Ukuhlinzwa kwe-Laparoscopic: izinzuzo kanye nokubi

Ngenkathi uzohlinzwa maduze nje, udokotela ohlinzayo akakwazisi ngaphezu kwalokho ukuthi kuzokwenziwa ngaphansi kwe-laparoscopy. Uhlangabezana naleli gama njengolunye uvivinyo. Lokhu kukhathazeka kukuhlupha ubusuku nemini. Kodwa nokho akukho lutho olulula kunale ndlela yokuxilonga nokuhlinza, eyasungulwa uDkt. Raoul Palmer ngo-1944.

Izimiso kanye izinkomba laparoscopy

Kuyamukelwa ngokuvamile ukuthi esimweni sokuhlinzwa kwe-gynecological, ukuhlinzwa kwesisu noma kwe-visceral ukuhlinzwa ukukhuluphala, ikakhulukazi ukukhuluphala ngokweqile, noma ku-urology esimweni se-prostatectomy, okudingekayo kuphela izimbotshana ezincane zokufaka ikhamera (i-luminous optics) esiswini ukuze uqhube futhi wenze ukuhlinzwa kokuhlinzwa, bese ukhuluma nge-laparoscopy. Ngakho-ke, ngaphandle kokwazi, sinciphisa i-laparoscopy, njengoba ibizwa nangokuthi, ukungenelela okulula kokuhlinzwa.

Nokho, ngokuyinhloko kuyindlela yokuxilonga. Okungukuthi ngosizo lwe-endoscope (idivayisi enesistimu yokukhanyisa kanye nekhamera yevidiyo) ikuvumela ukuba wenze ukuxilongwa kwezokwelapha. Kulokhu, sikhuluma i-laparoscopy kanti endabeni yokuhlinzwa sikhuluma ngayo i-celiosurgery.

Eqinisweni, i-laparoscopy ayidingi ukuvula udonga lwesisu ukuze ufinyelele emgodini wesisu.

Inqubo ye-laparoscopy

Ngokuphambene nalokho, ngemva kwe-anesthesia ejwayelekile edingekayo, udokotela ohlinzayo wenza i-incision eyodwa noma ngaphezulu encane ezingeni lenkaba, lapho i-endoscope ifakwe khona. Khona-ke, esebenzisa isikhutha, uvuthela isisu futhi udale indawo lapho engakwazi khona ukwethula izinsimbi azozisebenzisa lapho ehlinza, futhi ekugcineni, uzobeka ama-trocars, uhlobo lweshubhu, indima yalo iwukuvimbela isisu ukuba singangeni. ukuchithwa. Ngesikhathi sokuhlinzwa, uzosebenzisa isikrini ukuze abone ukuthi wenzani.

Izinzuzo kanye nebubi be-laparoscopy

Ukuhlinzwa kwe-Laparoscopic kunezinzuzo eziningi. Kulokhu, ingozi yokusebenza iyancipha, kanye nezinkinga zangemva kokuhlinzwa. Ngempela, ngokunikeza udokotela ohlinzayo ngezinga elithile lokunemba kokuthinta komzimba, i-laparoscopy igwema ukuhlukumezeka kanye nomunye umonakalo ohambisana nokuhlinzwa okuvamile. Lokhu kwenza amagumbi okuhlinzela akhululeke.

Ngaphezu kwalokho, le ndlela yokuhlinza inciphisa ingozi yokutheleleka; kwezinye izimo, ukunciphisa isikhathi sokuhlinzwa noma ukunciphisa isikhathi sokulaliswa esibhedlela kanye nekhefu lokugula. Ungakhohlwa ukuthi ezingeni lobuhle, lokhu kuqinisekisa izibazi ezincane, ngezinye izikhathi ezingabonakali.

Kodwa-ke, lokhu kuwumsebenzi obangela ubunzima obuthile kudokotela ohlinzayo optically, tactilely nangokuhambisana nokuhamba kwezinsimbi, ngakho-ke kubalulekile ukubonisana nodokotela ohlinzayo oqeqeshiwe. Singakhohlwa ukuthi i-carbon dioxide eyinsalela esetshenzisiwe ingabangela ukungakhululeki esigulini njengokuqunjelwa noma ubuhlungu obusele. Ngakho, naphezu kwesithakazelo, i-laparoscopy ihlotshaniswa nezingozi zokusebenza, njengengozi yokopha, i-fistula, i-embolism, njll.