Surgery, kwawakabva uye mhando remapazi

Kuvhiya rinoshandurwa kubva muchiLatin zvinoreva kunzwisisa zvainoita muviri kuti kurapa miviri. Iri disconnection muitiro, yeimwe pamusoro akamendwa i.e., uchiteverwa kuvhiya kunotevera.

Kazhinji, muitiro ine mumatanho anoverengeka. Ivo ndeinotevera:

1. Kukurumidza mapindiro murwere muviri exposures.
2. The kushanda Nzira iyo ine kuvhiya rinoitwa.
3. Operational goho kunosanganisira misoro basa kudzorerwa zvaparadzwa munyama kupindira.

The nezvainoita muviri chingava tembiricha (cryosurgery, thermocoagulation, et unto.), Ultrassom, zvemagetsi kuitika (semuenzaniso, electrocautery) kana Laser kana radiofrequency.

Types Kuvhiya

Kushanda Kupindira zvakasikwa inogona rakakamurwa kukuru, palliative, symptomatic.

Yakakura Kuvhiya ndiko kubvisa zvachose chikonzero zabolevnaiya (cholecystectomy cholecystitis Somuenzaniso).

Kana palliative kupindira chikonzero pathological muitiro zvishoma zvachose, kufambisa mvura yacho. Ivo kuitwa zviitiko apo yakakura kuzvipedza yaizova kukodzera chero chikonzero.

Symptomatic Kuvhiya rinoitwa kuti aivabatsira murwere ezvinhu. It rinoitwa apo vaviri vokutanga hazviitiki. kazhinji rinopedzisa hunorapa kurapwa.

Maererano nokukurumidzira kuvhiya kupindira angava zvokuwedzera, dzakarongwa uye nokukurumidza. Chinangwa wokutanga kuponesa upenyu murwere, vari akaurayiwa rekukwazisa nechirwere yakarurama. Nokuti zvashata zvairatidza mabasa Somuenzaniso, nokuti kupora konikotomiya yemweya ponji kana pericardial zai ne cardiac tamponade.

The vakaronga Kuvhiya rinoitwa mushure dikidiki preoperative kana musangano zvinhu.

Urgent rinoitwa pakutanga maawa pashure kubvuma kuti inpatient dhipatimendi.

Chirwere Kuvhiya - a biopsy, ponji, paracentesis, laparotomy uye arthroscopy. dzimwe nguva kwacho kunogona kuva nengozi nokuti murwere. Ivo kunze ari chiitiko kuti hapana zvokuzviita.

zano oparesheni

Pakutanga rinorondedzerwa zvairatidza, umo chisarudzo yakaitwa, ndizvo rudzii zvakakodzera. Ipapo havawanzoiti zvichibvira contraindications kuti kudzivirira kuvhiya kurapwa. Pashure paizvozvo, zvinokosha kusarudza uye gadzirira zvekushandisa kuti kuvhiyiwa. Held murefu gadziriro, yokutindivadza, pashure iyo kuvhiya pacharo.

Dzehutano vanoomerera zvimwe zvinodiwa. Ivo vanoita zvinotevera zviito pamberi uye panguva muitiro:

• kupfeka vasati vapinda uchishandisa kamuri shangu cover, chivharo, kuvhiya chifukidzo;
• akaita preoperative akambozvishandisa kuuraya utachiona uye Utsanana kugeza maoko;
• Kuvhiya inoitwa pasi chena magiravhusi;
• changed navo uyewo zvifukidziro, akaita maawa matatu ose.