Minimally cin zali tiyata: dakunan shan magani da kuma cibiyoyin

Medical fasahar ba a tsaye har yanzu. su ci gaba da muhimmanci shimfida yiwuwa - da bincike da kuma warkewa mataki.

A musamman, saboda da aiki cin gaban endoscopic dabaru aka yadada minimally cin zali tiyata. Ka yi la'akari da abin da shi ne, a cikin wannan labarin.

Me ya sa na bukatar a minimally cin zali tiyata

Duk da tausasãwa na wannan dabara da nufin minimizing da traumatic effects a jiki na haƙuri, wanda suke makawa a kowane m baki.

Misalan dabaru iya zama endoscopy da laparoscopic tiyata.

Hade laparoscopy tare madadin hanyoyi don samun damar kayan ciki kuma za a iya dangana ga minimally cin zali tiyata.

Da shahararsa shi ne sauki bayyana.

Wannan dabara ya gana da biyu da bukatun na haƙuri (da sakamakon da wadannan ayyukan ne kadan), zamantakewa da tattalin arziki da bukatun (ta hanyar amfani da minimally cin zali tiyata, shi ne mai yiwuwa a rage lokacin da haƙuri ta tsaya a asibiti.

Laparoscopy an yi amfani da ko'ina a cikin yara na ciki tiyata: da yara mafi yawan ayyukan a kan na ciki gabobin da aka yi ta laparotomy. Laparoscopic tiyata ne yiwu ga yara da dukan zamanai. Kuma ga kadan marasa lafiya na shekaru daban-daban na samar da kayan aiki da kaya domin laparoscopy, da ciwon daban-daban diameters.

A mata masu ciki, da yiwuwar laparoscopic tiyata ne mai iyaka.

abũbuwan amfãni

• Lalacewar da haƙuri ta jiki lokacin tiyata, ya yi daidai da minimally cin zali tiyata dabaru, shi ne muhimmanci ƙananan fiye da al'ada aiki yankin.
• A dogon lokacin da gado sauran bayan minimally cin zali tiyata ba lallai ba ne. Irin wannan jan suna da za'ayi a cikin na musamman kananan dakunan shan magani na minimally cin zali tiyata (abin da ake kira daya-rana kananan dakunan shan magani).
• Nizkotravmaticheskie tiyata yana da kyau jure da marasa lafiya.
• Level traumatic kyallen takarda a wadannan jan ne ma ƙananan saboda rage shiga tsakani lokaci. da kuma low matakin na rauni zai iya ƙara warkewa da kuma kwaskwarima effects.

Misalai daga tarihi na yadda shi duka ya fara

The sosai farko laparokopicheskaya aiki da aka za'ayi a Faransa a cikin 80s na 20th karni. A 'yan shekarun baya, wannan hanya da aka aiwatar a taro aikace-aikace.

Bayan farkon na din-din yin amfani da wannan dabara ya samu saurin ci gaban da kuma a takaice in mun gwada lokaci ya zama Popular.

Fursunoni minimally cin zali shisshigi

• Tiyata yi amfani da endoscopic dabaru, ba da damar palpation na nama.
• Bukatar shigar high-tech kayan aiki a asibiti ko halittar musamman cibiyoyin minimally cin zali tiyata. babban kudin wannan kayan aiki.
• Bukatar samun kiwon lafiya da basira a cikin aiki tare da high-tech kayan aiki.

laparoscopy

Wannan irin minimally cin zali tiyata za a iya amfani da a cikin wadannan yanayi:

• Mace rasa haihuwa.
• Jiyya na endometriosis.
• Ovarian cysts.
• igiyar ciki fibroids.
• Ectopic ciki.
• Kau na gallbladder.
• Kau da kananan marurai na ciki gabobin.
• Kau da Lymph nodes.
• Zalunta wasu jijiyoyin bugun gini pathologies.

M baki ta fara da cewa a cikin agara na ciki bango, sa uku ko hudu huda. Daga bisani therethrough a cikin jiki ne allura carbon dioxide da ake bukata domin kara da girma daga cikin kogo da kuma samuwar wani isasshen sarari ga aiki. Next, via daya daga cikin punctures gabatar kamara, wanda nuna a kan duba da aiki filin, ciki gabobin da kuma kayayyakin aiki, don magudi da shigar ta cikin sauran punctures.

Mini-laparotomy (mini-hanya)

A gaskiya, a wannan yanayin, da na al'ada da m aiki, amma ta hanyar da yawa karami incision cewa tana yiwuwa ta hanyar yin amfani da wani musamman sa na kayan aikin. Ta wannan hanyar, da yawa m hanyoyin kan na ciki gabobin za a iya yi.

endoscopy

Wannan dabara da ake amfani da su bincika ciki gabobin, da ciwon m tsarin, da kuma da za'ayi tare da taimakon kayayyakin aiki, musamman - endoscopes.

Endoscopic minimally cin zali tiyata, sabanin laparoscopy yana amfani da punctures ko cuts. likita kida ana saka a cikin m gabobin ta hanyar halitta orifices. Haka kuma, dawo da daga irin wannan magudi auku ma sauki.

Saboda haka, a cikin kananan dakunan shan magani da kuma endoscopic tiyata da minimally cin zali endoscopic asibiti sassan gidaje nazari wadannan gabobin:

• esophagus.
• ciki;
• hanjinsu.
• maƙogwaro.
• trachea.
• bronchi.
• mafitsara.

Bugu da kari ga jarrabawa, endoscopy da kuma bayar da dama ga warkewa hanyoyin, kamar na ciki da na jini Tashoshi, cire kananan size na ciki da kuma na hanji siffofin maruran. Irin wannan jan aka sanya a cikin talakawa asibitoci da kuma dakunan shan magani a cikin na musamman (misali, asibitin Coloproctology da minimally cin zali Surgery).

fi lokaci

Saboda da low matakin na traumatization daga kyallen takarda da kuma gabobin a ayyukan da za'ayi a daidai da ka'idojin minimally cin zali tiyata, gyaran lokaci bayan irin wannan tiyata yana da wani m duration da kyau jure da marasa lafiya.

Da nada tsawo gado sauran amfani da hanyoyin malotravmaticheskih tiyata ba lallai ba ne.

Pain ciwo muhimmanci kasa pronounced a kananan ayyukan, wannan al'amari ya sa ya yiwu don kauce wa yin amfani da kwayoyi, na ga rukuni na analgesics, ya kuma inganta su illa.

Lokacin da minimally cin zali tiyata ba dace

Duk da dukan abũbuwan amfãni daga minimally cin zali tiyata dabaru za a iya amfani a dukkan lokuta. Wasu tiyata fassara a cikin category na nizkotravmatichnyh kasa.

1. A gaban adhesions a cikin kogon ciki. Wannan al'amari ne da wani cikas ga wani ɓangare daga irin wadannan ayyuka. Musamman matsala ne lokuta inda haƙuri yana da wani tarihi na mahara m shisshigi, abu don samuwar adhesions. Duk da haka, a wasu lokuta, a lokacin da haƙuri ki yarda laparoscopic tiyata a cikin kogon ciki saboda kasancewar adhesions, tiyata kasa, don samar da abin da ake kira mini-hanya. Babu wani guda algorithm ba ya wanzu. Yana yanke shawarar a kowane hali daidaiku.
2. Cututtuka na zuciya da jijiyoyin jini tsarin da kuma huhu a mataki na decompensation. Wannan shi ne saboda gaskiyar cewa ga laparoscopy bukatar gabatarwar a cikin kogon ciki na carbon dioxide. kuma wannan, bi da bi, kai zuwa wani karuwa a ciki-ciki matsa lamba da kuma samar da ƙarin matsin lamba a kan diaphragm, saboda haka, a kan gabobin da kirji kogo. Marasa lafiya da cardio-na huhu insufficiency irin wannan daukan hotuna take kaiwa zuwa deterioration.
3. A kaifi karuwa a haƙuri da nauyi. Kiba uku da na hudu mataki na iya zama wani contraindication for laparoscopic tiyata saboda gaskiyar cewa samun dama ga kayan ciki a wadannan lokuta ba zai isa tsawon kayan aikin. Bugu da ƙari, saboda da high taro na agara na ciki bango irin marasa lafiya a lokuta da dama ba zai iya haifar da wani pneumoperitoneum.
4. Ocular hauhawar jini, musamman glaucoma. Pneumoperitoneum iya haifar da karuwa a intraocular matsa lamba, worsening da wannan cuta da kuma rikitarwa (msl, retinal detachment).
5. A babban mataki na myopia - har zuwa shida diopters (ga wannan dalili - su hana retinal detachment). Duk da haka, a wasu lokuta za'a iya ware, misali a lokacin da gajere daukan hotuna ko malogazovoy laparoscopy lokacin da ciki matsa lamba yakan dan kadan.
6. Cututtuka na jini tsarin, halin sosai da ikon gudan jini. Irin jihohi ne fraught tare da ya wuce kima na jini, wanda yake shi ne unacceptable.

A tsufa sau da yawa rubuta dukan kewayon yanayi, shi ne wani contraindication zuwa laparoscopic tiyata. A irin haka ne, marasa lafiya tiyata ga mini-hanya m da ciwon ma babu kowa contraindications.