Mob qog nqaij hlav hauv zes qe - phais lossis laparoscopy?
Qhov hom kev xaiv ntawm txoj kev ua txoj kev kho phais yog ua los ntawm cov kws kho mob. Qhov no yuav siv rau hauv tus xov tooj ntawm ntau yam. Qhov loj yog qhov loj ntawm kev kawm. Yog hais tias nws yog me me (8-10 cm inch), ua haujlwm laparoscopic ua kom tshem tawm ntawm cov hlwv ntawm zes qe menyuam. Txoj kev no xav tias qhov kev sib tshuam tsawg heev ntawm cov nqaij, tsis tas yuav tawm hauv cov khaubncaws sab nraud povtseg, lub plab phab ntsa. Qhov tsim nyog cov cuab yeej yog qhia los ntawm ib tug me me qhov - ib lub cheeb ntawm 5 mm. Qhov laparoscopy ntawm lub hlwv ntawm zes qe menyuam (lub sijhawm ua haujlwm) yog tsau nrog cov khoom siv video, uas txo txoj kev pheej hmoo ntawm kev puas tsuaj rau lwm tus nruab nrog cev.
Thaum txiav txim siab txog hom kev phais mob, coj mus rau hauv tus account indications rau laparoscopy, ntawm cov uas:
- rupture ntawm lub neoplasm ;
- Ntsaub cov ceg ntawm kev kawm;
- Kev xeem, kev kuaj sab nraud ntawm lub cyst;
- Khoom noj kom tsawg rau kev nqus dej.
Lub lag luam yog tsis ua tiav thaum:
- o ntawm lub qhov ncauj;
- sepsis;
- cerebrovascular kev huam yuaj;
- myocardial infarction;
- hemorrhagic poob siab.
Kev npaj rau laparoscopy ntawm cov hlwv ntawm zes qe menyuam
Lub sij hawm ua ntej kev pabcuam raug cuam tshuam nrog ntau yam kev tshuaj ntsuam xyuas. Yog li, qhov kev npaj rau kev lag luam kom tshem tawm cov hlwv ntawm zes qe menyuam muaj li nram qab no:
- Kev ntsuam xyuas ntshav: biochemistry, dav dav, rau kev xoos, kev txiav txim siab ntawm Rh yam, kev kis kab mob (kab mob siab (hepatitis), syphilis, HIV);
- Ultrasound ntawm lub me pelvis;
- smears los ntawm qhov chaw mos;
- ECG;
- fluorography.
Cov kev kuaj no rau laparoscopy ntawm cov hlwv ntawm zes qe menyuam yog qhov tseem ceeb ntawm kev npaj ua. Lawv daim ntawv yuav muab nthuav tawm nyob rau hauv muaj cov kab mob ntev. Nrog saib purifying tus hnyuv, ib tug poj niam yog sau ib laxative hnub ua ntej, thiab ib lub enema yog ob peb teev ua ntej pib. 12 teev ua ntej qhov laparoscopy ntawm cov hlwv ntawm zes qe menyuam, tsis xam cov khoom noj kom noj, - lub plab yuav tsum khoob. Lub luag haujlwm tseem ceeb los ntawm kev xav ntawm cov poj niam. Nyob rau lub sij hawm ntawm tus kws kho mob tshuaj xyuas tus neeg mob, qhia nws cov nta ntawm lub lag luam, kho kom zoo.
Tus kabmob ntawm zes qe menyuam tau tshem tawm li cas?
Teb cov lus nug ntawm cov neeg mob hais txog kev siv lub lag luam kom tshem qhov kabmob ntawm zes qe menyuam yog qhov chaw, - tus kws kho mob ua ntej txhua yam thim tau hais tias txhua yam yog ua tiav nrog kev pab ntawm lub koob yees duab yees. Nws nruab nrog lo ntsiab muag, uas pheej nce cov duab tshwm nyob rau hauv lub monitor. Cov txheej txheem kev tshem tawm yog tshwm sim hauv kev tshuaj loog - tus poj niam tsis hnov dab tsi rau tib lub sijhawm.
Qhov ua ntej ntawm thaj chaw cim, punctures yog tsim, qhov twg yog qhov laparoscope. Cov tshuaj carbon dioxide ces mam li noj. Nws yog qhov tsim nyog rau kev nkag tau mus rau lub zes qe menyuam, ncaj qha cov kab noj hniav ntawm lub qhov ncauj. Nyob rau hauv tag nrho, 3 notches yog: nyob rau hauv ib - ib lub koob yees duab, 2 lwm tus - rau cov cuab yeej. Raws li cov duab, tus kws phais neeg ua tus resign ntawm lub neoplasm. Tom qab cov kabmob ntawm zes qe menyuam laparoscopy, cov roj tawm ntawm cov kabmob plab, cov xov ntxiv rau cov tshuaj uas tau ua thiab muab cov ntaub qhwv muaj menyuam tawm. Lub sijhawm ntawm kev ua haujlwm yuav muaj txog 3 xuab moos, ntawm qhov nruab nrab - 60 feeb.
Laparoscopy ntawm tus kabmob ntawm zes qe menyuam - postoperative lub sijhawm
Txoj kev rov qab kho tom qab laparoscopy ntawm tus kabmob ntawm zes qe menyuam tau mus sai. Nyob rau yav tsaus ntuj tom qab ua haujlwm, tus ntxhais tau txais kev pab. Rau 3-4 hnub qhov mob ntawm cov pob qij txha tiav lawm. Tshem tawm yuav siv sijhawm rau hnub 7-9. Txog thaum ntawd, niaj hnub kev kho mob nrog tshuaj antiseptic, cov tshuaj tua kab mob antibacterial (Levomecol) siv rau saum npoo, uas tiv thaiv tus kab mob.
Tom qab laparoscopy qeeb, cov kws kho mob pom zoo cov cai hauv qab no:
- cais tawm ntawm lub cev muaj zog ua haujlwm 1-2 hli;
- txwv tsis pub dhau kev sib deev rau 2 lub asthiv;
- Tsis pub mus xyuas cov chaw da dej, saunas, tu lub qhov cub kom hloov tau tus da dej.
Noj cov zaub mov tom qab laparoscopy ntawm zes qe menyuam
Cov kws kho mob yuav tsum tau ua kom tiav raws li kev noj haus, xyuas kom zoo rau cov khoom noj. Tam sim ntawd tom qab laparoscopy, cov hlwv ntawm zes qe menyuam, tom qab 4-5 teev, raug tso cai rau haus dej me me tseem dej. Tom qab lub lapse ntawm 6-8 xuab moos, thawj zaug noj mov yog nqa tawm, - kua broth. Thawj 24 teev pub noj zaub mov qaub-mis nyuj - kefir, yoghurt.
On thib 2nd hnub, ib cov zaub kua zaub ntxiv rau kev noj haus. Qhov thib ob lub tais yuav ua tau ib lub ncuav khib nyiab, squash los yog qos yaj ywm mashed. Teb cov lus nug ntawm cov neeg mob txog kev noj zaub mov tom qab laparoscopy ntawm cov zes qe menyuam plab, cov kws kho mob taw tes rau kev tsis txaus siab:
- mov ci;
- kash;
- txiv hmab txiv ntoo tshiab.
Cov khoom no muaj ntau npaum li cas ntawm cov nroj tsuag fibers uas ua rau qhov kev poob siab. Qhov kev mob no yog kev ua los ntawm qhov nro ntawm cov phab ntsa hauv sab nrauv, uas yuav tsum tau zam hauv kev siv sij hawm tom qab. Thaum sib koom noj haus, ib tug ntxhais yuav tsum ua raws li cov lus qhia kho mob thiab cov tswv yim kom tsis txhob muaj teeb meem. Cov hauv qab no raug tshem tawm ntawm kev noj haus:
- confectionery;
- khoom qab zib;
- fatty meat;
- kib zaub mov;
- ntse;
- qaub dej qab zib thiab kua txiv hmab txiv ntoo.
Lub hli tom qab cov hlwv ntawm tus kabmob ntawm zes qe menyuam
Tam sim ntawd lub lag luam yog taw tom qab kawg ntawm kev coj khaub ncaws - rau 7-8 hnub ntawm lub voj voog. Qhov kev suav no yog ua kom rov qab ua tiav ntawm lub cev mus rau qhov pib ntawm lub voj voog tom ntej. Lub sij hawm thaum twg cev ntu yog tshwm sim tom qab laparoscopy ntawm tus kabmob ntawm zes qe menyuam tseem tsis tau hloov tsis tau zoo. Tab sis cov lus rov tuaj yeem tau sau tseg. Hauv qhov no, hnub qhib kev ua haujlwm rau thawj hnub ntawm lub hlis.
Nws yuav tsum tau yug nyob rau hauv lub hlwb uas tej zaum yuav muaj me me ntshav tawm tom qab kev phais, tsis txuam nrog cyclic. Lawv muaj ntim me me, kav ntev txog 3 hnub. Nws yog ib qho tsim nyog yuav tsum saib xyuas cov xim - yog tias xim xim av nrog lub paj khawm ntsuab - nws yog qhov zoo tsim nyog mus xyuas tus kws kho mob, txij thaum pom tus kab mob ntawm no qhia tau hais tias muaj kab mob.
Teeb meem tom qab laparoscopy ntawm cov hlwv ntawm zes qe menyuam
Cov txheej txheem tsis tshua muaj kev puas tsuaj, nws tau ua hauv kev tswj cov khoom siv yees duab, yog li ntawd cov teeb meem tsis muaj kev cuam tshuam. Raws li kev kho mob kev soj ntsuam, nyob rau hauv li ntawm 2% ntawm cov kev ua txhaum plaub raug sau tseg. Yuav kom tsis txhob cia lawv, cov kws kho mob ua tib zoo npaj kom tshem tawm cov hlwv ntawm zawg qe, qhov tshwm sim uas yuav ua tau raws li nram no:
- qhov muag pom ntawm xeev siab thiab ntuav;
- ntxiv zog kub cev;
- ua mob hauv qhov thais.
Kev rau txim loj dua ntawm kev lag luam yog tsawg. Lawv feem ntau conditioned los ntawm cov tsis tau txais qis ntawm tus kws phais, tsis muaj kev paub. Cov txiaj ntsim ua tau:
- kev puas tsuaj rau pelvic plab hnyuv siab raum;
- ras txog ntawm lub cev mus rau lub tswv yim carbon dioxide;
- kev fab tshuaj rau cov tshuaj loog.
Mob tom qab laparoscopy ntawm cov hlwv ntawm zes qe menyuam
Yuav luag tam sim ntawd tom qab kev phais mob, qhov kev tshem tawm ntawm tshuaj loog, tus neeg mob tau sau tseg tias nws tus mob zes qe menyuam tom qab tshem lub cyst. Qhov no yuav yog qhov txiaj ntsig ntawm kev khiav hauj lwm. Qhov mob zoo li no tsis mob los ntawm kev noj tshuaj mob. Yog tias qhov kev hnov mob tsis txhob ploj tas li tom qab 1-2 hnub, qhov no tuaj yeem qhia cov teeb meem ntawm lub sij hawm tom qab:
- raug mob rau cov kabmob ze ze;
- inflammatory txheej txheem.
Cev xeeb tub tom qab tshem tawm ntawm cov hlwv ntawm zes qe menyuam
Feem ntau cov cystic formations hauv lub zes qe menyuam yog ib qho chaw khuam siab rau kev xeeb txawm. Qhov tseeb no muaj feem xyuam rau cov lus nug txog ntau tus poj niam li seb puas muaj peev xwm ua kom cev xeeb tub tom qab tshem tawm ntawm cov hlwv ntawm zes qe menyuam. Cov kws kho mob qhia tias qhov kev muaj feem ntawm fertilization tom qab kev phais yog ho nce. Nyob rau hauv parallel, ib hom kev kho hormonal yog kws kho dua, es ua kom qhov hauj lwm zoo ntawm cov gonads. Nws lub sijhawm yog 3-6 lub hlis. Thaum kawg ntawm txoj kev kho mob, lawv pib plab me nyuam.