Ukwabiwa emva ukususwa kwesibeletho: ekwelapheni. Ukususwa kwesibeletho emva kweminyaka 50: ngemiphumela

Ukukhishwa ipheshana zangasese - into evamile kwabesifazane. Abakwazi zenzeka kungokwemvelo futhi kukhombisa ukuthuthukiswa isifo. Ukwahlukana nasemkhakheni ukwenqaba endometrium esesikhathini, kanye ahambe nge-ovulation. uketshezi sokugembula livela ngenxa ukutheleleka pathologies ezithathelwana ngobulili, ukuvuvukala kwesibeletho futhi ezihlobene, izifo oncological. Nokho, ukukhethwa zingadida futhi ababelala hysterectomy zabhekana. Kulokhu, udinga ukufaka umthombo wabo. Lapho uketshezi sokugembula kuyadingeka ukubhekana kudokotela.

Ukwabiwa ngemva hysterectomy: kuyinsakavukela pathology

Hysterectomy ngokwesayensi ngokuthi i hysterectomy. Ezimweni eziningi, it is eyenziwa umdlavuza insikazi uhlelo zokuzala. Ngezinye izikhathi ukusebenza Kwenziwa njengoba isilinganiso yokuvimbela lokuvikela umdlavuza.

Naphezu kokwanda le ndlela phesheya, abesifazane abaningi besaba imiphumela hysterectomy. Lokhu kwesaba buyafaneleka. Ngemva onjalo msebenzi ungenziwa kungaholela emiphumeleni engathí sina. Ezinye iziguli waphawula osenyameni emva kokususwa kwesibeletho. Ngokuvamile, bebonakala ezinsukwini ezimbalwa. Ngokwemvelo, ukukhethwa awahlobene kwabantu ukwenqaba endometrium futhi umjikelezo wokuya esikhathini. Ngempela, ngemva extirpation isitho ukuthi akunakwenzeka. Ezimweni eziningi ezihlobene ukwehluleka ezivuzayo nokucubungula oncological awasalayo komgodi ongaphakathi kwamathumbu. Kwezinye izimo, ukopha kungase kubangelwe ukulimala kwezitho ezingaphakathi, eseduze phakathi nokuhlinzwa.

Izimpawu ze-hysterectomy

Kukholakala ukuthi owesifazane, ngemva kokususwa kwesibeletho unephutha ngenxa ukungakwazi ukwenza umsebenzi zokuzala. Nokho, i-operation ezifana uvame kwenziwe esikhathini nambili kuya kwabadala. Ezimweni ezingavamile, a hysterectomy wenziwa kwabesifazane yokuzala. Inkomba esemqoka yokususa umthondo kuyinto isimila esibulalayo esikhula wesibeletho, endometrial noma ezihlobene. Uma owesifazane iye unomdlavuza, a hysterectomy kubhekwa indlela kuphela ukuyeka umsebenzi isifo futhi ukuze asindise ukuphila kwakhe. Okunye izinkomba for hysterectomy zihlanganisa:

1. basengozini enkulu yokuba isimila. izimo Precancerous yilezi: lesizalo fibroids ezinkulu, yansukuzonke polyp endometrial, fibroids.
2. Ukulahlekelwa umzimba noma iphutha 3-4 degrees.
3. Endometriosis akuyona amenable ekwelashweni.
4. endometritis Suppurative eziyoholela ekubhujisweni isitho zivuvukale peritoneum.
5. Trauma ezihlobene nezindlela zokusiza kuhlinzwa (isitho perforation curette, kudivayisi intrauterine).
6. Okugcwele anyuswe placenta kutholakala ngasekuqaleni kwesikhathi kwangemva kokubeletha.
7. ukudabuka lesizalo.

Naphezu kweqiniso lokuthi hysterectomy kubhekisela esenzakalweni esiyisimangaliso kokungenela olukhulu kuhlinzwa, indlela kuphela ukuze asindise ukuphila yesiguli nalezi zifo.

Izindlela zokususa kwesibeletho

Kunezindlela eziningana ukususa kwesibeletho. Ngokuvamile, ukusebenza wenziwa ukuhlinzwa evulekile. Lokhu kwenza kube nokwenzeka ukuba kabusha ingaphakathi okhalo futhi ukuvimbela ukuvuvukala peritoneum. Uma kukhona zokugula umdlavuza, ukuqhuba hysterectomy ebanzi. Kwezinye izimo, ukususwa kwesibeletho wenziwa laparoscopically. Technique ukuhlinzwa incike indawo ethintekayo, ubunjalo inqubo sokugembula kanye nobudala sowesifazane. Ngenxa lezi zici kukhona izindlela ezilandelayo hysterectomy:

1. ukunqunywa Supravaginal. Lo msebenzi ungenziwa kwenziwe fibroids, i-endometriosis, izinqubo umdlavuza kusaqalwa. Enye igama ukuhlinzwa - hysterectomy subtotal. It libhekene yokuthi ingxenye wesibeletho kanye ezihlobene akuzona nokususwa. It ivumela ukuba owesifazane uphile impilo ejwayelekile ngokobulili.
2. hysterectomy. Enye igama ukusebenza - hysterectomy Imininingwane. Isusa isitho kanye wesibeletho. Extirpation Kwenziwa ngaso umdlavuza endometrial, ama-polyp amaningi, yezinkinga ekhulelwa noma ebeletha. Futhi, hysterectomy Imininingwane ozakuba umdlavuza wesibeletho ngesikhathi liqala iziguli ekuseni yokuzala.
3. Ukusebenza Wertheim. Libhekene ukususwa kwesibeletho futhi ezihlobene, eyesithathu engenhla sangasese, yesifunda lymph node kanye parametrium fibre. eyohlinzwa ezinjalo ngokuthi i hysterectomy olukhulu. Isetshenziselwa in Oncology umkhuba nokuvimbela ukusabalala kwe-isimila.

Ezimweni eziningi, odokotela bazama konke okusemandleni ukuze ugcine gonads - amaqanda. Ikakhulukazi uma isiguli sifuna abasha noma oseqinile. Nokho, komdlavuza ngokuvamile kufanele iphendukele ukusebenza Wertheim.

hysterectomy Laparoscopic: izici

Hysterectomy kuyaqabukela wenziwa laparoscopically. Ngo umdlavuza, le ndlela wokususa kwesibeletho cishe akazange asebenzise, njengoba ayivumeli ukunquma ngokunembile imingcele yesimila. hysterectomy Laparoscopic kungenzeka nokususa yayo, i-endometriosis, myoma noma amasayithi ezinkulu.

Izinzuzo lokhu ukuhlinzwa zibandakanya kwanciphisa ingozi yokuba ukopha kanye nokunciphisa isikhathi post-op. Ngaphezu kwalokho, ezivuzayo cishe ezingabonakali ngemva laparoscopy, ngokungafani hysterectomy evulekile. Ukusebenza wenziwa ngosizo amathuluzi akhethekile, okuyinto yethulwe zingene izimbobo ezincane phezu anterior udonga besisu.

hysterectomy Laparoscopic has izinyathelo ezifanayo njengoba Ukuhlinzwa okukhulu. Isici ehlukile wukuthi zonke manipulations abazenzi ngosizo amathuluzi akhethekile. Izenzo lezi amadivaysi ukuboniswa qapha. Ukugxila kulesi, udokotela ohlinzayo owenza yonke manipulations. Kwezinye izimo, le ndlela laparoscopic is kuhlangene hysterectomy lwesitho sangasese sowesifazane. Naphezu izinzuzo indlela, odokotela uncamela azokuqhubela hysterectomy isimiso.

Hysterectomy: nasezinkingeni ezilandela ngemva kokuhlinzwa

Bonke abesifazane ibhalwe osenyameni kakhulu emva kokususwa kwesibeletho. Lesi simo esiyingqayizivele sibangelwa kubhekwa ngendlela evamile ngemva nje ngosuku lokuqala. Ekuqaleni kwenkathi nasezinkingeni ezilandela ngemva kokuhlinzwa zokubona kubangelwa ukulimala semithambo. Qaphela ukuthi hysterectomy - lena inqubo sina kuhlinzwa okwakuhilela lonke ingaphakathi okhalo. Ngakho ngemva hysterectomy zokubona uhlamvu spreadable isekelé. Abakwazi ukumaka amasonto 6. Uma, esikhundleni zokubona wabonisa kakhulu ukopha, kufanele ngokushesha azise udokotela wakho. Kungenjalo, isimo kungaholela beshaqekile nokufa.

Egqoke umkaki ngemva hysterectomy

Bonke abesifazane abaye baba hysterectomy, kutuswa ukuba athwale nasezinkingeni ezilandela ngemva kokuhlinzwa ibhandishi. Ubukhulu balo kuyalungiswa umzimba wesiguli. Ibhandishi kusiza ukulungisa imisipha besisu. Lokhu kusiza esheshisa ukuphulukiswa amalunga omzimba kanye nokuvinjelwa izinkinga. Ukugqoka indwangu kuboniswe kamuva isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa. Brace angathengwa ngaleso ekhemisi. Kuyadingeka ikakhulukazi emlandweni ngogogo, kukhona izizukulwane eziningana.

Futhi, zonke iziguli ezinesifo imisipha ezibuthakathaka anterior udonga besisu, kufanele afake ngebhandeshi ngoba nasezinkingeni ezilandela ngemva kokuhlinzwa. Ubukhulu corset kufanele ilingane ezivuzayo. Uma ubude band kungase kushintshwe, ububanzi kufanele abathile. Kunconywa ukuthi corset ivaliwe isibanda 1 cm kusuka phansi futhi phezulu.

osenyameni okungavamile ngemva hysterectomy

Ngaphezu amahlule kungenzeka nezinye kwekhabhoni emva ukususwa kwesibeletho. Lezi zihlanganisa lwamafinyila kanye ubovu exudates sokugembula. ngokuhlukana okunjalo kwenzeka izinqubo ukuvuvukala enkolweni emomozini noma wesibeletho. Naphezu hysterectomy, iziguli basuke sebeke baya ocansini. Ngakho-ke, ukutheleleka nge nezilwanyana ezincane ezihlukahlukene amagciwane viral kungukuthi ezikhishiwe.

Uma ocucuzayo emva ukususwa kwesibeletho ube nephunga ezingemnandi noma umbala engavamile (omhlophe, ophuzi, ezinemishwe ngegazi), kumele uxhumane udokotela wezifo zabesifazane. Ukubukeka uketshezi sokugembula kungase kubonise ukusabalala umdlavuza. Lokhu kuyiqiniso ikakhulukazi ngokuphathelene ukopha. Ngakho-ke, shiya leli uphawu akumelwe ushaywe indiva.

yezinkinga postoperative

yezinkinga eziyingozi ye hysterectomy zihlanganisa ukopha peritonitis. Ngayinye yalezi izimo kungaholela usibulale lesi siguli. Ngakho-ke, phakathi kwezinsuku ezingu-7-10 isiguli kufanele kube ngaphansi kweso lwezokwelapha.

Ukopha kwenzeka uma izitsha ezinkulu okhalo zalimala futhi elimala sutures nasezinkingeni ezilandela ngemva kokuhlinzwa. Lokhu kudinga kokungenela esiphuthumayo kuhlinzwa. Ukwelapha kuhloswe ngayo ukuqeda umthombo ukopha futhi ngokugcwalisa BCC. Peritonitis eyenzeke iqhubeka ezivuzayo yangaphakathi noma yangaphandle. Yena kuhambisana isicanucanu, izimpawu zokudakwa nezinhlungu abukhali esiswini.

Ukususwa kwesibeletho emva kweminyaka 50: imiphumela futhi Izibikezelo

Ezimweni eziningi, i-hysterectomy lihlotshaniswa umdlavuza esifazane izitho zangasese. Ngakho-ke, ukususwa kwesibeletho emva kweminyaka engu-50 ababevame ukucula. Imiphumela yalo msebenzi kuncike ngezimo zesiguli futhi khona izifo ukuphathwa kwabathintwayo.

Empeleni lo msebenzi ngempumelelo. Uma ulandela izincomo likadokotela, ungagwema imiphumela enjalo, njengoba kwehlukana ka ezivuzayo kanye kumiswa ukuvuvukala. Kulokhu, ezinyangeni ezimbalwa kamuva lowo wesifazane wabuya ukuphila okuvamile. Onalesi sifo ukungabikho yezinkinga ukusabalala izimila evumayo.

Ukwelashwa ngemva hysterectomy

Ukwelashwa emva ukususwa kwesibeletho kuvinjelwe ukuthuthukiswa ukutheleleka futhi opha. Ezinsukwini zokuqala, iziguli ebekiwe namagciwane futhi ama-antimicrobial. izixazululo "Ceftriaxone" sibaphathe, "metronidazole". Ibonisa indlela yokwelapha ubuhlungu emva hysterectomy. Kwaphela izinsuku eziningana, lesi sidakamizwa "Ketonal" iqondiswa intramuscularly. Lapho ukopha olwenziwa yokwelapha ukumnika.

Ukuvimbela ukopha

Ukuze ugweme ukopha esikhathini postoperative, kufanele ulandele somuthi nokusetshenziswa kwawo sikadokotela. Ngakho kwathi ngenyanga yokuqala ke akuvunyelwe nhlobo ukuphakamisa izinsimbi kanye umsebenzi wezandla. Kufanele kuqedwe umthwalo, kanye nobulili. Kunconywa ukugqoka ngebhandeshi. Ngokuba nokuvimbela izifo lwesitho sangasese sowesifazane kanye izitho urinary kuyadingeka ukuze ukugcina imithetho kwenhlanzeko ngasekuqaleni futhi ngasekupheleni kwenkathi nasezinkingeni ezilandela ngemva kokuhlinzwa.