Ho hlahloba mpa

Ho hlahloba mpa ke ho buuoa ho sheba litho le likarolo tse ka mpeng (mpeng). Sena se kenyelletsa:

• Sehlomathiso
• Senya
• Sefuba
• Mala
• Liphio le li-ureters
• Sebete
• Mekhanya
• Bokoa
• Mala
• Sefuba, li-tublopian tubes le mae a bomme (ho basali)

Phekolo e bulang mpa e bitsoa laparotomy.

Laparotomy ea ho etsa lipatlisiso e etsoa ha o le tlasa anesthesia e akaretsang. Sena se bolela hore o robetse mme ha o utloe bohloko.

Ngaka e buoang e seha mpa 'me e hlahloba litho tsa mpa. Boholo le sebaka sa khaola ea ho buoa ho latela maemo a itseng a bophelo bo botle.

Biopsy e ka nkoa nakong ea ts'ebetso.

Laparoscopy e hlalosa mokhoa o etsoang ka kh'amera e nyane e kentsoeng ka mpeng. Haeba ho khonahala, laparoscopy e tla etsoa ho fapana le laparotomy.

Mofani oa hao oa tlhokomelo ea bophelo a ka khothaletsa laparotomy haeba liteko tsa litšoantšo tsa mpa, tse kang x-ray le litlhahlobo tsa CT, ha li so fane ka tlhahlobo e nepahetseng.

Laparotomy ea ho hlahloba e ka sebelisoa ho thusa ho fumana le ho alafa maemo a mangata a bophelo bo botle, ho kenyelletsa:

• Kankere ea ovary, colon, manyeme, sebete
• Endometriosis
• Majoe a majoe
• Hole ka maleng (phunyeletso ea mala)
• Ho ruruha ha sehlomathiso (acend appendicitis)
• Ho ruruha ha pokothong ea mala (diverticulitis)
• Ho ruruha ha manyeme (pancreatitis e matla kapa e sa foleng)
• Sebete sa sebete
• Mekotla ea tšoaetso (retroperitoneal abscess, abscess ea mpa, abscess ea pelvic)
• Bokhachane ka ntle ho popelo (ectopic pregnancy)
• Matšoafo a ka mpeng (likhomaretsi)

Likotsi tsa anesthesia le ho buuoa ka kakaretso li kenyelletsa:

• Likabelo tsa meriana, mathata a ho hema
• Ho tsoa mali, ho koala mali, tšoaetso

Likotsi tsa ts'ebetso ena li kenyelletsa:

• Hernia e sa tsitsang
• Tšenyo ea litho tsa ka mpeng

U tla etela mofani oa hau mme u etse liteko tsa bongaka pele u etsoa opereishene. Mofani oa hau o tla:

• Etsa tlhahlobo e felletseng ea 'mele.
• Etsa bonnete ba hore maemo a mang a bongaka ao u ka bang le ona, a kang lefu la tsoekere, khatello e phahameng ea mali, kapa mathata a pelo kapa a matšoafo a tlas'a taolo.
• Etsa liteko ho netefatsa hore o tla khona ho mamella ho buuoa.
• Haeba u tsuba, u lokela ho khaotsa ho tsuba libeke tse 'maloa pele u etsoa opereishene. Botsa mofani oa hau thuso.

Bolella mofani oa hau:

• Ke meriana efe, livithamine, litlama le litlatsetso tse ling tseo u li nkang, esita le tseo u li rekileng ntle le lengolo la ngaka.
• Haeba u kile oa noa joala bo bongata, ho noa lino tse fetang tse 1 kapa tse peli ka letsatsi
• Haeba u ka ba moimana

Bekeng pele ho opereishene ea hau:

• U ka kopuoa ho emisa ho noa mali nakoana. Tse ling tsa tsona ke aspirin, ibuprofen (Advil, Motrin), vithamine E, warfarin (Coumadin), clopidogrel (Plavix), kapa ticlopidine (Ticlid).
• Botsa mofani oa hau hore na ke lithethefatsi life tseo u lokelang ho li nka ka letsatsi la ts'ebetso ea hau.
• Lokisetsa ntlo ea hau ho khutla sepetlele.

Letsatsing la ho buuoa:

• Latela litaelo tsa mofani oa hau mabapi le nako ea ho khaotsa ho ja le ho noa.
• Nka meriana eo mofani oa hau au joetsitseng hore u e noe ka ho noa metsi hanyane.
• Fihla sepetlele ka nako.

U lokela ho qala ho ja le ho noa ka tloaelo matsatsi a 2 ho isa ho a 3 kamora ho buuoa. U lula nako e kae sepetlele ho latela boholo ba bothata. Ho fola ka botlalo hangata ho nka libeke tse 4.

Ho buuoa ka lipatlisiso; Laparotomy; Laparotomy ea ho hlahloba

• Tsamaiso ea ho sila lijo
• Ho khomarela ha 'mele
• Patlo ea mpa - letoto la lihlooho tse

Sham JG, Reames BN, He J. Tsamaiso ea mofets'e oa periampullary. Ka: Cameron AM, Cameron JL, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 13th ed. Philadelphia, PA: Elsevier; 2020: 545-552.

Squires RA, Carter SN, Postier RG. Mpa e bohloko. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Motheo oa Biological oa Tloaelo ea Kajeno ea Thibelo. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 45.