Appendectomy - He aha kēia?

Iapaau ana no ka appendicitis mau hoʻohuʻu he ana hana. Ma mua o kaʻoki kino i ka hoʻomanawanui ua kuhikuhi hoomakaukau ana: lawe ho'āʻo ma, hana m-kukuna a me ka ultrasound mahele mōʻaukala. Wale nō ma hope o ka hopena o ke anamanaʻo e hoomau aku appendectomy. Aia i kekahi mauʻano likeʻole o kēia hana. About ia e kamaʻilio pū mākou i loko o oi au mamuli o keia la ka pauku.

He aha ka appendicitis?

He huʻiʻoki lāʻau lapaʻau maʻi wehewehe aku ma kaʻeha i loko o ka abdomen, a me symptoms o intoxication. Ua Ua wehewehe aku ma ka li nui o ka i paiiaʻi na - ka i paiiaʻi. I ka wa, oia i ua 'Imi' ole ma o ka kūloko e hoʻonele. Naʻe, i kēia kuleana pili i ua lilo ma manawa. I paiiaʻi i lapuwale palapala. Nolaila, kona wehe 'ia' aʻole e lawe io hopena no ka meaola.

Appendicitis ua ana diagnosed i loko o ui kanaka. Nā kumu o ka li nui i nō IKE OLE IA. Kauka i kāheaʻia kekahi mau nā mea mahuʻi a me hypotheses. I loko nō hōʻike i ka au he mea pono io o kaʻike, ka mea ma ka kakahiaka nui ke kahua me ka pilikia. Pathology ua pinepine "masked" ma nā maʻi, ia mea atypical no. Nānā 'ole o ke kumu o ua appendicitis, appendectomy - o ka wale mana o kona nohoʻana.

Nāʻikepili e Kai

Appendectomy pili i ka 'uao waeʻano, a i mālama' ia ma luna o kekahi ulia pōpilikia manawa. Ma kēia hihia, na ka papa kuhikuhiE PAaIEN no kaʻoki kino - li nui i loko o ka huʻi palapala. Kohoʻoki kino ua hoonohoia ma ka hihia o appendicular infiltrate. Kēia pathology, ma a ka i paiiaʻi merges me intestinal kahua, omentum paha peritoneum. Ma hope o ka mea emi (ka hola 2-3 mahina mai o ka hoouka kaua ana o ka maʻi)ʻoki kino ua hana. Inā symptoms o intoxication ulu spontaneously ia lŘlŘ abscess rupture me mahope peritonitis, i ke ahonui i ka pono o ka ulia pōpilikia 'uao.

E hoomakaukau ai no ke kaʻina hana

Hana appendectomy mau i oi aku i hookahi hora. Iloko o ke kākoʻo a me ka hoʻohana 'ia i mea laha ole kūloko anesthesia. Koho o kekahi mauʻano hilinaʻi nui ma luna o ke ahonui o ka makahiki, ana a me ke alo o ka hele pū ana pathologies. No kekahi laʻana, na keiki a me kanaka, ka poe i overweight, e like me ka noʻonoʻo 'maʻi a me ko mākou hopohopo overexcitation Meu mau anesthesia. Nā mea maʻi me ka wiwi i lawa kaʻoi loa kūloko anesthesia. Kēia waeʻano nā hapai wahine, ma hope mau anesthesia mai i ka hopena maikaʻi 'ole ma o ka fetus.

Appendectomy - keia pilikia hana. Ua ua i manao ia i lawa manawa e hoomakaukau ai i ka hoʻomanawanui. No laila, ma mua o ka 'uao A palena iki helu o ka nānā' ana: ke koko a me ka mimi ho'āʻo ma, ultrasound, X-kukuna. I mea e hookaawale ia pathologies appendages wahine i paipai kūkā me ke gynecologist.

Koke ma mua o ka hana i loko o ka bladder catheter huapalapala, gastric lavage hanaia. No ka constipation hōʻike enema. A pau i ka hoomakaukau mua mau hou aku 2 hola. Ma hope e hookupaa aku ana i kaʻike, o ke kauka i hoʻoholo i ka hana i ho'ākāka 'ʻano' uao. I kēia lā, i kēia hana i hiki i kekahi mau aoao (ku una, laparoscopic a me ka transluminal).

Kēlā me kēia no ia e e wehewehe i ka au mamuli lalo nei.

kuʻuna appendectomy

Appendicitis lapaʻau ma keia ala hiki ke maheleia i mau apana. Mua, ke kahuna lapaau e launa mai online, 'ae', a laila puka mai a hiki i ke kaʻina hana o ka wehe i ka cecum. 'Ākeʻakeʻa i emi mai ma mua o hoʻokahi hola.

E loaa komo i ka wela ai i paiiaʻi na, i ka surgeon i ka incision i loko o kaʻili i ka akau iliac māhele 'āina. Kona lōʻihi o kāu 7 knm. A olua wahi mea he wahi mc Burneya. Ma hope o dissection o ka ili a me ka momona kauka komo 'ana i loko o ka abdominal lua. Nāʻiʻo i kipaku aʻe me incisions. Ka hope keʻakeʻa nei o ka peritoneum. Ua hiki no hoi oki ma waena o nā clamps.

Inā adhesions a adhesions ma ka peritoneum kaawale, i ka surgeon loaa i ka wehe 'ana o ka cecum me ka i paiiaʻi. Wehe i ka i paiiaʻi na mea hiki i ka mau aoao: retrograde a me ka antegrade. Ka hope AOAIAaOO loa pinepine i hoʻohana. Ma keia hoʻomalu bandaging mesenteric moku, kaʻina auhau ia lakou i mea'ūmiʻi ma luna o ka waihona ipu, a me ka wā e ua sutured aʻoki. Retrograde appendectomy hula i loko o kaʻokoʻa kaʻina. Mua, oki ae la i ka i paiiaʻi na, ua waiho kona kumu i loko o ka naʻau liʻiliʻi, e superimposed stitches. Mahope hoʻomalu kahua o ka hoʻonaʻauao sutured mesenteric moku, ka mea, ua wehe. Ka pono no ka mea i hana ma muli o i ka IIeEeAIEUAA o ka i paiiaʻi ma ka retroperitoneal makahiki , a me ke alo o ke mau adhesions.

transluminal appendectomy

He minimally invasiveʻoki kino. Komo i ka wela ai i paiiaʻi ua lawe mai ma ka mea o ka'ōlewa hana i ke kauka inserts ma na orifices maoli o ke kino.

Uao mea hiki i ka mau aoao: transvaginal paha transgastralno. Ma ka hihia mua, e hookomoia na mea ma ka mea uuku incision i loko o ka vagina, a me ka lua - i loko o ka'ōpū pā. Oia ka hana he nui kona pono. Ua Ua wehewehe aku ma ka kŘpa a uuku wā o ka hoʻopulapula, kokololio ke ola a me ka wa e kaawale aku o ka hiki kina. Eia naʻe, e like me ka hana 'ole' ia ma kēlā? Aaieou a wale nō ma luna o ka uku manawa.

Laparoscopic appendectomy

He minimally invasiveʻoki kino ua hoʻolaha like benign therapies. Ka mea, i ka i kēia pono.

• haahaa trauma;
• i mea hoʻonani kina;
• kokololio ke ola;
• i ke ano o kūloko anesthesia;
• haahaa pahiki o nā complications.

Ma ka kekahi lima, laparoscopic appendectomy loaʻa paha kekahi mau keakea. No ka laʻana, no kona manaʻo e noi mai ana pipiʻi pono, a me ka pono i pili ike i ke kauka. Ma pakahi aku la ia mea lapaʻau hihia, o ka oi aku ma ka hihia o ka peritonitis, ia mea impractical a hiki pilikia loa.

He aha nō ke ki nui mea laparoscopic appendectomy? Hana ana pēlā nā:

1. Hoʻokō i kekahi mea uuku puncture i loko o ka piko. Ma ia ia, i ke kauka inserts ka laparoscope, a ke nānā pono i ka loko lua.
2. Ke pubic wahi a me ka pono hypochondrium aiiieieoaeuii e kekahiʻoki. Ka mea, e pono no i ka hoike o keʻoki lāʻau lapaʻau kani. Ke kahuna lapaau e pono ia ke puliki ia i paiiaʻi na, bandages, aʻoki aku i na ipu koko mesentery. Ma hope iho o kēia kaʻina ua wehe 'ia mai ke kino.
3. Hoʻomalu e mālama nei remediation abdominal lua nōkahea e puhi ia, ina he pono.

Wale i loko o pohihihi keia hihia, complications pili me ka laparoscopic appendectomy. Papa o ke kaʻina hana ua hoi malalo o ko kekahi mau kauka, no laila, ua paa ka manao o ka mea hoʻonani kanawai ma kā lākou mau hana a me nā mākau.

ke ola au

I ka hoʻopulapula o kūikawā nui o ka malama ana o kaʻeha. Dressings i i loko o ka lā, a me ke alo o ka hookupaa nōkahea - kela la i keia.

He nui nā mea maʻi ohumu o ka discomfort a hiki eha kekahi mau hola ma hope o ka piʻiʻana. Oia symptoms i manaoia e e kino,ʻaʻole ka mea, e e makau. I pilikia wahi, i hiki i ke kauka prescribes ka hoʻomanawanui analgesics.

Ka hapanui o nā mea maʻi i loko o ke koi au 'Oi ka makemake e mālama i ke kanana' moe koena, Kuhikuhi 'ia nawaliwali. He mea hewa. Ka koke ke hoʻomanawanui hoʻomaka eʻoni aʻe, i ka emi kamepiula o complications. ʻO ka pōkole hele a puni o ka hanai a me ka haukapila e leie aku ka naʻau liʻiliʻi, e hui i ka hana wikiwiki.

Contraindications

Kēia hana i kokoke ole contraindications. Eia naʻe, no ka palekana hana o ke kaʻina hana o ka kahuna lapaau e loiloi i ka hoʻomanawanui ka kulana. No ka laʻana, laparoscopic appendectomy uaʻaʻole e waiho i loko o ke kēia hihia.

1. Ua i oi aku mamua o 24 hola ma hope o ka hoailona mua o ka maʻi.
2. Ke alo aku o ka hele pū ana hoʻoʻino keʻano o ka hanaʻana i loko o ka digestive'āpana.
3. Mua diagnosed naau maʻi ole loa pulmonary nenoai.

Ma kēia hihia, laparoscopic appendectomyʻano hana replaces kuʻuna.

hiki complications

Keʻano o nā complications ma hope o ka piʻiʻana mea hiki, no laila, i ka hoʻomanawanui koi ikaika aku ka mālamaʻana. Ke hana ia i wahi maluhia a me ka hopena maikaʻi 'ole pinepine, kena ae la ia e hana IIeEeAIEUAA kaʻina hana i loko o ka abdominal lua.

He aha i na complications o appendectomy hoʻomanawanui iki mai ke manaʻo nei? Ka loa, he pono ole no o keʻoki kino ua noʻonoʻo ulana fester. Me ia he pilikiaʻaloʻia e nā lima o ka mea hoʻomanawanui. Ua mea no hoi e hiki i ka hooulu ana o ka peritonitis, thromboembolism, lina maʻi. Ka noho pilikia loa complication o sepsis, ka wā purulent li nui i maʻi.

Ke kumu o ke kaʻina hana a me ka hoʻomanawanui e hoike

Appendectomy - ka hana a ua nui lawe mai i loko o ka ulia pōpilikia. A hiki i ka nele o ka mālama 'i ke kanaka ke make. Nolaila, e kamailio e pili ana i ka waiwai e lilo aku ana i keia ano o ka Inc mea illogical. Traditional appendectomy Ua noa. Social kūlana o ka hoomanawanui, me kona mau makahiki a me nā aupuni 'ē aku e ole mea. Keia mea ua loaa ia ia ma nā mea a pau kēia Hawaii.

Kauka ke hoola i kekahi kanaka ka ola, e hoolilo ana ia ia i ka hana. Eia naʻe, ma hope-i a me ka lapaʻau 'pinepine koi hou koina. No ka laʻana, he pono ke koko ho'āʻo 'ole mimi ho'āʻo koina ma kahi o 500 rubles. No ka'ōlelo aʻo, mai hana kūikawā 'Oihana i e uku i kekahi wahi hou aku 1 ths. Rubles. Koina ma hope o 'uao, pili me ka pono, e hoʻomau lapaʻau, IeAUPIIe, IAa IO uhi ma ka lapaʻau.

Appendectomy - mea he unplannedʻoki kino. No laila, i ka ike ana o nā mea maʻi ma Inc kaahele aku la oia pinepine ĸokoĸa ana nä pane. Inā pathology Ua kaupalena ', a me ka mālama' ka pono a me ka 'eleu i kou manaʻo, e e maikaʻi. Pakahi aku la ia maikai manaʻo koe ke laparoscopy. Ma hope pono i kekahi mau lā ma hope o ka piʻiʻana o ka hoʻomanawanui hiki hoʻi i ka ninau ola. Huikau ano o ka maʻi i hoolilo nui loa, a me ka io Memories i loko o nā mea maʻi e noho mau loa aku.