Mukapita kwa dokotala kuti akachotse kachiphuphu kakang'ono kapena chotupa pakhungu lanu, mwina munamuona akuchikanda ndi chida chaching'ono. Panthawiyo, mungamve fungo la utsi pang'ono ndi fungo loyaka. Anthu ambiri amaganiza kuti ichi ndi chithandizo cha laser. Koma kwenikweni ndi chithandizo chapadera chomwe chimagwiritsa ntchito magetsi. Timachitcha opaleshoni yamagetsi. Ngakhale dzinalo lingamveke ngati loopsa pang'ono, ichi ndi ukadaulo wazachipatala wotetezeka komanso wapamwamba kwambiri . Lero, tikambirana mwachidule.
Mwachidule, kodi opaleshoni yamagetsi ndi chiyani?
Kuopaleshoni pogwiritsa ntchito magetsi ndi njira yogwiritsira ntchito mphamvu zamagetsi pochita opaleshoni. Ikhoza kukwaniritsa zinthu zitatu zazikulu:
1. Kudula: Njira iyi imagwiritsidwa ntchito kudula minofu, monga momwe amachitira ndi mpeni wochita opaleshoni.
2. Kuwononga minofu: Kumagwiritsidwa ntchito kuwononga chotupa chosafunikira pakhungu, monga molu.
3. Kuletsa kutuluka magazi: Izi zimagwiritsidwa ntchito nthawi yomweyo kuletsa kutuluka magazi mwa 'kutseka' mtsempha wamagazi womwe ukutuluka magazi kuchokera ku bala.
Pali makina apadera otchedwa Electrosurgical Unit (ESU) ogwiritsira ntchito izi. Magetsi ochokera ku makinawa amalumikizidwa ku chipangizo chaching'ono chotchedwa electrode chomwe dokotala amagwiritsa ntchito. Pamene electrode iyi iikidwa pafupi ndi malo omwe mumalandira chithandizo (monga, m'khwapa mwanu), kutentha kwakukulu komwe kumapangidwa ndi magetsiwo kumawononga kapena kudula minofu yomwe ikukambidwa.
Taganizirani izi, kuwonongeka komwe izi zimabweretsa ndiko kuchiritsa kuwonongeka. Izi zikutanthauza kuti, zimachotsa zinthu zosafunikira, zimaletsa kutuluka magazi, ndipo zimathandiza thupi kuchira.
Kodi njira zosiyanasiyana zochizira matendawa ndi ziti?
Njira yochitira opaleshoni yamagetsi iyi siichitika m'njira imodzi yokha. Pali njira zosiyanasiyana zomwe zimagwiritsidwa ntchito kutengera kufunikira kwake. Tiyeni tiwone izi m'njira iyi kuti zikhale zosavuta kuzimvetsa.
| Dzina la njira | Kodi imapangidwa bwanji ndipo imagwiritsidwa ntchito chiyani? |
|---|---|
| Kusakaniza kwamagetsi | Apa, electrode iyenera kuyikidwa mwachindunji pakhungu.Ayi. Zimapanga mphamvu yamagetsi poyiyika pa mamilimita angapo pamwamba pa khungu. Izi zimangosintha khungu pamwamba. |
| Kutulutsa magetsi | Apa, electrode imayikidwa mwachindunji pamalo omwe akuchiritsidwa. Magetsi amadutsa mu minofu ndikuipukuta. Njirayi nthawi zambiri imagwiritsidwa ntchito pochotsa ziphuphu. |
| Kugaya magazi m'thupi (electrocoagulation) | Izi zitha kuwononga minofu yakuya. Makamaka zimathandiza kuti magazi aziundana komanso kuti magazi azituluka. |
| Kuchotsa Maginito | Izi zimathandiza kudula minofu molondola kwambiri . Zingakhale zosavuta monga kudula batala ndi mpeni wotentha, popanda kutuluka magazi ambiri. |
Kodi electrocautery ndi yosiyana?
Inde, pali kusiyana pang'ono. Anthu ambiri amasokoneza ziwirizi. Mu njira zomwe zili pamwambapa, magetsi amadutsa m'maselo a thupi. Koma mu electrocautery, magetsi amagwiritsidwa ntchito kutentha nsonga ya electrode yokha. Kenako, nsonga yotenthedwa imayikidwa pa minofu kuti iwononge minofu. Apa, magetsi sadutsa m'thupi.
Kodi opaleshoni yamagetsi imagwiritsidwa ntchito pa matenda otani?
Ukadaulo uwu umagwiritsidwa ntchito m'magawo ambiri azachipatala.
- Pa matenda a pakhungu: Izi zimagwiritsidwa ntchito kwambiri ndi madokotala a khungu. Ndi zothandiza kwambiri pochotsa zotupa pakhungu zosavulaza, ziphuphu, ndi zizindikiro za pakhungu.
- Pa khansa ya pakhungu: Njirayi imagwiritsidwanso ntchito pochiza mitundu ina ya khansa ya pakhungu, monga basal cell carcinoma ndi squamous cell carcinoma. Izi zimaphatikizapo kuchotsa kaye gawo la khansa ndi chida chakuthwa (curettage), kenako opaleshoni yamagetsi kuti iwononge maselo otsala a khansa.
- Maopaleshoni ena: Njira imeneyi imagwiritsidwa ntchito pa opaleshoni monga endoscopy (pogwiritsa ntchito kamera kuti ione mkati mwa thupi) kuchotsa zotupa zazing'ono ndi ma polyp m'thupi ndikuletsa kutuluka magazi.
Kodi chimachitika ndi chiyani kwenikweni panthawi ya chithandizo?
Choyamba, mumapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kulikonse. Zomwe zimachitika pambuyo pake zimadalira njira yomwe yagwiritsidwa ntchito. Pali njira ziwiri zazikulu.
Njira ya monopolar
Iyi ndiyo njira yomwe imagwiritsidwa ntchito kwambiri. "Mono" imatanthauza "chimodzi". Izi zikutanthauza kuti nsonga imodzi yokha ya electrode imayikidwa pa thupi lanu.
- Magetsi ochokera ku makina a ESU amabwera ku electrode yogwira ntchito.
- Pamene electrode iyi yakhudzidwa ndi malo ochiritsira, magetsi amayenda m'maselo a thupi lanu.
- Kenako magetsiwo amapita ku electrode yosasunthika (electrode yogawa) yomwe imalumikizidwa ku gawo lina la thupi. Izi zili ngati "mbale ya dziko lapansi." Imeneyi ikhoza kukhala chogwirira chomwe mumachimangirira pa ntchafu yanu.
- Pomaliza, magetsi ochokera ku electrode yosagwira ntchitoyo amabwerera ku makina a ESU, ndikumaliza dera.
Njira ya Bipolar
"Bi" amatanthauza "ziwiri." Apa, nsonga ziwiri za ma electrode zimayikidwa pa thupi lanu. Ganizirani ngati chipangizo chonga forceps. Magetsi amalowa kuchokera mbali imodzi ndikutuluka kuchokera mbali inayo.
- Magetsi ochokera ku makina a ESU amabwera ku electrode yogwira ntchito.
- Magetsi amayenda kudzera mu minofu ndikupita ku electrode yomwe ili mbali ina ya dzenje lomwelo.
- Magetsi sayenda patali m'thupi lonse, amangoyenda pakati pa malekezero awiri a singano kenako nkubwerera ku makina a ESU. Izi zimagwiritsidwa ntchito pa opaleshoni yovuta kwambiri .
Kodi ubwino wa njira imeneyi yochiritsira ndi wotani?
Njirayi ili ndi ubwino wambiri kuposa kudula ndi mpeni wamba wochita opaleshoni.
- Palibe kuwonongeka kwakukulu kwa minofu yozungulira, ndipo malo okhawo omwe akukhudzidwa ndi matendawa ndi omwe angachiritsidwe.
- Kutupa kwa zipsera n'kosowa kwambiri .
- Imatha kuwononga minofu mwachangu (yosagwira ntchito).
- Kutuluka magazi kumatha kutha nthawi yomweyo. Uwu ndi umodzi mwa ubwino waukulu.
Njira imeneyi ikagwiritsidwa ntchito pa khansa ya pakhungu, pamakhala chiŵerengero chachikulu cha machiritso cha 90% - 95%.
Kodi pali zoopsa zilizonse pa izi?
Kuchita opaleshoni yamagetsi ndi njira yotetezeka kwambiri ikachitidwa ndi dokotala wodziwa bwino ntchito. Komabe, monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zina zazing'ono. Tiyeni tiwone zomwe madokotala amachita kuti apewe izi.
| Chiwopsezo | Kodi madokotala amachita chiyani kuti apewe vutoli? |
|---|---|
| Kuwotcha | Ngati mphamvu yamagetsi ili yokwera kwambiri, kutentha kumatha kuchitika. Madokotala nthawi zonse amaletsa izi poyambira ndi mphamvu yochepa kwambiri yofunikira ndikugwiritsa ntchito makonda oyenera. |
| Kugwedezeka kwamagetsi | Chiwopsezochi chimapezeka ngati magetsi sali pansi bwino. Gulu la azachipatala limasamala kwambiri pa izi ndipo limaonetsetsa kuti zidazo zayikidwa bwino. |
| Matenda | Majeremusi amatha kufalikira pogwiritsa ntchito zipangizo zosagwiritsidwa ntchito pochiza matenda. Komanso, utsi womwe umachokera panthawi ya chithandizo ukhoza kufalitsa majeremusi. Pachifukwa ichi, madokotala nthawi zonse amagwiritsa ntchito zipangizo zogwiritsidwa ntchito pochiza matenda ndipo amachita izi m'zipinda zomwe zili ndi mpweya wopuma utsi. |
| Kusintha kwa mtundu wa khungu (Hypopigmentation) | Pambuyo polandira chithandizo chakuya, khungu lomwe lili pamalopo likhoza kukhala lopepuka pang'ono kuposa khungu lozungulira. Ngati pali chiopsezo, dokotala wanu adzakudziwitsani izi musanalandire chithandizo. |
| Zotsatira pa zipangizo zomwe zimayikidwa m'thupi | Anthu omwe ali ndi zipangizo zoyikidwa m'thupi monga pacemakers ndi defibrillators angakhudzidwe ndi magetsi amenewa. Ngati muli ndi chipangizo chotere, muyenera kuuza dokotala wanu za vutoli. Kenako adzatsatira njira zodzitetezera. |
Kodi zimatenga nthawi yayitali bwanji kuti ndichire? Kodi ndiyenera kupita kwa dokotala liti?
Nthawi yochira imadalira kuzama kwa chithandizocho.
- Ngati chotupa chaching'ono kapena china chake chonga chiphuphu chachotsedwa pakhungu, zimatenga pafupifupi sabata imodzi kuti bala lipole.Mukhoza kupita.
- Ngati ndi chilonda chozama kwambiri, chingatenge milungu iwiri kapena inayi kapena kuposerapo.
Dokotala adzakufotokozerani nthawi yochira malinga ndi vuto lanu.
Nthawi yoti muyimbire dokotala wanu:
Ngati, mutalandira chithandizo cha khungu, mwaika mphamvu pa bala kwa mphindi 20 ndipo magazi sakutuluka , muyenera kuyimbira dokotala wanu. Komanso, ngati bala likuwonetsa zizindikiro za matenda (monga kufiira, kutupa, mafinya) ndipo silikuchira monga momwe mukuyembekezerera, funsani upangiri wa dokotala nthawi yomweyo.
Kodi izi ndi zofanana ndi opaleshoni ya laser?
Ayi. Izi ndi ukadaulo wosiyana kwambiri.
- Opaleshoni yamagetsi imagwiritsa ntchito mphamvu zamagetsi .
- Opaleshoni ya laser imagwiritsa ntchito mphamvu ya kuwala .
Ngakhale njira zonsezi zimatha kudula, kuwononga minofu, ndikuletsa kutuluka magazi, mfundo zomwe zimagwirira ntchito ndizosiyana.
Pomaliza, opaleshoni yamagetsi ndi njira yotetezeka komanso yothandiza yochizira matenda osiyanasiyana pogwiritsa ntchito mphamvu yochiritsa ya kutentha. Mutha kuwona izi pamene chotupa chanu chikuchotsedwa. Mwina simungadziwe kuti njira imeneyi idagwiritsidwa ntchito chifukwa mumakhala pansi pa mankhwala oletsa ululu panthawi ya opaleshoni yayikulu, monga endoscopy. Komabe, kumbukirani kuti madokotala akugwira ntchito mwakhama kuti akutetezeni panthawi ya chithandizochi.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni yamagetsi ndi chithandizo chomwe chimagwiritsa ntchito magetsi olamulidwa. Ichi si chithandizo cha laser.
- Amagwiritsidwa ntchito pazinthu zosiyanasiyana, kuyambira kuchotsa kachidutswa kakang'ono pakhungu mpaka kuletsa kutuluka magazi panthawi ya opaleshoni yayikulu.
- Ikachitidwa ndi dokotala wodziwa bwino ntchito yake, iyi ndi njira yotetezeka kwambiri yothandizira.
- Ngati muli ndi chipangizo choikidwa m'thupi lanu, monga pacemaker, onetsetsani kuti mwauza dokotala wanu za icho musanalandire chithandizo.
- Ngati mukumva kutuluka magazi kwambiri, zizindikiro za matenda, kapena kuchedwa kuchira mutalandira chithandizo, dziwitsani dokotala wanu nthawi yomweyo.
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