Isizathu sokuba Kuyenziwe, Yintoni eyenzekayo, kwaye ilindelwe ixesha lokubuyisela
I-laparoscopy ingasetyenziselwa ukuxilonga ukungabikho komntwana okanye ukunyanga ingxaki yokuzala. I-Laparoscopy yinkqubo yokuhlinzwa eyenza ukwenziwa kwesinye, ezimbini, okanye ezintathu ezincinci kwisisu, apho ugqirha ufaka i-laparoscope kunye nezixhobo zokucoca ezikhethekileyo. I-laparoscope yileyibhubhu elincinci, ene-fiber-optic, enokukhanya kunye nekhamera.
I-laparoscopy ivumela ugqirha wakho ukuba abone izibilini kwaye ngamanye amaxesha ayenze ukulungiswa, ngaphandle kokwenza ukukhangela okukhulu kunokufuna ixesha elide lokubuyisela kunye nokuhlala esibhedlele.
Ingaba okanye i-laparoscopy yokuxilongwa kufuneka iyenze okanye i-laparoscopy ifumaneke kumabhinqa angenasifo . Ukuba ibhinqa ibhekene nentlungu yeplavic , ngoko kuvunyelwene ukuba utyando lunokucetyiswa.
Nangona kunjalo, kwiimeko ezingabonakaliyo, okanye imeko apho ubuhlungu be-pelvic abuyinto ebalulekileyo, nokuba iinjongo zonyango olugqithiseleyo ingozi yinto yokuxoxisana.
I-Laparoscopy Iyaphakanyiswa nini?
Ugqirha wakho unokubonisa ukuhlinzwa okwenziwe nge-laparoscopic ekuncedeni ukuxilongwa ngenxa yokungabikho komntwana. Ngokuqhelekileyo, yenziwa kuphela emva kokuvavanywa kokungabikho kwengqondo , okanye ukuba iimpawu zokuqinisekisa iimvume.
I-laparoscopy ayifanele yenziwe rhoqo, nangona kunjalo.
Izizathu ezinokwenzeka ukuba ugqirha unokucebisa i-laparoscopy yokuxilonga iquka:
- Ufumana iintlungu ngexesha lokwabelana ngesondo
- Unesiqhwala esinesiqhwaba sokunyuka komzimba okanye ubuhlungu be-pelvic ngamanye amaxesha kumjikelezo wakho
- I- endometriosis enqabileyo iyakrokrelwa
- Izifo ezithintekayo zepelvic okanye ukuxhomekeka okukhulu kweplavic
- Ugqirha wakho uyakrokra ukukhulelwa kwe- ectopic (leyo ingasongela ubomi xa ingashiywa ingaphendulwa)
Ngokuqhelekileyo (kodwa kungekho rhoqo), ukuba i-laparoscopy yokuxilonga ifumanisa iingxaki, ugqirha ozalisayo uza kulungisa, ukususa okanye ukuphatha umcimbi ngokukhawuleza.
Ukuhlinzwa okwenziwa nge-Laparoscopic kunokusetyenziselwa ukuphelisa ezinye izimbangela zokusweleka kwabantwana.
Ugqirha wakho unokucetyiswa ukuba utyunjwe ukuba
- Hydrosalpinx u krokrelwa. Olu luhlobo oluthile lwebhulogi elalibiweyo . Ukususwa kwebhubhe echaphazelekayo kunokuphucula izinga lokuphumelela kwe-IVF .
- Iipompoli ze-Endometrial zikhankanywa ngokunciphisa ukuzala kwakho. Oku kunengxabano, kunye noogqirha abathi ukususwa kuqinisekisiwe kuphela ukuba unentlungu, kwaye abanye bathi bayakwazi ukuphucula amazinga okuphumelela kokukhulelwa kwaye kufanelekile ukwenza nangona ubuhlungu be-pelvic abuyiyo ingxaki.
- Utyando luyakwazi ukuvula okanye ukulungisa i-tube fallopian. Iingeniso zempumelelo ziyahluka kakhulu xa kuziwa ukulungiswa kwe-tubal. Ukuba i-IVF iya kufunwa nangemva kokuhlinzwa, ngokuya ngqo kwi-IVF yinto ekhethekileyo. Ukuba le ntokazi incinci kwaye yonke into ebonakalayo ibonakala iyilungileyo, ukulungiswa kocwangco kungafaneleka ukuzama kuqala.
- I-cyst ye-ovari iyaxelwa ukuba ibangele intlungu okanye ivimbele iibhulo ezikhohlakeleyo. Ngamanye amaxesha, i-cyst ene-ultrasound-ithotshelwe inaliti ingcono. Ukususwa kwe-cyst enkulu ye-endometrial ovarian iyanciphisa i- ovarian reserves . Ugqirha wakho kufuneka axoxe ngale nto nawe.
- I- fibroid ibangela ubuhlungu , ukuphazamisa umthamo we-uterine, okanye ukuvimbela izigulane zakho.
- Unayo i-PCOS kwaye ugqirha wakho uncoma ukubola kwe-ovarian. Ukufakela i-ovarian i-laparoscopic kubandakanya ukwenza ama-punctures amancinci amathathu ukuya kwezi-8 ukuya kuma-ovari. Kuyabasetyhini abane-PCOS abangakhange baqulunqe iziyobisi zonyango , le nkqubo inokubenza bakwazi ukuzenzela. Nangona kunjalo, ingozi ayinakugqithisa izibonelelo, kwaye ukusetyenziswa kwayo kuxabana.
Kutheni Kubalulekile?
Ezinye izizathu zokungabikho kwengqondo zifumaneke kuphela nge-laparoscopy. (I-Endometriosis, umzekelo.) I-laparoscopy ivumela ugqirha wakho ukuba angaboni nje kuphela ngaphakathi ngaphakathi esiswini sakho kodwa kunye nokukhula okukrokra okanye i-cysts.
Kwakhona, ukuhlinzwa okwenziwe nge-laparoscopic kunokubangela ezinye izizathu zokungabikho kwengqondo, kukuvumela ithuba elingcono lokukhulelwa ngokuqhelekileyo okanye ngokunyanga .
Nangona kunjalo, isizathu esibaluleke kakhulu sokuhlaziya i-laparoscopy kukuba ngaba ufumana intlungu yeplavic.
I-laparoscopy ingasetyenziselwa ukususa izicubu ezinqabileyo, i-fibroid, okanye i-deposometer deposits ezibangelwa intlungu.
- Ndingazi njani ukuba ii-Cramps zam ziyinto engavamile?
- Ngaba Iimvula Zesiqhwaba Ziyakwenza Unzima Ukuba Ukhulelwe?
Kwenziwe Njani?
I-laparoscopy yenziwa esibhedlele phantsi kwe-anesthesia jikelele. Nangona ngamanye amaxesha kunokwenzeka ukuqhuba i-laparoscopy yokuxilonga kwiofisi yekliniki yokuzala, oku akukhuthazwayo. Kwiofisi yeofisi, ukuba kukho into efunyenweyo ngexesha le nkqubo, kuya kufuneka ube nenkqubo kwakhona kwisibhedlele esibhedlele sokulungiswa.
Ugqirha wakho uya kukunika imiyalelo malunga nokulungiselela ukuhlinzwa ngaphambili. Mhlawumbi uya kuxelelwa ukuba ungadli okanye ungaphuze kwiiyure ezili-8 okanye ngaphezulu ngaphambi kokuba utyunjwe, kwaye unokuyalelwa ukuba uthathe i-antibiotics.
Xa ufika kwisibhedlele, uza kufumana i-IV, ngokusetyenziswa kwamanzi kunye namayeza okukunceda ukuphumla uya kuhanjiswa. I-anesthesiologist izakubeka imaski phezu kobuso bakho, kwaye emva kokuphefumula igesi elimnandi kumzuzu embalwa, uya kulala.
Emva kokuba i-aneshesia iphumelele, ugqirha uya kwenza inqabileyo encinci ngebhodi yakho yesisu. Ngalolu hlobo, inaliti iya kusetyenziswa ukuzalisa isisu sakho ngegesi ye-carbon dioxide. Oku kunika igumbi lugqirha ukuba ubone amaziko kwaye ahambise izixhobo zokugada.
Emva kokuba isisu sakho sigcwaliswe ngegesi, ugqirha uya kubeka i-laparoscope ngokuqhawula ukujonga ngeenxa zonke kwizitho zakho zeplavic. Ugqirha unokuthi uphinde uhlalutye izicubu zokuhlola.
Maxa wambi amaxesha amancinci amabini okanye amathathu athatyathwa ukwenzela ukuba ezinye izixhobo zokucoca ezincinci zingasetyenziselwa ukulungiswa okanye ukuhambisa izitho ezijikeleze ukuba zibe nombono ongcono.
Ugqirha uza kuhlola iimbombo ze-pelvic kunye nezitho zomzimba zesisu. Uya kukhangela ubukho bama-cyst, i-fibroids, i-tissue okanye i-adhesion, kunye nokukhula kwe-endometri. Uya kujonga kwakhona umlo, umbala, kunye nobukhulu bezitho zokuzala.
Idayi inokuthi ijojowe ngomlomo wesibeleko, ngoko ugqirha unokuhlola ukuba ngaba iibhubhu ze-fallopian zivulekile.
Nangona kungekho zibonakaliso ze-endometriosis okanye ezinye iingxaki zifunyenwe, ugqirha unokususa isampula yeesisindo ukuba ihlolwe. Ngamanye amaxesha, i- endometriosis enobumnene kakhulu i-microscopic kwaye ayibonakali isohlo kunye nekhamera ye-laparoscopic.
Ukuba ukukhulelwa kwe-ectopic kukhankanywa, ugqirha uya kuhlola iingcambu ze-fallopian zokukhulelwa okungavamile.
Uza kuziva njani?
Ngexesha lotyando lwe-laparoscopic, uya kuba phantsi kweempembelelo ze-anesthesia jikelele, ngoko akufanele uve neentlungu, okanye ukhumbule inkqubo.
Xa uvuka, unokuba nomqala obuswini. Oku kubangelwa yi-tube ebeka phantsi umqala wakho ukukunceda ukuphefumula ngexesha lotyando. (Le bhubhe isuswa ngaphambi kokuba uvuke).
Kuyinto evamile ukuba ummandla ojikeleze ukutyunjwa ukuba uzive utyhefu, kwaye isisu sakho sinokuva utyeshelo, ngakumbi ukuba ugqirha wakho ususa amaninzi amanxeba. Unokuziva unqabile kwi-gas dioxide gas, kwaye unokuba nobuhlungu obunzima ehlombe lakho. Oku kufuneka kuhambe ngeentsuku ezimbalwa.
Nangona mhlawumbi uya ekhaya ngenye imini njengoko utyando lwakho, kufuneka uceba ukwenza lula lula ubuncinane omnye okanye iintsuku ezimbini. Unokudinga iiveki okanye ezimbini ukuba ufumane kwakhona xa kulungiswa ezininzi. Qiniseka ukuba uthethe ugqirha kwizinto ozilindele.
Ugqirha wakho unokunika umyalelo wonyango kunye namayeza.
Kufanele uqhagamshelane nodokotela wakho ukuba ngokukhawuleza ukuba ...
- Ufumana ubunzima obunzima okanye obunzima besisu
- Uphuhlisa umkhuhlane we-101 okanye ngaphezulu
- Kukho ukuqhuma okanye ukuphuma kwamanzi kwiziko lokungena
Mngcipheko
Njengoko nayiphi na inkqubo yokucubungula, i-laparoscopy iza neengozi.
Ngokwe-American Society of Medicine Reproductive, omnye okanye amabini amabhinqa kuwo onke ama-100 unokuhlakulela ingxaki, ngokuqhelekileyo yincinci.
Ezinye iingxaki eziqhelekileyo ziquka:
- usulelo lwesisu emva kokuhlinzwa
- ukuthukuthela kwesikhumba malunga neendawo zokubakho
Ezinye izinto eziqhelekileyo, kodwa ezinokwenzeka, iingozi zibandakanya:
- ukwakheka kwamanyathelo
- ii-hematomas zodonga lwesisu
- sulelo
Iingxaki ezinzulu aziqabile, kodwa ziquka:
- umonakalo kwizitho okanye kwimithambo yegazi efunyenwe kwisisu (mhlawumbi utyando olungakumbi luyadingeka ukulungisa umonakalo obangelwayo.)
- impendulo
- umonakalo wesondlo
- ukugcinwa kwamanzi
- iifutha zegazi
- nezinye iingxaki ze-anesthesia
- ukufa (malunga ne-3 kuyo yonke i-100,000)
Ukuba iziphumo aziqhelekanga
Ngokuxhomekeka kwinto engalunganga, ugqirha unokunyanga ingxaki ngexesha lotyando olufanayo. Ukunyuka, ukukhula kwe-endometrial, i-cysts kunye ne-fibroids kunokususwa kwezinye iimeko.
Ukuba ama-tublopian tubes avaliwe, anokuvulwa, ukuba kunokwenzeka. Ukuba kutholakala ukukhulelwa kwe-ectopic, ugqirha uya kususa ukukhulelwa okungavamile nokulungisa nayiphi na umonakalo wesisu. Unokudinga ukususa yonke ityhubhu ye-fallopian.
Emva kokuhlinzwa, ugqirha wakho uya kuchaza ukuba zeziphi ukhetho lwakho lokukhulelwa. Ukuba unokwakheka i-fibroids okanye i-fallopian tube yalungiswa, unako ukuzama ukukhulelwa ngaphandle koncediso.
Kwakhona, kwimeko ye-endometriosis okanye i-PID, ukususwa kweethambo ezibomvu kunokukwenza ukuba ukhulelwe ngaphandle kokonyango.
Ukuba emva kweenyanga ezimbalwa emva kokuhlinzwa ungakhulelwa ngokwakho, ugqirha wakho unokuncoma unyango lokuzala .
Imithombo
I-Endometriosis ne-Infertility: Ingaba Uncedo Lokuhlinzwa? Iphepha loLwazi lweMonde. Umbutho waseMelika weMithi yokuzala.
> Kuohung, Wendy. Hornstein, uMark D. "Ukuphononongwa kweNtsholongwane engekho. "UpToDate.com.
I-Laparoscopy kunye ne-Hysteroscopy: Isikhokelo sabathinteli. Umbutho waseMelika weMithi yokuzala.
> Tulandi, Togas. "Ukuvuthwa koBuchule beSetyhini. "U