Iko Kunobatsira uye Kunonamatira Kune Chero Chero Chero Yekuporesa
Kuvhima pachena ndiyo tsika yemhando yekuvhiya iyo inonzi incision inoshandiswa uchishandisa scalpel. Chiremba anovhiya anoisa zvishandiso uye anoita chirwere. Kuvhima pachena kunowanzoenzaniswa ne "minimally invasive" nzira dzokuvhiya dzinogona kusanganisa maitiro mashomanana kana kunyange (pane dzimwe nguva) hapana kuvharwa zvachose. Kunyange zvazvo chirwere chinowanzoitika chisingaoneki chave chichiwanzozivikanwa, pane mamiriro ezvinhu akawanda umo chirwere chakasununguka chinenge chakanakidzwa.
Chirwere Chidiki Chaicho Chinopesana Nezvokuvhiyiwa Zvakazarurwa
Mamwe mapurogiramu achiri kushandiswa achishandisa chidimbu chakavharika, asi mazhinji akawanda ari kuitwa achishandisa zvishoma zvishoma nzira dzisingaiti. Minimally invasive inogona kureva kuti kuvharwa kwemukoko kuduku kudarika kunowanzovharika kuvharwa, kana kuti zvinogona kureva kuti hapana kuvhara zvachose , zvichienderana nemhando inoshandiswa panguva iyo.
Apo vanachiremba vanoita zvakaenzana vane unyanzvi uye nzira inowanikwa seiri nzira mbiri yakazaruka uye inowanzosavhiringidza, nzira inowanzosavhiringidza inowanzopa nguva yakawanda njodzi yehutachiona, nguva shomanana yekudzoka nemigumisiro yakafanana yakabudirira.
Mune zvimwe zviitiko, chirwere chinogona kubuda sechinhu chisina kumira chinopinda, saka shandura kusvika kune yakakura yakazarura kuvhara kana chirwere ichi chichida kuwedzera kushanduka kwekufamba.
Pros and Cons of Open Surgery
Kuvhiyiwa kwakasununguka kunotsvaga nekuda kwemichina itsva inoita kuti zvive nyore kwazvo kudzivisa kukurukurirana kukuru uye ngozi dzinouya nadzo.
Semuenzaniso, nekutaura kwakasununguka, kusungirirwa kwechinhu chinonzi appendectomy chinenge masendimita masere pakureba. Asi maererano neSosaiti yeAmerican Gastrointestinal and Endoscopic Surgeons, "Muzvipembenene zvakawanda zveparuscopic appendectomies, vanachiremba vanovhiya vanoshandisa zvikamu zvitatu zvepakati (¼ kusvika ½ inch) pavanotarisa mufananidzo wakawedzerwa wemuviri wemurwere pane muterevhizheni." Somugumisiro, nguva yekudzikinura inokurumidza uye kurwadziwa kunowanzoderedzwa.
Asi izvi hazvirevi kuti kuvhiyiwa pachena kunenge kusisipo. Mune zvimwe zviitiko, somuenzaniso:
- Kugadzirisa chete hakugoni kuitwa nekubudirira kushandisa nzira dzisingasviki dzinopinda
- Kuvhiyiwa kwakasununguka chete kunopa maziso anooneka anodiwa kuti abvise zvachose matukisi kana kuti kunyatsorondedzera mamiriro ezvinhu
- Dzimwe mhando dzekuvhiya dzinoda kuwana nzvimbo dzakakura kuitira kuti uise zvinhu zvakadai semhete yemasenias
Maererano nekuongororwa kumwe, kuvhiyiwa kusinganzwisisiki kunofanira kuongororwa zvakaenzana nekuvhiyiwa kwakasununguka zvichienderana nezvinodiwa zvemu murwere: "Kuiswa kweMIS [chirwere chekuvhiya chisingaiti] kwave kuri kuitika kukuru mumazuva ano ekuvhiya. , zvisinei, kuti irege kuve iyo inonyanya kukosha kwehutano hwehutano kune vanorapwa.Imitemo yekuvhiya yakachengeteka uye yakanyatsotarisirwa kuchengetedzwa kwepamusoro inofanirwa kutangira mberi kwehuchenjeri hwehutano.Kuchengeta chisarudzo chekuvhiya kunogona kukonzera kushandiswa kweMIS kumushandi wevarwere. , rinofanira kunge risina kukwana nekuda kwekutsvaga kweMIS kune chiremba.Ukuchengetedzwa chete kweizvi panguva ino kunogona kuva chiremba anovhiya anoisa hutano hwakanaka kupfuura zvimwe zvose panguva dzose. "
> Sources:
> Dehn, Tom. "Kunyoresa mishonga yekugadzirisa - kurapa kana kurapwa kwakasununguka?" Annals yeThe Royal College yeOrgeons of England 91.8 (2009): 631-636. PMC . Webhu. 18 May 2017.
> Nanavati, AJ, & Nagral, S. Nei takagamuchira chirwere chiduku chisingaoneki uye tisingateereri kurasikirwa shure kwekuvhiyiwa? Nhamba ye Minimal Access Surgery , 12 (3), 299-301. Webhu. 2016.
> Society of American Gastrointestinal and Endoscopic Surgeons. Laparoscopic appendectomy kuvhiyiwa ruzivo rwevarwere kubva kuSAGES. Webhu, 2017.