Kev tshawb nrhiav laparotomy: nws yog dab tsi, thaum twg nws yog qhia thiab nws ua li cas

Zoo Siab

• Thaum tshawb nrhiav laparotomy yog qhia
• Yuav ua li cas nws ua tiav
• Muaj teeb meem tshwm sim

Kev tshawb nrhiav, lossis kev tshawb nrhiav, laparotomy yog kev kuaj mob hauv qhov kev txiav tawm hauv lub plab thaj tsam txhawm rau soj ntsuam cov plab hnyuv siab raum thiab txheeb xyuas qhov ua rau muaj qee yam tsos mob lossis hloov kho hauv kev ntsuam xyuas. Txoj kev ua no yuav tsum tau ua nyob rau hauv chav ua haujlwm nrog tus neeg mob nyob hauv kev ua kom loog, vim nws yog qhov txheej txheem ntxeem tau.

Nws raug nquahu tias tus neeg tseem nyob hauv tsev kho mob yuav tsum tau nrog thiab ua kom sai dua ntawm cov txheej txheem, ntxiv rau txo qis kev pheej hmoo ntawm cov teeb meem, xws li mob ntshav thiab mob tau.

Thaum tshawb nrhiav laparotomy yog qhia

Kev tshawb nrhiav laparotomy yog ua rau kev kuaj mob, thiab tau ua thaum muaj qee cov cim kev hloov ntawm lub plab mog.

Nws feem ntau yog kev xaiv ua, tab sis nws kuj tuaj yeem raug txiav txim siab thaum muaj xwm txheej ceev, xws li tsheb sib tsoo loj, piv txwv. Yog li, qhov kev kuaj mob no tuaj yeem tsim nyog txhawm rau tshawb xyuas:

• Xav tias tsam plab los ntshav;
• Perforations hauv plab hnyuv;
• Kev kis mob hnyuv tws, hnyuv lossis pob txha caj qaum;
• Qhov kuaj pom muaj nyob ntawm daim siab;
• Cov tsos mob qhia tias muaj mob qog nqaij hlav, feem ntau yog txiav thiab mob siab;
• Muaj cov nplaum.

Ib qho ntxiv, kev tshawb nrhiav laparotomy kuj tseem siv tau los tshawb xyuas qee yam mob rau cov poj niam, xws li endometriosis, mob ntawm zes qe menyuam thiab ncauj tsev menyuam thiab mob ectopic, piv txwv. Txawm li cas los xij, nyob rau hauv Feem ntau, tsis txhob laparotomy, laparoscopy yog ua tiav, nyob rau hauv uas qee qhov me me tau tsim nyob rau hauv thaj chaw mob plab uas tso cai rau kev tso cai ntawm cov khoom kho mob uas txuas nrog microcamera, tso cai rau pom lub sijhawm tiag tiag yam tsis muaj nws tsim nyog. loj dua qhov kev txiav tawm yuav tsum tau ua. Nkag siab li cas ua yeeb yaj kiab videolaparoscopy ua.

Thaum lub sij hawm tshawb nrhiav laparotomy, yog tias pom muaj qhov pauv hloov, nws yog ib qho ua tau los khaws ib daim qauv ntawm daim ntaub thiab xa mus rau qhov chaw kuaj ntshav kom kuaj. Ntxiv rau, yog tias muaj teeb meem tshwm sim thaum kuaj, tshuaj laparotomy tuaj yeem ua tau, uas sib raug rau cov txheej txheem tib yam tab sis nrog lub hom phiaj ntawm kev kho thiab kho qhov uas hloov kho.

Yuav ua li cas nws ua tiav

Kev tshawb nrhiav laparotomy yog ua nyob rau hauv chav ua haujlwm, nrog tus neeg mob nyob rau hauv kev siv tshuaj loog thiab kav ntev li 1 txog 4 teev nyob ntawm lub hom phiaj kuaj mob. Kev ua kom loog yog qhov tseem ceeb kom tus neeg tsis hnov ​​dab tsi thaum lub sij hawm tus txheej txheem, txawm li cas los xij nws yog qhov ib txwm hais tias tom qab siv tshuaj loog hloov, tus neeg hnov ​​mob thiab tsis xis nyob.

Tom qab daim ntawv thov ntawm cov tshuaj loog thiab pib ntawm cov nyhuv, ib qho kev txiav yog ua rau thaj tsam plab, qhov loj me uas sib txawv raws li lub hom phiaj ntawm kev kuaj mob, thiab qee kis, txiav nyob rau yuav luag tag nrho lub plab ntev. Tom qab ntawd, tus kws kho mob ua tiav qhov kev tshawb nrhiav thaj av, tshuaj xyuas cov plab hnyuv siab raum thiab kuaj seb puas muaj kev hloov dab tsi.

Tom qab ntawd, lub plab hlaub raug kaw thiab tus neeg yuav tsum nyob hauv tsev kho mob ob peb hnub kom nws tau saib xyuas zoo thiab, yog li, muaj kev cuam tshuam tuaj yeem tiv thaiv tus mob.

Muaj teeb meem tshwm sim

Raws li nws yog ib tus txheej txheem ntxeem tau uas yuav ua rau ib qho kev ua kom loog, yuav muaj cov teeb meem uas cuam tshuam nrog tus txheej txheem, nrog rau cov teeb meem cuam tshuam nrog kev coagulation, muaj kev pheej hmoo ntawm los ntshav thiab kis mob, tsim kom muaj hernias thiab kev puas tsuaj rau ib qho hloov khoom hauv thaj chaw mob plab Cov.

Txawm hais tias tsawg, cov teeb meem no tau tshwm sim ntau dua thaum nws yuav tsum tau ua kev tshawb nrhiav kev kub ntxhov laparotomy lossis thaum tus neeg mob haus luam yeeb, cov neeg uas nquag haus cawv lossis cov uas muaj mob ntev, xws li mob ntshav qab zib lossis rog rog, piv txwv. Yog li ntawd, nyob rau ntawm ib qho ntawm cov yam no, nws yog ib qho tseem ceeb rau kev sib txuas lus rau tus kws kho mob thiaj li hais tias cov txheej txheem tau ua nrog ceev faj thiab, yog li, muaj kev tiv thaiv kev tiv thaiv.