Inqubo enjalo yokuhlinzwa yokusebenza, njenge-laparotomy, evame ukusetshenziswa emithonjeni yokubeletha, iyindlela evulekile ezithombeni ezisekhanda elincane, futhi lenziwa ngokuchotshozwa okuncane esiswini.
Isetshenziswa nini i-laparotomy?
I-Laparotomy isetshenziswa lapho:
- i-ovarian cysts - i-cystectomy;
- ukususwa kwe-node myomatous - myoectomy;
- ukukhulelwa kwesibeletho nge-appendages ;
- ukwelapha ukwelashwa kwe-endometriosis;
- IsiKhesariya.
Ekusebenzeni i-laparotomy, odokotela abahlinzayo bavame ukuhlonza izimo ezihlukahlukene ze-pathological, njenge: ukuvuvukala kwezitho ezisemgodleni omncane, ukuvuvukala kwesithasiselo (appendicitis), umdlavuza we-ovaries kanye nezibopho zesisu, ukwakheka kokunamathela esifundeni sezintambo. Ngokuvamile i-laparotomy isetshenziswa uma owesifazane eqala ukukhulelwa kwe-ectopic .
Izinhlobo
Kunezinhlobo eziningana ze-laparotomy:
- Ukusebenza kwenziwa nge-incision engezansi ephakathi. Kule nkinga, ukufakwa kwesibhamu kwenziwa eceleni komugqa phakathi kwenkaba nomuthi we-pubic. Le ndlela ye-laparotomy ngokuvamile isetshenziselwa izifo ze-tumor, isibonelo, kwi-myomas ye-uterine. Inzuzo yale ndlela yukuthi udokotela ohlinzayo nganoma isiphi isikhathi angandisa ukwanda, ngaleyo ndlela akhulise ukufinyelela kwezitho nezicubu.
- I-laparotomy ngokusho kwePfannenstil iyindlela esemqoka esetshenziselwa ubuchopho. Lokhu kuhlotshaniswa kwenziwa ngasemgqeni ongaphansi kwesisu, okuvumela ukuba uzifihle ngokuphelele futhi ngemuva kokuphulukiswa, ukusala okuncane okuncane okusele kunzima ukubona.
Izinzuzo eziyinhloko
Izinzuzo eziyinhloko ze-laparotomy yizi:
- ukulula okubuchwepheshe bokusebenza;
- ayidingi ukuba khona kwamathuluzi ayinkimbinkimbi;
- Kuyinto ekahle kumhlinzeki ohlinzayo, owenza ukungenelela kokuhlinzwa.
Umehluko ku-laparotomy ne-laparoscopy
Abesifazane abaningi bavame ukubona izindlela ezimbili zokuhlinzwa: i-laparoscopy ne-laparotomy. Umehluko omkhulu phakathi kwalezi zinsuku ezimbili ukuthi i-laparoscopy yenziwa ngokuyinhloko ngenhloso yokuxilongwa, futhi i-laparotomy isivele indlela yokungenelela okuqondile, okubandakanya ukukhishwa noma ukungaxhunyiwe kwegciwane noma izicubu. Futhi, uma wenza i-laparotomy emzimbeni wesifazane, kuhlanganiswa okukhulu, ngemva kwalokho umcibisholo uhlala, futhi lapho i-laparoscopy ikhona khona amanxeba amancane amisiwe ngemva kwamasonto angu-1-1,5.
Kuye okwenziwe - i-laparotomy noma i-laparoscopy, imigomo yokuvuselelwa ihlukile. Ngemuva kwe-laparotomy, ivela emavikini ambalwa kuya enyangeni eyodwa, futhi nge-laparoscopy isiguli siyabuyela ekuphileni okujwayelekile ngemuva kwamasonto amabili.
Imiphumela ye-laparotomy kanye nezinkinga ezingenzeka
Uma wenza umsebenzi onjalo njengesifo sokubeletha, kungenzeka ukulimaza izitho zomakhelwane ezingomakhelwane. Ngaphezu kwalokho, ingozi yokunamathela emva kokuhlinzwa inikezela. Lokhu kungenxa yokuthi ngesikhathi sokuhlinzwa amadivaysi okuhlinzeka ahlangana ne-peritoneum, ngenxa yalokho evulekayo, nefomu amafomu kuwo, "ahlanganisa" izitho ndawonye.
Uma uqhuba i-laparotomy, kungase kube khona inkinga enjengokuphuma kwegazi. Kubangelwa ukuhlukumeza noma ukulimaza ezithombeni (ukuphuka kwamatayipi we-fallopian), ngenkathi kwenziwa umsebenzi we-cavitary. Kulesi simo, kuyadingeka ukususa sonke isitho, okuzoholela ekungabhubhi.
Ngingahlela nini ukukhulelwa ngemva kokulapha?
Kuye ngokuthi yiluphi uhlaka oluvela ohlelweni lokuzala oluthola ukungenelela kokusebenza, imigomo ngemva kokuthi kungenzeka ukuthi ukhulelwe ihlukahluka. Ngokuvamile, akunconywa ukuba uhlele ukukhulelwa ngaphambi kwezinyanga eziyisithupha ngemuva kwe-laparotomy.