Laparotomy yePfannenstil

Laparotomy yePfannenstil inoshandiswa zvakanyanya mukupindira kwebasa pane zvepabonde. Kuwanika nePfannenstil zvinoreva chikamu chemuchinjikwa munharaunda yemapapuubhi. Muchiitiko ichi, mutsindo uri pedyo nemutsara we "bikini" uye naizvozvo haisi kuonekwa.

Basic stages

Neparparotomy maererano naPfannenstil zviito zvinotevera zvinoitwa:

1. Cheka ganda muchitsiko chemukati. Iko kusungirirwa pamwe chete nePfannenstiel kunoitwa anenge 3 cm pamusoro pekubatanidza kwepisic mafupa. Iyo yakareba inenge masendimita 11. Panguva imwechete, chiratidzo ichi chinoenderana nezvisizvo zvemuviri wemukadzi uye nehuwandu hwekuuya kwekupindira kwekuuya.
2. The aponeurosis inogurwa pamwe nepakati pepamuviri mudumbu.
3. Vanoputsa mishonga yemisumbu.
4. Bvisa peritoneum.
5. Wedzera kufambira nekukwevera micheka yakagadzirwa nemashonga chaiwo.
6. Zvisungo zvemukati zvakakomberedzwa ne napkins, kuitira kuti isasakonzera.
7. Somugumisiro, kunyatsogadziriswa kwepamuviri kwepamuviri muPfannenstil kunopa muongorori wakanaka uye kuwanika kumadzimai emukati maitiro.
8. Mushure mekuita kuvhiyiwa, mishonga yose yakasimbiswa necheriri.

Mukuwedzera kushayikwa kwezvipfeko zvekuzora mushure mekuvhiyiwa, chiitiko chisingawanzi chemashureas postoperative chinosanganisirawo.

Ndezvipi zvinodiwa kuti ushande kushandisa Pfannenstil?

Kana kurapwa kweparoscopic isingakwanisi, kuwanikwa kweparapotomic inoshandiswa. Chaizvoizvo, chikamu chekusiya ichi chinoshandiswa maererano naPfannenstil, uye mushure mokutora kuburikidza nehuwandu hwekuwanika, nguva yekushambadzira kwenguva inopera. Zviratidzo zvekushanda kwePfannenstil zvinorevawo uterine myoma, kupindira pane bladder.

Mushure mokuvhiyiwa

Chokutanga pane zvose, iwe unoda mazano akanaka. Kana zvakakodzera, nyora antibacterial drugs. Mumazuva ekushanda pashure pekuparara Pfannenstil anobvumirwa kugara pasi kwemaawa mashoma mushure mekupindira. Pakupera kwezuva rokutanga iwe unogona kusimuka nerubatsiro, asi nekuchenjerera.

Nokuda kwe puerperas, zvakakosha kutanga kuyamwa munguva pfupi. Pazuva rokutanga hazvikurudzirwi kuti udye, unogona kungonwa mvura chete. Pazuva rechipiri, kudya kwakaderera-mafuta kunobvumidzwa. Asi nezuva rechitatu, iwe unofanirwa kudzokera kune zvakakwana zvekudya, izvo zvakakosha kune amai vanoyamwisa.

Vashandi vezuva roga roga vanogadzira kupfeka kwechiremera chinotevera. Mumamiriro ezvinhu akanaka, suture zvinhu zvinobviswa pakupera kwevhiki yekutanga.