1. Mtundu wa uta: Njira yogwiritsidwa ntchito kwambiri pogwira mpeni, mayendedwe ake ndi otakata komanso osinthasintha, ndipo mphamvu yake imakhudza mwendo wonse wakumtunda, makamaka m'dzanja. Pakudula khungu kwa nthawi yayitali komanso kudula chidendene cha anterior sheath cha rectus abdominis.
2. Mtundu wa cholembera: mphamvu yofewa, yosinthasintha komanso yolondola, yosavuta kulamulira kayendedwe ka mpeni, mphamvu yake ndi ntchito yake zimakhala makamaka pa chala. Pa kudula kwafupipafupi ndi opaleshoni yaying'ono, monga kudula mitsempha yamagazi, mitsempha ndi kudula kwa peritoneum.
3. Gwirani: Gwirani chogwirira ndi dzanja lonse, ndipo kanikizani chala chachikulu ndi chala cham'manja pa nick ya chogwiriracho. Njirayi ndi yokhazikika. Malo ogwirira ntchito akuluakulu ndi phewa. Imagwiritsidwa ntchito podula, minofu yayikulu, komanso kudula mwamphamvu, monga kuduladula, kudula tendon, ndi kudula khungu lalitali.
4. Choletsa kutola: Ndi njira yosinthira mtundu wa cholembera, ndipo tsamba limakwezedwa mmwamba kuti lisawononge minofu yozama. Choyamba, yambitsani opaleshoni, sunthani chala chanu pa chala. Chimagwiritsidwa ntchito kudula ziwalo monga thumba, mtsempha wamagazi, trachea, duct wamba wa bile kapena ureter, kudula minofu ya clamp kapena kukulitsa khungu lodulidwa.
5. Mtundu wa kupanikizika kwa chala: gwiritsani ntchito mphamvu zambiri, chala cholozera chimakanikiza mbali yakutsogolo ya chogwirira, ndipo theka lachiwiri limabisika m'dzanja. Njirayi ndi yosavuta pang'ono. Ndi yoyenera makamaka minofu ya pakhungu yomwe ndi yovuta kudula.
Nthawi yotumizira: Sep-19-2018
