Ngoncedo lwesilwanyana esikhethekileyo (i-laparoscope), emva kokutshintshwa okuncinci kwisisu esiswini, kunokwenzeka ukuba kuqhutywe uviwo lokuxilonga kwi-gynecology (i-laparoscopy yokuxilonga) kunye nokungenelela okuncinci kwi-gynecology (i-laparoscopy yokuhlinzwa okanye yokusebenza).
Iinkcazo ze-laparoscopy kwi-gynecology
Izibonakaliso eziphambili ze-laparoscopy:
- ukungabi nantlupheko kubasetyhini (ukuxilongwa kwephulo lokusetyenziswa kwamathambo kunye nokuchithwa kwawo, ukuchithwa kokubambisana);
- Izifo eziphambili zokugulisa kwi-gynecology (ukukhulelwa kwe-ectopic, i-appendicitis, i-ovarian apoplexy);
- ukususwa kwama-cyst ovarian, izicubu ze-uterus kunye nama-ovari, ii-polyps, i-fibroids ye-uterus;
- ukugqithiswa kwamathambo e-fallopian ngexesha lotywala;
- ukususwa kwe-uterus kunye nama-ovari;
- ukuxilongwa kunye nokunyangwa kwe-endometriosis yama-ovari kunye ne-peritoneum;
- ukuxilongwa kunye nokunyangwa kwama-ovaries e-polycystic, ukungaphumeleli kokuphuhliswa kwesisu , ukuvuthwa kwesibeletho;
- ukulungiselela i-IVF.
Kukho ukuchasana okunye kwi-laparoscopy kwindlela yokubeletha:
- Ukuthambekela ekuphumeni kwegazi (nge-hemophilia, i-diathesis eyingozi);
- izifo ezixhatshaziweyo zenkqubo ye-cardiovascular system, inkqubo yokuphefumula, isibindi kunye neentso;
- izifo ezithintekayo;
- puritent peritonitis;
- i-hernia ye-diaphragmatic;
- kutshitshiswa okanye i-coma;
- izidumbu ezinobungozi kwimizimba yobunzima;
- ukugqithisa ngokweqile;
- imeko emva kwenkqubo yokuqhubela umkhondo okanye inkqubo yokumathisela kwisigxina esiswini.
Ukulungiselela i-laparoscopy kwi-gynecology
Ukongezelela koqeqesho oluqulathekileyo, kukho iimvavanyo kunye neemviwo ezimele zenziwe nge-laparoscopy. Ezi ziquka ukuhlolwa kwegazi kunye neemvavanyo zomchamo, ukuhlaziywa kwamathambo amaqanda ama-worms, uvavanyo lwegazi lwangokwemvelo (i-sugar sugar), iimvavanyo ze-syphilis, i-HIV, i-virus ye-virus, i-virus ye-virus, i-viral hepatitis, i-smear kwi-flora, i-pelvic floor ultrasound, i-ECG, i-fluorography kunye kwisiphelo sengcali.
Ukulungiswa kwe-Peredoperatsionnaya kukutya ngaphambi kokuba i-laparoscopy inobunjineli, ihlwempu kwi-fiber, ingabangeli ukuqhaqha. Ngezolo lokusebenza, i-enema ehlambulukileyo yenziwa, kwaye ngomhla wokuhlinzwa awuvunyelwe ukuthatha ukutya nokusela amanzi, umisele ukulungiswa kwangaphambili.
I-laparoscopy yokusebenza kwi-gynecology
Nge-laparoscopy, i-trocar ifakwe kwisicatshulwa kwingingqi yenombhobho e-10 mm (kuyo, i-laparoscope enekhamera yevidiyo ifakiwe), nakwindawo ye-pelvic - i-trocar e-5 mm yezixhobo. Ingena kwisisu esiswini se-carbon dioxide ukufikelela lula kwizitho. Ngokuncediswa kwezixhobo zokugqitywa, uphuhliso olunyanzelisayo olufunekayo luyenziwa. Emva kwayo, nqama ukuphuma kwegazi kwaye usebenzise iisundu kwiimvumbo.
I-Laparoscopy kwimizimba yezilwanyana: ixesha lokuhamba emva
Emva kokuhlinzwa, usuku lwesigulana kufuneka lube phantsi kweliso loogqirha ukukhusela ukuphuhliswa kweengxaki ezinokwenzeka. Emva kwe-laparoscopy, ukuphuma kwamanzi kwangaphakathi kungakhula, ngexesha lokusebenza, izisu zomzimba okanye imithwalo yegazi ingonakaliswa, umsebenzi weentliziyo okanye iimiphunga ungaphazanyiswa ngokufaka i-carbon dioxide kwisigxina esiswini. Kweengxaki ezizayo, ukuphuhliswa kwe-emphysema engaphantsi kunokwenzeka kwimeko yegesi ewela phantsi kwesikhumba, i-thrombosis yeempahla zesisu esiswini.
Iingenelelo ze-laparoscopy
Inzuzo yolu ngenelelo yinkxu elincinane emva kokusebenza, ukuqhutyelwa kancinci, ukungabikho kwezikrakra kunye neentlungu kwixesha elilandelelweyo, ukulahleka kwegazi elincinci kunye nokungenelela, ixesha elifutshane lokusebenza emva, ukuxilongwa kwexesha elilodwa kunye nokunyango ngexesha lokungenelela. Ukungalungi ku-anesthesia jikelele ngexesha lokungenelela, kunye nokuzimisela okungalunganga kwezibonakaliso okanye uphuhliso lweengxaki, kunokwenzeka ukuhlakulela isidingo sokuguqulela ukusebenza kwe-laparoscopic kwisigxina esifanayo.