Opaleshoni ya Laparoscopic: zabwino ndi zovuta

Pamene mukuyenera kuchitidwa opaleshoni posachedwa, dokotala wa opaleshoni samakuuzani zambiri kuposa kuti zidzachitidwa pansi pa laparoscopy. Mumakumana ndi mawu awa ngati mayeso ena. Nkhawa imeneyi imakuvutitsani usana ndi usiku. Komabe palibe chophweka kuposa njira yodziwira matenda ndi ntchito, yopangidwa ndi Dr. Raul Palmer mu 1944.

Mfundo ndi zizindikiro laparoscopy

Nthawi zambiri amavomereza kuti pankhani ya opaleshoni ya amayi, opaleshoni ya m'mimba kapena ya visceral opaleshoni ya kunenepa kwambiri, makamaka kunenepa kwambiri, kapena m’chipatala cha urology pankhani ya opaleshoni ya prostatectomy, chimene chimangofunika ndi tizidutswa tating’ono tolowetsa kamera (luminous optics) m’mimba kuti achite ndikuchita opaleshoni, kenako n’kulankhula za laparoscopy. Choncho, popanda kudziwa, timachepetsa laparoscopy, monga momwe imatchulidwira, kuti achitepo opaleshoni yosavuta.

Komabe, kwenikweni ndi njira yodziwira matenda. Zomwe mothandizidwa ndi endoscope (chipangizo chowunikira ndi kamera ya kanema) imakulolani kuti muzindikire matenda. Pamenepa, tikukamba za laparoscopy pomwe pa nkhani ya opareshoni tikunena celiosurgery.

Mfundo laparoscopy sikutanthauza kutsegula m`mimba khoma kulumikiza m`mimba patsekeke.

Laparoscopy ndondomeko

M'malo mwake, pambuyo pa opaleshoni yofunika kwambiri, dokotala wa opaleshoni amapanga chimodzi kapena zingapo zazing'ono pamtunda wa mchombo, momwe endoscope imayikidwa. Kenako, pogwiritsa ntchito mpweya woipa wa carbon dioxide, amautsa mimbayo n’kupanga malo oti adziŵikitse zida zimene adzagwiritse ntchito pochita opaleshoniyo, ndipo pomalizira pake, amaika trocars, mtundu wa chubu, umene ntchito yake ndi kuletsa mimbayo kuti isagwe. kuchotsedwa. Panthawi ya opaleshoniyo, adzagwiritsa ntchito chophimba kuti aone zomwe akuchita.

Ubwino ndi kuipa kwa laparoscopy

Opaleshoni ya laparoscopic ili ndi zabwino zambiri. Pankhaniyi, chiwopsezo chogwira ntchito chimachepetsedwa, komanso zovuta zomwe zimachitika pambuyo pa opaleshoni. Zowonadi, popereka dokotalayo molondola kwambiri, laparoscopy imapewa kuvulala ndi kuwonongeka kwina kokhudzana ndi opaleshoni yanthawi zonse. Izi zimapangitsa kuti zipinda zopangira opaleshoni zikhale zomasuka.

Kuonjezera apo, njira yopangira opaleshoniyi imachepetsa chiopsezo cha matenda; nthawi zina, kuchepetsa nthawi ya opareshoni kapena kuchepetsa nthawi ya chipatala ndi tchuthi odwala. Osayiwala kuti pamlingo wokongoletsa, izi zimatsimikizira zipsera zazing'ono, nthawi zina zosawoneka.

Komabe, iyi ndi opaleshoni yomwe imayambitsa zovuta zina kwa dokotala wa opaleshoni optically, tactilely komanso ponena za kuyenda kwa zida, kotero ndikofunikira kukaonana ndi dokotala wodziwa bwino. Osaiwala kuti carbon dioxide yotsalira yomwe imagwiritsidwa ntchito ingayambitse kupweteka kwa wodwalayo monga kutupa kapena kupweteka kotsalira. Choncho, ngakhale chidwi, laparoscopy kugwirizana ndi ngozi ntchito, monga chiopsezo magazi, fistula, embolism, etc.