Laparotomy - imeneyi opaleshoni kapena kulowelela zoipa?

Laparotomy - opareshoni zomwe zikusonyeza ang'ambe thupilo opaleshoni ya zapambuyo khoma m'mimba. Iwo ali ndi mayina ena, monga opaleshoni m'mimba, ndipo kuwuzidwa kwa opaleshoni m'mimba. Chilango cha khungu ndi minofu ya ang'ambe thupilo zofunika kufufuza ndi chithandizo wotsatira wa zonse m'mimba, ndi laparotomy anachita matenda mavuto a ululu m'mimba. Childs, kupunduka yapezeka kapena zolakwika amakonzedwa pa ntchito, koma zina pamafunika ndi kukonzanso phukusi.

History ndi Development

Mawu Greek zikutanthauza laparotomy, zomwe cholinga chake ndi kupereka mwayi kwa ziwalo mkati ndi mankhwala wotsatira. Mu masiku akale ntchito laparotomy imatengedwa woopsa kwambiri. Kwa iye akuyesera kuti ntchito konse. Ichi ndi chifukwa makamaka nthenda chifukwa madokotala sankadziwa mmene kupirira, anthu kufa ndi izo. Only ndi chitukuko cha antiseptics, madokotala anatha kwambiri kuchepetsa imfa za pakati pa odwala ndi kugwiritsa ntchito njirayi zambiri. chitukuko amagwirizana ndi dzina la Dzhozefa Listera, amene anatsogolera opaleshoni mlingo lotsatira. Koma laparotomy akali ofala kwambiri. Only kuyambira zaka za m'ma 19, ntchito zofanana inachitika kulikonse. Ichi ndi kutali ndondomeko ambiri mu yochizira matenda, ndipo kuti maphunziro othandiza akatswiri akuyamba naye. mavuto zokhudza ziwalo m'mimba tatsimikiza tanthauzo lake. A ano kukonzekera antiseptic pafupifupi kumatha kuoneka sepsis. Komanso, zazing'ono opaleshoni chipsera, ngakhale machiritso - njira yaitali.

zifukwa

Childs, matenda a anthu amene ntchito ku chipatala ndi kupweteka m'mimba, sayambitsa mavuto. Anatumidwa ndi mayesero muyezo ndi ultrasound, koma nthawi zina pali kufunika kufufuza mwatsatanetsatane. Dokotalayo angafunike molondola kudziwa malo mwadzidzidzi yojambula zilonda (perforation), kapena kupeza chifukwa cha magazi mkati. Laparotomy - njira kudziwa zimene zimayambitsa enieni madandaulo anthu ndipo perekani mankhwalawa zolondola.

asanachite opareshoni

Adokotala waganiza kuchita mtundu uwu wa ndondomeko, m'pofunika kusonkhanitsa mudziwe zambiri zothandiza za wodwalayo. Choncho, pofuna kupewa zotsatira zoipa, yankhani mafunso a dokotala wa authentically kwambiri ngati nkotheka. Izi imakhudzanso njira yapadera ya moyo ndi zizolowezi, kulandira mankhwala kapena zakudya. Asanachite opareshoni, adokotala imatiuza kufunika kwa chiwerengero cha dongosolo, limaperekanso odziŵa nthawi postoperative. Laparotomy - kwenikweni zimene ziwalo thirakiti m'mimba, kotero wodwala ayenera kukhala nthawi kusala chakudya, komanso akhoza kuyika mankhwala. Komanso dzanzi ayenera kuonetsetsa kuti munthu ali okonzeka ntchito.

Kufotokozera za ndondomeko

zochitika zonse ikuchitika pogonekedwa ndi mankhwala ambiri. The dokotala, kuti yakusankha aone zonse ayenera ziwalo, chimabala odulidwa chimodzi chokha. Mankhwala, izo zimagwiritsa ntchito mitundu iwiri yokha zigawo:

• Transversal, pamodzi azitha "bikini", amaona zodzikongoletsera, pafupifupi osati noticeable. opareshoni amenewa amatchedwa laparotomy pa Pfannenstiel.
• Ofukula, kuchokera Mchombo kwa m'mimba. Izo ntchito okha zochitika mwadzidzidzi, chifukwa zimakhala zosavuta kuti ntchito madokotala.

Pambuyo matupi zinkaoneka, iwo anapanga kufufuza. Ngati dokotala anatha kukonza vutolo, kulikonza ilo yomweyo, koma ngati choncho ndi zovuta, ndi opareshoni yachiwiri ukafunidwe. Akamaliza wa matabwa alipo.

Nthawi ya kuchira ndi zotheka mavuto

Kamodzi akadzabweranso wodwalayo chipinda, izo kupatsidwa mlingo wa mankhwala mankhwala ochititsa, ndipo bandaging tsiku. Woyamba masiku awiri kapena atatu, ndi mphamvu ziyenera kuperekedwa pokhapokha makonzedwe mtsempha wa madzi. Pambuyo ntchito bwino m'pofunika kupuma kwambiri ndi kutambasula miyendo pambuyo sabata mukufuna kuwonjezera nezi yochepa. Laparotomy - izi ndi mtundu wa ntchito, pamene ayambe akubwera pang'onopang'ono, koma ndithu, pafupifupi ndondomeko amatenga ku umodzi mpaka miyezi imodzi ndi theka. Zovuta n'zochepa. Zikuphatikizapo matenda, magazi, mapangidwe minofu yovulazidwa, kupweteka pamimba. Ngakhale yotsirizira mwachindunji zokhudzana ndi ndondomeko ya machiritso chilonda. Kupezeka kwa chilonda zina kazivutitsa, makamaka amayi, koma m'nkhani ino laparotomy wabwino. Reviews a anthu pambuyo opaleshoni amati chipsera yaing'ono. N'zosavuta kubisala. Koma ngati Pfannenstiel laparotomy pa gawo ofukula za yemweyo ndiye zochepa zokongoletsa maonekedwe. Pali mtundu ofanana ntchito kuti sitingafunikire kutero odulidwa, koma zipatala zonse angakwanitse zida zodula ndi akatswiri kwambiri oyenerera amene adzatha kulimbana nazo.