Kev tshawb nrhiav lub plab

Kev tshawb nrhiav lub plab yog kev phais txhawm rau saib cov plab hnyuv siab raum thiab cov qauv hauv koj lub plab (plab). Nov suav nrog koj:

• Daim Ntawv Ntxiv
• Lub Ntses
• Gallbladder
• Kev mob hnyuv
• Raum thiab ureters
• Lub siab
• Qos Yis
• Spleen
• Plab
• Txoj hlab menyuam, txoj hlab qe ntshav, thiab ovaries (hauv poj niam)

Kev phais mob uas qhib plab yog hu ua laparotomy.

Kev sim tshuaj laparotomy tau ua tiav thaum koj nyob hauv kev ua kom loog. Qhov no txhais tau tias koj tsaug zog thiab tsis hnov ​​mob ib qho dabtsi.

Tus kws phais mob txiav rau hauv plab thiab kuaj lub plab. Qhov loj thiab thaj chaw ntawm kev phais mob phais yog nyob ntawm kev txhawj xeeb kev noj qab haus huv tshwj xeeb.

Yuav tshem ib qho me me thaum kuaj.

Laparoscopy qhia txog txheej txheem uas tau ua nrog lub koob yees duab me me tso rau hauv plab. Yog tias ua tau, laparoscopy yuav ua kom tiav laparotomy.

Koj tus kws kho mob yuav pom zoo kom laparotomy yog tias kuaj cov plab hauv plab, xws li xoo hluav taws xob thiab CT scan, tsis tau kuaj pom muaj tseeb.

Kev siv tshuaj laparotomy tuaj yeem siv los pab kuaj thiab kho ntau yam mob, suav nrog:

• Mob kheesxaws ntawm zes qe menyuam, mob hnyuv taum, hlav, mob siab
• Endometriosis
• Gallstones
• Qhov nyob hauv txoj hnyuv (plab hnyuv perforation)
• Kev kis mob hnyuv tws (mob hnyuv tws)
• O ntawm cov hnyuv hnab (diverticulitis)
• O kev mob ntawm tus txiav (mob los yog mob pancreatitis)
• Mob siab ua raws
• Cov hnab ris ntawm kev kis tus kab mob (retroperitoneal rwj, mob plab, ua pob txha mos)
• Cev xeeb tub sab nraum lub tsev menyuam (lub cev xeeb tub ectopic)
• Caws pliav nqaij hauv plab (adhesions)

Kev phom sij ntawm cov tshuaj loog thiab kev phais mob suav nrog:

• Kev tsis haum tshuaj, teeb meem ua pa
• Los ntshav, ntshav txhaws, kis kab mob

Kev phom sij ntawm qhov kev phais mob suav nrog:

• Kev phais mob hernia
• Kev puas tsuaj rau cov kabmob hauv plab

Koj yuav ntsib koj tus kws kho mob thiab kuaj mob ua ntej koj phais. Koj tus kws khomob yuav:

• Ua ib qho kev soj ntsuam lub cev kom tiav.
• Nco ntsoov tias lwm yam mob uas koj tuaj yeem muaj, xws li mob ntshav qab zib, ntshav siab, lossis lub plawv lossis lub ntsws muaj teeb meem tswj tau.
• Ua kev ntsuas kom paub tseeb tias koj yuav tiv taus qhov phais mob.
• Yog tias koj tau haus luam yeeb, koj yuav tsum tso tseg kev haus luam yeeb ntau lub lis piam ua ntej kev phais mob. Nug koj tus kws khomob kom pab.

Qhia rau koj tus kws khomob:

• Cov tshuaj twg, cov vitamins, tshuaj ntsuab, thiab lwm yam tshuaj koj siv, txawm tias koj yuav yam tsis muaj tshuaj.
• Yog hais tias koj tau haus cawv ntau, ntau dua 1 lossis 2 khob ib hnub
• Yog tias koj yuav xeeb tub

Lub lim tiam ua ntej koj phais:

• Koj yuav raug hais kom tsum tsis txhob noj cov ntshav thinner ib ntus. Qee qhov ntawm no yog cov tshuaj aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), clopidogrel (Plavix), lossis ticlopidine (Ticlid).
• Nug koj tus kws kho mob saib koj yuav siv cov tshuaj twg hnub koj phais.
• Npaj koj lub tsev rau koj rov qab los ntawm tsev kho mob.

Hnub koj phais:

• Ua raws li koj tus kws kho mob cov lus qhia txog thaum yuav tsum tsis txhob noj thiab haus.
• Noj tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Mus txog tsev kho mob kom ncav sijhawm.

Koj yuav tsum pib noj mov thiab haus tau nquag li 2 rau 3 hnub tom qab phais tas. Lub sijhawm koj nyob hauv tsev khomob ntev npaum li cas yog nyob ntawm seb qhov mob loj npaum li cas. Kev ua tiav tag nrho feem ntau yuav siv sijhawm li 4 lub lis piam.

Kev phais tawg; Laparotomy; Tshawb nrhiav laparotomy

• Lub plab zom mov
• Pelvic adhesions
• Kev tshawb nrhiav plab - series

Txaj Muag JG, Reames BN, Nws J. Kev tswj ntawm tus kabmob periampullary. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim NoCov. 13th ed. Philadelphia, PA: Elsevier; 2020: 545-552.

Squires RA, Carter SN, Postier RG. Mob plab. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev phais mob: Txheej Txheem Qoob Loo ntawm Kev xyaum phais mob niaj hnubCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 45.