Ƙarin fahimtar Laparotomy da Laparoscopy Procedures

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Laparotomy Versus Laparoscopy

Laparotomy shine lokacin kiwon lafiya na tsawon lokaci don aikin tiyata a cikin ciki ta yin amfani da launi na gargajiya mai girma, maimakon maƙasudin ƙima. Wani suna don wannan aikin tiyata na yau da kullum shi ne kullun.

Laparotomy yana amfani da haɗari mai zurfi kuma anyi amfani da shi a cikin maƙasudin ƙwayar hanya ta laparoscopy kuma yana amfani da ƙananan ƙananan ƙwayoyin.

Hanyar gargajiya - laparotomy - sau da yawa ana kiransa da "bude" hanya, saboda haɗari yana buɗewa wanda zai sa likitan likita ya hango gabobin, da jini, da kyallen takalma a cikin rami na ciki. Laparotomy yana amfani da kayan aikin laparoscopic ciki har da kyamarar da aka sanya a cikin ƙananan ƙananan matakai don ba da damar likita don duba zane-zane da kayan aiki.

Yanke shawarar aiwatar da aikin bude ko laparoscopically yana tare da likitan likita kuma abin da, idan wani abu, yana so ya samu a lokacin tiyata. Idan an yi aikin tiyata a matsayin gaggawa, likita zai iya yin laparotomy tare da laparoscopic laparotomy domin yana samar da ra'ayi mai girma kuma zai iya zama da sauri sauri fiye da kuskure mafi kuskure. Lokacin da minti ya ƙidaya, hanyar da za a iya buɗewa shine yawanci da sauri a lokacin farko na tiyata.

A mafi yawancin lokuta ana amfani da fasaha mai mahimmanci don yanayin da lokaci yake, ainihin mai haƙuri ba shi da ƙarfi ko kuma lokacin da hanya take buƙatar babban haɗari, kamar aikin tiyata wanda ya buƙaci babban ɓangare na hanji ya kasance a bayyane da kuma damar.

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Exploratory Laparotomy Game da Exploratory Laparoscopy

Wani labarun binciken bincike shine sunan da aka ba dakin tiyata na ciki wanda yayi amfani da shi don nazarin kwayoyin jikin da ƙwayoyin jiki yayin da ba a tabbatar da ganewar asali ba. Idan tushen matsalar matsala ba a bayyane yake ba, bincike na gani na ɓangaren na ciki zai taimaka.

A baya, an yi amfani da laparotomy mai bincike don "ciwon ciki na asali da ba a sani ba," lokacin da gwaji bai samu nasara ba wajen tantance dalilin ciwo. Haka kuma an yi shi don dalilai da dama, ciki har da ciwo, wanda ake zargi da cewa ciwon daji ko wasu yanayi waɗanda gwaji ba zai iya gano asali ba.

A yau, ana amfani da matakan da yafi dacewa da yawa fiye da wannan hanyar da aka bude. Lokacin da ake aiwatar da tsari tare da fasaha marasa rinjaye, an kira shi wani mai ladaroscopy

Binciken tawakai, a gaba ɗaya, ba shi da na kowa fiye da yadda yake a baya saboda karfin da aka samu don samun hotuna na jikin ta hanyar amfani da Magnetic Resonance Imagine (MRI), Computer Tomography (CT Scans) da kuma sauran fasahohi. Hakanan zamu iya bincikar abubuwa ba tare da dubawa ba kuma muna iya gani, kuma ana iya magance matsalolin da yawa tare da magani fiye da maƙala.

A wasu lokuta, likitan likita zai iya gano dalilin matsalar matsalar ciki kuma kammala aikin bincike ba tare da wani magani ba. Za a iya tattauna bayanan lokacin da mai haƙuri ke farkawa da kuma faɗakarwa, kuma an tsara tsari na kulawa. Alal misali, idan an gano wata mace mai tsanani na kyamaran ovarian a cikin laparotomy, likitan likita zai iya yanke shawara akan tattaunawar da kuma canza tare da mai haƙuri kafin ya ci gaba da ciwo.

A lokacin da ake yada labarun, ana iya amfani da samfurori a cikin hanyar da ake kira biopsy . Anyi wannan don taimakawa tare da ganewar asali na matsalolin ciki yayin da za'a iya nazarin nama a ƙarƙashin kwayar halitta kuma za'a iya gano wannan batu a wannan hanya.

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Dalilai Ga Laparotomy ko Laparoscopy

Dalilai Ga Laparotomy

Labaotomy shine babban suna don aikin da aka yi a cikin ciki. An yi amfani da kalmar amfani da labarotomy a lokaci-lokaci don bayyana hanyar da ake amfani dasu don sanin yanayin rashin lafiya. Alal misali, idan mai ciwon ciwon ciwon ciki da kuma tushen wannan jinƙan ba ya bayyana ba, sai likita zai tsara wani labarun bincike.

Dalilai na Ƙari Ga Laparotomy:

Ƙananan da ƙananan ƙwaƙwalwa : Tsinkaye a cikin hanji, gyare-gyaren hanji, ciwon daji,

Harkar : Raunin zuciya, cirrhosis, hanta girma, buƙatar stenting.

Tsarin Urinary-Kodan, Ureters da Bladder : Jigilar jini kamar su koda, ciwon daji, ciwo

Tsarin Harkokin Harkokin Mata : Endometriosis, ciwon daji, ciki mai ciki, ƙonewa

Gallbladder : An yi amfani da shi ta hanyar amfani da ƙananan hanzari, a cikin yanayin da zai iya cire shi ta amfani da fasaha ta bude

Spleen : Cutar, tayi girma, rupture

Pancreas : Kumburi na pancreas, ciwon daji

Janar gwargwadon ciki : Cututtuka irin su ciwon ƙwayar cuta , ciwon daji, cututtuka, ƙonewar kyallen takalma, don sanin ƙaddamar da tsarin cuta, adhesions daga hanyoyin da suka wuce

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Hanyar Tashin Lafiya na gaggawa

Yayinda za'a iya yin wani layi, to ma'anar cewa mai haƙuri yana fuskantar yanayin barazanar rai kuma ana buƙatar laparoscopy don tantance yanayin matsalar, don magance matsalar ko duka biyu. Matsalar na iya zama zub da jini daga asalin da ba a sani ba, lalacewa ga kwaya ko ma zub da jini wanda ba za'a iya sarrafawa ba ko da yake an san dalilin.

Hanyar da ake yi akai-akai bayan raunin cututtukan da ya haifar da ciwo na ciki shine zurfin tsabtace jiki (DPL). Wannan shi ne inda an sanya karamin incision a cikin ciki kuma an rufe rami na ciki da ruwa. Idan ruwan ya fito daga jiki tare da yawan jini, za'a iya nuna laparotomy. DPL ba ta gano asalin mawuyacin cutar ba amma ya nuna zub da jini. Laparotomy zai gano cutar ta kuma likita zai iya gyara matsalar.

Rashin lafiya, irin su hatsarin mota ko ciwon raunuka (matsakaici ko karar raunuka) yana haifar da ciwo na ciki wanda dole ne a bincikarsa ko a bi da shi tare da laparotomy. A cikin waɗannan lokuta ana iya bayyana cewa akwai mummunan rauni na ciki, duk da haka, gabobin, tasoshin da takalma a ciki bazai kasancewa a fili ba. A cikin wadannan lokuta, likitan likita zai iya ganin kullun da kuma bincikar matsalar, kuma a mafi yawan lokuta, zamu magance matsalar.

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Laparotomy: Risks and Complications

Bugu da ƙari, irin hadarin da ke tattare da tiyata da kuma hadarin rashin lafiya , duka laparoscopy da laparotomy sun sanya kansu kasada. Hadarin ya bambanta dangane da matsalar da ke da mahimmanci da ke haifar da hanyar da ake bukata, amma ƙalubalen da aka ƙayyade ga hanya shine:

• Kamuwa da cuta
• Harkokin hernia
• Bleeding daga wurin tiyata

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A lokacin Laparotomy da Laparoscopy Tsarin

Labarotomy ko laparoscopy farawa tare da gudanar da aikin rigakafi. Da zarar anesthesia ya tasiri, fata na ciki an shirya tare da maganin antibacterial don hana kamuwa da cuta a shafin yanar gizo.

Dipikita zai yi incision. Idan ciwon yana cikin ƙananan ƙananan ciki a kan shafi, za a sanya incision a cikin wannan yanki.

Idan an yi amfani da laparoscopy na ƙananan ƙananan ƙwayoyin, an sanya wasu ƙananan raƙuman da ba su da mitoci na tsawo ba, idan an shirya laparotomy, za'a yi babban babban incision.

Idan za'a yi amfani da babban haɗuwa, mai yiwuwa yana iya zama mai launi na tsakiya, wanda yake shi ne kwakwalwa wanda aka sanya a tsakanin sashin kasusuwan da kuma ƙarƙashin sternum, da kuma karkatacciyar haɗuwa, wanda aka sanya a fili.

A wasu lokuta, haɗuwa zai iya zama ƙananan a farkon tiyata kuma sai ya kara girma kamar yadda ake buƙatar kammala cikakkun hanyoyin bayan an gano asali. A wasu lokuta hanya mai mahimmanci ƙin ƙila za ta iya zama hanyar budewa idan likita mai fiɗa yana buƙatar ɗaki don duba batun ko aiki.

Da zarar an yi gyare-gyare, za a bincika gabobin da kyallen takarda don alamun cutar, kamuwa da cuta ko kumburi. Za a iya amfani da kwayoyin halittu daban-daban kamar yadda ake bukata. A wasu lokuta, kogin na ciki zai iya "wanke," inda aka sanya ruwa a cikin ciki, sannan a tattara don ƙarin nazarin.

Da zarar an duba kwayoyin halitta da kyallen takalma na ciki, sashen "dubawa da gani" na hanya ya wuce; Duk da haka, a lokuta da yawa, za'a ƙara yin wani tsari. Alal misali, ana yin laparotomy don gano tushen ciwo na ciki, kuma an sami ƙarin shafi na flamed, za a haɗa shi da aikin kwaskwarima tare da laparotomy.

Za'a iya rufewa a cikin hanyoyi masu yawa. Yawancin abubuwa da yawa ana rufe su da sutures ko staples, ƙananan ƙila za a iya rufe su tare da tube mai launi da ake kira sifa-sifa ko man shafawa. An rufe shi da suturar bandarar bakararre. An dakatar da ciwon rigakafi kuma an ba da magani don farkawa mai haƙuri, wanda aka kai shi zuwa yankin maida.

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Cikewa daga Laparotomy

Maidawa daga hanyar laparotomy ya bambanta daga haƙuri zuwa haƙuri. Wannan shi ne saboda yawancin matsalolin da suke yin tiyata. Kullum magana, hanya mai rikitarwa wanda ke da laparotomy kuma babu wani ƙarin tsari yana bukatar makonni 2 zuwa 6 na lokacin dawowa kafin dawowa zuwa ayyukan al'ada. Wannan zai iya ƙaruwa sosai ta hanyoyi da suka dace bayan an gane asali.

Marasa lafiya waɗanda ke da labarrot kuma suna da mummunan yanayi (mai haƙuri da ke cikin hatsarin motar da kasusuwa da jini da jini na ciki wanda ke buƙatar laparotomy) na iya daukar lokaci mai tsawo don warkar daga tiyata. Jiki yana aiki don warkar da raunuka da yawa a lokaci daya, don haka yawancin lokacin warkar da aka kara. Wasu matsalolin da suke sanya lakarotomy wajibi ne na iya jinkirta waraka. Mai haƙuri wanda ke da ciwon daji zai iya samun sauƙin sake dawowa yayin da magani don ciwon daji zai iya farfadowa da sake dawowa. Hakanan gaskiya ne lokacin da samun ƙarin aiki tare da laototomy.

Da zarar an fitar da shi daga asibiti don dawowa a gida, yana da muhimmanci a dauki kulawa ta musamman don hana kamuwa da cuta da kuma kulawa da kulawa . Kamuwa da cuta yana daya daga cikin matsaloli mafi yawa na wannan tiyata, don haka san yadda za a gano alamun kamuwa da cuta yana da muhimmanci. Yi shirin yin gyaran fuska lokacin da kake tashi daga zama ko wasu ayyukan da zasu kara matsa lamba na ciki don hana ciwo, dehiscence da kuma rage haɗari na hernia.

_Sources:

> Bincike na ciki. Cibiyoyin Lafiya na Ƙasar. 2006. http://www.nlm.nih.gov/medlineplus/ency/article/002928.htm