I-laparoscopy yevidiyo: yenzelwe ntoni, yenziwa njani kwaye ichacha njani

Umxholo

• Yintoni i-videolaparoscopy ye
• Yenziwa njani ivideolaparoscopy
• Xa kungafanelekanga ukuba yenziwe
• Unjani na uXolo
• Iingxaki ezinokwenzeka

IVideolaparoscopy yindlela enokusetyenziselwa ukuxilonga kunye nonyango, eyokugqibela ibizwa ngokuba yi-videolaparoscopy yotyando. IVideolaparoscopy yenziwa ngenjongo yokujonga ulwakhiwo olukhoyo kummandla wesisu kunye ne-pelvic kwaye, ukuba kukho imfuneko, ukususwa okanye ukulungiswa kotshintsho.

Kwabasetyhini, i-laparoscopy yenziwa ikakhulu ekuchongeni nasekunyangeni i-endometriosis, nangona kunjalo ayiluvavanyo lokuqala olo lwenziwayo, njengoko kunokwenzeka ukufikelela kuvavanyo ngezinye iimvavanyo, ezinje nge-transvaginal ultrasound kunye ne-magnetic resonance, umzekelo, ezingaphantsi Ingenile.

Yintoni i-videolaparoscopy ye

IVideolaparoscopy inokusetyenziswa zombini njengendlela yokuqonda isifo kunye nonyango. Xa isetyenziselwa iinjongo zokuqonda isifo, i-videolaparoscopy (VL), ekwabizwa ngokuba yi-VL yokuqonda isifo, inokuba luncedo kuphando nasekuqinisekiseni:

• Iingxaki zenyongo kunye nesihlomelo;
• Endometriosis;
• Isifo sePeritoneal;
• Ithumba lesisu;
• Izifo zamanina;
• I-Adhesive syndrome;
• Intlungu engapheliyo yesisu ngaphandle kwesizathu esibonakalayo;
• Ukukhulelwa kwe-Ectopic.

Xa kubonisiwe ngeenjongo zonyango, ifumana igama lotyando lwe-VL, kwaye inokuboniswa:

• Ukususwa kwe-gallbladder kunye nesihlomelo;
• Ukulungiswa kweHernia;
• Unyango lwe-Hydrosalpinitis;
• Ukususwa kwezilonda ze-ovari;
• Ukususa ukubambelela;
• Tubal ligation;
• Iyonke i-hysterectomy;
• Ukususwa kweMyoma;
• Unyango lwe-dystopias yesini;
• Utyando lwabasetyhini.

Ukongeza, i-videolaparoscopy inokuboniswa ukuba yenze i-ovarian biopsy, eluvavanyo apho ukuthembeka kwethishu yesibeleko kuvavanywa ngemicroscopic. Qonda ukuba yintoni kwaye yenziwa njani i-biopsy.

Yenziwa njani ivideolaparoscopy

I-Videolaparoscopy luvavanyo olulula, kodwa kufuneka lwenziwe phantsi kwe-anesthesia ngokubanzi kwaye luqulathe ukusika okuncinci kwingingqi ekufutshane nenkaba ekufuneka kungene kuyo ityhubhu encinci enee-microcamera.

Ukongeza koku kunqunyulwa, ezinye izicucu ezincinci zihlala zenziwa kwingingqi yesisu apho ezinye izixhobo zidlula ukujonga i-pelvic, indawo yesisu okanye ukwenza utyando. I-microcamera isetyenziselwa ukujonga kunye nokuvavanya yonke indawo yangaphakathi yesisu, isenza ukuba sikwazi ukubona utshintsho kunye nokukhuthaza ukususwa kwayo.

Ukulungiselela ukwenza uviwo kubandakanya ukwenza iimviwo zangaphambili, ezinje ngovavanyo lwengozi yangaphambi kokuhlinzwa kunye notyando, kwaye xa olu vavanyo lukhangela isisu esiswini, kunyanzelekile ukuba ukhulule ngokupheleleyo amathumbu usebenzisa laxatives phantsi kwengcebiso yezonyango kusuku olungaphambi kovavanyo.

Xa kungafanelekanga ukuba yenziwe

I-Videolaparoscopy akufuneki yenziwe xa ukhulelwe, kubantu abanesifo sokutyeba kakhulu okanye xa umntu ephazamiseke kakhulu.

Ukongeza, ayiboniswanga kwimeko yesifo sephepha kwi-peritoneum, umhlaza kummandla wesisu, ubunzima besisu esiswini, isithintelo samathumbu, i-peritonitis, isisu sesisu okanye xa kungenakwenzeka ukusebenzisa i-anesthesia ngokubanzi.

Unjani na uXolo

Ukubuyiselwa kwimeko yoqhaqho lwe-laparoscopic kungcono kakhulu kunotyando oluqhelekileyo, njengoko kuncipha ukusika kunye nokuphuma kwegazi ngexesha lotyando kuncinci. Ixesha lokubuyisela kwimeko yoqhaqho lwe-laparoscopic lihlala ukusuka kwiintsuku ezisi-7 ukuya kwezi-14, kuxhomekeke kwinkqubo. Emva kweli xesha, umntu angabuyela kancinci kancinci kwimisebenzi yemihla ngemihla ngokwesindululo sonyango.

Kanye emva kwe-videolaparoscopy, kuyinto eqhelekileyo ukuva iintlungu esiswini, iintlungu emagxeni, ukuba nethumbu elibanjiweyo, ukuziva udumbile, ugula kwaye uzive ngathi uyagabha. Ke ngoko, ngexesha lokuchacha, umntu kufuneka aphumle kangangoko kunokwenzeka kwaye aphephe ukulala ngesondo, ukuqhuba, ukucoca indlu, ukuthenga kunye nokwenza umthambo kwiintsuku ezili-15 zokuqala.

Iingxaki ezinokwenzeka

Nangona olu vavanyo lolona lugqibeleleyo lokugqibezela ukuxilongwa kwezifo ezithile kwaye lubuyambo olungcono, xa lusetyenziswa njengonyango, kunye nezinye iinkqubo zotyando, i-videolaparoscopy izisa imingcipheko ethile yezempilo, enjengokopha kwizitho ezibalulekileyo ezifana nesibindi okanye udakada., ukugqobhoza kwamathumbu, isinyi okanye isibeleko, i-hernia kwindawo yokungena kwezixhobo, usulelo lwesiza kunye nokwanda kwe-endometriosis, umzekelo.

Ukongeza, xa kwenziwa esifubeni, pneumothorax, embolism okanye emphysema. Ngesi sizathu, i-videolaparoscopy ayiqhelekanga njengeyona ndlela yokuqala yokufumanisa isifo, isetyenziswa ngakumbi njengonyango.