Nrog kev pab ntawm ib qho khoom siv tshwj xeeb (laparoscope), tom qab me me rau ntawm qhov kabmob plab, nws muaj peev xwm ua tau tawm nws ob qho kev kuaj mob hauv gynecology (diagnostic laparoscopy) thiab cov kev pab me me hauv gynecology (phais lossis operative laparoscopy).
Cov kev qhia rau laparoscopy hauv kev ua gynecology
Lub ntsiab tseem ceeb ntawm laparoscopy:
- infertility nyob rau hauv cov poj niam (rau kev kuaj mob ntawm kev ua txhaum ntawm patency ntawm lub plab hlaub thiab lawv tshem tawm, tawm ntawm adhesions);
- mob hnyuv kab mob hauv gynecology (ectopic cev xeeb tub, mob hnyuv tws, tus kabmob zes qe menyuam);
- tshem tawm ntawm cov hlwv ntawm zes qe menyuam, hlav ntawm lub tsev menyuam thiab cov qe menyuam, tawv nqaij, cov hlab ntaws ntawm lub tsev menyuam;
- ligation ntawm cov hlab ntaws roj hmab thaum lub caij sim neej;
- tshem tawm ntawm tsev menyuam thiab qe menyuam;
- kuaj mob thiab kev kho mob endometriosis ntawm zes qe menyuam thiab peritoneum;
- kev kuaj mob thiab kev kho mob ntawm cov qe menyuam mob polycystic, anomalies ntawm kev loj hlob ntawm lub tsev menyuam , ovulation ntawm uterus;
- npaj rau IVF.
Muaj qee cov kev tsis haum xeeb rau laparoscopy hauv gynecology:
- ib txoj hauv kev los ntshav (nrog hemophilia, hemorrhagic diathesis);
- decompensated kab mob ntawm cov hlab plawv system, ua pa, daim siab thiab lub raum;
- mob kis kab mob;
- purulent peritonitis;
- diaphragmatic hernia;
- poob siab los yog coma;
- malignant tumors nyob rau hauv gynecology;
- ntau dhau kev rog;
- mob tom qab lub lag luam raug siv los yog cov txheej txheem hauv cov kab mob plab.
Kev npaj rau laparoscopy hauv gynecology
Ntxiv rau qhov kev cob qhia ncaj qha, muaj ntau cov kev xeem thiab kev ntsuam xyuas uas yuav tsum tau ua nyob rau lub sijhawm ntawm laparoscopy. Cov tshuaj no muaj xws li cov kev ntsuas ntshav thiab kev tso zis, kev kuaj ntshav rau cov qe ntawm worms, kev kuaj ntshav biochemical ntshav (ntshav qab zib), kuaj ntshav qab zib, HIV, viral hepatitis, ginecological soj ntsuam nrog lub smear rau ntawm flora, pelvic floor ultrasound, ECG, fluorography thiab xaus ntawm tus kws kho mob.
Peredoperatsionnaya npaj yog kev noj haus ua ntej laparoscopy hauv gynecology, neeg pluag hauv fiber, tsis ua rau tsam plab. Ntawm lub lim tiam ntawm lub lag luam, ua ib qho tshuaj ntxuav qhov ntxuav tawm, thiab hnub ntawm kev phais nws yog txwv tsis pub noj khoom haus thiab dej haus, muab daim ntawv tso cai ua ntej.
Operative laparoscopy nyob rau hauv gynecology
Nrog laparoscopy, tus trocar yog ntsaws los ntawm qhov incision hauv cheeb tsam nruab nrab d 10 hli (dhau ntawm nws, lub laparoscope nrog lub koob yees duab yees duab tso nrog), thiab nyob rau hauv thaj av hauv plab - ob trocar d 5 hli rau cov cuab yeej. Nkag mus rau hauv plab kab noj hniav carbon dioxide kom yooj yim nkag tau mus rau cov kabmob. Nrog kev pab los ntawm kev phais mob phais, kev pabcuam kev phais mob yuav tsum tau ua. Tom qab ntawd, tso tseg cov ntshav thiab thov seams rau lub qhov txhab.
Laparoscopy nyob rau hauv gynecology: postoperative lub sij hawm
Tom qab kev phais, tus neeg mob hnub yuav tsum nyob hauv kev saib xyuas ntawm cov kws kho mob kom tiv thaiv tau txoj kev loj hlob ntawm cov teeb meem. Tom qab laparoscopy, mob hnyav sab hauv lub cev tuaj yeem tsim, thaum lub sijhawm ua haujlwm, mob plab hnyuv tws lossis ntshav hlab ntsha tuaj yeem ua puas tsuaj, txoj haujlwm ntawm lub plawv lossis lub ntsws yuav cuam tshuam los ntawm qhov muab cov pa roj carbon dioxide mus rau hauv lub qhov ntswg. Ntawm cov teeb meem tom qab, qhov kev tsim kho ntawm subcutaneous emphysema yog ua tau rau thaum muaj roj poob hauv qab ntawm daim tawv nqaij, thrombosis ntawm cov hlab ntsha ntawm lub plab kab plab.
Qhov zoo ntawm laparoscopy
Qhov zoo ntawm qhov kev cuam tshuam no yog ib qho mob me me uas tsis zoo, kev ua haujlwm tsis zoo, kev poob qab thiab kev mob hauv kev siv lub sijhawm, kev mob me me, kev kho mob, thiab kev kho mob thaum sim tshuaj. Cov kev tsis pom zoo yog kev tshuaj loog thaum lub sij hawm muaj kev cuam tshuam, thiab nrog kev txiav txim tsis zoo los yog kev txhim kho ntawm cov teeb meem, nws tsim nyog los tsim qhov xav tau los txhais cov laparoscopic ua haujlwm rau cov kab noj hniav.