Inkqubo yokuhlinzwa enjalo, njenge-laparotomy, esetyenziswa rhoqo kwi-gynecology, ukufikelela okuvulelekileyo kwizitho ezisemagqabini amancinci, kwaye zenziwa ngento encinci kwisisu.
Ixesha laparotomy lisetyenziswa nini?
I-Laparotomy isetyenziswa xa:
- i-ovarian cysts - cystectomy;
- ukususwa kweengcambu ze-myomatous - myoectomy;
- ukukhutshwa kwesibeleko kunye nezixhobo zokusebenza ;
- unyango lwe-endometriosis;
- Candelo laseKesariya.
Xa kuqhutywe i-laparotomy, oogqirha bavame ukuxilonga izimo ezahlukahlukeneyo zezifo, njengoku: ukuvuvukala kwamalungu akwi-pelvis encinci, ukuvuvukala kwesihlomelo (appendicitis), umdlavuza wamaqanda kunye nezixhobo zesisu, ukubunjwa kwamanyathelo kwiindawo ze-pelvic. Ngokuqhelekileyo i-laparotomy isetyenziswa xa ibhinqa likhula ngokukhulelwa kwe-ectopic .
Iintlobo
Kukho iintlobo ezininzi ze-laparotomy:
- Usebenzo lwenziwe ngenyathelo eliphantsi lokuhlaziya. Kule meko, isicatshulwa senziwa ngokulandelana ngqo phakathi kwendiza kunye nethambo le-pubic. Le ndlela ye-laparotomy isetyenziswa rhoqo kwizifo zesisu, umzekelo, kwi-myomas ye-uterine. Inzuzo yale ndlela kukuba ugqirha unakho nganoma naliphi na ixesha ukwandisa ukuchithwa, ngaloo ndlela ukwandisa ukufikelela kumalungu kunye nezicubu.
- I-Laparotomy ngokwePfannenstil yindlela ephezulu esetyenziselwa ubuchopho. Isicatshulwa senziwa kunye nomgca wezantsi lwesisu, ovumela ukuba udibanise ngokupheleleyo kwaye emva kokuphilisa, inqabileyo encinane encinci ayinakukubona.
Iinjongo eziphambili
Iinjongo eziphambili ze-laparotomy zi:
- ubuchule obulula bokusebenza;
- ayifuni ubukho bezixhobo ezinzima;
- Kukulungele ukuba ugqirha, owenza ukungenelela.
Ukwahlukana kwi-laparotomy kunye ne-laparoscopy
Abasetyhini abaninzi bavame ukuchonga iindlela ezahlukeneyo zokuphanda ezimbini: i-laparoscopy kunye ne-laparotomy. Ulwahluko ophezulu phakathi kwezi zinto zimbini kukuba i-laparoscopy yenziwa ngokuyinjongo ngenjongo yokuxilongwa, kwaye i-laparotomy isele yindlela yokungenelela ngokuthe ngqo, okubandakanya ukususwa okanye ukugqithwa kwelungu lesifo okanye izicubu. Kwakhona, xa uqhuba i-laparotomy emzimbeni womfazi, kuqhutywe i-incision enkulu, emva koko i-seam ihlala ikhona, kwaye xa i-laparoscopy ikhona kuphela amanxeba amancinci aqiniswe emva kweeveki ezi-1-1,5.
Ngokuxhomekeke kwinto eyenziwe - i-laparotomy okanye i-laparoscopy, imigaqo yokuvuselela ihlukile. Emva kwe-laparotomy, ivela kwiiveki ezimbalwa ukuya kwiinyanga ezi-1, kwaye nge-laparoscopy isiguli siya kubuya ubomi obuqhelekileyo emva kweveki ezi-1-2.
Iziphumo ze-laparotomy kunye neengxaki ezinokwenzeka
Xa wenza umsebenzi ololo hlobo njenge-laparotomy yesibeleko, kunokwenzeka ukonakalise izitho zengqungquthela zommelwane. Ukongezelela, umngcipheko wokubambelela emva kokunyuka kwonyango. Oku kungenxa yokuba ngexesha loqhagamshelwano lwezonyango zokuqhathaniswa zidibanisa ne-peritoneum, ngenxa yolu hlobo lwayo, kunye nefiksi ifomu kuyo, "ibamba" iimbumba kunye.
Xa uqhuba i-laparotomy, kunokubakho ubunzima obufana nokuphuma kwegazi. Yibangelwa ukuphuka okanye ukulimala kwizitho (ukuphuka kwamathambo e-fallopian), ngelixa liqhuba umsebenzi wokuqhubela phambili. Kule meko, kuyimfuneko ukususa lonke iqumrhu, eliya kubangela ukungabikho.
Ndingazicwangcisa nini ukukhulelwa emva kwe-laparotomy?
Ngokuxhomekeke kwiliphi iqumrhu elivela kwinkqubo yokuzala inokungenelela kokusebenza, imigaqo emva kokuba inokwenzeka ukuba ukhulelwe iyahluka. Ngokuqhelekileyo, akukhuthazwa ukuba uceba ukukhulelwa ngaphambi kweenyanga ezintandathu emva kwe-laparotomy.