Laparotomy - oku inkqubo eqhelekileyo utyando okanye ukuphazamiseka eyingozi?

Laparotomy - umsebenzi leyo ithetha ukuba liqatywe zoqhaqho eludongeni sobuKristu esiswini. Kuye namanye amagama, ezifana utyando esiswini, ekubhekiselelwe kuyo kwi utyando esiswini. Ukwenziwa isikhumba kunye nemisipha liqatywe eziyimfuneko uphando kunye nonyango kwe kwisisu, kunye laparotomy wenza ukuba ukufumanisa iingxaki ezinxulumene kunye neentlungu esiswini. Ngokuqhelekileyo, le iziphene ezichongiweyo okanye kuphambuka zilungiswa ngexesha lokusebenza, kodwa ke ngamanye amaxesha kufuneka kwaye kwakhona ngoncedo-.

History and Development

Igama ngesiGrike kuthetha laparotomy, leyo ijonge ukubonelela ukufikelela kwi izibilini kunye unyango olulandelayo. Ngemihla yakudala ukusebenza laparotomy uyingozi kakhulu. Kuye bezama ukuba usebenzise kwaphela. Oku kubangelwa ikakhulu ukuya usulelo kuba oogqirha babengazi ukuba ukuhlangabezana njani, abantu bafe nje nayo. Kuphela kuphuhliso ebulala, oogqirha bakwazi ukunciphisa kakhulu ukufa abaguli kunye nokusebenzisa le nkqubo kaninzi. uphuhliso yawo linxulunyaniswa igama Dzhozefa Listera, awonisa utyando ukuya kwinqanaba elilandelayo. Kodwa laparotomy kwakungekho eqhelekileyo kakhulu. Kuphela ukususela ekupheleni kwenkulungwane ye-19, imisebenzi efanayo zaye zabanjwa yonke. Le yeyona nkqubo iqhelekileyo yezonyango, nokuba uqeqesho practical iingcaphephe iqala naye. Naziphi na iingxaki ezinxulumene amalungu esiswini isonjululwa kwisicelo yayo. A amalungiselelo mihla kubola phantse ishenxisa ukubonakala nokudumba. Ukongeza, inkqubo yotyando olungephi kushiya ibala, nangona impiliso - yinkqubo ethatha ixesha elide.

izizathu

Ngokuqhelekileyo, uphethwe labantu isicelo ukuya esibhedlele kunye neentlungu esiswini, akubangeli iingxaki. Ababelwe iimvavanyo standard ultrasound, kodwa ngamanye amaxesha kukho imfuneko yophando olunzulu. Ugqirha kusenokufuneka ukuba ukumisela ekuyo izilonda idabi ngesiquphe (perforation) ngokuchanekileyo, okanye ukuchonga unobangela ukopha lwangaphakathi. Laparotomy - indlela enkulu ukumisela oonobangela ngqo izikhalazo zabantu kwaye unikeze unyango oluchanekileyo.

ngaphambi kokuba enziwe utyando

Xa ugqirha igqibe ukuqhuba olu hlobo nkqubo, kuyimfuneko ukuba ukuqokelela ulwazi kangangoko luncedo malunga nesigulane eso. Ngoko ke, ukuze siphephe imiphumo ebuhlungu, phendula le mibuzo ze ugqirha evumelana ngakumbi kangangoko kunokwenzeka. Oku kusebenza ngendlela ekhethekileyo yobomi kunye nemikhwa, bafumane amayeza okanye yokutya. Ngaphambi kokuba ahlinzwe, ugqirha yazisa imfuneko eziliqela iinkqubo, kananjalo unika sezulu kwixesha postoperative. Laparotomy - kodwa ikakhulu yintshukumo amalungu phecana zesisu, ngoko isigulane kufuneka ibe lixesha lokuba nikhumke ukutya, kwakunye njengoko unako ukubeka i enema. Ngaphezu koko, lo anesthesiologist kufuneka aqinisekise ukuba umntu lowo ukulungele ukusebenza.

Inkcazelo yenkqubo

Zonke izenzo okwenziwa phantsi Ukubulawa jikelele. Ugqirha, ukwenzela ukuba kukhuselwe ukubonakala konke oko kufuneka enyama yangaphakathi, ivelise enye kuphela cut. Xa amayeza emveli, yokuba ubukhulu becala kusetyenziswa ezimbini kuphela iindidi zamacandelo:

• Enqamlezayo, ecaleni imigca "bra", loo nto ithathwa izithambiso, njengoko phantse sikakrebe. Olo tyando kuthiwa laparotomy kwi Pfannenstiel.
• Nkqo, ukusuka inkaba ukuya esizalweni. Oku kusetyenziswa kuphela kwiimeko zongxamiseko, kuba kulula kakhulu ukuba ukusebenzisa kumagqirha.

Emva kokuba izidumbu zazibonakala, benza uphando olunzulu. Ukuba ugqirha akazange akwazi ukulungisa le ngxaki, ukusombulula ngoko nangoko, kodwa ukuba ityala sinzima, kunye nokusebenza yesibini efunekayo. Ekugqityweni beentanda ukudlulela.

Ithuba ukubuyiselwa kunye kunokwenzeka iingxaki

Xa imbuyekezo isigulane igumbi, iya kunikwa ithamo iziyobisi iintlungu, kunye bandaging imihla ngemihla. Iintsuku ezimbini okanye ezintathu zokuqala, amandla kufuneka zenziwe kuphela xa ulawulo efakwa iziselo. Emva kokuba umsebenzi onempumelelo kuyimfuneko ukuphefumla nzulu kwaye wolule imilenze emva kweveki ufuna ukudibanisa ukuhambahamba elifutshane. Laparotomy - oku uhlobo ukusebenza, xa ukumimitheka uza kancinci, kodwa ngokuqinisekileyo, nge-avareji inkqubo ithatha ukusuka kwelinye ukuya kwiinyanga enye enesiqingatha. Ezinobuzaza zinqabile. Ezi ziquka isifo, ukopha, ukuyilwa kukuqulungana zomzimba, iintlungu esiswini. Nangona yokugqibela inxulumene ngqo kwiinkqubo yokuphilisa nxeba. Ubukho kukuqulungana ngamanye amaxesha endibulala abantu, ingakumbi abasetyhini, kodwa ke kule meko laparotomy elungileyo. Izimvo zabantu emva kotyando lubonisa ukuba amabala encinane. Kulula ukuba ukuzimela. Kodwa Pfannenstiel laparotomy kwi icandelo nkqo ye efanayo lingaphantsi imbonakalo kubuhle. Kukho uhlobo efanayo kwemisebenzi ukuba musa ukuba Imi, kodwa hayi zonke iikliniki unako ukuthenga izixhobo ezixabisa kunye ziingcali kakhulu ngubani na oya kuba nako ukumelana nayo.