Pali Zopindulitsa ndi Zovomerezeka ku Opaleshoni Iliyonse
Opaleshoni yotseguka ndi mtundu wa opaleshoni womwe umapangidwa ndi scalpel. Dokotala wa opaleshoni ndiye amaika zidazo ndikupanga opaleshoni. Opaleshoni yotsegulidwa kawirikawiri ikufaniziridwa ndi "kuchepa kochepa" njira zamakono zomwe zingaphatikizepo zochitika zing'onozing'ono kapena ngakhale (nthawi zina) popanda kutengeka konse. Ngakhale kuti opaleshoni yochepa yowonjezereka yafala kwambiri, pali zinthu zingapo zomwe opaleshoni yotseguka imakondabe.
Opaleshoni Yochepa Kwambiri Kufikira Opaleshoni Yoyamba
Opaleshoni ina ikugwiritsidwabe ntchito pogwiritsa ntchito njira yotseguka yotseguka, koma zambiri zimagwiritsidwa ntchito pogwiritsa ntchito njira zochepa zowonongeka. Zomwe zimakhala zochepa kwambiri zikhoza kutanthauza kuti mankhwalawa ndi ofooka kwambiri kusiyana ndi kawirikawiri yotseguka, kapena amatanthauza kuti palibe chowombera konse , malingana ndi njira yomwe imagwiritsidwa ntchito panthawiyi.
Pamene opaleshoniyi ali ndi luso lokha komanso njira zowonekera poyera komanso njira yowonongeka yochepa, njira yowonongeka yomwe nthawi zambiri imakhalapo nthawi zambiri imakhala ndi chiopsezo chotenga kachilombo ka HIV, nthawi zochepa zowonongeka komanso zotsatira zofanana.
Nthaŵi zina, opaleshoni ingayambike ngati njira yowonongeka, kenaka mutembenuzire njira yotseguka yotseguka ngati dokotalayo akusowa kusinthasintha.
Mapindu ndi Zochita za Opaleshoni Yoyamba
Opaleshoni yotseguka imatha chifukwa cha matekinoloje atsopano omwe amachititsa kuti zikhale zophweka kwambiri kupewa kupezeka kwakukulu ndi zoopsa zomwe zimabwera nawo.
Mwachitsanzo, ndi njira yotseguka, chombo cha appendectomy chimakhala pafupifupi masentimita 4 m'litali. Koma molingana ndi Sosaiti ya Amayi a Amuna a Amuna ndi Amaphunziro a Endoscopic, "M'zipangizo zambiri za laparoscopic, madokotala ochita opaleshoni amagwira ntchito kupyolera muzing'onoting'ono zitatu mpaka (1/2 cm) poyang'ana chithunzi chofutukuka cha ziwalo za mkati mwa wodwalayo pa televizioni." Chotsatira chake, nthawi yowonongeka ikufulumira ndipo ululu umachepetsedwa nthawi zambiri.
Koma izi sizikutanthauza kuti opaleshoni yotseguka satha. Nthawi zina, mwachitsanzo:
- Kukonzekera sikungagwiritsidwe ntchito mogwira mtima pogwiritsa ntchito njira zochepa zomwe zimawonongeka
- Opaleshoni yotsegulidwa yokha imapereka chidziwitso chowonetseratu chomwe chiyenera kuchotseratu minofu kapena kudziwa bwinobwino vuto
- Mitundu ina ya opaleshoni imafuna kupeza malo akuluakulu kuti iikepo zipangizo monga mesh kwa hernias
Malinga ndi kafukufuku wina, opaleshoni yochepa yosafunika iyenera kuyang'anitsitsa kuchitidwa opaleshoni yotseguka malinga ndi zosowa za wodwalayo: "Kuyamba kwa MIS [opaleshoni yochepa kwambiri] yakhala ikudumphadumpha kwambiri mu nthawi yopanga opaleshoni. Ngakhale zili choncho, kuti musamangogwiritsa ntchito njira zachipatala kwa odwala opaleshoni. Mfundo zoyenera kuchitidwa opaleshoni yotetezeka komanso zosamalidwa bwino zoyenera kuchita zimayenera kutsogolo pazuso luso la sayansi. , ziyenera kukhala zovuta chifukwa cha kukakamizidwa kwa MIS kwa dokotala wa opaleshoni. Njira yokhayo yotetezera izi panthawiyi ingakhale dokotala wa opaleshoni amene amachititsa kuti munthu akhale ndi thanzi labwino kuposa nthawi zonse. "
> Zotsatira:
> Dehn, Tom. "Kukonzekera kwake kwachitsulo - laparoscopic kapena opaleshoni yotsegula?" Annals ya The Royal College ya Surgeons of England 91.8 (2009): 631-636. PMC . Webusaiti. 18 May 2017.
> Nanavati, AJ, & Nagral, S. Chifukwa chiyani tinalandira opaleshoni yochepa yosawonongeka ndi kunyalanyaza kupulumutsidwa pambuyo pa opaleshoni? Journal of Surgery Minimal Access , 12 (3), 299-301. Webusaiti. 2016.
> Bungwe la Amayi Amimba a Amayi ndi Oposcopic Opaleshoni. Mauthenga odwala oparoscopic opendectomy okhudza odwala kuchokera ku SAGES. Webusaiti, 2017.