Laparoscopy ea 'mele

Pelvic laparoscopy ke ho buuoa ho hlahloba litho tsa pelvic. E sebelisa sesebelisoa sa ho shebella se bitsoang laparoscope. Ts'ebetso ena e boetse e sebelisetsoa ho alafa mafu a itseng a litho tsa pelvic.

Ha u ntse u robetse boroko 'me u se na mahlaba ka tlas'a `` thethebatso' 'e akaretsang, ngaka e seha lisenthimithara tse 1,25 ha e buuoa letlalong ka tlasa konopo ea mpa. Khase ea carbon dioxide e kenella ka mpeng ho thusa ngaka ho bona litho habonolo.

Laparosope, e leng sesebelisoa se shebahalang joaloka sebonela-hōle se senyenyane se nang le lebone le khamera ea video, e kentsoe ka moo ngaka e ka bonang sebaka seo.

Lisebelisoa tse ling li ka kenyelletsoa ka mekhoa e meng e menyenyane ka mpeng. Ha a ntse a shebelletse sebali sa video, ngaka e khona ho:

• Fumana mehlala ea lisele (biopsy)
• Batla sesosa sa matšoao afe kapa afe
• Tlosa lisele tsa 'mele kapa lisele tse ling tse sa tloaelehang, joalo ka endometriosis
• Lokisa kapa tlosa karolo kapa mae a bomme kapa li-tubes tsa popelo
• Lokisa kapa tlosa likarolo tsa popelo
• Etsa mekhoa e meng ea ho buoa (e kang appendectomy, tlosa lymph nodes)

Kamora "laparoscopy", ho tsoa khase ea carbon dioxide, 'me ho khaola hoa koaloa.

Laparoscopy e sebelisa lehare le lenyenyane la ho buoa ho feta la ho buoa ka bolokolohi. Batho ba bangata ba nang le ts'ebetso ena ba khona ho khutlela hae ka lona letsatsi leo. Ho khaola ho nyane ho boetse ho bolela hore ho fola kapele. Ho na le phokotso e fokolang ea mali ka ts'ebetso ea laparoscopic le bohloko bo fokolang kamora ho buuoa.

Pelvic laparoscopy e sebelisoa ka bobeli bakeng sa tlhahlobo le kalafo. E kanna ea khothaletsoa bakeng sa:

• Boima bo sa tloaelehang ba pelvic kapa cyst ovarian bo fumanoang ho sebelisoa pelvic ultrasound
• Kankere (ovarian, endometrial, kapa cervical) ho bona hore na e nametse kapa ho tlosa lymph node kapa lisele tse haufi.
• Mahlaba a bohloko a nako e telele (a nako e telele), haeba ho se lebaka le leng le fumanoeng
• Boimana ba Ectopic (tubal)
• Endometriosis
• Ho thatafalloa ho ima kapa ho ba le ngoana (infertility)
• Ka tšohanyetso, bohloko bo boholo ba pelvic

Laparoscopy ea pelvic le eona e ka etsoa ho:

• Tlosa popelo ea hao (hysterectomy)
• Tlosa uterine fibroids (myomectomy)
• "Tlama" methapo ea hau (tubal ligation / sterilization)

Likotsi tsa ho buuoa ka pelvic li kenyelletsa:

• Ho tsoa mali
• Ho koala mali leotong kapa methapong ea noka, e neng e ka ea matšoafong 'me, ka seoelo, ea bolaea
• Mathata a phefumolohang
• Tšenyo ea litho tse haufi le lisele
• Mathata a pelo
• Tšoaetso

Laparoscopy e sireletsehile ho feta mokhoa o bulehileng oa ho lokisa bothata.

Kamehla bolella mofani oa tlhokomelo ea bophelo ba hau:

• Haeba u imme kapa u ka ima
• Ke lithethefatsi life tseo u li sebelisang, esita le lithethefatsi, litlama kapa litlatsetso tseo u li rekileng ntle le lengolo la ngaka

Nakong ea matsatsi a pele ho ho buuoa:

• U ka kopuoa ho emisa ho noa aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), le lithethefatsi tse ling tse etsang hore ho be thata hore mali a hao a koalehe.
• Botsa mofani oa hau hore na ke meriana efe eo u ntseng u ka e nka ka letsatsi la ts'ebetso ea hau.
• Haeba u tsuba, leka ho emisa. Botsa mofani oa hau thuso.
• Lokisetsa hore motho e mong au khannele hae ka mor'a ho buuoa.

Letsatsing la ho buuoa:

• Hangata o tla botsoa hore o se ke oa noa kapa oa ja letho kamora khitla bosiu pele ho opereishene ea hau, kapa lihora tse 8 pele u etsoa opereishene.
• Nka lithethefatsi tseo mofani oa hau a u joetsitseng tsona hore u li noe ka ho noa metsi hanyane.
• Mofani oa hau o tla u joetsa hore na o fihla sepetlele neng kapa neng.

U tla qeta nako e itseng sebakeng sa ho hlaphoheloa ha u tsoha ho tloha anesthesia.

Batho ba bangata ba khona ho khutlela hae ka letsatsi le ts'oanang le ts'ebetso. Ka linako tse ling, ho ka hlokahala hore u robale, ho latela hore na ho entsoe opereishene efe ho sebelisoa laparoscope.

Khase e kenngoang ka mpeng e ka baka bohloko ba mpeng matsatsi a 1 ho isa ho a 2 kamora ts'ebetso. Batho ba bang ba utloa bohloko ba molala le mahetla ka matsatsi a 'maloa kamora ho ba le laparoscopy hobane khase ea carbon dioxide e halefisa moferefere. Ha khase e ntse e kenella, bohloko bona bo tla fela. Ho paqama ho ka thusa ho fokotsa bohloko.

U tla fumana lengolo la ngaka bakeng sa moriana oa bohloko kapa u bolelloe hore na u ka noa meriana efe ea bohloko e tlatsetsang.

U ka khutlela mesebetsing ea hau e tloaelehileng pele ho matsatsi a 1 ho isa ho a mabeli. Leha ho le joalo, U SE KE UA phahamisa letho ho feta liponto tse 10 (4.5 kilograms) bakeng sa libeke tse 3 kamora ho buuoa ho fokotsa menyetla ea ho fumana hernia ka likhahla tsa hau.

Ho ipapisitse le hore na ho etsoa eng, hangata o ka qala ho etsa thobalano hang ha ho tsoa mali ho emisa. Haeba u kile ua ba le "hysterectomy", u lokela ho ema nako e telele pele u kopanela liphate hape. Botsa mofani oa hau hore na ho khothaletsoa eng bakeng sa ts'ebetso eo u nang le eona.

Bitsa mofani oa hau haeba u na le:

• Ho tsoa mali ka botšehaling
• Feberu e sa foleng
• Ho nyekeloa le ho hlatsa
• Bohloko bo bohloko ba mpeng

Celioscopy; Ho buuoa ka tlamo; Pelviscopy; Laparoscopy ea basali; Laparoscopy ea ho hlahloba - gynecologic

• Laparoscopy ea 'mele
• Endometriosis
• Ho khomarela ha 'mele
• Lefu la mahe a bomme
• Pelvic laparoscopy - letoto la lihlooho tse

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Burney RO, Giudice LC. Endometriosis. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 130.

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