Njira Yoyenera Yopangira Opaleshoni Yopangidwa
Opaleshoni ya laparoscopic, yomwe imatchulidwanso opaleshoni yochepa (MIS), imaphatikizapo kugwiritsa ntchito kachipangizo kakang'ono kamene kamatchedwa laparoscope kamene kamalowetsedwa kudzera mu chimbudzi cha mimba m'mimba kapena m'mimba kuti achite ntchito zomwe zimafuna kuti zikhale zazikulu.
Chifukwa njirayi imaphatikizapo mabala ang'onoang'ono, nthawi zowonongeka zimakhala zofupikitsa komanso zopweteka pang'ono.
Laparoscopy yamakono inagwiritsidwa ntchito kumapeto kwa zaka za m'ma 1940 kuti ayambe kuchita zonyansa koma inangokhala yokha m'ma 1970 ndi 1980 pamene ma laparoscopes oyambirira anali ovomerezedwa ndi ntchito zambiri.
Masiku ano, laparoscopy imachitika nthawi zonse pofuna kuchiza matenda osiyanasiyana. Pamene njira yopangira opaleshoni imagwiritsidwa ntchito pachifuwa, imatchedwa opaleshoni ya thoracoscopic .
About Laparoscope
Chinthu chofunika kwambiri pa chitukuko cha opaleshoni yochepa kwambiri chinali laparoscope palokha. Laparoscope ndi chida cholimba, chogwiritsidwa ntchito m'thupi kuti chiwone ziwalo ndi ziwalo zamkati.
Zitsanzo zakale zimakhala ndi lens telescopic yogwirizana ndi kamera yamakanema, pamene atsopano ali ndi kamera kamakono kakang'ono kamene kamakonzedwa kumapeto kwa chubu. Chitsimikizo chimaperekedwa pogwiritsa ntchito LED, halogen, xenon kapena solac.
Zida za laparoscopic nthawi zambiri zimapangidwa ndi zitsulo zosapanga dzimbiri.
Mng'oma wambiri wamtunduwu ukhoza kukhala wolemera kuchokera pamtunda wa mamita atatu mpaka masentimita opitirira mamita awiri. Zojambulidwa zosiyanasiyana zimapezeka kuti uchite opaleshoni yeniyeni, kuphatikizapo mkasi, mphamvu, ogwira ntchito, ndi madalaivala a singano (ankagwiritsa ntchito singano za opaleshoni pamene akugunda bala).
Mmene Opaleshoni ya Laparoscopic Imagwirira Ntchito
M'malo motenga thupi lalitali, lotseguka m'thupi, opaleshoni ya laparoscopic imafuna kuwonetsera kamodzi kapena kochepa (kawirikawiri kotala ndi hafu inchi m'litali) kupyolera muzolemba. Kuchita opaleshoni palokha kumatsogoleredwa ndi kujambula kanema kavidiyo komwe kumawonekera panja pamsangamsanga.
Pofuna kuti dokotala wa opaleshoni akhale ndi malo ambiri ogwiritsira ntchito, mpweyawo umakhala wotsekemera wa carbon dioxide (CO2), yomwe imakhala yosapsa ndipo imalowa m'thupi.
Laparoscopy ndi opaleshoni yovuta kwambiri yomwe imafuna kugwirizanitsa maso ndi maso komanso kukhala ndi luso lapadera loyendetsa nyumba zovuta. Anthu ogwira ntchito opanga opaleshoni omwe amasankha kutsatira subspecialty ayenera kukhala ndi chibwenzi chimodzi mpaka zaka ziwiri atamaliza ntchito yawo yopanga opaleshoni .
Ubwino ndi Kuipa
Komabe, posachitidwa opaleshoni ya laparoscopic ikhoza kukhalapo, pali zoperewera ndi zoopsa zomwe zimaphatikizapo opaleshoni iliyonse .
Zina mwa ubwino wa opaleshoni ya laparoscopic:
- Kuchepa pang'ono ndi zochepa zofunikira kuika magazi
- Nthawi yowonongeka yafupipafupi komanso yaifupi
- Kupweteka pang'ono ndi kusowa kochepa kwa mankhwala opweteka
- Kuchepetsa chiopsezo chotayika poyerekeza ndi opaleshoni yotseguka
- Kawirikawiri mtengo wotsika chifukwa chafupipafupi hospitalization
Zina mwa zovuta za opaleshoni ya laparoscopic:
- Kupanda mphamvu yogwira (palpate) minofu, makamaka pakufufuza khansa
- Zingatheke kuwonongeka kwa minofu ya mkati chifukwa cha kusowa kachipangizo kake
- Zovuta pakuwona "chithunzi chonse" chomwe chitha kutseguka
- Zingakhale zovuta kuchitira anthu omwe ali ndi opaleshoni yoyamba ndi minofu yoopsa kwambiri
- Zomwe zingayambitse mavuto a m'mimba mwa mpweya wa CO2 (kuphatikizapo hypothermia ndi ululu)
> Chitsime:
> Katkouda, N. (2011) Opaleshoni Yopangapiritsa Kwambiri: Njira ndi Malangizo (Wachiwiri.) New York, New York: Kusindikiza kwasindikiza: ISBN-13: 978-3540748427