Kev kuaj mob laparoscopy

Kev kuaj mob laparoscopy yog txheej txheem uas tso cai rau tus kws kho mob saib cov ntsiab lus ntawm lub plab lossis lub plab mog.

Cov txheej txheem no feem ntau yog ua nyob hauv tsev kho mob lossis tawm chaw sab nrauv phais mob raws li kev siv tshuaj loog (thaum koj pw tsaug zog thiab tsis hnov ​​mob). Cov txheej txheem tau ua raws li hauv qab no:

• Tus kws phais mob txiav me me (phais) hauv qab lub plab.
• Ib rab koob lossis khoob khoob hu ua trocar tau ntxig rau hauv qhov phais. Cov pa roj carbon dioxide xa mus rau hauv lub plab yog siv rab koob lossis raj. Cov pa roj pab ua kom thaj chaw dav dav, muab rau tus kws phais neeg nyob hauv chaw ua haujlwm ntau dua, thiab pab tus kws phais neeg pom cov khoom hauv nruab nrog kom pom tseeb dua.
• Lub koob yees duab me me (laparoscope) tom qab ntawd tau muab tso rau hauv lub tsheb thauj khoom thiab yog siv los saib sab hauv ntawm koj lub plab mog thiab lub plab. Yuav txiav me me ntxiv yog tias yuav siv lwm cov twj paj nruag ntxiv kom pom qhov zoo rau qee lub cev.
• Yog tias koj tab tom mob gnecologic laparoscopy, zas xim tuaj yeem raug txhaj rau hauv koj lub ncauj tsev menyuam yog li tus kws phais mob tuaj yeem pom txoj hlab qe menyuam.
• Tom qab kev kuaj mob, roj av, laparoscope, thiab cov twj paj nruag raug tshem tawm, thiab kev txiav raug kaw. Koj yuav muaj ntaub ntaub qhwv thaj chaw ntawd.

Ua raws li cov lus qhia kom tsis txhob noj thiab haus ua ntej kev phais mob.

Koj yuav tsum tau tsum tsis txhob noj tshuaj ntxiv, suav nrog kev txo tshuaj kho mob kom nkees, rau hnub ua ntej hnub kuaj mob. TSIS TXHOB hloov lossis tsum tsis noj cov tshuaj yam tsis tau tham nrog koj tus kws kho mob.

Ua raws li lwm cov lus qhia ntxiv txog kev npaj rau qhov txheej txheem.

Koj yuav hnov ​​zoo li tsis muaj qhov mob thaum ua cov txheej txheem. Tom qab ntawd, qhov phais ua tej zaum yuav mob. Koj tus kws kho mob yuav sau ntawv muab ib qho tshuaj pab txo qhov mob.

Koj yuav tseem mob lub xub pwg li ob peb hnub. Cov pa roj uas siv thaum siv cov txheej txheem tuaj yeem ua rau thaj chaw diaphragm, uas sib koom nrog qee qhov sib luag ntawm lub xub pwg. Koj kuj tseem tuaj yeem tso zis ntxiv, vim tias cov pa roj tuaj yeem tso zis rau lub zais zis.

Koj yuav tau rov qab kho li ob peb teev hauv tsev kho mob ua ntej mus tsev. Koj yuav tuaj yeem tsis nyob ib hmos tom qab laparoscopy.

Koj yuav tsis raug tso tseg hauv tsev. Qee tus yuav tsum muaj sijhawm los coj koj mus tsev tom qab cov txheej txheem.

Kev kuaj mob laparoscopy feem ntau yog ua rau cov hauv qab no:

• Pom qhov ua kom mob lossis tshwm sim hauv plab thiab pob txha mos thaum xoo hluav taws xob lossis duab xoo duab ntsuas tsis meej.
• Tom qab muaj xwm txheej los saib seb puas muaj kev raug mob rau qee yam kabmob hauv plab.
• Ua ntej cov txheej txheem los kho tus mob cancer kom paub seb puas mob tau kis mob. Yog li, kev kho yuav hloov pauv.

Lub laparoscopy yog qhov qub yog tias tsis muaj ntshav hauv plab, tsis muaj hernias, tsis muaj plab hnyuv, thiab tsis muaj qog nqaij hlav hauv tej yam kabmob pom. Lub tsev menyuam, txoj hlab qe menyuam, thiab ovaries yog qhov loj me, cov duab, thiab xim. Lub siab yog qhov qub.

Cov kev ntsuas tsis zoo yuav yog vim muaj ntau tus mob, suav nrog:

• Caws pliav nqaij hauv plab los yog pelvis (ua kom tawv)
• Ntxhaws
• Cov xias ntawm sab hauv lub tsev menyuam loj hlob nyob rau lwm qhov chaw (endometriosis)
• Kev mob ntawm lub qhov ncauj (cholecystitis)
• Cov hlwv ntawm zes qe menyuam lossis mob kheesxaws zes qe menyuam
• Kev kis mob ntawm lub tsev me nyuam, zes qe menyuam, lossis txoj hlab qe menyuam (kabmob hu ua pelvic inflammatory)
• Cov cim ntawm kev raug mob
• Kev kis mob cancer
• Lub pob hlav
• Kev tsis hlav ua haujlwm lub cev ntawm lub tsev menyuam xws li fibroids

Muaj kev pheej hmoo rau kev kis tus kab mob. Koj tuaj yeem muab cov tshuaj tiv thaiv kab mob los tiv thaiv cov kev mob no.

Muaj kev pheej hmoo ntawm qhov puncturing ib qho khoom nruab nrog. Qhov no yuav ua rau cov ntsiab lus ntawm txoj hnyuv xau. Muaj kuj tseem yuav los ntshav rau hauv plab hauv plab. Cov teeb meem no tuaj yeem ua rau qhib phais (laparotomy) sai.

Kev kuaj mob laparoscopy yuav tsis muaj peev xwm yog tias koj muaj mob plab hnyuv o, kua dej hauv plab (ascites), lossis koj tau raug phais yav dhau los.

Laparoscopy - kuaj mob; Kev tshawb nrhiav laparoscopy

• Pelvic laparoscopy
• Poj niam deev aub
• Kev phais mob rau lub plab laparoscopy

Falcone T, Walters MD. Kev kuaj mob laparoscopy. Hauv: Baggish MS, Karram MM, eds. Atlas of Pelvic Anatomy thiab Gynecologic phaisCov. 4 tug ed. Philadelphia, PA: Elsevier; 2016: chap 115.

Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B. Tshawb nrhiav laparotomy - laparoscopic. Hauv: Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B, kev tawm tswv yim eds. Cov txheej txheem phais tshwj xeebCov. Philadelphia, PA: Elsevier; 2016: chap 1.