I-Laparotomy yePfannenstil

I-Laparotomy ye-Pfannenstil isetyenziswa ngokubanzi kwiindlela zokungenelela ezisebenzayo kwizitho zangasese. Ukufikelela kwi-Pfannenstil kuthetha ityathelo eliphambene nommandla wefolubic fold. Kule meko, umsila uphelelene nomgca we "bikini" kwaye ngoko ke ayibonakali.

Izigaba eziphambili

Nge-laparotomy ngokwePfannenstil ezi zilandelayo zenziwa:

1. Sika isikhumba kwinqanaba elingaphambeneyo. Isicatshulwa kunye nePfannenstiel senziwa malunga ne-3 cm ngaphezu kokuxhamla kwamathambo e-pubic. Ubude bu malunga ne-11 cm. Ngelo xesha, eli lathisi lixhomekeka ngakumbi kwimizimba yowesifazane kunye nomthamo wokungenelela okuzayo.
2. I-aponeurosis inqunywe kunye nomgca ophakathi kwesisu.
3. Badiliza imicu ye-muscle.
4. Sika i-peritoneum.
5. Ukwandisa ufikelelo ngokukhupha izambatho eziqingqiweyo kunye nezixhobo ezizodwa.
6. Amathangathi emathumbu axinwa kunye ne-napkins, ukuze angonakali.
7. Ngenxa yoko, ukuchithwa ngokuchanekileyo kwesisu esiswini ePfannenstil kubonelela ngempumelelo kwaye kufinyeleleka kwii-genitalia zangaphakathi zesetyhini.
8. Emva kokuqhuba iinkqubo zokugqirha, zonke izicubu zicatshulwa ngokucoca.

Ukongezelela ekungabikho kweziphene zonyango emva kokuhlinzwa, into eqaqambileyo ye-hernias emva kokusebenza yinto ephawulekayo.

Kufuneka nini ukuba ufake isicelo sokufikelela kwiPfannenstil?

Ukuba iinkqubo zokupasa i-laparoscopic ayinakwenzeka, ukusetyenziswa kwe-laparotomic kusetyenziswa. Ngokwenene, icandelo le- laarean lisetyenziswe ngokuhambelana nePfannenstil, kwaye emva kokunikezelwa ngolu fi kelelo, ixesha lexesha lokugqibela emva kokunciphisa liyancitshiswa. Izibonakaliso zokusetyenziswa kwePfannenstil nazo ziyi-myoma ye-uterine, ukungenelela kwi-bladder.

Emva kokusebenza

Okokuqala, ufuna i-analgesia enhle. Ukuba kuyimfuneko, misela iziyobisi ezichasayo. Kwixesha elilandelelanayo emva kokuhlaselwa kwe-laparotomy U-Pfannenstil uvumelekile ukuba ahlale phantsi emva kweeyure ezimbalwa emva kokungenelela. Ekupheleni kosuku lokuqala unokunyuka ngoncedo, kodwa uqaphele.

Ku-puerperas, kubalulekile ukuqala ukuncelisa ibele ngokukhawuleza. Ngosuku lokuqala alukhuthazwa ukuba udle, unokusela kuphela amanzi. Ngosuku lwesibini, ukukhanya okuphantsi, okuncitshiswa kweefom zivunyelwe. Kodwa ngosuku lwesithathu, kufuneka ubuyele kwisidlo esipheleleyo, okuyimfuneko kumama onesiko.

Abasebenzi bezonyango imihla ngemihla bavelisa ukugqoka isilonda esilandelayo. Kwiimeko ezintle, izinto eziphathekayo zisuswa ekupheleni kweveki yokuqala.