Mlembi: Louise Ward
Tsiku La Chilengedwe: 12 Febuluwale 2021
Sinthani Tsiku: 20 Novembala 2024
Anonim
Zomwe Muyenera Kudziwa Zokhudza Opaleshoni Yam'mimba ya Adhesiolysis Kuti Muchotse Ma Adhesions - Thanzi
Zomwe Muyenera Kudziwa Zokhudza Opaleshoni Yam'mimba ya Adhesiolysis Kuti Muchotse Ma Adhesions - Thanzi

Zamkati

Kodi adhesiolysis m'mimba ndi chiyani?

Adhesions ndimabala amabala ofiira omwe amapanga mkati mwa thupi lanu. Maopaleshoni am'mbuyomu amayambitsa pafupifupi 90% yazomata m'mimba. Amatha kukhalanso ndi zoopsa, matenda, kapena zomwe zimayambitsa kutupa.

Zomata zitha kupangika pazilombazo ndikupangitsa ziwalo kumamatirana. Anthu ambiri omwe ali ndi zomata samakumana ndi zisonyezo zilizonse, koma anthu ena atha kukhala ndi vuto kapena kusala kudya.

Mimba adhesiolysis ndi mtundu wa opaleshoni yomwe imachotsa zomata izi m'mimba mwanu.

Ma adhesions samawoneka pamayeso achilengedwe ojambula. M'malo mwake, madotolo nthawi zambiri amawapeza panthawi yochita opareshoni ya matenda akamafufuza za matenda kapena kuchiritsa matenda ena. Ngati dokotala atapeza zomata, adhesiolysis itha kuchitidwa.

Munkhaniyi, tiwona omwe angapindule ndi opaleshoni yam'mimba ya adhesiolysis. Tionanso njirayi komanso zikhalidwe zomwe angagwiritse ntchito pochiza.

Kodi laparoscopic adhesiolysis imachitika liti?

Kumamatira m'mimba nthawi zambiri sikuyambitsa zizindikilo zowonekera. Ma adheshes nthawi zambiri samadziwika chifukwa samawoneka ndi njira zamakono zojambulira.


Komabe, kwa anthu ena, amatha kuyambitsa kupweteka kosalekeza komanso kuyenda kosazolowereka.

Ngati kumangiriza kwanu kukuyambitsa mavuto, laparoscopic adhesiolysis imatha kuwachotsa. Ndi njira yochepa yolowerera. Ndi opaleshoni ya laparoscopic, dokotala wanu wochita opaleshoni adzapanga pang'ono pamimba panu ndikugwiritsa ntchito laparoscope kuti mupeze kulumikizana.

Laparoscope ndi chubu chochepa kwambiri chomwe chimakhala ndi kamera ndi kuwala. Imaikidwa mu cheke ndikuthandizira dotolo wanu kupeza zomata kuti achotse.

Laparoscopic adhesiolysis itha kugwiritsidwa ntchito pochita izi:

Kutsekeka m'matumbo

Zomatira zimatha kuyambitsa mavuto ndi chimbudzi komanso kutsekereza matumbo. Zomatira zimatha kutsitsa m'matumbo ndikuwononga matumbo. Kulepheretsa kungayambitse:

  • nseru
  • kusanza
  • Kulephera kupititsa mpweya kapena chopondapo

Kusabereka

Kumamatira kumatha kubweretsa mavuto azimayi pobweretsa thumba losunga mazira kapena mazira.


Zitha kupanganso kugonana kowawa kwa anthu ena. Ngati dokotala akukayikira kuti kumamatira kumayambitsa mavuto anu obereka, atha kulimbikitsa opaleshoni kuti muwachotse.

Ululu

Kumata nthawi zina kumatha kupweteka, makamaka ngati akutseka matumbo. Ngati muli ndi zomatira m'mimba, mutha kukhalanso ndi izi komanso ululu wanu:

  • nseru kapena kusanza
  • kutupa mozungulira pamimba panu
  • kusowa kwa madzi m'thupi
  • kukokana

Kodi adhesiolysis yotseguka ndi chiyani?

Open adhesiolysis ndi njira ina ya laparoscopic adhesiolysis. Pakati pa adhesiolysis yotseguka, tinthu tating'onoting'ono tomwe timapangidwa kudzera m'kati mwa thupi lanu kuti dokotala wanu achotse zolumikizira m'mimba mwanu. Ndiwowopsa kwambiri kuposa laparoscopic adhesiolysis.

Nchiyani chimayambitsa zomata?

Kumata m'mimba kumatha kupanga mtundu uliwonse wazowawa mpaka pamimba panu. Komabe, nthawi zambiri amakhala zotsatira zoyipa za opaleshoni yam'mimba.

Kumamatira komwe kumachitika chifukwa cha opaleshoni kumatha kuyambitsa zizindikilo kuposa mitundu ina yomata. Ngati simukumva zizindikiro, nthawi zambiri safunika kuthandizidwa.


Matenda kapena zinthu zomwe zimayambitsa kutupa zimatha kuyambitsanso, monga:

  • Matenda a Crohn
  • endometriosis
  • m'chiuno yotupa matenda
  • peritonitis
  • matenda opatsirana

Zomatira nthawi zambiri zimapangidwa pakatikati pamimba. Zitha kukhalanso pakati pa:

  • ziwalo
  • matumbo
  • m'mimba khoma
  • machubu

Njira zake

Musanachite izi, dokotala wanu akhoza kukupimani. Akhozanso kuyitanitsa kuyesa magazi kapena mkodzo ndikupempha kujambula kuti zithandizire kuthana ndi zofananira.

Asanachite opaleshoni

Konzekerani opaleshoni yanu pokonzekera kuyendetsa galimoto kuchokera kuchipatala kutsatira njira yanu. Mwinanso mungalangizidwe kuti mupewe kudya kapena kumwa tsiku la opareshoni. Muyeneranso kusiya kumwa mankhwala enaake.

Pa opaleshoni

Mudzapatsidwa mankhwala oletsa ululu kuti musamve kuwawa kulikonse.

Dokotala wanu azing'amba m'mimba mwanu ndikugwiritsa ntchito laparoscope kuti mupeze zomata. Laparoscope idzajambula zithunzi pazenera kuti dokotala wanu azitha kupeza ndikumamatira.

Zonsezi, opaleshoniyi imatenga pakati pa 1 ndi 3 maola.

Zovuta

Kuchita opaleshoni kumakhala kovuta kwambiri, koma palinso zovuta zina, kuphatikizapo:

  • kuvulala kwa ziwalo
  • kukulirakulira kwa zomata
  • chophukacho
  • matenda
  • magazi

Mitundu ina ya adhesiolysis

Opaleshoni ya Adhesiolysis itha kugwiritsidwa ntchito kuchotsa zomata m'zigawo zina za thupi lanu.

Pelvic adhesiolysis

Kumamatira kwapakhosi kumatha kukhala komwe kumabweretsa zowawa zapakhosi. Opaleshoni nthawi zambiri imawayambitsa, koma amatha kukhalanso ndi matenda kapena endometriosis.

Hysteroscopic adhesiolysis

Hysteroscopic adhesiolysis ndi opaleshoni yomwe imachotsa zomatira mkati mwa chiberekero. Kumamatira kumatha kubweretsa zowawa komanso zovuta pathupi. Kukhala ndi zomatira m'chiberekero kumatchedwanso matenda a Asherman.

Epidural adhesiolysis

Pambuyo pa opaleshoni ya msana, mafuta omwe amapezeka pakati pa msana wam'mimba ndi ma vertebrae amatha kusinthidwa ndi zomata zopangidwa zomwe zingakhumudwitse mitsempha yanu.

Epidural adhesiolysis imathandizira kuchotsa zomata izi. Epidural adhesiolysis imadziwikanso kuti njira ya catheter ya Racz.

Peritoneal adhesiolysis

mawonekedwe pakati pa gawo lamkati la khoma la m'mimba ndi ziwalo zina. Kumamatira kumeneku kumatha kuwoneka ngati tinthu tating'onoting'ono tating'onoting'ono tokhala ndi mitsempha ndi mitsempha yamagazi.

Peritoneal adhesiolysis ikufuna kuchotsa zomata izi ndikuwongolera zizindikiritso.

Adnexal adhesiolysis

Misa ya adnexal ndikukula pafupi ndi chiberekero kapena thumba losunga mazira. Nthawi zambiri amakhala oopsa, koma nthawi zina, amatha kukhala ndi khansa. Adnexal adhesiolysis ndi njira yochotsera izi.

Nthawi yobwezeretsa Adhesiolysis

Mutha kukhala osasangalala pamimba panu pafupifupi milungu iwiri. Muyenera kubwereranso ku zochitika zanthawi zonse m'masabata awiri kapena anayi. Zitha kutenga miyezi ingapo kuti matumbo anu abwererenso pafupipafupi.

Kuti mupititse patsogolo kuchira kwanu pamankhwala opangira adhesiolysis, mutha:

  • Muzipuma mokwanira.
  • Pewani kuchita masewera olimbitsa thupi.
  • Lankhulani ndi dokotala wanu za zakudya zomwe muyenera kupewa.
  • Sambani chilonda cha opaleshoni tsiku lililonse ndi madzi sopo.
  • Itanani dokotala kapena dokotalayo nthawi yomweyo ngati muli ndi zizindikiro za matenda, monga kutentha thupi kapena kufiira komanso kutupa pamalo obowolera.

Tengera kwina

Anthu ambiri omwe amamatira m'mimba samakumana ndi zizindikilo zilizonse ndipo safuna chithandizo.

Komabe, ngati kumatira kwanu m'mimba kumayambitsa zowawa kapena kugaya chakudya, dokotala wanu amalimbikitsa adhesiolysis m'mimba kuti muwachotse.

Kupeza matenda oyenera ndiyo njira yabwino yodziwira ngati kusapeza kwanu kumayambitsidwa ndi zomata kapena vuto lina.

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