Maphunziro a luso la kachitidwe ka bokosi lophunzitsira kayeseleledwe
Maphunziro oyesera nyama
Pambuyo podziwa luso lapadera la ntchito zosiyanasiyana za laparoscopic mu bokosi la maphunziro, kuyesa kwa zinyama kungathe kuchitika.Cholinga chachikulu ndikudziwiratu luso lofunikira la kukhazikitsidwa kwa pneumoperitoneum, kupatukana kwa minofu, kuwonetsa, ligation, suture ndi hemostasis;Dziwani bwino kugwiritsa ntchito zida zapadera zosiyanasiyana mu vivo komanso magwiridwe antchito a ziwalo zosiyanasiyana mu vivo;Komanso limbitsani mgwirizano wa ntchito pakati pa wogwiritsa ntchito ndi wothandizira.
Nthawi zambiri, nyama zazikulu monga nkhumba kapena agalu zimasankhidwa.Choyamba, odwalawo adagwidwa ndi jekeseni wa intraperitoneal, ndiye khungu linakonzedwa, njira ya venous inakhazikitsidwa, ndipo dokotala wopereka opaleshoni anapereka endotracheal intubation inhalation anesthesia, ndiyeno malo a thupi adakhazikitsidwa.
Nthawi zambiri tenga malo apamwamba.
Yesetsani kupumula ndi kudula kuti mukhazikitse pneumoperitoneum
Pambuyo pa kupangidwa kwa pneumoperitoneum, choyamba ndikuphunzitsa ziwalo za m'mimba ndi kuzindikira komwe kumachokera.Kutsimikizira udindo wa ziwalo zosiyanasiyana zamkati pansi pa laparoscopy pa polojekiti ndi sitepe yofunika kwambiri pa kukhazikitsa opaleshoni.Izi sizili zovuta kwa madokotala omwe adziwa bwino chidziwitso cha anatomical ndi opaleshoni yochiritsira, koma zithunzi zomwe zimapezedwa kudzera mu njira yowunikira TV ndizofanana ndi zomwe zimawonedwa ndi masomphenya amtundu umodzi komanso opanda malingaliro atatu, kotero n'zosavuta kupanga zolakwika poweruza mtunda. , yomwe ikufunikabe kuphunzitsidwa kosinthika muzochita.Pazochitika zonse za opaleshoni ya laparoscopic, ndikofunika kwambiri kuti wothandizira agwire galasi kuti atsimikizire njira yoyenera ya opaleshoni ya masomphenya, mwinamwake izo zidzatsogolera ku chiweruzo cholakwika cha woyendetsa.Kenako, yesani kubowola cannulas ena mothandizidwa ndi laparoscopy.
Chitani ureterotomy ndi suture laparoscopic, laparoscopic nephrectomy ndi laparoscopic partial cystectomy ngati pakufunika.Njira za hemostatic ziyenera kukhala cholinga cha maphunziro.Pa gawo lomaliza la opaleshoni, mitsempha ya magazi imatha kuwonongeka mwadala ndipo njira zosiyanasiyana za hemostatic zimatha kuchitidwa.
Maphunziro azachipatala
Atadutsa maphunziro a bokosi lophunzitsira loyerekeza ndi kuyesa nyama, ophunzirawo amadziwa zida zosiyanasiyana za opaleshoni ya laparoscopic ndipo amadziwa luso la opaleshoni ya laparoscopic.Chotsatira ndikulowa mu gawo la maphunziro azachipatala.Ophunzitsidwa adzakonzedwa kuti aziyendera mitundu yonse ya opaleshoni ya urological laparoscopic ndikudziŵa bwino malo apadera a thupi ndi njira ya opaleshoni ya urological laparoscopic.Kenako anapita ku siteji kugwira galasi odziwa opaleshoni laparoscopic, pang'onopang'ono kusintha kuti athe kugwirizana ndi opaleshoni bwino, ndipo anayamba kumaliza ndi yosavuta laparoscopic ntchito motsogozedwa ndi madokotala apamwamba, monga laparoscopic umuna mtsempha ligation.
Nthawi yotumiza: May-20-2022
