Ngexesha Nokuba Kutheni Abagqirha basebenza?
Ugqirha lulodwa lwezonyango ezithatha izifo kunye nokuphazamiseka ngokusika, ukususa okanye ukutshintsha umzimba kunye nenkqubo yokusebenza evulela umzimba unyango. Le nkcazo iyatshintsha ngokukhawuleza, njengoko iinkqubo ezintsha azidingi ukuvula emzimbeni ukwenza iinkqubo.
Yintoni eyahlukileyo phakathi koMsebenzi kunye noPhephelo?
Ixesha lokusebenza liyigama eliqhelekileyo lokutyunjwa.
"Ukusebenza" kudlalwa njengelinye ixesha eliqhelekileyo. Abanye abantu banokuthi "Ndifuna ukuba nenkqubo" kwaye abanye baya kuthi "Ndiceba ukuhlinzwa." Zombini imigaqo ichanekile.
Yiyiphi intshukumo yokuPhengela
Utyando lithetha nje ukuvula umzimba womntu kunye nokusika izicubu ukuphatha iingxaki ezivela emzimbeni. Oku kunokuthetha ukususa izicubu, ukuguqula izicubu okanye ukutshintsha nje indlela umzimba womntu usebenza ngayo unyango olwenziwa ngaphakathi emzimbeni, ngokuqhelekileyo phantsi kwe-anesthesia.
Ukuhlinzwa kungabhekisela kwinkqubo encinane yokuphulukana nesifo sengqondo esithatha iiyure okanye iintsuku ukufumana ngokutsha (njengokukhutshwa kombhobho we-carpal), okanye inokuba yinkqubo enkulu ejongene neengxaki ezisongela ubomi, ezifana nokutsalwa kwentliziyo.
Xa Uphando Lwenziwa
Uphando lubandakanya ingozi ethile, kuquka ukuphendula kwi-anesthesia kunye nosulelo. Ngenxa yoko, kuvame ukucetyiswa kuphela xa ezinye iinketho ezingekho phantsi kweengozi zibonakalisiwe.
Noko ke, kukho ezininzi iimeko apho utyando lukhetha khona, oko kuthetha ukuba isigulane sikhetha ukuhlinzwa nangona kungadingeki ukunciphisa okanye ukuphilisa isifo.
Ukuhlinzwa ngokukhawulezileyo okanye ngokukhawuleza kwenziwa ngokukhawuleza okanye xa isifo okanye ukulimala kungenakucatshulwa ngenye indlela. Imizekelo yokuhlinzwa okufunekayo iquka:
- Ukulungiswa kokupanda kweso sakhiwo esiqhekekileyo
- Ukususwa kweengxenye zomzimba ezingasebenzi (ukususwa kwesihlomelo, i-gallbladder, iigciwane zamatye, njl.)
- Ukususwa kwezinto zangaphandle (iibhola okanye i-shrapnel, umzekelo)
- Icandelo laseKesareya ngokuzalwa okunobungozi okanye okunzima
Ukuhlinzwa okhethwayo kwenziwa ngexesha elikhethiweyo ngumgulane kunye nodokotela ogqirha, ngezizathu ezahlukeneyo. Ukuhlinzwa okhethwayo kunokuba yizonyiso (uphando lweplastiki), unqweneleka ngokwenyama (ukuxuba amathambo ukukhupha intlungu kwi-disk herniated), okanye imfuneko yempilo (ukususwa kwesisu somhlaza).
Owenza unyango
Ugqirha lwenziwe ngugqirha, ugqirha oye wafumana uqeqesho olunzulu kuquka isikolo sezonyango , uvavanyo oluqhelekileyo lokuhlala iminyaka emihlanu ubude, kwaye lunokubandakanya uqeqesho olongezelelweyo kwiindawo ezizodwa ezingadlulela iminyaka emininzi. Kukho iinkonzo ezininzi zokuphelisa ezinika unyango kuzo zonke iindawo zomzimba womntu kuquka nentliziyo, iingqondo, izitho, izicubu kunye namathambo.
Iintlobo zoBucholo
Kuze kube kutshanje, yonke into yokuhlinzwa yayibandakanya ukusika isigulane esivulwe nge-scalpel ukwenzela ukususa, ukulungisa okanye ukubuyisela into ngaphakathi komzimba. Kule minyaka embalwa edluleyo, kunjalo, iintlobo ezintsha zokuhlinzwa ziye zaphuhliswa. Ezi zinto zingenasiphelo esincinci, oku kuthetha ukuba kuncitshiswa okuncinci.
Ukunciphisa okunciphisa ukunciphisa intlungu, umngcipheko, kunye neziphumo ezinobungozi ezinxulumene nokuhlinzwa.
Imizekelo yeendlela zokucwangcisa ezingaphantsi kokubandakanya ziquka:
- I-laparoscopy (kunye ne-micro-laparoscopy) ibandakanya ukuhlinzwa ngokusetyenziswa kwezixhobo ezincinci. Udokotela ogqirha ugqithisa kuphela umgodi omncinci ukuzisa izixhobo kunye nokukhokela izixhobo usebenzisa i-laparoscope (into efana ne-telescope ekhanya).
- IINKCUKACHA iinkqubo , ezivumela ukuba ugqirha uqhutywe ukuhlinzwa ngokusebenzisa "ii-orifices zemvelo" ezikhoyo emzimbeni.
> Imithombo:
> Arulampalam, T., Paterson-Brown, A. et al. I-orifice ye-Natural orifice ekugqibeleni ekugqibeleni. Amanqaku e-Royal College yeeNgqungquthela zaseNgilandi, 91 (6), 456-459. 2009.
> Medline Plus. Ukuhlinzwa. ILayibrari yeSizwe ka-US yamayeza. KwiWebhu. 2017.