Utyando kancinane invasive: iiklinikhi kunye namaziko

technology Medical na kokuma; uphuhliso lwabo enkulu kakhulu okunokwenzeka - zombini inyathelo diagnostic nezinyangayo.

Ngokukodwa, ngenxa kuphuhliso esebenzayo kobuchule endoscopic ngokubanzi isasazeka uqhaqho kancinane wesibeleko esigqibeleleyo. Khawuve oko kukuthi, kweli nqaku.

Kutheni Kufuneka mna utyando kancinane invasive

Zonke ubuqili kule ndlela ejoliswe ukunciphisa imiphumela ebuhlungu emzimbeni yomguli, leyo nelingenakutsitywa naluphi na ungenelelo utyando.

Imizekelo ubuchule ukuze endoscopy kunye notyando laparoscopy.

Kolimo laparoscopy ne ezinye iindlela ukufikelela kumalungu zangaphakathi nazo kunganxulunyaniswa utyando kancinane wesibeleko esigqibeleleyo.

udumo lwayo kulula ukuchaza.

Le ndlela idibana zombini iimfuno isigulane (iziphumo zezi imisebenzi sakugcina), kunye nomdla kwezentlalo noqoqosho (ngokusebenzisa kotyando kancinane yeli lizwe, kunokwenzeka ukuba nokwehlisa ixesha nokuhlala yomguli esibhedlele.

Laparoscopy liye lasetyenziswa ngokubanzi kutyando ezingabantwana esiswini: oonyana ezininzi imisebenzi amalungu esiswini kwenziwa laparotomy. utyando laparoscopy kunokwenzeka ukuba bonke abantwana abaneminyaka. Ke ukuba izigulane elincinane abakubudala ezahlukeneyo inika izixhobo isixhobo ngenxa laparoscopy, ukuba ngobubanzi ezahlukeneyo.

Xa abafazi abakhulelweyo, kungenzeka kotyando laparoscopy alinganiselwe kakhulu.

buhle

• Ukonakala emzimbeni wakhe ngexesha utyando, lwenziwa ngokuhambelana ubuchule utyando kancinane yeli lizwe, ungaphantsi kakhulu ngaphezu domain yokusebenza eqhelekileyo.
• Ixesha elide alale emva kotyando kancinane invasive ayikho imfuneko. zazo ezinjalo kwenziwa kwiikliniki ezikhethekileyo zotyando kancinane invasive (njalo kuxokwa-iikliniki ngosuku olunye).
• Nizkotravmaticheskie ahlinzwe ukunyamezeleka kakuhle zizigulane.
• Level izicwili ezibuhlungu kwezi zazo i kakhulu ngenxa elisezantsi ukunciphisa ixesha ungenelelo; kunye nomgangatho ophantsi trauma kungandisa iziphumo zonyango kunye izithambiso.

Imizekelo ukususela kwimbali ukuba kwaqala njani konke

Umsebenzi yokuqala laparokopicheskaya lwaqhutywa eFransi kwi 80s zenkulungwane yama-20. Kwiminyaka embalwa kamva, le ndlela iye yaphunyezwa kwisicelo abaninzi.

Emva kokuba ekuqaleni yokusetyenziswa inkqubo kule ndlela ifumene uphuhliso olukhawulezayo kwaye ngexesha elifutshane kuye zithandwa kakhulu.

Bendlela zokungenelela kancinane invasive

• Utyando ngokusebenzisa ubuchule endoscopic, musa ukuvumela Ngokucofa-kwithishyu.
• Imfuneko ukufaka esibhedlele okanye indalo kwamaziko ezizodwa zotyando kancinane invasive izixhobo ophezulu-zobugcisa; iindleko eziphezulu eso sixhobo.
• Imfuneko ukufumana izakhono zabasebenzi zonyango ukusebenza kunye oomatshini abaxhakaxhaka.

laparoscopy

Olu hlobo lotyando kancinane invasive enokusetyenziswa kule meko zilandelayo:

• nenzalo Female.
• Unyango lwe endometriosis.
• cysts Ovarian.
• fibroids wesizalo.
• pregnancy.
• Ukususwa senyongo.
• Ukususwa yamathumba ezincinane ngamalungu zangaphakathi.
• Ukususwa nodes nkovu.
• Ukunyanga ezimbi ezithile nemithambo.

Ungenelelo Surgical iqala nesibakala sokuba eludongeni akudala esiswini, yenza okuhlatywa ezintathu okanye ezine. Kamva therethrough zibe umzimba lesitofu icarbon dioxide efunekayo ukuze kwandiswe umthamo lweHo- kwaye ukuyilwa kwento nendawo eyanele ukusebenza. Okulandelayo, nge enye ukuhlatywa waqalisa camera, ebonisa intsimi yokusebenza, amalungu angaphakathi kunye nezixhobo kwi esweni ukuze zisetyenziswe igalelo ngokusebenzisa ukuhlatywa eseleyo.

Mini-laparotomy (mini-access)

Enyanisweni, kule meko, ngokusebenza eqhelekileyo zotyando, kodwa liqatywe ezincinane kakhulu ukuba yenziwa ukuba mayenzeke ukusetyenziswa iseti elikhethekileyo izixhobo. Ngale ndlela, iinkqubo ezininzi zotyando kwi amalungu esiswini ungenziwa.

endoscopy

Le ndlela iyasetyenziswa ukuhlola enyama yangaphakathi, ukuba isakhiwo emgongxweni, babathwalela ngaphandle ngoncedo izixhobo ezikhethekileyo - endoscopes.

Endoscopic utyando kancinane yeli lizwe, ngokungafaniyo laparoscopy usebenzisa ukuhlatywa okanye amanxeba; izixhobo zonyango kufakwa amalungu emgongxweni ngokusebenzisa orifices yendalo. Ngako oko, angalulama okubi okunjalo kwenzeka lula kakhulu.

Ngenxa yoko, ezikliniki kunye notyando endoscopic kunye kancinane ehlaselayo amasebe esibhedlele endoscopic izakhiwo ndimncinile ezilandelayo amalungu:

• umphimbo;
• isisu;
• amathumbu;
• kwingqula;
• uqhoqhoqho;
• bronchi;
• isinye.

Ukongezelela uviwo, endoscopy kwaye ibonelela ngamathuba iinkqubo zonyango, ezifana zokumisa ukopha esiswini, ukhupha ubukhulu encinane esiswini kunye nangezilonda emathunjini. zazo enjalo kwenziwa kwizibhedlele zikarhulumente kunye neekliniki ezizodwa (umzekelo, eklinikhi Coloproctology kunye kancinane ezingeyonzalelwane Utyando).

period kwimo

Ngenxa kwinqanaba eliphantsi traumatization izicwili kunye ngokwamalungu nemisebenzi eyenziwe ngokungqinelana nemigaqo zotyando kancinane yeli lizwe, ixesha kwisimo emva kotyando ngolo hlobo ixesha iphantsi zivunwe kakuhle zizigulane.

Ukuqeshwa alale elide besebenzisa iindlela uqhaqho malotravmaticheskih ayikho imfuneko.

Iintlungu syndrome kakhulu kangako ngokukhawuleza kwi imisebenzi ezincinane, loo nto yenza kube lula ukuba siphephe ukusetyenziswa kweziyobisi, ngoweqela of analgesics, kwaye kungoko neziphumo zawo ezisecaleni.

Xa utyando kancinane invasive akafanelanga

Nangona zonke iingenelo ubuchule utyando kancinane invasive nga tirhisiwaka kuzo zonke iimeko. Ezinye utyando zicacisa le kudidi nizkotravmatichnyh lutshitshe.

1. Ubukho azikhuli kwi kwisisu. Le nyaniso umqobo ukuba yinxalenye imisebenzi enjalo. Ingakumbi yingxaki iimeko apho isigulane unembali lweendlela zokungenelela ezininzi ngotyando, ekhokelela ukuyilwa azikhuli. Noko ke, kwezinye iimeko, xa isigulane akavumi laparoscopy utyando em- esiswini ngenxa yobukho azikhuli, uqhaqho ongaphumeleliyo ukuveza ebizwa njalo-mini-ufikelelo. Akukho algorithm enye ayisekho; It isigqibo kwimeko nganye nganye.
2. Izifo kwenkqubo sentliziyo kunye nemiphunga kweli nqanaba decompensation. Oku kungenxa yokuba ukuze laparoscopy kufuna kokukhutshelwa kwisisu le carbon dioxide; yaye oku, yena, kukhokelela ekwandeni koxinzelelo intra-esiswini nokudala uxinzelelo kwi uvalo kwaye, ngenxa yoko, phezu amalungu lweHo- esifubeni. Izigulane Cardio-pulmonary insufficiency loo sesichengeni kukhokelela kubola.
3. Ukunyuka ngokukhawuleza ubunzima yesigulane. Ukutyeba wesithathu nezinga yesine nazo ibe contraindication kutyando laparoscopy ngenxa yokuba ukufikelela amalungu angaphakathi kwezi meko kungenzeka izixhobo ubude ngokwaneleyo. Ngaphezu koko, ngenxa ubunzima eliphezulu sobuKristu eludongeni esiswini izigulane ezinjalo kwiimeko ezininzi akakwazi ukwenza i pneumoperitoneum.
4. lwegazi ocular, xa glaucoma ethile. Pneumoperitoneum kungabangela ukwanda koxinzelelo intraocular, kuzenze oku zizifo kwakunye nezigulo (umz, ngamava semehlo).
5. Iqondo eliphezulu ukubona - up to diopters ezintandathu (ngenxa yesizathu esifanayo - ukuthintela ngamava semehlo). Noko ke, kwezinye iimeko kusenokuba kukho iimeko, umzekelo xa sesichengeni yexesha elifutshane okanye laparoscopy malogazovoy xa uxinzelelo esiswini liphuma kancinci.
6. Izifo kwinkqubo yegazi, uphawuleka kakuhle amandla ayo ihlwili. Ezo States izaliswe ukopha kakhulu, nto leyo ayamkelekanga.

Xa ukwaluphala abhalwe rhoqo yonke uluhlu iimeko, i contraindication ukuya utyando laparoscopy. Kwiimeko ezinjalo, izigulane ndenziwa utyando ukuze mini-ufikelelo ubuchule ukuba kakhulu akukho Izimo eqhelekileyo.