Pothandizidwa ndi zipangizo zamakono (laparoscope), pambuyo pofufuza pang'ono pamimba pamimba, n'zotheka kuchita kafukufuku wake wa matenda opatsirana pogonana (diagnostic laparoscopy) ndi njira zochepa zopaleshoni za matenda opatsirana pogonana (opaleshoni kapena opaleshoni laparoscopy).
Zisonyezero za laparoscopy m'magazi a amayi
Zizindikiro zazikulu za laparoscopy:
- Kusabereka kwa amayi (kuti azindikire za kuphwanya machitidwe a mazira ndi kuwonongedwa kwawo, kusagwirizana kwa zigawo);
- Matenda opatsirana opaleshoni m'mimba ya amayi (ectopic pregnancy, acendi appendicitis, ovarian apoplexy);
- kuchotsedwa kwa ovarian cysts, zotupa za chiberekero ndi mazira, ma polyps, fibroids a chiberekero;
- kutsogolo kwa miyendo yamtunduwu panthawi yoperewera;
- kuchotsa chiberekero ndi mazira;
- matenda ndi matenda a endometriosis a mazira ndi peritoneum;
- kupatsirana ndi chithandizo cha polycystic ovaries, zolakwika za chitukuko , chiberekero cha chiberekero;
- Kukonzekera kwa IVF.
Palinso zotsutsana zokhudzana ndi laparoscopy m'mabanja:
- chizolowezi chomwa magazi (ndi hemophilia, hemorrhagic diathesis);
- matenda opatsirana a mtima wamtima, kupuma, chiwindi ndi impso;
- matenda oopsa opatsirana;
- purulent peritonitis;
- chomera chodetsa;
- kudabwa kapena koma;
- zotupa zopweteka m'magazi;
- kunenepa kwambiri;
- Matenda atatha kugwira ntchito yamagetsi kapena kumatira pamimba pamimba.
Kukonzekera kwa laparoscopy mu mazira a amayi
Kuphatikiza pa maphunziro otsogolera, pali mayesero ndi mayesero angapo omwe ayenera kuchitika madzulo a laparoscopy. Izi zimaphatikizapo kuyesedwa kwa magazi ndi mkodzo, kusinkhasinkha zamadzimadzi kwa mazira a mphutsi, kuyesa magazi (shuga ndi shuga), kuyesa kwa syphilis, kachilombo ka HIV, mavairasi a chiwindi, kuyesa kwa amayi ndi mafinya pa zomera, mapeto a wodwalayo.
Kukonzekera kwa Peredoperatsionnaya ndi chakudya pamaso pa laparoscopy mu mazira a amayi, osauka mu fiber, osayambitsa kuphulika. Madzulo a opaleshoni, enema yoyeretsa imapangidwira, ndipo pa tsiku la opaleshoni imaletsedwa kudya ndi kumwa madzi, kulamula kukonzekera.
Ma laoperoscopy ogwira ntchito m'magazi
Ndi laparoscopy, trocar imayikidwa kudzera m'kati mwa dera la d 10 mm (kupyolera mu ilo, laparoscope ndi kanema kanema imayikidwa), komanso kumadera amtunda - katatu ma 5 mm kwa zida. Lowani ziwalo za m'mimba mpweya woipa kuti zikhale zosavuta kuziwalo. Mothandizidwa ndi zipangizo zopangira opaleshoni, kuchitidwa opaleshoni kofunikira kumachitika. Pambuyo pake, lekani kutuluka kwa magazi ndikugwiritsanso ntchito mabala.
Laparoscopy m'maganizo a amayi: nthawi yopuma
Pambuyo pa opaleshoni, tsiku la wodwalayo liyenera kuyang'aniridwa ndi madokotala kuti athetse mavuto omwe angathe. Pambuyo pa laparoscopy, kutuluka kwa magazi mkati kumayamba, pakagwiritsidwe ntchito, ziwalo za m'mimba kapena mitsempha ya mitsempha zimawonongeke, ntchito ya mtima kapena mapapo imatha kusokonezedwa ndi kuika carbon dioxide m'mimba mwa m'mimba. Pa zovuta zina zapitazo, chitukuko cha subcutaneous emphysema ndi kotheka ngati gasi akugwa pansi pa khungu, thrombosis ya ziwiya za m'mimba.
Ubwino wa laparoscopy
Kupindula kwa njirayi ndi khungu kakang'ono kamene kamangokhalapo, kupweteka kochepa, kuperewera kwa zipsinjo ndi kupweteka mu nthawi ya postoperative, kuchepa kwa magazi pang'ono ndi kuchitapo kanthu, nthawi yochepa yopitiliza ntchito, nthawi yothetsera matenda ndi kupatsirana nthawi yomweyo. Zopweteka ndizovuta kupweteka kwambiri pakapita nthawi, ndipo ndi kutsimikiza mtima kosayenera kwa zizindikiro kapena chitukuko cha mavuto, n'zotheka kukhala ndi chidziwitso chomasulira opaleshoni ya laparoscopic mumtanda wamba.