I-Laparotomy yokuHlola: Kutheni Yenziwe, Yintoni Ongayilindela

Umxholo

• Yintoni ilaparotomy yokuhlola?
• Nini kwaye kutheni kwenziwa ilaphu lokuhlola?
• Yintoni onokuyilindela ngexesha lenkqubo
• Yintoni onokuyilindela emva kwenkqubo
• Iingxaki ze-laparotomy yokuhlola
• Nxibelelana nogqirha wakho ukuba unazo ezi mpawu
• Ngaba zikhona ezinye iindlela zokufumanisa isifo ezinokuthi zithathe indawo ye-laparotomy yokuhlola?
• Iindlela zokuthatha eziphambili

I-laparotomy yokuphonononga luhlobo lotyando lwesisu. Ayisetyenziswa ngokufuthi njengakuqala, kodwa iseyimfuneko kwiimeko ezithile.

Masiqwalasele ngokusondeleyo kwi-laparotomy yokuhlola kwaye kutheni ngamanye amaxesha lolona khetho lufanelekileyo lweempawu zesisu.

Yintoni ilaparotomy yokuhlola?

Xa usenziwa utyando esiswini, ngesiqhelo yinjongo ethile. Unokufuna ukuba isihlomelo sakho sisuswe okanye i-hernia ilungiswe, umzekelo. Ugqirha wenza usiko olufanelekileyo kwaye asebenze kuloo ngxaki.

Ngamanye amaxesha, unobangela wentlungu yesisu okanye ezinye iimpawu zesisu akucaci. Oku kunokwenzeka ngaphandle kovavanyo olunzulu okanye, kwimeko engxamisekileyo, kuba akukho xesha lovavanyo. Kulapho ugqirha anokufuna ukwenza i-laparotomy yokuhlola.

Injongo yolu tyando kukuphonononga kwisisu sonke ukufumana umthombo wengxaki. Ukuba ugqirha wotyando unokuchonga ingxaki, naluphi na unyango olufunekayo lunokwenzeka kwangoko.

Nini kwaye kutheni kwenziwa ilaphu lokuhlola?

I-laparotomy yokuphonononga ingasetyenziswa xa:

• baneempawu ezinzulu okanye zexesha elide esiswini esichasa ukuxilongwa.
• Unobunzima obukhulu besisu kwaye akukho xesha lokunye uvavanyo.
• ayingomgqatswa olungileyo kotyando lwe-laparoscopic.

Olu tyando lunokusetyenziselwa ukuphonononga:

Ukongeza kuvavanyo olubonakalayo, ugqirha wotyando anga:

• thatha isampulu yethishu ukuvavanya umhlaza (i-biopsy).
• enze naluphi na ulungiso oluyimfuneko lotyando.
• Umhlaza wenqanaba.

Isidingo sokuhlola i-laparotomy asinto inkulu njengakuqala. Oku kungenxa yenkqubela phambili kwitekhnoloji yokucinga. Kwakhona, xa kunokwenzeka, i-laparoscopy yindlela encinci yokuhlasela isisu.

Yintoni onokuyilindela ngexesha lenkqubo

I-laparotomy yokuphonononga ngophando olukhulu. Esibhedlele, intliziyo kunye nemiphunga yakho iya kujongwa ukuqinisekisa ukuba kukhuselekile ukusebenzisa ianesthesia ngokubanzi. Umgca we-intravenous (IV) uya kufakwa engalweni okanye esandleni sakho. Iimpawu zakho ezibalulekileyo ziya kujongwa. Unokufuna ityhubhu yokuphefumla okanye ipayipi.

Ngexesha lenkqubo, uya kulala, ngoko awuyi kuva nantoni na.

Emva kokuba ulusu lwakho luneentsholongwane, kuya kwenziwa ulusu olude nkqo esiswini sakho. Ugqirha ke uya kuthi emva koko ahlole isisu sakho ukuba awonakanga okanye akakho sifo. Ukuba kukho izicubu ezikrokrisayo, isampuli inokuthathwa kwi-biopsy. Ukuba unobangela wengxaki unokuchongwa, unokunyangwa ngeli xesha, nako.

Incision iya kuvalwa ngemithungo okanye ngestaples. Unokushiywa ngomsinga okwexeshana ukuze kuphume ulwelo olungaphezulu.

Uya kuchitha iintsuku ezininzi esibhedlele.

Yintoni onokuyilindela emva kwenkqubo

Emva kotyando, uya kusiwa kwindawo yokubuyisela kwimeko yesiqhelo. Kulapho, uya kujongwa ngokusondeleyo de ube ulumke ngokupheleleyo. IV iya kuqhubeka nokubonelela ngamanzi. Ingasetyenziselwa amayeza ukuthintela usulelo kunye nokuphelisa iintlungu.

Emva kokushiya indawo yokubuyisela kwimeko yesiqhelo, uya kucelwa ukuba uvuke kwaye ujikeleze ukunceda ukuthintela amahlwili egazi. Awuyi kunikwa ukutya okuqhelekileyo de izibilini zakho zisebenze ngesiqhelo. I-catheter kunye nomsele wokuhambisa isisu uya kususwa kwiintsuku nje ezimbalwa.

Ugqirha wakho uza kuchaza iziphumo zophando kunye nokuba amanyathelo alandelayo ayakuba yintoni. Xa ukulungele ukugoduka, uya kunikwa imiyalelo yokukhutshwa enokuthi ibandakanye:

• Musa ukuphakamisa ngaphezu kweeponti ezintlanu kwiiveki ezintandathu zokuqala.
• Musa ukuhlamba okanye uhlambe de ufumane ugqirha wakho. Gcina usike ucoceko kwaye wome.
• Lumkela iimpawu zosulelo. Oku kubandakanya umkhuhlane, okanye ubomvu okanye umjelo otyheli osikiweyo.

Ixesha lokufumana kwakhona lijikeleze iiveki ezintandathu, kodwa oku kuyahluka kuye ngomntu. Ugqirha wakho uya kukunika umbono wokuba ulindele ntoni.

Iingxaki ze-laparotomy yokuhlola

Ezinye zeengxaki ezinokubakho zotyando lokuhlola zezi:

• impendulo engalunganga kwi-anesthesia
• ukopha
• usulelo
• ukusikwa okungaphilisi kakuhle
• ukwenzakala kwamathumbu okanye amanye amalungu
• i-hernia engabonakaliyo

Unobangela wengxaki akasoloko efumaneka ngexesha lotyando. Ukuba oko kwenzeka, ugqirha wakho uya kuthetha nawe malunga nokuza kwenzeka emva koko.

Nxibelelana nogqirha wakho ukuba unazo ezi mpawu

Nje ukuba usekhaya, nxibelelana nogqirha wakho ukuba:

• Umkhuhlane we-100.4 ° F (38.0 ° C) okanye ngaphezulu
• ukwanda kwentlungu engaphenduliyo kumayeza
• ubomvu, ukuvuvukala, ukuphuma kwegazi, okanye umjelo ophuzi kwindawo yokuqhawula
• ukudumba kwesisu
• enegazi okanye emnyama, ilindle
• urhudo okanye ukuqhina kuhlala ngaphezulu kweentsuku ezimbini
• iintlungu xa uchama
• iintlungu zesifuba
• ukuqhawukelwa ngumphefumlo
• ukukhohlela okungapheliyo
• isicaphucaphu, ukugabha
• isiyezi, isiqaqa
• iintlungu zomlenze okanye ukudumba

Ezi mpawu zinokubonisa iingxaki ezinkulu. Shayela ugqirha wakho ngokukhawuleza ukuba unamava.

Ngaba zikhona ezinye iindlela zokufumanisa isifo ezinokuthi zithathe indawo ye-laparotomy yokuhlola?

I-laparoscopy yokuphonononga yinkqubo encinci yokuhlasela engenziwa rhoqo endaweni ye-laparotomy. Ngamanye amaxesha kuthiwa yi "keyhole" operation.

Kule nkqubo, ityhubhu encinci ebizwa ngokuba yi-laparoscope ifakwa kulusu. Ukukhanya kunye nekhamera ziqhotyoshelwe kumbhobho. Isixhobo siyakwazi ukuthumela imifanekiso ngaphakathi kwisisu kwiscreen.

Oku kuthetha ukuba ugqirha wotyando unokuphonononga isisu ngeendlela ezimbalwa ezincinci kunokuba zinkulu. Xa kunokwenzeka, iinkqubo zotyando zinokwenziwa ngaxeshanye.

Isafuna ianesthesia ngokubanzi. Kodwa ihlala isenza ukuba isibhedlele sihlale ixesha elifutshane, kungabikho zibazi, kwaye kuchache ngokukhawuleza.

I-laparoscopy yokuphonononga ingasetyenziselwa ukuthatha isampulu yethishu ye-biopsy. Kukwasetyenziselwa ukuxilonga iimeko ezininzi. I-Laparoscopy ayinakwenzeka ukuba:

• unesisu esikhubekileyo
• udonga lwesisu lubonakala lusulelekile
• unamanxeba amaninzi angaphambili okuhlinzwa esiswini
• Une-laparotomy ngaphakathi kweentsuku ezingama-30 ezidlulileyo
• le ngxakeko esongela ubomi

Iindlela zokuthatha eziphambili

I-laparotomy yokuphonononga yinkqubo apho isisu sivulelwa khona ngenjongo yokuhlola. Oku kwenziwa kuphela kwimeko engxamisekileyo yezonyango okanye xa ezinye iimvavanyo zokuqonda isifo zingakwazi ukuchaza iimpawu.

Iluncedo ekuchongeni iimeko ezininzi ezibandakanya isisu kunye nesinqe. Nje ukuba ingxaki ifumaneke, unyango olunokuthi lwenziwe ngaxeshanye, lunokuphelisa isidingo sotyando lwesibini.