Laparoscopic kuvhiyiwa: zvakanakira uye zvazvakaipira

Paunenge uchifanirwa kuvhiyiwa munguva pfupi iri kutevera, chiremba anovhiya anokuzivisa kwete kupfuura kuti ichaitwa pasi pe laparoscopy. Unosangana nezwi iri semumwe muyedzo. Kushushikana uku kunokutambudza siku nesikati. Asi hapana chiri nyore kupfuura iyi nzira yekuongorora uye yekushanda, yakagadzirwa naDr. Raul Palmer muna 1944.

Nheyo uye zviratidzo zve laparoscopy

Zvinowanzogamuchirwa kuti mumamiriro ekuvhiya gynecological, abdominal kana visceral kuvhiyiwa kuvhiyiwa kufutisa, kunyanya kufutisa kukuru, kana kuti muurology panyaya yeprostatectomy, chinongodiwa machekwa madiki ekuisa kamera (luminous optics) mudumbu kuitira kuita uye kuita oparesheni yekuvhiya, tozotaura nezve laparoscopy. Nokudaro, tisingazivi, tinoderedza laparoscopy, sezvainodanwawo, kupindira kwekuvhiya nyore.

Zvisinei, inonyanya inzira yekuongorora. Izvo nerubatsiro rwe endoscope (chigadzirwa chine chiedza chekuvhenekera uye vhidhiyo kamera) inokubvumira kuita chirwere chekurapa. Panyaya iyi, tiri kutaura nezvazvo laparoscopy nepo panyaya yekuvhiya yatiri kutaura nezvayo celiosurgery.

Muchidimbu, laparoscopy haidi kuvhura madziro emudumbu kuti uwane mhango yemudumbu.

Laparoscopy nzira

Kusiyana neizvi, mushure mekudiwa kweanesthesia, chiremba anovhiya anoita imwe kana yakawanda diki incision pamwero weguvhu, iyo iyo endoscope inoiswa. Zvadaro, achishandisa carbon dioxide, anofuridzira dumbu uye anoita nzvimbo yaanogona kusuma nayo zviridzwa zvaachashandisa pakuvhiyiwa, uye pakupedzisira, achaisa trocars, rudzi rwechubhu, ine basa rokudzivirira dumbu kubva. kuve deflated. Pakuvhiya, achashandisa sikirini kuona zvaari kuita.

Zvakanakira uye kuipa kwelaparoscopy

Kuvhiyiwa kweLaparoscopic kune zvakawanda zvakanakira. Muchiitiko ichi, njodzi yekushanda yakaderedzwa, pamwe chete nezvinetso zvepashure. Zvechokwadi, nekupa chiremba wekuvhiya imwe dhigirii ye gestural precision, laparoscopy inodzivirira kushungurudzika uye kumwe kukuvadzwa kunobatanidza nekuvhiyiwa kwakajairika. Izvi zvinoita kuti makamuri ekuvhiya agadzikane.

Mukuwedzera, iyi nzira yekuvhiya inoderedza njodzi yehutachiona; mune zvimwe zviitiko, kuderedza nguva yekuvhiyiwa kana kuderedza nguva yekuiswa muchipatara uye zororo rekurwara. Tisingakanganwe kuti padanho rekushongedza, izvi zvinovimbisa mavanga madiki, dzimwe nguva asingaoneki.

Zvisinei, uku kuvhiyiwa kunokonzera mamwe matambudziko kune chiremba anovhiya optically, tactilely uye maererano nekufamba kwezviridzwa, saka zvakakosha kubvunza chiremba anovhiya anokwanisa. Tisingakanganwe kuti iyo yakasara carbon dioxide inoshandiswa inogona kukonzera kusagadzikana kumurwere sekuputika kana kurwadziwa kwakasara. Nokudaro, pasinei nekufarira, laparoscopy inosanganiswa nenjodzi dzekushanda, dzakadai senjodzi yekubuda ropa, fistulas, embolism, nezvimwewo.