Momwe mungachotsere gawo la m'mimba pogwiritsa ntchito opaleshoni ya 'keyhole' (Laparoscopic Proctosigmoidectomy)

Ngati inu kapena munthu amene mumamudziwa akuchitidwa opaleshoni yochotsa mbali ya m'mimba mwake, ndi zachilendo kumva mantha pang'ono komanso chidwi. Makamaka pamene mawu oti "otchulira" ndi ovuta pang'ono. Opaleshoni imodzi yotereyi imatchedwa laparoscopic proctosigmoidectomy. Ngakhale dzinalo lingamveke loopsa, tiyeni tikambirane za tanthauzo lake losavuta. Tangoganizirani mnzanu wodziwa bwino ntchitoyo akufotokozerani.

N’chifukwa chiyani opaleshoniyi ikuchitidwa? Kodi zifukwa zake ndi ziti?

Mwachidule, opaleshoniyi ikuphatikizapo kudula ndi kuchotsa gawo lodwala la m'matumbo ndi m'matumbo. Makamaka, gawo looneka ngati S la m'matumbo, m'matumbo a sigmoid , ndi pamwamba pa m'matumbo pansi pake.

Madokotala amalimbikitsa opaleshoniyi makamaka ngati chithandizo cha matenda enaake. Tiyeni tiwone zomwe zili.

Kodi mawu oti 'laparoscopic' amatanthauza chiyani?

Nayi njira yapadera yochitira opaleshoni iyi. 'Laparoscopic' imatanthauza ' keyhole surgery ', monga tonse tikudziwira. M'malo mochita kudula m'mimba mwanu nthawi yayitali monga kale, dokotalayo amadula pang'ono pang'ono (pafupifupi mamilimita 5-10) m'mimba mwanu ndipo amachita opaleshoniyo kudzera m'mabowo amenewo.

Izi zimaphatikizapo kugwiritsa ntchito chida chaching'ono chofanana ndi chubu chotchedwa laparoscope chokhala ndi kamera kakang'ono kolumikizidwa. Izi zikalowetsedwa m'mimba, dokotala amatha kuwona ziwalo zomwe zili mkati mwa mimba bwino pa chowunikira ndikuchita opaleshoniyo molondola kwambiri. Ubwino wa njira iyi ndi wakuti siipweteka kwambiri, imachira mwachangu, ndipo siisiya chilonda chachikulu.

Kodi njira zazikulu zisanu zochitira opaleshoni ndi ziti?

Opaleshoni iyi nthawi zambiri imakhala ndi magawo asanu akuluakulu. Tiyeni timvetse chimodzi ndi chimodzi m'mawu osavuta.

1. Kuyika laparoscope ndi zida

Choyamba, mudzapatsidwa mankhwala oletsa ululu , kotero simudzamva chilichonse panthawi ya opaleshoni, mudzakhala mutulo tofa nato. Kenako, dokotalayo adzacheka pang'ono pafupifupi sentimita imodzi pafupi ndi mchombo wanu (mimba) ndikuyika kamera ya laparoscopic kudzera mu iyo m'mimba mwanu. Tsopano amatha kuona mkati mwa mimba yanu. Kenako, adzacheka pang'ono pafupifupi zisanu kapena zisanu ndi chimodzi kuti aike zida zina zofewa zofunika pa opaleshoniyo.

2. Kumasula gawo la m'mimba lomwe lili ndi matenda

Tsopano tifunika kudula sigmoid colon yodwala ndi gawo la rectum. Koma tisanatero, tifunika kuchotsa gawolo ku minofu ina.

Matumbo athu amalumikizidwa ku khoma la m'mimba ndi nembanemba yotchedwa mesentery . Mkati mwa nembanemba iyi muli mitsempha ikuluikulu yamagazi (mitsempha) yomwe imapereka magazi ku gawo limenelo la m'matumbo. Dokotala wa opaleshoni amadula mosamala mitsempha iyi yamagazi, n’kuitseka (kuti asiye kutuluka magazi). Kenako, gawo lodwala la m'matumbo limamasulidwa ku nembanemba iyi. Pomaliza, gawo lokhudzidwa la m'matumbo limachotsedwa pamodzi ndi gawo lodwala la m'matumbo.

Nthawi zina, ngati m'mimba wonse uyenera kuchotsedwa, imatchedwa Total Proctosigmoidectomy.

3. Kukonzekera kulumikizanso matumbo

Gawo lodwala likachotsedwa, magawo awiri otsala a matumbo abwino ayenera kulumikizidwanso. Izi zikutanthauza kuti mbali yathanzi ya m'matumbo pamwamba iyenera kulumikizidwa ndi mbali yathanzi ya m'matumbo otsala pansi.

Kuti achite izi, dokotalayo amachotsa pang'ono gawo la matumbo labwino kuchokera ku mesentery, kuti likhoze kugwetsedwa mosavuta. Amachotsanso gawo lotsala la rectum. Ziwirizi zimatha kulumikizidwa pamodzi. Pankhani ya khansa, gawo lotsala la rectum limatsukidwa ndikutsukidwa ndi yankho lapadera kuti lichepetse kufalikira kwa maselo a khansa .

4. Kuchotsa gawo la m'mimba lomwe lili ndi matenda m'thupi

Chifukwa chakuti mabala a 'kiyibowo' ndi ang'onoang'ono kwambiri, gawo lodulidwa la matumbo akuluakulu silingathe kuchotsedwa kudzera mwa iwo. Njira yapadera imagwiritsidwa ntchito pa izi. Dokotala wa opaleshoni amapanga chimodzi mwa mabala oyamba kukula pang'ono ndikuyika thumba lapadera m'mimba kudzera mwa ilo. Kenako, gawo lodulidwa la matumbo limayikidwa mkati mwa thumba ndipo thumba limatulutsidwa mosamala.

5. Kulumikizanso malekezero awiri a matumbo (Anastomosis)

Iyi ndi gawo lomaliza komanso lofunika kwambiri la opaleshoniyi. Njira yolumikizira malekezero awiri athanzi a matumbo pamodzi imatchedwa anastomosis m'mawu azachipatala.

Pachifukwa ichi, dokotala wa opaleshoni amaika chipangizo chapadera chomangirira kudzera mu anus. Chipangizocho chimayatsa mphete ya staples, ndikumata malekezero awiri a matumbo pamodzi. Kenako dokotala wa opaleshoniyo amafufuza ngati pali kutuluka kulikonse pamalo olumikizirana ndipo amatsuka bwino m'mimba.

Nthawi zina, 'drain', chubu chaching'ono, chingaikidwe kwa masiku angapo pambuyo pa opaleshoni kuti chithandize kutulutsa madzi aliwonse omwe amasonkhana mkati. Pomaliza, mabala onse amatsekedwa ndi zosokera kapena tepi yapadera.

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Nthawi yochira pambuyo pa opaleshoni ndi yofunika mofanana ndi kupambana kwa opaleshoniyo.

• Pewani kunyamula zolemera: Muyenera kusiya kotheratu kunyamula zolemera ndikuchita masewera olimbitsa thupi omwe amakuvutitsani m'mimba (monga sit-up) kwa milungu 6 mutachita opaleshoni.
• Kuyenda ndi bwino: Pang'onopang'ono onjezerani kuchuluka kwa zochita zanu mukafika kunyumba. Kuyenda ndi masewera olimbitsa thupi abwino kwambiri omwe mungachite panthawiyi. Kuyenda kumakupatsani mphamvu, kumathandizira kuyenda kwa magazi komanso kumaletsa magazi kuundana, komanso kumathandiza kuti mapapu anu akhale athanzi.
• Chakudya ndi Zakumwa: Mukhoza kudya zakudya zambiri mukapita kunyumba. Komabe, muyenera kupewa kudya zipatso ndi ndiwo zamasamba zosaphika kwa kanthawi. Ndi bwino kutsatira zakudya "zofewa" mpaka mutawonana ndi dokotala wanu mutachita opaleshoni (kuyesedwa pambuyo pa opaleshoni). Ngati mukumva kudzimbidwa chifukwa cha zakudya izi, imbani dokotala wanu nthawi yomweyo kuti akupatseni malangizo.
• Maseŵero ena olimbitsa thupi: Ngati munkachita maseŵero olimbitsa thupi musanachite opaleshoni, mukhoza kuyambanso kuchita maseŵero olimbitsa thupi mukangomva bwino ndipo dokotala wanu akakuuzani kuti, "Chabwino, yambani tsopano."

Laparoscopy, opaleshoni ya keyhole, opaleshoni ya m'matumbo , khansa ya m'matumbo, sigmoid colon, proctosigmoidectomy sinhala, laparoscopy sinhala