Binciken ciki

Binciken ciki shine tiyata don kallon gabobi da sifofin cikin yankinku (ciki). Wannan ya hada da:

• Rataye
• Mafitsara
• Ruwan kwalliya
• Hanji
• Koda da fitsari
• Hanta
• Pancreas
• Saifa
• Ciki
• Mahaifa, bututun mahaifa, da ovaries (a cikin mata)

Tiyatar da ta buɗe ciki ana kiranta laparotomy.

Ana yin laparotomy ta hanyar bincike yayin da kake cikin maganin rigakafin jini. Wannan yana nufin kuna barci kuma baku jin zafi.

Likita yana yin yanka a cikin ciki kuma yana nazarin gabobin ciki. Girman da wurin da aka yanke aikin tiyatar ya dogara da ƙwarewar lafiyar musamman.

Ana iya ɗaukar biopsy a yayin aikin.

Laparoscopy ya bayyana aikin da ake yi tare da ƙaramar kyamara da aka saka a ciki. Idan za ta yiwu, za a yi aikin laparoscopy maimakon laparotomy.

Mai ba ku kiwon lafiya na iya bayar da shawarar a laparotomy idan gwajin hoto na ciki, kamar x-ray da CT scans, ba su ba da cikakken ganewar asali ba.

Mayila za a iya amfani da laparotomy mai bincike don taimakawa wajen tantancewa da magance yawancin yanayin kiwon lafiya, gami da:

• Ciwon daji na ovary, maza, pancreas, hanta
• Ciwon mara
• Duwatsu masu tsakuwa
• Rami a cikin hanji (perforation na hanji)
• Kumburi na shafi (m appendicitis)
• Kumburin aljihun hanji (diverticulitis)
• Kumburin pancreas (m ko na kullum pancreatitis)
• Ciwan hanta
• Aljihuna na kamuwa da cuta (ƙwayar ƙwayar cuta, ƙwayar ciki, ƙashin ƙugu)
• Ciki a wajan mahaifa (ciki mai ciki)
• Tsoron nama a cikin ciki (mannewa)

Hadarin maganin sa barci da tiyata gaba ɗaya sun haɗa da:

• Amsawa ga magunguna, matsalolin numfashi
• Zub da jini, toshewar jini, kamuwa da cuta

Hadarin wannan tiyatar sun hada da:

• Incisional hernia
• Lalacewar gabobi a cikin ciki

Zaku ziyarci tare da mai ba ku kuma ku sha gwaje-gwaje na likita kafin aikin tiyata. Mai ba da sabis ɗinku zai:

• Yi cikakken gwajin jiki.
• Tabbatar sauran yanayin kiwon lafiyar da zaka iya samu, kamar su ciwon sukari, hawan jini, ko matsalolin zuciya ko huhu suna ƙarƙashin ikon.
• Yi gwaji don tabbatar da cewa za ku iya jure wa tiyatar.
• Idan kai mashaya sigari ne, ya kamata ka daina shan sigari makonni da yawa kafin a yi maka aikin tiyata. Tambayi mai ba ku taimako.

Faɗa wa mai ba ka sabis:

• Waɗanne magunguna, bitamin, ganye, da sauran abubuwan ƙarin da kuke sha, har ma waɗanda kuka saya ba tare da takardar sayan magani ba.
• Idan kuna yawan shan barasa, fiye da abin sha 1 ko 2 a rana
• Idan kana iya yin ciki

A lokacin mako kafin aikinka:

• Za'a iya tambayarka ka dan dakatar da shan abubuwan rage jini. Wasu daga cikin wadannan sune asfirin, ibuprofen (Advil, Motrin), bitamin E, warfarin (Coumadin), clopidogrel (Plavix), ko ticlopidine (Ticlid).
• Tambayi mai ba ku magani wadanne kwayoyi ne ya kamata ku sha a ranar tiyata.
• Shirya gidanka don dawowa daga asibiti.

A ranar tiyata:

• Bi umarnin mai ba ku game da lokacin da za ku daina ci da sha.
• Medicinesauki magunguna wanda mai ba ku sabis ya gaya muku ku sha da ɗan ƙaramin shan ruwa.
• Zuwanka asibiti akan lokaci.

Ya kamata ku sami damar fara ci da sha kullum kamar kwana 2 zuwa 3 bayan tiyatar. Tsawon lokacin da kuka zauna a asibiti ya dogara da tsananin matsalar. Cikakken murmurewa yakan ɗauki kusan makonni 4.

Yin aikin tiyata; Laparotomy; Binciken laparotomy

• Tsarin narkewa
• Pelvic mannewa
• Binciken ciki - jerin

Sham JG, Sake suna BN, Ya J. Gudanar da ciwon daji na periampullary. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 545-552.

Wasannin RA, Carter SN, Postier RG. Ciwon ciki. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na Tiyata: Tushen Halittu na Ayyukan Tiyata na Zamani. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 45.