Uburyo bwo gukuramo igice cy'amara ukoresheje "keyhole" (Laparoscopic Proctosigmoidectomy)

Niba wowe cyangwa umuntu uzi arimo kubagwa kugira ngo akureho igice cy'amara ye, ni ibisanzwe kumva ufite ubwoba kandi ushishikajwe no kumenya byinshi. Cyane cyane iyo amagambo akoreshwa ari ingenzi. Imwe muri izo opera yitwa laparoscopic proctosigmoidectomy. Nubwo izina rishobora kumvikana nk'aho riteye ubwoba, reka tuvuge ku busobanuro bwaryo bworoshye. Tekereza inshuti yawe izi byinshi igusobanurira.

Kuki ubu bubagwa buri gukorwa? Ni izihe mpamvu zibitera?

Muri make, ubu buryo bwo kubaga bukubiyemo gukata no gukuraho igice cy’umura wawe n’igifu cyanduye. By’umwihariko, igice cy’umura wawe gifite ishusho ya S, igifu cya sigmoid , n’igice cyo hejuru cy’igifu cyawe kiri munsi yacyo.

Abaganga basaba ko ubu buryo bwo kubaga bukoreshwa cyane cyane mu kuvura indwara zimwe na zimwe. Reka turebe ibyo ari byo.

Ijambo 'laparoscopic' risobanura iki?

Dore ikintu kidasanzwe kuri ubu buvuzi. 'Laparoscopic' isobanura ' kubaga urufunguzo rw'umunyururu ', nkuko twese tubizi. Aho gukata inda yawe mu buryo burebure nk'uko byari bimeze mbere, umuganga ubaga atema utuntu duto cyane (nka milimetero 5-10) mu nda yawe maze akabaga anyuze muri iyo myobo.

Ibi bikubiyemo gukoresha igikoresho gito, gisa n'umuyoboro witwa laparoscope gifite kamera nto ifatanye na cyo. Iyo ibi bishyizwe mu nda, umuganga ashobora kubona neza ingingo ziri mu nda akoresheje icyuma gipima neza kandi akabaga neza cyane. Ibyiza by'ubu buryo ni uko budatera ububabare bwinshi, bukira vuba, kandi ntibusiga inkovu nini.

Ni izihe ntambwe eshanu z'ingenzi mu kubaga?

Ubusanzwe ubu buryo bwo kubaga bugizwe n'intambwe eshanu z'ingenzi. Reka tubisobanukirwe kimwe kimwe mu buryo bworoheje.

1. Gushyiramo laparoscope n'ibikoresho

Ubwa mbere, uzaterwa ikinya rusange (general anesthesia ), bityo ntuzumva ikintu icyo ari cyo cyose mu gihe cyo kubagwa, uzaba usinziriye burundu. Hanyuma, umuganga uzabaga azagukata gato ka santimetero hafi y'umukondo wawe (inda) hanyuma ashyiremo kamera ya laparoscopic ayinyujije mu nda yawe. Noneho ashobora kubona imbere mu nda yawe. Hanyuma, azagukata utundi duto dutanu cyangwa tutandatu kugira ngo ashyiremo ibindi bikoresho byoroshye bikenewe mu kubagwa.

2. Gukuramo igice cy'amara kirwaye

Noneho tugomba guca agace k'umura karwaye ka sigmoid hamwe n'igice cy'umura. Ariko mbere y'ibyo, tugomba gukura icyo gice mu bindi bice by'umubiri.

Amara yacu ahuzwa n'urukuta rw'inda binyuze mu gahu kitwa mesentery . Muri aka gahu hari imiyoboro y'amaraso (imitsi) y'ingenzi itanga amaraso muri icyo gice cy'amara. Umuganga ubaga agabanya iyi miyoboro y'amaraso witonze, akayifunga (kugira ngo ahagarike kuva amaraso). Hanyuma, igice cy'amara cyarwaye gikurwa muri aka gahu. Amaherezo, igice cy'amara cyafashwe gikurwa hamwe n'igice cy'amara cyarwaye.

Hari igihe, iyo hakenewe gukurwaho igice cyose cy'umura, byitwa Total Proctosigmoidectomy.

3. Kwitegura kongera guterana amara

Nyuma yo gukuraho igice cyarwaye, ibice bibiri bisigaye by’amara bigomba kongera guhuzwa. Ibi bivuze ko impera y’amara ikomeye hejuru igomba guhuzwa n’impera y’amara isigaye hepfo.

Kugira ngo abigereho, umuganga ubaga arekura igice cy’amara gishya gishya mu mara, kugira ngo gishobore gukururwa byoroshye. Arekura n’igice gisigaye cy’amara. Ibyo byombi bishobora guhuzwa. Mu gihe cya kanseri, igice gisigaye cy’amara cyogeshwa kandi kigasukurwa hakoreshejwe umuti wihariye wo kugabanya ikwirakwira ry’uturemangingo twa kanseri .

4. Gukuraho igice cy'amara cyarwaye mu mubiri

Kubera ko "imyobo y'urufunguzo" ari nto cyane, igice cyaciwe cy'amara manini ntigishobora gukurwamo binyuze muri byo. Hakoreshwa uburyo bwihariye bwo gukora ibi. Umuganga ubaga agabanya gato imyakura y'umwimerere maze ashyiramo agafuka kadasanzwe mu nda anyuzemo. Hanyuma, igice cyaciwe cy'amara gishyirwa mu gafuka hanyuma agafuka kagakurwamo neza.

5. Guhuza impera ebyiri z'amara (Anastomose)

Iyi ni intambwe ya nyuma kandi y'ingenzi cyane mu kubaga. Uburyo bwo guhuza impera ebyiri z'amara zizima hamwe bwitwa anastomose mu buryo bw'ubuvuzi.

Kugira ngo ibi bigerweho, umuganga w’inzobere ashyiramo igikoresho cyihariye cyo gufunga mu kibuno. Icyo gikoresho gicana impeta z’ibice bibiri, gifata impande zombi z’amara. Hanyuma umuganga w’inzobere areba niba hari aho amazi yavuye agafatana, maze agasukura neza mu nda.

Hari igihe, 'umuyoboro', umuyoboro muto, ushobora gushyirwaho iminsi mike nyuma yo kubagwa kugira ngo bifashe gusohora amazi yose yakusanyije imbere. Amaherezo, incision zose zifungwa hakoreshejwe imidomo cyangwa kaseti yihariye.

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Igihe cyo gukira nyuma yo kubagwa ni ingenzi kimwe n'uko kubagwa byagenze neza.

• Irinde guterura ibyuma biremereye: Ugomba guhagarika burundu guterura ibyuma biremereye no gukora imyitozo ngororamubiri igabanya umubyimba wawe (nk'imyitozo yo kwiyicarira) mu gihe cy'ibyumweru 6 nyuma yo kubagwa.
• Kugenda n'amaguru ni byiza: Ongera buhoro buhoro urugero rw'ibikorwa byawe nyuma yo kugera mu rugo. Kugenda n'amaguru ni wo myitozo myiza ushobora gukora muri iki gihe. Kugenda n'amaguru biguha imbaraga, bikongera urujya n'uruza rw'amaraso kandi bikakurinda kuziba kw'amaraso, kandi bigufasha kugumana ubuzima bwiza bw'ibihaha byawe.
• Ibiryo n'ibinyobwa: Ushobora kurya ibiryo byinshi iyo utashye. Ariko, ugomba kwirinda kurya imbuto n'imboga mbisi igihe gito. Ni byiza gukurikiza indyo "yoroshye" kugeza igihe ugiye kwa muganga nyuma yo kubagwa (isuzuma nyuma yo kubagwa). Niba ugize ikibazo cyo kutagira impatwe bitewe n'iyi ndyo, hamagara muganga wawe vuba kugira ngo akugire inama.
• Izindi myitozo: Niba wakoraga imyitozo ngororamubiri mbere yo kubagwa, ushobora kongera gutangira gukora imyitozo ngororamubiri igihe wumva umerewe neza maze muganga akakubwira ati "Sawa, tangira nonaha."

Laparoscopy, kubaga imyobo y'urufunguzo, kubaga amara , kanseri y'inyuma, sigmoid colon, proctosigmoidectomy sinhala, laparoscopy sinhala