Ukuhlinzwa ngamarobhothi

Ukuhlinzwa ngerobhothi kuyindlela yokwenza ukuhlinza usebenzisa amathuluzi amancane kakhulu anamathiselwe engalweni yerobhothi. Udokotela ohlinzayo ulawula ingalo eyirobhothi ngekhompyutha.

Uzonikezwa i-anesthesia ejwayelekile ukuze ulale futhi ungabi nezinhlungu.

Udokotela ohlinzayo uhlala esiteshini sekhompyutha futhi aqondise ukunyakaza kwerobhothi. Amathuluzi amancane okuhlinza anamathiselwe ezingalweni zerobhothi.

• Udokotela ohlinzayo usika kancane ukufaka izinsimbi emzimbeni wakho.
• Ishubhu elincanyana elinekhamera enamathiselwe ekugcineni kwalo (endoscope) livumela udokotela ohlinzayo ukuthi abuke izithombe ezandisiwe zomzimba wakho ezi-3-D njengoba kuqhubeka ukuhlinzwa.
• Irobhothi lifana nokunyakaza kwesandla kukadokotela ukwenza inqubo kusetshenziswa izinsimbi ezincane.

Ukuhlinzwa kwe-Robotic kufana nokuhlinzwa kwe-laparoscopic. Kungenziwa ngokusikeka okuncane kunokuhlinzwa okuvulekile. Ukunyakaza okuncane, okuqondile okungenzeka ngalolu hlobo lokuhlinzwa kulunikeza izinzuzo ezithile ngaphezu kwezindlela ezijwayelekile ze-endoscopic.

Udokotela ohlinzayo angenza ukunyakaza okuncane, okuqondile esebenzisa le ndlela. Lokhu kungavumela udokotela ohlinzayo ukuthi enze inqubo ngokusika okuncane obekungenziwa kuphela ngokuhlinzwa okuvulekile.

Lapho ingalo yerobhothi isibekwe esiswini, kuba lula ukuthi udokotela ohlinzayo asebenzise amathuluzi okuhlinza kunokuhlinzwa nge-laparoscopic nge-endoscope.

Udokotela ohlinzayo angabona futhi indawo lapho ukuhlinzwa kwenziwa khona kalula. Le ndlela ivumela udokotela ohlinzayo ukuba ahambe ngendlela ethokomele, futhi.

Ukuhlinzwa ngerobhothi kungathatha isikhathi eside ukwenza. Lokhu kungenxa yesikhathi esidingekayo ukusetha irobhothi. Futhi, ezinye izibhedlela kungenzeka zingakwazi ukufinyelela kule ndlela. Kodwa-ke kuya ngokuya kujwayelekile.

Ukuhlinzwa ngerobhothi kungasetshenziselwa izinqubo eziningi ezahlukahlukene, kufaka phakathi:

• Ukudlula komthambo weCoronary
• Ukusika izicubu zomdlavuza ezingxenyeni ezibucayi zomzimba ezifana nemithambo yegazi, izinzwa, noma izitho zomzimba ezibalulekile
• Ukususwa kwe-gallbladder
• Ukushintshwa kwe-Hip
• I-Hysterectomy
• Ukususwa ngokuphelele kwezinso noma okuyingxenye
• Ukufakelwa kwezinso
• Ukulungiswa kweMitral valve
• I-Pyeloplasty (ukuhlinzwa ukulungisa ukuvinjelwa kwe-ureteropelvic junction)
• I-Pyloroplasty
• I-radical prostatectomy
• I-cystectomy enamandla
• Ukuhlanganiswa kweTubal

Ukuhlinzwa ngerobhothi akunakusetshenziswa njalo noma kube yindlela enhle yokuhlinzwa.

Izingozi zanoma iyiphi i-anesthesia nokuhlinzwa zifaka:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha
• Ukutheleleka

Ukuhlinzwa ngerobhothi kunezingozi eziningi njengokuhlinzwa okuvulekile nokwe-laparoscopic. Noma kunjalo, izingozi zihlukile.

Awunakudla noma uketshezi amahora ayisishiyagalombili ngaphambi kokuhlinzwa.

Ungadinga ukuhlanza amathumbu akho nge-enema noma nge-laxative ngosuku olwandulela ukuhlinzwa kwezinye izinhlobo zezinqubo.

Yeka ukuthatha i-aspirin, izinciphisi zegazi ezifana ne-warfarin (i-Coumadin) noma i-Plavix, imithi elwa nokuvuvukala, amavithamini, noma ezinye izithasiselo ezinsukwini eziyi-10 ngaphambi kwenqubo.

Uzoyiswa egumbini lokutakula ngemuva kwenqubo. Ngokuya ngohlobo lokuhlinzwa okwenziwe, kungadingeka ukuthi uhlale esibhedlela ubusuku noma izinsuku ezimbalwa.

Kufanele ukwazi ukuhamba kungakapheli usuku ngemuva kwenqubo. Ukusebenza kwakho maduze kuzoncika ekuhlinzweni okwenziwe.

Gwema ukuphakamisa okunzima noma ukuhlunga kuze kube yilapho udokotela wakho ekunika OK. Udokotela wakho angakutshela ukuthi ungashayeli okungenani isonto.

Ukusikeka okuhlinzekwayo kuncane kunokuhlinzwa kwendabuko okuvulekile. Izinzuzo zifaka:

• Ukululama ngokushesha
• Ubuhlungu obuncane nokopha
• Ingcuphe encane yokutheleleka
• Ukuhlala esibhedlela isikhathi esifushane
• Izibazi ezincane

Ukuhlinzwa okusizwa ngamarobhothi; Ukuhlinzwa kwe-laparoscopic okusizwa nge-Robotic; Ukuhlinzwa nge-laparoscopic ngosizo lwe-robotic

UDalela D, Borchert A, Sood A, Peabody J. Izisekelo zokuhlinzwa ngamarobhothi. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ama-eds. IHinman’s Atlas of Urologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 7.

IGoswami S, Kumar PA, Mets B. I-Anesthesia yokuhlinzwa okwenziwa ngamarobhothi. Ku: Miller RD, ed. I-Anesthesia kaMiller. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 87.

I-Muller CL, i-GM ethosiwe. Ubuchwepheshe obuvelayo ekuhlinzeni: i-informatics, i-robotics, i-electronics. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 15.