Poyang'aniridwa ndi opaleshoni kuti muchotse ndulu, ndithudi aliyense adzafuna kudziwa njira zomwe angagwiritsire ntchito opaleshoni, momwe zimadutsa komanso momwe zimatengera nthawi, komanso nthawi yokonzekera ndi kukonzanso.
Njira zochitira opaleshoni kuchotsa ndulu
Kwa lero mu mankhwala pali mitundu iwiri yochita opaleshoni yotere:
- laparoscopic - opaleshoni yopanga opaleshoni imagwiritsidwa ntchito kudzera m'ng'onoting'ono kakang'ono m'kati mwa mimba pogwiritsa ntchito zipangizo zopangira opaleshoni;
- Zachikhalidwe (kutsegula kapena kutseguka) - kuchotsedwa kumapangidwa kupyolera masentimita 15 kuchoka kumanja.
Kukonzekera opaleshoni
Njira zothandizira ndi izi:
- Masiku 2-3 isanachitike ntchito yothandizira, dokotala akhoza kupereka mankhwala oletsa mankhwalawa , pofuna kuyeretsa m'matumbo.
- Ngati mukugwiritsa ntchito mankhwala ena, muyenera kudziwitsa dokotala wanu za mankhwalawa, n'zotheka kuthetsa mankhwala omwe amakhudza magazi .
- Chakudya chomaliza chiyenera kukhala maola oposa 8-10 asanachitidwe opaleshoni, ndibwino kuti musamamwe madzi kwa maola 4.
Opaleshoni ya laparoscopic kuchotsa ndulu
Njira ya opaleshoni ya laparoscopic imagwiritsidwa ntchito nthawi zambiri. Opaleshoniyi imagwira pansi pa anesthesia, ndipo imatha maola 1-2. Pa opaleshoni, zojambula 3-4 za 5 ndi 10 mm zimapangidwa mu khoma la m'mimba. Kupyolera mwa iwo, zipangizo zapadera ndi makamera owonera makanema amayamba kuyendetsa njirayi. Mpweya wa carbon dioxide umalowa m'kati mwa mimba, zomwe zidzalola kuti mimba ikhale yoperewera ndikupatsanso malo oponderezedwa. Pambuyo pake, chikhodzodzo chikuchotsedwa mwachindunji. Pambuyo poyendetsa kayendedwe ka bile, malo omwe akugwiritsidwa ntchito amaikidwa pamodzi ndipo wodwalayo amatumizidwa ku chipatala chachikulu. Kukhala m'chipatala mutatha kugwira ntchito - tsiku. Ndipo tsiku lotsatira mukhoza kubwerera kumoyo wamba, kuyang'ana zakudya ndi zina zomwe akupempha dokotala.
Nthawi yokonzanso imatenga masiku pafupifupi 20, malingana ndi zizindikiro za thupi.Opaleshoni yamisazi kuchotsa ndulu
Ntchito yopanda ndulu yochotsa njuchi ikuchitika pokhapokha ngati pali zizindikiro:
- kapu yaikulu ya kutupa kapena matenda a chikhodzodzo;
- kuchuluka kwa miyala kapena kukula kwake;
- zochitika zosayembekezereka pa laparoscopy;
- zovomerezeka za laparoscopy.
Pali opaleshoni yambiri, komanso laparoscopy, pansi pa anesthesia. Kumayambiriro kwa scalpel, kudula kwa dzanja lamanja kumapangidwe, pansi pa nthiti, kutalika kwa masentimita 15. Kenaka, ziwalo zoyandikana zimachotsedwa pamtunda kuti zifike kumalo ogwiritsidwa ntchito ndikuchotserako. Pambuyo pake, kuyerekezera kuyesa kwa ma ducts kumachitidwa kuti pakhale kukhalapo kwa miyala ndi incision. Mwinamwake, chubu chotsanulira madzi chidzalowetsedwa mkati mwake kuti chichotse mitsempha. Pambuyo masiku 3-4, imachotsedwa. Mankhwala osokoneza bongo amayamba kugwiritsidwa ntchito masiku oyamba, kotero simungathe kupirira ululu woopsa wa incision. Kuchekera kuchipatala panthawi yopaleshoni ya gulu kumatenga masiku 10-14. Nthawi yobwezeretsa ndi miyezi 2-3.
Kodi muyenera kudziwa chiyani mutachotsa ndulu?
Pambuyo pa ntchito kuchotsa ndulu ayenera kutsatira malangizo a dokotala wanu. Kumbukirani malamulo ena omwe angakuthandizeni kuti muthe msanga:
- Miyezi yoyambirira sayenera kukweza zinthu zolemetsa kuposa makilogalamu 4-5.
- Pewani zochita zomwe zimaphatikizapo kugwiritsa ntchito khama lanu.
- Gwiritsani ntchito chakudya chapadera.
- Nthawi zonse muzipanga zovala kapena mankhwala opangira laparoscopic.
- Pitani kuchipatala mwakachetechete ndikudutsanso.
- Ngati zizindikiro zina zosasangalatsa zikuwonekera, ndibwino kuti mufunsane ndi dokotala.
- Ngati n'kotheka, gwiritsani ntchito mankhwala achipatala;
- Musaiwale za kuyenda kowala.
