Laparoscopy ngoba ukhulela ethunjini: izici ukusebenza, imiphumela

Kulesi sihloko, sinikeza wena ngijwayele laparoscopic ukhulela ethunjini, okuyinto eyenzeka kaningi, cishe 5%. Ngeshwa, wokutakula wengane ayiphumelelanga, ekunqanyulweni ngaphambili we ezathathwa, amathuba esiningi ukuze ulondoloze ezihlobene noma ukuphila ngisho sowesifazane. Uma uhlangabezana izimpawu zokukhulelwa, kufanele ngokushesha ukuya wezifo zabesifazane. Ukushesha ukwenza i-ultrasound, i-kusheshe futhi kube lula ungakwazi balahle nemiphumela ebuhlungu. Ngaphezu kwalokho, ukwenza i-ultrasound kusiza ukucacisa indawo zokwakha we esibelethweni. Uma-ultrasound wembula ukuthi ukhulela ethunjini, kubalulekile ukwenza ngokushesha (uphazamisa). Kungayiphi indlela kungenziwa? Kuyini laparoscopy tube ne ukukhula komntwana ethunjini? Zonke lezi mibuzo uzothola impendulo kulesi sihloko.

ukhulela ethunjini

Okokuqala sibheka indlela kokukhulelwa senzeka. Lokhu Fusion gametes ezimbili (isidoda kanye ova) tube fallopian. Ngemva kwale nqubo isivele avundiswa Iqanda uhamba esibelethweni, bese sinamathela odongeni. Lesi isibonelo okukhulelwa evamile, okuyinto eyenzeka ngo-izikhathi ayisishiyagalolunye nanhlanu ekhulwini. Kwezinye izimo, iqanda avundiswa egcinwa tube fallopian abethela kuphi ngaphandle komgodi lesizalo. Lapho i-embryo ingalungiswa:

• tube fallopian;
• e ngaphakathi komgodi ongaphakathi kwamathumbu;
• e esibelethweni.

Lokhu engafanele avundiswa esibelethweni ibizwa ngokuthi ukukhula komntwana ethunjini. Londoloza ingane kulokhu akusebenzi, udokotela kufanele akhethe inqubo uphelela. Laparoscopy ngoba ukhulela ethunjini - iyona ndlela ethandwa kakhulu futhi emnene yokwelashwa. Uma nesikhathi esanele sokuthatha isinyathelo, bese emva kokuhlinzwa emva kwesikhashana ungaqala ukuhlela ukuzalwa kwengane.

Ethunjini noma esibeletho sokukhulelwa - kuyinto zokugula, lapho iqanda eselivundisiwe ingenisa ngaphandle kwesibeletho. Kuyaphawuleka ukuthi muva inamba yezimo lukhula.

Ziyini izimbangela ezibanga lokhu zokugula? Lezi zihlanganisa lokhu okulandelayo:

• izifo ezithathelwanayo kwesibeletho;
• iziguli ezihlobene;
• iziyaluyalu noma izinqubo ukuvuvukala okwenzeka esinyeni urinary;
• azalwa naso isakhiwo okungavamile amaphayiphi;
• ukusebenza, idluliselwe amashubhu fallopian;
• ukuhluleka hormone;
• izisu njalo;
• khona Helix (indlela zokuvimbela inzalo);
• Yiqiniso eside yokwelashwa amalungiselelo hormone;
• endometriosis zangasese;
• isimila amashubhu fallopian nokunye.

tube Laparoscopy ne ukukhula komntwana ethunjini ukuthi ikhulela amashubhu fallopian, kumelwe. I ngaphambili sitholakele lesi zokugula futhi afeze ukuhlinzwa, aba maningi amathuba ukusinda ezihlobene. Ngaphezu kwalokho, udinga ukuthola imbangela kanye imithi ukugwema ukuphinda.

Izinhlobo ukhulela ethunjini

Omunye kungaba ucaphune ngezigaba elandelayo ukhulela ethunjini (endaweni sokuhlela esibelethweni)

• ipayipi;
• wesibeletho;
• besisu;
• wesibeletho.

Uhlobo lokuqala yisona esikhulunywa abantu abaningi (98% kuzo zonke izimo). Lapho ipayipi yasibamba ukhulela ethunjini kwenzeka kwelinye mucosa kuzo ngemibhobho fallopian. Ngakho kungenzeka ukuba bahlukanise ifomu ijabulise omunye zenyathi eziningana (ngenxa indawo tube fallopian):

• ampullar;
• isthmic;
• interstitial;
• fimbrial.

Abanye abathathu zezintaka lezi ngempela ezingavamile. Lapho wesibeletho ukhulela ethunjini kwenzeka sokuhlanganiswa ku umgodi we follicle, kuyilapho besisu - ku ingaphakathi lesisu, wesibeletho - e wesibeletho.

zokwelapha

isikhathi kubaluleke kakhulu ukuthola ubukhona ukukhula komntwana ethunjini. Lokhu kuzosiza izimpawu wakhe. Okokuqala, owesifazane angase abe nomuzwa bezwe izinhlungu, mhlawumbe yena uzokunikela okhalweni. Uma ngalesi sigaba akaboni udokotela, ubuhlungu maduze oyingozi. Akubalulekile ukuthatha umuthi wezinhlungu, njengoba lokhu kungaphazamisa sitholakele ukhulela ethunjini. Njengoba nje owesifazane bangazizwa oqinile ubuthakathaka, isiyezi kanye nesicanucanu.

Nakani ukwabiwa, bangase babe umbala wegazi, lokhu kubonisa ukopha zangaphakathi ngenxa ukulimala ezihlobene. Uma ukuhlolwa sokukhulelwa uhilela izenzo, uqaphela lezi zimpawu, qiniseka ukuya wezifo zabesifazane. Sicela uqaphele ukuthi nokulahlekelwa ukwazi - liphinde uphawu yalesi sifo.

Udokotela kumele uthumele i ukuhlolwa ultrasound, umphumela okuyinto kuyotholakala esizeni yenzeka we esibelethweni wena. Emva kokuthola imiphumela udokotela wezifo zabesifazane sinquma ukwelashwa. Izindlela ukuqeda ukhulela ethunjini:

• laparotomy (kokungenela op, okubandakanya ukuvula odongeni besisu, ukususwa umbungu ipayipi noma esibelethweni);
• laparoscopy (ukukhula komntwana ethunjini kuyindlela engcono kancane esiyingozi, ngesikhathi ukusebenza kwenza kuphela wokubhoboza encane);
• imithi.

Manje asikhulume okuncane mayelana indlela ngayinye.

Laparotomy - kokususwa esibelethweni, okungase kuholele tube ukususwa noma esibelethweni. Le ndlela iye yasetshenziselwa ngaphambili, ngaphambi obhekwe laparoscopy. Nokho, eminye imitholampilo ke luqhutshwa kuze kube yilolu suku. Lokhu kungaba kulezi zimo ezilandelayo:

• Akutholakali nezinto ezidingekayo yesimanje;
• kungekho Uchwepheshe abangakwazi ukwenza laparoscopy ukuhlinzwa;
• isimo esibucayi sowesifazane, okusongela impilo yakhe.

Laparotomy uqhutshwa ngezindlela eziningana:

• zizosengwa;
• tubotomiya;
• tubektomiya.

Indlela yokuqala ivumela ukuze kulondolozwe futhi kuvikelwe tube cut fallopian. Ovum is extruded, kungenzeka, uma etholakala eduze ophumayo we tube. Ngemva kokuhlinzwa owesifazane ungathola abakhulelwe.

Tubotomiya kuhilela imbobo noma ukususwa tube kanye iqanda fetus. Ngu asesebenzisa le ndlela, uma ukhipha iqanda eselivundisiwe can hhayi extrusion. Okungenzeka uphinda kwabakhulelwe abesifazane emva kokuhlinzwa uhlala, kodwa ziyancipha kakhulu.

Tubektomiya - ukususwa tube fallopian, futhi esibelethweni uma kunesidingo. Yiqiniso, abesifazane abakhulelwe cishe akukho abangakwenza ngaphandle ukuze asindise ukuphila kwakhe angafakaza kuye. Njengomthetho, le ndlela yakhetha kuphela ezimweni ezimbi kakhulu uma imizuzwana ukubala.

Manje phenya kabanzi ethandwayo njengamanje indlela, le ukuhlinzwa - laparoscopy ne ukukhula komntwana ethunjini. It uyingozi kancane futhi emnene. Le ndlela ngezansi thina uzokhokha isikhathi esiningi.

Indlela wokugcina - lokhu imithi. Kuyaphawuleka ukuthi odokotela abangethembi ke, wakhetha ukuhlinzwa. Le ndlela isetshenziswa kakhulu kuyaqabukela futhi ngesikhathi esincane kakhulu. essence yayo itholakala esingenisweni "Methotrexate" umuthi obulala ezidabula umbungu. Cishe ukukhulelwa ngemuva ukwelashwa izidakamizwa ophumelelayo cishe ngeke yehla kuqhathaniswa lapho yayikhona ngaphambi.

laparoscopy

Njengoba kushiwo ngaphambili, laparoscopy ne ukukhula komntwana ethunjini - ke iyindlela engcono ukwelashwa. Ngokushesha kufanele kuphawulwe ukuthi ngaphansi esibuhlungu. Laparoscopy kusiza ngempela nabuhlungu ukuqeda ukhulela ethunjini, ukuthi nguye eba ngaphandle kwesibeletho. Owesifazane phakathi nokuhlinzwa angeke awubone ubuhlungu noma ukungakhululeki, njengoba kwenziwa ngaphansi izinzwa jikelele.

Udokotela ohlinzayo has ukwenza imbobo elincane ngaphakathi komgodi ongaphakathi kwamathumbu futhi ukwethula ithuluzi ekhethekile lapho ufuna ukususa i-embryo kusukela tube fallopian. Lonke operation ilawulwa imishini ultrasound.

Njengoba siye saba sobala, ingane laparoscopy ukhulela ethunjini ngeke siphile. Kodwa ngesikhathi ukwenza ukuhlinzwa kusiza ukulondoloza ukuphila nempilo yowesifazane. Ngesikhathi izinsolo lokuqala ukukhula komntwana ethunjini ukuya kudokotela. Ukwelapha ngokushesha iyothathwa ka ukhulela ethunjini, kulapho cishe owesifazane esikhathini esizayo ukuba babe nezingane.

Kakade ngesikhathi kokuhlinzwa, udokotela enquma kubuyise tube noma cha. Konke lokhu kuncike ezintweni eziningana. tube Fallopian lugcinwa uma:

• iDemo sokukhulelwa eside;
• salpinx alithintwa kakhulu.

Uma lezi zimo ezimbili ezibalulekile zifeziwe, udokotela yenza imbobo encane ukususa sac sokukhulelwa. Ngemva kokuhlinzwa yowesifazane enjalo iba ngcono futhi igcina impilo yakho zokuzala. Kungenjalo (uma esibelethweni kahle esikhulu futhi kakhulu ohlukumezekile fallopian tube) udokotela enquma ukukhipha ingxenye noma lonke ipayipi.

Ngaphinde nilalele yokuthi uma usheshe bafune usizo udokotela wezifo zabesifazane, amathuba ngaphezulu ukuze alondoloze impilo wabo wokubeletha. Lalelisisa futhi ulalele amasignali emzimbeni wakho. Ngamafuphi le ngxenye, Ngifuna ukugqamisa izinzuzo ukuhlinzwa yesimanje ngokuthi laparoscopy:

• ukopha Amancane;
• ukululama ngokushesha ngemva kokuhlinzwa;
• yezinkinga ezingavamile nasezinkingeni ezilandela ngemva kokuhlinzwa;
• akukho izibazi.

Kulesi msebenzi, zikhona ezinye izinzuzo:

• Kwenzeka ngesikhathi budedengu laparoscopy ngaphakathi komgodi ongaphakathi kwamathumbu kusukela egazini (igazi siyimbangela kumiswa ukuvuvukala, lona wamuva, esikhundleni salokho, kungaholela ukuphindaphindwa ukhulela ethunjini);
• Ngemva kokuhlinzwa, udokotela ohlinzayo ungakwazi ukuhlola isimo ipayipi yesibili futhi ezihlobene;
• kungenzeka kokungenela reconstructive (colliotomy, ekubuyiseleni patency amapayipi).

Ukushesha uzobe inikezwa laparoscopy, ithuba ngaphezulu lokukhulelwa ukuba nomntwana ophile kahle esikhathini esizayo.

Igcina ipayipi

Laparoscopy ngoba ukhulela ethunjini nge ekulondolozweni ipayipi wenziwa khona ngaphansi imithetho ethile: sokukhulelwa tube encane alilinyaziwe. Kwezinye izimo, lo dokotela ngeke bakwazi ukushiya igemfe, ngoba kungenza yokuphindela isifo, njengoba ngeke zisaba afeze umgomo wayo ngqo.

Laparoscopy nge ukhulela ethunjini nge ekulondolozweni ipayipi kungenzeka kuphela ukwelashwa esifike ngesikhathi esibhedlela. Lalela amasignali lomzimba wakho. Kutfutfukiswa ukhulela ethunjini kuyingozi ngalolo odongeni fallopian tube elula nge okwandisa esibelethweni. Ngenxa yalokho, abazi asukume liqhume. Kulesi sigaba kubalulekile ukuthi alondolozwe igemfe ekuphileni sowesifazane.

Uma unomuzwa wokuthi izimpawu lokuqala ukukhula komntwana ethunjini, xhumana udokotela wezifo zabesifazane. Ukuhlonza Ukugula ke kuyehla kube amaphuzu amaningana:

• ukuqoqa igazi Assay hCG;
• ultrasound.

Uma ukukhulelwa test ethunjini, ngisho labetibambile emakubo, sizobonisa Chile oqondile. Nokho, ukwenza i-ultrasound kutholwa le esibelethweni kule ingaphakathi lesizalo. Kulokhu, kunesidingo esiphuthumayo ukuya uphethwe laparoscopic. Uma ukhohlwa ukwenza lokhu, amathuba okusinda ipayipi futhi kulondolozwe nempilo yokuzalana likhulu kakhulu.

ukususwa tube

Ukusebenza laparoscopic ukhulela ethunjini nokukhishwa tube kuyadingeka kwezinye izimo. On kubo uyofunda kulesi sigaba kwe-athikili.

Ukusebenza uqobo kuphephe ngokuphelele futhi ngokushesha isikhathi yokutakula kuyahluka abesifazane emva kwalo. Kuyinto ngaphansi izinzwa jikelele. Ukuze nokuqaliswa kwalo kumelwe wenze ezintathu wokubhoboza (ubukhulu hhayi okungaphezu kokukodwa isentimitha) ukuze laparoscope futhi amashubhu laparoscopic. Eyesibili kuyadingeka ukuze ukubonisa isithombe, okuyinto edingekayo ukuhlola zikahulumeni.

Laparoscopy has izinhlobo ezimbili:

• tubotomiya (zazo siye sakhuluma ngenhla, lo dokotela enquma tube fallopian futhi asuse iqanda eselivundisiwe, ukugcina umsebenzi ipayipi);
• tubektomiya (ukususwa tube fallopian).

Laparoscopy amashubhu Fallopian ngesikhathi ukukhula komntwana ethunjini nokukhishwa tube kuyadingeka ezimweni eziphuthumayo, nokukhathazeka kakhulu (uma kulondolozwa tube fallopian ithwala ingozi ezingaphezu kuka kususwe). Londoloza kungenzeka kwenzeka ukuthi akukho izinguquko ezihlelekile, kungenjalo kuyize, esiyingozi.

Ngakho tubektomiya uyenze uma:

• Unezinguquko engelapheki e tube fallopian;
• ukhulela ethunjini nge yenzeka aphindaphindwe ipayipi efanayo ngaphambili ngemva tubotomii;
• ukuvuvukala e ukhalo.

Ngo isinyathelo mezosalpinks excised futhi isthmic ahlukaniswe. Salpinx kususwe kanye iqanda fetus. Hlaziya isimo "zithwele" ipayipi Ukuhlolwa kusiza nezinye. Ngemva kokucwaninga udokotela ohlinzayo yenza isinqumo: ungakwazi ushiye tube nesineke noma kungcono ukususa.

Ukuze alondoloze nempilo yokuzalana kanye nokwenzeka ngeminyaka abaye bakhulelwa futhi kusho ukuthini ukuba nengane enempilo akufanele alibale Ukuvakashela udokotela wezifo zabesifazane. ukwelashwa okufika ngesikhathi kanye nokwelashwa - kuyisihluthulelo ikusasa lakho bajabule.

yokutakula

Ngakho laparoscopy - ukususwa ukukhula komntwana ethunjini, okungathi uma ukwelashwa esifike ngesikhathi umnene ngaphezulu. Sesivele egqanyisiwe izinzuzo lo msebenzi. Omunye wabo - ukululama okusheshayo abesifazane emva laparoscopy. Ukususwa kwezimiso ukhulela ethunjini ngosizo le ndlela itholakala Ukubhoboza izimbobo ezincane ukwethulwa amadivayisi ezikhethekile. Kule ndaba, le sutures ziyasuswa ngosuku lwesihlanu noma lesikhombisa ngemuva kokuhlinzwa ngokungabi bikho ukuvuvukala.

Izincomo odokotela esikhathini postoperative:

• ukwelashwa amanxeba iodine amasonto amabili;
• amabili kuphela amasonto ukuba ushawa;
• angadli oily futhi okubabayo;
• ubulili kungenzeka kuphela ngemva kokubuyiselwa umjikelezo wokuya esikhathini;
• sokukhulelwa Ukuhlela kuxoxwa nge udokotela (kuwufanele ngenyanga ukulinda 1 kuya 4).

ukopha

Kule ngxenye, thina xoxani ukopha ngemuva laparoscopic ukhulela ethunjini. Abesifazane abaningi abaye baba lo msebenzi, ngaphawula ukuthi ngemva kwezinsuku 20-30 ukopha evulekile. Bona sola ku nomphumela kwelashwa enqunyiwe. Ngezansi uhlu isampula izidakamizwa sokulungiswa kabusha:

• calcium chloride;
• "Metrogil";
• "Aktovegin";
• "TSikloferon";
• "AGT";
• "Diclofenac";
• "CA Gluconate";
• "Voebenzim";
• "Rotramitsin";
• "Viferon".

Inkambo yokwelashwa kufanele waqala ngokushesha emva kokuhlinzwa, sebenzisa lezo zidakamizwa, ubani omisa udokotela ukuba khona. Ngaphambi kokuvula ukopha kungase ukushiya amahlule igazi, lokhu ejwayelekile emva laparoscopy. Vula ukopha - akulutho like nyangazonke.

Ukukhetha

Zokubona ngemva laparoscopic ethunjini sokukhulelwa inkulumo mayelana ngenyanga ezayo. Ngokushesha ngemva kokuhlinzwa, ningesabi uma Ukukhetha kuyoba "okugcoba" uhlamvu. Uma zokubona uvele ngaphambi kwezinsuku eziyi-25-30 emva kokuhlinzwa, kubonisa lesizalo ukopha. Qiniseka kudokotela.

Futhi, ningawenzi silahle evakashele udokotela uma kungekho osenyameni ngaphezu kwenyanga ngemva kokuhlinzwa. Lokhu kungase kubonise ukuthi ibhalansi kahle ama-hormone okudingeka badlule ngakhona makhono yokwelashwa.

Uma kukhona isifo emzimbeni, ukukhululwa kuyodingeka nephunga edabukisayo. Ziyafana ukungaguquguquki iphalishi. Qiniseka ukuthi zidlule luhlolo kanye nokwelashwa.

Inyanga emva kokuhlinzwa

Inyanga ngemva laparoscopic ukhulela ethunjini ufika zingakapheli izinsuku eziyi amathathu ngemuva kokuhlinzwa. Ungakhathazeki uma ubona amahlule.

Amenorrhea kusikisela ukwehluleka hormone ngemva kokuhlinzwa. Khuluma nodokotela wakho. Enesibopho ukuthumela ekuhlolweni ukuqinisekisa noma siphikise lo mbono. Uma noma iyiphi ngeziphambeko kusukela kuyinsakavukela ngokushesha wathumela i ezingxoxo wezifo zabesifazane.

Ukukhulelwa ngemva laparoscopy

Ukukhulelwa ngemva laparoscopic ukhulela ethunjini kungenzeka. Sicela uqaphele ukuthi kubalulekile ukuba uthintane ngalolu daba ne wezifo zabesifazane. Uma kungekho contraindications, ungaqala ukuhlela ukukhulelwa ngenyanga ezayo.

It kuyafaneleka ukucabangela iqiniso lokuthi ukuze kuvinjelwe ukuphinda ukhulela ethunjini kufanele ahlolwe okugcwele kutholakale imbangela yokushona ivela khona. Ngemva kokuchaza futhi ukulungisa izinkinga, ungakwazi ngokuphepha wenze okukodwa ngaphezulu Zama ingane nje ebamba isisu.

Ukukhulelwa eside elindelwe ngemva laparoscopy, ukhulela ethunjini akakwazi ukuhamba isikhathi eside. Kulokhu, abesifazane babe ukusekela inqubo IVF. Kubalulekile ukusho ukuthi le ndlela ungathola izithola ikhulelwe yize labo nebafati abanokuhlangenwe tube lesizalo isuswe ngesikhathi ukusebenza.

Izibuyekezo

Laparoscopy ukhulela ethunjini kuyinto Izibuyekezo omuhle kakhulu. Phela, le ndlela libhekene nokuvuselelwa okusheshayo futhi ikhono alondoloze nempilo yokuzalana. Ngaphezu kwalokho, udokotela ngesikhathi ukuhlinzwa ongaqeda zisekhona ezinye izinkinga uvinjelwe owesifazane okhulelwe. Lezi zinto zihlanganisa asike izidumbu zabantu ka ukuvuvukala noma esibeletho patency sokubuyiselwa.