Pelvic laparoscopy

Pelvic laparoscopy yog kev phais mob txhawm rau kuaj plab hnyuv plab. Nws siv cov cuab yeej saib pom hu ua laparoscope. Kev phais mob kuj tseem siv los kho qee cov kab mob ntawm lub plab hauv plab hnyuv siab raum.

Thaum koj tsaug zog tob tob thiab tsis mob nyob hauv qhov dav dav ua kom loog, tus kws kho mob ua ib nrab nti (1.25 centimeters) txiav phais hauv daim tawv nqaij hauv qab lub plab khawm. Cov pa roj carbon dioxide roj tawm mus rau hauv lub plab yuav pab tus kws kho mob pom cov khoom nruab nrog tau yooj yim dua.

Lub laparoscope, lub twj paj nruag uas zoo li lub tsom iav me me nrog lub teeb thiab yees duab yees, tso rau kom tus kws kho mob tuaj yeem saib thaj chaw.

Lwm yam twj paj nruag tuaj yeem tso los ntawm lwm qhov kev txiav me me hauv qab plab. Thaum saib daim vis dis aus saib, tus kws kho mob muaj peev xwm:

• Mus kuaj cov nqaij mos (kuaj me)
• Saib qhov ua rau muaj mob dabtsi
• Tshem tawm cov caws pliav lossis lwm cov nqaij tsis zoo, xws li los ntawm endometriosis
• Kho lossis tshem ib feem lossis tag nrho cov zes qe menyuam lossis txoj yas
• Kho lossis tshem qee qhov ntawm lub tsev menyuam
• Ua lwm yam kev phais mob (xws li phais pob qij txha, tshem tawm cov qog ntshav)

Tom qab laparoscopy, cov roj carbon dioxide tawm, thiab kev txiav raug kaw.

Laparoscopy siv kev phais me dua li qhib kev phais. Coob tus neeg uas muaj tus txheej txheem no tuaj yeem rov qab mus tsev tib hnub. Qhov phais me dua ntawd tseem txhais tau tias kev rov qab los sai dua. Muaj ntshav tsawg dua nrog kev phais laparoscopic thiab tsawg dua qhov mob tom qab kev phais mob.

Pelvic laparoscopy yog siv ob qho tib si rau kev kuaj mob thiab kho mob. Nws tuaj yeem pom zoo rau:

• Qhov txawv txav ntawm lub plab me lossis lub zes qe menyuam pom siv siv pelvic ultrasound
• Mob kheesxaws (zes qe menyuam, endometrial, lossis ncauj tsev menyuam) txhawm rau saib seb nws puas tau kis, lossis tshem tawm cov qog lossis cov nqaij ua ke nyob ze
• Mob ncauj plab (ntev ntev), yog tias tsis muaj lwm yam ua kom pom
• Ectopic (tubal) cev xeeb tub
• Endometriosis
• Nyuaj rau cev xeeb tub los yog muaj menyuam (ntxiv lawm tshob)
• Cia li mob heev, mob lub ntsag

Yuav ua li cas rau pelvic laparoscopy:

• Tshem koj lub tsev menyuam (hysterectomy)
• Tshem tawm cov uterine fibroids (myomectomy)
• “Khi” koj txoj hlab ntshav (txoj leeg / khi kom zoo)

Kev phom sij rau kev phais plab hu ua:

• Ntshav
• Cov ntshav txhaws hauv ceg lossis caj pas txhaws, uas tuaj yeem mus rau hauv lub ntsws thiab, feem ntau, ua neeg tuag taus
• Cov teeb meem ua pa
• Kev puas tsuaj rau cov kabmob thiab cov ntaub so ntswg uas nyob ze
• Lub plawv muaj teeb meem
• Kab mob

Laparoscopy yog kev nyab xeeb dua li tus txheej txheem qhib rau kev kho cov teeb meem.

Qhia koj tus kws kho mob:

• Yog tias koj lossis cev xeeb tub
• Koj siv cov tshuaj dab tsi, txawm tias cov tshuaj, tshuaj ntsuab, lossis tshuaj ntxiv uas koj tau yuav yam tsis muaj daim ntawv yuav tshuaj

Thaum lub hnub ua ntej kev phais mob:

• Yuav kom koj tsum tsis txhob noj tshuaj aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), thiab lwm yam tshuaj uas ua rau koj cov ntshav txhaws nyuaj.
• Nug koj tus kws kho mob uas koj tseem tuaj yeem noj nyob rau hnub phais koj tus mob.
• Yog koj haus luam yeeb, sim nres. Nug koj tus kws khomob kom pab.
• Npaj rau qee tus neeg xa koj mus tsev tom qab phais mob.

Hnub koj phais:

• Koj yuav kom koj tsis txhob haus cawv los yog noj ib yam dab tsi tom qab ib tag hmo hmo ua ntej txoj kev phais mob, lossis 8 teev ua ntej kev phais koj tus mob.
• Siv cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Koj tus kws khomob yuav qhia rau koj thaum mus txog hauv tsev khomob lossis tsev kuaj mob.

Koj yuav siv qee lub sijhawm ntawm thaj chaw rov zoo li koj sawv ntawm cov tshuaj loog.

Coob leej ntau tus tuaj yeem mus tsev tom tsev tib hnub uas yog txheej txheem. Qee zaum, koj yuav tsum tau pw thaum hmo ntuj, nyob ntawm seb qhov phais mob tau ua tiav siv laparoscope.

Cov pa roj uas ntim rau hauv lub plab yuav ua rau mob plab tau 1 mus rau 2 hnub tom qab ua haujlwm tiav. Qee tus neeg hnov ​​mob caj dab thiab lub xub pwg rau ob peb hnub tom qab laparoscopy vim tias cov pa roj carbon dioxide ua rau lub diaphragm tawg. Raws li cov roj nqus, qhov mob no yuav ploj mus. Dag pw yuav pab txo qhov mob.

Koj yuav tau txais tshuaj rau qhov mob muab tshuaj los yog qhia kom koj paub cov tshuaj loog uas yuav tom kiab khw.

Koj tuaj yeem rov mus ua koj li kev ua si li 1 mus rau 2 hnub. Txawm li cas los xij, TSIS TXHOB nqa dab tsi tshaj 10 phaus (4.5 phaus) rau 3 lub lis piam tom qab phais mob kom txo koj txoj kev pheej hmoo yuav ua mob rau hauv koj lub plab phais.

Ua raws li cov txheej txheem ua tiav, koj feem ntau yuav pib ua haujlwm kev sib deev ib zaug thaum twg los ntshav tau nres. Yog tias koj tau phais mob hysterectomy, koj yuav tsum tos sijhawm ntev dua ua ntej yuav muaj kev sib deev ib zaug ntxiv. Nug koj tus kws kho mob yog dab tsi uas pom zoo rau cov txheej txheem uas koj muaj.

Hu rau koj tus kws khomob yog koj muaj:

• Los ntshav los ntawm qhov chaw mos los
• Ua npaws uas tsis ploj mus
• Xeev siab thiab ntuav
• Mob plab heev

Celioscopy; Qhab-pab phais; Pelviscopy; Gynecologic laparoscopy; Kev tshawb nrhiav laparoscopy - kev kho mob poj niam

• Pelvic laparoscopy
• Endometriosis
• Pelvic adhesions
• Ovarian cyst
• Pelvic laparoscopy - series

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Burney RO, Giudice LC. Endometriosis. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 130.

Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy thiab laparoscopy: taw qhia, contraindications, thiab muaj teeb meem. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 10.

Patel RM, Kaler KS, Landman J. Cov qauv tseem ceeb ntawm laparoscopic thiab robotic urologic phais. Hauv: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein UrologyCov. 12th ed. Philadelphia, PA: Elsevier; 2021: chap 14.