I-laparotomy yokuhlola: iyini, ikhonjiswa nini nokuthi yenziwa kanjani

-Delile

• Lapho kuboniswa i-laparotomy yokuhlola
• Kwenziwa kanjani
• Izinkinga ezingenzeka

I-laparotomy yokuhlola, noma yokuhlola ukuhlolwa kokuhlola lapho kusikwa khona esifundeni sesisu ukuze kubhekwe izitho futhi kukhonjwe imbangela yesimpawu esithile noma ukuguqulwa ezivivinyweni zezithombe. Le nqubo kufanele yenziwe egumbini lokuhlinza nesiguli ngaphansi kokudonswa, njengoba kuyinqubo yokuhlasela.

Kunconywa ukuthi umuntu ahlale esibhedlela ukuze aphelezelwe futhi alulame ngokushesha kunqubo, ngaphezu kokunciphisa ubungozi bezinkinga, njengokopha nokutheleleka.

Lapho kuboniswa i-laparotomy yokuhlola

I-laparotomy yokuhlola yenzelwa izinhloso zokuxilonga, futhi yenziwa lapho kunezimpawu ezithile zezinguquko ezithweni zesisu.

Ngokuvamile kuyinqubo yokukhetha, kepha futhi kungabhekwa ezimweni eziphuthumayo, njengezingozi ezinkulu zemoto, isibonelo. Ngakho-ke, lokhu kuhlolwa kungakhonjiswa ukuze kuphenywe:

• Ukopha esiswini okusolwayo;
• Ukuqhuma emathunjini;
• Ukuvuvukala kwesithasiselo, amathumbu noma amanyikwe;
• Ubukhona bamathumba esibindini;
• Izimpawu ezibonisa umdlavuza, ikakhulukazi amanyikwe kanye nesibindi;
• Ubukhona bokunamathela.

Ngaphezu kwalokho, i-laparotomy yokuhlola ingasetshenziswa futhi ukuphenya ngezimo ezithile kwabesifazane, njenge-endometriosis, umdlavuza we-ovari nowomlomo wesibeletho kanye nokukhulelwa kwe-ectopic, ngokwesibonelo. Kodwa-ke, ezimweni eziningi, esikhundleni se-laparotomy, kwenziwa i-laparoscopy, lapho kwenziwa khona izimbobo ezithile esifundeni esiswini esivumela ukudlula kwensimbi yezokwelapha enamathiselwe kwikhamera, okuvumela ukubonwa ngesikhathi sangempela ngaphandle kokuba kudingekile. ukusika okukhudlwana kuyadingeka. Qonda ukuthi kwenziwa kanjani i-videolaparoscopy.

Ngesikhathi se-laparotomy yokuhlola, uma kukhona izinguquko ezitholakalayo, kungenzeka ukuqoqa isampula lezicubu bese ulithumela elabhorethri ukuze kwenziwe i-biopsy. Ngaphezu kwalokho, uma kutholakala inkinga ngesikhathi sokuhlolwa, i-laparotomy yokwelashwa nayo ingenziwa, ehambelana nenqubo efanayo kodwa ngenhloso yokwelapha nokulungisa okushintshiwe.

Kwenziwa kanjani

I-laparotomy yokuhlola yenziwa egumbini lokuhlinza, ngesiguli ngaphansi kwe-anesthesia ejwayelekile futhi ihlala phakathi kwehora elingu-1 nele-4 ngokuya ngenhloso yokuhlolwa. I-Anesthesia ibalulekile ukuze umuntu angazizwa lutho ngesikhathi senqubo, kepha kujwayelekile ukuthi ngemuva kokudlula komphumela we-anesthesia, lowo muntu uzizwa ubuhlungu nokungahambi kahle.

Ngemuva kokusetshenziswa kwe-anesthesia nokuqala komphumela, ukusika kuyenziwa esifundeni sesisu, ubukhulu baso buyahluka ngokuya ngenhloso yokuhlolwa, futhi kwezinye izimo, kusikwa cishe lonke ubude besisu. Ngemuva kwalokho, udokotela wenza ukuhlola kwesifunda, ahlole izitho futhi ahlole noma yiziphi izinguquko.

Ngemuva kwalokho, isisu sivaliwe futhi umuntu kufanele ahlale esibhedlela izinsuku ezimbalwa ukuze sikwazi ukubhekwa ngokucophelela futhi, ngalokho, izinkinga zingavinjelwa.

Izinkinga ezingenzeka

Njengoba kuyinkqubo ehlaselayo lapho kudingeka khona i-anesthesia ejwayelekile, kungahle kube nezinkinga ezihlobene nenqubo, kanye nezinkinga ezihlobene nokuqina, ingozi eyengeziwe yokopha nokutheleleka, ukwakheka kwe-hernias nokulimala kunoma yisiphi isitho esisendaweni yesisu .

Noma kungavamile, lezi zinkinga zivame kakhulu lapho kunesidingo sokwenza i-laparotomy ephuthumayo noma lapho isiguli sibhema, abantu abavame ukuphuza iziphuzo ezidakayo noma abanezifo ezingalapheki, njengesifo sikashukela noma ukukhuluphala. Ngakho-ke, lapho kukhona noma yiziphi zalezi zinto, kubalulekile ukuxhumana nodokotela ukuze inqubo yenziwe ngokuqapha futhi, ngakho-ke, izinkinga ziyavinjelwa.