Iiparvic laparoscopy

I-laparoscopy ye-Pelvic kutyando lokuvavanya amalungu e-pelvic. Isebenzisa isixhobo sokubukela esibizwa ngokuba yi-laparoscope. Olu tyando lusetyenziselwa ukunyanga izifo ezithile zamalungu e-pelvic.

Ngelixa ulele ubuthongo obunzulu kwaye ungenazintlungu phantsi kweanesthesia ngokubanzi, ugqirha wenza isiqingatha se-intshi (i-1.25 iisentimitha) usike utyando kulusu olungaphantsi kwesisu. Irhasi yecarbon dioxide ifakwa esiswini ukunceda ugqirha ukuba abone amalungu ngokulula.

I-laparoscope, isixhobo esikhangeleka ngathi yiteleskopu encinci enokukhanya kunye nekhamera yevidiyo, ifakwe ukuze ugqirha akwazi ukujonga indawo.

Ezinye izixhobo zinokufakwa ngokunye ukusikwa okuncinci emazantsi esisu. Ngelixa ubukele esweni ividiyo, ugqirha uyakwazi:

• Fumana iisampulu zethishu (biopsy)
• Khangela unobangela wazo naziphi na iimpawu
• Susa izicwili ezibomvu okanye ezinye izicubu ezingaqhelekanga, ezinje nge-endometriosis
• Lungisa okanye ususe inxenye okanye onke amaqanda okanye iityhubhu zesibeleko
• Lungisa okanye ususe amalungu esibeleko
• Yenza ezinye iinkqubo zotyando (ezinje nge-appendectomy, ukususa ii-lymph node)

Emva kwe-laparoscopy, kukhutshwa i-carbon dioxide gas, kwaye ukusikwa kuvaliwe.

I-Laparoscopy isebenzisa utyando oluncinci kunotyando oluvulekileyo. Uninzi lwabantu abanale nkqubo bayakwazi ukubuyela ekhaya kwangolo suku. Ukucuthwa okuncinci kukwathetha ukuba ukubuyisa ngokukhawuleza. Kukho ukulahleka kwegazi okuncinci ngoqhaqho lwe-laparoscopic kunye neentlungu ezimbalwa emva kotyando.

Iipelvic laparoscopy isetyenziselwa ukuxilonga kunye nokunyanga. Kunokucetyiswa ukuba:

• Ubunzima be-pelvic okanye i-ovary cyst efunyenwe kusetyenziswa i-pelvic ultrasound
• Umhlaza (ovarian, endometrial, okanye wesibeleko) ukubona ukuba sele usasazekile, okanye ukususa ii-lymph node ezikufuphi okanye izicwili
• Intlungu engapheliyo (yexesha elide) ye-pelvic, ukuba akukho sizathu sifunyenweyo
• Ukukhulelwa kwe-Ectopic (tubal)
• Endometriosis
• Kunzima ukukhulelwa okanye ukufumana umntwana (ukungachumi)
• Ngesiquphe, iintlungu zangasese

I-laparoscopy ye-pelvic inokwenziwa kwakhona:

• Susa isibeleko sakho (hysterectomy)
• Susa i-uterine fibroids (myomectomy)
• "Bopha" iityhubhu zakho (i-tubal ligation / inzala)

Iingozi zalo naluphi na utyando lwe-pelvic zibandakanya:

• Ukopha
• Amahlwili egazi emlenzeni okanye kwimithambo ye-pelvic, enokuhamba iye emiphungeni kwaye, kunqabile, ukuba ibulale
• Iingxaki zokuphefumla
• Ukonakala kwamalungu akufutshane kunye nezicubu
• Iingxaki zentliziyo
• Usulelo

I-Laparoscopy ikhuselekile kunenkqubo evulekileyo yokulungisa ingxaki.

Soloko uxelela umboneleli wakho wezempilo:

• Ukuba ukhulelwe okanye unokukhulelwa
• Zeziphi iziyobisi ozithathayo, nditsho iziyobisi, amayeza, okanye izongezo ozithengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nazo naziphi na ezinye iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye.
• Buza umboneleli wakho ukuba ngawaphi amayeza onokuthi uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho.
• Lungiselela umntu oza kukugodusa emva kotyando.

Ngomhla wotyando lwakho:

• Ngokwesiqhelo uya kucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku ezinzulwini zobusuku ngaphambi kotyando lwakho, okanye iiyure ezisi-8 ngaphambi kotyando lwakho.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uza kukuxelela ukuba ufike nini esibhedlele okanye eklinikhi.

Uya kuchitha ixesha elithile kwindawo yokubuyisela kwimeko yesiqhelo njengoko uvuka kwi-anesthesia.

Abantu abaninzi bayakwazi ukugoduka kwangolo suku lwenkqubo. Ngamanye amaxesha, unokufuna ukuhlala ubusuku bonke, kuxhomekeke ekubeni yintoni utyando olwenziwe kusetyenziswa i-laparoscope.

Irhasi ethe yatyhalwa esiswini inokubangela ukungakhululeki esiswini kangangeentsuku ezi-1 ukuya kwezi-2 emva kwenkqubo. Abanye abantu baziva iintlungu zentamo kunye negxalaba kwiintsuku ezininzi emva kwe-laparoscopy kuba i-carbon dioxide gas iyayicaphukisa i-diaphragm. Njengoko irhasi ifunxwa, le ntlungu iya kumka. Ukulala phantsi kunokunceda ukunciphisa iintlungu.

Uya kufumana amayeza amayeza eentlungu okanye uxelelwe ukuba ngawaphi amayeza eentlungu onokuwathatha.

Ungabuyela kwimisebenzi yakho yesiqhelo kwiintsuku ezi-1 ukuya kwezi-2. Nangona kunjalo, UNGAKHUMBI nantoni na ngaphezulu kweephawundi ezili-10 (4.5 kilograms) kwiiveki ezi-3 emva kotyando ukunciphisa umngcipheko wokufumana i-hernia kwizicengo zakho.

Kuxhomekeka ekubeni yeyiphi na inkqubo eyenziweyo, ungaqala kwakhona ukwenza imisebenzi yokwabelana ngesondo kwangoko xa ukopha kuyekile. Ukuba ukhe wanesibeleko, kuya kufuneka ulinde ixesha elide ngaphambi kokuba uphinde wabelane ngesondo. Buza umboneleli wakho ukuba yintoni ekucetyiswayo kwinkqubo onayo.

Fowunela umnikezeli wakho ukuba unayo:

• Ukopha kwilungu lobufazi
• Umkhuhlane awupheli
• Isicaphucaphu nokugabha
• Iintlungu ezinzima zesisu

Celioscopy; Utyando lwebhendi; Pelviscopy; Laparoscopy yabasetyhini; I-laparoscopy yokuhlola-gynecologic

• Iiparvic laparoscopy
• Endometriosis
• Ukubambelela kwepelvic
• Umhlaza wesibeleko
• Iipelvic laparoscopy - uthotho

Umva we-FJ, uCohn DE, uMannel RS, uFowler JM. Indima yoqhaqho olungenayo oluncinci kwizigulo ze-gynecologic. Ku: I-DiSaia PJ, iCreasman WT, iMannel RS, iMcMeekin DS, iMutch DG, ii-eds. Iiklinikhi zeGynecologic Oncology. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 21.

IBurney RO, iGiudice LC. Endometriosis. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl. 130.

UCarlson SM, uGoldberg J, uLentz GM. I-Endoscopy: i-hysteroscopy kunye ne-laparoscopy: izikhombisi, ukungqinelana, kunye neengxaki. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 10.

I-Patel RM, i-Kaler KS, i-Landman J. Isiseko se-laparoscopic kunye ne-robotic ye-urologic. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 14.