Kuyanjana ndi nthawi yachipatala yochotsera opaleshoni gawo, kapangidwe kake, kapena chiwalo. A resection akhoza kuchitidwa pa zifukwa zosiyanasiyana. A resection akhoza kuchotsa minofu yomwe imadziwika kuti ndi khansa kapena matenda, ndipo opaleshoni ikhoza kuchiza kapena kuchiza matenda. Malinga ndi minofu kapena chiwalo, opaleshoni ya resection ingakhale opaleshoni yotseguka kapena ingatheke kupyolera mu kapangidwe kakang'ono kapena malo olowera, monga urethra kapena chiberekero.
Mitundu
Mtundu umodzi wokhazikika wa resection ndi kachilombo kakang'ono kotsegula, njira yomwe gawo limodzi kapena angapo la m'mimba mwachangu amachotsedwa. Kwa anthu omwe ali ndi mavuto a coloni m'madera ena a m'matumbo, kuchotsa dera limeneli kungathandize kuti colon ikhale yoyenera pokhapokha mankhwalawa atatha. Kuchita opaleshoniyo kungatheke kupyolera mwa kutsegula kapena kutsegula pang'ono pogwiritsa ntchito laparoscope .
Kwa wodwala wina, amapezeka kuti ali ndi khansara m'mimba mwawo. Kuchiza kwa khansa kungaphatikizepo kuchotsa opaleshoni ya malo a khansa ndi chigawo chozungulira cha minofu, colectomy. Izi zikhoza kuchitidwa ngati mankhwala kapena zikhoza kukhala chithandizo cha vutoli.
Kugonjera kungathe kuchitidwa kumalo a thupi kupatula chigawo cha kugaya, mitundu iwiri ya opaleshoniyi ndi zitsanzo chabe. Ngati pali chiwindi cha chiwindi, chiwindi chochepa cha chiwindi chikhoza kuchitidwa kuchotsa minofu yoipa ndikusiya chiwindi chabwino ndi chamoyo cha chiwindi m'malo.
Mapapu resection angachotse malo ammimba a mapaipi.
Mitundu ina yodziwika ya opaleshoni yomwe ili yothandizira:
- Mastectomy: Kuchotsa chifuwa cha khansa ya m'mawere.
- Prostatectomy: Kuchotsa prostate gland pa khansa ya prostate. Kuchita opaleshoni ya TURP ndiko kupatsirana kwa prostate kwa prostate.
- Kusamalitsa: Kuchotsa m'mimba, kaya kwathunthu kapena kwina, kungatheke ku khansa ya m'mimba, zilonda zam'mimba, kapena kutuluka magazi.
- Kutsutsidwa Kwambiri: Pneumonectomy ndi kuchotsa mapapo onse. A lobectomy ndi kuchotsa lobe imodzi ya mapapo. Mankhwala a lobectomy amachotsa mapapu ndi mbali ya bronchus ndikugwirizanitsa mbali yotsalayo. Mpheta yotsekemera imachotsa kagawo kokha kamene kali ndi chotupa ndi minofu yathanzi. Gawo la resection limachotsa gawo lalikulu koma osati lobe lonse.
- Adrenalectomy: Kuchotsedwa kwa gland imodzi kapena zonsezi, zomwe zili pamwamba pa impso. Zingatheke ku khansa ya adrenal kapena syndromes monga Cushing's syndrome komwe kuli kwambiri maselo.
- Appendectomy: Kuchotsa thumba la matumbo akulu chifukwa cha matenda, magazi, kapena kutupa.
- Oophorectomy : Kuchotsa mimba imodzi kapena mazira onse a khansa, chiwindi cha m'mimba, kupweteka kwapakhosi, kapena matenda opweteka kwambiri.
- Chithokomiro: Kuchotsa chithokomiro chonse kapena khungu limodzi la chithokomiro, goiter, nodules, kapena khansara ya chithokomiro.
- Hysterectomy : Kuchotsa chiberekero, nthawi zina kuphatikizapo zina. Zatha chifukwa cha khansa, fibroids, kupweteka kwapakhosi, ndi kutaya magazi kwambiri.
Coding Medical kwa Excision vs. Resection
Mu ICD-10-PCS njira yolembera mankhwala, chisokonezo chimasonyeza njira yomwe mbali ina ya thupi imadulidwa kapena kudulidwa.
A resection ndi pamene thupi lonse gawo kudulidwa kapena kudula. Koma izi siziyenera kukhala ziwalo zonse kapena minofu, nthawi zambiri zimakhala zolembedwa monga gawo la chiwalo. Mwachitsanzo, lobes lamanja ndi lamanzere la chiwindi aliyense ali ndi code yawo. Choncho, kuchotsedwa kwa lobe imodzi ndi resection osati kungokhalako. Pankhani ya zolembera zachipatala, mphete yothandizira mapapo ndizovuta, osati resection.