Nekubatsirwa kwechimbo chinokosha (laparoscope), mushure mekunge zviduku zvichisarudzwa pamakumbo emimba, zvinokwanisika kuita zvose zvirikuongororwa kuongororwa mu gynecology (kuongororwa laparoscopy) uye kupindira maduku mune gynecology (kurapwa kana kushanda laparoscopy).
Zviratidzo zve laparoscopy mune gynecology
Zviratidzo zvikuru zve laparoscopy:
- kusabereka kwevakadzi (kwekutsvaga kwekuputsa kwehutano hwe fallopian tubes uye kuparadzwa kwavo, kupesana kwekubatanidzwa);
- zvirwere zvakanyanya zvekuvhima mujinecology (ectopic pregnancy, acute appendicitis, ovarian apoplexy);
- kubviswa kweavarian cysts, tumoramu yechibereko uye mavhai, mapuropa, fibroids emuviri;
- kusungirirwa kwemawere ane simba panguva yechiridzo;
- kubviswa kwechibereko chekuvhara mazai;
- kuongororwa uye kurapwa kwe endometriosis yemavhizha uye peritoneum;
- kuongororwa uye kurapwa kwema polycystic ovaries, kusagadzikana kwekusimudzirwa kwechibereko , kuvhara kwechibereko;
- Kugadzirira kwaVIV.
Pano panewo zvimwe zvinopesana nelaparoscopy muzvinyorwa zvezvirwere:
- tsika yokubuda ropa (ne hemophilia, hemorrhagic diathesis);
- zvirwere zvinodzvinyirirwa zvepfungwa dzemwoyo, kuporesa, chiropa neitsvo;
- zvirwere zvakanyanya kupararira;
- purulent peritonitis;
- chinonzi diaphragmatic hernia;
- kushamiswa kana coma;
- matumbo anonyangadza mumadzimai evanhukadzi;
- kunyanyisa kuneta;
- mamiriro mushure mekushanda kwevashandisi kana kusungirirwa mumakumbo emimba.
Kugadzirira laparoscopy mune zvechirwere chechikadzi
Mukuwedzera pakudzidzisa zvakananga, kune mimwe miedzo uye miedzo inofanirwa kuitwa mushure mokunge laparoscopy. Izvi zvinosanganisira kuongorora ropa uye urinho, kuongorora nyuchi dze mazai ehonye, ​​biochemical blood test (zvinodikanwa shuga yeropa), kuongororwa kwechirwere, HIV, viral hepatitis, chirwere chechirwere chepachiviri uye smear pamiti, pelvic pasi ultrasound, ECG, fluorography uye kuguma kwechiremba.
Kugadzirisa Peredoperatsionnaya chiratidzo chisati chasaroscopy muchirwere chechirwere, chisina kumira mufiber, chisingaiti kupisa. Mumazuva ekushanda, enema yekuchenesa inogadzirwa, uye pazuva rekuvhiyiwa rinorambidzwa kutora zvokudya uye kunwa mvura, zvinorayira kutengesa.
Kushandisa laparoscopy mune gynecology
Ne laparoscopy, trocar inowanikwa kuburikidza nekukanganiswa munzvimbo inovhuvhuta d 10 mm (kuburikidza nayo, laparoscope ine vhidhiyo kamera inowanikwa), uye munharaunda yepilvic - trocar maviri d 5 mm yezviridzwa. Pinda mumuviri wemukati carbon dioxide kuti uwane nyore kupinda nhengo. Nekubatsirwa kwezviridzwa zvokuvhiya, kupindira kwakakodzera kunoitwa kunoitwa. Mushure maro, rega kubuda ropa uye shandisa maziso kune maronda.
Laparoscopy mune gynecology: postoperative period
Mushure mekuvhiyiwa, zuva remurwere rinofanira kunge riri pasi pekutarirwa kwechiremba kudzivirira kukura kwezvinogona kuitika. Mushure mokunge laparoscopy, kubuda ropa kunobva mukati kunogona kuitika, panguva yekushanda, nhengo dzemimba kana mitsipa yeropa zvingave zvakuvadzwa, basa remwoyo kana mapapu rinogona kuvhiringidzika nekuisa kabhoni dioxide mudumbu remuviri. Pamatambudziko akazotevera, kukurudzirwa kwemukati emashane emphysema kunogona kuitika munyaya yegasi iri pasi peganda, thrombosis yemidziyo yemudumbu.
Zvinobatsira zve laparoscopy
Kubudirira kwekupindira uku kwechirwere chinotevera postoperative, chirwere chiduku chinoshungurudza, kusavapo kwemakumbo uye marwadzo mumashure ekushandura, ropa shoma kurasikirwa nekupindira, nguva shoma inopedza nguva, kukwanisa kwekugadziriswa pamwe chete nekurapwa panguva imwechete panguva yekupindira. Izvo zvisingabatsiri ndeyeinesthesia panguva yekupindira, uye nekutsunga kusina kururama kwezviratidzo kana kukura kwezvinetso, zvinokwanisika kukudziridza chido chekushandura kushandiswa kweparoscopic mune imwe nzvimbo.