Indlela yokuThengisa iCandelo elincinci elithintekayo
Ukuhlinzwa okwenziwa nge-Laparoscopic, okubhekiselwe ekutyatsheni okungekho emthethweni (MIS), kubandakanya ukusetyenziswa kwesitya esincinci, esibulalayo esibizwa ngokuba yi-laparoscope esifakwe kwisicatshulwa esikhulayo kwisisu okanye kwi-pelvis ukwenza imisebenzi eyayisetyenziselwa ukufunwa ngokubanzi.
Ngenxa yokuba le nkqubo iquka amanxeba amancinci, amaxesha okuphucula athetha ukufutshane kunye nentlungu engaphantsi.
I-laparoscopy yamanje yayiqeshwe kuqala ngasekupheleni kwee-1940 ukuqhuba ukuhlaziywa komzimba kodwa yaza yodwa kwiminyaka ye-1970 kunye neye-1980 xa i-laparoscopes yokuqala yayinelungelo lobunikazi lokusetyenziswa ngokubanzi.
Namhlanje, i-laparoscopy iqhutyelwa rhoqo ekuphatheni iimeko ezahlukeneyo zonyango. Xa i-keyhole yokupakisha isetyenziswe kwisigxobo sesifuba, sithunyelwa njengophengululo lwe- thoracoscopic .
Malunga neLaparoscope
Isisitshixo ekuphuhliseni ukuhlinzwa okwenyathelo oluncinci kwakuyi-laparoscope ngokwayo. I-laparoscope yinto edeleleko, eqinekileyo yefiber-optic yinto efakwe emzimbeni ukujonga izitho zangaphakathi nezakhiwo.
Iimodeli ezindala zixhotywe ngeelayile ye-telescopic exhunywe kwikhamera yevidiyo, ngelixa abatsha banomfanekiso wekhamera yedijithali encane ekupheleni kwiphubhu. Umthombo wokukhanya unikezwa usebenzisa i-LED, i-halogen, i-xenon okanye i-light bulb.
Izixhobo zeLaparoscopic zivame ukuba zenziwe ngensimbi engenasici engenamgangatho.
Ubuncwane bomnxeba we-tubular bunokuba bubungakanani ukusuka kumancinci amathathu (0.12 amasentimitha) ukuya kuma-millimitha angaphezu kwama-10 ububanzi. Iindidi ezinxulumene nazo ziyafumaneka ukwenza utyando oluchanekileyo, kubandakanywa izikiti, i-forceps, i-graspers, kunye nabaqhubi benaliti (esetyenziselwa ukubamba iinaliti zokuhlinzwa ngelixa esenza isilonda).
Ukugqithwa kweLaparoscopic kwenziwa njani
Esikhundleni sokwenza uhambo olude, oluvulekileyo emzimbeni, utyando lwe-laparoscopic ludinga ukubonwa kwezinto ezincinane okanye ezininzi (ngokuqhelekileyo ngekota ukuya kwisiqingatha intshi ubude) apho kufakwe khona iziganeko. Utyando ngokwawo lukhokelwa yi-closeup video imaging ejongwa ngaphandle ngaphandle kweso.
Ukuze unike ugqirha ogqithiseleyo ithuba lokusebenza, i-cavity iya kuhlonyelwa nge-carbon dioxide (CO2) enokunyanzeliswayo, engabonakaliyo kwaye ingenele emzimbeni.
I-Laparoscopy yindlela yokuhlinzwa elukhuni eyenza ukuba ulungelelaniso lwezandla kunye nekhono elincinci lokujonga iindlela ezincinci zangaphakathi. Abahlali abaphandwayo abagqibayo ukulandela i-subspecialty kufuneka bahlalisane kunye neminyaka emibini emva kokugqiba ukuhlala kwabo okuphambili .
Inzuzo kunye neNzuzo
Nangona kunjalo kungenakuncinci ukuhlinzwa okwenziwe i-laparoscopic, kukho ukunciphisa kunye nemingcipheko ehamba nayo nayiphi na inkqubo yokucoca .
Phakathi kweenzuzo zokuhlinzwa okwe-laparoscopic:
- Ukungaphantsi kwegazi kunye nesidingo esingaphantsi kwegazi
- Ukuchithwa okuncinci kunye nexesha elifutshane lokubuyisela
- Intlungu engaphantsi kunye neemfuno ezincinci zamachiza
- Umngcipheko wokunciphisa ukungcola xa kuthelekiswa nokuhlinzwa okuvulekileyo
- Iindleko eziphantsi ngokuqhelekileyo ngenxa yokungenisa izibhedlele ezimfutshane
Phakathi kweempembelelo zokuhlinzwa okwenziwa yi-laparoscopic:
- Ukungabi namandla okuthintela (i-palpate) izicubu, kubaluleke ngakumbi xa uphando ngomhlaza
- Umonakalo obonakalayo kumathambo angaphakathi ngenxa yokungabikho kwengqiqo
- Ubunzima ekuboneni "yonke imifanekiso" ukuba inkqubo evulekile inokubonelela
- Kwangathi kunzima ukuyenza kubantu abane-operesheni yangaphambili kunye neengqungquthela ezibuhlungu
- Impendulo enokuthi ingabonakali kwi-CO2 yamathumbu emzimbeni (kuquka i-hypothermia kunye nentlungu)
> Umthombo:
> I-Katkouda, N. (2011) Ukugqithiswa kwe-Laparoscopic ephakamileyo: Iinkqubo kunye neengcebiso (Okwesibini Ed.) ENew York, eNew York: I-Springer Publishing: ISBN-13: 978-3540748427