Unyango lweparacoscopy

I-laparoscopy yokuchonga yinkqubo evumela ugqirha ukuba ajonge ngqo kwimixholo yesisu okanye isinqe.

Inkqubo ihlala isenziwa esibhedlele okanye kwiziko lotyando lokunyanga ngaphandle kwe-anesthesia (ngelixa ulele kwaye ungenazintlungu). Inkqubo yenziwa ngale ndlela ilandelayo:

• Ugqirha wenza ukusika okuncinci (ukusikwa) ngaphantsi kweqhosha lesisu.
• Inaliti okanye ityhubhu engenamphako ebizwa ngokuba yi-trocar ifakwa kwisiciko. Irhasi yecarbon dioxide idluliselwa kwisisu ngenaliti okanye ityhubhu. Irhasi inceda ukwandisa indawo, inika ugqirha indawo eyongezelelweyo ukuba asebenze, kwaye inceda ugqirha ukuba abone amalungu ngokucacileyo.
• Ikhamera encinci yevidiyo (i-laparoscope) ibekwa kwi-trocar kwaye isetyenziselwa ukubona ngaphakathi kwe-pelvis yakho kunye nesisu. Kunokwenziwa ukusika okuncinci okuncinci xa kufuneka ezinye izixhobo ukufumana umbono ongcono wezitho ezithile.
• Ukuba une-gynecologic laparoscopy, idayi inokuthi ifakwe kumlomo wesibeleko sakho ukuze ugqirha akwazi ukujonga ii-tublopian tubes.
• Emva koviwo, irhasi, i-laparoscope, kunye nezixhobo ziyasuswa, kwaye ukusikwa kuvaliwe. Uya kuba neebhanji ngaphezulu kwezo ndawo.

Landela imiyalelo yokungatyi nokungaseli ngaphambi kotyando.

Kuya kufuneka uyeke ukuthatha amayeza, kubandakanya ukuphelisa iintlungu, okanye ngaphambi komhla woviwo. SUKUTSHINTSHE okanye uyeke ukuthatha nawaphi na amayeza ngaphandle kokuqala uthethe nomboneleli wakho wezempilo.

Landela nayiphi na enye imiyalelo yendlela yokulungiselela inkqubo.

Awuyi kuva zintlungu ngexesha lenkqubo. Emva koko, ukusikwa kunokuba buhlungu. Ugqirha wakho unokumisela ukuba unciphise iintlungu.

Unokuba nobuhlungu behlombe iintsuku ezimbalwa. Irhasi esetyenzisiweyo ngexesha lenkqubo inokucaphukisa uvalo, olwabelana ngemithambo efanayo negxalaba. Unokuba nomnqweno owandayo wokuchama, kuba igesi inokubeka uxinzelelo kwisinyi.

Uya kuchacha emva kweeyure ezimbalwa esibhedlele ngaphambi kokuba ugoduke. Awuyi kuhlala ubusuku bonke emva kwe-laparoscopy.

Awuyi kuvunyelwa ukuba uqhube ugoduke. Umntu othile kufuneka abekhona ukuze akugoduse emva kwenkqubo.

I-laparoscopy yokuchonga ihlala isenziwa kwezi zinto zilandelayo:

• Fumana unobangela wentlungu okanye ukukhula kwisisu kunye nendawo ye-pelvic xa i-x-ray okanye iziphumo ze-ultrasound zingacacanga.
• Emva kwengozi ukubona ukuba kukho ukwenzakala kuwo nawaphi na amalungu esiswini.
• Phambi kweenkqubo zokunyanga umhlaza ukufumanisa ukuba umhlaza usasazekile. Ukuba kunjalo, unyango luya kutshintsha.

I-laparoscopy iqhelekile ukuba akukho gazi esiswini, akukho hernias, akukho thintelo lwamathumbu, kwaye akukho mhlaza kuwo nawuphi na amalungu abonakalayo. Isibeleko, imibhobho yesibeleko, kunye nee-ovari zinobungakanani obuqhelekileyo, imilo, kunye nombala. Isibindi siqhelekile.

Iziphumo ezingaqhelekanga zinokubakho ngenxa yeemeko ezahlukeneyo, kubandakanya:

• Izicubu ezibomvu ngaphakathi kwesisu okanye i-pelvis (ukubambelela)
• Isihlomelo
• Iiseli ezivela ngaphakathi kwesibeleko ezikhulayo kwezinye iindawo (endometriosis)
• Ukudumba kwe-gallbladder (cholecystitis)
• I-Ovarian cysts okanye umhlaza we-ovary
• Usulelo lwe-uterus, ii-ovari, okanye i-fallopian tubes (isifo sephepha lokuvuvukala)
• Iimpawu zokonzakala
• Ukusasazeka komhlaza
• Amathumba
• Amathumba angenamhlaza wesibeleko afana ne-fibroids

Kukho umngcipheko wosulelo. Unokufumana i-antibiotics ukukhusela le ngxaki.

Kukho umngcipheko wokugqobhoza ilungu. Oku kunokubangela ukuba imixholo yamathumbu ivuze. Kusenokubakho nokopha kwisisu esiswini. Ezi ngxaki zinokukhokelela kuqhaqho oluvulekileyo olukhawulezileyo (laparotomy).

I-laparoscopy yokuxilonga ayinakwenzeka ukuba unesifo sokuvuvukala, isisu esiswini (ascites), okanye utyando oludlulileyo.

I-laparoscopy - isifo; I-laparoscopy yokuhlola

• Iiparvic laparoscopy
• I-anatomy yokuzala yabasetyhini
• Ukuqhawulwa kwesisu esiswini

I-Falcone T, iWalters MD. Ukuchonga laparoscopy. Ku: Baggish MS, Karram MM, ii-eds. I-Atlas yePelvic Anatomy kunye noPhando lweGynecologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahl 115.

IVelasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B. Uphononongo lwe-laparotomy-laparoscopic. Ku: Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B, ukubonisana nee-eds. Iinkqubo zoNyango eziBalulekileyo. IPhiladelphia, PA: Elsevier; I-2016: isahluko 1.