I-laparoscopy yokuxilonga

I-laparoscopy yokuhlonza inqubo evumela ukuthi udokotela abheke ngqo kokuqukethwe kwesisu noma okhalo.

Inqubo ivame ukwenziwa esibhedlela noma esikhungweni sokuhlinza abagulayo ngaphandle kwe-anesthesia ejwayelekile (ngenkathi ulele futhi ungenazinhlungu). Inqubo yenziwa ngale ndlela elandelayo:

• Udokotela ohlinzayo usika (ukusika) okuncane ngaphansi kwenkinobho yesisu.
• Kufakwa inaliti noma ishubhu elingenalutho elibizwa ngokuthi i-trocar. I-Carbon dioxide gas idluliselwa esiswini ngokusebenzisa inaliti noma ithubhu. Lo gesi usiza ukukhulisa indawo, unikeze udokotela ohlinzayo indawo eyengeziwe yokusebenza, futhi usiza udokotela ohlinzayo ukuba abone izitho ngokucacile.
• Ikhamera encane yevidiyo (i-laparoscope) ibekwa nge-trocar bese isetshenziselwa ukubona ingaphakathi lesikhumba sakho nesisu. Kungenziwa ukusikeka okuncane uma ezinye izinsimbi zidingeka ukuthola umbono ongcono wezitho ezithile.
• Uma une-laparoscopy ye-gynecologic, idayi ingajovwa emlonyeni wakho wesibeletho ukuze udokotela ohlinzayo akwazi ukubuka amashubhu we-fallopian.
• Ngemuva kokuhlolwa, kukhishwa igesi, i-laparoscope, nezinsimbi, futhi ukusikeka kuyavalwa. Uzoba namabhandeshi kulezi zindawo.

Landela imiyalelo yokuthi ungadli ungaphuzi ngaphambi kokuhlinzwa.

Ungadinga ukuyeka ukuthatha imithi, kufaka phakathi ukudambisa izinhlungu kwe-narcotic, ngaphambi noma ngaphambi kosuku lokuhlolwa. Ungashintshi noma uyeke ukuthatha noma yimiphi imithi ngaphandle kokuqala ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo.

Landela noma imiphi eminye imiyalo yokuthi ungayilungiselela kanjani inqubo.

Ngeke ubuzwe ubuhlungu ngesikhathi senqubo. Ngemuva kwalokho, ukusikeka kungaba kubi. Udokotela wakho angakunikeza isiguli sokuqeda izinhlungu.

Ungaba nobuhlungu behlombe izinsuku ezimbalwa. Irhasi esetshenziswe ngesikhathi senqubo ingacasula i-diaphragm, enokwabelana ngemizwa efanayo nehlombe. Ungaba nesifiso esengeziwe sokuchama, ngoba igesi ingafaka ingcindezi esinyeni.

Uzolulama amahora ambalwa esibhedlela ngaphambi kokuya ekhaya. Ngeke uhlale ubusuku bonke ngemuva kwe-laparoscopy.

Ngeke uvunyelwe ukushayela ekhaya. Umuntu othile kufanele atholakale ezokusa ekhaya ngemuva kwenqubo.

I-laparoscopy yokuxilonga ivame ukwenziwa kulokhu okulandelayo:

• Thola imbangela yobuhlungu noma ukukhula esiswini nasendaweni ye-pelvic lapho imiphumela ye-x-ray noma ye-ultrasound ingacacile.
• Ngemuva kwengozi ukubona ukuthi kukhona yini ukulimala kunoma yiziphi izitho esiswini.
• Ngaphambi kwezinqubo zokwelapha umdlavuza ukuthola ukuthi umdlavuza ususabalele yini. Uma kunjalo, ukwelashwa kuzoshintsha.

I-laparoscopy ijwayelekile uma lingekho igazi esiswini, alikho i-hernias, akukho ukuvinjelwa kwamathumbu, futhi akukho mdlavuza kunoma yiziphi izitho ezibonakalayo. Isizalo, amashubhu, kanye namaqanda kunosayizi ojwayelekile, ukwakheka nombala. Isibindi sijwayelekile.

Imiphumela engajwayelekile ingahle ibangelwe yizimo eziningi ezahlukahlukene, kufaka phakathi:

• Izicubu ezibucayi ngaphakathi kwesisu noma okhalo (ukunamathela)
• Isithasiselo
• Amaseli avela ngaphakathi kwesibeletho akhula kwezinye izindawo (endometriosis)
• Ukuvuvukala kwe-gallbladder (cholecystitis)
• Ama-cysts ama-ovari noma umdlavuza we-ovary
• Ukutheleleka kwesibeletho, ama-ovari, noma amashubhu e-fallopian (isifo sokuvuvukala okhalo)
• Izimpawu zokulimala
• Ukusabalala komdlavuza
• Izimila
• Izilonda ezingenaso umdlavuza zesibeletho ezinjenge-fibroids

Kukhona ingozi yokutheleleka. Ungathola ama-antibiotics ukuvimbela le nkinga.

Kukhona ingozi yokubhoboza isitho. Lokhu kungadala ukuthi okuqukethwe ngamathumbu kuvuze. Kungenzeka futhi kube nokopha emgodini wesisu. Lezi zinkinga zingaholela ekuhlinzweni okuvulekile ngokushesha (i-laparotomy).

I-laparoscopy yokuhlonza kungenzeka ingenzeki uma unesifo sokuvuvukala, uketshezi esiswini (ascites), noma uke wahlinzwa esikhathini esedlule.

I-laparoscopy - ukuxilonga; I-laparoscopy yokuhlola

• I-laparoscopy yomzimba
• I-anatomy yokuzala yabesifazane
• Ukuqhekeka kwe-laparoscopy yesisu

I-Falcone T, i-Walters MD. I-laparoscopy yokuxilonga. Ku: Baggish MS, Karram MM, ama-eds. I-Atlas of Pelvic Anatomy and Gynecologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 115.

IVelasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B. Ukuhlola i-laparotomy - i-laparoscopic. Ku: Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B, ukubonisana nabakwa-eds. Izinqubo Ezibalulekile Zokuhlinza. IPhiladelphia, PA: Elsevier; 2016: isahluko 1.