ʻO laparoscopy diagnostic

ʻO kahi laparoscopy diagnostic kahi hana e hiki ai i ke kauka ke nānā pono i nā ʻike o ka ʻōpū a i ʻole ke pelvis.

Hana pinepine ʻia ke kaʻina hana i ka haukapila a i ʻole kikowaena kikowaena ma waho o ka anesthesia āpau (ʻoiai ʻoe e hiamoe ana a ʻaʻohe ʻeha). Hana ʻia ke kaʻina hana i ke ala penei:

• Hana ke kaukoki i kahi ʻoki liʻiliʻi (incision) ma lalo o ka pihi o ka ʻōpū.
• Hoʻokomo ʻia kahi kui kele a hollow paha i kapa ʻia he trocar i loko o ka ʻoki. Hoʻoholo ʻia ke kinoea kalapona i loko o ka ʻōpū ma o ka nila o ka piula. Kōkua ke kōkō i ka hoʻonui ʻana i ka wahi, e hāʻawi ana i ka mea hoʻoponopono i kahi lumi e hana hou ai, a kōkua i ke kaukipō ʻike maopopo i nā meaola.
• Hoʻokomo ʻia kahi pahu paʻi wikiō liʻiliʻi (laparoscope) ma o ka trocar a hoʻohana ʻia e ʻike i ka loko o kou pelvis a me kou ʻōpū. Hiki ke hana hou ʻia i mau ʻoki liʻiliʻi inā pono nā mea hana ʻē aʻe i mea e ʻike maikaʻi ai i kekahi o nā meaola.
• Inā loaʻa iā ʻoe ka laparoscopy gynecologic, hiki i ke kala ke komo i loko o kou cervix i hiki i ke kauka ke nānā i nā paipu fallopian.
• Ma hope o ka hoʻokolohua, hoʻoneʻe ʻia ke kinoea, laparoscope, a me nā mea kani, a pani ʻia nā ʻoki. E loaʻa iā ʻoe nā bandages ma luna o kēlā mau wahi.

E hāhai i nā ʻōkuhi no ka ʻai ʻole a me ka inu ma mua o ke kaha ʻana.

Pono paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau, e laʻa me nā mea ʻeha narcotic, ma mua a i ʻole ka lā o ka hoʻokolokolo. Mai hoʻololi a hoʻopau paha i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua me kāu kauka.

E hāhai i nā ʻōkuhi ʻē aʻe no ka hoʻomākaukau ʻana no ke kaʻina hana.

ʻAʻole ʻoe e ʻeha i ke kaʻina hana. Ma hope, ʻeha paha nā ʻokiʻoki. Kauoha paha kāu kauka i kahi mea hoʻomaha ʻeha.

Loaʻa paha iā ʻoe ka ʻeha o ka poʻohiwi no kekahi mau lā. Hiki i ke kinoea i hoʻohana ʻia i ke kaʻina hana ke hoʻonāukiuki i ka diaphragm, e kaʻana like ana i kekahi o nā aʻalolo like me ka poʻohiwi. Hiki paha iā ʻoe ke hoʻonui i ka makemake e mimi, ʻoiai hiki i ke kinoea ke hoʻokau i ka puhaka.

E ola ʻoe no kekahi mau hola ma ka haukapila ma mua o kou hoʻi ʻana i ka home. ʻAʻole paha ʻoe e noho pō ma hope o ka laparoscopy.

ʻAʻole ʻae ʻia ʻoe e hoʻokele home. Pono e loaʻa kekahi e lawe iā ʻoe i ka home ma hope o ke kaʻina hana.

Hana pinepine ʻia ka laparoscopy diagnostic no kēia mau mea:

• E ʻike i ke kumu o ka ʻeha a i ʻole ka ulu ʻana i loko o ka ʻōpū a me nā wahi pelvic ke maopopo ʻole nā ​​hopena x-ray a i ʻole ultrasound.
• Ma hope o kahi ulia e ʻike ai inā he ʻeha kekahi o nā meaola i loko o ka ʻōpū.
• Ma mua o nā kaʻina hana e mālama i ka maʻi ʻaʻai e ʻike inā ua laha ka maʻi ʻaʻai. Inā pēlā, e loli ka lāʻau ʻana.

ʻO ka laparoscopy he mea maʻamau inā ʻaʻohe koko i loko o ka ʻōpū, ʻaʻohe hernias, ʻaʻohe ālia o ka ʻōpū, a ʻaʻohe maʻi ʻaʻai i nā mea ʻike ʻia. ʻO ka kōpū, nā paipu fallopian, a me nā ovaries o ka nui maʻamau, ke ʻano, a me ke kala. Maʻa ke akepaʻa.

Loaʻa paha nā hopena maʻamau ma muli o kekahi mau ʻano ʻokoʻa, e like me:

• Pākuʻi ʻili ma loko o ka ʻōpū a i ʻole pelvis (adhesions)
• Pākuʻi
• Nā pūnaewele mai loko mai o ka kōpū e ulu ana i nā wahi ʻē aʻe (endometriosis)
• Ka hoʻohaunaele o ka gallbladder (cholecystitis)
• ʻO ovarian cyst a i ʻole ka maʻi ʻaʻai o ka ovary
• ʻO ka maʻi o ka kōpū, nā ovaries, a me nā paipu fallopian (maʻi pelvic inflammatory)
• Nā hōʻailona o ka ʻeha
• Ka hohola ʻana o ka maʻi ʻaʻai
• Nā Tumors
• Nā tumors noncancerous o ka pūpū e like me fibroids

Aia kekahi pilikia no ka maʻi. Hiki paha iā ʻoe ke loaʻa nā lāʻau ʻalopika e pale aku ai i kēia pilikia.

Aia ka makaʻu o ka puncturing o kahi hui. Hiki i kēia ke hoʻokuʻu i nā mea o nā ʻōpū. Aia paha ke kahe ʻana i ka lua o ka ʻōpū. Hiki i kēia mau pilikia ke alakaʻi i kahi ʻoki koke (laparotomy).

ʻAʻole hiki ke hiki i ka laparoscopy diagnostic inā he ʻōhū pehu kou, ka wai i loko o ka ʻōpū (ascites), a i ʻole he ʻoki āu i hala.

Laparoscopy - hōʻailona; Laparoscopy ʻimi

• Pelvic laparoscopy
• Anatomia hānau wahine
• Hoʻokiʻoki no ka laparoscopy ʻōpū

ʻO Falcone T, Walters MD. ʻO laparoscopy diagnostic. I: Baggish MS, Karram MM, eds. Nā Atlas o ka Pelvic Anatomy a me nā ʻōpala Gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 115.

ʻO Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B. Laparotomy exploratory - laparoscopic. I: Velasco JM, Ballo R, Hood K, Jolley J, Rinewalt D, Veenstra B, nā ʻōlelo aʻoaʻo. Nā Hanana Koʻi Pono. Piladelapia, PA: Elsevier; 2016: chap 1.