Njira yopaleshoni yotereyi, monga laparotomy, yomwe imagwiritsidwa ntchito nthawi zambiri m'maganizo a amai, ndiyo njira yowonekera yolumikiza ziwalo zazing'ono m'mimba, ndipo imagwiritsidwa ntchito ndi kamvedwe kakang'ono pamimba.
Kodi laparotomy imagwiritsidwa ntchito liti?
Laparotomy imagwiritsidwa ntchito pamene:
- ovarian cysts - cystectomy;
- kuchotsedwa kwa myomatous node - myoectomy;
- Kutulutsa chiberekero ndi mapulogalamu ;
- kuchiritsa opometriosis;
- Gawo la Kaisareya.
Pochita laparotomy, madokotala ochita opaleshoni nthawi zambiri amadziŵa matenda osiyanasiyana, monga: kutupa kwa ziwalo zomwe zili m'mimba mwazing'ono, kutupa kwa zowonjezereka (kuwonjezera), khansara ya mazira ndi majekeseni a chiberekero, kupanga mapuloteni m'mimba. Kawirikawiri laparotomy imagwiritsidwa ntchito pamene mayi amabala ectopic pregnancy .
Mitundu
Pali mitundu yambiri ya laparotomy:
- Opaleshoni imagwira ntchito yotsika yapakatikati. Pachifukwa ichi, kupangidwira kumapangidwa motsatira ndondomeko yomwe imakhala pakati pa phokoso ndi mapiri. Njira imeneyi ya laparotomy imagwiritsidwa ntchito pa matenda a chifuwa, mwachitsanzo, mu uterine myomas. Ubwino wa njira imeneyi ndikuti dokotala akhoza kuchita nthawi iliyonse kukonza mankhwalawa, motero kuwonjezeka kwa ziwalo ndi ziphuphu.
- Laparotomy malinga ndi Pfannenstil ndiyo njira yaikulu yogwiritsira ntchito mazira. Kuwombera kumapangidwira pamunsi pa mimba, yomwe imalola kuti izidzidzimitse nokha ndipo pambuyo pochiritsidwa, zotsalazo zazing'ono ndizosatheka kuziwona.
Ubwino waukulu
Ubwino waukulu wa laparotomy ndi:
- ntchito yosavuta yothandizira;
- sikufuna kukhalapo kwa zipangizo zovuta;
- Ndibwino kwa dokotala wa opaleshoni, yemwe amapanga opaleshoni.
Kusiyana kwa laparotomy ndi laparoscopy
Amayi ambiri amatha kupeza njira ziwiri zochizira: laparoscopy ndi laparotomy. Kusiyanitsa kwakukulu pakati pa machitidwe awiriwa ndiko kuti laparoscopy imachitidwa makamaka kuti cholinga chake chidziwike, ndipo laparotomy ndiyo njira yowonetsera opaleshoni, yomwe imaphatikizapo kuchotsedwa kapena kusakanizidwa ndi chiwalo kapena matupi. Komanso, pochita laparotomy pa thupi la mkazi, kumapangidwanso khungu lalikulu, kenako msoko umakhalabe, ndipo pamene laparoscopy ili ndi mabala ang'onoang'ono omwe amamangidwa pambuyo pa masabata 1-1,5.
Malingana ndi zomwe zachitidwa - laparotomy kapena laparoscopy, mawu okonzekera ndi osiyana. Pambuyo pa laparotomy, imachokera ku masabata angapo mpaka mwezi umodzi, ndipo ndi laparoscopy wodwalayo amabwerera kumoyo wabwino pambuyo pa masabata awiri.
Zotsatira za laparotomy komanso zovuta
Pochita opaleshoni ngati laparotomy ya chiberekero, n'zotheka kuwononga ziwalo zapafupi zapafupi. Kuonjezerapo, chiopsezo chotenga adhesion pambuyo pa opaleshoni chikuwonjezeka. Izi zili choncho chifukwa panthawi ya opaleshoni opaleshoni opaleshoni imayamba kukhudzana ndi peritoneum, chifukwa chimachokera, ndi mawonekedwe a spikes, omwe "amagwiritsa" ziwalo pamodzi.
Pochita laparotomy, pangakhale vuto monga kutuluka kwa magazi. Zimayambitsa kupweteka kapena kuwonongeka kwa ziwalo (kupasuka kwa mazira), pamene akugwira ntchito yogulitsira. Pankhaniyi, m'pofunikira kuchotsa chiwalo chonse, chomwe chidzapangitsa kuti asatengeke.
Kodi ndingakonze liti mimba pambuyo pa laparotomy?
Malingana ndi chiwalo chochokera ku ziwalo zoberekera chinayamba kugwira ntchito, mawu omwe angathe kutenga pakati amakhala osiyana. Kawirikawiri, sikuvomerezeka kukonzekera mimba kale kuposa miyezi isanu ndi umodzi pambuyo pa laparotomy.