Kuvhiya kwakadaro kwekushanda, separapotomy, inowanzoshandiswa muhutano hwemadzimai, inosvika pakasununguka kune nhengo dziri munharaunda duku, uye inoshandiswa nekoduku kadiki pamimba.
Inguva ipi yekuparara inoshandiswa?
Laparotomy inoshandiswa apo:
- ovarian cysts - cystectomy;
- kubviswa kwemaomatous nodes - myoectomy;
- kubviswa kwechibereko chechibereko nemakwenzi ;
- kuporesa kurapwa kwe endometriosis;
- Chikamu cheKesariya.
Mukuita kuraparotomy, vanachiremba vanowanzoona zvirwere zvakasiyana-siyana, zvakadai sokuti: kuputika kwezvikamu zviri mumucheto maduku, kuputika kwezvinyorwa (appendicitis), kenza yemavhiya uye zvinyorwa zvechibereko, kuumbwa kwekubatanidza mumatunhu ekudzivirira. Kakawanda kurapa inoshandiswa apo mukadzi anotanga ectopic pamuviri .
Aina
Kune marudzi akawanda eparparotomy:
- Basa racho rinoshandiswa nechomukati chinonzi incision. Muchiitiko ichi, kusanganisa kunoitwa pamwe chete nemutsara chaiyo pakati pembezi uye pubic bone. Iyi nzira yekurapa inowanzoshandiswa kune zvirwere zvemuviri, semuenzaniso, muuterine myomas. Kubudirira kweiyo nzira ndeyokuti chiremba anokwanisa panguva ipi zvayo kuwedzera kuvhara, nokudaro kuwedzerwa kuwanika nhengo nenyama.
- Laparotomy maererano naPfannenstil ndiyo nzira inoshandiswa mumagynecology. Iko kunokonzerwa kunoitwa pamwe nechezasi kwemuviri, iyo inobvumira kuti izvivanze zvachose uye shure kwekuporesa, zvakasara zvishoma zvishoma hazvigoni kuona.
Izvo zvinobatsira zvikuru
Izvo zvinobatsira zvakanyanya zveparparotomy ndezvekuti:
- technical simplicity of the operation;
- hazvirevi kuvapo kwezvishandiso zvakaoma;
- Zvakanaka kune chiremba, uyo anoita chirongwa chokuvhiya.
Kusiyanisa mune laparotomy uye laparoscopy
Vakadzi vazhinji vanowanzoona nzira mbiri dzakasiyana dzokuvhiya: laparoscopy uye laparotomy. Kusiyana kukuru pakati pemabasa maviri aya ndeyekuti laparoscopy inowanzoitwa nechinangwa chekuongororwa, uye laparotomy inenge iri nzira yekutsanangurira zvakananga kupindira, iyo inosanganisira kubviswa kana kusagadzikana kwechirwere chechirwere kana tisi. Uyezve, kana uchitakura laparotomy pamuviri womukadzi, kuiswa kukuru kunoshandiswa, mushure mokunge ganda rinoramba riripo, uye apo laparoscopy imomo maronda maduku akaomiswa mushure memavhiki 1-1,5.
Zvichienderana nezvakaitwa - laparotomy kana laparoscopy, mazwi ekugadziriswa akasiyana. Pashure pekuparara, inobva kumavhiki mashomanana kusvika mwedzi mumwe, uye ne laparoscopy murwere anodzokera kuhupenyu huripo mushure mevhiki mbiri.
Migumisiro yeparparotomy uye zvinogona kuoma
Paunenge uchishanda saizvozvo separparotomy yechibereko, zvinokonzera kukanganisa nhengo dzemuviri dzepedyo. Mukuwedzera, njodzi yekubatwa mushure mekuvhiyiwa inowedzera. Izvi ndechokuti panguva yekuvhiya maivhiyamu ekuvhiya anosangana ne peritoneum, semugumisiro wekuti inosvibiswa, uye mafomu emashiripiti pairi, iyo "inononga" nhengo pamwe chete.
Paunenge uchitisa laparotomy, pangava nechinetso chakadai sokubuda ropa. Inokonzerwa nokuparara kana kukanganisa kune nhengo (kuputika kwemafuropian tubes), pavanenge vachiita basa rekugadzira magetsi. Muchiitiko ichi, zvakakosha kubvisa nhengo yose, iyo inotungamirira kukusafa.
Ndingave rini rini kuronga pamuviri mushure mekuparara?
Zvichienderana nechikamu chipi kubva pamuviri wekubereka chakatanga kushanda kupindira, mazwi anogoneka kuti ave nepamuviri anosiyana. Kazhinji, hazvikurudzirwi kuronga pamuviri pepfuura mwedzi mitanhatu mushure mekuparara.