Laparotomy kwa Pfannenstil

Laparotomy ya Pfannenstil imagwiritsidwa ntchito kwambiri pamagwiridwe opatsirana pogonana. Kufikira kwa Pfannenstil kumatanthauza chigawo cha m'mphepete mwa khola lamapamwamba. Pachifukwa ichi, msoko uli pamzere wa "bikini" ndipo motero sungadziwikire.

Miyeso yoyamba

Ndi laparotomy malinga ndi Pfannenstil zotsatirazi zikuchitidwa:

1. Dulani khungu m'mbuyo mwake. Chombo cha Pfannenstiel chimapangidwa pafupifupi 3 cm pamwamba pa kugwirizana kwa mafupa a pubic. Kutalika ndi pafupifupi masentimita 11. Panthawi yomweyi, chizindikiro ichi chimadalira kwambiri za thupi la mkazi komanso phokoso la zochitika zogwiritsa ntchito opaleshoni.
2. The aponeurosis imadulidwa motsatira pakati pa mimba.
3. Amathyola minofu.
4. Dulani peritoneum.
5. Lonjezerani kupeza ndi kuchotsa nsalu zodula ndi zipangizo zamakono.
6. Zikwangwani za m'mimba zimatetezedwa ndi zipilala, kuti zisamawonongeke.
7. Chotsatira chake, kukonza kwa m'mimba moyenera mu Pfannenstil kumapereka mwachidule zowonjezereka komanso kupeza mauthenga amkati mwa amayi.
8. Pambuyo popanga opaleshoniyi, makoswe onse amakhala osanjikizidwa ndi wosanjikiza.

Kuwonjezera pa kusalakwitsa kwazitsulo pambuyo pa opaleshoni, zochitika zosayembekezereka za hernias postoperative ndizo khalidwe.

Ndi liti pamene kuli kofunika kugwiritsa ntchito mwayi wa Pfannenstil?

Ngati opaleshoni ya laparoscopic siingatheke, kugwiritsa ntchito laparotomiki kumagwiritsidwa ntchito. Kwenikweni, gawo losungirako ntchito likugwiritsidwa ntchito molingana ndi Pfannenstil, ndipo atatha kubereka kudzera mwachindunji ichi, nthawi ya posoperative nthawi yafupika. Zisonyezo za ntchito ya Pfannenstil ndi uterine myoma, zowonjezera pa chikhodzodzo.

Pambuyo pa opaleshoni

Choyamba, mukufunikira bwino analgesia. Ngati ndi kotheka, perekani mankhwala oletsa antibacterial. M'kupita kwa nthawi pambuyo pa laparotomy Pfannenstil amaloledwa kukhala pansi maola angapo mutatha kuwathandiza. Pakutha pa tsiku loyamba mukhoza kudzithandiza, koma samalani.

Kwa puerperas, nkofunika kuyamba kuyamwa mwamsanga. Pa tsiku loyambirira silinakonzedwe kudya, mukhoza kumwa madzi okha. Pa tsiku lachiwiri, zakudya zochepa, zochepa zimaloledwa. Koma pa tsiku lachitatu, muyenera kubwerera ku chakudya chokwanira, chomwe chili chofunikira kwa mayi woyamwitsa.

Achipatala tsiku lililonse amavala kavalidwe ka chilonda cha postoperative. Panthawi yabwino, zakuthupi zimachotsedwa kumapeto kwa sabata yoyamba.