Appendicitis uye Appendectomy Pamberi, panguva uye pashure pekuvhiya

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Chii chinonzi Appendectomy Surgery?

An appendectomy chirongwa chekuvhiya chinokurumidzira kuti abvise chidimbu chakaremara kana chetachiwana, chiitiko chinonzi appendicitis. Pasina kuvhiyiwa, zvinyorwa zvinogona kuparara, kubudisa zvinhu zvinotapukira muropa uye mumimba, izvo zvinogona kutyisa upenyu.

Hapano kushandiswa kumwe kusarudzwa; kuvhiyiwa inonzi ndiyo nzira chete yekurapa appendicitis, kunyange zvazvo zvivako zviri kuita tsvakurudzo yezvokurapa mukurapa appendicitis nemishonga inorwisa mabhakitiriya.

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Before Appendectomy Surgery: Kuongorora Appendicitis

Kamwe kuongororwa kwe appendicitis kunogadzirwa, kazhinji nokuongorora ropa uye CT scan , chiremba anovhiya achatsanangura kuvhiyiwa zvakadzama, kusanganisira tsanangudzo yemitambo, zviitiko zvekuvhiya , uye kuonekwa kwekubuda kubva pakuvhiyiwa. Vashandi vachabva vatangawo IV uye vanogona kuveura mimba yevarwere vevarume kuti vabvumira kucheneswa kwekunatswa.

Kana murwere aine chirwere chekusuruvara uye kusuruvara, izvo zvinowanzoenderana ne-appendicitis, mishonga ichapiwa kupa zviratidzo. Mishonga inorwadza inogona kupiwawo pamwe chete nemvura inonzi IV kana murwere achinaya mvura. Mishonga inorwisa mabhakitiriya inogona kutanga pamberi pokuvhiyiwa kana inogona kutanga pamagumo ezvo.

Murwere achazoendeswa kunzvimbo yekugadzirira uye anobatsira patafura yekushanda, apo vashandi vachagadzirira ganda revarwere kuti rivhiwe. Ganda racho rinoputirwa nemhinduro inouraya majeremusi kuti ibatsire kudzivirira zvirwere pamwe chete nekukanganiswa. Kana ganda ragadzirira kuvhiyiwa, vashandi vachabata murwere asina tsvina kuitira kuti nzvimbo yacho ive yakachena sezvinobvira panguva inoitwa.

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Anesthesia yeAppendectomy

Anesthesia mupiro , kazhinji anesthesiologist kana mukoti anesthetist, achatanga kuvhiyiwa nokupa kuratidzira ne IV kuti azorodze murwere. Kana mumwe murwere akasununguka, bhuku rinofema, kana kuti endotracheal tube , rinoshandiswa kubva mumuromo uye mumhepo iyo isati yasungirirwa kumhepo.

Kufema hutano kunofanirwa nokuti aneshesia yose inokonzera kuora mitezo pamwe nekupa murwere asina chaanoziva. Kunyange zvazvo akaoma rutivi rwomuviri, murwere haakwanisi kufema pasina rubatsiro uye kunobva pane ventilator kupa mweya kumapapu.

Kamwe iyo anesthesia yakatora zvakakwana, chiremba anokwanisa kutanga kutora kusanganisa, pasina murwere anonzwa kurwadziwa kana kumuka. Panguva yekuvhiyiwa, murwere achanyatsotariswa neanesesthesiologist, uye zviratidzo zvinokosha zviri kuonekwa munguva yose yekuvhiyiwa uye mishonga inopiwa sezvinodiwa.

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Appendectomy Process

Munguva yemitambo, kana yakashama, appendectomy nzira, kusungirirwa kwemasendimita maviri kusvika masendimita yakareba inogadzirirwa mudumbu rakadzika rakadzika masendimita akawanda pamusoro peiyo pfupa. Iko kuvhara kunovhura zvose zveganda uye kunoparadzanisa mimba dzemaviri musinga, zvichiita kuti chiremba chiremba aone zvigadziro uye aiswededze pedo nepamusoro kuti ave nekuwana zviri nani.

Kana imwe nguva yekuwedzera yakaratidzwa, yakabviswa kubva kumatehwe akavakidzana, kusanganisira mumatumbo, uye mishonga ine utachiona inobviswa. Kuvhura kwakasiyiwa mushure mekunge chigadziro chibviswa zvinovharwa nekugadzirwa kwezvokudya kana kupeta nzvimbo yakavharwa.

Izvo zvidimbu uye zvikamu zvakapoteredza zvino zvakanyatsoongororwa kuti zvive nechokwadi kuti hutachiona hwave huri kune hutachiona hwakabviswa. Kana zvichidikanwa, chiremba anovhiya anogona kushandisa sora rinosvibisa kuti ashambidze nzvimbo yacho uye obva apedza humwe uchapupu hwepus . Kana zvipembenene zvakapoteredza zviine utano, chiremba anokwanisa kutanga kuvhara kusanganisa nekutanga kushambidza zvikamu zvemuviri pamwe chete, nekuvhara ganda nemakumbo kana shandi.

Iyo incision ichafukidzirwa nebhanhire risina maturo kudzivirira ganda uye kudzivirira utachiona . Iyo nzira, kubvira pakutanga kweanesthesia kuenda kumagetsi, inotora zvishoma kudarika awa kana pasina dambudziko.

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Laparoscopic Appendectomy: Nzira

The laparoscopic appendectomy yakafanana zvikuru nedzimwe nzira yakasununguka inoshandiswa nemumwe musiyano mukuru: Pane nzvimbo imwe yekudzikisa 3-5 masendimita refu, pane zvakawanda zvinongororwa hafu inch in long long. Iko kuburikidza nekufungisisa kwechidiki uko chiremba anoshanda, kuisa kamera kuburikidza nekukanda kamwe uye zviduku zviduku kuburikidza neviri kana zvimwe zvinowedzera kusarudzwa. Chiremba anovhima anoshanda nekuona vhidhiyo inotorwa nediki khamera.

Chiremba anovhiya anozivisa zvinyorwa ndokubva aparadzanisa mhando dzakanaka kubva kune dzakaipa nekucheka zvinyorwa zvishoma, kugadzira mutsara kana sutures kana kushandisa mutsara wezvokudya. Izvo zvinyorwa zvinowanikwa muhombodo isina kubatwa iyo inomanikidzwa mune imwe yezvinofungidzirwa isati yabviswa. Izvi ndezvokudzivirira chero pus yezvinhu zvinotapukira mukati mezvinyorwa kubva pakupinda mumimba.

Izvo zvinyorwa uye zvikamu zvakapoteredza zvino zvakanyatsoongororwa. Izvi ndeyekuita kuti huve hutano hwakanaka husara huri shure uye kuve nechokwadi chokuti suture / staple line yakakwana. Kana zvichidikanwa, zvakadai sechiitiko chokuputika appendix, chiremba anovhiya anogona kushandisa mushonga usina hutachiona kuti ashambidze nzvimbo yacho obva atora zvinyorwa zvinotapukira.

Zvadaro, kana zvipembenene zvakapoteredza zvine utano, chiremba anovhiya anogona kupfigira zvigadziriswa, kazhinji ane mabhanhire mashoma anonzi steri-strips kana bhanhire risina kuvhara kudzivirira ganda uye kudzivirira utachiona.

Iyo yose nzira, kana pasina matambudziko asingatarisirwi, kazhinji anogara pakati pemaminitsi 45 neawa.

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Kuwanazve Pashure peAppendectomy Surgery

Kana kamberi iyo yakavharwa, anesthesia ichavharwa, zvichibvumira murwere kuti atange kutomira zvishoma nezvishoma uye bhuku rinofema rinobviswa. Murwere achaendeswa kune Post-Anesthesia Care Unit kuti iongororwe nevanamukoti. Murwere achava groggy pakutanga, uye zvishoma nezvishoma achave akangwarira sezvo anesthesia inopera zvachose.

Munguva ye-post-anesthesia phase, zviratidzo zvinokosha zvichaongororwa zvakanyanya kune chero zvingave zvinetso uye mishonga inorwadza inopiwa kana zvichidiwa. Kana mushure mokunge murwere akasimuka, vachaendeswa kuchipatara kuti vatange kupora. Vakawanda vanorwara vane kuyerwa kunoshamisa mukurwadziwa mushure mekuvhiyiwa, kunyange nekutambudzika kwekushambadzira.

Zuva rinotevera, murwere angatanga kutora sips shoma yemvura inoyevedza uye obva aenda kune kudya kwemazuva ose kana mvura inonetswa. Kugara pamucheto wemubhedha, ipapo kufamba marefu marefu kuchakurudzirwa kazhinji pazuva. Mishonga ichave yakawanikwa kuitira kuti kufamba kusanyanya kunorwadza.

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Kuenda Kumba Mushure meAppendectomy

Vakawanda vanorwara vanobudiswa mukati maawa makumi maviri nemaviri ekuvhiya kuti varambe vachirapa kubva pakuvhiyiwa . Iko kusungirirwa kunowanzovharwa nemakata maduku okunamatira ayo anononoka kuwira semvura inotonhora uye inopedza mabasa avo ezvisikwa. Mukati sutures zvishoma nezvishoma zvichaputswa uye hazvidi kubviswa.

Vamwe varwere vangada mushonga unorwadza munguva iyi yekuwanazve, uye vazhinji vacharamba vachiwana maantibioti kusvikira kwevhiki mushure mekuvhiyiwa. Vakawanda vanorwara vanogona kudzokera kumabasa evanhu vemazuva mashoma; mamwe mabasa anotyisa angatora vhiki kana maviri kwenguva refu.

_Kunobva:

_{Appendectomy Brochure. The American College of Surgeons. 2006. http://www.facs.org/public_info/operation/brochures/app.pdf}