Exploratory laparotomy: he aha ia, ke kuhikuhi ʻia a pehea e hana ai

Anter

• Ke hōʻike ʻia ka laparotomy exploratory
• Pehea e hana ai
• Nā pilikia i hiki

ʻO ka exploratory, a exploratory paha, laparotomy kahi hōʻike diagnostic kahi i ʻoki ʻia ai ma ka ʻaoʻao o ka ʻōpū i mea e nānā ai i nā meaola a ʻike i ke kumu o kekahi hōʻailona a hoʻololi paha i nā hoʻokolohua kiʻi. Pono e hana i kēia kaʻina hana i loko o ka lumi o ke keʻena me ka mea hoʻomanawanui ma lalo o ka hoʻohiamoe, no ka mea, he hana invasive ia.

Paipai ʻia e noho mau ke kanaka i ka haukapila e hele pū me ia a me ke ola wikiwiki ʻana mai ke kaʻina hana, me ka hoʻoliʻiliʻi o ka pilikia o nā pilikia, e like me ka hemorrhages a me nā maʻi.

Ke hōʻike ʻia ka laparotomy exploratory

Hana ʻia ka laparotomy exploratory no nā hana diagnostical, a hana ʻia ke loaʻa kekahi mau hōʻailona o nā loli i nā ʻōpū o ka ʻōpū.

He kaʻina koho maʻamau ia, akā hiki nō ke noʻonoʻo ʻia i nā hihia pilikia, e like me nā ulia kaʻa nui, no ka laʻana. No laila, hiki ke hōʻike ʻia kēia hoʻokolohua i mea e noiʻi ai:

• Kuhi ʻia ka kahe ʻana o ka ʻōpū;
• Perforations i loko o ka ʻōpū;
• Ka hoʻohaunaele o ka pākuʻi, ʻōpū a pancreas paha;
• Ke kūʻana o nā abscesses i ke ake;
• Nā hōʻailona e hōʻike ana i ke kanesa, ʻo ka hapa nui o ka pancreas a me ke akepaʻa;
• Ke kū nei o nā adhesions.

Hoʻohui ʻia, hiki ke hoʻohana ʻia ka laparotomy exploratory e noiʻi ai i kekahi mau kūlana i nā wahine, e like me endometriosis, ovarian a me cer cancer cancer a me ectopic hāpai keiki, no ka laʻana. Eia nō naʻe, i ka hapanui o nā hihia, ma kahi o ka laparotomy, hana ʻia ka laparoscopy, kahi e hana ʻia ai kekahi mau puka liʻiliʻi i ka wahi o ka ʻōpū e ʻae ai i ka hele ʻana o kahi mea lapaʻau i hoʻopili ʻia i kahi microcamera, e ʻae ana i ka ʻike i ka manawa maoli me ka ʻole o ka pono. koi ʻia ka ʻoki nui aku. Hoʻomaopopo pehea e hana ai i ka videolaparoscopy.

I ka wā o ka laparotomy exploratory, inā loaʻa nā loli, hiki ke hōʻiliʻili i kahi hāpana kiko a hoʻouna iā ia i ka hale hana no kahi biopsy. Eia hou, inā ʻike ʻia kekahi pilikia i ka wā o ka hoʻokolokolo ʻana, hiki ke hana ʻia hoʻi ka laparotomy therapeutic, i kūlike i ke ʻano hana like akā me ka manaʻo e mālama a hoʻoponopono i nā mea i loli.

Pehea e hana ai

Hana ʻia ka laparotomy exploratory i ka lumi lumi, me ka mea maʻi ma lalo o ka anesthesia ākea a kū ma waena o 1 a me 4 mau hola e pili ana i ke kumu o ka hoʻokolokolo. He mea nui ka anesthesia no laila ʻaʻole manaʻo ke kanaka i kekahi mea i ka wā o ke kaʻina hana, akā he mea maʻamau ia ma hope o ka hala ʻana o ka hopena o ka anesthesia, ʻike ke kanaka i ka ʻeha a me ka hōʻoluʻolu ʻole.

Ma hope o ka noi ʻana i ka anesthesia a me ka hoʻomaka ʻana o ka hopena, hana ʻia kahi ʻoki ma ka ʻaoʻao o ka ʻōpū, ʻo ka nui e like me ka pahuhopu o ka hoʻokolokolo, a ma kekahi mau hihia, ʻokiʻoki i ka lōʻihi o ka lōʻihi o ka ʻōpū. A laila, hana ke kauka i ka mākaʻikaʻi o ka ʻāina, ka loiloi ʻana i nā meaola a me ka nānā ʻana i nā loli.

A laila, pani ʻia ka ʻōpū a pono ke kanaka e noho i ka haukapila no kekahi mau lā i hiki ke nānā pono ʻia a, no laila, hiki ke pale ʻia nā pilikia.

Nā pilikia i hiki

ʻOiai he hana hoʻouka ia e koi ʻia ai ka anesthesia ākea, aia paha he mau pilikia e pili ana i ke kaʻina hana, a me nā pilikia e pili ana i ka coagulation, hoʻonui i ka nui o ke kahe ʻana o ke kahe a me nā maʻi, ke kūkulu ʻana i ka hernias a me ka hōʻino ʻana i nā mea i loaʻa ma ka ʻaoʻao ʻōpū. .

ʻOiai ʻano laha ʻole, pinepine pinepine kēia mau pilikia inā pono e hana i ka exploratory laparotomy a i ʻole inā he puhipaka ka mea maʻi, ʻo ka poʻe e ʻai pinepine i nā mea inu ʻona a i loaʻa paha nā maʻi maʻi mau, e like me ka maʻi kō a me ka momona. No laila, i ke alo o kekahi o kēia mau kumu, he mea nui e kamaʻilio i ke kauka i mea e hoʻokō ʻia ai ke kaʻina hana me ka akahele, a no laila, pale ʻia nā pilikia.