Ngamanye amaxesha izifo eziyinkimbinkimbi kunye nokungahoywa kufuneka ziphathwe ngokukhawuleza. Lo ngumlinganiselo ogqithiseleyo, kwaye oogqirha baya kuso kuphela ngesidingo esinzulu, xa ezinye iindlela zonyango azincedi. Enye yale mi sebenzi - ukususwa (ukuchithwa), okanye ukukhutshwa kwesibeleko. Kwakhona kuthiwa igama elithi "hysterectomy".
Iimpawu zokukhutshwa kwesibeleko
Ugqirha lokususwa kwesibindi senziwa xa isigulane sinezi zifo ezilandelayo:
- i-tumor ebulalayo yomlomo wesibeleko, isisu okanye i-ovary;
- endometriosis kunye ne-adenomyosis;
- i-myoma enkulu yamanzi ;
- i-fibrosis yesisu;
- ezinye izifo zesistim sokuzala, apho kukho ukuphulwa okukhulu kwimijikelezo yokuya esikhathini, ukuphuma kwegazi, intlungu, kunye neenkqubo ezinokukhupha.
Kwakhona, umsebenzi wokukhutshwa kwesibeleko uyenziwa ngumfazi ogqityiweyo.
Iindidi ze-hysterectomy
Le ntsebenzo yenziwa ngeendlela ezahlukeneyo kuxhomekeke kwisifo esabangela isidingo, kunye nezinye izinto (ubudala kunye nomzimba womfazi, ubukho bomntwana kwi-anamnesis, njl.). Ngoko, ngokweendlela yokusebenza, i-hysterectomy ingaba:
- ubufazi;
- laparoscopic;
- i-laparatomicheskoy (evulekile).
Ngendlela yokukhutshwa, i-uterus iyahlula:
- ukususwa kwesibindi kunye nentamo;
- ukususwa kwesibindi, apho umlomo wesibeleko ugcinwa khona;
- ukususwa kwesibindi kunye nazo zonke izithako (iibhubhu, ii-ovari);
- ukukhutshwa ngokugqithiseleyo (ukususwa ngokupheleleyo kwenkqubo yonke).
Oko kukuthi, umzekelo, ukuba isigulane simiselwe ukukhulelwa kwesisu ngaphandle kwesixhobo, oko kuthetha ukuba ukufikelela kwisibeleko kuya kunikwa ngebhinqa, kwaye kuphela iqumrhu ngaphandle kwama-ovari kunye nama-fallopian tubes iya kususwa.
Inkqubo yomsebenzi wokutshatyalaliswa kwesibeleko
Ukusetyenziswa kwanoma yimuphi uhlobo ukususa isibeleko kungaphantsi kwe-anesthesia jikelele. Xa ukuphuma kwindlela usebenzisa i-laparoscopy, ukubonwa kwamancinci ezincinane ze-peritoneum zenziwe kwaye iimpawu ezifunekayo zenziwa ngabo. Ukuba ngaba i-laparotomy, enye inkulu-mzobo yenzeke kwisisu esezantsi, ize iwele iigeria, ichithe ukuphuma kweempahla, inqumle umzimba we-uterine ukusuka ezindongeni zamanzi kwaye isuse iqumrhu.
Ngokugqithiswa kwesisu, oogqirha baqala ukukhubaza i-vaginal, baze benze ukunyanzeliswa okunzulu kwinqanaba eliphezulu (kwaye ukuba kuyimfuneko ukwenza izinto ezongeziweyo kwicala), bhenkce umzimba we-uterus kwaye unqume oko kuyimfuneko. Emva koko ukutsalwa kwesikhokelo kuboniswe, kushiya kuphela umgodi wokuhambisa amanzi.
Iziphumo zokutshatyalaliswa kwesibeleko kunye neengxaki ezinokwenzeka emva kokuhlinzwa
Phakathi kwemiphumo yokusebenza ngokuphumelelayo, oku kulandelayo kuya kuqatshelwa:
- isiguli asiyi kuphinda sikhulelwe;
- ukuphuma kwesisu kudlalwa ngaphambili kwiminyaka emininzi;
- iimpawu zesi sifo, unyango lwazo lwalususwe isisu, luya kupheleka ngokukhawuleza kude kube yinto ephilileyo.
Nangona kunjalo, ngamanye amaxesha emva kokuhlinzwa, iingxaki ziyenzeka, umzekelo, i-suture ehamba emva kokuba ihamba emva kwayo iyavutha, ukuphuma kwegazi kumile, njl njl. Oku kwenzeka ngokuphindaphindiweyo emva kokusebenza kwecavitary. Oogqirha kufuneka bahlole le mizuzu baze baphendule kubo ngexesha.
Ukubuyiswa emva kwe-hysterectomy
Umzimba wesibhozo emva kokugqithwa kwesibeleko ubuya kwisimo sakhe esiqhelekileyo kwisiqingatha kwiinyanga ezimbini. Ekuqaleni, isiguli emva komsebenzi wokutshatyalaliswa kwesibeleko sinokukhathazeka ngokukhutshwa kwegazi ukusuka kwindlela yokuzala, ubunzima bokuchama, ukunyuka kwe-suture, ukuguquka kwemizwelo ehambelana nezinguqu ze-hormone.
Ngokubhekisele kubomi besondo emva kokukhulelwa kwesibeleko, kunokwenzeka ukuba sele ivele emva kweenyanga ezintathu emva kokusebenza. Nanku kuyaqatshelwa ukuba akukho mfuneko yokukhusela ekukhulelweni okungafunekiyo, kwaye ukusuka kwiimigodi-ukunciphisa okunokwenzeka kwisifiso socansi, ukunyameka kokuqala kwesondo. Nangona kunjalo, ngamnye umfazi lo mntu.