Appendicitis ndi Appendectomy Pamaso, Pambuyo ndi Pambuyo Pambuyo Opaleshoni

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Kodi Appellectomy Ndi Chiyani?

Appendectomy ndi njira yothandizira opaleshoni pofuna kuchotsa chophimba chowopsa kapena cholandira, chomwe chimatchedwa appendicitis. Popanda opaleshoni, zowonjezereka zingathe kuphulika, kutaya mankhwala opatsirana m'magazi ndi mimba, zomwe zingathe kupha moyo.

Palibe njira yothandizira; Kuchita opaleshoni kumaonedwa kuti ndi njira yokhayo yothetsera vutoli, ngakhale kuti maofesi ena akufufuza kafukufuku wa zachipatala kuti athandizidwe ndi mankhwala opha tizilombo.

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Opaleshoni Yoyamba Asanayambe: Kuzindikira Appendicitis

Kamodzi kafukufuku wa appendicitis atapangidwa, kawirikawiri ndi mayeso a magazi ndi CT scan , dokotalayo adzafotokoza za opaleshoniyi mwatsatanetsatane, kuphatikizapo kufotokozera njira, zoopsa za opaleshoni , ndi machiritso omwe amachitika kuchokera ku opaleshoni. Ogwira ntchitowo ayambanso kuyambitsa IV ndipo amatha kumeta mimba ya odwala omwe amavomereza kuti azitsuka.

Ngati wodwalayo akudwala nthenda ndi kusanza, zomwe zimakhala ndi mavitamini, mankhwala amaperekedwa kuti athetse zizindikiro. Mankhwala opweteka amatha kuperekanso, pamodzi ndi mazimayi a IV ngati wodwala ataya madzi. Mankhwala opha tizilombo angayambidwe asanachitike opaleshoniyo kapena angayambe pamapeto pake.

Wodwalayo amatha kupita naye ku chipinda chogwiritsira ntchito ndikuthandizira pa tebulo logwira ntchito, kumene antchito adzakonzekeretsa khungu la wodwalayo kuti amuchitire opaleshoni. Khungu limasweka ndi yankho limene limapha majeremusi kuti ateteze matenda pa incision. Khungu likakonzekera kukachita opaleshoni, antchitowa adzaphimba wodwalayo ndi miyala yopanda kanthu kuti malowa akhale oyeretsedwa panthawiyi.

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Anesthesia kwa Appendectomy

Wopereka mankhwala a anesthhesia , omwe amakhala ndi anesthesiologist kapena namwino wodwala amaliseche, ayamba kuchita opaleshoniyo popatsirana ndi IV kuti athetsere wodwalayo. Pomwe wodwalayo ali womasuka, phukusi lopuma, kapena phokoso la endotracheal , limagwiritsidwa ntchito kudzera pakamwa mpaka kumphepete mwa mphepo asanayambe kulumikizidwa ndi mpweya wabwino .

Kupuma kwapiritsi n'kofunikira chifukwa chakuti anesthesia ambiri amachititsa ziwalo kuwonjezera pa kupereka wodwala chidziwitso. Ngakhale ali wodwala ziwalo, wodwala sangapume wopanda thandizo ndipo amadalira mpweya woti apereke mpweya m'mapapo.

Katemera akayamba kugwira ntchito, dokotalayo amatha kuyamba kupanga phokoso, popanda wodwala kumva ululu kapena kuwuka. Pa opaleshoni, wodwalayo adzayang'anitsitsa mosamala kwambiri ndi wodwalayo, ndi zizindikiro zofunika pakuwonedwa opaleshoni ndi mankhwala omwe akuwathandiza.

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Appendectomy Ndondomeko

Pa njira yachikhalidwe, kapena yotseguka, appendectomy, kutengeka kwake kwa mamita awiri mainchesi kutalika kumapangika m'mimba pansi pamtunda masentimita angapo pamwamba pa mfupa. Chombocho chimatsegula khungu lonse ndipo chimagawaniza minofu ya m'mimba, ndipo dokotalayo amawona zowonjezereka ndikuyandikira pafupi kuti apite bwino.

Kamvedwe kameneka kamatchulidwa, imadulidwa kuchoka ku minofu yozungulira, kuphatikizapo matumbo, ndipo minofu ya kachilombo imachotsedwa. Kutsegula komwe kumatsalira pambuyo pa zowonjezerapo kumachotsedwa kumatsekedwa ndi chakudya chogwiritsira ntchito kapenanso kutseka dera lotsekedwa.

Zowonjezereka ndi zida zozungulira zimayang'anitsanso mosamala kuti kachilomboka kokha kokha kamene kamachotsedwa. Ngati kuli koyenera, dokotalayo akhoza kugwiritsa ntchito wosabala madzi kuti asambe m'deralo ndikutsatira umboni uliwonse wa pus . Ngati matendawa ali ndi thanzi labwino, dokotalayo akhoza kuyamba kutseka mankhwalawa poyamba kutseka mitsempha pamodzi, kenako amatseka khungu ndi zikhomo.

Chombocho chidzaphimbidwa ndi bandage wosabala kuteteza khungu ndi kupewa matenda . Ndondomekoyi, kuyambira pachiyambi cha kupweteka kwa anesthesia kupita ku bandage, imatenga zosakwana ola limodzi ngati palibe mavuto.

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Appartectomy Laparoscopic: Njira

Appendectomy ya laparoscopic imakhala yofanana kwambiri ndi miyambo yotsegulidwa mwachindunji ndi kusiyana kwakukulu kwakukulu: M'malo mwa chombo chimodzi cha 3-5 masentimita yaitali, pali zambiri zomwe zimaphatikizapo theka la inchi yaitali. Kudzera mwazidziwitso zazing'onoting'ono zomwe dokotalayo amagwira ntchito, kuika kamera kupyolera mu chidziwitso chimodzi ndi zida zing'onozing'ono kupyolera mu zochitika zina ziwiri kapena zina zambiri. Dokotalayo amatha kugwira ntchito poyang'ana kanema yomwe imatengedwa ndi kamera kakang'ono.

Dokotala wa opaleshoni amadziwika zowonjezereka ndikudzipatula minofu yabwino kuchokera ku zoyipa mwa kudula zakumapeto, kupanga mzere kapena sutures kapena kugwiritsa ntchito mzere wa chakudya. Zowonjezerapo zimayikidwa mu thumba lopanda kanthu lomwe limasunthidwa mwa chimodzi mwa zochitikazo musanachotsedwe. Izi ndizitetezera mavitamini onse opatsirana mkati mwazowonjezereka kuti alowe m'mimba.

Zowonjezereka ndi zida zozungulira zimayang'anitsitsa kwambiri. Izi ndizowonetsetsa kuti minofu yathanzi yokha imasiyidwa ndikuonetsetsa kuti mzere wa suture / wosakaniza uli wangwiro. Ngati kuli kotheka, monga ngati chida chogwedezeka, dokotalayo angagwiritse ntchito madzi osowa kuti asambe m'deralo ndikutsata mankhwala opatsirana.

Kenaka, ngati tizilombo toyandikanawo tili ndi thanzi labwino, dokotalayo amatha kutseka zomwe zimagwiritsidwa ntchito, makamaka ndi tizinthu tating'onoting'ono tomwe timatchedwa steri-strips kapena bandage wosabala kuteteza khungu ndi kupewa matenda.

Njira yonseyi, ngati palibe zosayembekezereka, nthawi zambiri imakhala pakati pa mphindi 45 ndi ola limodzi.

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Kupeza Opaleshoni Pambuyo pa Appendectomy Surgery

Katemera akadzaphimbidwa, anesthesia idzaimitsidwa, kuti wodwala ayambe kuwuka pang'onopang'ono komanso kuchotsa chubu. Wodwala adzasamutsidwa ku Post-Anesthesia Care Unit kuti adzayang'ane ndi okalamba. Wodwalayo adzakhala groggy poyamba, ndipo pang'onopang'ono adzakhala wochenjera pamene anesthesia amasiya kwathunthu.

Pakati pa chithandizo cham'thupi, zizindikiro zofunika zidzasamalidwa mosamala ndi zovuta zilizonse ndi mankhwala opweteka operekedwa ngati kuli kofunikira. Wodwala akadzuka, adzalandidwa kuchipatala kukayamba kuchiritsa. Odwala ambiri amakhala otsika kwambiri powawitsa pambuyo poti opaleshoni, ngakhale ululu wa incision.

Tsiku lotsatira, wodwala angayambe kutenga timadzi tochepa tomwe timayamwa bwino ndikupita ku chakudya chokwanira ngati madzi akuloledwa. Kukhala pansi pambali pa bedi, ndiye kuyenda maulendo apatali kudzalimbikitsidwa kangapo patsiku. Mankhwala adzapezeka kuti aziyenda movutikira kwambiri.

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Kupita Kunyumba Pambuyo pa Appendectomy

Odwala ambiri amamasulidwa mkati mwa opaleshoni maola 24 kuti apitirizebe kuchipatala . Kuwombera kawirikawiri kumakhala kotsekedwa ndi tizilombo tating'onoting'ono tomwe timatha pang'onopang'ono ngati momwe wodwalayo akuwombera komanso kumapita ntchito zawo zachizolowezi. Sutures zamkati zidzapasuka pang'onopang'ono ndipo siziyenera kuchotsedwa.

Odwala ena amafunikira mankhwala ochepetsa kupweteka panthawi imeneyi, ndipo ambiri adzapitiriza kumwa maantibayotiki kwa sabata pambuyo pa opaleshoni. Odwala ambiri amatha kubwerera kuntchito zochitika mkati mwa masabata angapo; Ntchito zovuta zambiri zingatenge sabata kapena awiri motalika.

_Chitsime:

_{Bukhu la Appendectomy. American College of Surgeons. 2006. http://www.facs.org/public_info/operation/brochures/app.pdf}