I-Laparotomy Yokuhlola: Kungani Yenziwe, Yini Ongayilindela

-Delile

• Yini i-laparotomy yokuhlola?
• Kwenziwa nini futhi kungani ithanga lokuhlola?
• Yini ongayilindela ngesikhathi senqubo
• Yini ongakulindela ukulandela inqubo
• Izinkinga ze-laparotomy yokuhlola
• Xhumana nodokotela wakho uma uhlangabezana nalezi zimpawu
• Ingabe zikhona ezinye izinhlobo zokuxilongwa ezingathatha indawo ye-laparotomy yokuhlola?
• Ukuthatha ukhiye

I-laparotomy yokuhlola uhlobo lokuhlinzwa kwesisu. Ayisetshenziswa kaningi njengakuqala, kodwa kusadingeka ezimweni ezithile.

Ake sibhekisise i-laparotomy yokuhlola nokuthi kungani kwesinye isikhathi kuyindlela engcono kakhulu yezimpawu zesisu.

Yini i-laparotomy yokuhlola?

Uma uhlinzwa esiswini, kuvamise ukuba kube nenhloso ethile. Ungadinga ukuthi isithasiselo sakho sisuswe noma i-hernia ilungiswe, isibonelo. Udokotela ohlinzayo wenza ukusikeka okufanele futhi asebenze kuleyo nkinga ethile.

Kwesinye isikhathi, imbangela yobuhlungu besisu noma ezinye izimpawu zesisu ayicaci. Lokhu kungenzeka naphezu kokuhlolwa okuphelele noma, esimweni esiphuthumayo, ngoba asikho isikhathi sezivivinyo. Yilapho udokotela angafuna ukwenza i-laparotomy yokuhlola.

Inhloso yalokhu kuhlinza ukuhlola wonke umgodi wesisu ukuthola umthombo wenkinga. Uma udokotela ohlinzayo eyibona inkinga, noma ikuphi ukwelashwa okudingekayo okungenzeka kwenzeka ngokushesha.

Kwenziwa nini futhi kungani ithanga lokuhlola?

I-laparotomy yokuhlola ingasetshenziswa uma:

• banezimpawu ezibucayi noma zesikhathi eside zesisu eziphikisana nokuxilongwa.
• ngibe nokuhlukumezeka okukhulu esiswini futhi asikho isikhathi sokunye ukuhlolwa.
• ayilona ikhandidethi elifanele lokuhlinzwa nge-laparoscopic.

Lokhu kuhlinza kungasetshenziselwa ukuhlola:

Ngaphezu kokuhlolwa okubukwayo, udokotela ohlinzayo anga:

• thatha isampula lezicubu ukuhlola umdlavuza (i-biopsy).
• wenze noma yikuphi ukulungiswa kokuhlinzwa okudingekayo.
• umdlavuza wasesiteji.

Isidingo se-laparotomy yokuhlola asisikhulu njengoba besivamile. Lokhu kungenxa yentuthuko kubuchwepheshe bezithombe. Futhi, lapho kunokwenzeka, i-laparoscopy iyindlela engatheni kangako yokuhlola isisu.

Yini ongayilindela ngesikhathi senqubo

I-laparotomy yokuhlola ukuhlinzwa okukhulu. Esibhedlela, inhliziyo yakho namaphaphu kuzohlolwa ukuze kuqinisekiswe ukuthi kuphephile ukusebenzisa i-anesthesia ejwayelekile. Kuzofakwa ulayini (IV) engalweni noma esandleni sakho. Izimpawu zakho ezibalulekile zizoqashwa. Ungadinga futhi ishubhu lokuphefumula noma ipayipi lokuhambisa amanzi ngomshini.

Ngesikhathi senqubo, uzobe ulele, ngakho-ke ngeke uzwe lutho.

Lapho isikhumba sakho sesibulawe amagciwane, kuzosikwa imbobo ende esiswini sakho. Udokotela ohlinzayo uzobe esehlola isisu sakho ukuthi awonakele noma unesifo. Uma kunezicubu ezisolisayo, isampula ingathathwa nge-biopsy. Uma imbangela yenkinga inganqunywa, ingalashwa ngokuhlinzwa ngalesi sikhathi, futhi.

Ukusikeka kuzovalwa ngemithungo noma okuyisisekelo. Ungashiywa ukhipha isikhashana ukuvumela uketshezi oluningi luphume.

Cishe uzohlala izinsuku ezimbalwa esibhedlela.

Yini ongakulindela ukulandela inqubo

Ngemuva kokuhlinzwa, uzothuthelwa endaweni yokutakula. Lapho, uzobhekwa eduze uze uqaphele ngokuphelele. I-IV izoqhubeka nokuhlinzeka ngamanzi. Ingasetshenziselwa nemithi ukuvikela ukutheleleka nokuqeda izinhlungu.

Ngemuva kokushiya indawo yokutakula, uzonxuswa ukuthi usukume uzulazule ukusiza ukuvimbela amahlule egazi. Ngeke unikezwe ukudla okuvamile kuze kube yilapho amathumbu akho esebenza ngokujwayelekile. Ipayipi kanye nomsele wokukhipha isisu uzosuswa ezinsukwini ezimbalwa.

Udokotela wakho uzochaza ngokutholakele kokuhlinzwa nokuthi yiziphi izinyathelo ezilandelayo okufanele zibe. Uma usukulungele ukubuyela ekhaya, uzonikezwa imiyalo yokukhipha engafaka phakathi:

• Ungaphakamisi ngaphezu kwamakhilogremu amahlanu emasontweni ayisithupha okuqala.
• Ungahlambi noma ugeze uze uthole ukuqhubeka nodokotela wakho. Gcina imbobo ihlanzekile futhi yomile.
• Qaphela izimpawu zokutheleleka. Lokhu kufaka umkhuhlane, noma ubomvu noma amanzi aphuzi avela kusike.

Isikhathi sokutakula ngokuvamile sicishe sibe amasonto ayisithupha, kepha lokhu kuyehluka kuye ngomuntu nomuntu. Udokotela wakho uzokunika umbono wokuthi yini ongayilindela.

Izinkinga ze-laparotomy yokuhlola

Ezinye zezinkinga ezikhona zokuhlinzwa okuhlolwayo yilezi:

• ukusabela okungalungile ku-anesthesia
• ukopha
• ukutheleleka
• ukusikwa okungapholi kahle
• ukulimala kwamathumbu noma ezinye izitho
• i-hernia engabonakali

Imbangela yenkinga ayitholakali ngaso sonke isikhathi ngesikhathi sokuhlinzwa. Uma lokho kwenzeka, udokotela wakho uzokhuluma nawe ngalokho okufanele kwenzeke ngokulandelayo.

Xhumana nodokotela wakho uma uhlangabezana nalezi zimpawu

Uma ususekhaya, xhumana nodokotela wakho uma une:

• umkhuhlane ka-100.4 ° F (38.0 ° C) noma ngaphezulu
• ukwanda kobuhlungu obungaphenduli emithini
• ubomvu, ukuvuvukala, ukuphuma kwegazi, noma amanzi aphuzi endaweni yokuqhekeza
• ukuvuvukala kwesisu
• ezinegazi noma ezimnyama, izitulo zokulinda
• uhudo noma ukuqunjelwa okuhlala izinsuku ezingaphezu kwezimbili
• ubuhlungu ngokuchama
• ubuhlungu besifuba
• ukuphelelwa umoya
• ukukhwehlela okuphikelelayo
• isicanucanu, ukuhlanza
• isiyezi, ukuquleka
• ubuhlungu bomlenze noma ukuvuvukala

Lezi zimpawu zingakhombisa izinkinga ezinkulu. Shayela udokotela wakho ngokushesha uma uhlangabezana nenye yazo.

Ingabe zikhona ezinye izinhlobo zokuxilongwa ezingathatha indawo ye-laparotomy yokuhlola?

I-laparoscopy yokuhlola iyindlela encane yokuhlasela engavame ukwenziwa esikhundleni se-laparotomy. Kwesinye isikhathi kubizwa ngokuthi yi "keyhole" surgery.

Kule nqubo, kufakwa ishubhu elincane elibizwa ngokuthi i-laparoscope ngesikhumba. Isibani nekhamera kunamathiselwe kushubhu. Ithuluzi liyakwazi ukuthumela izithombe zisuka ngaphakathi esiswini ziye esikrinini.

Lokhu kusho ukuthi udokotela ohlinzayo angahlola isisu ngezicucu ezimbalwa ezimbalwa kunokuba enkulu. Uma kunokwenzeka, izinqubo zokuhlinza zingenziwa ngasikhathi sinye.

Kusadinga i-anesthesia ejwayelekile. Kepha kuvamise ukwenza ukuhlala esibhedlela isikhashana, ukungabi nezibazi, nokwelashwa ngokushesha.

I-laparoscopy yokuhlola ingasetshenziswa ukuthatha isampula lezicubu ze-biopsy. Kuyasetshenziswa futhi ukuxilonga izimo ezahlukahlukene. I-laparoscopy kungenzeka ingenzeki uma:

• unesisu esikhubazekile
• udonga lwesisu lubonakala luthelelekile
• unezibazi eziningi zangaphambilini zokuhlinzwa esiswini
• uke waba ne-laparotomy ezinsukwini ezingama-30 ezedlule
• lesi yisimo esiphuthumayo esisongela impilo

Ukuthatha ukhiye

I-laparotomy yokuhlola inqubo lapho kuvulelwa khona isisu ngezinhloso zokuhlola. Lokhu kwenziwa kuphela ezimeni eziphuthumayo zezokwelapha noma lapho ezinye izivivinyo zokuxilonga zingakwazi ukuchaza izimpawu.

Kuyasiza ekuhloleni izimo eziningi ezibandakanya isisu kanye nesifuba. Lapho inkinga isitholakele, ukwelashwa kokuhlinzwa kungenzeka ngesikhathi esisodwa, okungahle kususe isidingo sokuhlinzwa kwesibili.