Zomwe Muyenera Kuyembekezera kuchokera ku Laparoscopy ya Endometriosis
Zamkati
- Ndani ayenera kukhala ndi laparoscopy?
- Momwe mungakonzekerere laparoscopy
- Momwe njirayi imagwirira ntchito
- Kodi kuchira kuli bwanji?
- Kodi ndizothandiza?
- Kusabereka
- Kodi pali zovuta zina zakuchitidwa opaleshoniyi?
- Kutenga
Chidule
Laparoscopy ndi njira yochitira opaleshoni yomwe ingagwiritsidwe ntchito pozindikira komanso kuchiza matenda osiyanasiyana, kuphatikizapo endometriosis.
Pakati pa laparoscopy, chida chotalika, chochepa kwambiri chowonera, chotchedwa laparoscope, chimalowetsedwa m'mimba kudzera pachitsulo chaching'ono. Izi zimalola dokotala wanu kuti awone minofu kapena atenge nyemba, yotchedwa biopsy. Angathenso kuchotsa zotupa, zopangira, ndi zotupa zoyambitsidwa ndi endometriosis.
Laparoscopy ya endometriosis ndi njira yocheperako komanso yocheperako. Nthawi zambiri amachitidwa pansi pa dzanzi ndi dotolo kapena dokotala wazachipatala. Anthu ambiri amatuluka mchipatala tsiku lomwelo. Kuwunika usiku nthawi zina kumafunikira, komabe.
Ndani ayenera kukhala ndi laparoscopy?
Dokotala wanu angakulimbikitseni laparoscopy ngati:
- Nthawi zambiri mumamva kupweteka kwambiri m'mimba komwe kumakhulupirira kuti kumayambitsidwa ndi endometriosis.
- Endometriosis kapena zizindikiro zokhudzana nazo zapitilira kapena kuwonekeranso pambuyo pothandizidwa ndi mahomoni.
- Endometriosis imakhulupirira kuti imasokoneza ziwalo, monga chikhodzodzo kapena matumbo.
- Endometriosis akuganiziridwa kuti imayambitsa kusabereka.
- Unyinji wosazolowereka wapezeka pa ovary yanu, wotchedwa ovarian endometrioma.
Opaleshoni ya laparoscopic siyabwino kwa aliyense. Chithandizo cha mahomoni, njira yothandizirayi, imatha kuperekedwa kaye. Endometriosis yomwe imakhudza matumbo kapena chikhodzodzo ingafune kuchitidwa opaleshoni ina.
Momwe mungakonzekerere laparoscopy
Mutha kulangizidwa kuti musadye kapena kumwa kwa maola osachepera asanu ndi atatu musanachitike. Ma laparoscopy ambiri ndi njira zochiritsira odwala. Izi zikutanthauza kuti simuyenera kukhala kuchipatala kapena kuchipatala usiku wonse. Komabe, ngati pali zovuta, mungafunikire kukhala nthawi yayitali. Ndibwino kulongedza zinthu zanu zochepa kuti zingachitike.
Konzani mnzanu, wachibale, kapena bwenzi kuti akupititseni kunyumba ndikukhala nanu mukamaliza. Anesthesia yanthawi zonse imatha kuyambitsa mseru komanso kusanza. Kukhala ndi thumba kapena kabinki wokonzekera ulendo wopita kunyumba ndibwino.
Mutha kulangizidwa kuti musasambe kapena kusamba kwa maola 48 kutsatira laparoscopy kuti incision ichiritse. Kusamba musanachitike ndondomekoyi kungakupangitseni kukhala omasuka.
Momwe njirayi imagwirira ntchito
Mudzapatsidwa mankhwala opatsirana ambiri kapena am'deralo musanachite opareshoni kuti mupange mankhwala ochititsa dzanzi kapena wamba. Pansi pa anesthesia wamba, mudzagona ndipo simumva kupweteka. Nthawi zambiri amaperekedwa kudzera mu mzere wa intravenous (IV), koma amathanso kuperekedwa pakamwa.
Pansi pa anesthesia yakomweko, komwe kumapangidwira kumakhala kofooka. Mudzakhala ogalamuka panthawi yochita opareshoni, koma simumva kuwawa kulikonse.
Pa laparoscopy, dotolo wanu amakuchekerani m'mimba mwanu, makamaka pansi pamimba yanu. Kenaka, chubu chaching'ono chotchedwa cannula chimayikidwa pakhomo. Mankayi amagwiritsidwa ntchito kupatsira m'mimba ndi mpweya, nthawi zambiri kaboni dayokisaidi kapena nitrous oxide. Izi zimathandiza dokotalayo kuti aone bwino mkati mwa mimba yanu.
Dokotala wanu amaika laparoscope motsatira. Pali kamera yaying'ono pamwamba pa laparoscope yomwe imawalola kuti aziwona ziwalo zanu zamkati pazenera. Dokotala wanu akhoza kupanga zina zowonjezera kuti muwone bwino. Izi zitha kutenga mphindi 45.
Pamene endometriosis kapena zilonda zopweteka zimapezeka, dotolo wanu amagwiritsa ntchito imodzi mwanjira zingapo zochizira pochiza. Izi zikuphatikiza:
- Chisamaliro. Dokotala wanu akuchotsa minofu.
- Kuchotsa kwa Endometrial. Njirayi imagwiritsa ntchito kuzizira, kutentha, magetsi, kapena matabwa a laser kuwononga minofu.
Ndondomekoyi ikadzamalizidwa, dokotalayo amatseka tsambalo ndi timitengo tingapo.
Kodi kuchira kuli bwanji?
Pambuyo pa opaleshoniyi, mutha kukumana ndi izi:
- Zotsatira zoyipa zochokera kumadzimadzi, kuphatikiza grogginess, nseru, ndi kusanza
- Kusokonezeka chifukwa cha mpweya wochuluka
- Kutuluka magazi pang'ono kumaliseche
- kupweteka pang'ono pamalo obowolera
- Kupweteka m'mimba
- kusinthasintha
Muyenera kupewa zinthu zina mukangom'chita opaleshoni. Izi zikuphatikiza:
- kulimbitsa thupi kwambiri
- kupinda
- kutambasula
- kukweza
- kugonana
Zitha kutenga sabata kapena kupitilira apo kuti mukonzekere kubwerera kuzomwe mumachita.
Muyenera kuyambiranso kugonana pasanathe milungu iwiri kapena inayi kutsatira, koma funsani dokotala wanu poyamba. Ngati mukukonzekera kutenga pakati, mutha kuyambiranso thupi lanu litachira.
Nthawi yanu yoyamba pambuyo pa opaleshoniyo ikhoza kukhala yayitali, yolemetsa, kapena yopweteka kuposa masiku onse. Yesetsani kuchita mantha. Thupi lanu likuchiritsabe mkati, ngakhale mutakhala bwino. Ngati ululu ndi waukulu, funsani dokotala wanu kapena chithandizo chamankhwala mwadzidzidzi.
Pambuyo pa opaleshoni yanu, mutha kuchepetsa njira yochotsera ndi:
- kupeza mpumulo wokwanira
- kudya zakudya zochepa komanso kumwa madzi okwanira
- kumayenda modekha kuti muchepetse mpweya wochuluka
- kusamalira incision yanu poisunga yoyera komanso kuti isawalitsidwe ndi dzuwa
- kupereka thupi lanu nthawi yofunika kuchira
- kulumikizana ndi dokotala nthawi yomweyo ngati mukukumana ndi zovuta
Dokotala wanu angakupatseni msonkhano wotsatira pambuyo pa milungu iwiri kapena isanu ndi umodzi mutachitidwa opaleshoni. Ngati muli ndi endometriosis, ino ndi nthawi yabwino kukambirana za njira yayitali yowunikira ndi chithandizo chamankhwala, ngati kuli kofunikira, njira zakulera.
Kodi ndizothandiza?
Kuchita opaleshoni ya laparoscopic kumalumikizidwa ndi kuchepa kwa kupweteka kwapakati pa miyezi 6 ndi 12 pambuyo pa opaleshoni. Zowawa zomwe zimayambitsidwa ndi endometriosis zimatha kupezekanso.
Kusabereka
Chiyanjano pakati pa endometriosis ndi kusabereka sichikudziwika bwinobwino. Komabe, endometriosis imakhudza 50 peresenti ya amayi osabereka, malinga ndi European Society of Human Reproduction and Embryology.
Mu phunziro limodzi laling'ono, Azimayi 71 pa 100 aliwonse azaka zosakwana 25 omwe adachitidwa ma laparoscopic opangira endometriosis adatenga pakati ndikubereka. Kutenga pakati popanda kugwiritsa ntchito matekinoloje othandizira kubereka kumakhala kovuta kwambiri ngati muli ndi zaka zopitilira 35.
Kwa amayi omwe akufuna chithandizo cha kusabereka omwe ali ndi vuto loopsa la endometriosis, mu vitro feteleza (IVF) atha kunenedwa ngati njira ina yochitira opaleshoni ya laparoscopic.
Kodi pali zovuta zina zakuchitidwa opaleshoniyi?
Zovuta za opaleshoni ya laparoscopic ndizosowa. Monga opaleshoni iliyonse, pali zoopsa zina. Izi zikuphatikiza:
- Matenda a chikhodzodzo, chiberekero, kapena minofu yozungulira
- magazi osalamulirika
- matumbo, chikhodzodzo, kapena kuwonongeka kwa ureter
- zipsera
Lumikizanani ndi dokotala wanu kapena chithandizo chamankhwala mwadzidzidzi ngati mungakumane ndi izi pambuyo pa opaleshoni ya laparoscopic:
- kupweteka kwambiri
- nseru kapena kusanza komwe sikumatha pakatha tsiku limodzi kapena awiri
- kuchuluka magazi
- kuwonjezeka kwa ululu pamalo omwe angapangidwe
- kutuluka kwachilendo kumaliseche
- kutulutsa kwachilendo pamalo obowolera
Kutenga
Laparoscopy ndi njira yochitira opaleshoni yomwe imagwiritsidwa ntchito pozindikira endometriosis ndikuchiza matenda monga kupweteka. Nthawi zina, laparoscopy imathandizira kuti mukhale ndi pakati. Zovuta ndizosowa. Amayi ambiri amachira kwathunthu.
Lankhulani ndi dokotala wanu kuti mudziwe zambiri za kuopsa ndi phindu la opaleshoni ya laparoscopic.