Tare da taimakon kayan aiki na musamman (laparoscope), bayan ƙananan haɗari a kan rami na ciki, yana yiwuwa a gudanar da binciken binciken shi a cikin ilimin hawan gynecology (ilimin laparoscopy) da ƙananan ƙwayoyin maganin gynecology (miki ko aikin laparoscopy).
Indiya ga laparoscopy a gynecology
Alamun farko don laparoscopy:
- rashin jahilci a cikin mata (don ganewar asali na ƙetare na ɓangaren fallopian tubes da kuma kawar da su, dissection of adhesions);
- ƙananan cututtuka a cikin gynecology (ciki mai tsauri, m appendicitis, ovarian apoplexy);
- kawar da kyakyar ovarian, tumatir na mahaifa da ovaries, polyps, fibroids na mahaifa;
- ligation daga tubes na fallopian a lokacin bakarawa;
- kau da mahaifa da ovaries;
- ganewar asali da kuma maganin endometriosis na ovaries da peritoneum;
- ganewar asali da kuma maganin polycystic ovaries, abubuwanda ke ci gaba da mahaifa , kwayoyin halitta na mahaifa;
- shiri IVF.
Haka kuma akwai wasu takaddama ga laparoscopy a gynecology:
- hali na zub da jini (tare da hemophilia, diathesis hemorrhagic);
- cututtukan da aka ƙaddamar da cututtuka na zuciya, na numfashi, hanta da kodan;
- m cututtuka;
- purulent peritonitis;
- hawan daji na diaphragmatic;
- girgiza ko coma;
- m ciwace-ciwacen daji a gynecology;
- matsanancin kiba.
- yanayin bayan aiki na cavitary ko tsari mai dadi a cikin rami na ciki.
Shirye-shirye don laparoscopy a gynecology
Baya ga horo na kai tsaye, akwai gwaje-gwaje da gwaje-gwaje da yawa da dole ne a gudanar a ranar da laparoscopy. Wadannan sun hada da gwagwarmayar jini da fitsari, bincike mai tsanani ga qwai da tsutsotsi, gwajin jini (dole ne jini), gwaje-gwaje don syphilis, HIV, maganin cutar ciwon daji, maganin gynecology na gaba da fure, ƙwallon ƙafa, talabijin, ECG, ƙarshe na mai ilimin hanyoyin kwantar da hankali.
Peredoperatsionnaya shiri ne rage cin abinci kafin laparoscopy a gynecology, matalauta a cikin fiber, ba haddasa bloating. A tsakar rana, ana yin tsabtace tsabtace rana, kuma a ranar da ake tilastawa an hana shi da abinci da sha ruwa, ya rubuta premedication.
Aikin laparoscopy a gynecology
Tare da laparoscopy, an shigar da trocar ta hanyar karkata a cikin yanki na duniyon 10 mm (ta hanyar da shi, an saka laparoscope tare da kyamarar bidiyon), kuma a cikin yankin pelvic - biyu trocar d 5 mm na kayan kida. Shigar da murfin carbon carbon dioxide don samun sauki ga gabobin. Tare da taimakon kayan aiki, anyi amfani da magungunan da ake bukata. Bayan haka, ka dakatar da zub da jini kuma ka yi amfani da sutura ga raunuka.
Laparoscopy a cikin gynecology: timeoperative zamani
Bayan tiyata, ranar likita ta kasance karkashin kulawar likitocin don hana ci gaba da rikitarwa. Bayan laparoscopy, zubar da jini na ciki mai tsanani zai iya bunkasa, a lokacin aiki, sassan jiki ko jini zai iya lalacewa, aikin zuciya ko huhu zai iya rushewa ta hanyar shigar da carbon dioxide a cikin rami na ciki. Daga cikin rikice-rikice na ƙarshe, cigaban bunkasa subhypema yana iya yiwuwa a yanayin saukowar gas a ƙarƙashin fata, thrombosis na tasoshin ɓangaren na ciki.
Amfanin laparoscopy
Amfani da wannan yaduwa shine karamin ciwon baya, wani karamin aiki, rashin ciwo da ciwo a lokacin jinkirta, ƙananan ƙananan jini tare da shigarwa, wani ɗan gajeren lokaci, da yiwuwar ganewar asali da magani a lokacin shigarwa. Rashin haɓaka shi ne ƙwayar cuta ta jiki a yayin shigarwa, kuma tare da kuskuren tabbatar da alamun ko ci gaba da rikitarwa, yana yiwuwa a samar da buƙatar fassara fasalin laparoscopic a cikin ɓangaren na kowa.