Zomwe Muyenera Kuyembekezera kuchokera ku Myomectomy

Zamkati

• Kodi phungu wabwino ndi ndani?
• Kodi mumakonzekera bwanji opaleshoni?
• Nchiyani chimachitika panthawiyi?
• Mimba yam'mimba
• Laparoscopic myomectomy
• Myomectomy ya Hysteroscopic
• Kodi kuchira kuli bwanji?
• Ndizothandiza motani?
• Kodi zovuta ndi zoopsa zake ndi ziti?
• Kodi chilondacho chidzakhala chotani?
• Zithunzi za zipsera za myomectomy
• Kodi myomectomy imakhudza bwanji pakati pa mimba yamtsogolo?
• Zomwe muyenera kuyembekezera
• Q & A: Kuopsa kwa kutenga pakati pambuyo pa myomectomy
• Funso:
• Yankho:

Myomectomy ndi chiyani?

Myomectomy ndi mtundu wa opaleshoni yomwe imagwiritsidwa ntchito kuchotsa uterine fibroids. Dokotala wanu angalimbikitse opaleshoniyi ngati ma fibroids anu akuyambitsa zizindikiro monga:

• kupweteka kwa m'chiuno
• nthawi zolemetsa
• kutuluka magazi mosakhazikika
• kukodza pafupipafupi

Myomectomy itha kuchitidwa imodzi mwanjira zitatu izi:

• Mimba yam'mimba yam'mimba imalola dotolo wanu akuchotseni ma fibroids kudzera podula lotseguka m'mimba mwanu.
• Laparoscopic myomectomy imalola dotolo wanu kuchotsapo ma fibroids anu pamagawo angapo ang'onoang'ono. Izi zitha kuchitika motere. Ndizowononga pang'ono komanso kuchira mwachangu kuposa m'mimba myomectomy.
• Mysterctomy ya Hysteroscopic imafunikira dokotala wanu kuti agwiritse ntchito gawo lapadera kuti achotse ma fibroids kudzera mumaliseche anu ndi khomo lachiberekero.

Kodi phungu wabwino ndi ndani?

Myomectomy ndi njira kwa azimayi omwe ali ndi ma fibroid omwe akufuna kutenga pakati mtsogolo, kapena omwe akufuna kusunga chiberekero chawo pazifukwa zina.

Mosiyana ndi hysterectomy, yomwe imatulutsa chiberekero chanu chonse, myomectomy imachotsa ma fibroids koma imasiya chiberekero m'malo mwake. Izi zimakuthandizani kuti mudzayesere ana mtsogolo.

Mtundu wa myomectomy womwe adokotala amalimbikitsa umadalira kukula ndi malo am'mimba anu:

• Myomectomy yam'mimba ikhoza kukhala yabwino kwa inu ngati muli ndi fibroids yambiri kapena yayikulu kwambiri yomwe ikukula mumakoma anu achiberekero.
• Laparoscopic myomectomy ikhoza kukhala yabwinoko ngati muli ndi zingwe zochepa komanso zochepa.
• Mysterctomy ya Hysteroscopic ikhoza kukhala yabwinoko ngati muli ndi ma fibroids ang'onoang'ono mkati mwa chiberekero chanu.

Kodi mumakonzekera bwanji opaleshoni?

Musanachite opaleshoni, dokotala wanu akhoza kukupatsani mankhwala kuti achepetse kukula kwa ma fibroids anu ndikuwapangitsa kuti azichotsa mosavuta.

Gonadotropin-yotulutsa ma agonists, monga leuprolide (Lupron), ndi mankhwala omwe amalepheretsa kupanga estrogen ndi progesterone. Adzakuikani kusamba kwakanthawi. Mukasiya kumwa mankhwalawa, msambo wanu ubwerera ndipo kutenga pakati kuyenera kutheka.

Mukakumana ndi dokotala kuti mupitilize ndondomekoyi, onetsetsani kuti mukufunsa mafunso aliwonse omwe muli nawo okonzekera komanso zomwe muyenera kuyembekezera pa opaleshoni yanu.

Mungafunike kuyesedwa kuti mutsimikizire kuti muli ndi thanzi lokwanira kuchitidwa opaleshoni. Dokotala wanu adzasankha mayesero omwe mukufunikira kutengera zoopsa zanu. Izi zingaphatikizepo:

• kuyesa magazi
• makina ojambulira
• Kujambula kwa MRI
• m'chiuno ultrasound

Muyenera kusiya kumwa mankhwala musanakwane myomectomy. Uzani dokotala wanu za mankhwala omwe mumamwa, kuphatikizapo mavitamini, zowonjezera, komanso mankhwala owonjezera. Funsani dokotala wanu kuti ndi mankhwala ati omwe mukufuna kuti musiye kumwa mankhwala musanachite opaleshoni yanu komanso kuti mudzakhala kutali bwanji.

Mukasuta, siyani milungu isanu ndi umodzi kapena isanu ndi itatu musanachite opareshoni. Kusuta kumachedwetsa machiritso anu komanso kumawonjezera chiopsezo chanu cha zochitika zamtima mkati mwa opaleshoni yanu. Funsani dokotala wanu kuti akuthandizeni momwe mungasiyire.

Muyenera kusiya kudya ndi kumwa pakati pausiku usiku woti muchitidwe opaleshoni.

Nchiyani chimachitika panthawiyi?

Njirayi idzasiyana kutengera mtundu wa myomectomy womwe muli nawo.

Mimba yam'mimba

Munthawi imeneyi, adzaikidwa pansi pa anesthesia wamba.

Dokotala wanu woyamba amaboola m'mimba mwanu mumchiberekero chanu. Izi zitha kuchitika munjira zingapo:

• Kutambasula kopingasa mainchesi 3 mpaka 4 kutalika, kupitirira fupa lanu la pubic. Kuchepetsa kumeneku kumapangitsa kupweteka pang'ono ndipo kumasiya chilonda chochepa koma sikungakhale kokwanira kuchotsa ma fibroids akuluakulu.
• Kutulutsa kowongoka kuchokera pansi pamimba panu mpaka pamwamba pa fupa lanu la pubic. Mtundu wamtunduwu sugwiritsidwa ntchito masiku ano koma ungagwire bwino ntchito ma fibroids akuluakulu ndikuchepetsa magazi.

Mukangomaliza kumeneku, dokotala wanu akuchotsani ma fibroids anu kukhoma lachiberekero. Kenako amalumikiza zigawo za minofu yanu ya chiberekero.

Amayi ambiri omwe amachita izi amatha masiku atatu kapena atatu ali mchipatala.

Laparoscopic myomectomy

Pamene muli pansi pa anesthesia, dokotala wanu amakupangani zing'onozing'ono zinayi. Zonsezi zidzakhala zazitali ½-inchi m'mimba mwanu. Mimba yanu idzadzazidwa ndi mpweya wa kaboni dayokisaidi kuti athandize dokotalayo kuwona mkati mwa mimba yanu.

Dokotalayo adzaika laparoscope mu chimodzi mwazomwe angachite. Laparoscope ndi chubu chowonda, chowala chokhala ndi kamera kumapeto kwake. Zida zing'onozing'ono zidzaikidwa muzinthu zina.

Ngati opaleshoniyi ikuchitika mwachizolowezi, dokotalayo azitha kuyang'anira zida zanuzo pogwiritsa ntchito mkono wa roboti.

Dokotala wanu amatha kudula ma fibroids anu kuti azichotse. Ngati ndi zazikulu kwambiri, dotolo wanu amatha kusintha m'mimba mwa myomectomy ndikupanga gawo lalikulu m'mimba mwanu.

Pambuyo pake, dokotalayo adzachotsa zidazo, amatulutsa gasi, ndikutseka zomwe mwatsimikiza. Amayi ambiri omwe amachita izi amakhala mchipatala usiku umodzi.

Myomectomy ya Hysteroscopic

Mudzalandira mankhwala oletsa ululu m'deralo kapena mudzayikidwa pansi pa anesthesia munthawi imeneyi.

Dokotalayo amalowetsa malo owonda, owala kudzera mu nyini yanu ndi khomo lachiberekero mchiberekero chanu. Adzaika chakumwa m'mimba mwanu kuti chikule kuti athe kuwona bwino ma fibroids anu.

Dokotala wanu amagwiritsa ntchito waya kuti amete mbali yanu ya fibroid. Kenako, madziwo amatsuka zidutswazo.

Muyenera kupita kunyumba tsiku lomwelo ndi opaleshoni yanu.

Kodi kuchira kuli bwanji?

Mudzakhala ndi ululu pambuyo pa opaleshoni yanu. Dokotala wanu akhoza kukupatsani mankhwala kuti athetse vuto lanu. Muyeneranso kuwona kwa masiku angapo mpaka masabata.

Muyenera kudikirira nthawi yayitali musanabwerere ku zochitika zanu zachilendo zimadalira mtundu wa njira zomwe muli nazo. Opaleshoni yotseguka imakhala ndi nthawi yayitali kwambiri yochira.

Nthawi zobwezeretsera njira iliyonse ndi izi:

• m'mimba myomectomy: milungu inayi mpaka isanu ndi umodzi
• laparoscopic myomectomy: milungu iwiri kapena inayi
• hysteroscopic myomectomy: masiku awiri kapena atatu

Osakweza chilichonse cholemera kapena kuchita masewera olimbitsa thupi mwamphamvu mpaka magulidwe anu atachira. Dokotala wanu adzakudziwitsani nthawi yomwe mungabwerere kuzinthu izi.

Funsani dokotala wanu ngati kuli kotheka kuti mugonane. Muyenera kudikirira mpaka milungu isanu ndi umodzi.

Ngati mukufuna kutenga pakati, funsani dokotala nthawi yomwe mungayambe kuyesa. Mungafunike kudikirira miyezi itatu kapena isanu ndi umodzi kuti chiberekero chanu chizichira bwino kutengera mtundu wanji wa opareshoni yomwe mwakhala nayo.

Ndizothandiza motani?

Amayi ambiri amapeza mpumulo ku zizindikilo monga kupweteka kwa m'chiuno ndi kutuluka magazi msambo atachitidwa opaleshoni. Komabe, ma fibroid amatha kubwerera pambuyo pa myomectomy, makamaka mwa atsikana achichepere.

Kodi zovuta ndi zoopsa zake ndi ziti?

Kuchita opaleshoni iliyonse kumatha kukhala ndi zoopsa, ndipo myomectomy siyosiyana. Zowopsa za njirayi ndizochepa, koma zimatha kuphatikiza:

• matenda
• kutaya magazi kwambiri
• kuwonongeka kwa ziwalo zapafupi
• bowo (perforation) m'mimba mwanu
• minofu yofiira yomwe ingalepheretse chubu lanu kapena kuyambitsa mavuto kubereka
• fibroids zatsopano zomwe zimafuna njira ina yochotsera

Itanani dokotala wanu ngati muli ndi zizindikiro izi mutatha kuchita izi:

• kutaya magazi kwambiri
• malungo
• kupweteka kwambiri
• kuvuta kupuma

Kodi chilondacho chidzakhala chotani?

Ngati muli ndi myomectomy m'mimba, chilonda chanu chimakhala pafupifupi inchi pansi pa mzere wanu wamankhwala, pansi pamunsi pa kabudula wanu wamkati. Chipsera ichi chimazimiririka pakapita nthawi.

Chipsera chanu chimatha kukhala chofewa kapena kumva dzanzi kwa miyezi ingapo, koma izi ziyenera kuchepa pakapita nthawi. Lankhulani ndi dokotala ngati chilonda chanu chikupitirirabe kupweteka, kapena ngati chikuyamba kumveka bwino. Nthawi zina, dokotala wanu amalimbikitsa kuti mutsegule chilondacho kuti chitha kuchira.

Zipsera zochokera ku laparoscopic myomectomy zitha kuwonetsedwa mukamavala bikini yocheperako kapena pamwamba pake. Zilondazi ndizocheperako kuposa zomwe zimachokera m'mimba mwa myomectomy ndipo ziyeneranso kuzimiririka pakapita nthawi.

Zithunzi za zipsera za myomectomy

Kodi myomectomy imakhudza bwanji pakati pa mimba yamtsogolo?

Mpata wanu wokhala ndi pakati umatengera mtundu ndi kuchuluka kwa ma fibroid omwe muli nawo. Amayi omwe achotsedwa ma fibroids opitilira sikisi ndioposa omwe amachotsedwa ma fibroids ochepa.

Chifukwa njirayi imatha kufooketsa chiberekero chanu, pali mwayi woti chiberekero chanu chitha kung'amba pamene mimba yanu ikupita kapena panthawi yopuma. Dokotala wanu angakulimbikitseni kuti mupereke njira yobweretsera kuti muteteze vutoli. Angakulimbikitseni kukonzekera izi posachedwa tsiku lanu lenileni litakwana.

Osiyanitsa anu atha kuchitidwa kudzera patsamba lanu la myomectomy incision. Izi zitha kuchepetsa kuchuluka kwa zipsera zomwe muli nazo.

Zomwe muyenera kuyembekezera

Ngati muli ndi chiberekero cha fibroids chomwe chikuyambitsa zizindikilo, myomectomy itha kugwiritsidwa ntchito kuwachotsa ndikuchepetsa zizindikilo zanu. Mtundu wa njira ya myomectomy yomwe muli nayo imadalira kukula kwa ma fibroids anu komanso komwe amapezeka.

Lankhulani ndi dokotala wanu kuti mudziwe ngati opaleshoniyi ndi yoyenera kwa inu. Onetsetsani kuti mukumvetsetsa zabwino zonse ndi zoopsa zonse musanapange njirayi.

Q & A: Kuopsa kwa kutenga pakati pambuyo pa myomectomy

Funso:

Kodi kutenga mimba pambuyo pa myomectomy kumaonedwa kuti kuli pachiwopsezo chachikulu?

Yankho:

Pali zoopsa kutsatira njirayi, koma amatha kuyisamalira bwino polumikizana ndi dokotala wanu. Muyenera kudziwitsa dokotala wanu ngati mwakhala ndi myomectomy musanakhale ndi pakati. Izi zidzakhala zofunikira poganizira nthawi komanso momwe mungaperekere, zomwe nthawi zambiri zimalimbikitsidwa ngati gawo lakusiyidwa, kuti musabereke chiberekero. Chifukwa chakuti chiberekero chanu chakhala chikugwiridwa ntchito, pali kufooka mu minofu ya chiberekero. Muyenera kudziwitsa adotolo ngati muli ndi zowawa m'mimba kapena magazi mukazi mukakhala ndi pakati, chifukwa ichi chitha kukhala chizindikiro cha kutuluka kwa chiberekero.