Kukhona Izinzuzo Nezidingo Kunoma Yimuphi Uhlobo Lokuhlinzwa
Ukuhlinzwa okuvulekile kuyindlela yendabuko yokuhlinzeka lapho kusetshenzwa khona ukusebentisa u-scalpel. Udokotela ohlinzayo ufaka izinsimbi bese eqhuba ukuhlinzwa. Ukuhlinzwa okuvame ukuvame ukufaniswa "namasu okuhlinzeka okuncane" okuhlinzekwa okungafaka phakathi imibono encane noma ngisho (kwezinye izimo) akukho ukukhohliswa nhlobo. Ngenkathi ukuhlinzwa okungenasisindo okungajwayelekile kuyanda kakhulu, kunezimo eziningana lapho ukuhlinzeka okuvulekile kusengcono khona.
Ukwelashwa Okuncane Okumangalisayo Kanye Nokuhlinzwa Okuvulekile
Okunye ukuhlinza kwenziwa namanje ngokusebenzisa ukukhishwa kwendabuko evulekile, kodwa eziningi zenziwa ngokusetshenziswa kwamasu amancane. Ukungena okuncane kungasho ukuthi ukuchotshozwa kuncane kune- incision evamile evulekile, noma kungase kusho ukuthi akukho ukukhohliswa nhlobo , kuye ngokuthi isetshenziswe kanjani ngesikhathi senqubo.
Lapho odokotela abahlinzayo benamakhono afanayo futhi inqubo itholakala njengendlela yokuvula evulekile kanye neyodwa encane, inqubo encane engavumelani cishe njalo inikeza ingozi ephansi yokutheleleka, izikhathi ezincane zokutakula kanye nemiphumela ephumelelayo efanayo.
Kwezinye izimo, ukuhlinzwa kungase kuqale njengenqubo encane encane, bese uguqula inqubo evulekile yokucubungula uma udokotela ohlinzayo edinga ukuguquguquka okukhulu kokuhamba.
Imikhiqizo kanye Nezimpahla Zokuhlinza Okuvulekile
Ukuhlinzwa okuvulekile kuphelile ngenxa yobuchwepheshe obusha obwenza kube lula kakhulu ukugwema ukucubungula okukhulu nezingozi eziza nazo.
Isibonelo, ngendlela evulekile, ukufakwa kwe-appendectomy ejwayelekile kungamamitha angu-4 ubude obude. Kodwa ngokusho kweNhlangano yama-American Gastrointestinal and Endoscopic Surgeons, "Eziningi ze-laendoscopic appendectomies, odokotela abahlinzayo basebenzisa izibalo ezincane ezingu-3 kuya kwezingu-1,2 ngenkathi bebukele isithombe esibanzi sezitho zangaphakathi zesiguli esithombeni sethelevishini." Ngenxa yalokho, isikhathi sokutakula sisheshe futhi ubuhlungu buvame ukunciphisa.
Kodwa lokho akusho ukuthi ukuhlinzwa okuvulekile akusekho. Kwezinye izimo, isibonelo:
- Ukulungiswa nje akukwazi ukwenza ngokuphumelelayo ngokusebenzisa amasu amancane okungahleliwe
- Ukuhlinzwa okuvulekile kuphela kunikeza ulwazi olubukwayo oludingekayo ukususa izicubu ngokuphelele noma ukuxilonga ngokunembile isimo
- Ezinye izinhlobo zokuhlinza zidinga ukufinyelela ezindaweni ezinkulu ukuze ufake izinto ezifana nemeshini ye-hernias
Ngokomhlahlandlela owodwa, ukuhlinzekwa okuncane okungavamile kufanele kulinganiswe ngokucophelela ngokuhlinzwa okuvulekile okusekelwe ezidingo ezithile zesiguli: "Ukwethulwa kwe-MIS [ukuhlinzwa okuncane okungavamile] kuye kwaba yinto enkulu kakhulu ekuqaliseni kwanamuhla. Kungase kube ukuhlakanipha Kodwa-ke, ukungavumeli ukuthi kube ukugxila kwezidingo zezempilo ezihlinzweni ezihlinzayo. Izimiso zokuhlinzekwa okuphephile nokunakekelwa okuphelele kwezidingo kufanele zibheke phambili ekuqaliseni ubuchwepheshe. Ukuthatha izinqumo zokuhlinzwa kungaholela ekusetshenzisweni kwe-MIS kumhlomulo wesiguli. , kufanele kube nokuzivikela okungase kuvele ngenxa yokukhalaza kwe-MIS kumhlinzeki ohlinzayo. Ukulondeka kokuphela kwalesi sikhathi kungase kube udokotela ohlinzayo odokotela obeka inhlalakahle yengqondo ngaphezu kwazo zonke ezinye izikhathi ngaso sonke isikhathi. "
> Imithombo:
> Dehn, Tom. "I-hernia engenakulungiswa yokulungisa - ukuhlinzwa okuvulekile noma okuvulekile?" Ama-annals we-Royal College of Surgeons of England 91.8 (2009): 631-636. PMC . Iwebhu. 18 Meyi 2017.
> Nanavati, AJ, & Nagral, S. Kungani sithole ukuhlinzekwa okuncane okungenasidingo futhi singanaki ukuvuselelwa okuqhubekayo ngemva kokuhlinzwa? I-Journal Yokuhlinzwa Okuncane, 12 (3), 299-301. Iwebhu. 2016.
> Society of American Gastrointestinal and Endoscopic Surgery. Ulwazi lwe-aparoscopic lokusebenza lwe-appendectomy ngesiguli kusuka ku-SAGES. Iwebhu, 2017.