Ziphuphu zam'mimba

Pelvic laparoscopy ndi opaleshoni yoyezetsa ziwalo zam'mimba. Zimagwiritsa ntchito chida chowonera chotchedwa laparoscope. Opaleshoniyo imagwiritsidwanso ntchito pochiza matenda ena am'chiuno.

Mukakhala mukugona tulo komanso simumva kuwawa pansi pa anesthesia, adotolo adapanga theka-inchi (1.25 sentimita) kudula khungu pakhungu pansi pamimba. Mpweya wa carbon dioxide umaponyedwa m'mimba kuti athandize adotolo kuti aziwona ziwalozo mosavuta.

Laparoscope, chida chomwe chimawoneka ngati telescope yaying'ono yokhala ndi kuwala ndi kanema ya kanema, imayikidwa kuti adotolo athe kuwona malowo.

Zida zina zimatha kulowetsedwa kudzera muzidutswa zazing'ono m'mimba. Powonera kanema wowonera, adotolo amatha:

• Pezani zitsanzo zamatenda (biopsy)
• Fufuzani chifukwa cha zizindikiro zilizonse
• Chotsani minofu yofiira kapena minofu ina yachilendo, monga endometriosis
• Konzani kapena chotsani gawo kapena thumba losunga mazira onse kapena machubu a chiberekero
• Konzani kapena chotsani ziwalo za chiberekero
• Chitani zochiritsira zina (monga appendectomy, kuchotsa ma lymph node)

Pambuyo pa laparoscopy, mpweya wa carbon dioxide umatulutsidwa, ndipo mabala amatsekedwa.

Laparoscopy imagwiritsa ntchito kudula kocheperako kuposa opaleshoni yotseguka. Anthu ambiri omwe ali ndi njirayi amatha kubwerera kwawo tsiku lomwelo. Kuchepetsa pang'ono kumatanthauzanso kuti kuchira kumathamanga. Pali kuchepa kwa magazi pang'ono ndi opaleshoni ya laparoscopic komanso kupweteka pang'ono pambuyo pochitidwa opaleshoni.

Pelvic laparoscopy imagwiritsidwa ntchito pozindikira komanso kuchiza. Itha kulimbikitsidwa kuti:

• Minyewa yokhotakhota kapena chotupa cha m'mimba chomwe chimapezeka pogwiritsa ntchito ma pelvic ultrasound
• Khansa (yamchiberekero, endometrial, kapena khomo lachiberekero) kuti muwone ngati yafalikira, kapena kuchotsa ma lymph node kapena minofu yapafupi
• Kupweteka kwapakhosi (kwa nthawi yayitali), ngati palibe chifukwa china chapezeka
• Ectopic (tubal) mimba
• Endometriosis
• Zovuta kutenga pakati kapena kukhala ndi mwana (kusabereka)
• Mwadzidzidzi, kupweteka kwambiri m'chiuno

Laparoscopy ya m'chiuno itha kuchitidwanso kwa:

• Chotsani chiberekero chanu (hysterectomy)
• Chotsani uterine fibroids (myomectomy)
• "Mangani" machubu anu (tubal ligation / yolera yotseketsa)

Zowopsa za opaleshoni iliyonse yam'mimba ndi monga:

• Magazi
• Kuundana kwamagazi mwendo kapena mitsempha ya m'chiuno, komwe kumatha kupita kumapapu ndipo, nthawi zambiri, kumatha kupha
• Mavuto opumira
• Kuwonongeka kwa ziwalo zapafupi ndi minofu
• Mavuto amtima
• Matenda

Laparoscopy ndi yotetezeka kuposa njira yotseguka yothetsera vutoli.

Nthawi zonse uzani wothandizira zaumoyo wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zitsamba, kapena zowonjezera zomwe mudagula popanda mankhwala

M'masiku asanachitike opareshoni:

• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba.
• Funsani omwe akukuthandizani mankhwala omwe mungatenge patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.
• Konzani kuti wina adzakuyendetsani kunyumba mutatha opaleshoni.

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku musanachite opareshoni, kapena maola 8 musanachite opareshoni.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mumwe pang'ono pokha madzi.
• Omwe akukuthandizani azikuuzani nthawi yofika kuchipatala kapena kuchipatala.

Mumakhala kwakanthawi kuchipatala mukadzuka ku dzanzi.

Anthu ambiri amatha kupita kwawo tsiku lomwelo motsatira ndondomekoyi. Nthawi zina, mungafunike kugona usiku wonse, kutengera opaleshoni yomwe yachitika pogwiritsa ntchito laparoscope.

Mpweya woponyedwa m'mimba ungayambitse kupweteka m'mimba kwa masiku 1 mpaka 2 chitachitika. Anthu ena amamva kupweteka kwa khosi ndi phewa masiku angapo pambuyo pa laparoscopy chifukwa mpweya wa carbon dioxide umakwiyitsa chifundocho. Pamene mpweya umatengeka, ululu uwu umatha. Kugona pansi kumathandiza kuchepetsa ululu.

Mudzalandira mankhwala a mankhwala opweteka kapena kuuzidwa mankhwala omwe mungamwe.

Mutha kubwereranso kuzomwe mumachita masiku 1 mpaka 2. Komabe, MUSAKWEZERE chilichonse chopitilira mapaundi 10 (4.5 kilograms) kwa masabata atatu mutachitidwa opaleshoni kuti muchepetse chiopsezo chanu chokhala ndi nthenda m'mizere yanu.

Kutengera ndi njira yomwe yachitika, mutha kuyambiranso kugonana mukangotaya magazi. Ngati mwachitidwapo chiberekero, muyenera kudikirira nthawi yayitali musanagonenso. Funsani omwe akukuthandizani zomwe zikulimbikitsidwa pazomwe mukuchita.

Itanani omwe akukuthandizani ngati muli ndi:

• Kutuluka magazi kuchokera kumaliseche
• Malungo omwe samachoka
• Nseru ndi kusanza
• Kupweteka kwambiri m'mimba

Celioscopy; Opaleshoni ya band; Zojambulajambula; Laparoscopy yachikazi; Ma laparoscopy ofufuza - gynecologic

• Ziphuphu zam'mimba
• Endometriosis
• Kumangiriza kwapelvic
• Chotupa chamchiberekero
• Leloscopy yam'mimba - mndandanda

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Burney RO, Giudice LC. Endometriosis. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 130.

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