Kugawilidwa kwanthaka pambuyo kuchotsa chiberekero: mankhwalawa. Kuchotsa chiberekero pambuyo pa zaka 50: zotsatira

Zimatulutsa kwa mundawo maliseche - chinthu zachilendo kwa akazi. Iwo angayambe kwachibadwa ndiponso zimasonyeza chitukuko cha matenda. Kupatukana anamuona pa kukana endometrium pa msambo, komanso ayende ovulation. Pathological katulutsidwe zikuoneka chifukwa cha matenda ndi kuvutika venereal, kutupa chiberekero ndi zokhudzana, matenda oncological. Komabe, kusankha zimakhala zosokoneza ndipo akazi amene anali akukonza hysterectomy. Pankhaniyi, muyenera kuika gwero awo. Pamene katulutsidwe pathological ayenera kukaonana ndi dokotala.

Kugawilidwa kwanthaka pambuyo hysterectomy: zachilendo ndipo kudwala

Hysterectomy ndi mwasayansi amatchedwa hysterectomy. Nthawi zambiri ikuchitika khansa cha ziwalo zoberekera wamkazi. Nthawi zina opaleshoni ikuchitika ngati njira muyeso kupewa khansa.

Ngakhale kuchuluka kwa njira imeneyi kunja, akazi ambiri amaopa zotsatira za hysterectomy. mantha ndi wolungamitsidwa. Pambuyo opareshoni kungayambitse mavuto aakulu. Odwala ena anati kumaliseche pambuyo kuchotsa chiberekero. Mwachibadwa, zikuoneka mu masiku pang'ono. Mwachibadwa, kusankha si zokhudzana ndi kukana endometrium ndi msambo. Ndithudi, pambuyo extirpation wa limba kuti sizingatheke. Nthawi zambiri zokhudza kulephera kwa matabwa ndi ndondomeko oncological amene anatsalira mu zonse m'mimba. Nthawi zina, magazi ingayambe ndi kuwonongeka kwa ziwalo pafupi pa opaleshoni.

Zikuonetsa kuti hysterectomy

Akukhulupirira kuti mkazi, pambuyo kuchotsa chiberekero zolakwika chifukwa Kulephela kugwila ntchito maliseche. Komabe, opareshoni amenewa nthawi zambiri ikuchitika mu nthawi ya kusintha kwa thupi. Nthawi zina hysterectomy anachita ndi akazi a msinkhu wobereka. The chosonyeza chachikulu kuchotsa kumaliseche ndi chotupa zilonda za chiberekero, endometrial kapena zokhudzana. Ngati mkazi ndi khansa ndi hysterectomy imatengedwa njira yokhayo kulepheretsanso matenda ndi kupulumutsa moyo wake. nkhani zina kwa hysterectomy monga:

1. kudwala mosavuta chotupa. zinthu Precancerous ndi: yaikulu uterine fibroids, kobwereza endometrial tizilombo ting'onoting'ono, fibroids.
2. Kuchepa kwa thupi kapena kuchotsa madigiri 3-4.
3. Endometriosis si amenable mankhwala.
4. Suppurative endometritis kuchiwonongeko limba ndi kutupa peritoneum lapansi.
5. Vutoli kugwirizana ndi zikunena opaleshoni (limba perforation curette, intrauterine chipangizo).
6. Full increment latuluka matenda kumayambiriro nthawi postpartum.
7. Uterine chophukacho.

Ngakhale kuti amatanthauza kwakukulu zikunena hysterectomy opaleshoni, momwemo inu angapulumutse moyo ngati matenda wodwala otchulidwa.

Njira kuchotsa chiberekero

Pali njira zingapo kuchotsa chiberekero. Nthawi zambiri, opaleshoni imagwiridwa ndi opaleshoni lotseguka. Izi zimathandiza kukonzanso M'mimbamo m'chiuno ndi kuletsa kutupa peritoneum lapansi. Ngati pali khansa kudwala, kuchititsa hysterectomy kwambiri. Nthawi zina, kuchotsa chiberekero anachita laparoscopically. Njira ya opaleshoni zimadalira m'dera bwanji, chikhalidwe cha ndondomeko pathological ndi m'badwo wa mkazi. Chifukwa zimenezi ndi njira zotsatirazi hysterectomy:

1. Supravaginal amputation. Opaleshoni imeneyi imachitika ndi fibroids, njira endometriosis khansara mu gawo oyambirira. dzina lina opaleshoni ya - subtotal hysterectomy. Iwo amakhala ndi chakuti mbali ya khomo pachibelekeropo ndi zokhudzana sali pansi kuchotsa. Timatha mkazi kukhala zabwinobwino moyo kugonana.
2. hysterectomy. dzina lina opaleshoni - okwana hysterectomy. Anachita kuchotsa limba ndi khomo pachibelekeropo. Extirpation ikuchitika pa khansa endometrial, ndi tizilombo ting'onoting'ono angapo, zosokonezeka mimba ndi kubereka. Komanso, okwana hysterectomy sangachitepo khansa khomo lachiberekero pa odwala oyambirira siteji ya msinkhu wobereka.
3. Opaleshoni Wertheim. Yodziwika ndi kuchotsa chiberekero ndi zokhudzana, wachitatu chapamwamba nyini, ndi lymph mfundo dera ndi parametrium CHIKWANGWANI. Chotero opareshoni wotchedwa kwakukulu hysterectomy. Izo ntchito ku Oncology kumapeto kwa kupewa kufala kwa chotupa cha.

Nthawi zambiri, madokotala amafuna kuchita zonse zotheka kusunga gonads - mazira. Makamaka ngati wodwala wamng'ono kapena achikulire. Komabe, kansa kaŵirikaŵiri adasonkhananso kwa Wertheim ntchito.

Laparoscopic hysterectomy: makhalidwe

Hysterectomy sikawirikawiri anachita laparoscopically. Khansa, njira kuchotsa chiberekero ndi pafupifupi konse ntchito, monga salola molondola kudziwa malire a chotupa cha. Laparoscopic hysterectomy n'zotheka ndi kufufutidwa ake, endometriosis, myoma kapena malo lalikulu.

Ubwino wa opaleshoni imeneyi monga yafupika chiopsezo magazi ndi kuchepetsa nthawi pambuyo ntchito. Komanso, matabwa pafupifupi wosaoneka pambuyo laparoscopy, mosiyana hysterectomy lotseguka. opaleshoni imagwiridwa ndi thandizo la zipangizo wapadera, amene anayambitsa ku maenje kakang'ono pa zapambuyo khoma m'mimba.

Laparoscopic hysterectomy ali njira yomweyo monga opaleshoni lotseguka. Chinthu chapadera ndi mwai onse akutsatiridwa ndi thandizo la zipangizo zapadera. Zochita za zipangizozi amalembedwa Muziona. Moganizira ichi, dokotalayo ndi amene amachita mwai onse. Nthawi zina, njira laparoscopic ali pamodzi hysterectomy ukazi. Ngakhale ubwino wa njira, madokotala amakonda kuchititsa hysterectomy chizolowezi.

Hysterectomy: postoperative

akazi onse amalembedwa kumaliseche profuse pambuyo kuchotsa chiberekero. zodabwitsazi imatengedwa bwinobwino pakangotha tsiku loyamba. Kumayambiriro postoperative nthawi zoonera chifukwa cha kuvulala mtima. Onani kuti hysterectomy - ichi ndi lalikulu opaleshoni nkhani yonena za lonse m'chiuno patsekeke. Choncho pambuyo hysterectomy zoonera khalidwe spreadable kwalimbikitsa. Iwo mukhoza kulemba kwa masabata 6. Ngati, m'malo zoonera anasonyeza profuse magazi imfa, muyenera yomweyo kudziwitsa dokotala. Apo ayi, vuto kungachititse kuti mkhalidwe mantha ndi imfa.

Kuvala kulimba pambuyo hysterectomy

akazi onse omwe anali hysterectomy, Ndi bwino kuvala bandeji postoperative. miyeso ake kusintha kwa thupi la wodwalayo. The bandeji kumathandiza kukonza minofu m'mimba. Izi zimathandiza mofulumira machiritso zimfundo ndi kupewa mavuto. Kuvala cophimba taonera kenako postoperative nthawi. Kulimba lingathe kukopedwa pa mankhwala a. M'pofunika makamaka mbiri nkhani ya mkazi, pali genera angapo.

Komanso, odwala onse ndi minofu ofooka wa zapambuyo khoma m'mimba, ayenera kuvala bandeji kwa postoperative. Makulidwe corset adzakhala zizigwirizana ndi matabwa a. Ngati kutalika kwa gulu zikhoza kusintha, m'lifupi ayenera payekha payekha. Ndi bwino kuti corset anatseka chilonda 1 masentimita kuchokera pansi ndi pamwamba.

Nthenda yakukha kumaliseche patapita hysterectomy

Kuwonjezera magazi kuundana kumachitika ndi mpweya wina pambuyo kuchotsa chiberekero. Zikuphatikizapo mucous ndi purulent exudates pathological. Kumasulidwa kotereku kumachitika mu njira yotupa mu nyini kapena chiberekero mpatuko. Ngakhale hysterectomy ndi, odwala ndi zachiwerewere. Choncho, matenda ndi zosiyanasiyana tizilombo toyambitsa ndi tizilombo si lilibe.

Ngati kumaliseche pambuyo kuchotsa chiberekero ndi chinthu chosangalatsa fungo kapena mtundu zachilendo (White chikasu, streaked ndi mwazi), ayenera kufunsa munthu gynecologist. Maonekedwe a madzi pathological zingasonyeze kufala kwa khansara. Makamaka izo nkhawa magazi. Choncho, kusiya chizindikiro suyenera munayiwala.

zosokonezeka Postoperative

mavuto oopsa kwa hysterectomy monga magazi ndi peritonitis. Aliyense wa zinthu izi zingachititse kuti imfa wodwalayo. Choncho, mu masiku 7-10 wodwala ayenera kukhala moyang'aniridwa ndi achipatala.

Magazi kumachitika ngati akuluakulu m'chiuno ziwiya zinawonongedwa ndi utaphulika sutures postoperative. Izi zimafuna mwamsanga alowererepo pa opaleshoni. Mankhwalawa Cholinga kuthetsa gwero la magazi ndi kudzaza Bcc. Peritonitis akufotokozera ndi zamafinya zinangoti seams mkati kapena kunja. Iye limodzi ndi nseru, zizindikiro za kuledzera ndi zowawa lakuthwa mu pamimba.

Kuchotsa chiberekero pambuyo pa zaka 50: zotsatira ndi madokotala ananena zawo

Nthawi zambiri, hysterectomy ndi amagwirizana ndi matenda a khansa ziwalo wamkazi maliseche. Choncho, kuchotsedwa kwa chiberekero pambuyo zaka 50 Nthawi zambiri. Zotsatira za ntchito imeneyi zimadalira mmene wodwalayo ndi kukhalapo kwa matenda somatic.

Kwenikweni ntchito ukuyenda bwino. Ngati mutsata kuwapempha dokotala, mukhoza kupewa mavuto amenewa, ngati divergence wa matabwa ndi mapangidwe adhesions. Pankhaniyi, miyezi ingapo mkazi anabwerera ku moyo wabwinobwino. Kuti madokotala ananena zawo za pakalibe mavuto ndi kufala kwa zotupa yabwino.

Chithandizo pambuyo hysterectomy

Chithandizo pambuyo kuchotsa chiberekero umalimbana popewa chitukuko cha matenda ndi magazi. Pa masiku oyambirira, odwala Kwalamulidwa antibacterials ndi antimicrobials. njira zothetsera mavuto "Ceftriaxone" kuwachitira, "Metronidazole". Izo zimasonyeza ululu mankhwala pambuyo hysterectomy. Kwa masiku angapo, mankhwala "Ketonal" kutumikiridwa intramuscularly. Pamene kutaya magazi imachitika kulowetsedwa mankhwala.

Kupewa kutaya magazi

Kupewa magazi mu nthawi postoperative ayenera kutsatira dongosolo dokotala. M'mwezi woyamba ndi kutiletsa zolemera ndi ntchito yamanja. Iwo ayenera kuthetsa katundu, komanso kugonana. Ndi bwino kuvala bandeji. Pakuti kupewa matenda ukazi ndi ziwalo mkodzo ndikofunikira kusunga malamulo a ukhondo mu oyambirira ndi mochedwa postoperative nthawi.