Splenectomy Ndiyo Spleen Removal Surgery

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Chii Chinonzi Splenectomy?

A splenectomy ndiko kubviswa kwepleen . Kune marudzi maviri e-splenectomies - mararamiro akasununguka ekushandisa, achishandisa huwandu hwekushongedzwa, uye nzira yaparuscopic, iyo inoshandisa zvishomanana zvishoma. Kuvhiyiwa kwepadoscopic kunowanzotaurwa sekuvhiya kwechidiki.

Iroparoscopic nzira ndiyo inowanzoshambadza iyo miviri yeplenectomy uye inowanzoshandiswa kana zvichibvira nechiremba. Nzira yacho inoshandisa zvinyorwa zvishoma zvishoma uye inowanzotumidzwa kuti chirwere chisina kuvhiringidzika. Pamusana pekukura kwekushandiswa, nzira yeparaposcopic inopedza zvose zvinorwadza zvekudzoka uye njodzi yehutachiona .

Haasi vese varwere 'anatomy kana maruva emamiriro ezvinhu anobvumira nzira yaparuscopic; mune mamiriro ezvinhu, nzira yakasununguka inoshandiswa. Iyo inoshandiswawo kana chirwere chiri kubviswa nekuda kwechiitiko chinonzi splenomegaly, kana kuwedzera kwepleen. Ichi ndechokuti chirwere chinogona kunge chakakura zvokuti hachina kubviswa kuburikidza nemafungiro madiki eparoscopic.

Mune zvimwe zviitiko, chirongwa chinogona kutanga sechirongwa chesaparoscopic asi chiremba anokwanisa kusarudza kupfuurira kuvhiyiwa nechokuvhara pachena kana chirwere chikawanikwa kuti chakanyanya kuwedzerwa.

Panguva yekuvhiyiwa kwekukurumidzira, yakadai sekunge mushure mekudonha kwemotokari kana chirwere chacho chikaputika, tsvina yakazaruka yakavhara inogona kushandiswa kubvumira chiremba chiremba kufungidzira kukuvara nekutanga chirwere ichi nokukurumidza.

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Ndeipi Apo Spleen Surgery iri Emergency?

A splenectomy, kana chirwere chekubviswa kwepleen, chingave chisingadziviriki mumamiriro ezvinhu akaoma. Muzviitiko zvakawanda apo splenectomy inoitwa nokukurumidza, kana kuti kuchengetedza hupenyu hwomurwere, chirwere chacho chave chakuvara nekushungurudzika. Iyo spleen yakanyanya vascular, ine mishonga yakawanda yeropa uye ropa guru, uye rinopera nyore nyore. Kana kubuda ropa kusingagoni kudzorwa nedzimwe nzira, inofanira kubviswa chirwere, kana murwere angave abuda ropa. Kungozi yemotokari inowanzokonzera kushungurudzika kune spleen.

Kuparara kwepachivande, apo chirwere chinoputika zvisingatarisiri kazhinji pasina chikonzero chakajeka, chinonyanya kuwanzana asi chinoguma nekudikanwa kwekuvhiyiwa kwekukurumidzira .

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Zviratidzo zveSplenectomy?

A splenectomy, kuvhiyiwa kubvisa spleen, kunogona kuratidzwa munyaya dzinotevera:

• Ropa rinovhara
• Hypersplenism : Iyi ndiyo mamiriro apo chirwere chacho hachina simba uye chinoparadza masero eropa ane utano.
• Splenomegaly : Kuwedzera kwepleen
• Cancer
• Chirwere chepfungwa yepamusoro : Iyi ndiyo mamiriro ayo iyo mudziyo mukuru weropa unotungamirira kuchiropa une huwandu hwekuwedzera kweropa. Inogona kukonzerwa nemamiriro ezvinhu mazhinji eropa, kusanganisira cirrhosis nekenza.
• Chirwere chechiropa chechiropa : Ichi chirwere chisingaverengeki chechiropa chinokanganisa hutachiona hunosimbiswa nehutu hwechivara sezvo kuora kwaitwa. Ropa harina kutenderera sezvinosununguka kuburikidza nechiropa, zvichiita kuti hutachiona hwehutachiona huwedzere.
• Lymphoma : Mhando iyi yemukenza inogona kukonzera kukura kwe spleen (splenomegaly).
• Idiopathic thrombocytopenia purpura (ITP)
• Spherocytic anemia : Rudzi urwu rwekushaya ropa, uko masero eropa ane utachiona akakomberedzwa uye akakanganisa sezvaanofamba achipfuura nepakati, anogona kuporesa ne splenectomy.
• Hemolytic anemia : Mamwe marudzi ehemolytic anemia, mamiriro apo masero matsvuku eropa anoparadzwa nguva isati yasvika nemuviri, anogona kuvandudzwa nekubviswa kwepleen.

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Splenectomy Matambudziko

Mukuwedzera kune njodzi dzakawanda dzinosangana nekuvhiya uye anesthesia , kuvhiyiwa kubvisa spleen kune zvinetso zvayo pachazvo. Tsamba iyi inhengo yakakura kwazvo, zvinoreva kuti ine mishonga yakawanda yeropa. Izvi zvinokonzera kuti chirwere chinokonzera kubuda ropa kana chichikuvadzwa kana kuti chiri kushandiswa. Kana chirwere chacho chakakomba zvakanyanya uye chichibuda ropa mushure mekuvhiyiwa, kubuda ropa kunogona kupfuurira mberi panguva yekuvhiyiwa kusvikira chiremba anokwanisa kuwana nzvimbo yekubuda ropa uye kuitonga.

Tsora yacho yakasimudzwa shure kwemuviri, pasi pemutsara unoputika uye uchizorora pedyo nepascreas uye mumatumbo. Nemhaka yekuswedera kune dzimwe nhengo uye zvivako, kune ngozi shomanana yokuti inogona kukuvara panguva yekuita.

Ngozi yehutachiona yakakwira zvishoma nezvinoitwa nenzira iyi kunze kwekurohwa kwechiitiko, kwete nekuda kwekuvhiya kwayo pachayo, asi nokuti chirwere chinobatsira mukurwisa utachiona. Kamwe kana chirwere chacho chabviswa, maitiro ezvirwere zvemuviri hazvishandisi sezvaakaita asati avhiyiwa.

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Splenectomy: Nzira yeRaparoscopic

A splenectomy inogona kuitwa laparoscopically kana kushandisa nzira yakasununguka nehuwandu hwekushongedzerwa. Nepo huwandu hwakawanda hwekuvhiya huchibvisa tsvina yose, zvinokwanisika kuva ne-splenectomy yepakati, iyo nzira iyo chete chikamu chechigadziko chinobviswa.

Kuvhiya kunotanga nekutungamirirwa kweanesthesia . Kana kamwe murwere asina chaanoziva, chirwere chinotanga, kazhinji nekuiswa kwezvinhu zviduku zvishanu zvingasvika 2 kusvika ku 3 masentimita pakureba pasi pemibiru kuruboshwe. Kamu kamera inonzi laparoscope inowanikwa mune chimwe chezvinhu zvinoshandiswa. Izvozvo zvinoshandiswa zvinoshandiswa pakuiswa kwezvigadzirwa zvekuvhiya uye kunyatsoshanda kwechiremba. Panguva yekuvhiyiwa, chiremba anovhiya anoona nzvimbo iri kushandiswa nekamera, sezvo zvinyorwa zvisinganyanyi kurega kuti chiremba chiremba aone kuvhiyiwa zvakananga.

Iyo spleen ine mishonga yakawanda yeropa, naizvozvo chiremba anoona mishonga yeropa inotungamirira kune uye kubva kune spleen uye inoisa zvikamu pavari kuti dzigadzire zvachose ropa kubva pakuyerera kusvika kune spleen. Iyo spleen inobva yabviswa kubva kune dzimwe nhengo dzomuviri. Kana iine rusununguko, chirwere chinowanikwa muhombodo isina kuchena kuitira kuti inogona kubviswa kunze kwemuviri kuburikidza nechimwe chezvinhu zvisiri izvo. Kana zvichidiwa, iyo incision inogona kuwedzerwa zvishoma kuti ibvumire bhegi kuti ipfuure. Izvi zvinoitwa kuitira kuti hapana zvidimbu zvepleen zvinokwanisa kuputsa uye zvicharamba zviri mudumbu remuviri, kwavanogona kukonzera utachiona hwakakomba.

Kamwe kana chirwere chacho chabviswa uye chiremba chiremba haana kuwana zviratidzo zvokuramba achibuda ropa, zvigadzirwa zvinobviswa uye izvo zvinoonekwa zvakapfigwa. Izvo zvinogona kuvharwa zvinogona kupfigwa nehututi yekuvhiya, ster-strips (zviduku zviduku zvekubatanidza mabhanji), kana zvishoma, kakawanda kana sutures .

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Splenectomy: Nzira Yakasununguka

Iyo splenectomy yakasununguka inofanana zvikuru neyo laparoscopic nzira imwe chete yakasiyana-siyana-iyo incision inoshandiswa inenge inenge 4 kusvika ku5 masendimita yakareba, uye chiremba anokwanisa kutarisa muisungo kuti aone yose nzira.

Iyi nzira inobatsira zvikuru munyaya dze splenomegaly, kana kuwedzerwa kwepleen, iyo inogona kuita kuti chirwere chakakura zvikuru kubviswa kuburikidza nezviduku zvisinganzwisisiki zvinoshandiswa mune zvishoma zvishoma zvingaitika. Kana chirwere chacho chave chichikuvadzwa kwazvo, nzira yakasununguka inogona kushandiswawo kubvumira chiremba chiremba kuti aone zviri nani nzvimbo uye kubuda ropa kuti atungamirirwe nekukurumidza kupfuura neyo laparoscopic approach.

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Kuwanazve Mushure mekupera kweSplenecotomy Surgery

Kuwanazve mushure mekuvhiyiwa kweplenectomy kunowanzosiyana-siyana kubva kune murwere kusvika kune murwere, zvikurukuru nokuti pane zvikonzero zvakasiyana-siyana zvekuva ne-splenectomy. Pasinei nechikonzero chekuvhiyiwa kwako, paunomuka kubva pakuvhiyiwa kwako, unonzwa kurwadziwa kuruboshwe rwako munzvimbo yako. Iwe uchange uine pipe, inonzi "nasogastric tube" (NG), iyo inopinda mumhino dzako, ichidzika pasi yako uye mukati mako mudumbu. Iyi tube inodzivisa kuvakwa kwedumbu asidi, kuderedza kushushikana uye kurutsa mushure mekuita kwako. Iyo tube inowanzobviswa zuva kana maviri mushure mekuvhiyiwa.

Mutevedzeri murwere anokwanisa kuenda kumba achibva kuchipatara 48 kusvika ku 72 maawa mushure mekuvhiyiwa kana splenectomy ichiitwa mahara. Nzira yakasununguka inogona kutora nguva refu, nguva zhinji kusvikira vhiki, isati yasunungurwa. Vakawanda varwere vanogona kudzoka mabasa avo ezvisikwa 4 kusvika kuvhiki matanhatu mushure mekuvhiyiwa. Zvisinei, murwere anoda chirwere cheplenectomy mushure mokunge chirwere chacho chave chichivhiringidzika chinogona kugara muchipatara kwenguva yakareba zvichienderana nekukuvara kupi zvimwe kungave kuripo. Mune zvimwe zviitiko, kukanganisa kwepleen kungangodaro kunonyanya kukuvara kwekukuvara.

Iyo spleen inowanzobuda ropa apo ikakuvara kuitira kuti iwe unoda kuwedzerwa ropa mushure mekuita. Izvi zvichange zvichienderana nehuwandu hweropa rakarasikirwa kare, panguva uye shure mushure mekuitwa uye inongoitwa chete sezvinodiwa. Pasina kuwedzerwa ropa, murwere ane ruzivo rwekubuda ropa angave akanzwa asina simba kana kunyange ane musoro, nemhaka yekurasikirwa kweropa.

Zvinonyanya kukosha kuti iwe unoshingaira pamusoro pekuchengetedza kwako , sezvo ronda rako rinogona kutapukirwa nyore nyore mushure mekuvhiyiwa uku. Zvaunofunga zvinofanira kuongororwa nokuda kwezviratidzo zvehutachiwana hwezuva nezuva kana kakawanda.

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Pashure peSplenectomy

Mushure mokunge splenectomy, iwe uchange wakanyanyogadzirisa zvirwere uye muviri wako haugoni kurwisana navo nyore nyore. Iwe uchada kushingaira pakutsvaga kurapwa kwemamiriro ezvinhu ayo iwe usina kunge wakangobva kutsvaga kurapwa kwekare, sekurwadziwa kwehuro, fever , sinus uye utachiona hutachiona, nezvimwe zvirwere zvinowanikwa.

Chiremba wako angangodaro akakurudzira kuti ugamuchire chirwere chekudzivirira chirwere chepneumonia uye chinogona kuratidza mamwe majekiseni, zvakadai semishonga ye meningitis. Kurwisana kwako nehutachiona kunogona kuwedzera mukati memakore maviri ekuvhiyiwa kwako, asi hazvigoneki kuti ichadzoka kune maitiro ekugadzirira.

Kana uri kuona chiremba mutsva kana kuti uchirasikirwa nechinetso chisingawirirane, iva nechokwadi chekuti chiremba azive kuti hauna spleen.

Incision Care Pashure Kokuvhiya

_Sources:

_{Mushure mekunge Simba Rako Rakabviswa: Zvaunoda Kuziva Kuti Uzvidzivirire. American Family Physician. http://www.aafp.org/afp/20010201/508ph.html}

_{Congenital Spherocytic Anemia. MedLine Plus http://www.nlm.nih.gov/medlineplus/ency/article/000530.htm}

_{Spleen Removal. MedLine Plus http://www.nlm.nih.gov/medlineplus/ency/article/002944.htm}

_{Splenectomy. National Institutes of Health. [link ulr = http: //www.ncbi.nlm.nih.gov/books/bv.fcgi? ridhi = kukwira.section.3057] http://www.ncbi.nlm.nih.gov/books/bv. fcgi? rid = kuvhara.section.3057}