Appendectomy - Chiiko ichi?

Kurapa appendicitis nguva dzose zvinoratidza ive oparesheni. Asati avhiyiwa murwere ushandiswe kugadzirira: tora miedzo, ita x-mwaranzi uye nhoroondo Ultrasound kudzidza. Chete pashure migumisiro kuongorora kuti munobuda appendectomy. Kune akasiyana wandei oparesheni ichi. About pavo tichataura muudzame munyaya yanhasi nyaya.

Chii appendicitis?

Izvi chenjera kuvhiya chirwere inozivikanwa uchirwadziwa mudumbu, uye zviratidzo kudhaka. It kunoratidzwa kuzvimba okuwedzera - mumashoko okuwedzera. In pauduku, iye ave achishingaira muzvirongwa yomunharaunda kutapata. Zvisinei, basa iri akarasika pamusoro nguva. Appendikisi anova maturo chimiro. Naizvozvo, ayo kubviswa haarambi zvakaipa nokuda muviri.

Appendicitis kakawanda chirwere vechiduku. The zvinokonzera kuzvimba vachiri kuzivikanwa. Doctors vakaratidza zvekungofungira siyana uye hypotheses. Pasinei sokuti nyore nechirwere kuiudza vachiri Danho kwakaoma. Zvokurwara rinowanzoshandurwa "Masked" nezvimwe zvirwere, zviri atypical kuti. Pasinei chikonzero nei kwakanga appendicitis, appendectomy - ndiro chete shanduro kurapwa kwake.

Zvairatidza kuti Step

Appendectomy zvinoreva kupindira Categories, inoitiswa pamusoro zvashata hwaro. Panyaya iyi, mukuru chiratidzo kunorapwa - kuzvimba ari rikwanise chimiro. Zvokuwedzera Kuvhiya anogadzwa nyaya appendicular nda. zvokurwara ichi, umo mashoko okuwedzera merges pamwe intestinal nzvimbo, omentum kana peritoneum. Mushure ndokuserera (inenge 2-3 mwedzi kubva pakatanga chirwere) oparesheni rinoitwa. Kana zviratidzo kudhaka kukura nomuzvarirwo kunoitika pute atsamwira pamwe nekutambira peritonitis, murwere vanoda zvashata kupindira.

Kugadzirira nzira

Operation appendectomy rinovapo anopfuura awa rimwe. Panguva Kupindira vachishandisa zvavo kana omunharaunda yokutindivadza. Selection imwe musimboti kunobva murwere zera, mamiriro uye kuvapo zvakatevera pathologies. Somuenzaniso, vana uye vanhu vari kufuta, uyewo kurwara nepfungwa kana huta overexcitation dzinokurudzira talk yokutindivadza. Varwere dzakaonda nomuviri zvinganaka vemo yokutindivadza. chikamu ichi zvinosanganisira vakadzi vane pamuviri, sezvo vakawanda yokutindivadza inokanganisa pamusoro azvarwa.

Appendectomy - ichi nechimbichimbi oparesheni. Hazvina kuitirwa kuti nguva yakakwana kugadzirira murwere. Saka, asati kupindira A shoma nhamba inspections: ropa uye weti nemiedzo, Ultrasound, X-ray. Kuti asava pathologies zvinoshandiswa vakadzi Dzakamukurudzirawo kubvunza ane gayinakorojisiti.

Pakarepo pamberi oparesheni ari dundira anobudisa mushonga zvishoma nezvishoma yakatarwa, gastric lavage rinoitwa. Nokuti kupatirwa dzakaratidza enema. Vose regadziriro nhano runogara asisiri pane 2 maawa. Pashure pokusimbisa chirwere ari chiremba zvakare kunotema chaiyo musimboti kupindira. Nhasi, oparesheni zvinokwanisika nenzira dzakawanda (chetsika, laparoscopic uye transluminal).

Mumwe nomumwe wavo achapiwa akatsanangura zvizere pazasi.

chinyakare appendectomy

Appendicitis kurapwa nenzira iyi inogona muzvikamu zviviri. Chokutanga, chiremba anogamuchira paIndaneti mikana, uye ipapo rinobva kune nzira kuti nokubvisa cecum. Chipingaidzo anotora awa asingasviki rimwe.

Kuti kuwana kune zvomoto okuwedzera, chiremba inoita incision paganda zvakarurama iliac nharaunda. Its kureba yemanyorero 7 cm. A bhuku ndezvokuti pfungwa Mc Burneya. Pashure kwetsinga ganda uye mafuta chiremba anopinda zvakananga kupinda abdominal mhango. Tsandanyama dziri sedzisina pasina cheka. Rokupedzisira chipingamupinyi ndiyo peritoneum. Rinogonawo kucheka pakati okusungisa.

Kana adhesions uye adhesions vari peritoneum ndisipo, chiremba yacho kubviswa cecum pamwe okuwedzera. Dzichibvisa okuwedzera zvinogoneka nenzira mbiri: retrograde uye antegrade. Wokupedzisira nzira iri zvinowanzoshandiswa. In nyanzvi ichi maronda mesenteric midziyo, muitiro zvinoisa chinosimudzira pamusoro nechigadziko, uye kana sutured uye maronda. Retrograde appendectomy akaita nenzira yakasiyana kutevedzana. Chokutanga, vakagura okuwedzera, chigutsa chawo anoiswa mukati ura, vari seari stitches. Zvadaro nyanzvi matanho sutured mesenteric midziyo, izvozvo chinobviswa. Kudiwa kuvhiyiwa yakadaro nokuda localization iri okuwedzera ari pakati retroperitoneal nzvimbo , kana kuvapo vakawanda adhesions.

transluminal appendectomy

Izvi zvishoma invasive kuvhiyiwa. Kuwana zvomoto okuwedzera rinoitwa pachishandiswa kusanduka zvishandiso kuti chiremba inoisa kuburikidza zvepanyama orifices muviri.

Kupindira zvinogoneka nenzira mbiri: transvaginal kana transgastralno. Muchiitiko chokutanga, zviridzwa zviri akaiswa kuburikidza incision diki iri nyinyo, uye wechipiri - mudumbu pamadziro. Kwakadaro kuvhiyiwa rakanakira zvakawanda. Zvinonzi dzinoratidzwa duku nguva vapore, nokukurumidza kupora uye kusavapo nemavara zvinoonekwa. Zvinosuruvarisa yakadaro nzira isina anoitwa pa ose kiriniki uye bedzi pamusoro kubhadhara hwaro.

Laparoscopic appendectomy

Izvi Kuvhiya zvishoma invasive iri semhosva benign kurapa. Rine zvinotevera zvazvakanakira:

• pasi kunotevera;
• hapana zvizorwa kuremara;
• nokukurumidza kupora;
• kushandiswa omunzvimbo yokutindivadza;
• yakaderera fungidziro yematambudziko.

Ukuwo, laparoscopic appendectomy ane payakaipira dzakawanda. Somuenzaniso, nokuti ayo Implementation zvinoda midziyo zvinodhura, uye chiremba anofanira kuva akakodzera ruzivo. In kunyanya chakakomba zvekuchipatara zviitiko, kunyanya kana peritonitis, zvisingaiti uye kunyange ngozi.

Ndezvipi pfungwa iri laparoscopic appendectomy? Zvekufamba oparesheni zvinosanganisira:

1. Kuita chiduku ponji iri guvhu. Kubudikidza naye, chiremba inoisa laparoscope uye anoongorora mukati mhango.
2. The pubic nzvimbo uye zvakarurama hypochondrium anowedzera kuti zvimwe maronda. Ivo zvinodiwa pakatanga pakuvhiya. Chiremba anonzwisisa okuwedzera, mabhandeji uye paanoparadza ropa midziyo mesentery. Shure izvi rinobviswa mumuviri.
3. Mazvikokota achiitisa remediation abdominal mhango abudise rinovira, kana zvichidikanwa.

Chete zvisingawanzoitiki nguva yematambudziko chokuita laparoscopic appendectomy. Nzira nzira inotongwa vanachiremba vanoverengeka, saka zvizorwa mugumisiro vagara vandifungira zvavaiita uye unyanzvi.

kupora nguva

Munguva rokuchinjwa chinokosha kukosha ndiyo kutarisirwa ronda. Dressings dzinoitwa pazuva, uye kuvapo akasimbisa abudise - daily.

Varwere vakawanda vanotsutsumwa kuti kusanzwa uye kunyange marwadzo akawanda maawa mushure kupindira. Zviratidzo zvakadaro vanoonekwa kuti yepanyama, havafaniri kuva achitya. In yenjodzi ezvinhu chiremba prescribes murwere analgesics.

Varwere vakawanda vari kupora nguva anoda kuchengeta kuomesa mubhedha zororo, dzichishandisa utera. Izvi zvakaipa. Nokukurumidza murwere anotanga kufamba, shoma mukana yematambudziko. Kunyange kurarama kwenguva pfupi kunhivi wadhi kana kuchipatara anobvumira ura kubatana basa nokukurumidza.

Contraindications

oparesheni iyi ine kushanda hapana contraindications. Zvisinei, nokuti dzakachengeteka hwaiitwa nzira chiremba vanofanira vaongorore murwere ezvinhu. Somuenzaniso, laparoscopic appendectomy haina anokurudzirwa zvinotevera nyaya:

1. Zvakatora maawa anopfuura 24 pashure nezviratidzo chirwere wokutanga.
2. Kuvapo kuenda anogumbura pezvakaitwa ari zvomudumbu turakiti.
3. Kare chirwere chomwoyo kana zvakakomba pulmonary gadziriro.

Muzviitiko izvi, laparoscopic appendectomy unyanzvi unotsiva chetsika.

zvinogoneka yematambudziko

Chimiro yematambudziko mushure kupindira zvinokwanisika, saka murwere kunoda kuramba zvichiongororwa. The oparesheni pacharo kunoitika zvakanaka uye Migumisiro kazhinji kunokonzerwa kujairika localization kwacho abdominal mhango.

Chii kuti matambudziko wevarwere appendectomy vanogona kutarisira? Vakawanda mugumisiro wokuvhiya anonzi musono akaora. Ane dambudziko rakadai zvaitarisana ose cheshanu murwere. Zvinogonekawo kukura peritonitis, thromboembolism, namira chirwere. The kuomesa kupfuura ngozi pamusoro sepsis, apo purulent kuzvimba anova chisingaperi.

Mari nzira uye anoshivirira uchapupu

Appendectomy - kuvhiyiwa iyo kazhinji kuitwa zvashata. Kana kushaya okurapwa munhu anogona kufa. Saka, kutaura mari yokurapa urwu musoro. Traditional appendectomy akasununguka. Munzanga murwere, zera rake uye rudzi hazvina basa. murayiro uyu apinda zvose ano inoti.

Doctors anogona kuponesa upenyu hwomunhu, achimuita kuvhiyiwa. Zvisinei, tevera-up uye Diagnostics kazhinji zvinoda okuwedzera mari. Somuenzaniso, bvunzo nevakawanda ropa kana weti bvunzo inenge 500 rubles. Mazano kubva kushandiswa nenyanzvi kubhadhara zvishoma kupfuura 1 ths. Rubles. Mari mushure kupindira, chokuita kudikanwa kunorapwa, kazhinji kufukidzwa inishuwarenzi.

Appendectomy - chinhu kuzvironga kuvhiyiwa. Saka, maonero varwere pamusoro yokurapa zvaiyambuka kazhinji siyana. Kana zvokurwara aihuitira, uye kutarisirwa unhu zvokurapa uye nenguva inofambiswa achava akanaka. Zvikurukuru vakanaka kunosiya laparoscopy. Pashure pemazuva mashoma pashure kupindira murwere anogona kudzokera yaizivikanwa upenyu. Kuoma marudzi chirwere zvaive zvikuru kuipa, uye kunaka Ndangariro Varwere nokusingaperi.