Irin wannan hanya mai mahimmanci na aiki, a matsayin laparotomy, sau da yawa ana amfani dashi a cikin gynecology, yana da damar budewa zuwa gabobin da ke cikin ƙananan ƙananan kwalliya, kuma ƙananan haɗari suna aiki a ciki.
Yaushe ake amfani da laparotomy?
Ana amfani da laparotomy lokacin da:
- ovarian cysts - cystectomy;
- kauce wa nodes na damuwa - myoectomy;
- extirpation na mahaifa tare da appendages ;
- m magani na endometriosis;
- Ƙasar Caesarean.
A yayin da ake gudanar da labarun, likitocin likitoci sukan gano magunguna daban-daban, irin su: ƙonewa na gabobin da ke cikin ƙananan ƙwayar cuta, ƙonewa na appendix, apparice, ciwon daji na ovaries da appendages na mahaifa, kafawar adhesions a cikin yankin pelvic. Sau da yawa ana amfani da laparotomy lokacin da mace ta tasowa ciki .
Iri
Akwai nau'in laparotomy da dama:
- Ana gudanar da aikin ne ta hanyar haɗakarwa ta tsakiya. A wannan yanayin, an sanya wani shinge tare da layin daidai a tsakanin cibiya da kasusuwan. Ana amfani da wannan hanyar laparotomy don cututtuka na tumo, misali, a cikin myomas uterine. Amfani da wannan hanyar ita ce likitan likita zai iya fadada incision, a kowane lokaci, don samun damar yin amfani da gabobi da kyallen takarda.
- Laparotomy bisa ga Pfannenstil ita ce hanya mafi girma da aka yi amfani da shi a fannin gynecology. An sanya haɗuwa tare da ƙananan ƙananan ciki, wanda ya ba shi izini ta ɓoye kanta kuma bayan warkar da shi, ƙananan ƙwayar da ya rage ya kusan yiwuwa a gani.
Babban amfani
Abubuwan da ake amfani da su a cikin laparotomy sune:
- fasahar ƙwarewar aiki;
- ba ya buƙatar kasancewar kayan aiki masu galihu;
- Ya dace wa likitan likita, wanda yake yin kwakwalwa.
Differences a cikin laparotomy da laparoscopy
Yawancin mata sukan gano hanyoyi biyu daban daban: laparoscopy da laparotomy. Babban bambancin dake tsakanin wadannan ayyukan biyu shine cewa laparoscopy an yi shi ne musamman don manufar ganewar asali, kuma laparotomy ya riga ya zama hanyar hanyar kai tsaye, wanda ya haɗa da cirewa ko haɗari na jikin kwayar halitta ko kayan jiki. Har ila yau, a lokacin da ake aiwatar da laparotomy a kan jikin mace, an yi babban katako, bayan haka sai suma ya zauna, kuma lokacin da laparoscopy akwai ƙananan raunuka da aka ƙarfafa bayan makonni 1-1.5.
Dangane da abin da aka aikata - lapaotomy ko laparoscopy, kalmomin gyaran su daban. Bayan laparotomy, daga makonni ne zuwa 1, kuma tare da laparoscopy mai haƙuri ya koma rayuwa ta al'ada bayan makonni 1-2.
Sakamakon laparotomy da yiwuwar rikitarwa
Lokacin yin irin wannan aiki a matsayin tsinkayyar mahaifa, zai yiwu ya lalata ƙananan ƙwayoyin kwakwalwa. Bugu da ƙari, hadarin adhesions bayan tiyata yana ƙaruwa. Wannan shi ne saboda a lokacin da ake amfani da na'urorin motsa jiki na aikin tiyata tare da peritoneum, sakamakon haka ya zama mummunan jini, kuma spikes ya kasance a kanta, wanda "hada" da gabobin tare.
Lokacin gudanar da laototomy, za'a iya samun matsaloli irin su zub da jini. An lalacewa ta hanyar rushewa ko lalata gabobin (rupture na tubes fallopian), yayin yin aikin cavitary. A wannan yanayin, wajibi ne don cire dukkan kwayoyin, wanda zai haifar da rashin haihuwa.
Yaya zan iya shirya ciki bayan laparotomy?
Dangane da abin da kwayar halitta daga tsarin haifuwa ta yi amfani da ita, kalmomin bayanan da zai yiwu a yi juna biyu ya bambanta. Gaba ɗaya, ba'a bada shawara don tsara ciki a baya fiye da watanni shida bayan lapaotomy.