Iziphi izindlela wenziwa hysterectomies?

Ezimweni eziningi, odokotela linqume myoma ngesikhathi hysterectomy, futhi umdlavuza. Njengomthetho, lezi zizathu inkomba ezijwayeleke kakhulu hysterectomy.

Fibroids - ovamile uwukuthi isimila okwenzeka emzimbeni owesifazane, futhi ngokuvamile lapho ziqala ukumila, kutuswa ukususwa kwesibeletho. Ngezinye izikhathi Hysterectomy kuhilela ekususweni amashubhu fallopian futhi ezikhiqiza amaqanda. Qaphela ukuthi lokhu msebenzi kwakunzima futhi kubuhlungu, emzimbeni kuphela kodwa ngisho nangendlela yokuziphatha. Lo wesifazane uqala ukuzizwa kwabo phansi, kodwa ngokuvamile enifeza ukwelashwa okunjalo kuseduze, futhi usiza ukuqeda emzimbeni asemrarweni futhi ukuvimbela kwengxabano isimila umdlavuza.

Kukhona izifo eziningi lapho ukususwa kwesibeletho kuboniswa:

1. umdlavuza zangasese. Umdlavuza kwesibeletho, intamo yisidingo ukuhlinzwa. Njengomthetho, akunakugwemeka nokunganakwa ke kulesi simo akunakwenzeka. Lapho uphethwe unikezwa wenziwa wesibeletho uteri ukususwa noma ngqo (kuye ngokuthi yiziphi umzimba wamshaya isifo inikezwe). Izifo ezidinga ukususwa kwazo lezi zitho, kuyinto umdlavuza endometrium futhi amashubhu fallopian.
2. Endometriosis. Ngezinye izikhathi, uma uvula ukopha ngenxa sifo, odokotela linqume hysterectomy.
3. Fibroma. Ngokuvamile, ukususwa kwesibeletho kulokhu akukashicilelwa, ngoba neoplasms idatha amenable ekwelashweni olandelanayo. Nokho, zikhona izimo lapho ukusebenza - kuba inketho kungenzeka kuphela.
4. prolapse lesizalo. Lapho kwesibeletho ibizwa dengwane kule ndawo lwesitho sangasese sowesifazane, kungaba nomthelela umsebenzi nezinye izitho zomzimba ezibalulekile. kokutshelwa ngokukhubazeka kwengane zingenziwa esezele, ngenxa yokukhuluphala, ukunciphisa ukukhiqizwa estrogen. Ngezinye izikhathi imbangela nemisipha ababuthakathaka noma izicubu okhalo.

Ngezinye izikhathi, ngenxa eziyimbangela yezinkinga ezizuzwa ezibucayi nomjikelezo wokuya esikhathini, yezifo ezinzima sokuvuvukala okhalo noma dysmenorrhea hysterectomy futhi kuboniswe.

Kunezinhlobo ezihlukahlukene hysterectomy, esetshenziselwa oluthile kanye degree of izifo:

1. Ingxenye (supravaginal) hysterectomy - eyohlinzwa lapho kususa kuphela kwesibeletho futhi wesibeletho ihleli kahle.
2. Radical - ukususwa kwesibeletho, wesibeletho, kanti ezinye izicubu asekelayo sangasese.

Uma ukusebenza ezifana kwenziwe ngaphambi ukuqala menopause, kungase kube yinombolo yezinkinga. Lokhu kungagwenywa uma uyenza esikhathini postklimaktichesky. Phakathi kwezinkinga kungenzeka ezingase ziphakame thuthuva njengoba ngokomzwelo (ukucindezeleka kwengqondo, ukukhathazeka anda nokukhathalela), kanye nokulahlekelwa ubulili drive. Uma ngesikhathi ukusebenza eyenziwa ukusikwa sowesifazane sangasese ubude, owesifazane Ungezwa ubuhlungu ngesikhathi ocansini.

1. Besisu. Lolu hlobo hysterectomy kuboniswa lapho kwesibeletho ukhamisile, noma kukhona okuningi fibroids ezinkulu, ukuvuvukala futhi i-endometriosis. Ngezinye izikhathi khona umdlavuza lesizalo futhi hysterectomy wesibeletho angaqoka abdominally (isb imbobo ye mayelana 11-15 cm bikini umugqa noma thwi). Ngakho, kwesibeletho isuswe, intamo isikwa esithweni sangasese lapho ke sutured. Yokutakula kusukela lo msebenzi kuthatha isikhathi eside, kodwa ukusebenza yayo kunciphisa ingozi umonakalo ohlelweni urinary.
2. Laparoscopic - eyohlinzwa owenziwa ngesikhathi imbobo ezimbili noma ezintathu kwi esiswini. Laparoscope ngabo engena ngaphakathi komgodi ongaphakathi kwamathumbu. Ukususwa yenziwa ngokusebenzisa amashubhu busuka izimbotshana. Isikhathi nokuvuselelwa ngemva laparoscopy ngokuvamile isikhathi esifushane impela. Lesi siguli ezinsukwini ezimbalwa bakwazi ukubuyela indlela yokuphila evamile.