Laparoscopy

Akoonu

• Kini laparoscopy?
• Kini o ti lo fun?
• Kini idi ti Mo nilo laparoscopy?
• Kini o ṣẹlẹ lakoko laparoscopy?
• Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
• Ṣe eyikeyi awọn eewu si idanwo naa?
• Kini awọn abajade tumọ si?
• Awọn itọkasi

Kini laparoscopy?

Laparoscopy jẹ iru iṣẹ abẹ ti o ṣayẹwo awọn iṣoro ni ikun tabi eto ibisi obirin. Iṣẹ abẹ laparoscopic nlo tube ti o tinrin ti a pe ni laparoscope. O ti fi sii inu ikun nipasẹ fifọ kekere. Abẹrẹ jẹ gige kekere ti a ṣe nipasẹ awọ ara nigba iṣẹ-abẹ. Falopiani ni kamẹra kan ti a so mọ. Kamẹra naa firanṣẹ awọn aworan si atẹle fidio kan. Eyi jẹ ki oniṣẹ abẹ lati wo inu ti ara laisi ibajẹ nla si alaisan.

Laparoscopy ni a mọ bi iṣẹ abẹ apanilara kekere. O gba laaye fun awọn isinmi ile-iwosan kukuru, imularada yiyara, irora ti o kere, ati awọn aleebu kekere ju iṣẹ abẹ ibile (ṣii).

Awọn orukọ miiran: laparoscopy aisan, iṣẹ abẹ laparoscopic

Kini o ti lo fun?

Fun awọn eniyan ti o ni awọn aami aiṣan inu, iṣẹ abẹ laparoscopic le ṣee lo lati ṣe iwadii aisan:

• Awọn èèmọ ati awọn idagba miiran
• Awọn bulọọki
• Ẹjẹ ti ko ṣalaye
• Awọn akoran

Fun awọn obinrin, o le lo lati ṣe iwadii ati / tabi tọju:

• Fibroids, awọn idagba ti o dagba inu tabi ita ile-ọmọ. Pupọ julọ fibroids kii ṣe aarun.
• Awọn cysts Ovarian, Awọn apo ti o kun fun omi ti o dagba ni inu tabi lori oju ọna ẹyin.
• Endometriosis, majemu ninu eyiti awọ ara ti o ṣe deede ila ile-ile dagba ni ita rẹ.
• Pelvic prolapse, majemu ninu eyiti awọn ẹya ibisi ju sinu tabi jade kuro ninu obo.

O tun le lo lati:

• Yọ oyun ectopic kuro, oyun ti o dagba ni ita ile-ọmọ. Ẹyin ti o ni idapọ ko le ye oyun ectopic. O le jẹ idẹruba aye fun obinrin ti o loyun.
• Ṣe hysterectomy kan, yiyọ ti ile-ile. A le ṣe hysterectomy lati tọju akàn, ẹjẹ aito, tabi awọn rudurudu miiran.
• Ṣe lilu tubal kan, Ilana ti a lo lati ṣe idiwọ oyun nipa didena awọn tubes fallopian ti obinrin.
• Ṣe itọju aiṣododo, jijo ito lairotẹlẹ.

Iṣẹ-abẹ naa nigbakan ni lilo nigbati idanwo ti ara ati / tabi awọn idanwo aworan, gẹgẹ bi awọn x-egungun tabi awọn olutirasandi, ma fun alaye ti o to lati ṣe ayẹwo kan.

Kini idi ti Mo nilo laparoscopy?

O le nilo laparoscopy ti o ba:

• Ni irora ti o nira ati / tabi onibaje ninu ikun tabi ibadi rẹ
• Lero ikun kan ninu ikun rẹ
• Ni akàn inu. Iṣẹ abẹ laparoscopic le yọ diẹ ninu awọn oriṣi ti aarun.
• Ṣe obirin ti o ni iwuwo ju awọn akoko nkan oṣu lọ
• Ṣe obirin ti o fẹ iru iṣẹ abẹ ti iṣakoso ibi
• Ṣe obirin ni iṣoro nini aboyun. A le lo laparoscopy lati ṣayẹwo fun awọn idiwọ ninu awọn tubes fallopian ati awọn ipo miiran ti o le ni ipa lori irọyin.

Kini o ṣẹlẹ lakoko laparoscopy?

Iṣẹ abẹ Laparoscopic ni a maa n ṣe ni ile-iwosan tabi ile-iwosan aigbọwọ. Nigbagbogbo o pẹlu awọn igbesẹ wọnyi:

• Iwọ yoo yọ aṣọ rẹ kuro ki o wọ aṣọ ile-iwosan kan.
• Iwọ yoo dubulẹ lori tabili iṣiṣẹ.
• Pupọ julọ laparoscopies ni a ṣe lakoko ti o wa labẹ akuniloorun gbogbogbo. Gbogbogbo akuniloorun jẹ oogun ti o mu ki o daku. O rii daju pe iwọ kii yoo ni irora eyikeyi irora lakoko iṣẹ-abẹ naa. A o fun ọ ni oogun nipasẹ laini iṣan (IV) tabi nipa fifun awọn gaasi lati iboju-boju kan. Onisegun pataki ti a pe ni anesthesiologist yoo fun ọ ni oogun yii
• Ti a ko ba fun ọ ni anesitetiki gbogbogbo, oogun kan yoo wa ni abẹrẹ ni ikun rẹ lati ṣe ika agbegbe naa ki o ko ba ni irora eyikeyi.
• Lọgan ti o ba daku tabi ikun rẹ ti parẹ patapata, oniṣẹ abẹ rẹ yoo ṣe iṣiro kekere ni isalẹ bọtini ikun rẹ, tabi sunmọ agbegbe naa.
• Laparoscope, tube tinrin pẹlu kamẹra ti a so, yoo fi sii nipasẹ fifọ.
• Awọn ifa kekere diẹ sii le ṣee ṣe ti o ba nilo iwadii kan tabi awọn irinṣẹ iṣẹ abẹ miiran. Iwadii jẹ ohun elo iṣẹ abẹ ti a lo lati ṣawari awọn agbegbe inu ti ara.
• Lakoko ilana, iru gaasi kan ni ao fi sinu ikun rẹ. Eyi gbooro si agbegbe naa, ṣiṣe ni irọrun fun oniṣẹ abẹ lati wo inu ara rẹ.
• Onisegun yoo gbe laparoscope ni ayika agbegbe naa. Oun tabi obinrin yoo wo awọn aworan ti ikun ati awọn ara ibadi lori iboju kọmputa kan.
• Lẹhin ti ilana naa ti pari, awọn irinṣẹ iṣẹ abẹ ati pupọ gaasi yoo yọ kuro. Awọn iha kekere yoo wa ni pipade.
• O yoo gbe lọ si yara imularada.
• O le ni irọra oorun ati / tabi ríru fun awọn wakati diẹ lẹhin laparoscopy.

Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

Ti o ba ni itọju akunilo gbogbogbo, o le nilo lati yara (ko jẹ tabi mu) fun wakati mẹfa tabi diẹ sii ṣaaju iṣẹ abẹ rẹ. O le ma ni anfani lati mu omi lakoko asiko yii. Beere lọwọ olupese ilera rẹ nipa awọn itọnisọna pato. Pẹlupẹlu, ti o ba n ni imun-ẹjẹ gbogbogbo, rii daju lati ṣeto fun ẹnikan lati gbe ọ ni ile. O le jẹ groggy ati idamu lẹhin ti o ji lati ilana naa.

Ni afikun, o yẹ ki o wọ awọn aṣọ alaimuṣinṣin. Ikun rẹ le ni rilara ọgbẹ diẹ lẹhin iṣẹ abẹ.

Ṣe eyikeyi awọn eewu si idanwo naa?

Ọpọlọpọ eniyan ni irẹlẹ ikun inu tabi aibalẹ lẹhin naa. Awọn iṣoro to ṣe pataki ko wọpọ. Ṣugbọn wọn le pẹlu ẹjẹ ni aaye fifọ ati ikolu.

Kini awọn abajade tumọ si?

Awọn abajade rẹ le pẹlu iwadii ati / tabi atọju ọkan ninu awọn ipo wọnyi:

• Endometriosis
• Fibroids
• Awọn cysts Ovarian
• Oyun ectopic

Ni awọn ọrọ miiran, olupese rẹ le yọ nkan kan ti àsopọ lati ṣe idanwo fun akàn.

Ti o ba ni awọn ibeere nipa awọn abajade rẹ, sọrọ si olupese iṣẹ ilera rẹ.

Awọn itọkasi

1. ACOG: Awọn Oniwosan Ilera ti Awọn Obirin [Intanẹẹti]. Washington DC: Ile-ẹkọ giga ti Amẹrika ti Awọn Obstetricians ati Gynecologists; c2018. Awọn ibeere: Laparoscopy; 2015 Jul [ti a tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.acog.org/Patients/FAQs/Laparoscopy
2. ASCRS: Awujọ Amẹrika ti Colon ati Awọn oniṣẹ abẹ Itan [Intanẹẹti]. Oakbrook Terrace (IL): American Society of Colon ati Awọn oniṣẹ abẹ Ẹjẹ; Iṣẹ abẹ Laparoscopic: Kini o jẹ ;; [tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.fascrs.org/patients/disease-condition/laparoscopic-surgery-what-it
3. Ilera Brigham: Brigham ati Ile-iwosan Awọn Obirin [Intanẹẹti]. Boston: Brigham ati Ile-iwosan Awọn Obirin; c2018. Laparoscopy; [tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 5]. Wa lati: https://www.brighamandwomens.org/obgyn/minimally-invasive-gynecologic-surgery/laparoscopy
4. Ile-iwosan Cleveland [Intanẹẹti]. Cleveland (OH): Ile-iwosan Cleveland; c2018. Laparoscopy Pelvic Obirin: Akopọ; [toka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://my.clevelandclinic.org/health/treatments/4819-female-pelvic-laparoscopy
5. Ile-iwosan Cleveland [Intanẹẹti]. Cleveland (OH): Ile-iwosan Cleveland; c2018. Pelvic Laparoscopy Obirin: Awọn alaye Ilana; [tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 4]. Wa lati: https://my.clevelandclinic.org/health/treatments/4819-female-pelvic-laparoscopy/procedure-details
6. Ile-iwosan Cleveland [Intanẹẹti]. Cleveland (OH): Ile-iwosan Cleveland; c2018. Pelvic Laparoscopy Obirin: Awọn eewu / Awọn anfani; [toka si 2018 Oṣu kọkanla 28]; [nipa iboju 4]. Wa lati: https://my.clevelandclinic.org/health/treatments/4819-female-pelvic-laparoscopy/risks—benefits
7. Endometriosis.org [Intanẹẹti]. Endometriosis.org; c2005–2018. Laparoscopy: ṣaaju ati lẹhin awọn imọran; [imudojuiwọn 2015 Jan 11; tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: http://endometriosis.org/resources/articles/laparoscopy-before-and-after-tips
8. Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2018. Oyun ectopic: Awọn aami aisan ati awọn okunfa; 2018 May 22 [toka 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/symptoms-causes/syc-20372088
9. Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2018. Gbogbogbo akuniloorun: Nipa; 2017 Dec 29 [ti a tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.mayoclinic.org/tests-procedures/anesthesia/about/pac-20384568
10. Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2018. Iṣẹ abẹ afomo ti o kere ju: Nipa; 2017 Dec 30 [ti a tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.mayoclinic.org/tests-procedures/minimally-invasive-surgery/about/pac-20384771
11. Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2018. Pelvic organ prolapse: Awọn aami aisan ati awọn okunfa; 2017 Oṣu Kẹwa 5 [toka 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/symptoms-causes/syc-20360557
12. Ẹya Olumulo Afowoyi Merck [Intanẹẹti]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Laparoscopy; [tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 2]. Wa lati: https://www.merckmanuals.com/home/digestive-disorders/diagnosis-of-digestive-disorders/laparoscopy
13. Merriam-Webster [Intanẹẹti]. Springfield (MA): Merriam Webster; c2018. Ibeere: nọun; [toka si 2018 Oṣu kejila 6]; [nipa iboju 2]. Wa lati: https://www.merriam-webster.com/dictionary/probe
14. Oke Nittany Ilera [Intanẹẹti]. Oke Nittany Ilera; Kini idi ti a fi ṣe Laparoscopy; [tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.mountnittany.org/articles/healthsheets/7455
15. Awọn SAGES [Intanẹẹti]. Los Angeles: Awujọ ti Ikun Gastrointestinal ti Amẹrika ati Awọn oniṣẹ abẹ Endoscopic; Alaye Alaisan Alaisan Laparoscopy lati SAGES; [imudojuiwọn 2015 Mar 1; tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 3]. Wa lati: https://www.sages.org/publications/patient-information/patient-information-for-diagnostic-laparoscopy-from-sages
16. Ilera UF: Ile-ẹkọ Yunifasiti ti Ilera ti Florida [Intanẹẹti]. Gainesville (FL): Ile-iwe giga Yunifasiti ti Ilera ti Florida; c2018. Laparoscopy aisan: Akopọ; [imudojuiwọn 2018 Nov 28; tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 2]. Wa lati: https://ufhealth.org/diagnostic-laparoscopy
17. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2018. Encyclopedia Health: Hysterectomy; [toka si 2018 Oṣu kọkanla 28]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=p07777
18. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2018. Encyclopedia Health: Laparoscopy; [tọka si 2018 Oṣu kọkanla 28]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07779
19. Ilera UW [Intanẹẹti].Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2018. Alaye Ilera: Anesthesia: Akopọ Akole; [imudojuiwọn 2018 Mar 29; toka si 2018 Dec 17]; [nipa iboju 2]. Wa lati: https://www.uwhealth.org/health/topic/special/anesthesia/tp17798.html#tp17799

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.