Cystectomy - ichi ndi chiyani

Opaleshoni njira zonse chifukwa choopa anthu, chifukwa alowererepo aliyense ali ngozi. Komabe, popanda mwai izi kuchita zotheka. Mmodzi wa alowererepo pa opaleshoni ndi cystectomy. njirayi, umene anachita mu nthambi zosiyanasiyana za opaleshoni. Iwo anasonyeza kuti tidziteteze chithandizo ndiwofatsa alibe chochita. Mofanana ndi ndondomeko aliyense kugwira ntchito, cystectomy anachita yekha pansi zikuonetsa kwambiri. Zakonzedwa ndi oyenerera pambuyo kuyendera. opaleshoni imagwiridwa m'chipatala. Pamaso kugwira ntchito yokonza zofunika kwa thupi.

Cystectomy - ichi ndi chiyani

Monga mukudziwa, aliyense opaleshoni amatanthauza makamaka opaleshoni. Mwachitsanzo, urology, proctology, Oncology ndi zina zotero. D. Komabe, pali ya njira zimenezi, zimene ankaona chilengedwe. Mmodzi wa iwo uli cystectomy. opareshoni iyi, imene inaperekedwa kuchotsa cysts. Chotero chosaopsa zotupa kumachitika pafupifupi chiwalo chilichonse mkati. Chotupa - ndi M'mimbamo chonse kapena chowulungika, wodzazidwa ndi nkhani madzi. Nthawi zambiri izo wapezeka mu n'kuwasanganiza ndi, chiwindi, impso ndi chikhodzodzo. Komanso, chotupa cha ungadzakhazikitsidwe muzu ngalande ndi m'kamwa.

Komanso pali ntchito monga cystectomy chikhodzodzo. opaleshoni uyu ali ndi phindu chosiyana, monga sichingabweretse cysts. Mu mawu zachipatala amatanthauza kuchotsa limba palokha - ndi chikhodzodzo. Nthawi zambiri, opareshoni amenewa imagwiridwa chifukwa pathologies oncological.

Kodi matenda imagwiridwa cystectomy

Cystectomy - mankhwala kwakukulu, chifukwa limakhudza kuchotsedwa kwathunthu chotupa ndi chigoba chake. njirayi ndi madokotala osiyana mbiri. Pakati pawo - ndi akatswiri kuchita opaleshoni pa thoracic ndi m'mimba ziwalo, urologists, oncologists, mano, gynecologists. Ngakhale izi, njira mwini chotupa kuchotsa tiyenera aliyense opaleshoni. Ndipo komabe, pa matenda kuchita cystectomy? Ngakhale kuti chotupa kumachitika pafupifupi aliyense limba, opareshoni choterocho si nthawi zonse anachita. Nthawi zina chosaopsa zotupa ankachitira ndi mankhwala. Nthawi zina m'pofunika kuchotsa limba lonse (mwachitsanzo, pamene chotupa chachikulu mu impso ndi). Ziyenera adzanyamula kukumbukira kuti akugwira cystectomy contraindications kulibe. Nthawi zina opaleshoni yotere kosathandiza chifukwa cha chiopsezo thanzi. Matenda amene cystectomy anachita monga:

1. Yamchiberekero chotupa. Izi amatanthauza ufulu wosankha, amene si amenable mankhwala ena.
2. Chotupa chiwindi. Ambiri mwa dongosolo izi zili osati madzi okha komanso tiziromboti (echinococcosis). Pankhaniyi, ntchito ndi njira yokha chithandizo.
3. Chotupa mu M'mimbamo m'kamwa. Mwina ndi kutanthauzira osiyana. The matenda kuchitira dokotala wa mano.
4. Chotupa a kapamba. Ngakhale kuti ndi chosaopsa chotupa opaleshoni chiwindi ndi oopsa. Choncho, kuchita cystectomy kapamba ali ndi odziwa akatswiri.

Kuwonjezera matenda amenewa, opaleshoni ukafunidwe kwa mammary ndi cysts chithokomiro, coccyx ndi T. D. Nthawi imeneyi, njira ya mankhwala anatsimikiza malinga ndi kukula ndi mapangidwe a.

Zikuonetsa kwa kwakukulu cystectomy

Kuwonjezera kuchotsa cysts la matupi, kwakukulu cystectomy - opaleshoni chikhodzodzo. The chosonyeza chachikulu kukhazikitsa ndi kansa yotupa. Chotupa chija mwina kapena kukhala mu chikhodzodzo, ndi kukula mu mkati mwa thupi ku minofu ozungulira. Nthawi zambiri amatanthauza zotupa anthu, khansa khomo lachiberekero, ndi endometrial, yamchiberekero, Prostate ndi rectum. Cystectomy chikhodzodzo thupi (kuwira) - chokwanira kapena tsankho kuchotsa ake. Popeza kuti ndondomeko ndi zoopsa ndi mavuto a kulumala, iwo anachita pokha pokha pamene chithandizo chosiyanasiyana ena sititenga. Zikuonetsa kuti cystectomy ndi matenda otsatirawa:

1. Common khomo lachiberekero ndi chikhodzodzo thupi umasanduka minofu makulidwe.
2. Angapo papilloma oyenerera padziko mkati mwa thupi.
3. Re-mapangidwe zotupa mankhwala yapita opaleshoni (khansa kobwereza).
4. Kumera zilonda neoplasm wa chikhodzodzo ziwalo pafupi.

Mitundu zochepa aukali a khansa, madokotala kupewa kwakukulu cystectomy. Zikatero, okha kuchotsedwa tsankho wa limba ndi malo chotupa cha ili.

Kukonzekera kwa chikhodzodzo cystectomy

Opaleshoni cystectomy - chachikulu cavernous opaleshoni. Choncho, musanayambe ndondomeko, wodwala ayenera kukhala okonzeka. Popeza opaleshoni kungachititse kuti chitukuko cha matenda mafupa a chiuno ndi, m'pofunika zapatsogolo kuyamba phwando mankhwala. mankhwala analimbikitsa "mankhwalawa" ndi "neomycin". Komanso, masiku 14 asanachite opareshoni ayenera kumwa mankhwala okhala bifidobacteria ndi lactobacilli. N'zofunika osati chifukwa cha mankhwala opha tizilombo, komanso kusintha matumbo ntchito pambuyo opaleshoni.

Popeza kuti m'mimba dongosolo ziwalo malire chikhodzodzo, amafuna zakudya zapadera. Mpaka masiku 3 pamaso cystectomy Tisawasale mankhwala trudnousvoyaemye. Analola ntchito zakumwa (madzi chotengera, madzi mchere popanda mpweya, tiyi, timadziti) msuzi ndi jellies. Pamaso opaleshoni imagwiridwa purgation. Chifukwa chaichi ntchito mankhwala ofewetsa tuvi wapadera kapena enemas chiwerengero.

Kugwizana cystectomy chikhodzodzo

Cystectomy anachita mu masiteji angapo motsatizana. Chinthu choyamba wochititsidwa ochititsa dzanzi ambiri. Pakuti mosavuta chikhodzodzo, wodwala ayenera udindo wapadera. Wodwala aikidwa pa nsana wake, mafupa a chiuno liukitsidwa ndi madigiri 45 poyerekeza ndi mutu ndi mapeto phazi. Ang'ambe thupilo analengedwa mu midline lapansi. Zikuyamba mu dera la symphysis obisika ndipo itha pa masentimita 2-3 pamwamba mphete umbilical. Sitepe yoyamba ndi cystectomy ndi zosangalatsa mkodzo kulenga zinthu outflow ake (derivation). Kenako, extirpation wa limba. Voliyumu ya opaleshoni zimadalira kuchuluka kwa chotupa cha. Nthawi zambiri, kuwonjezera chikhodzodzo, kuchotsa pafupi lymph mfundo ndi ziwalo zina. Mu akazi, ndi khoma kutsogolo kwa nyini, mkodzo. Mu amalembedwa kukula infiltrative chotupa kubala extirpation la chiberekero ndi thumba losunga mazira. Mu amuna, kuwonjezera chikhodzodzo, kawirikawiri amakhala ndi kuchotsa prostate ndi vesicles seminal. Popeza kuti pa ntchito pali chachikulu magazi imfa, cystectomy angapo a contraindications.

Pambuyo zithunzi za zapambuyo khoma m'mimba mu intestine kapena kulekana ikuchitika ku thupi peritoneum, ligation magazi zotengera ndi kuchotsa ake. Kenaka electrocoagulation, ochititsa dzanzi msana kuchepetsa ululu choyamba maola angapo pambuyo ndondomeko. Tikumbukenso kuti pakati 1 ndi 2 siteji opaleshoni ayenera kudutsa masabata 4 kapena 6.

Kuchira pambuyo opaleshoni

Pambuyo cystectomy konzanso ukhoza yaitali. Ichi ndi chifukwa osati kuti kusintha thupi komwe kumachitika mthupi, komanso ndi chikhalidwe maganizo a wodwala. Ndipotu popanda chakuti akusokoneza ndondomeko ya nthaŵi pokodza, ndipo ena ananena kusintha zinchito. Kubwezeretsa thupi sadzafika nthawi yomweyo. Pa tsiku loyamba pambuyo opaleshoni, wodwala ayenera odwala mwakayakaya. M'pofunika kuwunika ntchito yofunika, kuti muphonye chitukuko cha magazi ndi mantha. Pamene wodwala ali umasamutsidwa ku kuchipatala onse, iye akhoza kusuntha paokha. Ndi bwino kuti mukhoza kuyenda kwa mafupa a chiuno sanali kukhala adhesions. Nthawi zina, odwala kutenga chakudya nthawi ndi kafukufuku wina. Komabe, nthawi, ntchito ya matumbo yafupika, ndi wodwala wayamba kudya paokha. Pokodza komanso pang'onopang'ono kubwerera mwakale. Komabe, odwala kupita nthawi zonse ndi catheter a. Choncho, odwala ena wakupatsa kwambiri opareshoni - chilengedwe cha chikhodzodzo yokumba. mpheto otere anachita patapita miyezi ingapo, pakalibe contraindications.

dzino cystectomy: magawo a

cysts dzino m'zigawo amatchedwanso cystectomy. Opaleshoni imeneyi imagwiridwa mu ofesi mano. Kudzapereka izo, ambiri ochititsa dzanzi Sikuti, tiyenera okha mankhwala ochititsa m'deralo. Zosiyana mwina ana. dzino cystectomy kumatanthauza kuchotsedwa kwathunthu nkhani za zipolopolo ndi chotupa. The ntchito njira monga:

1. Pokonzekera muco-periosteal khumudwitsidwa ndi thandizo la odulidwa. Kenako anapanga detachment wake.
2. Kukonzekera mbale fupa kuti tidzalowe burashi lapansi. Kuti zimenezi zitheke, pa mapangidwe a anagwiritsa mabowo ochepa.
3. Kuchotsa cysts ndi muzu wa dzino.
4. Younikanso anapanga patsekeke.
5. Suturing muco-periosteal khumudwitsidwa.

Nthawi zambiri, ndi chotupa ndi malformation kobadwa nako kwa minofu zaminyewa. Pasanathe ambiri, zikuoneka chifukwa yaitali njira panopa yotupa, inadequately anachita pochotsedwa mano.

Kunyamula yamchiberekero cystectomy

Yamchiberekero cystectomy - opareshoni amene ali wofunikila cysts chachikulu, osati amenable mankhwala ndiwofatsa. Izi chosaopsa oopsa chifukwa kungachititse kuti enaake owononga - kuswa thupi. Opaleshoni kuchotsa chotupa zinachitikadi monga njila lotseguka, ndi mwa laparoscopy. Zili Education anatumiza kwa cytology. Ngati maselo a khansa sapezeka, ndi coagulation kompyuta ndi suturing wa n'kuwasanganiza lapansi.

Njira cystectomy cysts ziwalo

Chotupa cystectomy zina ziwalo anachita mu zomwezi. Pakuti ntchito zovuta monga kuchotsa kapamba, mapapo, chiwindi. zikunena otere zimagwiridwa opaleshoni anatsegula pogonekedwa ndi mankhwala ambiri.

Contraindications cystectomy

Contraindications kuchotsa cysts monga:

1. Pachimake ndi aakulu mtima kulephera, impso, ziwalo kupuma ili decompensation lapansi.
2. Purulent kutupa cha mafupa a chiuno, m'mimba ndi chifuwa patsekeke.
3. Madzi muzu chotupa koposa wachitatu.
4. Osagwira cytology. Nthawi yonseyi imafuna chithandizo china opaleshoni.

Madokotala za cystectomy

madokotala ambiri a ukatswiri zosiyanasiyana amakhulupirira kuti opaleshoni chotupa cystectomy aipatsa chizindikiro choti zofunika, monga kumathandiza chitukuko cha mavuto aakulu (peritonitis, sepsis). Nthawi zambiri, njirayi si zovulaza thanzi ndipo imachitika kudzera laparoscopy.

Kuchotsa chikhodzodzo, malinga ndi madokotala, ichi ndi aakulu komanso zoopsa ntchito limodzi ndi chiopsezo zosokonezeka. Komabe, amaona zofunika zotupa zilonda.