Njira yamakono ya opaleshoni ntchito - laparoscopic cholecystectomy

Zinafala mu tsiku ndi tsiku opaleshoni mchitidwe laparoscopic cholecystectomy panopa ndi ntchito wotchuka anachita pa mundawo biliary. Ubwino undoubted wa mankhwala opaleshoni akhoza kuchepetsa nthawi ya nyengo ya konzanso postoperative, ndipo imathandizira ayambe wodwalayo. Chiopsezo cha matenda oyamba ndi khalidwe chapanthawi yake ntchito zinthu pa chikhodzodzo ndulu kwambiri m'munsi kuposa ndi njira chakale opaleshoni.

Chifukwa wotchuka laparoscopic ndulu opaleshoni?

deta Statistical akusonyeza kuti laparoscopic cholecystectomy imagwiridwa zambiri chaka chilichonse - mwatsoka, chiwerengero cha odwala ndi kudwala pachimake opaleshoni ya chikhodzodzo ndulu ikukula. ntchito amenewa ankagwiritsa ntchito mankhwala a matenda gallstone kunachitika maziko a cholecystitis ake, mosaganizira mtundu wake. Ambiri madokotala lero ananena kuti ndulu opaleshoni chikhodzodzo ayenera kuchitidwa kwasanduka odwala onse amene ali miyala kafukufuku anawapeza osati amenable mankhwala ndiwofatsa - sizichepetsa kukula kapena patsogolo ngakhale poika mankhwala kuti kupasuka miyala.

Ngakhale kuti kuchita opaleshoni ngati amafuna mankhwala ochititsa dzanzi ambiri, ntchito njira imeneyi amachepetsa nthawi opaleshoni ndipo kwambiri kumachepetsa mlingo wa kutaika kwa magazi. Mbali khalidwe la cholecystectomy laparoscopic ndi invasiveness ake kochepa, choncho wodwalayo postoperative kuchira ndi ntchito zayamba. Laparoscopic opaleshoni amafuna kugwiritsa ntchito zipangizo zina zapadera mtengo, koma zotsatira chidwi mankhwala zimathandiza kuti ambiri kukhazikitsidwa kwa zikunena amenewa.

Wodwalayo, n'kofunika kuti muchepetse nthawi yoti achire - ngati inu ntchito njira imeneyi kangapo amachepetsa kutalika kwa anakhala ku chipatala, ndi mungoli molowera anthu moyo angabwerenso mwansanga.

Zizindikiro ndi contraindications kwa cholecystectomy laparoscopic

Vuto lalikulu kwa opareshoni, komanso mu ntchito za phukusi aliyense endoscopic ziwalo m'mimba, ndi peritonitis kapena kudziwika zizindikiro zomwe zikusonyeza kuthekera chitukuko cha vuto ili. N'chifukwa chake madokotala kuti laparoscopic cholecystectomy ayenera Choncho kuchitidwa kunja siteji pachimake cha matenda - Pankhaniyi chiopsezo mavuto septic yafupika ndi maulendo angapo. Mwatsoka, exacerbations wa peritonitis aakulu, ndi kobvuta ndi chitukuko cha choledocholithiasis kapena empyema wa chikhodzodzo ndulu, dokotalayo ayenera kukhala nawo mu njira ya opaleshoni kusamukira ku mwayi laparoscopic ndi lonse phukusi cavitary, ndipo mu nthawi postoperative - kuchititsa mankhwala yaitali kubwezeretsa wosweka ntchito yofunika kwambiri ya thupi.

Laparoscopic cholecystectomy panopa akhala lalikulu chithandizo opaleshoni beskalkuleznogo cholecystitis pachimake, gallstones, ndulu tizilombo ting'onoting'ono - zinthu zonse zimene kuchotsa ayenera kukhala kwakukulu kwa chiwalo cha dongosolo m'mimba. Kumbukirani kuti phukusi sikutanthauza wapadera preoperative yokonza wodwala - pulogalamu mwachizolowezi mu Zikatero, zasayansi ndi Kupenda malangizo amakhalabe sichinasinthe. The chifukwa cha mankhwala ndi kuchira mofulumira wodwala pambuyo kusokonezedwa osachepera ndi chilema zodzikongoletsera khungu la zapambuyo khoma m'mimba, kupanga njira imeneyi wotchuka.