Appendectomy - Yintoni le?

Unyango for appendicitis soloko ithetha umsebenzi imiwe. Ngaphambi kokuba ahlinzwe isigulane emiselweyo amalungiselelo: ukuhlolwa, yenza-x-reyi kunye nembali ultrasound isifundo. Kuphela emva kokuba iziphumo zophando ukuze uqhubeke appendectomy. Kukho iintlobo ezininzi lo msebenzi. Ngazo siza kuthetha ngakumbi ngako kwinqaku yanamhlanje.

Yintoni appendicitis?

Esi sifo etsolo ngotyando luphawulwa iintlungu esiswini, kunye iimpawu ukunxila. Lubonakala yi ukudumba isihlomelo - isihlomelo. Ebuntwaneni, uye ubesoloko ethatha inxaxheba nezifo yasekuhlaleni. Noko ke, lo msebenzi ilahlekileyo ngokuhamba kwexesha. Isihlomelo uba ifomu engenamsebenzi. Ngoko ke, ukususwa kwaso abaqhubeki zisifake ukuba eziphilayo.

Appendicitis idla olufunyanwa kubantu abatsha. Izinto ezibangela ukudumba nangoku ayaziwa. Oogqirha baye bavakalisa uqikelelo ezahlukeneyo kunye yeengcinga. Nangona elula emananga kokuxilongwa ityhila ukuba kusekwangoko kunzima. Pathology udla "ezigqunyiweyo" zezinye izifo, loo nto Nedlac ukuba. Kungakhathaliseki ukuba isizathu sokuba kukho appendicitis, appendectomy - luguqulelo kuphela unyango lwakhe.

Ubungqina obubonakalayo buxela ukuba Inyathelo

Appendectomy libhekisela iindidi ngoncedo, eziqhutywa qho ngexesha likaxakeka. Kulo mzekelo, uphawu esingundoqo utyando - ukudumba ngendlela oyingozi. utyando imbalo umiselwa kwimeko infiltrate appendicular. Le ngezifo, apho isihlomelo zidibana kunye sites isisu, omentum okanye peritoneum. Emva kokuba ingasekho (malunga iinyanga 2-3 ukusuka ekuqaleni esi sifo) utyando olwenziweyo. Ukuba iimpawu kunxilwe kukhula ngokuzenzekelayo kwenzeka komsipha ithumba kunye peritonitis ezilandelayo, isigulana abadinga ngoncedo kaxakeka.

Ukulungiselela inkqubo

Operation appendectomy awutsali ngaphezu kweyure enye. Ngexesha ungenelelo usebenzisa jikelele okanye Ukubulawa zasekuhlaleni. Ukukhethwa ngobuwena ethile luxhomekeke yomguli ubudala, imeko kunye ubukho ezimbi ezihamba. Ngokomzekelo, abantwana kunye nabantu abo utyebile, kwakunye yokugula ngengqondo okanye overexcitation luvo iingcebiso Ukubulawa jikelele. Izigulane somzimba ndayame zomzimba kukhethwa zasekuhlaleni. Olu didi lubandakanya abasetyhini abakhulelweyo, kuba zomzimba jikelele kunefuthe elibi ekukhuleni kosana olungekazalwa.

Appendectomy - lo msebenzi ngexesha likaxakeka. Akujongwanga ukuba babe nexesha elaneleyo lokulungiselela isigulane. Ngoko ke, ngaphambi kokuba ungenelelo A ubuncinane inani kohlolo: igazi nomchamo iimvavanyo, ultrasound,-X-reyi. Ukuze ngaphandle ezimbi ezithweni abasetyhini kucetyiswa kokubonisana ugqirha.

Kwangoko phambi kokuba ukusebenza esinyini catheter amisiweyo, lavage esiswini kwenziwa. Kuba kwesisu eboniswe enema. Zonke yokulungiselela awutsali ngaphezu iiyure ezi-2. Emva kokuqinisekisa lokufunyaniswa ugqirha kwakhona imisela ungenelelo lwalo ethile. Namhlanje, lo msebenzi kungenzeka ngeendlela ezininzi (zemveli, laparoscopy transluminal).

Ngamnye kubo uya zichazwe ngezantsi.

appendectomy yesintu

unyango Appendicitis ngale ndlela lungohlulwa lube iinxalenye ezimbini. Okokuqala, ugqirha ufumana ufikelelo kwi-intanethi, uze emva koko uyaqhubeka inkqubo wokususa cecum. Ukuphazamisa kuthatha ngaphantsi kweyure enye.

Ukuze ufumane ufikelelo isihlomelo asha, ugqirha yenza imbobo lolusu kwi ekunene kummandla iliac. Ubude bayo umenzi-7 cm. A incopho yothelekiso i ngongoma Mc Burneya. Emva asike esikhumba kunye namanqatha ugqirha engena ngqo kwisisu. Izihlunu ilahlwa ngaphandle ukusikwa. Lo mqobo wokugqibela lo peritoneum. Kwakhona besika phakathi yamasango.

Ukuba azikhuli kunye azikhuli kwi peritoneum ndingekho, wabe ugqirha ukuba kususwe eli cecum kunye appendix. Ukususa i appendix kunokwenzeka ngeendlela ezimbini: retrograde kunye antegrade. Le ndlela yokugqibela amaninzi kusetyenziswa. Kule lweengcali bandaging izitya mesenteric, inkqubo inyanzela ukubacinezela phezu kwesiseko, nangemini sutured amanxeba. appendectomy Retrograde lwenziwa ngolandelelwano eyahlukileyo. Okokuqala, ndinqumle isihlomelo, sawo ibekwe ukuya emathunjini, ukuba kongezwe kulo yaseZimbabwe. Emva koko izigaba specialist sutured neempahla mesenteric, lususwe. Imfuneko utyando enjalo ngenxa kwasendaweni le lwesihlomelo kwisithuba retroperitoneal , okanye ubukho azikhuli ezininzi.

appendectomy transluminal

Olu tyando kancinane wesibeleko esigqibeleleyo. Ukufikelela isihlomelo asha yenziwa ngokusebenzisa izixhobo eguqukayo ugqirha ifaka ngokusebenzisa orifices endalo umzimba.

Ungenelelo kungenzeka ngeendlela ezimbini: transvaginal okanye transgastralno. Kwimeko yokuqala, izixhobo elifakwa liqatywe encinane yelungu lobufazi, kwaye eyesibini - eludongeni esuswini. Olo tyando ineendlela ezininzi. Lubonakala yi kwithuba elincinane ngokwentelekiso yesiqhelo, ibuyambo ekhawulezileyo kunye nokungabikho kukuzo ebonakalayo. Ngelishwa, le nkqubo akwenziwanga belusenziwa eklinikhi qho yaye ngokukodwa basis.

appendectomy laparoscopy

Olu tyando kancinane invasive ihlelwa njengoko amakhambi ebubonisayo. It has iingenelo zilandelayo:

• ukuphatheka low;
• kungekho siphene izithambiso;
• ibuyambo ekhawulezileyo;
• ukusetyenziswa Ukubulawa lendawo;
• Amathuba phantsi iingxaki.

Kwelinye icala, appendectomy laparoscopy uye neengxaki ezininzi. Umzekelo, ukuze sibe nokumiliselwa ifuna izixhobo zexabiso, kwaye ugqirha kufuneka babe nolwazi olufanelekileyo. Kwiimeko kuyingozi kakhulu kwezonyango, ingakumbi xa peritonitis, oko akunakwenzeka kwaye kuyingozi.

Zeziphi iingongoma eziphambili yi appendectomy laparoscopy? Iinkqubo ukusebenza ibandakanya:

1. Enza okuhlatywa encinane inkaba. Ngaye, ugqirha ifaka laparoscope kwaye ahlole kwisisu ngaphakathi.
2. Le ndawo zikawonke wonke kunye hypochondrium ekunene Ukongezelela ukwenza ezinye amanxeba. Iyimfuneko ukulungiselela ukuqaliswa izixhobo zotyando. Ugqirha ubamba isihlomelo, amabhandeji kunye wazinqumla imithambo yegazi mesentery. Emva kwale nkqubo isusiwe emzimbeni.
3. liqhuba ukulungiswa ubeka zeengcali esiswini kwisisu yokukhupha amanzi, ukuba kuyimfuneko.

Kuphela kukwiimeko ezinqabileyo, yeengxaki ezinxulumene ne appendectomy laparoscopy. Ikhosi le nkqubo ilawulwa ngoogqirha eziliqela, ngoko ke isiphumo izithambiso ixhomekeke ngemizamo yabo kunye nezakhono.

sokubuyisa ixesha ekuphulukenwe

Ngexesha nokuvuselelwa ukubaluleka ibalulekileyo unonophelo isilonda. Zokubopha lwenziwa ngemini, kwaye ubukho amanzi esekwe - yonke imihla.

Izigulane ezininzi akhalaze kabi nkqu intlungu iiyure eziliqela emva kolo ngenelelo. Iimpawu ezinjalo zithathwa zendalo, abayi kuba esoyika. Kwiimeko kaxakeka ugqirha simisela analgesics nomonde.

izigulane amaninzi sokubuyisa ixesha ekuphulukenwe nalo ukhetha ukuba bagcine engqongqo alale, becaphula buthathaka. Oku engalunganga. I msinyane isigulane iqala ukuhamba, umngcipheko ngaphantsi yeengxaki. Nditsho ukuhambahamba ehlabathini ewadini okanye esibhedlele ivumela emathunjini ukuba bajoyine umsebenzi ngokukhawuleza.

Izimo

Lo msebenzi uye phantse akukho Izimo. Nangona kunjalo, ngenxa yehambo ngokukhuselekileyo inkqubo ugqirha kufuneka ukuba nazo zizivandlakanye imeko yesigulane. Umzekelo, appendectomy laparoscopy ayikhuthazwa kwezi meko zilandelayo:

1. Kukuthathe iiyure ezingaphezu kwama-24 emva kokuba iimpawu zokuqala zesi sifo.
2. Ukubakho neenkqubo ezihamba ukudumba kwi lokugaya.
3. Ngaphambili ngoxilongo isifo sentliziyo okanye iinkqubo kakhulu miphungeni.

Kule meko, ubuchule laparoscopy appendectomy ithatha yemveli.

iingxaki kunokwenzeka

Imbonakalo yeengxaki emva kokuba ungenelelo kunokwenzeka, ukuze isigulane kufuneka esweni rhoqo. Umsebenzi ngokwayo lwenzeka ngokukhuselekileyo kunye neziphumo ezibi ezibangelwa inkqubo kwasendaweni awuqhelekanga kwisisu.

Zeziphi iingxaki izigulane appendectomy ungalindela? Isiphumo uqhelekileyo kotyando ingqalelo komphetho yimbi. Ingxaki enjalo ejongene isigulane wesihlanu ngamnye. Kwakhona kuyenzeka ukuba uphuhliso peritonitis, thromboembolism, isifo enamathelayo. Obona bunzima eziyingozi nokudumba, xa ubovu ukudumba kuba ezingapheliyo.

Ixabiso le-nkqubo kunye nomonde angqina

Appendectomy - umsebenzi nto leyo ngokubanzi oluqhutywa likaxakeka. Xa ukungabikho unyango umntu uyafa. Ngoko ke, ukuba ukuthetha malunga indleko yolu hlobo unyango akukho ngqiqweni. appendectomy Traditional ukhululekile. ubume bentlalo umguli, ubudala bakhe kunye nobuzwe musa ibalulekile. Lo myalelo got kuwo onke amazwe mihla.

Oogqirha ungagcina ubomi bomntu, eyenza kuye utyando. Noko ke, landela-up kunye uxilongo badla zifuna iindleko ezongezelelweyo. Umzekelo, uvavanyo lwegazi okanye uvavanyo umchamo kubiza engange malunga 500. Kuba iingcebiso ezivela iingcali ezizodwa kufuneka ukuba uhlawule ngaphezulu kancinane kwe-1 ths. Engange. Iindleko emva kokuba ungenelelo, ezinxulumene imfuneko yokuqhubeka unyango, ngokuqhelekileyo-inshorensi.

Appendectomy - yinto utyando ezingacwangciswanga. Ngoko ke, iimbono lezigulana unyango walihamba ngokufuthi azifani. Ukuba ngezifo lwalulinganiselwe, kunye nomgangatho unyango kunye okufika ziya kuba HIV. Ingakumbi bahle, eshiya laparoscopy. Emva kweentsuku nje ezimbalwa emva kokuba ungenelelo umguli Ungabuyela ubomi oqhelekileyo. iintlobo elinzima sifo zidluliselwa mandundu kakhulu, kwaye neenkumbulo elibi kwizigulana uhlale ngonaphakade.