Binciken laparotomy: menene menene, yayin da aka nuna shi da kuma yadda ake aikata shi

Wadatacce

• Lokacin da aka nuna laparotomy mai bincike
• Yadda ake yinta
• Matsaloli da ka iya faruwa

Binciken, ko bincike, laparotomy wani bincike ne na ganowa wanda a ciki ake yin yankan a yankin ciki domin lura da gabobin da kuma gano musababbin wata alama ko canji a gwajin hoto. Wannan aikin ya kamata a yi shi a cikin ɗakin aiki tare da mai haƙuri a ƙarƙashin kwantar da hankali, saboda yana da hanyar cin zali.

An ba da shawarar cewa mutum ya kasance a asibiti don a kasance tare da shi da kuma murmurewa da sauri daga aikin, ban da rage haɗarin rikice-rikice, kamar zubar jini da cututtuka.

Lokacin da aka nuna laparotomy mai bincike

Ana yin laparotomy mai binciken ne don dalilan bincike, kuma ana yinta ne lokacin da wasu alamun canje-canje a gabobin ciki.

Yawancin lokaci hanya ce ta zaɓaɓɓe, amma ana iya yin la'akari da shi a cikin lamuran gaggawa, kamar manyan haɗarin mota, misali. Saboda haka, ana iya nuna wannan jarrabawar don bincika:

• Zuban jinin ciki;
• Perforations a cikin hanji;
• Kumburi na shafi, hanji ko kuma pancreas;
• Kasancewar ɓarna a cikin hanta;
• Alamomin da ke nuni da cutar kansa, galibin pancreas da hanta;
• Kasancewar mannewa.

Bugu da kari, ana iya amfani da laparotomy ta hanyar bincike kan wasu halaye a cikin mata, kamar su endometriosis, sankarar mahaifa da sankarar mahaifa da ciki mai ciki, misali. Koyaya, a mafi yawan lokuta, maimakon laparotomy, ana yin laparoscopy, wanda a ciki ake yin wasu ƙananan ramuka a cikin yankin ciki wanda ke ba da izinin wucewar kayan aikin likita da ke haɗe da microcamera, yana ba da damar gani a zahiri ba tare da ya zama dole ba. ana buƙatar yanke mafi girma. Fahimci yadda ake yin videolaparoscopy.

A yayin laparotomy na bincike, idan an sami wasu canje-canje, yana yiwuwa a tattara samfurin nama a aika shi zuwa dakin gwaje-gwaje don nazarin halittu. Bugu da kari, idan aka gano wata matsala yayin binciken, za a iya yin laparotomy mai warkewa, wanda ya yi daidai da hanya daya amma da nufin magancewa da gyara abin da aka canza.

Yadda ake yinta

Ana yin aikin laparotomy ne a dakin aiki, tare da mai haƙuri a ƙarƙashin maganin rigakafi kuma yana ɗaukar tsakanin awa 1 zuwa 4 dangane da dalilin gwajin. Sauraren ciki yana da mahimmanci don kada mutum ya ji komai yayin aikin, duk da haka yana da kyau cewa bayan tasirin maganin ya wuce, mutumin yana jin zafi da rashin jin daɗi.

Bayan aikace-aikacen maganin sa barci da farkon tasirin, ana yin yanki a yankin ciki, wanda girman sa ya bambanta gwargwadon maƙasudin jarrabawar, kuma a wasu lokuta, a yanka kusan kusan tsawon ciki. Bayan haka, likita yayi aikin binciken yankin, yana kimanta gabobin kuma yana bincika duk wani canje-canje.

Bayan haka, an rufe ciki kuma dole ne mutum ya kasance a asibiti na fewan kwanaki don a sa masa ido sosai kuma, don haka, za a iya hana rikice-rikice.

Matsaloli da ka iya faruwa

Tunda hanya ce ta mamayewa wanda ake buƙatar maganin rigakafi na gaba ɗaya, ana iya samun rikice-rikice masu alaƙa da aikin, da kuma matsalolin da suka shafi coagulation, ƙarar haɗarin zubar jini da cututtuka, samuwar hernias da lalacewar kowane ɓangaren da ke yankin ciki. .

Kodayake ba safai ba, waɗannan rikice-rikicen sun fi yawa yayin da ya zama dole don yin laparotomy na binciken gaggawa ko kuma lokacin da mai haƙuri sigari ne, mutanen da ke yawan shan giya ko waɗanda ke da cututtuka na yau da kullun, kamar su ciwon sukari ko kiba, misali. Sabili da haka, a gaban kowane ɗayan waɗannan abubuwan, yana da mahimmanci don sadarwa zuwa ga likita don a gudanar da aikin cikin taka tsantsan kuma, saboda haka, ana hana rikitarwa.