Operation Marmara e varicocele: ukubuyekeza

operation Microsurgical Marmara - yinto uhlobo lotyando ukunyanga esi sifo, ebizwa varicocele. Wayimisa emithanjeni ubhaqo womchamo uviform plexus ityhalarha (varicocele), xa isigulane bakhalaza kabi kwi samatyhalarha okanye xa nokunciphisa ngokubalulekileyo ubungakanani amaqanda, ukunciphisa umsebenzi wayo.

Benefits operation Marmara phezu kwezinye iindlela yomzabalazo ne varicocele

Operation Marmara ngonyaka ngamnye inani elikhulu kumagqirha zibonwa ndlela isebenzayo kunye enokuthenjwa unyango varicocele. Izinto eziluncedo eziphambili zezi:

- kwinani mncinane kakhulu, nto leyo yenziwe umbulelo ukuba iindondo microsurgical kunye iimikroskopu, nto leyo evumela ukuba ukuqhubekekisa imithambo mncinane;

- ngezinga encinane traumatization yethishyu;

- kubungakanani yesisu amancinane zokuqhubela elingekho cm ngaphezu kwe-2;

- kungekho phantse ngokupheleleyo intlungu emva kotyando;

- ukuphucula umgangatho nobungakanani sperm;

- ukukwazi ngokukhawuleza ukubuyela isigulane ukuba ubomi obuqhelekileyo.

Nje umahluko ezimbalwa zokusebenza phakathi iindlela Ivanissevich okanye laporaskopii, indlela Marmar. Ukusebenza Ivanissevich kubandakanya asike aponeurosis, nto leyo inokukhokelela kwizihlunu ebuhlungu eludongeni akudala esiswini, ukwandisa ixesha kwimeko yesiqhelo kunye nokomeleza iintlungu postoperative. Ukusebenza Marmara ikuvumela ukuba bamelane zombini elisekhohlo kunye varicocele lasekunene-lesandla. Kunye nokuphuculwa spermatogenesis nokuvavanya wenzala enokwenziwa kwiinyanga 6-9. Uninzi abantu emva kotyando for Marmara sele bayakwazi bangootata kwiminyaka embalwa elandelayo.

Zintoni ezibonisa ukuba utyando Marmara

Engundoqo kunye, ngokubanzi, uphawu kuphela xa babelwa umsebenzi Marmara, kukholelwa varicocele - sisifo lunokwenzeka ngaphandle obubonakala lwezonyango ziphawulwe phantse nazimpawu.

Kodwa ke kaninzi, wenziwa iingcali, izigulane akhalaze ubunzima isingxobo samatyhalarha, intlungu kwityhalarha. Ngosuku loviwo lwabonisa ukungaqheleki kuhlalutyo ezinoncolo, nto leyo eyenza ukugxojwa yemveliso isidoda amatyhalarha. unyango Non-zoqhaqho esi sifo akwenzeki, ingakumbi xa kufikwa kubunzima ukuba nezinokubangela ubudlolo. Operation Marmara e varicocele, Ngokwezibalo ehlabathini, ikuvumela ubuyisele ngokupheleleyo umsebenzi omzimba lenzala.

Varicocele: oko kukuthi, kunokuba lugcwele

Isifo ibandakanya imithambo wamatyhalarha ye intambo spermatic, oludityaniswe wokunyhashwa kwemithambo non-buyela, nto leyo ibekwe mithambo. Leyo isivingco esempilweni kuvumela ukuhamba kwegazi ngokusebenzisa umthambo kwicala elinye kuphela, umonakalo semigudu ningabaniki ithuba awuthintele ukuhamba ukubuya kwegazi. Naluphi na ukwanda awubonakalisi igazi kuyaphela back.

Ezibangela isifo

Varicocele inokuba njengokubonisa:

- valve bekhubazekile lwemithambo;

- bubuthathaka naso eludongeni nemithambo;

- noxinzelelo kwi isinqe okanye isingxobo samatyhalarha, nto leyo ekhokelela ukuba kink, kwaye ukutshintsha imilo ngemithambo ngcembe zixinaniswe.

Ukuze kulungiswe le ngezifo, kukho iindlela ezininzi ezahlukeneyo, umz, ngenxa utyando okanye indlela Ivanissevich laparoscopy. Kutheni uba indlela ethandwayo Marmar? Operation phantse ishenxisa kungenzeka umonakalo kwizihlunu eludongeni esiswini, nemithambo umonakalo wamatyhalarha, isenzeko komtshiso oko.

Izimo ngokwenza utyando Marmara

Njengayo nayiphi etyandwa, nkqu nenkqubo efanelekileyo ekhuselekileyo inokuba contra-zikhombisa:

- exacerbation isigaba ezimbi ezingapheliyo amalungu zangaphakathi;

- kwiinyanga zokuqala ezintandathu emva kokuba nobetho, wahlaselwa yintliziyo okanye esinye isifo sentliziyo kobuchopho;

- ukudumba inkqubo enzala;

- umkhuhlane, SARS kunye nezinye izifo ezosulelayo.

Indlela yokulungiselela ungenelelo

Operation Marmara kunye ndimlungiselele kuthetha ukwenza isixa eqhelekileyo uphando: Iimvavanyo igazi ngokubanzi, unyango kunye kwemichiza, coagulation, uhlalutyo ECG kwi RW, negcushuwa,-HIV, hepatitis, anesthesiologist kuhlolwa phambi kokuba uqhaqho.

Ipreoperative luyaphuculwa okanye, icala, yaguquka ngokuxhomekeke kwisixa sokuphamazisa okucwangcisiweyo, ubudala kunye nemeko ngokubanzi malunga nesigulane eso.

Oku kulandela ngokukhawuleza phambi kokuba ukusebenza:

- achebe iinwele, ukuba ikhona, kummandla ezayo imisebenzi. Oku kufuneka kwenziwe kakuhle, ngaphandle liqatywe ulusu kunye ukubonakala aphazamiseke ngakumbi.

- Abanye oogqirha emisela izenzo unyango anti-ukudumba okanye isibulala-zintsholongwane, leyo lunciphisa ubungozi ukudumba kwindawo wesibeleko esigqibeleleyo. Mzimba iqala kwiintsuku nje ezimbalwa ngaphambi komsebenzi.

- zomzimba Jikelele okanye zomzimba spinal kubandakanya isidlo yokugqibela ungadlulanga umhla we-10 emva kwemini. Kusuku ngaphambi kokuba msebenzi akavumelekanga ukuba badle, basele, umsi. Ngobusuku ngaphambi kutyando kusasa kotyando yenziwe enema.

- zomzimba Local ayifuni ngokuzila ukutya okanye ukucocwa enema.

- Reception of anticoagulants kufuneka ayekiswe iintsuku ezi-5 phambi kokuba ukusebenza oluzayo. Endaweni yoko, prescribers eliphantsi heparins ubunzima eziphilayo, leyo lunciphisa ubungozi ukopha zokusebenza okanye post-operative.

Operation Marmara e varicocele, nokubuyekezwa zona zingqina ukuba ukusebenza eliphezulu le ndlela yenza kube lula ukubuyisela ekhoyo lwemithambo nokuthintela nencindi amasende ityhefu kwegazi. Ukuphinda Postoperative livela% 5-7 kuphela kwizigulane.

Iintlobo zomzimba: yintoni na ukuba prepochtitelnee

Ihambo Marmara msebenzi ube phantsi zomzimba jikelele, leyo, njengezinye iintlobo, lo anesthesiologist wenzayo ngoxa isigulana ulele kwaye uvumbulula emva kotyando.

zomzimba spinal okudambisa half yonke asezantsi umzimba. Ziluma zixakathayo ngaphakathi kummandla kwikholam spinal.

zomzimba beengingqi numb kuphela inxalenye yeli lizwe, isigulana siya kuba ephaphile kodwa akayi zintlungu. iminyaka Vposlednee ngakumbi yaye oogqirha abaninzi Shiyiselanani zomzimba bendawo ukuthini.

Njengokuba lo msebenzi

Operation iqala nesibakala sokuba ugqirha dissects mmandla ulusu subpahovoy, ukwenza ubungakanani liqatywe 1.5 - 2 cm Ifunyanwa uthambo spermatic, nto kuba lula na imveliso inxeba.. Ngokusebenzisa neemicroscope ugqirha ichaza wamatyhalarha umthambo kunye nezibopho zabo. Oogqirha ukhetha ukusebenzisa zomzimba yengingqi, njengoko isigulane usenokucelwa ukuba ukuphefumla kwaye nsinya evumela ugqirha ukubona kakuhle yonke into, nkqu, imithambo lincinane varicose kunye namasebe lwemithambo. Neemicroscope likuvumela ukuba wenze inkqubo yokuxhela njengosebenzayo, ngaphandle imifuno luvo ezikufuphi, izitya nkovu kunye yegazi. Emva kokuba ukuvalwa zonke ngemithambo kutsalwe inxeba iziqu ngerabha. Emva koko, lo liqatywe sele lwenziwe bandage aseptic.

ungenelelo Surgical buhlala imizuzu 30-40. Isigulane ke ngoko ukuya kwigumbi ekuphulukenwe nalo, apho wahlala iiyure eziliqela phantsi kweliso zonyango. kweeyure ezimbini kamva, kuhlolwe imeko yesigulane, ugqirha nga Makahambe ekhaya.

Ithuba postoperative

Term kwimo yesiqhelo emva kotyando minimum Marmara. izihlandlo nje ezimbalwa kuya kuba yimfuneko ukuba beze yokuxhela, ukuba awunako iqalise le nkqubo ekhaya. Sele emva kweentsuku ezimbalwa isigulane Ungabuyela ngokupheleleyo indlela yakhe yesiqhelo yobomi. Noko ke, kucetyiswa ukuba nikhumke neentlobano zesini, ukususela onzima kunye ithwele, kunye nezemidlalo, ukuze esichengeni ukuthembeka beentanda. Oku kungqinwe angqina nomonde. Sutures zisuswa emva kweentsuku 7-8. A siva omncinci ingabekwa ngezantsi kumgca enxibe yangaphantsi, kwindawo apho iinwele lukhula, ukuba uhlala ezingabonakaliyo. Operation Marmara, ncomo apho ezincomekayo kakhulu zombini evela kwizigulane kunye noogqirha, akubangeli yoma wamatyhalarha okanye hydrocephalus, nditsho nasiphi na iingxaki ezinokuthi kulindeleka kwezinye iintlobo zokungenelela yotyando. Lo msebenzi ikuvumela ukuba ukubuyisela nokuthintela imithambo phambili varicose, ukuphucula umgangatho madlozi.

Ngokoluvo amadoda amaninzi, Marmara ukusebenza - yindlela ekhawulezayo nephumelelayo ukuze ususe le varicocele, elathi ukuba baphephe iingxaki postoperative, iintlungu, ubuhlungu kunye namabala amabi.