Surgery ukususa senyongo

Cholecystectomy - utyando ukususa senyongo. Kukho iindlela ezininzi ukususa isibindi kwiqamza: vula kulula kwaye laparoscopy ukufikelela cherezbryushnoy. Kufuneka kuqatshelwe ukuba ukuba umhla, avule indlela ezilahlekileyo ukufaneleka kwabo. rhoqo, oogqirha bazama ukusebenzisa i ukususwa laparoscopy, ngokuba le ndlela owenza iinwele nje kuphela, kodwa ongazaliyo iingxaki kangaka postoperative, ezifana utyando evulekileyo.

Laparoscopy ukususwa senyongo lwenziwa phantsi zomzimba jikelele kwigumbi yokusebenza. Izigulane wenziwa ukulungiselela ipreoperative, emva koko zomzimba sinikwe.

Ugqirha yenza cuts ezintathu okanye ezine kummandla ezayo kwesibindi ukuya ethunjini. Cuts musa ukudlula-2 cm - oku kakhulu ngokwaneleyo ukuba kuqaliswe trocars. Okulandelayo, ummandla esiswini kuyimfuneko ukuba 'kuvuthela phezulu ", oku kuqaliswa isixa esithile yerhasi nge ityhubhu. Le nkqubo yenziwa kugqirha nembono engcono kwindawo imizimba xa kuthelekiswa namanye.

Surgery ukususa senyongo kuthatha kuqhubeka ngokwezigaba eziliqela ezilandelelanayo:

- nokusebenzisa izibopho ukuya duct esinganyangekiyo kunye neempahla hepatic enkulu yegazi (ngoko ugqirha awukuvumeli ilahleko igazi);

- ukususwa ngqo lwesinye inyongo;

- laparoscopy suturing ukusikwa.

Ngoko ke, lo msebenzi ukususa esinyini inyongo udlula kwisisu ngaphandle sokungena kwi kwisisu. izixhobo Modern laparoscopy ukuvumela ukuba ngokutsha umfanekiso amalungu angaphakathi kwikhusi umgangatho ophezulu kakhulu, ngoko ukususwa isinyi cavernous akunakwenzeka.

Noko ke, kwezinye iimeko, ugqirha akakwazi ukubamba izikhongozeli inyongo laparoscopy. Oku kwenzeka xa:

- izifo igazi ukusuka syndrome hemostasis ukuhlawula amatyala akhe;

- Terminal kunye namazwe comatose;

- izifo yomchamo kwemiphunga, intliziyo kunye nezintso.

Ukuba isigulane unesifo peritonitis gallstone, ithumba senyongo, kwakunye phambi ukukhulelwa, okanye ezinye iinkqubo enokuchaphazela ngokungalunganga ikhondo utyando laparoscopy, ugqirha ukuze ukhetha ukufikelela evulekileyo.

Kufuneka kuqatshelwe ukuba ukungabikho Izimo best wayisa ukususwa laparoscopy le senyongo. Izimvo ezigulane emva olu hlobo lotyando kubhetele kakhulu emva cholecystectomy oluqhelekileyo.

Emva kweentsuku nje ezimbalwa emva kokuba laparoscopy, izigulane kunokukhokelela ubomi obuqhelekileyo, nje xa kancinane umda umsebenzi wawo umzimba.

Ziintoni ezinobuzaza xa kunokwenzeka emva kokuba ukususwa senyongo?

1. Ukopha.
2. Peritonitis, septicemia okanye ubovu komtshiso oko.
3. ukusilela Suture, bazigruzule fistulas kunye amathumba kwi inxeba utyando.
4. Ukuqulunqwa yamatye bile duct.
5. Ukuchitha inyongo ngokusebenzisa liqatywe.
6. Loluthando thrombosis.
7. Exacerbation yezifo ezingapheliyo yethumbu (isilonda).
8. Ukonakala izitya uxabane imibhobho.
9. Uxabana amayeza okanye njengearhente zomzimba.

Ukuze siphephe, ukuyilwa amatye kwezi yobisi kunye nokugcina ephilayo, kuyimfuneko ukuba athobele ekhethekileyo ukutya emva cholecystectomy. Kufuneka Izigulane ayishiye ngokuphelele imveliso eziphuhlisa ukuyilwa duct zichaphazela esibindini.

Kufuneka ukuba atye kancinci iiyure eziliqela kamva. Inani izidlo nga ukufikelela 6-8, kodwa oku akunyanzelekanga ukuba ukoyikisa izigulane.

Ukuba ngaphandle ezityiwa eqhotsiweyo, womoji-zonka, ukutya yaba ngumsi yonke iphela, kwakunye ukosa kunye yityuwa.

Kungcono ukusoloko sisebenzisa umkhumbi, ku katsa ni ku nokutya ukutya ngakumbi inegwele kunye isuphu (hayi okunamafutha umhluzi).