Laparoscopy ndi mazira polycystic: lokonzekera, kukhazikitsa ndi positi opaleshoni

matenda matenda amapezeka pafupifupi mkazi aliyense chachiwiri. Pakati pawo ndi ofala kwambiri polycystic mazira. kudwala Izi si matenda opatsirana. Choncho, n'zosatheka kuwatengera iwo. Komanso, matenda ofanana kumachitika pakati pa akazi. Mu zina, kudwala aumbike mwamsanga unyamata. Nthawi zina matenda ndi kobadwa nako. Mmodzi wa mankhwala ankaona laparoscopy ndi mazira polycystic. Ndemanga pa njirayi, pali zosiyanasiyana. Ndipotu, amanena za mtundu umodzi wa opaleshoni. Choncho, akazi ena amakonda kugwiritsa ntchito njira zina zochizira. Komabe, malinga ndi madokotala, ntchito nthawi zina zofunika.

Kodi polycystic n'kuwasanganiza syndrome?

polycystic mazira zokhudzana ndi kuvutika m'thupi. Matendawa akhoza kukhala obadwa nawo ndi kuthi moyo (kawirikawiri mu akula). Mbali yoyamba izo chifukwa ndi chibadwa, kuti aumbike mu nthawi embryonic. Komabe matenda kobadwa nako polycystic yekha mu unyamata. Mpaka nthawi imeneyo, kudwala alibe kuonekera. Kuthi polycystic n'kuwasanganiza syndrome zambiri akufotokozera pa maziko a matenda endocrine. Awa ndi monga a shuga, kunenepa kwambiri, matenda a zopangitsa kwa adrenal kapena chithokomiro England. Nthawi zina polycystic anapanga pambuyo ntchito choipa ubongo, yaitali mankhwala m'thupi. Limagwirira chitukuko cha kudwala ichi ndi kusintha zotsatirazi:

1. Ndichepe mu esitirojeni ndi progesterone. Kuwonjezeka mlingo wa mahomoni chiwalo chachimuna - androgens.
2. Thickening tunica albuginea n'kuwasanganiza. Chifukwa cha zimenezi, follicles sizidzawonongedwa, ndi dzira si kutuluka. Chifukwa kuphwanya kukhala osabereka ovulation.
3. Kudzaza follicular madzimadzi ndi chotupa mapangidwe.

kusintha zimenezi zikuchitika pamene matenda ndi zinazake. Pankhaniyi, nthendayo imatchedwa polycystic yamchiberekero syndrome (PCOS). Zizindikiro zake zikuphatikiza: kunenepa, hypertrichosis, osabereka. Zizindikiro za kuvutika kobadwa nako ankaona underdevelopment "wamkazi fano" (yopapatiza mafupa a chiuno, mawere malformed), ziphuphu, oligomenorrhea.

Laparoscopy ndi polycystic

Laparoscopy ndi polycystic yamchiberekero anafotokoza mankhwala opaleshoni. Izo ntchito pa nthawi imene mankhwala mankhwala amalephera. Njira imeneyi kuchotsa cysts yamchiberekero akuti ndi zothandiza kwambiri. Komanso, poyerekeza kutsegula opaleshoni laparoscopy si zoopsa. Pakuti mapindu ena monga:

1. Kuchepetsa chiopsezo cha matendawo.
2. Kufupikitsa nthawi postoperative.
3. Rapid kuchira.
4. Osachepera zokongoletsa zopindika (poyerekeza ndi opaleshoni Tsegulani zonse m'mimba).

Ngakhale ubwino zoonekeratu njira, akadali mtsutso: kaya kuchita laparoscopy ndi mazira polycystic? Ndipotu, madokotala ena kulangiza akazi kuyamba kuyesa mankhwala. Ndipotu, zina, chithandizo ndiwofatsa kupirira polycystic. Pofuna kubwezeretsa ntchito yamchiberekero ntchito mankhwala mahomoni wamkazi. Komanso Kwalamulidwa mankhwala kuti ndigwire kaphatikizidwe androgens. Komabe, mankhwala si nthawi zonse zothandiza. Makamaka matenda zinazake. Choncho, ngati patapita Inde mmene kumwa mankhwala si anati, Ndi bwino laparoscopy ndi mazira polycystic. Mu njira imeneyi imasonyeza kuchotsa madzi kuchokera formations thupi M'mimbamo ntchito zipangizo zina zapadera opaleshoni. Amacheka laparoscopy kochepa, kotero iwo musatisiye zopindika zodzikongoletsera pambuyo pa kuchiritsidwa. Nthawi zambiri, njira imeneyi kumathandiza kuchotsa zizindikiro amphamvu chotero monga osabereka wamkazi.

Zosiyanasiyana laparoscopy ndi mazira polycystic

Laparoscopy kwa thumba losunga mazira polycystic akhoza kuchitika mu njira zingapo. Izo zimatengera cholinga anathamangitsa ndi dokotala, komanso ngati mphamvu luso bungwe la zachipatala. Ngati maopaleshoni zonse, mazira laparoscopy akhoza kukhala matenda ndi achire. Choyamba anachita mu amaganiziridwa polycystic pamene chosayenerera si wapezeka molondola. Nthawi zambiri, matenda laparoscopy amakhala achire mpheto. The chachiwiri, nayenso lagawidwa zingapo zimene mungachite. Pakati pawo:

1. Dekortizatsiya mazira. Mtundu wa chithandizo ndi kuchotsa laparoscopy thupi chapamwamba chipolopolo. Chifukwa dekortizatsii wosanjikiza pamwamba amakhala wowonda, kotheka kugawanitsa ndi kusasitsa wa follicles.
2. Cautery cysts. mankhwala otere anachita ntchito zida laser. Opaleshoni tichipeza mu kuchita amacheka angapo padziko n'kuwasanganiza lapansi. Chifukwa ndi kutsegula ndi cysts kuchotsa za nthanoyi. Patapita nthawi, pali kubwezeretsedwa kwa thupi labwinobwino minofu.
3. Resection wa n'kuwasanganiza lapansi. Yodziwika ndi kuchotsa gawo la thupi zimene muli cysts. Njira sangathe ntchito pamene mapangidwe madzimadzi inali kudutsa padziko n'kuwasanganiza lapansi.
4. Elektrotermokoagulyatsiya. chimake Izi ndi laparoscopy achire kuchita puncture thupi m'munda wa formations enaake. Pa nthawi yomweyo, izo wopereka coagulation wa n'kuwasanganiza, kuti kupewa magazi.
5. Elektrodrilling. Kodi zimakhudza motani panopa cysts dera. formations zili motero kuchotsedwa.

Onse mungachite izi amaonedwa ogwira laparoscopy. Kusiyana pakati pa iwo ndi kuti si ndondomeko zichitike chipatala chinachake. Ena mwa mankhwala amaonedwa kukhala mtengo ndi kutenga malo okhawo mabungwe apadera zachipatala.

Kukonzekera opaleshoni

Laparoscopy sikutanthauza kukonzekera zovuta. Komabe, mogwirizana ndi malamulo asanachite opareshoni n'kofunika. Mu malo oyamba masiku pang'ono laparoscopy anachita angapo mayesero matenda. Zikuphatikizapo: ndi KLA, atayezetsa kwa HIV, chindoko ndi chiwindi. Anagwiritsanso mkodzo kupewa matenda aimpso. Komanso zofunika zasayansi njira yodziwira ndi: amuzolengedwa kusanthula magazi ndi coagulation. Tsiku lina isanafike akuchita maphunziro ECG.

Kuwonjezera njira yodziwira, muyenera kuyeretsa matumbo madzulo laparoscopy mazira. Chifukwa chaichi, ntchito mankhwala ofewetsa tuvi kapena mankhwala mankhwala. Poganizira kuti ntchito ya imagwiridwa pogonekedwa ndi mankhwala ambiri, kwa maola angapo pa izo sitingakhoze kutenga chakudya ndi madzi. Ziyenera adzanyamula kukumbukira kuti ndondomeko si anachita pa msambo chifukwa cha chiopsezo magazi.

Anaima pa laparoscopy ndi n'kuwasanganiza polycystic

Mofanana ndi aliyense opaleshoni, laparoscopy ndi yamchiberekero polycystic anachita stepwise. Choyamba, dziŵani kuti njirayi ikuchitika ntchito chipangizo kuwala, kamera ya kanema ndi zipangizo zapadera. Onse a zinthu izi ndi kukula ochepa. ntchito chikuphatikizapo zinthu zotsatirazi:

1. General ochititsa dzanzi (mtsempha ochititsa dzanzi).
2. A 3 kapena 4 amacheka padziko la zapambuyo khoma m'mimba. The awiri a aliyense wa iwo alibe upambana 1 cm 2 kubala m'munsi pamimba ang'ambe thupilo kwa oyamba zida opaleshoni mu umbilicus -. Pakuti chipangizo kuwala ndi kamera.
3. Kulowetsa zonse m'mimba ndi mpweya woipa kusintha zowonera ziwalo.
4. Kutalikirana kwa thumba losunga mazira ndi.
5. Kuchotsa cysts. Sitepe akhoza kuchitika m'njira zosiyanasiyana.
6. Coagulation ziwiya kuonongeka. Asanachoke M'mimbamo peritoneal, dokotala ayenera kuonetsetsa kuti palibe magazi.
7. Kuchotsa zipangizo m'thupi la wodwalayo.
8. Suturing amacheka.

Chotupa kuchotsa njira zimadalira zimene buku la laparoscopy anauika. opaleshoni kumatenga pafupifupi mphindi 30 mpaka 60.

Kumasuka ku laparoscopic yamchiberekero polycystic pamene

Popeza kuti laparoscopy amatanthauza njira asang'ambe, zosokonezeka pambuyo opaleshoni n'zochepa. Komabe, muyenera kupereka thupi lanu mkazi achire. Kuchita izi, anakhala wodwala kuchipatala masiku 7-10 pambuyo opaleshoni. atazikocheza ululu (ngati zinachitika) anasintha matumbo ntchito kwa nthaŵi. Pa tsiku loyamba la wodwalayo bwino kudzuka pa mapazi anu, ngati n'kotheka - kuyenda mu kuchipatala. Izi ndi zofunika kupewa chitukuko cha adhesions mu mafupa a chiuno ndi. Patapita maola 6 pambuyo laparoscopy mkazi saloledwa kumwa (madzi, msuzi). Kudya akhoza kukhala tsiku lotsatira. zolimbitsa thupi ndi kugonana kudzachitike kwa mwezi 1. The sutures amachotsedwa pambuyo pa masiku 10 pambuyo opaleshoni.

Laparoscopy ndi mimba yamchiberekero

akazi ambiri amachita chidwi ndi funso: ngati laparoscopy n'zogwirizana ndi PCOS ndi mimba? Inde. Inde, nthawi zambiri opaleshoni ikuchitika kuchitira osabereka. Choncho, ngati pali polycystic ndi mapulani mimba laparoscopy. Komabe, pambuyo opaleshoni sangakhale pomwepo wokonzeka kukhala ndi pakati.

Features wa laparoscopy mu akazi apakati ndi mazira polycystic

Nthawi zina, akazi pakati mwana, ngakhale mazira polycystic. Izi zimachitika pamene matenda zachitika posachedwapa kapena formations madzi ndi miyeso yaing'ono. Nthawi kumene kudwala ndi wapezeka woyembekezera, opaleshoni ali contraindicated. Kuyenera kwambiri kuunikira gynecologist a.

Kufuna mimba pambuyo laparoscopy

Kodi kukonza mimba pambuyo laparoscopic yamchiberekero polycystic liti? Ngati chifukwa cha osabereka anali chabe matenda pakati n'zotheka chifukwa opaleshoni. Komabe, miyezi 3 pambuyo laparoscopy mkazi ayenera kutenga kukonzekera timadzi. Pambuyo ino, imachitika maphunziro ambiri a. Ndiye n'zotheka chitani pakati mwana.

Laparoscopy ndi mazira polycystic ndi mimba: ndemanga madokotala

Nthawi zambiri, madokotala amalangiza opaleshoni asang'ambe, monga iwo kuchepetsa chiopsezo cha matenda oyamba ndi chochepa zoopsa. Zimadza mimba anakhumba pambuyo laparoscopic yamchiberekero polycystic kanthawi. Reviews gynecologists kutsimikizira zomwe. Komabe, madokotala kunena kuti gawo loyamba la mankhwala liyenera kukhala mankhwala kuchipatala. Opaleshoni tikulimbikitsidwa pambuyo kulephera kwa njira ndiwofatsa.

Laparoscopy ndi mazira polycystic: ndemanga za odwala

Akazi amene opaleshoni, kukhuta ndi zotsatira zake. Iwo amanena kuti alowererepo pa athandizidwa kupirira matenda monga mazira polycystic. Pambuyo odwala laparoscopy ndemanga ambiri akhala positive. Amayi ena amatha kubereka ana chifukwa opaleshoni. Wodwala ananenanso kuti mwezi pambuyo laparoscopic yamchiberekero kukhala wokhazikika. Kuwonjezera pa normalization wa adzizungulira, akazi zimasonyeza kusintha chikhalidwe cha kumaliseche, kuchepetsa ululu pamaso kusamba.