Minimally invasiveʻoki kino: nā keʻena lāʻau lapaʻau a me-oaio?

Lapaʻau 'enehana ua ole e ku malie; lākou kūpono 'ana me ka nui loa Hoʻonui i ka pono o nā nā papaha - nā PalekanaEND_LINK a me ka pākōlea mua.

Ma kekahi, no ka hana kūpono 'ana o endoscopic i kūpono ua hoʻomano e halii mai i minimally invasiveʻoki kino. mea ia mea, i loko o kēia 'atikala noonoo.

No ke aha la au e pono ai i ka minimally invasiveʻoki kino

A pau na subtleties o kēiaʻano hana nona ma minimizing ka traumatic 'ole ma ke kino o ka hoomanawanui, i mea inevitable i loko o kekahiʻoki lāʻau lapaʻau' uao.

'O kekahi' ana i kūpono i e endoscopy a me laparoscopicʻoki kino.

Me ka hui pu laparoscopy me ka papa aoao, e nānā 'ana i na nā loko hiki ke wahi no hoi a hiki i ka minimally invasiveʻoki kino.

Kona hiʻona mea maʻalahi iho ai e hoomaopopo.

Kēiaʻano hana kō nā na pono o ka hoʻomanawanui (ka hopena o kēia mau hana i ka palena haʻahaʻa), a me ka kaiapili-yeiiiie? Aneiai pono (ma ka hoʻohana 'ana o minimally invasiveʻoki kino, he mea hiki no me ka nui loa emi i ka manawa o ka hoomanawanui i ka noho ana i loko o ka haukapila.

Laparoscopy i ua hoʻomano hoʻohana ma pediatric abdominalʻoki kino:ʻo nā mamo loa o na hana ma ka abdominal nā loko ua hanaia ma ka laparotomy. Laparoscopicʻoki kino He hiki no ka poʻe mamo a pau loa. A no ka mea e hoomanawanui i iki o kekahi mau makahiki a pau, ua hoakaka hoʻopololei He poho no ka laparoscopy, ua okoa ka ho.

I ka hapai wahine, i ka manawa kūpono o ka laparoscopicʻoki kino ka loa i kaupalena '.

pono

• Poino i ka hoʻomanawanuiʻana kino iʻoki kino, hana ia e like me minimally invasiveʻoki kino 'ana i kūpono, mea me ka nui loa haʻahaʻa ma mua o maʻamau hana ana kikowaena.
• Ka lōʻihi-kau moe koena ma hope o minimally invasiveʻoki kino mea i pono. Oia manipulations i lawe mai i ka hana kūikawā nā keʻena lāʻau lapaʻau o minimally invasiveʻoki kino (no laila-kapa hoʻokahi-lā nā keʻena lāʻau lapaʻau).
• Nizkotravmaticheskieʻoki kino ua pono tolerated e hoʻomanawanui iki mai.
• Level traumatic nā'aʻaʻa i loko o kēia mau manipulations ua 'ano emi ku pono i ka ho'ēmi i' uao manawa; a me ka haahaa nui o ka trauma ke hoonui i ka pākōlea a me ka mea hoʻonani 'ole.

Ano he kumu hoʻohālike, mai ka moolelo mai o ka mea a pau, hoomaka ae la

Ka loa mua laparokopicheskaya hana i lawe mai i loko o Farani, i loko o nā 80s o ka 20th kenekulia. A mau makahiki ma hope, ua iaoia i ua hoʻokō i ka nuipa a palapala noi.

Ma hope o ka hoʻomaka o ke kahua hoʻonohonohoʻana pono o kēiaʻano hana i loaa kokololio kūpono 'ana, a ma ka kŘpa a pōkole manawa ua lilo loa mahalo.

Con minimally invasive uao ai '

• Surgeries hana ka hoʻohana 'ana i kūpono endoscopic, mai ae palpation o ka'aʻaʻa.
• Ka pono, e hoʻouka kiʻekiʻe-ʻenehana lako a pan i loko o ka haukapila a me ka hanaia'na hoi o kūikawā ioauoa o minimally invasiveʻoki kino; ka mea kiʻekiʻe lilo ana o ka lako a pan.
• Ka pono e loaa 'inikua nā limahana nā mākau i ka hana me ka kiʻekiʻe-ʻenehana lako a pan.

laparoscopy

Kēiaʻano o minimally invasiveʻoki kino hiki ke noi i loko o kēia wahi, i hiki:

• Female infertility.
• Kanaka o ka endometriosis.
• Ovarian cysts.
• uterine fibroids.
• Ectopic hāpai keiki.
• No kona wehe 'ana o ka gallbladder.
• Removal o hikoko uuku o na nā loko.
• Removal o lymph aka wahi.
• Ana i kekahi mau vascular pathologies.

ʻoki lāʻau lapaʻau 'uao hoʻomaka me ka mea i loko o ka anterior abdominal pa, i ekolu eha paha puncture. A laila therethrough i loko o ke kino ua injected carbon dioxide i koi 'ia e hoomahuahua i ka buke o ka lua a me ke kahua o ka lawa kahua no ka hana. Next, Via kekahi o na punctures hoʻolauna pahupaʻiwikiō, i IeEeAUUXAAaO ma ke kanaka hoʻoponopono i ka pae'ōnaehana kahua, na nā loko a me na mea paahana no ka manipulation manaʻo kōkua ma ka punctures i koe.

Mini-laparotomy (ieie-ke kōkua o)

I ka mea, ma keia hihia, no kaʻike mauʻoki lāʻau lapaʻau hana, akā, ma ka oi aku ka li incision i. Ma muli o ka hoʻohana 'ana o kekahi kūikawā' ia paha o ka mea paahana. Ma keia ala, he nuiʻoki lāʻau lapaʻau kaʻina hana ma luna o ka abdominal nā loko hiki ke hana.

endoscopy

Kēiaʻano hana ua hoʻohana 'ia e huli na nā loko, me he puha' ole, a ua lawe mai me ke kōkua o kūikawā mea paahana - endoscopes.

Endoscopic minimally invasiveʻoki kino, e like laparoscopy hoʻohana punctures aʻoki; 'inikua mea hana e hookomoia i loko o ka puha nā loko ma maoli orifices. Alaila, loaa mai ia manipulation ia lŘlŘ kūpono kou maʻalahi.

Pela, i loko o nā keʻena lāʻau lapaʻau a me endoscopicʻoki kino, a minimally invasive haukapila endoscopic oihana eiiieaenu hookolokolo aku la ia i kēia nā loko:

• esophagus;
• 'ōpū;
• liʻiliʻi;
• larynx;
• trachea;
• bronchi;
• bladder.

Ma waho aʻeo ia hookolokolo, endoscopy, a ua hoakaka nā manawa kūpono no ka pākōlea ke kaʻina hana, e like me gastric kahe ana ke koko i pau ka moni, wehe i ka uuku ka nui o ka opu a me ka intestinal hikoko. Oia manipulations i i ka ano o ka haukapilaʻo, a ma ka hana kūikawā nā keʻena lāʻau lapaʻau (e like,? Aaieou Coloproctology a me Minimally Invasiveʻoki kino).

hoʻopulapula au

Aie i ka mea haʻahaʻa kiʻekiʻe o ka traumatization o nā'aʻaʻa a me nā loko i ka hana lawe mai i kulike ai me na loina o ka minimally invasiveʻoki kino, ka hoʻopulapula wā ma hope o kaʻoki kino i ka palena iki lōʻihi like 'ole a me ka pono tolerated e hoʻomanawanui iki mai.

I ka hookohu o ka hooloihiia moe koena me ka hoʻohana 'epekema malotravmaticheskihʻoki kino mea i pono.

Pain maʻi pale me ka nui loa emi haʻi ma liʻiliʻi ana, i kēia meaʻo ia ka mea e hiki ai e pale aku i ka hoʻohana 'ana o ka ai', no i ka pae ana o analgesics, a me keia wahi aku lākouʻaoʻao ole.

I ka minimally invasiveʻoki kino mea e pono

I loko nō o ka pono a pau o minimally invasiveʻoki kino 'ana i kūpono hiki ke noi i loko o nā hihia. Kekahi surgeries unuhi i loko o ka waeʻano o ka nizkotravmatichnyh ke aloha.

1. Ke alo o adhesions i loko o ka abdominal lua. Kēia mea mea he keʻakeʻa nei no kekahi hapa o ia mau hana. Pakahi aku la ia problematic mau hihia ma ke hoʻomanawanui i ka mōʻaukala o mauʻoki lāʻau lapaʻau uao ai ', e alakai ana i ke kahua o ka adhesions. Naʻe, i loko o kekahi mau hihia, i ka wa a ka hoʻomanawanui aole e laparoscopicʻoki kino i loko o ka abdominal lua aie i ke alo o nā adhesions,ʻoki kino ole, e paka i ka ai-kapaia ieie-ke kula. Aia mea i hookahi algorithm hakuʻole; Ua hoʻoholo i loko o kēlā me kēia hihia pākahi.
2. Maʻi o ka mea'ōnaehana mānowai koko'ōnaehana a me ia maʻiʻaʻai i loko o ke kahua o ka decompensation. O ke kumu ho i ka mea ia no ka laparoscopy pono pōkole i loko o ka abdominal lua o ke kalapona'okikene lua; a me keia, ma ka huli, e alakai i ka hoomahuahua i ke kūʻai '-abdominal puʻe, a e pili ana hou puʻe ma ka diaphragm, a, nolaila, ma na nā loko o ka pahu lua. Nā mea maʻi me ka cardio-pulmonary insufficiency ia waiū hiki aku ai i ka mea hōʻemi.
3. Kaʻoi mea ulu i loko o ka hoʻomanawanui ka hoʻokauʻana. Obesity kolu a me ka ha o ka papahelu i kekahi e ka contraindication no laparoscopicʻoki kino ku i ka mea e nānā 'ana i ka na nā loko i loko o kēia mau hihia i ole e lawa loa i na mea paahana. Eia kekahi, no ka nui kiʻekiʻe o ka anterior abdominal pa ia nā mea maʻi i loko o na hihia hiki ole ho okumu ana i kekahi pneumoperitoneum.
4. Ocular hypertension, i pakahi glaucoma. Pneumoperitoneum hiki i mahuahua ma intraocular puʻe, worsening o kēia maʻi, a complications (e laʻa me, retinal poe).
5. Ke degere kiʻekiʻe o ka myopia - i ka eono diopters (no ka mea ia kumu - e pale aku retinal poe). Naʻe, i loko o kekahi manawa, aia paha e hewa, no ka laʻana ka wā pōkole-makahiki waiū a me malogazovoy laparoscopy ka wā abdominal, pauma iki.
6. Maʻi o ke koko'ōnaehana, ua wehewehe aku ma ka hihia hoʻi kona hiki i ka clot. Oia Hawaii i fraught me excessive kahe ana ke koko, i mea unacceptable.

I ka wa e poohina ai pinepine kakauia i ka pau huahelu o ka noho ana, o ka contraindication i laparoscopicʻoki kino. Ma ia mau hoopii, e hoomanawanui i akaaka maluʻoki kino no ka ieie-ke kōkua oʻano hana ka kūpono kou ole, he pono ole contraindications.