Mu njira zimene anachita hysterectomies?

Nthawi zambiri, madokotala mankhwala myoma pa hysterectomy, ndi khansara. Monga ulamuliro, zifukwa izi ndi umboni ambiri chifukwa hysterectomy.

Fibroids - ichi ndi chotupa wamba amene akufotokozera mu thupi wamkazi, ndipo nthawi zambiri pamene iyo iyamba kukula, izo tikulimbikitsidwa kuchotsa chiberekero. Nthawi zina Hysterectomy kumatanthauza kuchotsedwa kwa Ukalawu ndi thumba losunga mazira. Onani kuti ntchito imeneyi ndi yovuta komanso ndi zopweteka, osati thupi komanso makhalidwe. mkazi amayamba kuona wotsika awo, koma nthawi wozengereza chithandizo chotere layandikira, ndipo amathandiza kuchotsa thupi la mavuto ndi kuteteza escalation chotupa chotupa chija.

Pali matenda ambiri amene kuchotsa chiberekero kumaonekeranso:

1. Maliseche khansa. Khansa ya chiberekero ndi khosi ndi kufunika opaleshoni. Monga ulamuliro, izo mosalephera, ndi kunyalanyaza mwina zimenezi n'zosatheka. Pamene matenda anapatsidwa ikuchitika khomo pachibelekeropo uteri kuchotsa kapena mwachindunji (malingana ndi momwe thupi anakantha matenda anapatsidwa). Matenda omwe amafunika kuchotsa ziwalo izi, ndi khansa ya endometrium ndi chiberekero.
2. Endometriosis. Nthawi zina, pamene mumatsegula magazi chifukwa cha matenda, madokotala mankhwala hysterectomy.
3. Fibroma. Childs, kuchotsa chiberekero mu nkhani iyi si Kwalamulidwa, chifukwa neoplasms deta amenable mankhwala ndiwofatsa. Komabe, pali zochitika kumene opaleshoni - ndi Zimatheka mwina.
4. Uterine prolapse. Pamene chiberekero ndi amene anathawira ku dera la ukazi, izo kungakusokonezereni ntchito ya ziwalo zina zofunika. Chotero matenda angathe kukhala mwana wathu atabadwa, chifukwa cha kunenepa, kuchepetsa kupanga esitirojeni. Nthawi zina chifukwa ali Mitsemphayi ofooka kapena zimakhala m'chiuno.

Nthawi zina, chifukwa cha malfunctions kwambiri kuzungulira kusamba, matenda aakulu kutupa kwa m'chiuno kapena dysmenorrhea amasonyezanso hysterectomy.

Pali mitundu yosiyanasiyana ya hysterectomy, ponena kwinakwake ndi digiri ya matenda a:

1. Part (supravaginal) hysterectomy - opareshoni imene yekha amachotsa chiberekero ndi khomo pachibelekeropo silinasinthe.
2. Kwakukulu - kuchotsa chiberekero, ndi chiberekero, ndi zina zimakhala akuthandiza la nyini.

Ngati opareshoni ngati ikuchitika pamaso pa isanayambike kusintha kwa thupi, kungakhale angapo zosokonezeka. Zimenezi zikhoza kupewedwa ngati muli mu nthawi postklimaktichesky. Mwa mavuto zotheka angakhalepo chisokonezo ngati maganizo (maganizo, kuchuluka nkhawa ndi nkhawa), ndi imfa ya galimoto kugonana. Ngati pa ntchito anatenga ukazi chidule m'litali, mzimayi akhoza kubva panthawi yogonana.

1. M'mimba. Mtundu wa hysterectomy akusonyeza pamene chiberekero wakulitsidwa, kapena pali zambiri fibroids lalikulu, adhesions ndi endometriosis. Nthawi zina pamaso khansa uterine ndi yamchiberekero hysterectomy mwina tisonyezeni abdominally (i.e. ang'ambe thupilo za 11-15 masentimita bikini mzere kapena vertically). Choncho, chiberekero chinatha ndipo khosi, kudula iwo ku nyini komwe ndiye sutured. Kuchira opaleshoni zimatenga nthawi yaitali, koma ntchito zake amachepetsa chiopsezo kuwononga dongosolo mkodzo.
2. Laparoscopic - opareshoni yomwe ikuchitika pa awiri kapena atatu ang'ambe thupilo pa pamimba. Laparoscope mwa iwo akulowa zonse m'mimba. Kuchotsa ikuchitika mwa machubu anadzetsa slits lapansi. The konzanso nthawi pambuyo laparoscopy zambiri yochepa. Wodwalayo mu masiku ochepa kukhala okhoza kubwerera ku moyo wabwinobwino.