Utyando lweerobhothi

Utyando lweRobotic yindlela yokwenza utyando usebenzisa izixhobo ezincinci kakhulu eziqhotyoshelwe kwingalo yeerobhothi. Ugqirha ulawula ingalo yerobhothi ngekhompyutha.

Uya kunikwa i-anesthesia ngokubanzi ukuze ulale kwaye ungenazintlungu.

Ugqirha uhlala kwisikhululo sekhompyuter kwaye alathise ukuhamba kwerobhothi. Izixhobo ezincinci zotyando ziqhotyoshelwe kwiingalo zerobhothi.

• Ugqirha wenza ukusika okuncinci ukufaka izixhobo emzimbeni wakho.
• Ityhubhu ebhityileyo enekhamera encanyathiselwe esiphelweni sayo (endoscope) ivumela ugqirha ukuba abone eyandisiweyo imifanekiso emi-3-D yomzimba wakho njengoko uqhaqho lwenzeka.
• Irobhothi ifana nentshukumo kagqirha yezandla ukwenza inkqubo isebenzisa izixhobo ezincinci.

Utyando lweerobhothi luyafana notyando lwe-laparoscopic. Inokwenziwa ngokusikwa okuncinci kunotyando oluvulekileyo. Ukuhamba okuncinci, okuthe ngqo okunokwenzeka kolu hlobo lotyando kunika izibonelelo ezithile ngaphezulu kweendlela eziqhelekileyo ze-endoscopic.

Ugqirha angenza iintshukumo ezincinci, ezichanekileyo esebenzisa le ndlela. Oku kunokuvumela ugqirha ukuba enze inkqubo ngokusika okuncinci okunokuthi kwenziwe kuphela ngotyando oluvulekileyo.

Nje ukuba ingalo yeerobhothi ibekwe esiswini, kulula ukuba ugqirha asebenzise izixhobo zotyando kunokwenziwa kotyando lwe-laparoscopic nge-endoscope.

Ugqirha uyabona kwakhona indawo apho utyando lwenziwa ngokulula. Le ndlela ivumela ugqirha ukuba ahambe ngendlela etofotofo, ngokunjalo.

Utyando lweerobhothi lunokuthatha ixesha elide ukwenza. Oku kungenxa yexesha elifunekayo ukuseta iirobhothi. Kwakhona, ezinye izibhedlele zingenakho ukufikelela kule ndlela. Nangona kunjalo iya isiba yinto eqhelekileyo.

Utyando lweRobotic lungasetyenziselwa iinkqubo ezahlukeneyo, kubandakanya:

• Ukudlula kwemithambo yegazi
• Ukusika izicwili zomhlaza kwiindawo ezibuthathaka zomzimba ezinje ngemithambo yegazi, imithambo-luvo, okanye amalungu omzimba abalulekileyo
• Ukususwa kwenyongo
• Ukutshintshwa kwe-Hip
• Isitshisi
• Ukususwa ngokupheleleyo kwezintso
• Ukutshintshwa kwezintso
• Ukulungiswa kweevalve zeMitral
• IPyeloplasty (utyando ukulungisa isithintelo se-ureteropelvic junction)
• IPloroplasty
• Iprostatectomy egqibeleleyo
• I-cystectomy egqibeleleyo
• Ityhubhu yokubopha

Utyando lweerobhothi alunakusoloko lusetyenziswa okanye lube yeyona ndlela ilungileyo yotyando.

Umngcipheko wayo nayiphi na i-anesthesia kunye notyando zibandakanya:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha
• Usulelo

Utyando lweerobhothi lunobungozi obuninzi njengokuhlinzwa okuvulekileyo kunye ne-laparoscopic. Nangona kunjalo, umngcipheko wahlukile.

Awunakho ukutya okanye ulwelo iiyure ezingama-8 ngaphambi kotyando.

Kuya kufuneka ukuba ucoce amathumbu akho nge-enema okanye nge-laxative kusuku olungaphambi kotyando kwezinye iintlobo zeenkqubo.

Yeka ukuthatha i-aspirin, i-blood thiners efana ne-warfarin (i-Coumadin) okanye i-Plavix, amayeza anxamnye nokuvuvukala, iivithamini, okanye ezinye izongezo kwiintsuku ezili-10 ngaphambi kwenkqubo.

Uya kusiwa kwigumbi lokubuyisela emva kwenkqubo. Kuxhomekeka kuhlobo lotyando olwenziwe, kungafuneka uhlale esibhedlele ubusuku bonke okanye iintsuku ezimbalwa.

Kuya kufuneka ukwazi ukuhamba ngaphakathi kosuku emva kwenkqubo. Ngokukhawuleza ukuba usebenze njani kuya kuxhomekeka kotyando olwenziwe.

Gwema ukuphakamisa okunzima okanye ukunyanzela de ugqirha wakho akunike OK. Ugqirha wakho unokukuxelela ukuba ungaqhubi ubuncinci iveki.

Ukucinywa kotyando kuncinci kunotyando lwendabuko oluvulekileyo. Izibonelelo zibandakanya:

• Ukuchacha ngokukhawuleza
• Intlungu encinci kunye nokopha
• Umngcipheko omncinci wosulelo
• Ukuhlala esibhedlele ixesha elifutshane
• Amanxeba amancinci

Utyando oluncediswa ziirobhothi; Utyando lwe-laparoscopic oluncediswa yiRobotic; Utyando lweLaparoscopic ngoncedo lweerobhothi

UDalela D, Borchert A, Sood A, Peabody J. Iziseko zotyando lweerobhothi. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ii-eds. I-Atlas ye-Hinman yoNyango lwe-Urologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 7.

IGoswami S, Kumar PA, iMets B. Anesthesia yoqhaqho olwenziwe ngerobhothi. Ku: Miller RD, ed. I-Anesthesia kaMiller. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 87.

I-Muller CL, i-GM ethosiweyo. Itekhnoloji evelayo kuqhaqho: i-informatics, iirobhothi, i-elektroniki. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 15.