I-laparoscopy yevidiyo: yenzelwe ini, yenziwa kanjani nokuthi ilulama kanjani

-Delile

• Yini i-videolaparoscopy ye-
• Yenziwa kanjani i-videolaparoscopy
• Lapho kungafanele kwenziwe
• Lulama kanjani
• Izinkinga ezingenzeka

IVideolaparoscopy inqubo engasetshenziselwa kokubili ukuxilongwa nokwelashwa, eyokugcina ibizwa nge-videolaparoscopy yokuhlinza. I-Videolaparoscopy yenziwa ngenhloso yokubheka izakhiwo ezikhona esifundeni sesisu nesitho sangasese futhi, uma kunesidingo, ukususwa noma ukulungiswa kwenguquko.

Kwabesifazane, i-laparoscopy yenziwa ikakhulu ukuthola ukuxilongwa nokwelashwa kwe-endometriosis, kepha lokhu akusikho ukuhlolwa kokuqala okwenziwe, njengoba kungenzeka ukufinyelela ekuxilongweni ngezinye izivivinyo, njenge-transvaginal ultrasound ne-resonance kazibuthe, isibonelo, okuncane ungenayo.

Yini i-videolaparoscopy ye-

I-Videolaparoscopy ingasetshenziswa kokubili njengendlela yokuxilonga futhi njengenketho yokwelashwa. Uma isetshenziselwa izinhloso zokuxilonga, i-videolaparoscopy (VL), ebizwa nangokuthi i-diagnostic VL, ingaba wusizo ekuphenyweni nasekuqinisekisweni kwe:

• Izinkinga ze-gallbladder nezithasiselo;
• I-endometriosis;
• Isifo se-Peritoneal;
• Isimila esiswini;
• Izifo zabesifazane;
• Yesigcilikisha syndrome;
• Ubuhlungu besisu obungapheli ngaphandle kwesizathu esibonakalayo;
• Ukukhulelwa kwe-Ectopic.

Uma kukhonjisiwe ngezinhloso zokwelapha, ithola igama le-VL yokuhlinza, futhi ingakhonjiswa ku:

• Ukususwa kwe-gallbladder nesithasiselo;
• Ukulungiswa kweHernia;
• Ukwelashwa kwe-Hydrosalpinitis;
• Ukususwa kwezilonda ze-ovari;
• Ukususa ukunamathela;
• Ukuhlanganiswa kweTubal;
• I-hysterectomy ephelele;
• Ukususwa kweMyoma;
• Ukwelashwa kwama-dystopias angasese;
• Ukuhlinzwa kwabesifazane.

Ngaphezu kwalokho, i-videolaparoscopy ingakhonjiswa ukwenza i-ovarian biopsy, okuwukuhlolwa lapho ubuqotho bezicubu zesibeletho buhlolwa khona ngemicroscopically. Qonda ukuthi kuyini nokuthi kwenziwa kanjani i-biopsy.

Yenziwa kanjani i-videolaparoscopy

IVideolaparoscopy isivivinyo esilula, kepha kufanele senziwe ngaphansi kwe-anesthesia ejwayelekile futhi siqukethe ukusika okuncane esifundeni esiseduze nenkaba lapho kufanele kungene ithubhu elincane elinemakhrofoni.

Ngaphezu kwalokhu kusikwa, okunye ukusikeka okuncane kuvame ukwenziwa esifundeni sesisu lapho ezinye izinsimbi zidlula khona ukuhlola i-pelvic, indawo yesisu noma ukwenza ukuhlinzwa. I-microcamera isetshenziselwa ukuqapha nokuhlola yonke ingaphakathi lesifunda esiswini, okwenza kube lula ukubona ushintsho futhi kukhuthaze ukususwa kwalo.

Ukulungiselela ukwenza ukuhlolwa kuqukethe ukwenza izivivinyo zangaphambilini, njengokuhlolwa kwengozi yokuhlinzwa nokuhlinzwa, futhi lapho lokhu kuhlolwa kuhlola umgodi wesisu, kuyadingeka ukuthi ukhiphe ngokuphelele amathumbu usebenzisa ama-laxatives ngaphansi kweseluleko sezokwelapha ngosuku olwandulela ukuhlolwa.

Lapho kungafanele kwenziwe

I-Videolaparoscopy akufanele yenziwe uma kwenzeka ukhulelwe, kubantu abanokukhuluphala ngokweqile noma lapho umuntu ekhubazeke kakhulu.

Ngaphezu kwalokho, akuboniswa esimweni sofuba ku-peritoneum, umdlavuza esifundeni sesisu, isisindo esiswini esinamandla, ukuvinjelwa kwamathumbu, i-peritonitis, i-hernia yesisu noma uma kungenakwenzeka ukusebenzisa i-anesthesia ejwayelekile.

Lulama kanjani

Ukubuyiselwa ekuhlinzweni kwe-laparoscopic kungcono kakhulu kunokuhlinzwa okujwayelekile, njengoba kuncipha ukusikeka nokopha ngesikhathi sokuhlinzwa kuncane. Isikhathi sokululama kusuka ekuhlinzweni kwe-laparoscopic sithatha kusuka ezinsukwini eziyi-7 kuye kwezingu-14, kuya ngenqubo. Ngemuva kwalesi sikhathi, umuntu angabuyela kancane kancane emisebenzini yansuku zonke ngokusho kwesincomo sezokwelapha.

Ngemuva nje kwe-videolaparoscopy, kuyinto ejwayelekile ukuzwa ubuhlungu esiswini, ubuhlungu emahlombe, ukuba namathumbu abhajwe, ukuzizwa uvuvukile, ugula futhi uzizwe sengathi uyahlanza. Ngakho-ke, ngesikhathi sokululama, umuntu kufanele aphumule ngangokunokwenzeka futhi agweme ukuya ocansini, ukushayela, ukuhlanza indlu, ukuthenga nokuzivocavoca ezinsukwini zokuqala eziyi-15.

Izinkinga ezingenzeka

Yize lokhu kuhlolwa kungcono kakhulu ukuqedela ukuxilongwa kwezifo ezithile futhi kube nokululama okungcono, lapho kusetshenziswa njengendlela yokwelashwa, kanye nezinye izinqubo zokuhlinzwa, i-videolaparoscopy iveza izingozi ezithile zempilo, njengokuvuza kwegazi ezithweni ezibalulekile njengesibindi noma ubende., ukugcotshwa kwamathumbu, isinye noma isibeletho, i-hernia endaweni lapho kungenwa khona izinsimbi, ukutheleleka kwesayithi nokwanda kwe-endometriosis, isibonelo.

Ngaphezu kwalokho, lapho kwenziwa esifubeni, i-pneumothorax, i-embolism noma i-emphysema ingenzeka. Ngalesi sizathu, i-videolaparoscopy ayicelwa ngokujwayelekile njengenketho yokuqala yokuthola izifo, isetshenziswa kakhulu njengendlela yokwelashwa.