Laparoscopy: xyuas, kev nyeem ntawv, kev kawm

Niaj hnub no tau ua heev nrov hom lag luam raws li ib tug laparoscopy. Endoscopic cov txheej txheem siv nyob rau hauv ntau yam teb ntawm cov tshuaj, xws li nyob rau hauv Gynecology. Lawv yog cov zoo dua zam thiab muaj tsawg tus neeg mob mob. Yog li ntawd, laparoscopy, xyuas uas feem ntau ntawm lawv yog cov zoo, muaj nyob rau hauv daim ntawv teev cov kev tshawb fawb pom zoo rau ntxiv lawm tshob.

Feem ntau nws yog nws yuav pab mus nrhiav tau tus yog vim li cas yog vim li cas tsis muaj cev xeeb tub tshwm sim. Tsis tas li ntawd, yog tias tsim nyog diagnostic laparoscopy nkag mus rau kev phais. Nrog rau qhov no txoj kev phais yog ua tau tsuas yog ib tug ob peb me me incisions, los ntawm kev uas seev yog ua tswvcuab. Cov lawv yog ua txhua yam kom muaj ib tug kho qhov muag ntsuas uas tso cai rau koj kom ib lub qhov muag rau cov kev kawm tau ntawm lub lag luam screen.

Vim cov nqaij fibers yog tsis puas thiab tus neeg mob yog yuav luag tsis muaj mob tom qab ntawm txoj kev. Tsis tas li ntawd thaum lub sij hawm laparoscopy ntshav poob npaum li cas tsawg dua cov tsoos laparotomy. Nyob rau hauv tas li ntawd, tshwj xeeb tshaj yog rau cov poj niam, thiab tseem ceeb aesthetic nyhuv, vim hais tias cov nti yog sab laug.

Nws yog ib qho tseem ceeb uas laparoscopy, xyuas uas qhia tau tias nws yog kis tau yooj yim txaus, cia rov qab mus rau lub neej zoo nyob rau hauv ib lub lim tiam, thaum nyob rau hauv lub tsev kho mob yog ib tug neeg tsuas yog ib tug ob peb hnub. Qhov no hom ntawm kev phais yuav tsis tau ua uas nws kim heev nplaum txheej txheem uas tshwm sim tom qab loj mob plab ua hauj lwm. Txij li thaum nyob rau hauv cov ntaub ntawv no ib tug siab yuav qhov muaj tseeb ntawm kev puas tsuaj rau cov hnyuv, uas yog fraught nrog loj txim.

Ib tug ntawm cov feem ntau muaj nyob rau niaj hnub no endoscopic phais yog ib tug laparoscopic hlab. Feem ntau, lub hom phiaj tseem ceeb yog colliotomy therein, thiab kho tshiab, yog li lawv patency. Qhov tseeb yog tias tam sim no lub raj tau ntxiv lawm tshob - ib qho ntawm feem ntau.

Txawm li cas los, yog hais tias tus txheej membrane ntawm lub cev yog heev puas, cov rov qab los ntawm cov neeg kho tshuab flotation yuav ua tau kom ectopic cev xeeb tub. Yog li ntawd, yog hais tias tus adhesions yog li ntawd, muaj ntau yam, lawv yuav tsis txiav los ntawm, thiab tus neeg mob yog pom zoo kom hloov mus rau ECO.

Yog hais tias ib tug ectopic cev xeeb tub, laparoscopy kuj yog siv lug. Yog hais tias lub sij hawm no me me thiab lub raj phab ntsa twb tsis tau tau tiag lawm, ces nws yuav raug cawm dim. Yog li ntawd, nws yog ib qho tseem ceeb ua ultrasound tom qab ncua sij hawm los mus txiav txim qhov chaw ntawm lub embryo txoj hauj lwm.

Ua tau lawm yeeb nkab thiab lwm adhesions tau. Nyob rau hauv cov ntaub ntawv no, lawv kuj dissected. Cov raug ntawm no ntau paaj tshaj nyob rau hauv lub xub ntiag ntawm cov kav dej.

Yog hais tias ib tug poj niam thiaj paub hais tias nrog ib tug cyst ntawm lub zes qe menyuam, laparoscopy nyob rau hauv cov ntaub ntawv no yog qhov zoo tshaj plaws tshuaj rau qhov teeb meem. Txij li thaum lub hlav yuav loj hlob, tsim dua tshiab, nraus, cov. Laparoscopy tso cai rau kom khaws nyiaj pab ntau tshaj ntawm zes qe menyuam cov ntaub so ntswg, los xaiv los ntawm lub cyst capsule.

Nws yog zoo, thiab tej zaum lub xwb txoj kev mob thiab kev kho mob ntawm sab nraud endometriosis. Nyob rau hauv no kab mob endometrial hlwb tshwm nyob rau hauv lub zes qe menyuam, txoj hlab qe menyuam, peritoneum, thiab adhesions ua ntxiv lawm tshob. Thaum lub sij hawm laparoscopy, endometriosis cauterizing. Ces, tus neeg mob yog muab rau lawm txoj kev kho rau relapse kev tiv thaiv.

Laparoscopy, xyuas uas qhia tias nws muab nyob rau hauv cov ntaub ntawv no, zoo heev tau, yog nqa tawm tom qab lub xeem, xws li cov nram qab no kev tshawb fawb:

• biochemistry thiab ua kom tiav cov ntshav suav, thiab coagulation;
• urinalysis ;
• ntshav thiab v pab pawg neeg;
• Smear rau tus muaj thiab cytology;
• ECG;
• transvaginal ultrasound;
• hauv siab X-ray;
• colposcopy;
• ntshav rau tus kab mob siab, HIV, syphilis.

Nco ntsoov hais tias kev ntsuam xyuas ntau yog siv tau xwb 2 lub lis piam. Indications rau ib tug npaj laparoscopy nram qab no:

• endometrial hyperplasia;
• adenomyosis;
• uterine fibroids;
• PCOS;
• endometriosis;
• ntawm zes qe menyuam qog thiab cov hlwv;
• kom tsis muaj menyuam.

Yog li ntawd, laparoscopy, uas xyuas zoo, siv tau rau cov mob thiab kev kho mob ntawm ntau gynecological pathologies. Qhov no manipulation yog muaj nyob rau hauv daim ntawv teev cov pom zoo tshawb fawb nyob rau hauv ntxiv lawm tshob.