I-laparoscopy yomzimba

I-laparoscopy ye-pelvic ukuhlinzwa ukuhlola izitho ze-pelvic. Isebenzisa ithuluzi lokubuka elibizwa ngokuthi yi-laparoscope. Ukuhlinzwa kusetshenziselwa nokwelapha izifo ezithile ezithweni zangasese.

Ngenkathi ulele ubuthongo obukhulu futhi ungenazinhlungu ngaphansi kwe-anesthesia ejwayelekile, udokotela wenza ukusika kokuhlinzwa okungamasentimitha (1.25 amasentimitha) esikhunjeni ngaphansi kwenkinobho yesisu. I-Carbon dioxide gas idonswa esiswini ukusiza udokotela abone izitho kalula.

I-laparoscope, insimbi ebukeka njengesibonakude esincane enesibani nekhamera yevidiyo, ifakwe ukuze udokotela akwazi ukubuka indawo.

Ezinye izinsimbi zingafakwa ngokunye ukusikeka okuncane esiswini esingezansi. Ngenkathi ubuka i-video monitor, udokotela uyakwazi:

• Thola amasampula wezicubu (i-biopsy)
• Bheka imbangela yanoma yiziphi izimpawu
• Susa izicubu ezibomvu noma ezinye izicubu ezingavamile, ezifana ne-endometriosis
• Lungisa noma susa ingxenye noma wonke amaqanda noma amashubhu wesibeletho
• Lungisa noma ususe izingxenye zesibeletho
• Yenza ezinye izinqubo zokuhlinzwa (njenge-appendectomy, ukususa ama-lymph node)

Ngemuva kwe-laparoscopy, kukhishwa i-carbon dioxide gas, futhi ukusikeka kuyavalwa.

I-Laparoscopy isebenzisa ukusika okuncane kunokuhlinzwa okuvulekile. Abantu abaningi abanale nqubo bayakwazi ukubuyela emakhaya ngosuku olufanayo. Ukusikwa okuncane kusho nokuthi ukutakula kuyashesha. Kukhona ukulahleka kwegazi okuncane ngokuhlinzwa kwe-laparoscopic kanye nobuhlungu obuncane ngemuva kokuhlinzwa.

I-laparoscopy ye-pelvic isetshenziselwa kokubili ukuxilongwa nokwelashwa. Kunganconyelwa lokhu:

• Isisindo se-pelvic esingajwayelekile noma i-cyst ovarian etholakala kusetshenziswa i-pelvic ultrasound
• Umdlavuza (ovarian, endometrial, noma wesibeletho) ukubona ukuthi usakazekile yini, noma ukususa ama-lymph node noma izicubu eziseduze
• Ubuhlungu be-pelvic obungapheli (besikhathi eside), uma kungekho esinye isizathu esitholakele
• Ukukhulelwa kwe-Ectopic (tubal)
• I-Endometriosis
• Kunzima ukukhulelwa noma ukuthola ingane (ukungazali)
• Kungazelelwe, ubuhlungu obukhulu be-pelvic

I-laparoscopy ye-pelvic nayo ingenziwa ku:

• Susa isibeletho sakho (i-hysterectomy)
• Susa i-uterine fibroids (myomectomy)
• "Bopha" amashubhu akho (i-tubal ligation / inzalo)

Izingozi zanoma yikuphi ukuhlinzwa kwe-pelvic zifaka:

• Ukopha
• Amahlule egazi emlenzeni noma emithanjeni ye-pelvic, engahambela emaphashini futhi, kuyaqabukela, ibulale
• Izinkinga zokuphefumula
• Ukulimala kwezitho nezicubu eziseduze
• Izinkinga zenhliziyo
• Ukutheleleka

I-laparoscopy iphephile kunenqubo evulekile yokulungisa inkinga.

Njalo utshele umhlinzeki wakho wezokunakekelwa kwempilo:

• Uma ukhulelwe noma ungakhulelwa
• Yiziphi izidakamizwa oziphuzayo, ngisho nezidakamizwa, amakhambi, noma izithako ozithengile ngaphandle kwencwadi kadokotela

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kanye nanoma iziphi ezinye izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana.
• Buza umhlinzeki wakho ukuthi imiphi imithi ongayithatha ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho.
• Hlela ukuthi kube nomuntu ozokushayela ngemoto ngemuva kokuhlinzwa.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho, noma amahora ayisishiyagalombili ngaphambi kokuhlinzwa kwakho.
• Thatha izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.
• Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela noma emtholampilo.

Uzochitha isikhathi esithile endaweni yokutakula njengoba uvuka ku-anesthesia.

Abantu abaningi bayakwazi ukuya emakhaya ngosuku olufanayo nenqubo. Kwesinye isikhathi, kungadingeka ukuthi uhlale ubusuku bonke, kuya ngokuthi yikuphi ukuhlinzwa okwenziwa kusetshenziswa i-laparoscope.

Irhasi efakwa esiswini ingadala ukungakhululeki esiswini izinsuku ezi-1 kuya kwezi-2 ngemuva kwenqubo. Abanye abantu bezwa ubuhlungu bentamo nehlombe izinsuku ezimbalwa ngemuva kwe-laparoscopy ngoba i-carbon dioxide gas iyayicasula i-diaphragm. Njengoba igesi ifakwa, lobu buhlungu buzophela. Ukulala phansi kungasiza ekunciphiseni ubuhlungu.

Uzothola incwadi kadokotela yemithi yezinhlungu noma utshelwe ukuthi yimiphi imithi yezinhlungu ongayisebenzisa ongayithatha.

Ungabuyela emisebenzini yakho ejwayelekile kungakapheli usuku olungu-1 kuya kwezi-2. Kodwa-ke, UNGAPHAKI lutho olungaphezu kwamakhilogremu ayi-10 (4.5 kilograms) amasonto ama-3 ngemuva kokuhlinzwa ukuze unciphise ubungozi bakho bokuthola i-hernia lapho usike.

Ngokuya ngokuthi iyiphi inqubo eyenziwayo, ungaqala ukwenza imisebenzi yezocansi futhi lapho nje ukuphuma kwegazi sekuyekile. Uma uke wakhishwa isisu, udinga ukulinda isikhathi eside ngaphambi kokuya ocansini futhi. Buza umhlinzeki wakho ukuthi yini enconywayo ngenqubo onayo.

Shayela umhlinzeki wakho uma une:

• Ukopha okuphuma esithweni sangasese
• Imfiva engapheli
• Isicanucanu nokuhlanza
• Ubuhlungu obukhulu besisu

I-Celioscopy; Ukuhlinzwa kwe-band-aid; I-Pelviscopy; I-laparoscopy ye-Gynecologic; I-laparoscopy yokuhlola - i-gynecologic

• I-laparoscopy yomzimba
• I-Endometriosis
• Ukunamathela kwepelvic
• I-ovary cyst
• I-lapelic laparoscopy - uchungechunge

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IBurney RO, iGiudice LC. I-Endometriosis. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 130.

UCarlson SM, uGoldberg J, uLentz GM. I-Endoscopy: i-hysteroscopy ne-laparoscopy: izinkomba, ukuphikisana, nezinkinga. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 10.

UPatel RM, uKaler KS, uLandman J. Izisekelo zokuhlinzwa kwe-laparoscopic ne-robotic. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 14.