Kutsekemera
Hysterectomy ndi opaleshoni yochotsa chiberekero cha mayi (chiberekero). Chiberekero ndi chiwalo chopanda pake chomwe chimasamalira mwana yemwe akukula panthawi yapakati.
Mutha kukhala ndi chiberekero chonse kapena gawo lina pachiberekero. Machubu yamchiberekero ndi thumba losunga mazira amathanso kuchotsedwa.
Pali njira zambiri zochitira hysterectomy. Zitha kuchitika kudzera:
- Kudula opaleshoni m'mimba (yotchedwa yotseguka kapena m'mimba)
- Mabala atatu kapena anayi ochepera opaleshoni m'mimba ndikugwiritsa ntchito laparoscope
- Kudula opaleshoni kumaliseche, mothandizidwa ndi kugwiritsa ntchito laparoscope
- Kudula opaleshoni kumaliseche popanda kugwiritsa ntchito laparoscope
- Mabala atatu kapena anayi ochepera opaleshoni m'mimba, kuti apange opaleshoni ya robotic
Inu ndi dokotala wanu mudzasankha mtundu wa njira. Chisankho chimadalira mbiri yanu yazachipatala komanso chifukwa cha opaleshoniyi.
Pali zifukwa zambiri zomwe mayi angafunikire kutengera hysterectomy, kuphatikizapo:
- Adenomyosis, vuto lomwe limayambitsa nthawi zolemetsa, zopweteka
- Khansa ya chiberekero, nthawi zambiri khansa ya endometrial
- Khansa ya khomo lachiberekero kapena kusintha kwa khomo pachibelekeropo lotchedwa khomo lachiberekero dysplasia lomwe lingayambitse khansa
- Khansa ya ovary
- Kutalika kwanthawi yayitali (kupweteka) m'chiuno
- Endometriosis yoopsa yomwe siyikhala bwino ndi mankhwala ena
- Kutaya magazi kwambiri, kwanthawi yayitali komwe sikumayang'aniridwa ndi mankhwala ena
- Kutulutsa chiberekero mu nyini (uterine prolapse)
- Zotupa m'chiberekero, monga uterine fibroids
- Kutaya magazi kosalamulirika panthawi yobereka
Hysterectomy ndi opaleshoni yayikulu. Matenda ena amatha kuthandizidwa ndi njira zochepa zowononga monga:
- Kuphatikiza kwamitsempha ya m'mimba
- Kuchotsa kwa Endometrial
- Kugwiritsa ntchito mapiritsi olera
- Kugwiritsa ntchito mankhwala opweteka
- Kugwiritsa ntchito IUD (intrauterine device) yomwe imatulutsa hormone progestin
- Ziphuphu zam'mimba
Kuopsa kwa opaleshoni iliyonse ndi:
- Thupi lawo siligwirizana ndi mankhwala
- Mavuto opumira
- Kuundana kwamagazi, komwe kumatha kubweretsa imfa ngati apita kumapapu
- Magazi
- Matenda
- Kuvulaza madera apafupi
Zowopsa za hysterectomy ndi:
- Kuvulaza chikhodzodzo kapena ureters
- Zowawa panthawi yogonana
- Kutha msambo koyambirira ngati thumba losunga mazira lichotsedwa
- Kuchepetsa chidwi pa kugonana
- Kuwonjezeka kwa chiwopsezo cha matenda amtima ngati thumba losunga mazira amachotsedwa asanakwane
Musanasankhe kuchita hysterectomy, funsani wothandizira zaumoyo wanu zomwe akuyembekezereni mukatha kuchita izi. Amayi ambiri amazindikira kusintha m'thupi mwawo komanso momwe amadzionera atangobadwa kumene. Lankhulani ndi omwe amapereka, abale, komanso abwenzi pazomwe zingachitike musanachite opareshoni.
Uzani gulu lanu lazachipatala za mankhwala omwe mukumwa. Izi zimaphatikizapo zitsamba, zowonjezera, ndi mankhwala ena omwe mudagula popanda mankhwala.
M'masiku asanachitike opareshoni:
- Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), ndi mankhwala ena aliwonse onga awa.
- Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
- Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.
Patsiku la opareshoni yanu:
- Nthawi zambiri mudzafunsidwa kuti musamamwe kapena kudya chilichonse kwa maola 8 musanachite opaleshoni.
- Tengani mankhwala aliwonse omwe woperekayo adakuwuzani kuti mutenge ndi madzi pang'ono.
- Fikani kuchipatala nthawi yake.
Pambuyo pa opaleshoni, mudzapatsidwa mankhwala opweteka.
Muthanso kukhala ndi chubu, chotchedwa catheter, cholowetsedwa mu chikhodzodzo chanu kuti mupititse mkodzo. Nthawi zambiri, catheter imachotsedwa asanatuluke kuchipatala.
Mudzafunsidwa kuti mudzuke ndikuyenda mofulumira mukatha opaleshoni. Izi zimathandiza kuteteza magazi kuundana m'miyendo mwanu ndikufulumizitsa kuchira.
Mudzafunsidwa kuti mudzuke kukasambira mukangotha. Mutha kubwereranso ku chakudya chamagulu mwachangu momwe mungathere popanda kuyambitsa nseru ndi kusanza.
Kutalika komwe mumakhala mchipatala kumadalira mtundu wa hysterectomy.
- Mutha kupita kwanu tsiku lotsatira kukachitidwa opaleshoni kudzera kumaliseche, laparoscope, kapena opaleshoni ya robotic.
- Mukadula (m'mimba) pamimba, mungafunike kukhala mchipatala kwa masiku 1 kapena 2. Mungafunike kukhala nthawi yayitali ngati mimbayo yachitika chifukwa cha khansa.
Zimakutengera nthawi yayitali bwanji kuti udziwe bwino zimadalira mtundu wa hysterectomy. Avereji ya nthawi yobwezeretsa ndi iyi:
- Mimba yotsekemera m'mimba: masabata 4 mpaka 6
- Ukazi wam'mimba: masabata 3 mpaka 4
- Kuthandizidwa ndi ma robot kapena laparoscopic hysterectomy: masabata 2 mpaka 4
Hysterectomy imayambitsa kusamba ngati mutachotsanso mazira ambiri. Kuchotsa thumba losunga mazira kungayambitsenso kutsika kwa kugonana. Dokotala wanu angakulimbikitseni mankhwala othandizira a estrogen. Kambiranani ndi omwe akukuthandizani za zoopsa ndi zabwino za mankhwalawa.
Ngati hysterectomy idachitidwira khansa, mungafunike chithandizo china.
Ukazi hysterectomy; M'mimba hysterectomy; Matenda opatsirana pogonana; Zowopsa za hysterectomy; Kuchotsa chiberekero; Laparoscopic hysterectomy; Laparoscopically anathandiza ukazi hysterectomy; MALAMULO; Chiwerengero cha laparoscopic hysterectomy; TLH; Laparoscopic supracervical hysterectomy; Robotically anathandiza hysterectomy
- Hysterectomy - m'mimba - kutulutsa
- Hysterectomy - laparoscopic - kutulutsa
- Hysterectomy - ukazi - kutulutsa
- Chisamaliro cha bala la opaleshoni - chotseguka
- Kutulutsa kwamitsempha ya chiberekero - kutulutsa
- Ziphuphu zam'mimba
- Kutsekemera
- Chiberekero
- Hysterectomy - Mndandanda
Komiti Yazochita za Gynecologic. Lingaliro la komiti no 701: posankha njira ya hysterectomy ya matenda oopsa. Gynecol Woletsa. 2017; 129 (6): e155-e159. PMID: 28538495 pubed.ncbi.nlm.nih.gov/28538495/. (Adasankhidwa)
Jones HW. Kuchita opaleshoni ya amayi. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: chap 70.
Karram MM. Ukazi wosokoneza bongo. Mu: Baggish MS, Karram MM, olemba. Atlas of Pelvic Anatomy and Gynecologic Opaleshoni. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 53.
Thakar R. Kodi chiberekero ndi chiwalo chogonana? Ntchito yogonana kutsatira hysterectomy. Kugonana Med Rev. 2015; 3 (4): 264-278. PMID: 27784599 adatulutsidwa.ncbi.nlm.nih.gov/27784599/.