Uratinya kubagwa? Reka twige ibijyanye no kubagwa hakoreshejwe icyuma kimwe!

Kubagwa, ni ukuvuga kubagwa, bituma umubiri wawe ucika intege, si byo se? Ubwoba bukomeye buza mu mutwe ni uko uzagomba gukata igice kinini, ukamara iminsi myinshi mu bitaro, hanyuma ukamara amezi menshi mu buriri kugeza ukize. Si ibyo gusa, ahubwo abantu benshi bahangayikishijwe n'inkovu zigaragara muri icyo gice kinini ubuzima bwabo bwose. Ariko, muri iki gihe cy'ubumenyi bw'ubuvuzi buteye imbere, uzatungurwa no kumenya ko hari uburyo bwo kugabanya ubwo bwoba ku rugero runini. Ibyo nibyo tugiye kuvugaho uyu munsi, ikoranabuhanga rishya kandi ritangaje.

Uku kubagwa kwa "single-port" ni iki?

Muri make, kubaga hakoreshejwe icyuma kimwe ni uburyo bwo kubaga umubiri wose binyuze mu gukata gato gato mu mubiri. Ubu buryo busanzwe bukorerwa mu nda yawe, rimwe na rimwe mu gituza. Ariko, aho iki gikorwa cyakorewe hashobora gutandukana gato bitewe n'ubwoko bw'iki gikorwa.

Tekereza ibi, ni nko kwinjira mu nzu unyuze mu muryango umwe, ugakora byose mu nzu, hanyuma ukongera gusohoka unyuze mu muryango umwe. Muganga ashyiramo igikoresho cyihariye cyitwa 'port' unyuze muri aka gace gato. Hanyuma, ibikoresho byose bikenewe mu kubaga, nka kamera n'imikasi, binyuzwa mu mubiri unyuze muri ako gace.

Ubu buryo ubu bukoreshwa mu bwoko bwinshi bw'inkari. Abaganga b'inzobere, cyane cyane mu ndwara zijyanye n'urology y'inkari (urology), bakunze gukoresha ubu buryo.

None se kubaga robotike imwe ni iki?

Iki ni ikoranabuhanga rigezweho ritangaje. Ikibaho hano ni uko ikoranabuhanga ryihariye rya roboti ryongeweho ku buryo bwa Single-Port twavuze mbere. Aho kugira ngo umuganga agenzure igikoresho mu buryo butaziguye, agenzure ukuboko kwa roboti kworoheje cyane akoresheje sisitemu ya mudasobwa.

Akamaro k'ibi ni uko izi robot zishobora gukora ingendo zoroshye kandi zinoze cyane kuruta uko ukuboko kw'umuntu kudashobora. Nanone, ibice biri mu mubiri bishobora kwaguka no kurebwa neza binyuze muri kamera ifite imbaraga nyinshi. Ibi bituma kubagwa bikorwa mu mutekano kandi neza cyane . Ubu buryo bwakoreshejwe bwa mbere mu 2018. Kuva icyo gihe, ibisubizo by'abarwayi babazwe hakoreshejwe ubu buryo byari byinshi cyane.

Ni irihe tandukaniro riri hagati y'ibi n'ubundi buryo bwo kubaga?

Hari uburyo butandukanye bwo kubaga. Uburyo bukubereye cyane buterwa n'uko umeze, ubuzima bwawe muri rusange, n'uburambe bw'umuganga ubaga. Reka tugerageze gusobanukirwa neza itandukaniro riri hagati y'ubu buryo.

Ni ubuhe bwoko bw'ubuganga ubu bukoreshwa?

Ubu buryo bwo kubaga ingingo imwe ubu bukoreshwa mu kubaga ubwoko butandukanye bw’ingingo mu mubiri. Dore ingero nke:

• Kubagwa kw'impyiko:
• Gukuraho impyiko (koperative yo gukuramo impyiko)
• Gukuraho impyiko nzima kugira ngo haboneke impyiko (gucibwa nephrectomy y'umutanga impyiko)
• Gutera impyiko
• Gusana imbogamizi hagati y'impyiko n'umuyoboro w'inkari (pyeloplasty)
• Kubagwa bifitanye isano na prostate:
• Kubaga prostate
• Kubagwa ku bijyanye n'inkari:
• Gukuraho inkari (cystectomy)

Ni nde ushobora kubagwa mu buryo bumwe?

Ubu buryo bwo gukora imashini imwe bukwiriye umuntu wese ushobora kubagwa muri roboti.

Ikindi kidasanzwe ni uko ubu buryo rimwe na rimwe bushobora gukoreshwa n'abantu badafite uburenganzira bwo kubagwa buri gihe hakoreshejwe roboti. Urugero:

• Abantu bagiye babagwa mu nda inshuro nyinshi mu bihe byashize.
• Abantu bafite indwara zikomeye z'umutima cyangwa ibihaha.

Ariko, icyemezo cya nyuma ku buryo bwo kubaga bukubereye kizafatwa n'umuganga wawe, uzasuzuma neza uko ubuzima bwawe bumeze.

Witegura ute mbere yo kubagwa?

Noneho reka turebe uko wakwitegura mbere yo kubagwa. Muganga wawe azagusobanurira ibi byose. Dore ibintu rusange ugomba gukurikiza:

• Kwiyiriza ubusa: Ntushobora kurya cyangwa kunywa ikintu icyo ari cyo cyose nibura amasaha 8 mbere yo kubagwa. Ntibyemewe kunywa amazi make. Ariko, niba ugomba gufata umuti w'ingenzi, ushobora kuwufata n'amazi make. Baza muganga wawe ibi kandi urebe neza.
• Imyambaro: Ushobora kumva ububabare n'ingorane mu nda nyuma yo kubagwa. Ambara imyenda idafite ishingiro kandi ijyanye n'igihe . Ambara inkweto nziza zifite inkweto ndende.
• Imitako ntigomba gukoreshwa: Ntukambare imitako iyo ari yo yose. Imitako ishobora kuba irimo mikorobe kandi ishobora gutera ubwandu mu gisebe.
• Nta gusiga inzara: Kuraho inzara zishushanyije cyangwa acrylic. Zishobora kuba zifite mikorobe. Nanone, mu gihe cyo kubaga, igikoresho cyitwa pulse oximeter kizashyirwa ku rutoki rwawe. Gusiga inzara zishushanyije bishobora kubangamira imiterere yazo.

Ni iki kibaho mu gihe cyo kubagwa?

Iyi gahunda irateguwe neza cyane.

1. Anesthesia: Ubwa mbere, umuganga w’inzobere mu by’imiti azagushyira munsi y’inzobere rusange. Ibi bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye burundu.

2. Gukata: Umuganga uzabaga azakata gato nk'ako twavuze mu nda yawe cyangwa hafi y'umukondo wawe.

3. Gutegura umwanya: Hanyuma, inda yawe izaba yuzuyemo umwuka wa dioxyde de carbone. Ntugahangayike, ibi bikorwa kugira ngo umuganga ubaga abone neza ingingo zirimo kandi akoreshe ibikoresho.

4. Kubaga: Hanyuma, ibikoresho bya roboti na kamera bishyirwa mu kantu gato, maze muganga akabaga yitonze cyane areba kuri ecran ya mudasobwa.

Ubusanzwe, igikorwa cyose gishobora kumara amasaha abiri kugeza kuri ane, bitewe n'ubwoko bw'ikibagwa kirimo gukorwa.

Ni izihe nyungu z'uburyo bwo kubaga bwa Single-Port?

Uzatungurwa cyane nubaza ibyiza by'ubu buryo.

• Nta nkovu nyinshi: Kubera ko hari agasebe gato gato, biragoye no kubona inkovu nyuma yo gukira.
• Ingorane nke: Ingaruka z'ingorane nko kwandura no kuva amaraso menshi zishobora kubaho mu gihe cyo kubagwa buri gihe ni nke cyane.
• Ububabare buke cyane: Nk’uko abarwayi babivuga, ububabare bumva nyuma y’ubu buryo ni buke cyane ugereranyije n’ubundi buryo.
• Ushobora gutaha kare: Hari igihe ushobora gutaha nimugoroba nk'uko wabaga .
• Gukira ni byihuse cyane: ushobora gusubira mu mirimo isanzwe mu minsi mike.
• Kubagwa inshuro nyinshi binyuze mu gukata rimwe: Tekereza ko ukeneye gukurwaho prostate yawe n'igice cy'impyiko yawe. Mu buryo busanzwe, ibi byasaba kubagwa inshuro ebyiri zitandukanye cyangwa gukata ebyiri nini. Ariko hamwe na gahunda ya Single-Port, kubagwa byombi bishobora gukorwa icyarimwe binyuze mu gukata gato kamwe .

Ese nta ngaruka cyangwa ingaruka mbi bihari?

Nk’uko bigenda ku kubagwa kose, hari ingaruka zimwe na zimwe, ariko ni nke cyane.

Ikibazo gikomeye ni uko ubu buvuzi busaba umuganga w’inzobere kandi w’inararibonye . Kubera ko gukoresha ibikoresho byose ahantu hamwe bigoye gato kuruta kubagwa mu buryo busanzwe bwa laparoscopic. Kubwibyo, ni ngombwa cyane guhitamo ibitaro bifite ibikoresho byiza n’umuganga w’inzobere ukora ubwo bwoko bw’ubu buvuzi buri gihe.

Byongeye kandi, hari ingaruka zimwe na zimwe zikunze kugaragara ku kubagwa uko ari ko kose:

• Ingaruka zijyanye no gusinziriza.
• Kwandura ibikomere.
• Kwangirika kw'ingingo z'imbere.
• Ibibazo byo gukira ibikomere.
• Ubwinshi bw'amazi mu gisebe (seroma).
• Kuva amaraso.

Muganga wawe azakubwira byinshi kuri ibi.

Bifata igihe kingana iki kugira ngo kire? Ni ryari nkwiye kujya kwa muganga?

Iyo ubu buvuzi bukozwe n'umuganga w'inararibonye, ​​ushobora gusubira mu buzima busanzwe mu gihe gito, nko mu byumweru bibiri kugeza kuri bine .

Ariko ibuka ko ari ngombwa kuruhuka umubiri wawe mu gihe urimo gukira. Saba umuntu wo mu muryango cyangwa inshuti kugufasha mu mirimo iremereye yo mu rugo no mu mirimo yo mu busitani.

Kubagwa bishobora gutera ubwoba. Ariko kubera ikoranabuhanga rigezweho nka Single-Port Surgery, ubwo bwoba ubu bushobora kugabanuka cyane. Bitera kwangirika guke ku mubiri, bikira vuba, kandi ntibibabaza cyane. Niba uteganijwe kubagwa, vugana na muganga wawe kuri ubu buryo. Azashobora kuguha amakuru arambuye ku buryo bwiza kuri wewe.