Laparoscopy nge amaqanda polycystic: ukulungiselela, ukuqaliswa kanye post-ukuhlinzwa

iziyaluyalu gynecological batholakala cishe yilowo nalowo owesifazane osuke yesibili. Phakathi kwabo kukhona ngempela luvame amaqanda polycystic. Lokhu zokugula akusona isifo esithathelwanayo. Ngakho-ke, akunakwenzeka ukuba ukubamba kwabo. Ngaphezu kwalokho, isifo esifanayo kwenzeka kuphela phakathi kwabesifazane. Kwezinye izimo, kwakheka zokugula is kudala njengoba usakhula. Ngezinye izikhathi lesi sifo azalwa nako. Omunye ukwelashwa kubhekwe laparoscopy nge amaqanda polycystic. Izibuyekezo kule nqubo, kukhona ezihlukahlukene. Phela, libhekisela kumuntu hlobo lokuhlinza. Ngakho-ke, abanye abesifazane ukhethe ukusebenzisa ezinye izindlela zokwelashwa. Nokho, ngokusho kodokotela, ukusebenza edingekayo ngezinye izikhathi.

Kuyini polycystic syndrome esibelethweni?

amaqanda polycystic ezihlobene kwezinso hormone. Lesi sifo kungaba azalwa naso futhi wathola kukho konke ukuphila (ngokuvamile lapho isikhulile). Esimweni sokuqala-ke kubangelwa zofuzo, esenzelwa ku kwesikhathi sombungu. Noma kunjalo ukuxilonga polycystic azalwa naso kuphela entsheni. Kuze kube yileso sikhathi, le zokugula akusho ukuzibonakalisa. Ngazuza polycystic syndrome esibelethweni ngokuvamile eba ku isizinda endocrine iziyaluyalu. Lezi zihlanganisa isifo sikashukela, ukukhuluphala ngokweqile, izifo nezindlala adrenal noma indlala yegilo. Ngezinye izikhathi polycystic kwakhiwa emva ukusetshenziswa okulimala ebuchosheni, yesikhathi eside izidakamizwa hormone. Mshini yentuthuko lokhu zokugula kuyinto izinguquko ezilandelayo:

1. Nciphisa e-estrogen bese progesterone. Ukwandisa izinga lama-hormone ocansini wesilisa - androgens.
2. Ukuba ugqinsi Tunica albuginea esibelethweni. Ngenxa yalokho, i-follicle kungukuthi ibhujisiwe, futhi iqanda is hhayi ephuma. Ngenxa ukwephulwa asathuthuka ukungazali ukukhiqizwa kwamaqanda.
3. Ukugcwalisa follicular uketshezi simila kumiswa.

Izinguquko ezinjalo, ngakho kwenzeka lapho isifo lutholwa. Kulokhu, lesi sifo okuthiwa polycystic syndrome wesibeletho (PCOS). Izimpawu zayo zihlanganisa: kwesisindo hypertrichosis, ukungazali. Izimpawu kwezinso azalwa naso kubhekwe nokungathuthuki "ngomfanekiso besifazane" (ukhalo ewumngcingo, amabele ayakhiwanga kahle), induna, oligomenorrhea.

Laparoscopy nge polycystic

Laparoscopy nge polycystic wesibeletho iphathelene ukwelashwa kuhlinzwa. Isetshenziselwa ezimweni lapho ukwelashwa yezokwelapha ehluleka. Le ndlela ukususwa izinhlumba wesibeletho ubhekwa ephumelela kunazo. Ngaphezu kwalokho, uma kuqhathaniswa ukuvula ukuhlinzwa laparoscopy lingaphansi esibuhlungu. Ukuze uthole ezinye izinzuzo zihlanganisa:

1. Ukunciphisa ingozi izinkinga.
2. I kokunciphisa isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa.
3. ukululama ngokushesha.
4. Ubuncane yobuhle ukukhubazeka (uma kuqhathaniswa ne ukuhlinzwa evulekile ngalo ingaphakathi lesisu).

Naphezu kokuba ezisobala indlela, ukuze namanje Ziphikisana: noma ukwenza laparoscopy nge amaqanda polycystic? Ingani kwamanje abanye odokotela beluleka abesifazane baqale ukuzama imithi. Eqinisweni, kwezinye izimo, ukwelashwa ngoludala ungakwazi ukubhekana polycystic. Ukuze ukubuyisela umsebenzi wesibeletho isetshenziswa ukwelashwa hormone zesifazane. Futhi ebekiwe imithi ukuthi uvimbele synthesis androgens. Nokho, izidakamizwa ezingekho njalo ngempumelelo. Ikakhulukazi uma isifo kuluthola. Ngakho-ke, uma emva Yiqiniso zokwelapha umphumela is hhayi waphawula, kunconywa laparoscopy nge amaqanda polycystic. Ngaphansi le ndlela kusho ukususwa uketshezi zokwakheka umzimba ingaphakathi usebenzisa imishini ekhethekile kuhlinzwa. Sebeziqhumbuza laparoscopy ongatheni, ngakho they ncisheka cha hamba ukukhubazeka yezimonyo ngemva ukuphulukiswa. Ezimweni eziningi, le ndlela kusiza ukuqeda ezifana izimpawu ezinamandla njengoba ukungazali zesifazane.

Izinhlobonhlobo laparoscopy nge amaqanda polycystic

Laparoscopy ngoba amaqanda polycystic kungase kwenziwe ngezindlela eziningana. It kuncike injongo bezingelwa ohlinzayo, kanye namakhono lobuchwepheshe isikhungo sakho sezokwelapha. Njengazo zonke ukuhlinza ezinjalo, amaqanda laparoscopy kungaba zokuxilonga nokwelapha. Okokuqala lwenziwa polycystic esolwa lapho kwakuphambene nemvelo ayitholiwe ngokunemba. Ngokuvamile, laparoscopy zokuxilonga iba zokukhwabanisa zokwelapha. Eyesibili, esikhundleni salokho, ihlukaniswe ongakhetha eziningana. Phakathi kwabo:

1. Dekortizatsiya amaqanda. Lolu hlobo kwelashwa ukususa laparoscopy engenhla igobolondo umzimba. Ngenxa dekortizatsii ebusweni ungqimba iba izacile, okwenza kube lula ukuhlukanisa kanye nokuvuthwa of follicle.
2. Cautery izinhlumba. ukwelashwa okunjalo kusetshenziswa imishini laser. Ukusebenza siqukethe wokugcwalisa sebeziqhumbuza eziningana phezu esibelethweni. Umphumela nokuvula izinhlumba ukususwa okuqukethwe kwabo. Ngemva kwesikhathi esithile, kukhona ukubuyiselwa izicubu zomzimba evamile.
3. Resection we esibelethweni. Libhekene ngokususa ingxenye yomzimba equkethe izinhlumba. Le ndlela ayikwazi ukusetshenziswa lapho kumiswa uketshezi elise yonkana kobuso esibelethweni.
4. Elektrotermokoagulyatsiya. Lokhu samuntu kuyinto laparoscopy zokwelapha enze wokubhoboza umzimba emkhakheni zokwakheka fibrosis. Ngesikhathi esifanayo, it bafeza coagulation we esibelethweni, ukugwema ukopha.
5. Elektrodrilling. Ingabe umthelela zamanje esifundeni izinhlumba. ngaleyo ndlela zokwakheka Okuqukethwe kususiwe.

Kuzo zonke izinkethi ezibhekwa laparoscopy ngempumelelo. Umehluko phakathi kwabo ukuthi akuzona zonke inqubo kwenziwa umtholampilo ethile. Ezinye izindlela zokwelapha abhekwa ezibizayo futhi uthathe indawo kuphela nezikhungo zezokwelapha ezikhethekile.

Ukulungiselela ukuhlinzwa

Laparoscopy akudingi ukulungiselela eziyinkimbinkimbi. Noma kunjalo, ngokuvumelana nemithetho ethile ngaphambi kokuba sihlinzwe kuyadingeka. Endaweni yokuqala izinsuku ezimbalwa ngaphambi laparoscopy wenziwa uchungechunge sivivinyo seluhlololucwaningo. Lezi zihlanganisa: i-kla, ukuhlolwa igazi-HIV, ugcunsula kanye ne-hepatitis. Futhi kwenziwe umchamo ukugwema izifo kwezinso. Ngaphezu kwalokho, i-laboratory ezibalulekile izindlela zokuxilonga yilezi: ukuhlaziywa kwamakhemikhali igazi coagulation. Ngolunye usuku ngaphambi kokwenza ECG izifundo.

Ngaphezu izindlela zokuxilonga, kufanele ukuhlanza amathumbu bangaphambi amaqanda laparoscopy. Ngenxa yale njongo, sebenzisa laxatives noma imithi enema. Uma sicabangela ukuthi msebenzi wenziwa ngaphansi izinzwa jikelele, amahora ambalwa ngaphambi kokuba awukwazi ukuthatha ukudla namanzi. Kumele kukhunjulwe ukuthi inqubo hhayi lwenziwa esesikhathini ngenxa ingozi eliphezulu ukopha.

Izigaba laparoscopy ne esibelethweni polycystic

Njenganoma iyiphi ukuhlinzwa, laparoscopy nge wesibeletho polycystic wenziwa stepwise. Okokuqala, qaphela ukuthi le nqubo yenziwa Usebenzisa idivayisi optical, ikhamera yevidiyo namathuluzi ezikhethekile. Zonke lezi zinto kufanele usayizi encane kakhulu. Ukusebenza kuhlanganisa izinyathelo ezilandelayo:

1. ukubulawa kwezinzwa okuvamile (izinzwa ngomjovo).
2. A 3 noma 4 sebeziqhumbuza phezu kobuso anterior udonga besisu. I ububanzi ngamunye wabo ingeqi 1 cm 2 ukukhiqiza aphansi imbobo esiswini ukuze ukwethulwa amathuluzi okuhlinza ku umbilicus -. Ngoba idivayisi optical kanye ikhamera.
3. Ukufakwa phakathi komgodi ongaphakathi kwamathumbu nge-carbon dioxide ukuthuthukisa ngeso kwezitho.
4. Kwemihlambi ezikhiqiza amaqanda.
5. Ukususwa kwezimiso izinhlumba. Lesi sinyathelo kungaba kwenziwe ngezindlela ezahlukene.
6. Coagulation imithambo lilimele. Ngaphambi kokushiya ingaphakathi peritoneal, udokotela kufanele aqiniseke ukuthi akukho ukopha.
7. Ukususa amathuluzi kusukela umzimba wesiguli.
8. Suturing sebeziqhumbuza.

Simila ukususwa amasu kuncike ukuthi iyiphi inguqulo ye laparoscopy kwakuhlelwe. Ukusebenza ihlala ngokwesilinganiso imizuzu engu-30 kuya-60.

Yokutakula kusukela laparoscopic polycystic wesibeletho uma

Njengoba sazi ukuthi laparoscopy kubhekisela esenzakalweni esiyisimangaliso izinqubo kancane koda, ukuxakeka emva kokuhlinzwa awavamile. Nokho, kumelwe unika umzimba wakho owesifazane alulame. Ukuze wenze lokhu, ukuhlala lesiguli esibhedlela ezinsukwini 7-10 emva kokuhlinzwa. iboshiwe ubuhlungu (uma kwenzeka), kuyalungiswa amathumbu asebenzela ngesikhathi esinikeziwe. Ngosuku lokuqala isiguli Kunconywa ukuba uthole ngezinyawo zakho, uma kunokwenzeka - ukuhamba esigcemeni. Lokhu kuyadingeka ukuze sigweme ukuthuthukiswa ukuvuvukala e ukhalo. Ngemva kwamahora angu-6 emva owesifazane laparoscopy uvunyelwe ukuphuza (amanzi, umhluzi). Ukudla kungaba ngosuku olulandelayo. Ukuvivinya umzimba futhi ubuhlobo bobulili kufanele zihlehlise inyanga engu-1. I sutures ziyasuswa ngemuva kwezinsuku ezingu-10 ngemva kokuhlinzwa.

Laparoscopy nokukhulelwa wesibeletho

Abesifazane abaningi banesithakazelo umbuzo: kungakhathaliseki laparoscopy iyahambisana PCOS nokukhulelwa? Yiqiniso, yebo. Ngempela, ezimweni eziningi lo msebenzi wenziwa ukuba aphathe nenzalo. Ngakho-ke, uma kukhona polycystic nokuhlela sokukhulelwa laparoscopy. Nokho, ngemuva kokuhlinzwa akukwazi ngokushesha ngomumo okukhulelwa.

Izici laparoscopy kwabesifazane abakhulelwe kanye amaqanda polycystic

Kwezinye izimo, abesifazane ukucabanga kwengane, naphezu amaqanda polycystic. Lokhu kwenzeka lapho isifo isungule muva nje noma zokwakheka ketshezi babe Ubukhulu ezincane. Ezimweni lapho zokugula itholwa ngesikhathi sokukhulelwa, ukuhlinzwa is contraindicated. Kufanele ziqashwe nge udokotela wezifo zabesifazane.

Ukuhlela ukukhulelwa ngemuva laparoscopy

Kanjani ukuhlela sokukhulelwa ngemva laparoscopic polycystic wesibeletho lapho? Uma imbangela ukungazali kwaba nje isifo esihlasela ukukhulelwa kungenzeka ngenxa operation. Nokho, 3 izinyanga emva laparoscopy owesifazane kumelwe athathe i-hormone amalungiselelo. Emva kwalesi sikhathi, ke olwenziwa eziningi izifundo. Khona-ke kungenzeka ukuqhubeka okukhulelwa ingane.

Laparoscopy nge amaqanda polycystic nokukhulelwa: ukubuyekezwa odokotela

Ezimweni eziningi, odokotela basikisela ukuhlinzwa kancane koda, njengoba kuncishiswe ingozi yezinkinga benganakiwe esibuhlungu. Ngokuvamile kuza sokukhulelwa oyifunayo ngemva laparoscopic wesibeletho nakuba polycystic. Izibuyekezo gynecologists uqinisekise ukuthi imininingwane. Nokho, odokotela bathi esigabeni sokuqala ukwelashwa kufanele kube ukwelashwa wezokwelapha. Ukuhlinzwa Kunconywa emva ukwehluleka izindlela olandelanayo.

Laparoscopy nge amaqanda polycystic: Izibuyekezo iziguli

Abesifazane abaye ngahlinzwa, basutha ne umphumela. Bathi kokungenela basizwa ukuba babhekane izifo ezinjalo njengoba amaqanda polycystic. Ngemva iziguli laparoscopy Izibuyekezo kakhulu iye yaba mihle. Abanye abesifazane bayakwazi unezingane ngenxa operation. Sibekezele laphawula nokuthi nyangazonke ngemva laparoscopic wesibeletho babe njalo. Ngaphezu ukuzinza lomjikelezo, abesifazane zibonisa ushintsho isimo sokukhishwa, ukuncishiswa ubuhlungu ngaphambi kokuya esikhathini.