Iyo Inowanzovhiringidza Inyanzvi Yokuvhiya Inoitwa
Kuvhiyiwa kwepaloscopic, kunonziwo chirwere chinoputika chisingaoneki (MIS), chinosanganisira kushandiswa kwechigadzirwa chine simba, chine tubular chinonzi laparoscope chinowanikwa kuburikidza nechigunzo chechigunhi mumudumbu kana pembe kuti zviite zvinoshandiswa kutsvaga kukurukurwa.
Nokuti iyo nzira inosanganisira mavanga maduku, nguva yekudzorera inowanzova shoma nekurwadziwa kuduku.
Mazuva ano laparoscopy yakatanga kushandiswa kuma1940 kusvika kuma1940 kuti iite hutano asi yakangosvika yaro mumakore ekuma1970 nema1980 apo ma-laparoscopes ekutanga ainge ane kodzero yepamutemo yekushandiswa.
Nhasi, laparoscopy inowanzoitwa kuitira kurapa hutano hwakasiyana-siyana hwehutano. Apo nzira yekugadzira michina inoshandiswa kune chifukidzo chechipfuva, inonzi chirwere chetroracoscopic .
Nezve Laparoscope
Chinokosha pakuvandudzwa kwekuvhiya kwechidiki chisingaoneki chaiva che laparoscope pacharo. The laparoscope isimbi yakasimba, yakaoma-fiber-optic inoshandiswa mumuviri kuti ione nhengo dzomukati uye zvivako.
Vakuru vemazana vakagadzirirwa lenserikisi yakanyatsogadzirirwa nevhidhiyo kamera, asi vatsva vane kamera kaduku kamera yakagadzirirwa pakuguma kwe tube. Chimwe chiedza chinobudiswa chinoshandisa kushandisa LED, halogen, xenon kana solarc lightbulb.
Zvigadzirwa zveparoscopic zvinowanzogadzirwa nemhando yepamusoro yesimbi isina kusina.
Iyo yakareba yakawanda inogona kuve yakakura muhukuru kubva kumaduku mashoma mamita matatu (0.12 inches) kusvika kupfuura mamita 10 (0,4 inches) muhupamhi. Zvimwe zvakasiyana-siyana zvinowanikwa kuti zviite chirwere chakarurama, kusanganisira zviyero, simba, mabatiki, uye madhigirii emishonga (anoshandiswa kubata nenzizi dzokuvhiya paanenge achikuvadza ronda).
Kurapa Kwakaita Sei Laparoscopic?
Panzvimbo pokugadzira yakareba, kuzarura mukati momuviri, kurapwa kweparoscopic kunoda imwe kana kuti yakawanda zvisinganzwisisiki (kazhinji kacho nehafu yehafu inch murefu) kuburikidza nezvikamu zvinowanikwa. Kuvhiya iyo pachayo kunotungamirirwa nevhuraji vhidhiyo imaging iyo inotarirwa kunze kunze kwekuona.
Kuti ape chiremba chiremba nzvimbo yakawanda yekushanda, ganda racho rinowanzogadziriswa nemhepo yakasvibiswa carbon dioxide (CO2), iyo yose isingatsviki uye inononoka kupinda mumuviri.
Laparoscopy chirongwa chinowanzoomeswa chinonyanya kudikanwa chinoda kubatana kwemaoko nemaziso uye inenge yakangwara yekugadzirisa maitiro akaoma mukati. Vaparidzi vanovhiya vanosarudza kutsvakira subspecialty vanofanira kupinda mushure memakore maviri kana maviri mushure mekunge vapedzisa kugara kwavo kwokutanga pakusarudza .
Kubatsirwa uye Kukanganisika
Kunyange zvakadaro zvishoma zvisingasviki chirwere chinonzi laparoscopic chinogona kunge chiripo, kune zvikanganiso uye njodzi dzinobatana nekuvhiya chero kupi zvako .
Pakati pezvakanaka zvekuvhiya kweparoscopic:
- Kusurupa kwechidiki uye kazhinji zvishoma zvido zvekuwedzerwa ropa
- Kudukuka kwekudzikisa uye nguva shoma yekudzorera
- Kusuruvara kusinganzwisisiki uye zvishoma zvido zvemishonga inorwadza
- Yakapedzisira pangozi yekusvibiswa kana ichienzaniswa nekuvhiyiwa kwakasununguka
- Kazhinji mari yepamusoro inokonzerwa nekupfupika kwechipatara
Pakati pematambudziko ekuvhiya kweparoscopic:
- Kusava nekwanisi yekubata (palpate) tissue, kunyanya kukosha pakutsvaga kenza
- Kukanganisa kunogona kuitika mukati memaviri mukati nekuda kwekushayikwa kwemaonero akaoma
- Dambudziko pakuona "mufananidzo wose" iyo nzira yakazaruka inogona kupa
- Inogona kuva yakaoma kuita kune vanhu vane chirwere chepakutanga uye kupisa kwakanyanya
- Kukanganisa kunogona kuitika kumakumbo eC2 mumimba yepamusoro (kusanganisira hypothermia uye kurwadziwa)
> Kwakabva:
> Katkouda, N. (2011) Advanced Laparoscopic Surgery: Techniques and Tips (Second Ed.) New York, New York: Springer Publishing: ISBN-13: 978-3540748427