Zvakajairika kunzwa kutya kukuru uye kuvhunduka patinoziva kuti tine kenza. Panguva dzakadaro, zvinotiomera kunzwisisa mamwe mazwi ekurapa nemazita ekuvhiya anoshandiswa navanachiremba. 'Omentectomy' ingave rimwe remazita akadaro. Asi musazvidya mwoyo, izvi hazvina kuoma sezvamunofunga. Ngatitaurei nezvazvo nenzira iri nyore uye ine hushamwari nhasi.
Zvakanaka, ngatitangei taona kuti 'omentum' iyi chii.
Zvichitaurwa zviri nyore, omentum iganda rakatetepa remafuta rinofukidza dzimwe nhengo dziri mudumbu medu. Kutaura chokwadi, rakaita se 'apron' yakaturikwa pamusoro pedumbu redu neura. Rinonyanya kugadzirwa nemafuta netsinga dzeropa.
Chibereko ichi chinoita mabasa akakosha mumuviri wedu:
- Dziviriro: Inopa dziviriro yemuviri kunhengo dziri mukati medumbu.
- Kupa ropa: Kunobatsira kupa ropa rinodiwa kunhengo dzakapoteredza.
- Kusadzivirira: Kunoshandawo sechikamu chedziviriro yemuviri. Kana paine hutachiona kana kukuvara, kunoenda panzvimbo yacho uye kunobatsira kudzora.
Saka sei omentum iyi ichibviswa nekuvhiyiwa?
Chikonzero chikuru chekushandisa oparesheni yekubvisa omentum, kureva omentectomy, ikenza .
Kazhinji, kenza inotanga mu omentum pachayo, izvo zvisingawanzoitiki. Zvisinei, kenza inotanga kune dzimwe nzvimbo mudumbu, dzakadai semazai, chibereko, kana mudumbu, inogona kupararira nyore nyore kusvika mu omentum. Izvi zvinodaro nekuti omentum ine ropa rakawanda, uye inzvimbo yakanaka yekuti masero ekenza abatanidzwe uye akure.
Heano mamwe emhando huru dzegomarara dzinokurudzirwa kubviswa kwegomarara.
| Rudzi rwegomarara | Tsananguro |
|---|---|
| Kenza yemudumbu | Ichi ndicho chikonzero chikuru chinoita kuti kenza ipararire kusvika kuomentum. |
| Kenza yechibereko | Masero egomarara anopararira kubva muchibereko anogona kugara pano. |
| Kenza yemudumbu | Nekuti iri pedyo nedumbu, pane mukana mukuru wekupararira. |
| Kenza yemudumbu | Rudzi urwu rwegomarara runogonawo kupararira kusvika mudumbu. |
| Dzimwe kenza | Kenza dzeprostate, fallopian tubes, uye appendix zvinogonawo kukonzera izvi. |
Zvichitaurwa zviri nyore, kana chiremba wako akawana kenza mu omentum, anokurudzira kuti ibviswe. Dzimwe nguva, kana paine mukana mukuru wekuti kenza iri pedyo ichapararira mu omentum, kuvhiyiwa uku kunoitwawo kudzivirira kenza kuti isapararire .
Dzimwe nguva, vanachiremba vanobvisa nekuongorora chikamu chegomarara kuti vaone kuti kenza yacho yasvika papi chaizvo. Izvi zvinogona kubatsira zvikuru pakuona kuti kenza yapararira kusvika papi uye kuti imhando ipi yekurapa inodiwa mune ramangwana.
Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?
Kazhinji, kubviswa kwegomarara uku hakuitwi kwega. Kunoitwa sechikamu chekuvhiyiwa kukuru kubvisa nhengo huru ine kenza.
Kugadzirira kuvhiyiwa
Vasati vavhiyiwa, timu yenyu yezvekurapa ichakurukura nemi zvizere nezvazvo. Vachakuudzai nezvezvakanakira, zvakaipa, uye njodzi dzekuvhiyiwa. Vachaitawo bvunzo dzakawanda kuti vaone kana muviri wenyu uchikwanisa kutsungirira rudzi urwu rwekuvhiyiwa.
- Kuongororwa kweropa
- Kuongororwa kweECG kuti uone mashandiro emoyo
- Kuongororwa kuti uone kana wakakodzera mushonga weanesthesia
Maitiro ekuvhiya
Kuvhiyiwa uku kunogona kuitwa nenzira mbiri huru. Zvinoenderana nemamiriro ako ezvinhu, rudzi rwegomarara, uye chisarudzo chachiremba.
1. Kuvhiya kusingakuvadzi muviri zvakanyanya: Uku kunonziwo laparoscopic surgery kana robotic surgery . Izvi zvinosanganisira kuita mavanga madiki matatu kusvika mana mudumbu, umo kamera nemidziyo yakapfava zvinoiswa. Zvakanakira nzira iyi ndezvekuti mavanga mashoma, marwadzo mashoma, uye kupora nekukurumidza.
2. Kuvhiyiwa kwakavhurika:Izvi zvinosanganisira kugadzira dumbu rimwe chete refu, kuvhura dumbu, uye kuita oparesheni. Nzira iyi inoshandiswa kana kenza yapararira zvakanyanya uye dzimwe nhengo dzakawanda dzichifanira kubviswa pamwe chete nayo.
Kumwe kuvhiyiwa kwakaitwa panguva imwe chete nekuvhiyiwa uku
Sezvambotaurwa, kubviswa kwe omentectomy kunogona kuva chikamu chidiki chekuvhiyiwa kukuru. Nokudaro, imwe kana kupfuura yekuvhiyiwa kunotevera inogona kuitwa panguva imwe chete:
- Kubviswa kwechibereko: Kubviswa kwechibereko.
- Kubviswa kweovary: Kubviswa kweovary imwe chete kana dzose dziri mbiri.
- Kubviswa kwechubhu imwe chete kana dzose dziri mbiri dze fallopian.
- Kubviswa kwedumbu: Kubviswa kwechikamu chedumbu kana dumbu rese.
- Kubviswa kweura kana kuti ura hwese: Kubviswa kwechikamu cheura kana kuti ura hwese.
- Kuvhiya kweCytoreductive kana kubvisa bulking: Kubvisa kenza yakawanda yakapararira mudumbu rese sezvinobvira.
Dzimwe nguva, kana kenza iri muchikamu chayo chekutanga, chiremba anogeza dumbu ne saline solution (peritoneal wash) uye anotumira wash fluid ku rabhoritari. Izvi zvinogona kubatsira kuona kana masero ekenza akapararira.
Chii chinoitika mushure mekuvhiyiwa?
Uchafanira kugara muchipatara kwemazuva mashoma mushure mekuvhiyiwa. Kana wakavhiyiwa laparoscopic, kugara kwako muchipatara kunogona kupfupika. Zvisinei, kana wakavhiyiwa kukuru kwakabvisa nhengo dzakawanda dzemuviri, nguva yako yekupora ichave yakareba.
Mushure mekuvhiyiwa, chiremba wenyu achakurukura nemi zvabuda mukuvhiyiwa uye mishumo yekurabhoritari. Muchakurukurawo zvekuita zvinotevera. Kazhinji, mushure mekuvhiyiwa kwegomarara, mamwe marapirwo anopiwa kuuraya chero masero egomarara asara mumuviri. Semuenzaniso , chemotherapy kana radiation therapy .
Pane migumisiro kana njodzi dziripo here?
Sekunge kune chero kuvhiyiwa kupi zvako, pane njodzi diki.
- Kubuda ropa
- Utachiona
- Kukuvadzwa kwenhengo dzakapoteredza
Pamusoro pezvo, dambudziko guru rinogona kuitika mushure mekuvhiyiwa kwe omentectomy nderekuvharika kwedumbu diki . Izvi zvinokonzerwa nekuti mavanga (anonzi adhesions ) anoumbwa mukati medumbu mushure mekuvhiyiwa anogona kukonzera kuti ura hubatane pamwe chete uye huvhare ura.
Mibvunzo inowanzo bvunzwa
Ko omentum inokura zvakare mushure mekubviswa?
Kwete. Omentum chikamu cheperitoneum, membrane iri mudumbu medu. Nekuti peritoneum iyi inokwanisa kupora nekukurumidza, vamwe vanhu vanofunga kuti omentum ichakura zvakare. Zvisinei, omentum yakabviswa haizokurazve.
Zvinotora nguva yakareba sei kuti murwere apore?
Izvi zvinoenderana zvachose nerudzi rwekuvhiyiwa kwawakaitwa. Kunyange zvazvo kuvhiyiwa kudiki kwakadai sekuvhiyiwa kwe laparoscopic kungatora mavhiki mashoma kuti kupore, kuvhiyiwa kukuru kwakavhurika uko nhengo dzakawanda dzinobviswa kunogona kutora mavhiki masere kuti kupore zvizere.
Kuvhiyiwa kwegomarara kunoitwa netariro yekuti rinogona kurapwa. Chiremba wako akakurudzira kubviswa kwegomarara netariro yekuti rinogona kudzora kana kurapa gomarara rako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweOmentectomy kuvhiyiwa kwekubvisa omentum, membrane ine mafuta mudumbu.
- Chikonzero chikuru cheizvi kupararira kana njodzi yekupararira kwegomarara kubva munhengo dzakadai semazai nedumbu kusvika mudumbu.
- Kuvhiyiwa uku kunobatsira kubvisa kenza, kudzivirira kupararira kwayo, uye kuona danho rekenza yacho.
- Nguva yekupora inoenderana nerudzi rwekuvhiyiwa (kuchekwa kudiki kana kuvhurika) uye kukura kwaro.
- Iri idanho rinokosha uye rinonakidza mukurapa gomarara. Sununguka kutaura nachiremba wako nezvemibvunzo kana zvinokunetsa.
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