Ukusebenza Marmara e varicocele: Izibuyekezo

ukusebenza Microsurgical Marmara - uhlobo kokuhlinzwa ukwelapha lesi sifo, okuthiwa varicocele. Wasimisa Urologist ukuthola emithanjeni uviform plexus isende (varicocele), lapho isiguli bakhalaza kabi the scrotum noma lapho kunciphise ubukhulu amaqanda, ukunciphisa umsebenzi walo.

Kuzuzisa operation Marmara phezu kwezinye izindlela emzabalazweni nge varicocele

Ukusebenza Marmara minyaka yonke inqwaba odokotela waqaphela njengoba indlela ephumelela kakhulu futhi enokwethenjelwa eliphambili lokwelapha varicocele. Izinzuzo main yilezi:

- kunombolo okungenani ka uyahluleka uma elwa nokuphuza elenziwe Sibonga kungenzeka ukuba izibuko microsurgical futhi nangezibonakhulu, okuyinto ikuvumela ukucubungula ngemithambo kulencane;

- ngezinga elincane traumatization kwezicubu;

- in the amancane ukucasha usayizi rumen ezingekho ngaphezu 2 cm;

- ngokungabi bikho pheze ephelele ubuhlungu emva kokuhlinzwa;

- ukuthuthukisa ikhwalithi kwesidoda kanye nobungako;

- ikhono ngokushesha ukubuyela isiguli ukuphila okuvamile.

Nje umehluko ambalwa tekusebenta phakathi izindlela Ivanissevich noma laporaskopii, indlela Marmar. Ukusebenza Ivanissevich kuhilela asike izidumbu zabantu aponeurosis, okungaholela imisipha ebuhlungu le anterior udonga besisu, okwandisa ukunyakazisa amalungu omzimba kanye nokuqinisa ubuhlungu nasezinkingeni ezilandela ngemva kokuhlinzwa. Ukusebenza Marmara ikuvumela ukuba sibhekane ngokuphumelelayo kokubili sobunxele bese kwesokudla varicocele. Futhi ngcono spermatogenesis nokuhlola wenzalo kungaba kwenziwe kungakapheli izinyanga 6-9. Iningi lamadoda emva kokuhlinzwa ukuze Marmara kakade unekhono asebephenduke obaba kule minyaka embalwa ezayo.

Yiziphi izinkomba ukuhlinzwa Marmara

The main futhi, ngokuvamile, inkomba kuphela uma babelwe ukusebenza Marmara, kunenkolelo varicocele - isifo okungase kwenzeke ngaphandle imakwe ukubonakaliswa emitholampilo cishe asymptomatic.

Kodwa ngokuvamile, wenziwa ochwepheshe, iziguli esekhala ukusinda e- scrotum, ubuhlungu isende. On luhlolo wembula kwezinso e isidoda ukuhlaziywa, okuyinto esingadala ukwephulwa ukukhiqizwa isidoda yi testes. ukuphathwa non-kuhlinzwa lesi sifo akunakwenzeka, ikakhulukazi uma kuziwa nezinkinga ezingase kungabangela inkinga yokungabi nenzalo. Ukusebenza Marmara e varicocele, ngokusho izibalo zomhlaba, ivumela ukubuyisela ngokugcwele zangasese isitho umsebenzi.

Varicocele: kuba, kunalokho igcwele

Lesi sifo kuhilela emithanjeni wamasende cord spermatic, okuyinto ehlangene kokunikezwa kwe-valve-non-ukubuya, okuyinto zitholakala ngemithambo. Lokho valve okunempilo evumela ukuhamba kwegazi ngokusebenzisa vein ohlangothini olulodwa, umonakalo e-valve ningamniki ithuba wokuvimba ukugeleza ukubuya kwegazi. Noma yimuphi ukwanda ingcindezi kubangela igazi ivame ukuba emuva.

Izimbangela zesifo

Varicocele kungenzeka wawubonakalisa:

- azalwa naso valve emithambo yegazi;

- ubuthakathaka azalwa naso odongeni semithambo;

- anda kwengcindezi ukhalo noma scrotum, okuholela kink, futhi ukushintsha ukwakheka emithanjeni kancane kancane onomfutho.

Ukuze kulungiswe leli zokugula, zikhona izindlela eziningi ezahlukene, isb, nge ukuhlinzwa noma laparoscopic Ivanissevich indlela. Kungani uba indlela ezidumile Marmar? Ukusebenza cishe aqede kungenzeka umonakalo odongeni imisipha besisu, imithambo umonakalo wamasende, nesenzakalo ukuvuvukala.

Izimo ukuhlinzwa Marmara

Njenganoma iyiphi inqubo yokuhlinza, ngisho inqubo esebenza kahle kakhulu ephephile kungaba contra-izinkomba:

- exacerbation esiteji of pathologies njalo kwezitho zangaphakathi;

- ezinyangeni zokuqala eziyisithupha ngemva kokushaywa unhlangothi, isifo senhliziyo noma esinye isifo senhliziyo ischemic;

- ukuvuvukala uhlelo urogenital;

- Umkhuhlane, SARS kanye nezinye izifo ezithathelanayo.

Indlela ukulungiselela lokungenela

Ukusebenza Marmara nesokulungiselela kusho enifeza imali esezingeni ucwaningo: ukuhlolwa kwegazi jikelele, emitholampilo kanye kwamakhemikhali, coagulation, ECG ukuhlaziywa RW, ugcunsula,-HIV, i-hepatitis, ukuhlolwa obulala izinzwa ngaphambi kokuhlinzwa.

Preoperative bungathuthukiswa noma, Ngakolunye uhlangothi, yehla kuye inani ukuphazamiseka okuhleliwe, yobudala kanye isimo jikelele isiguli.

Ngakho ngokushesha ngaphambi ukusebenza:

- aphuce izinwele, uma ikhona, endaweni oluzayo kwemisebenzi. Lokhu kumele kwenziwe kahle, ngaphandle imbobo kwesikhumba futhi ukubukeka yokucasuka olwengeziwe.

- Abanye odokotela enquma imikhuba yokwelapha anti-inflammatory noma imithi elwa namagciwane, okuyinto kunciphisa ingozi ukuvuvukala endaweni koda. Zinsiza iqala izinsuku ezimbalwa ngaphambi ukuhlinzwa.

- izinzwa Jikelele noma izinzwa emgogodleni kuhilela esidlweni sokugcina kungakapheli 10 pm. Ngosuku olwandulela msebenzi awuvunyelwe ukuba udle, uphuze, intuthu. Ngobusuku obandulela ukuhlinzwa futhi ekuseni ukuhlinzwa kwenziwe enema.

- izinzwa Local akudingi ngokuzila ukudla noma ahlanzwe enema.

- Reception of anticoagulants kufanele inqanyulwe izinsuku 5 ngaphambi ukusebenza esasizofika ngokushesha. Kunalokho, prescribers ongaphakeme yamangqamuzana isisindo heparins, okuyinto kunciphisa ingozi ebangela ukopha tekusebenta nobe post-op.

Ukusebenza Marmara e varicocele, ukubuyekezwa zazo ifakazela kahle eliphezulu indlela kwenza kwaba nokwenzeka ukubuyisela emithambo yegazi zamanje futhi kuvimbele outflow ubuthi igazi amasende. Ukuphinda postoperative kwenzeka% 5-7 kuphela eziguli.

Izinhlobo ngokusungula indlela yokubulala izinzwa: lokho kungaba ukuthi prepochtitelnee

ukusebenza nenkambiso Marmara kungaba ngaphansi izinzwa jikelele, okuyinto, efana nezinye izinhlobo, i-izinzwa okwenziwe ngenkathi isiguli ulele futhi evuka ngemuva kokuhlinzwa.

izinzwa Spinal dambisa yonke ingxenye yakho engezansi yomzimba. Kwabathinta bewenza endaweni ikholomu umgogodla.

izinzwa wendawo ngeke Numb kuphela ingxenye koda, isiguli zibe ziphapheme kodwa ngeke ubuhlungu. iminyaka Vposlednee ngaphezulu futhi odokotela abaningi makudle izinzwa wendawo kwakusho.

Njengoba ukusebenza

Ukusebenza iqala neqiniso ukuthi udokotela ohlinza dissects esifundeni isikhumba subpahovoy, okwenza usayizi imbobo 1.5 - 2 cm Kutholwe intambo spermatic, okuyinto ukuze kube lula kuyinto okukhipha isilonda.. Through the microscope udokotela ohlinzayo ikhomba wamasende umthambo futhi amabhandeshi yabo. Odokotela bakhetha ukusebenzisa izinzwa wendawo, njengoba kungenzeka isiguli ebuzwa yokuphefumula bese qinisa ukuthi ivumela udokotela ukubona kangcono konke, ngisho nomncane, varicose emithanjeni futhi amagatsha emithambo yegazi. Microscope ikuvumela ukuba wenze inqubo sigqoka njengoba elivumelekile, ngaphandle amakhambi nezinzwa eseduze, lymph nokuvaleka kwemithambo. Ngemva sokuvalwa zonke ngemithambo emikhulu nemincane amanzi nxeba owaphothula zenjoloba. Ngemva kwalokho, lo imbobo is esikhulu ngebhandeshi aseptic.

kokungenela Steel sithatha imizuzu 30-40. Isiguli is ke uyiswa egumbini yokutakula, lapho bahlala amahora ambalwa ngaphansi kweso lwezokwelapha yena. Ngemva kwamahora amabili, ekuhloleni isimo lesiguli, udokotela angaba nimyeke ahambe ekhaya.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa

Ithemu nokuvuselelwa emva kokuhlinzwa ubuncane Marmara. izikhathi ezimbalwa kuphela kuyodingeka ukuza ibhandishi, uma ungakwazi ukufeza inqubo ekhaya. Kakade emva kwezinsuku ezimbalwa isiguli ngokugcwele ukubuyela indlela yakhe evamile yokuphila. Nokho, kutuswa ukuba ukuzithiba ekubeni nobuhlobo bobulili ezisindayo futhi esithwele, zamabhayisikobho, nezemidlalo, ukuze ukungayekethisi ubuqotho ezivuzayo. Lokhu kuqinisekiswa kobufakazi nesineke. Sutures ziyasuswa ngemuva kwezinsuku ezingu-7-8. A isibanda encane uzobe elise ngezansi umugqa egqoke izingubo zangaphansi endaweni lapho izinwele ikhula, ukuze kuhlale ongabonakali. Ukusebenza Marmara, ukubuyekezwa okuyizinto esihle kakhulu kokubili kusuka iziguli kodokotela, akakubangeli yoma wamasende noma iphimbo, nanoma iyiphi enye yezinkinga ukuthi kungalindeleka kwezinye izinhlobo kokungenela kuhlinzwa. Lo msebenzi ikuvumela ukuba kubuyiselwe futhi uvimbele ezinye varicose emithanjeni, ngcono ikhwalithi isidoda.

Ngokombono amadoda amaningi, ukusebenza Marmara - indlela esheshayo futhi ephumelelayo ukususa a varicocele, okuyinto wabavumela ukuba ligweme izinkinga ezingase zivele nasezinkingeni ezilandela ngemva kokuhlinzwa, ubuhlungu, ukungaphatheki kahle nezibazi ebukekayo.