I-laparotomy yokuphonononga: yintoni, xa iboniswa kwaye yenziwa njani

Umxholo

• Xa i-laparotomy yokuhlola iboniswa
• Kwenziwa njani
• Iingxaki ezinokwenzeka

Ukuphonononga, okanye ukuhlolisisa, i-laparotomy luvavanyo lokuqonda isifo apho kusikwa khona kummandla wesisu ukuze kugcinwe amalungu kunye nokuchonga unobangela wophawu oluthile okanye utshintsho kwiimviwo zokucinga. Le nkqubo kufuneka yenziwe kwigumbi lokusebenza kunye nesigulana phantsi kokuthanjiswa, njengoko kuyinkqubo engafunekiyo.

Kuyacetyiswa ukuba umntu ahlale esibhedlele ukuba akhatshwe kwaye aphile ngokukhawuleza kwinkqubo, ukongeza ekunciphiseni umngcipheko weengxaki, ezinjengokopha kunye nosulelo.

Xa i-laparotomy yokuhlola iboniswa

I-laparotomy yokuphononongwa yenziwa ngeenjongo zokuqonda isifo, kwaye yenziwa xa kukho iimpawu zotshintsho kwizitho zesisu.

Ihlala iyinkqubo yokhetho, kodwa inokuthi ithathelwe ingqalelo kwiimeko zongxamiseko, ezinje ngeengozi ezinkulu zemoto, umzekelo. Ke ngoko, olu vavanyo lungabonakaliswa ukuze kuphandwe:

• Ukopha esiswini okucingelwayo;
• Ukuqunjelwa emathunjini;
• Ukudumba kwesihlomelo, ithumbu okanye injeke;
• Ubukho bamathumba esibindini;
• Iimpawu ezibonisa umhlaza, ngakumbi i-pancreas kunye nesibindi;
• Ubukho bokubambelela.

Ukongeza, i-laparotomy yokuhlola ingasetyenziselwa ukuphanda iimeko ezithile kwabasetyhini, ezinje nge-endometriosis, umhlaza wesibeleko kunye nomhlaza womlomo wesibeleko kunye nokukhulelwa kwe-ectopic, umzekelo. Nangona kunjalo, kwiimeko ezininzi, endaweni ye-laparotomy, kwenziwa i-laparoscopy, apho kwenziwa khona imingxunya encinci kwingingqi yesisu evumela ukugqitha kwesixhobo sonyango esiqhotyoshelwe kwikhamera encinci, ukuvumela ukubonwa ngexesha lokwenyani ngaphandle kokuba kufanelekile. ukusikwa okukhulu kuyafuneka. Qonda indlela eyenziwa ngayo i-videolaparoscopy.

Ngexesha lokuhlola i-laparotomy, ukuba kukho naluphi na utshintsho olufumanekayo, kunokwenzeka ukuba uqokelele isampulu yethishu uze uyithumele elebhu yokwenza i-biopsy. Ukongeza, ukuba nayiphi na ingxaki ichongiwe ngexesha loviwo, i-laparotomy yonyango inokwenziwa, ehambelana nenkqubo efanayo kodwa ngenjongo yokunyanga nokulungisa okutshintshiweyo.

Kwenziwa njani

I-laparotomy yokuhlola yenziwa kwigumbi lokusebenza, kunye nesigulana phantsi kwe-anesthesia ngokubanzi kwaye ihlala phakathi kwe-1 kunye neeyure ze-4 ngokuxhomekeke kwinjongo yoviwo. I-Anesthesia ibalulekile ukuze umntu angaziva nantoni na ngexesha lenkqubo, nangona kunjalo kuyinto eqhelekileyo ukuba emva kwempembelelo ye-anesthesia, umntu uziva iintlungu kunye nokuphazamiseka.

Emva kokusetyenziswa kwe-anesthesia kunye nokuqala kwesiphumo, kunqunyulwa kummandla wesisu, ubungakanani bawo buyahluka ngokwenjongo yoviwo, kwaye kwezinye iimeko, kusikwe phantse kubude besisu. Emva koko ugqirha wenza uphando ngommandla, ukuvavanya amalungu kunye nokujonga naluphi na utshintsho.

Emva koko, isisu sivaliwe kwaye umntu makahlale esibhedlele iintsuku ezimbalwa ukuze sijongwe ngokusondeleyo kwaye, ngenxa yoko, iingxaki zinokuthintelwa.

Iingxaki ezinokwenzeka

Njengenkqubo yokungena apho kufuneka khona i-anesthesia ngokubanzi, kusenokubakho iingxaki ezinxulumene nenkqubo, kunye neengxaki ezinxulumene nokuqina, ukwanda komngcipheko wokopha kunye nosulelo, ukuyilwa kwe-hernias kunye nomonakalo kulo naliphi na ilungu elikwindawo yesisu. .

Nangona kunqabile, ezi ngxaki zihlala zikhona xa kufuneka kwenziwe i-laparotomy engxamisekileyo okanye xa isigulana sitshaya, abantu abahlala besela iziselo ezinxilisayo okanye abanezifo ezinganyangekiyo, ezinje ngeswekile okanye ukutyeba, umzekelo. Ke ngoko, phambi kwazo naziphi na kwezi zinto, kubalulekile ukunxibelelana nogqirha ukuze inkqubo yenziwe ngononophelo kwaye, ngenxa yoko, kuthintelwe iingxaki.