Operation Marmara muna varicocele: wongororo

Microsurgical oparesheni Marmara - mufananidzo kuvhiyiwa kuti kubata chirwere, inonzi varicocele. Akarigadza chiremba wezvedundira vasabatwa mutsinga uviform plexus jende (varicocele), kana murwere chema kusagadzikana mune scrotum kana apo yekudyidzana kuderedza ukuru mazai, achidzikisa ayo ushande.

Kunobatsira Marmara mashandiro pamusoro dzimwe nzira Zvinotambudza varicocele

Operation Marmara nerimwe gore vakawanda vanachiremba azivikanwa inonyatsobudirira uye yakavimbika nzira pakurapa varicocele. Huru zvakwakanakira ndiwo:

- muduku nhamba zvazvo, yakaitwa zvibvire kuonga microsurgical magirazi uye maikorosikopu, izvo zvinoita kuti dzinoona zviduku mutsinga;

- chiduku mwero traumatization ose tishu;

- iri diki uye asazivikanwa rumen kukura kwete kupfuura 2 cm;

- pasina kurwadziwa pashure vavhiyiwa kutopedza;

- kuvandudza uye kwazvo dzisingaoneki;

- kukwanisa kukurumidza kudzokera murwere kuti upenyu hwakanaka.

Mishomanana operative kusiyana nzira Ivanissevich kana laporaskopii, kuti nzira Marmar. Mukushanda Ivanissevich kunosanganisira kwetsinga aponeurosis, izvo zvingaita kuti yaizoitika tsandanyama ari Anterior abdominal rusvingo, kuwedzera nguva vapore uye achisimbisa postoperative kurwadziwa. Mukushanda Marmara unokubvumira kutarisana vose kuruboshwe-ruoko rworudyi-ruoko varicocele. Uye kuvandudzika pamusoro spermatogenesis uye kubereka Kukoshesa zvinogona kuitwa mukati 6-9 mwedzi. Varume vakawanda pashure kuvhiyiwa Marmara nechekare anokwanisa kuva vanababa mashomanana akatevera.

Ndezvipi zviratidzo kunorapwa Marmara

Chikuru uye, vose zvavo, chete chiratidzo kana basa Marmara oparesheni, zvinonzi akatenda varicocele - chirwere chinogona kuitika pasina segwapa zvekuchipatara kuratidzwa husingakuvadzi asymptomatic.

Asi kazhinji, pekuhwa- nda nyanzvi, varwere chokunyunyuta pamusoro Kutambudzika scrotum, marwadzo ari jende. On ongororo yakaratidza abnormalities ari urume pachisara icho chinoumba kutyora dzisingaoneki kurimwa pachishandiswa testes. Non-kuvhiya pakurapa chirwere hazvibviri, kunyanya kana zvakaitika kune nemamwe matambudziko kukonzera kushaya mbereko. Operation Marmara muna varicocele, maererano nyika nenhamba, ambotirega zvakazara vadzorere yokubereka nayo basa.

Varicocele: zviri, pane zviri hwakazarawo

The chirwere kunosanganisira testicular mutsinga ari spermatic tambo, riri chokuita kutyora asiri kudzoka mavharuvhu, izvo riri mutsinga. Ndiyo vharafu utano kunoita kufamba kweropa kuburikidza tsinga imwe nhungamiro chete, kukuvara mu mavharuvhu musingavapi mukana kudzora kudzoka chokubuda ropa. Chero kuwedzera kumanikidza kunokonzera ropa ruchigona kutsigira.

Zvinokonzera chirwere

Varicocele angava kuratidzwa:

- vachiberekwa venous mavharuvhu;

- munhu vachiberekwa simba pamusoro vascular rusvingo;

- yakawedzera kuomesa ari chiuno kana scrotum, zvinoita kuti munhu kink, uye kushandura chimiro zvishoma compressed mutsinga.

Kururamisa zvokurwara ichi, pane akasiyana nzira zhinji, semuenzaniso, kubudikidza kuvhiyiwa kana laparoscopic Ivanissevich nzira. Sei kuva nzira yakakurumbira pamusoro Marmar? Operation anenge anobvisa mukana kuvadza abdominal rusvingo tsandanyama, arteries testicular kukuvara, panowanikwa kuzvimba.

Contraindications kuti kuvhiyiwa Marmara

Kungofanana kuvhiya, kunyange inonyatsobudirira uye ngozi kunogona contra-zvairatidza:

- exacerbation pavaipfuura chisingaperi pathologies pakati zvomukati;

- Mwedzi matanhatu okutanga pashure sitiroko, mwoyo kurwisa kana zvimwe ischemic mwoyo chirwere;

- kuzvimba urogenital hurongwa;

- yokuSpain, SARS nezvimwe zvirwere.

How kugadzirira kupindira

Operation Marmara uye kugadzirira zvinoreva kuita mureza mari kutsvakurudza: nemiedzo mukuru, kurapwa uye nokukanganisika ropa, coagulation, ECG kuongorora musi RW, njovhera, HIV, hepatitis, rokuongorora anesthesiologist pamberi kuvhiya.

Preoperative anogona huchawedzerwa kana, Ukuwo, akaderedza zvichienderana uwandu vakaronga chipingaidzo, zera uye mukuru ezvinhu omurwere.

It anotevera pakarepo pamberi oparesheni:

- kuveura bvudzi, kana, mune kuuya nzvimbo remapazi. Izvi zvinofanira kuitwa zvinyoronyoro, pasina incision ganda uye chitarisiko kwohumwe bundu.

- Vamwe vanachiremba varwere zvaiitwa Anti-anogumbura kana asingaurayiwi kurapa, izvo zvinoderedza ngozi kuzvimba munzvimbo invasive munharaunda. Supplementation anotanga mazuva mashomanana asati oparesheni.

- General yokutindivadza kana musana yokutindivadza kunosanganisira wokupedzisira kudya hapana paya pane 10 pm. Zuva risati oparesheni haabvumirwi kudya, kunwa, utsi. The usiku asati avhiyiwa uye mangwanani wokuvhiya zvaitwa enema.

- Local yokutindivadza hakurevi achitsanya kana kuchenesa enema.

- Reception pamusoro anticoagulants zvinofanira vakarega 5 mazuva asati kukasaitwa oparesheni. Asi, prescribers pasi samolecular uremu heparins, izvo zvinoderedza mukana operative kana post-kushanda kubuda ropa.

Operation Marmara muna varicocele, wongororo iyo zvinopupurira mukuru kunyatsoshanda nezvenzira runoita kudzorera venous kuitika uye kudzivisa water drainage ropa nomuchetura manhu. Postoperative dzokororo rinowanikwa muna 5-7 chete% wevarwere.

Mhando yokutindivadza: chii chinogona kuti prepochtitelnee

Maitiro Marmara mashandiro kunogona kuva pasi vakawanda yokutindivadza, izvo, semamwe marudzi, kuti anesthesiologist paaiva murwere avete uye anopepuka avhiyiwa.

Spinal yokutindivadza podza nechepazasi yose hafu wako muviri. Anobaya izvozvo zvaitwa munzvimbo yacho musana mbiru.

yokutindivadza Local kuchaita bindira chete invasive mugove, murwere achava vakamuka asi hazvibati marwadzo. Vposlednee makore uye vanachiremba vakawanda kupa kupfuura omunharaunda yokutindivadza aireva.

Sezvo ari oparesheni

Operation kunotanga chokuti chiremba dissects ganda subpahovoy nharaunda, usingaiti incision kukura 1.5 - 2 cm Located spermatic tambo, izvo zvivanakire ndiro goho kuti ronda.. Kuburikidza maikorosikopu chiremba rinozivisa testicular tsinga uye mabhandeji dzavo. Doctors kushandisa yomunharaunda yokutindivadza, sezvo murwere anogona kukumbirwa kuti kufema uye sungisa unobvumira chiremba kuti aone nani zvose, kunyange zviduku, varicose mutsinga namatavi venous. The maikorosikopu kunoita iwe kuti kupfeka muitiro zvakakosha, pasina miti tsinga pedyo, node midziyo uye arteries. Pashure pakazovharwa ose mutsinga dziri ronda abudise chinhu kudzidza rabha. Pashure paizvozvo, vakuru incision iri seari aseptic bhandiji.

Kuvhiya kupindira kunogara kwemaminitsi 30-40. The murwere waendeswa apore mukamuri, apo iye akaramba kwemaawa anoverengeka pasi zvokurapa achitarisirwa. Kwapera maawa maviri, dzinoongorora murwere ezvinhu, chiremba anogona aende kumba.

The postoperative kumwedzi

Term vapore pashure kuvhiya pasipasi Marmara. nguva chete vashoma zvichava zvakafanira kuuya kupfeka, kana iwe usingagoni kuita nzira kumba. Nechekare pashure pemazuva mashoma murwere chinogona kudzoka kwake nzira zvenguva dzose muupenyu. Zvisinei, izvozvo inokurudzirwa kurega dzepabonde, kubva rinorema vachisimudza uye kutakura, uye zvemitambo, kuitira kusamborega kuvimbika vazvo. Izvi kunosimbiswa murefu uchapupu. Sutures vanobviswa pashure pemazuva 7-8. A duku vanga zvichabviswa riri pazasi mutsetse akapfeka andapeni, munharaunda apo vhudzi rinokura, zvokuti unoramba asingaoneki. Operation Marmara, wongororo zvacho zvakanaka zvikuru zvose kubva kuvarwere uye kubva vanachiremba, haakonzeri testicular atrophy kana hydrocephalus, kana zvimwe nemamwe matambudziko kutarisirwa nevamwe mhando kuvhiya kupindira. oparesheni Izvi zvinobvumira kuti adzorere uye kudzivirira zvakare varicose mutsinga, kuvandudza dzisingaoneki.

In zvinofungwa nevanhu vakawanda, Marmara oparesheni - inzira ndichiva kubvisa imwe varicocele, izvo akavabvumira kudzivisa postoperative matambudziko, kurwadziwa, kusagadzikana uye dziine tsvina, dzisingatarisiki mavanga nokukurumidza uye inobudirira.