Site n'enyemaka nke ngwá ọrụ pụrụ iche (laparoscope), mgbe obere ntakịrị dị na oghere abdominal, ọ ga-ekwe omume iji nyochaa nchọpụta na nchọpụta ọrịa (diagnostic laparoscopy) na obere ịwa ahụ na gynecology (ịwa ahụ ma ọ bụ arụ ọrụ laparoscopy).
Ntuziaka maka laparoscopy na gynecology
Ihe ndị na-egosi isi maka laparoscopy:
- infertility na ụmụ nwanyị (maka nchọpụta nke mmebi nke ọdịdị nke tublopian tubes na mkpochapu, dissection nke adhesions);
- nnukwu ọrịa ịrịa ọrịa na gynecology (ime nwa ectopic, nnukwu appendicitis, ovarian apoplexy);
- mwepụ nke ovarian cysts, etuto ahụ nke akpanwa na ovaries, polyps, fibroids nke akpanwa;
- nsị nke tubes na-emepụta n'oge ịmịnye nwa;
- mwepụ nke akpanwa na ovaries;
- nyocha na ọgwụgwọ nke endometriosis nke ovaries na peritoneum;
- nchoputa na ọgwụgwọ nke ovary polycystic, anomalies nke mmepe nke akpanwa , ovulation nke akpanwa;
- nkwadebe maka IVF.
E nwekwara ụfọdụ contraindications ka laparoscopy na gynecology:
- agbatị ọbara ọgbụgba (na hemophilia, hemorrhagic diathesis);
- ọrịa na-agbawa agbawa nke usoro obi, usoro iku ume, imeju na akụrụ;
- nnukwu ọrịa;
- purulent peritonitis;
- ememe diaphragmatic;
- ujo ma ọ bụ coma;
- ọgwụ ọjọọ na gynecology;
- oké ibu;
- ọnọdụ mgbe a na-arụ ọrụ ma ọ bụ ntinye aka n'ime oghere abdominal.
Nkwadebe maka laparoscopy na gynecology
Na mgbakwunye na ọzụzụ kpọmkwem, enwere ọtụtụ ule na nyocha nke a ghaghị ime n'ehihie nke laparoscopy. Ndị a na - agụnye nyocha anụcha ọbara na mmamịrị, nyocha nyocha nke nsen nke ikpuru, nyocha ọbara (bụ ọbara shuga), ule maka syphilis, nje HIV, ịba ọcha n'anya nke oma, nnyocha nke gynecological gọọmenti na mgbakwunye na flora, pelvic floor ultrasound, ECG, fluorography na njedebe nke onye nyocha.
Nkwado nke Peredoperatsionnaya bụ ihe oriri n'ihu laparoscopy na gynecology, ogbenye na eriri, ọ bụghị ime ka ọkpụkpụ. N'abalị nke ọrụ ahụ, a na-emecha ọcha, ma n'ụbọchị ịwa ahụ, a machibidoro ya iri nri ma ṅụọ mmiri, mee ka ịkọ ọgwụ.
Opera laparoscopy na gynecology
Site na laparoscopy, a na-etinye otu trocar site na mbepụ na mpaghara bọọlụ 10 mm (site na ya, a na-etinye ya na laparoscope na igwefoto vidiyo), na mpaghara pelvic - abụọ trocar d 5 mm maka ngwá. Tinye oghere abdominal carbon dioxide maka ịnweta akụkụ ahụ. Site n'enyemaka nke ngwá ọrụ ịwa ahụ, a na-arụ ọrụ ịwa ahụ dị mkpa. Mgbe ọ gasịrị, kwụsị ọbara ọgbụgba ahụ ma tinye nkedo n'ahụ ọnyá ahụ.
Laparoscopy na gynecology: oge mmechi
Mgbe a gwọchara ya, ụbọchị onye ọrịa kwesịrị ịnọ n'okpuru nlekọta nke ndị dọkịta iji gbochie mmepe nke nsogbu ndị nwere ike ime. Mgbe a na-ahụ laparoscopy, ọbara ọgbụgba dị ike nwere ike ịmalite, n'oge arụ ọrụ, akụkụ abdominal ma ọ bụ arịa ọbara nwere ike ịmebi, ọrụ nke obi ma ọ bụ akpa nwere ike ịkụda site na ịtinye carbon dioxide n'ime oghere abdominal. N'ime nsogbu ndị na-esote, mmepe nke emphysema subcutaneous ga-ekwe omume n'ihe banyere ịda gas na akpụkpọ ahụ, thrombosis nke arịa nke oghere abdominal.
Uru nke laparoscopy
Ihe nkedo nke a bụ ntakịrị ihe mgbu na-akpata, obere ihe mgbu, enweghi ihe mgbu na ihe mgbu na oge mgbochi, obere ọbara na-enye aka, oge mkpirisi oge, ohere nke nyocha na ngwọta n'otu oge ahụ. Mmetụta ahụ bụ nhụjuanya n'ozuzu mgbe a na-emegharị ya, yana mkpebi siri ike nke ihe ngosi ma ọ bụ mmepe nke nsogbu, ọ ga-ekwe omume ịzụlite mkpa maka ịsụgharị ọrụ laparoscopic n'ime oghere nkịtị.