Me ke kōkuaʻana i kahi mea pono (laparoscope), ma hope o ka liʻiliʻi liʻiliʻi o ka'ōpū o ka'ōpū, hiki iā ia ke hoʻokō i kāna kānalua diagnostic i ke kolokōkolo (diagnostic laparoscopy) a me nā hana pāʻani liʻiliʻi liʻiliʻi (ʻo keʻano o ka lāʻau laparoscopy).
Nā kuhikuhi no ka laparoscopy ma ke kīkīkika
Nā kuhikuhi nui no ka laparoscopy:
- kaʻikeʻole o nā wāhine (no kaʻikeʻana i ka uhakiʻana i ka pilikino o nā mea leʻaleʻa a me ka hoʻohemoʻana, ka weheweheʻana o nāʻaeʻana);
- nā maʻi o nā maʻi āpau e pili ana i ke kīkīkika (e pregnopic pregnancy, ke appendicitis nui, keʻano o ka wahine'ōpiopio);
- ka wehe 'ana i nā kumukūʻau ovarian, nā pūpū o ka'ōpū a me nā ovaries, polyps, fibroids o ka pūpū;
- ka ligation o nā mea pale i ka wā o ka maʻiʻana;
- ka weheʻia o ka'ōpū a me nā ovaries;
- ka wehewehe a me ka mālamaʻana i ka endometriosis o nā ovaries a me peritoneum;
- ka hōʻoiaʻana a me ka mālamaʻana i nā polycystic ovaries, nā anomalies o ka uluʻana o ka ūpū , ka uluʻana o ka'ōpū;
- hoʻomākaukau no IVF.
Aia kekahi mau hōʻai'ē i ka laparoscopy ma ke kolokiko:
- ka hanana i kaheʻana (me ka hemophilia, diathesis hemorrhagic);
- nā maʻi i hoʻokaʻawaleʻia o ka'ōpū cardiovascular, ka'ōpū hanu, ka ate a me nā puʻupaʻa;
- nā maʻi maʻi;
- purulent peritonitis;
- ka diaphragmatic Hernia;
- ka hopena a me ka coma;
- nā maʻiʻehaʻeha ma ke kīkoko;
- nui ka pōpī;
- ke kūlana ma hope o ka hana hoʻonā kino a iʻole ke kāpili paʻaʻana i ka lua o ka'ōpū.
Hoʻomākaukau no ka laparoscopy ma ke kīkī
Ma waho aʻe o ka hoʻonaʻauao maʻamau, aia kekahi mau ho'āʻo a me nā hoʻokolokoloʻana e pono e hanaʻia i ka lā o ka laparoscopy. Hoʻomaopopo i kēia mau mea me nā ho'āʻo o ke koko a me ka mimi, ka hoʻopiʻiʻana i nā hua manu no nā'īlio, keʻano o nā totohe toto (ka koko koko), nā ho'āʻo no nā syphilis, ka maʻi HIV, ka maʻi hepitisia viral, a me keʻano o keʻano o ka diabolic floor ultrasound, ECG, fluorography and ka hopena o ke kauka.
ʻO ka hoʻomākaukauʻanaʻo Peredoperatsionnaya he meaʻai ma mua o ka laparoscopy i ke kolokiko, ka meaʻino i ke ahi,ʻaʻole e hoʻoulu. Ma kaʻeha o ka hana, hanaʻia ka laemae hoʻomaʻemaʻe, a ma ka lā o ka hana,ʻaʻaʻia keʻaiʻana i ka wai a me ka inu wai, e kauoha ai i ka lāʻau lapaʻau.
ʻO ka laparoscopy maikaʻi loa i ka'ōkiko
Me ka laparoscopy, hoʻokomoʻia kekahi kākini ma o ka liʻiliʻi i ka piko 10 mm (ma o ia lā, ua hoʻokomoʻia ka laparoscope me kahi kiʻi kamepiula), a ma ka'āina pelvic -ʻelua trocar d 5 mm no nā mea kani. E komo i ka'ōpū abdominal carbon dioxide e hiki ai ke komo i nā'ōpū. Me ke kōkuaʻana o nā mea hana kaʻawale, hanaʻia ka lawelaweʻana o ka lawelaweʻana. Ma hope o ia, e hoʻopau i ke kaheʻana a kau i nā apo i nāʻeha.
Laparoscopy ma ke kaukeneco: manawa hoʻolālā
Ma hope o ka hanaʻana, pono ka lā o ke kanaka maʻi ma lalo o ka nānāʻana o nā kauka e pale i ke uluʻana o nā pilikia. Ma hope o ka laparoscopy, hiki ke hana i ka'ōpū o loko, i ka wā e hanaʻia ai nā'ōpū o ka'ōpū a me nā moku koko, e hoʻopauʻia ka hana o ka puʻuwai a me nā māmā e ka hoʻokomoʻia o carbon dioxide i loko o ka pūpū. ʻO nā hopena o hope, hiki ke hoʻokōʻia o ka emphysema subcutaneous i keʻano o ka hāʻuleʻana o ka hau i lalo o kaʻili, ka thrombosis o nā moku o ka lua o ka'ōpū.
Nā pōmaikaʻi o ka laparoscopy
ʻO ka pōmaikaʻi o kēia hanaʻana heʻeha liʻiliʻi liʻiliʻi, kahi hana liʻiliʻi liʻiliʻi, ka nele i nā wī a me kaʻeha i loko o ka wā o ka hopenaʻana, kahi maʻi liʻiliʻi liʻiliʻi me ka intervention, kahi manawa lōʻihi o ka hoʻopaʻaʻana, hiki i kahi hōʻailona likeʻole a me ka mālamaʻana i ka wā e hana ai. ʻO ka hemahema ka mea āpau āpau i ka wā o ka hana, a me ka hoʻoholo pololeiʻole o nā hōʻailona a iʻole ka uluʻana o nā pilikia, hiki iāʻoe ke hoʻomohala i ka pono e unuhi i ka hana laparoscopic i kahi kī.