I-Robotic Assisted Surgery ingcono kanjani kuneTraditional Surgery?

Uma kuziwa ekunqumeni phakathi kokuhlinzwa okujwayelekile kwendabuko kanye nokuhlinzwa okusizwa ngamarobhothi, kuba kudingekile ukwenza isinqumo esinolwazi, ikakhulukazi uma ukuhlinza okusizwa ngerobhothi kukusha futhi kufaka amathuluzi namasu esimanje anembile. Nakuba kungase kuzwakale kusabisa, ukuhlinzwa okusizwa ngerobhothi empeleni akwesabisi kangako futhi kunikeza izinzuzo eziningi ngaphezu kokuhlinzwa okuvulekile okuvamile.

Funda kusengaphambili ukuze wazi ukuthi ukuhlinzwa okusizwa ngerobhothi kukulungele yini nokuthi yiziphi izinzuzo ozitholayo uma ukhetha ukuhlinzwa okusizwa ngamarobhothi phezu kokuhlinzwa okuvulekile kwendabuko.

Iyini I-Robotic Assisted Surgery?

Igama elithi “robotic surgery” lingase lisikisele ukuthi ukuhlinzwa kungase kwenziwe amarobhothi, nakuba kungenjalo. Udokotela ohlinzayo ulawula yonke imisebenzi yesandla serobhothi, esisetshenziselwa ukwenza ukuhlinzwa.

I-Robot-Assisted Surgery (RAS), noma ukuhlinzwa kwerobhothi, kuwukuhlinzwa okungavamisile okuncane kusetshenziswa ikhonsoli efakwe izilawuli eziqondisa izingalo zerobhothi, ezilawulwa odokotela abahlinzayo. Lolu hlelo lwaziwa ngokuqoqekile ngokuthi uhlelo lokuhlinza lwe-da Vinci. Ikhonsoli yalolu hlelo ifakwe ikhamera ye-3-D enencazelo ephezulu ehlinzeka ngezithombe ezicacile nezikhulisiwe zesifunda esithintekayo somzimba lapho odokotela abahlinzayo bazosebenza khona. Ngosizo lwekhonsoli, odokotela abahlinzayo bayakwazi ukwenza imicu emincane, kanye ne-cauterize, i-staple, ibambe, futhi benze ezinye izenzo. Lezi zimbobo zokuhlinzwa zinembe kakhulu.

Izinzuzo Zokuhlinza Okusizwa Ngerobhothi

I-Robotic Assisted Surgery iwukuhlinza okuthuthuke kakhulu kwezobuchwepheshe, okuhlasela kancane, okusho ukuthi akudingi ukwenza lokho kusikeka okukhulu. Lolu hlobo lokuhlinzwa lunikeza uhla lwezinzuzo uma kuqhathaniswa nokuhlinzwa kwendabuko. Nazi ezinye izinzuzo zokuhlinzwa kwerobhothi:

• Ukusikeka okuncane nokululama ngokushesha
• Ingozi ephansi yokutheleleka
• Ubuhlungu obuncane nokulahlekelwa igazi
• Izibazi ezincane
• Ukuhlala isikhashana esibhedlela
• Ukuthembela okuncane kuma-narcotic ngaphambi kokuhlinzwa

Kunezinye izizathu ezenza odokotela abahlinzayo bakhethe ukuhlinza okusizwa ngamarobhothi kunokuhlinzwa okuvamile. Umehluko phakathi kokuhlinzwa kwerobhothi nokuhlinzwa okuvulekile kubhalwe ngezansi njengoba kusetshenziswe ngaphambi, ngesikhathi, nangemva kokuhlinzwa.

Ngaphambi Kokuhlinzwa

Ngaphambi kokuhlinzwa, odokotela abahlinzayo kudingeka bathathe izithombe zendawo yokuhlinza (indawo lapho udokotela ohlinzayo esebenzela khona). 

Lapho ukuhlinzwa okusizwa ngamarobhothi kuzokwenziwa odokotela abahlinzayo, i-computed tomography (CT) scan kufanele yenziwe. Umshini we-CT scan uthatha izithombe zendawo eqondisiwe, okwenza imodeli kukhompuyutha yesistimu yerobhothi. Le modeli isiza odokotela abahlinzayo ukuthi benze uhlelo lokuhlinza, okuhlanganisa isikhathi nendawo yokusebenza.

Ekuhlinzweni okuvulekile kwendabuko, izithombe ze-X-ray zithathwa endaweni yokusebenza ukuze kwakhiwe izithombe ze-2-D, ezinembe kancane kunesithombe se-CT scan. Lezi zithombe ze-2-D zisetshenziswa odokotela abahlinzayo ukuze bahlinze endaweni okuhloswe ngayo ukuhlinzwa. Lolu hlobo lokuhlinzwa aluvamile ukunemba, futhi odokotela abahlinzayo kufanele benze ukulungisa okungahleliwe.

Ngesikhathi Sokuhlinzwa

Ukwazi ukuthi kwenzekani phakathi Nokuhlinzwa Okusizwa Nge-Robotic kanye nasekuhlinzweni okuvulekile kuzokusiza ukuba uqiniseke ngokwengeziwe ekwenzeni isinqumo.

Ngesikhathi Sokuhlinza Okusizwa Ngamarobhothi, odokotela abahlinzayo balawula izandla zerobhothi besebenzisa izilawuli eziyinhloko, futhi amathuluzi erobhothi akopisha imiyalelo yokunyakaza kukadokotela ukuze enze ukunyakaza okunembile okufanayo endaweni yokusebenza. Izithombe ezitholwe ngesikhathi se-CT scan zisiza odokotela abahlinzayo ukuthi benze izimbobo ezincane endaweni okuhloswe ngayo ukuhlinzwa. Ngezinye izikhathi, izimbobo esikhumbeni azidingeki ngesikhathi sokuhlinzwa kwerobhothi.

Ekuhlinzeni okuvulekile okungokwesiko, ukusika okukhudlwana kwenziwa, ngokuvamile esikhumbeni, ukuze kufinyelelwe endaweni okuhloswe kuyo ukuhlinzwa nokubeka amathuluzi emajoyintini, uma kunesidingo, kanye nokunamathisela noma ukususa izingxenye zendawo eqondiwe. Lokhu kungase kuholele ekulahlekelweni kwegazi elengeziwe nasekulungiseni izilinganiso endaweni okuhlinzelwa kuyo odokotela abahlinzayo.

Izingozi Nezinkinga Ngemva Kokuhlinzwa

Nakuba kokubili ukuhlinzwa okusizwa ngerobhothi kanye nokuhlinzwa okuvulekile okuvamile kunemiphumela emihle yesikhathi eside, njenganoma yikuphi ukuhlinzwa, ezinye izingozi nezinkinga zingase zihambisane nakho. Nakuba ukuhlinzwa okusizwa ngamarobhothi kunengozi ephansi yokutheleleka kunokuhlinzwa okuvulekile okuvamile kanye nokulahlekelwa igazi elincane, kunezinye izinzuzo zokuhlinzwa okusizwa ngamarobhothi ngaphezu kokuhlinzwa okuvulekile.

1. Phakathi nokuhlinzwa okusizwa ngerobhothi, izidakamizwa ngokuvamile azisetshenziswa njengoba kudingekile ukuze kuhlinzwe izinzwa phakathi nokuhlinzwa okuvulekile okuvamile.
2. Ngemuva kokuhlinzwa okusizwa ngerobhothi, iziguli zidinga ukuhlala esibhedlela okufushane kanye nokumbalwa ukwelashwa ngokomzimba amaseshini, okuzoholela esixazululweni esingabizi kakhulu.
3. Iziguli zidinga imithi yezinhlungu embalwa ngemva kokuhlinzwa kwerobhothi kunokuhlinzwa kwendabuko.
4. Iziguli zithola ukuqina okuncane ngemva kokuhlinzwa okusizwa yirobhothi futhi zibe nokuhamba okungcono ngemva kokuhlinzwa.

Nakuba ukuhlinza okusizwa ngamarobhothi kunezinzuzo eziningi phezu kokuhlinzwa okuvulekile, akusona sonke isiguli esingaba yikhandidethi eliphelele lokuhlinzwa kwerobhothi. Kungakhathaliseki ukuthi ukhetha luphi ukuhlinzwa, odokotela abahlinzayo bangabantu abangcono kakhulu abangabatshela ukuthi ungumuntu ofanelekayo we-RAS.