Laparoscopy zokuxilonga: umnyombo futhi inqubo

Laparoscopy zokuxilonga - phakathi nenqubo yokuhlinzwa, esakhiwa ngo wethula ikhamera encane ibe ngalo ingaphakathi lesisu, elenziwe ngokusebenzisa inkinobho esiswini, noma imbobo encane eduze kwayo. I isithombe kusuka ikhamera fed qapha ivumela ukuthi udokotela ukuqapha inqubo bese bagcine kwenzekani ngaphakathi. Ngalesi kokuhlinzwa, ungafaka ithuluzi hhayi kuphela, kodwa washo emibili. Indima ingalo yesibili izenzo ngawo udokotela ohlinzayo Ungashintsha isikhundla negunya elidingekayo uma befuna ukuhlola olunemininingwane ethe xaxa. I ububanzi hole ngamunye, esidingeka inqubo, akuyona ezingaphezu kuka 7 mm.

laparoscopy Yokucwaninga ikuvumela:

1. Nikeza ukuhlolwa ngokunembe kakhudlwana isimo izitho zangaphakathi.
2. Xilonga noma siphikise khona ukuvuvukala kule amashubhu fallopian.
3. Ukuze ubone ukuthi lokuphuma phambili okumisiwe patency kuzo ngemibhobho fallopian.
4. Ukuze nithole usayizi izinhlumba wesibeletho, fibroids nezinye izimila lesizalo. Njengoba indawo yabo kunqunywa ngokusebenzisa le nqubo.
5. ukhulela ethunjini.
6. Setha i-endometriosis isinyathelo, futhi ukukhomba foci main.
7. Setha yokulimala ukuthuthukiswa izibilini zalo khona izimila.
8. Kutholakale imbangela yokushona ubuhlungu besisu.
9. Thola izici ezaba nomthelela ekuthuthukiseni ascites.
10. Xilonga isifo sesibindi.
11. Ngokuvamile, ukucacisa uphethwe.

Njengomthetho, lolu hlobo laparoscopy liboniswa kuphela lapho udokotela ukuxilonga ngokunembile isifo. Futhi, le nqubo esiyakuqokwa ngaphambi kokuba uhlinzwe laparoscopic (imisebenzi zibala appendectomy laparoscopic), lapho-ke kuyadingeka ukuba aqhube nesifundo kwesikhashana.

Lolu hlobo lwe-uphethwe has eziningi eziwusizo phezu kwezinye izindlela zocwaningo:

1. Nge ukuhlolwa okunjalo kungaba ukuxilongwa esinembile, ngokukhethekile, ukucacisa uhlobo lesi sifo.
2. In parallel uphethwe, ungakwazi iqhaza ukuhlaziywa kwezicubu izinhlumba noma yimuphi omunye izimila, ngakho-ke kungenziwa wafunda kabanzi egunjini lokucwaninga esibhedlela.

Laparoscopy zokuxilonga uma iqhathaniswa nezinye izindlela, isifundo eqolo. Akunjengesikhathi esheshayo nengebuhlungu njengoba ultrasound, kodwa ngezinga eliphakeme quality. Ngoba ngemva udokotela kakade uyazi kahle sitholakele nesineke futhi kungaba ngokushesha ngiqale ukwelashwa kwakhe. Into wukuthi laparoscopy kuhlinzwa engenziwa ngokushesha ngemva ukuxilongwa noma ngesikhathi ke.

Qaphela ukuthi laparoscopy zokuxilonga Akudingi ukulungiselela ekhethekile isiguli. Yiqiniso, into yokuqala okumelwe uyenze ukuze uthole kwemvume owelapha. Kufanele uqinisekise ukuthi isiguli ayinakho ngokunembile izimo ezaziyoba akuvumeli kwenziwa le nqubo. Inkinga ingase ibe abampofu igazi ekunqandeni (phakathi nokuhlinzwa seyonakele imithambo yegazi) kanye yokuphazamiseka esimiso senhliziyo nemithambo yegazi (ngaphakathi komgodi ongaphakathi kwamathumbu yethulwa carbon dioxide, okungase zibulale ukusebenza kwe-inhliziyo).

Ngakho, laparoscopy zokuxilonga has izigaba eziningana:

1. Ukulungiselela. Phakathi nalesi sikhathi bekatsatsa exclusion Izimo.
2. Anesthesia. Ngokuvamile, izinzwa wendawo isetshenziswa.
3. Ngokulandelayo, carbon dioxide is busuka ingaphakathi peritoneal.
4. Khona-ke udokotela ifaka amathuluzi ngokusebenzisa izimbobo lelungiselelwe, futhi leyo mali kuxhomeke isitho ihlolwa.
5. Ukuxilongwa viscera, isizinda eminye amathuluzi etholakalayo kanye nokususwa -carbon dioxide kusuka ngaphakathi komgodi ongaphakathi kwamathumbu.

Phakathi isicelo imiphumela emibi nezinqubo ngemva kokuba neze kubhaliswe. Yini kungenzeka emuva kokuhlinzwa ezinjalo - kuyinto ukopha okuncane, okuyinto kubangelwa ukulimala semithambo.