwesidoda. Njengoba sazi ukuthi ngesikhathi ukusebenza kukhona okukhulu ukopha, cystectomy enezinto eziningi Izimo.

Ngemva umdlalo kuya anterior udonga besisu emathunjini noma ukwehlukana wenziwa kusukela umzimba peritoneum, Ligation imithambo ukopha futhi isuswe. Okulandelayo, electrocoagulation, izinzwa emgogodleni ukuze banciphise ubuhlungu emahoreni ambalwa okuqala ngemva kokuhlinzwa. Kufanele kuqashelwe ukuthi ukuhlinzwa phakathi kuka 1 no 2 esiteji kufanele zidlule 4 kuya ku-6 amasonto.

Yokutakula emva kokuhlinzwa

Ngemva cystectomy nokuvuselelwa kungaba isikhathi eside. Lokhu kungenxa nje kuphela izinguquko bokuphila ezenzeka emzimbeni, kodwa futhi nge isimo ngokwengqondo isiguli. Phela, ngaphandle yokuthi kwaphazamisa ngenqubo evamile ukuchama, futhi ezinye izinguquko waphawula sokusebenza. Ukubuyisela umzimba kuyobe kungakazukufika masinyane. Ngosuku lokuqala ngemva kokuhlinzwa, isiguli kufanele ibe labagula. Kuyadingeka ukuqapha imisebenzi ebalulekile, ungalahlekelwa ukuthuthukiswa ukopha futhi ukushaqeka. Lapho lesi siguli udluliselwa esigcemeni jikelele, angakwazi ukuhambisa ngokuzimela. Kunconywa njengoba ungakwazi ukuhamba phezu ukuze ukhalo engazange asungule ukuvuvukala. Kwezinye izimo, iziguli ukuthatha ukudla isikhathi eside ukuthi enze uphenyo. Noma kunjalo, ngokuhamba kwesikhathi, umsebenzi amathumbu kuyehla, kanti isiguli siqala ukudla ngokuzimela. Ukuchama futhi kancane kancane ukubuyela esimweni esivamile. Nokho, iziguli kufanele uhambe ngaso sonke isikhathi nge ipayipi. Ngakho-ke, ezinye iziguli ukwenza operation eyodwa ngaphezulu - ukudalwa i esinyeni yokufakelwa. zokukhwabanisa enjalo wenziwa ngemva kwezinyanga ezimbalwa, singekho Izimo.

izinyo cystectomy: izigaba

Ukukhishwa izinyo izinhlumba futhi ngokuthi cystectomy. Lo msebenzi wenziwa ihhovisi yamazinyo. Ukuze bakhiphe ke, ukubulawa kwezinzwa okuvamile akudingekile, sidinga nje izinzwa wendawo. Wenza okuhlukile kungenzeka izingane. izinyo cystectomy kuhilela nokususwa ngokuphelele okuqukethwe amagobolondo simila. Izinyathelo imisebenzi zihlanganisa:

1. Ukulungisa muco-periosteal ichopho ngosizo Imi. Khona-ke wenza lamabutho akhe.
2. Ukulungiselela we ipuleti ithambo ukufinyelela umshanelo. Kuze kube yimanje, phezu kumiswa yamba izimbobo ambalwa.
3. Ukususa izinhlumba kanye impande izinyo.
4. Ukubuyekeza kwakheka umgodi.
5. Suturing muco-periosteal ichopho.

Ngokuvamile, nginesimila kuyinto malformation azalwa naso ijwabu EPITHELIAL. Ngaphansi ngokuvamile, kubonakala ngenxa eside wamanje izinqubo ukuvuvukala, Akakwazanga wenziwa izinqubo zamazinyo.

Ethwele cystectomy wesibeletho

cystectomy wesibeletho - eyohlinzwa esidingeka izinhlumba ezinkulu, hhayi amenable yokwelapha olandelanayo. Lokhu ingozi kuyingozi ngoba kungasenza siyishaye apoplexy - breaking umzimba. Ukuhlinzwa ukususa simila kwenziwa njengoba ngendlela evulekileko, futhi esebenzisa laparoscopy. Okuqukethwe Ezemfundo ethunyelwe Cytology. Uma amangqamuzana omdlavuza engatholakali, le coagulation computer futhi suturing we esibelethweni.

Technique cystectomy izinhlumba izitho zangaphakathi

Simila cystectomy ezinye izitho zangaphakathi kwenziwa ngendlela efanayo. Ukuze imisebenzi eziyinkimbinkimbi zihlanganisa ukususwa kwamanyikwe, emaphashini, isibindi. ukungenelela ezinjalo ezenziwa surgically wavula ngaphansi izinzwa jikelele.

Izimo cystectomy

Izimo ukususwa izinhlumba zihlanganisa:

1. Oyingozi futhi ezingalapheki ukumelwa inhliziyo, izinso, izitho zokuphefumula, ise decompensation.
2. Ubovu ukuvuvukala ukhalo, lesisu nasesifubeni ingaphakathi.
3. Ngena impande simila e abangaphezu kwengxenye yesithathu.
4. Cytology Abanelisi. Kulezi zimo zidinga ezinye izindlela zokwelapha kuhlinzwa.

Odokotela mayelana cystectomy

odokotela Iningi amakhono ahlukahlukene bakholelwa ukuthi ukuhlinzwa simila cystectomy kunesidingo, njengoba kungenalo ukuthuthukiswa sengozini yokuthola izifo (peritonitis, sepsis). Ngokuvamile, le nqubo akuyona ingozi empilweni futhi hlelo luqhutshwa laparoscopy.

Ukususwa kwesinye, ngokusho kodokotela, lena kokuhlinzwa futhi kuhlasimulise, ephelezelwa ingozi izinkinga. Noma kunjalo, kubhekwa ezidingekayo for izimila ebulalayo.