Esiswini nisishiye: izimvo emva kotyando

Laparoscopy nisishiye esiswini namhlanje - le yinkqubo eliphezulu kakhulu imfuneko. It ivumela abantu umzimba, ukunciphisa umdla yakho engalawulekiyo ngokunciphisa ukutya ziphele. Le nkqubo ke ephakathi band okhethekileyo isisu phantsi kuvuleke iminxunya, leyo kunciphisa kakhulu sisombululo yayo yoqobo.

Eyona imbangela umzimba

Ukulahlekelwa umzobo omhle ilula. umzimba ngokukhawuleza oluhlala ngenxa zokuphila zizinze ngawo ntshikilelo. Maxa wambi umba iseti ephambili iba kilograms engeyomfuneko imbali yosapho. Noko ke, nangona oku, kuzo zonke iimeko, nokutyeba uyakwazi ukuthetha oyena nobangela wale meko, esemfuleni ukuphazamiseka ukutya okanye ukudla. Akukho anqabe kwamadlala okanye ukutya kade, leyo bebodwa, ngaphandle kobukho onombilini lawuleki, into eyabangela ukuba uphuhliso kufunwe umzimba.

Kakade ke, zokudla bacebisa izigulane ezinjalo kwakhona indlela yabo yokuphila, anyakaze, hayi kukuzingxala ngokutya ukutya okunezondlo. Noko ke, oku akuthethi ukusombulula le ngxaki. Izigulane kutyeba ngokwabo bazi kakuhle ukuba kufuneka bathathe ukuzisa ubunzima bomzimba namanani aqhelekileyo. Nangona kunjalo, kwiimeko ezininzi, yenze wena ke asikwazi. Le nyaniso sokunikeza. Yena kwaqinisekiswa izifundo ezahlukileyo, nto leyo ethetha iqela kwezigulane ukutyeba. Izigulane ozibandakanye ekuqaleni kunye neengcali (abonyango ifizotherapisti Iingcali zokutya). Nangona kunjalo, ngethuba olu lingelo kwenzeka ndahlukane umzimba, izigulane angenziwa% 1.5-2 kuphela, ukugcina iziphumo kwisithuba seenyanga ezintandathu.

Kwiimeko ezinjalo, xa umntu sidudla, uyaqonda ukuba akukho nako ukumelana nesi sifo ndazifumana lakhe, kufanele aye ekliniki, apho iingcali ziya kufundiswa iindlela ezisebenzayo yokunqanda iingxaki kunye notyando - nisishiye esiswini.

Kakuhle eli nkqubo,

iikliniki nisishiye esiswini zisebenza njengobuchule ephuhliswe ngowe-1986 eMelika. ngumdali balo ugqirha Lubomir Kuzmak ukuba imvelaphi Ukrainian. Ingcamango osisiseko inkqubo kuxhomekeke khonkcweni nokuveza nakumphezulu esiswini, leyo ke athatha imilo ihourglass. Nakuba kunjalo, ngokungafaniyo iyunithi ukubala ixesha, umzimba ukutya yahlulwe ezimbini ithile umthamo. Phezulu kubo, ibekwe phezu umsesane na capacitance encinane. umthamo wayo nje elishumi elinesihlanu ukuya ngeemililitha mabini. Esi sisixa icephe. Va inxalenye encinane kunye enkulu nesisu zamntu isithintelo kabani ubukhulu imalunga ne-1 cm.

Umntu lowo kwenziwa nisishiye esiswini, emva kokuba umsebenzi uyakwazi utya kancinci kakhulu. Ukutya abangena ventricle amancinci kwaye beqaqadeka, lugciniwe kummandla ngentla khonkcweni. Ngoko nangoko ezenza ilungu yokusila kudlulisela uphawu ingqondo, nemvume imvakalelo kuhluthe. Esi sigulane asikwazi ukutya kakhulu kancinane, umzekelo, ikota-apile. Noko ke, uya kuvakalelwa ukuphelela. imeko enjalo ivumela ukufikelela njongo iphambili yalo msebenzi, nto leyo sikuko kukuhla elibukhali kwi umthamo lokutya okudliwayo, kwaye, ngenxa yoko, ukwehlisa imali calories abangena umzimba.

Ukusebenzisa isixhobo ekhethekileyo

Ukwenza oogqirha isisu hourglass imilo sebenzisa ngomsesane okhethekileyo. Esi sisixhobo entsonkothileyo esetyenziswa kuphela kwiimeko apho nisishiye esiswini (bona ngezantsi ifoto).

Ecaleni layo ingaphakathi ring kufakwa inkqubo ngamanzi aludumbanga ekwaziyo cuff. Enye inxalenye izixhobo ezisetyenziswa ngexesha nisishiye ukusebenza, ebizwa ngokuba "izibuko". Le nxalenye liqhagamshelene cuff yi ityhubhu encinane. Port phantsi eluswini esisu babe iziciko. Kulindeleke ukuba bazalise anetyuwa inkqubo efakiweyo okanye ulwelo. izakhi ngolo ukunciphisa sayo engaphakathi ring. Ngokwahlukileyo koko, ekususweni umthamo ethile inkqubo fluid kukhokelela nokwanda kwalo. Olo uhlengahlengisa kwenziwa ngokususela kwiimfuno client. Lenquba yenzelwa iinyanga ezimbini emva kotyando, xa umsesane leyo ngokuthembekileyo aqiniswa kwizihlunu. Xa alukhuni, loo mgaqo ilula. Port ngqo ngesikhumba punctured ngenaliti entle, ukungenisa kuwo malunga 5 ml bolwelo. Ingxelo evela kwizigulane, le nkqubo i yalula kwaye sihlala imizuzu kuphela-3 ukuya ku-5.

Ubungqina obubonakalayo buxela ukuba Inyathelo

Ngubani Kucetyiswa nisishiye esiswini? Iingcali Guest bathi iinkqubo ezinjalo ziboniswa kubaxumi abo isalathiso ubunzima umzimba mkhulu kuno 40 Noko ke, lo mgaqo iye ngaphandle kwayo. Olu tyando lwenziwa yaye isalathiso ubunzima umzimba ka-35, ukuba isigulana ehlupheka sidudla emithanjeni varicose, uxinzelelo oluphezulu lwegazi, isifo seswekile kunye nezifo amalungu iinyawo.

Ngaphezu koko, iikliniki iingcali nisishiye esiswini alumkise ukuba uyavumelana nkqubo kufuneka abantu kuphela ngezinga eliphezulu yombutho kunye nengqeqesho, babe nomnqweno omkhulu ukutshintsha indlela ekhoyo yobomi kwaye bayakwazi ukubona ugqirha wakho rhoqo.

Kwezinye iimeko, webutho adjustable esiswini ufumana ukubuyekezwa ezimbi? Xa index ubunzima nomzimba ngaphezu 50 Le iqondo olude eliphezulu ukutyeba. Kutheni, kwiimeko ezinjalo akukho eyenziwa nisishiye esiswini? Emva nisishiye, ezi izigulane ndakwazi ukuyeka le ekudleni ngokugqithiseleyo. Kwiimeko ezinjalo, iingcali lubonisa utyando ukususa yinxalenye esiswini kunye emathunjini amancinci.

Izimo

Ngubani na eyenziwa nisishiye esiswini? Iingcali Guest bathi le nkqubo ayikhuthazwa:

- izigulana abangaphantsi kweminyaka eli-18;

- kwimeko ezimbi izifo yegazi, intliziyo kunye nemiphunga;

- ukuphuza ezingapheliyo;

- ubukho ezingaqhelekanga zale kuvuleke iminxunya, isilonda duodenal okanye umhlaza esiswini;

- abakhulelweyo;

- unesifo "pancreatitis esinganyangekiyo" yaye "lwegazi Portal";

- isibindi ukuqina;

- inkanuko izinyo elithozamisayo, nabo bangakwaziyo ukuthobela wesekethe unikezelo lwamandla efunekayo;

- ukuba usulelo esinganyangekiyo ukuba zonakalise indawo yokusebenza;

- ezimbi komzimba le kwizicwili;

- kwimeko ukusetyenziswa rhoqo steroid hormone.

Ukulungiselela inkqubo nisishiye

Phambi ukusebenza ukufakelwa umsesane okhethekileyo isisu kufuneka bavavanyelwe, uluhlu apho umgangatho ukulungiselela Ukubulawa jikelele. kwiintsuku 10-14 phambi kokuba longenelelo uyacetyiswa ukuba aye ukudla kunciphisa umthamo esibindini. Ngeli xesha yokudla yomguli kufuneka iquke:

- esezantsi-fat cottage itshizi kunye nobisi;

- inkukhu;

- isuphu imifuno broths;

- iziqhamo kunye nemifuno.

Ukutya ngexesha izityalo kunye nezilwanyana amafutha kunokwenzeka, kodwa imali yabo kufuneka incitshiswe ukuba ubuncinane. Emva kwesidlo sangokuhlwa phambi kokuba msebenzi kuphinda ukutya okanye usele. Ukuba isigulane sidinga amayeza eyanele, le umba kuxoxwa kwangaphambili kunye nogqirha wakho.

Indlela yokusebenza

utyando yesiqhelo kunokufaniswa nokuba nokusebenza "nisishiye esiswini"? No. Into yokuba ukusebenza ukufaka ring nesisu ezizodwa ezenziwa laparoscopy (kancinane ezonakalisayo) indlela. Uthi le nkqubo ngaphandle kokuvula i esiswini. Ngexesha lo msebenzi, ingcaphephe yenza liqatywe encinane. Therethrough waya kwisisu komthombo ukukhanya kwangena zekhamera. Ukongezelela, isigulana nangoku ukusikwa ezine ezincinane. Kufuneka ukuba ufake izixhobo esiswini, ngaphandle apho akunakwenzeka ukuba iinkqubo abulawe. Field zotyando, ugqirha ubona phezu monitor, ebonisa imifanekiso esabhalwa zekhamera.

Le nqubo iye inqanaba eliphezulu kukuthembeka, eyenza i umsebenzisi ukuze basebenze kwezo iindawo omzimba azifumaneki eqhelekileyo utyando evulekileyo.

Izinto eziluncedo ze ubuchule laparoscopy

Inkoliso abo benza nisishiye esiswini, ihlola malunga nokusebenza eshiya elihle. Emva kotyando, endaweni ibala elikhulu umzimba amanxeba ezintlanu ezincinane. Ukongeza, iimpendulo laparoscopy nisishiye esiswini ezifunyenweyo njengoko inkqubo phantse elula. Oku kuvumela isixa nomonde amancinane ixesha lokuba bahlale esibhedlele. sokubuyisa ixesha ekuphulukenwe nalo emva kokuba umsebenzi loo mfutshane ngokwaneleyo evumela umntu ngaphambili kakhulu kubuyela ebomini ngokwesiqhelo.

Njengokuba kuqikelelwa ziingcali, nisishiye laparoscopy esiswini? Izimvo oogqirha bathi uninzi lwabo ukwamkela le ndlela. Iingcali qaphela unciphiso ngokucacileyo kwenani iingxaki postoperative. Ngapha koko, ukuba le nkqubo ayikho liqatywe enkulu, ke ngoko, akukho ukopha kunye nethuba ngaphantsi yokuba ufumane usulelo kunye hernias. Le ndlela ivumela phantse ukuphelisa iingxaki ezinjalo eqhelekileyo kotyando, ezifana nenyumoniya kunye exudate lung, ekunqandeni yegazi eyonyukileyo kunye t. D. Ukongeza, ngexesha nkqubo akukho ukunyhashwa ingqibelelo ancedisana lokugaya.

Abasetyhini wayegqibe kwibhendi adjustable esiswini, ingxelo emva intengiselwano eseleyo esihle kakhulu. Oku akothusi. Ngapha koko, le ndlela kuphela ithi ukuphelisa esi sifo, kodwa inika iziphumo ezigqwesileyo ukusuka kwindawo yobuhle ngayo. Ukuze uqinisekise oku, kubalulekile ukujonga abo sele babhenela indlela nisishiye esiswini (iifoto phambi nasemva lucaciswa kule nqaku).

Le nomtsalane indlela laparoscopy of laloo nto ilele ukuyilungisa yayo. Emva kokuqhuba isangqa ukusebenza ngenxa yesizathu esithile okanye enye asuswe. Kulo mzekelo, i komzimba isisu lulama ngokupheleleyo kwixesha elifutshane.

Ithuba postoperative

Izigulane abanikwe inkqubo ye nisishiye esiswini, kumele ukuba zichithe izindululo ezithile ugqirha. Umzekelo, ngokuhlwa kunye kusasa emva kotyando ifanele kutya usele iziselo. Amanzi kufuneka tapeworm kuphela iinxalenye ezincinane. Kwane- wenza athile Swallows omnye okanye emibini. Ngokomthetho kufuneka yokunyakamisa nje emlonyeni. Qala ukusela, oogqirha bacebisa iiyure kuphela emva 4-5 emva kotyando. Ukuba kukho iingxaki yokuginya ayikho, ngoko akukho zithintelo esingamanzi ukuqalisa ukusebenzisa ngosuku olulandelayo. Yonke eselwayo ekwaziyo ayiqulathanga igesi kunye neswekile, umzekelo:

- amanzi elula;

- iti buthathaka eshushu okanye ikofu;

- amanzi bezimbiwa.

Ukuba oyifunayo, ungadibanisa nangoku ulwelo. It ukudambisa kuyo nokuphucula incasa. ulwelo ezinjalo bayacetyiswa ukuba ukuthatha phambi esitulweni lokuqala (emva enema okanye esizimeleyo) iintsuku ezintathu. Kule Kwiiveki ezimbini ezilandelayo, ungasoloko imifuno kamnandi okanye incindi yeziqhamo kunye nobisi ephantsi-fat.

Izindululo wenza inkxalabo kunye nomsebenzi lwemoto kwizigulane. Ngokuhlwa emva kokuba umsebenzi kubalulekile ukuba ingakwazi nokuphuma ebhedini. Kufuneka kwenziwe ubuncinane kanye. Kuba oku sifuna uncedo nesalamane okanye abasebenzi esibhedlele, apho wenze nisishiye esiswini. Ukuze ufumane up ngokwabo angafanele nto, kuba oko kunokwenza basonta yakho intloko. Ukuba isigulana tye yaye ungabi nayo nayiphi na ingxaki ngale nto, ngoko yena avunyelwe ukuya ngaphandle zonke izithintelo. Kuhle ukukhumbula ukuba imo esebenzayo emva kotyando iza kuba negalelo ekuthinteleni egazi igazi ngemithambo emlenzeni nokukhusela nxamnye kuphuhliso ukudumba semiphunga.

Xa inkqubo yesiqhelo emva kotyando kufuneka lwenziwe imithambo yokuphefumla. Ukuba ufuna ukucima emqaleni wakhe, ukuba enze oko kuyimfuneko. Ukuxhasa ukuphefumla esebenzayo olunyuswe iibhola zerabha okanye zokudlala. izakhi olunjalo enqwenelekayo ukwenza izihlandlo eziliqela phakathi kweyure. ibaluleke kakhulu umthambo ukuphefumla kuba zinceda ukuthintela inyumoniya.

Emva nisishiye esiswini kufuneka kuthintelwa mihla le nangenxa yokudodobala igazi kwi nemilenze, ngokungathi elele emandlalweni kwiintsuku zokuqala ezintathu amathuba aphezulu egazi. Nceda kule imithambo elula ukuba imilenze owakhiwa flexion kunye nokwandiswa stop.

Ngamanye amaxesha emva kokuba izigulane nisishiye esiswini ubunzima ukusuka isicaphucaphu nokugabha. Iimeko ezinjalo kufuneka kuphetshwe ngokubuza ngabasebenzi imali bezonyango kwezi mpawu.

Njani na umntu owenza nisishiye esiswini? Baqinisekiswa bathi maxa wambi emva kotyando iintlungu esiswini kwenzeka. Ukuba sele wabelwa analgesics akwanelanga, kufuneka azise abasebenzi kwiklinikhi yezempilo.

Ngokuqhelekileyo, emva kotyando, izigulane ingxelo waphula ukusebenza esiswini walibonakalisa ubunzima abapasa flatus, kunye nokungabikho esitulweni. Imeko efanayo uyaqapheleka kwiintsuku ezintathu zokuqala. Ukuba wamathumbu nangoku ukusebenza emva kwexesha, kufuneka athathe inkanuko classes.

Ngokubhekiselele esinyini, ingxaki ngayo, njengoko umthetho, asivelanga. Kodwa ukuba kunjalo kuvela, ngoko oku kufuneka uxelele ugqirha.

iziko lonyango discipline

ngokuba nisishiye esiswini iikliniki utyando zinika eMoscow, eSt Petersburg kunye nezinye izixeko zelizwe lethu. Iimpendulo ezininzi ezintle izigulane ifanelwe Center Medical "CMB-impilo." Le ise kwisixeko Yekaterinburg. Olu iklinikhi uhlobo eyahlukeneyo zabucala, ukunika unyango kwizinga eliphezulu moshilongo izifo, ngokunjalo yokuphumeza unyango kwezigulane ukuhlala kwabo esibhedlele. Kwimisebenzi yayo iingcali zeziko elo ngqo le migaqo ilandelayo:

- Iinkonzo ngendlela kuhlanganiswe;

- ukusebenza kunye nokhuseleko;

- Indlela ogxile uhanjiselo- ;

- bomsebenzi;

- nokugcina banikele iinkonzo intuthuzelo kwinqanaba yaseYurophu.

iklinikhi Modern imbaxa. It yenzelwe kwaye zakhiwa umgaqo 'ikhaya smart ". Njengoko unokontraka wabandakanyeka kwinkampani German ezaziwayo-kakuhle ngaphambili ukwakha kwiikliniki kwaSirayeli, eJamani naseSwitzerland.

Iinkalo zezinto ezenziwa yezonyango nenkitha enkulu embindini. Phakathi kwabo inikeza izigulane zawo "UGMK-Health" (Ekaterinburg) nisishiye esiswini. Reviews ngale abathengi operation ikhefu, ngokuqhelekileyo HIV. Ngapha koko, apha ukucwangcisa amabhandeji LapBand, enziwe USA. Esi sixhobo inokuthenjwa yaye esiqinisekisiweyo ezisetyenziswa ekuqhubeni iinkqubo ezifanayo iminyaka engaphezu amabini.

Yintoni enye itsala abo baye bagqiba ekubeni balahle ekliniki ukutyeba "UGMK-Health" (Ekaterinburg)? nisishiye esiswini (amanqaku leengcali ukuliqinisekisa) idla kwenziwa phambi ezimbi nomonde ezifana Ithemba (eludongeni esiswini okanye imingxunyana esophageal), cholelithiasis, njalo njalo. D. Oku kufuna unyango ngotyando, nto leyo kwenziwa ngaxeshanye nkqubo laparoscopy. Zonke zazo ziqhutywa ngoogqirha abaqeqeshiweyo kakhulu abanamava, baqeqeshwa kwiiklinikhi idumileyo ehlabathini.

Center Medical of Yekaterinburg eRashiya usebenza kuphela izigulane zabo abaphethwe ukutyeba, indlela multi-disciplinary. Wagqiba ukuba izigulane ilahleko ubunzima - ingxaki hayi oogqirha nje. Le nkqubo kumele zokudla kunye endocrinologists, cardiologists iingcali. ingqalelo loo abasebenzi kudala iimeko ezithandwa kakhulu ngokususwa iingxaki ezikhoyo.

Ukuphonononga izigulane abakwenzileyo unendlela nisishiye esiswini (ifoto phambi nasemva sithandaze ngezantsi), umsebenzi owenziwa kamva "UMMC Health" iziko iingcali sikwazi ukunciphisa ubunzima umzimba 5-7 kg inyanga.

Ukongeza, inkqubo omeleza ngenxa ezimbi ezininzi, kuquka isifo seswekile sinwenwa. Kwakhona, izigulane ingxelo kuqheleke umsebenzi kwentliziyo, ukuphucuka uxinzelelo lwegazi kunye nokulala eziphuculweyo.