Zomwe Muyenera Kuyembekezera kuchokera ku Salpingo-Oophorectomy

Zamkati

• Ndani ayenera kuchita izi?
• Ndikonzekera bwanji?
• Nchiyani chimachitika panthawiyi?
• Tsegulani opaleshoni yam'mimba
• Opaleshoni ya laparoscopic
• Opaleshoni ya Robotic
• Kodi kuchira kuli bwanji?
• Zotsatira zake zoyipa ndi zoopsa zake ndi ziti?
• Chiwonetsero

Chidule

Salpingo-oophorectomy ndi opaleshoni yochotsa thumba losunga mazira ndi mazira.

Kuchotsa chubu chimodzi cha ovary ndi fallopian kumatchedwa unilateral salpingo-oophorectomy. Zonsezi zikachotsedwa, amatchedwa salpingo-oophorectomy wapawiri.

Njirayi imagwiritsidwa ntchito pochiza matenda osiyanasiyana, kuphatikizapo khansa ya m'mimba.

Nthawi zina mazira abwino ndi mazira amachotsedwa kuti ateteze khansa ya m'mimba mwa amayi omwe ali pachiwopsezo chachikulu. Izi zimadziwika ngati kuchepetsa chiwopsezo cha salpingo-oophorectomy.

Kuchita opaleshoniyi kwawonetsedwa kuti ndikothandiza kwambiri pochepetsa chiopsezo cha khansa ya m'mawere ndi yamchiberekero. Phunzirani zambiri pazomwe zimayambitsa komanso zomwe zimaika pachiwopsezo cha khansa yamchiberekero.

Salpingo-oophorectomy sikuphatikizapo kuchotsa chiberekero (hysterectomy). Koma si zachilendo kuti njira zonsezi zichitike nthawi imodzi.

Ndani ayenera kuchita izi?

Mutha kukhala woyenera kutsatira njirayi ngati mukufuna chithandizo cha:

• khansa yamchiberekero
• endometriosis
• zotupa zabwino, zotupa, kapena zotupa
• mazira ovors (kupotoza kwa ovary)
• matenda m'chiuno
• ectopic mimba

Itha kugwiritsidwanso ntchito pochepetsa chiwopsezo cha khansa yamchiberekero ndi m'mawere kwa azimayi omwe ali pachiwopsezo chachikulu, monga omwe amakhala ndi kusintha kwa majini a BRCA. Kuchepetsa chiopsezo cha khansa ya m'mawere ndi yamchiberekero ikhoza kukhala njira yothandiza komanso yotsika mtengo.

Mimba yanu ikachotsedwa, simudzakhala osabereka. Izi ndizofunikira ngati muli ndi premenopausal ndipo mukufuna kukhala ndi mwana.

Ndikonzekera bwanji?

Mimba yonse yamchiberekero ndi mazira zikachotsedwa, simudzakhalanso ndi nthawi kapena kutenga pakati. Chifukwa chake ngati mukufunabe kutenga pakati, kambiranani ndi dokotala zosankha zanu zonse.

Kungakhale kwanzeru kukumana ndi katswiri wa chonde musanakonzekere opaleshoniyo.

Pambuyo pa opaleshoniyi, mutha kufika kumapeto kwathunthu komanso kutayika kwadzidzidzi kwa estrogen kumakhala ndi zovuta zina mthupi. Lankhulani ndi dokotala wanu pazomwe zingachitike chifukwa cha opaleshoniyi komanso njira zokonzekera kusintha komwe mungakumane nako.

Kuchita opaleshoniyi kumatha kuchitidwa pogwiritsa ntchito khungu lalikulu, laparoscope, kapena mkono wa roboti. Funsani dokotala wanu kuti ndi mtundu wanji wabwino kwa inu ndipo chifukwa chiyani.

Chifukwa chakuti thumba lanu losunga mazira limatulutsa ambiri a estrogen ndi progesterone mthupi lanu, funsani za zabwino ndi zoyipa za mankhwala obwezeretsa mahomoni. Uzani dokotala wanu za matenda ena aliwonse ndi mankhwala omwe mumamwa.

Onetsetsani kuti mulumikizane ndi inshuwaransi wanu kuti mudziwe ngati angakwaniritse njirayi. Ofesi ya dokotala wanu iyenera kukuthandizani ndi izi.

Nawa maupangiri ena operekera chithandizo:

• Simungathe kuyendetsa nokha kuchokera kuchipatala, chifukwa chake ikani mzere pasadakhale.
• Konzani thandizo mukatha opaleshoni. Ganizirani za kusamalira ana, kutumizidwa, ndi ntchito zapakhomo.
• Ngati mukugwira ntchito, mudzafunika kukonza nthawi yopuma ndi abwana anu kuti mutha kuchira pochita izi. Mutha kugwiritsa ntchito maubwino akanthawi kochepa, ngati alipo. Lankhulani ndi dipatimenti yanu yantchito kuti mudziwe zamomwe mungasankhe.
• Lembani chikwama chachipatala ndi zotsekera kapena masokosi, mwinjiro, ndi zimbudzi zochepa. Musaiwale kubweretsa zovala zosasunthika zomwe ndizosavuta kuyika paulendo wobwerera.
• Sungani khitchini ndi zofunikira ndikukonzekera chakudya chamasiku ochepa mufiriji.

Dokotala wanu adzakupatsani malangizo a nthawi yosiya kudya ndi kumwa musanachite opaleshoni.

Nchiyani chimachitika panthawiyi?

Salpingo-oophorectomy itha kufikiridwa m'njira zingapo. Opaleshoni nthawi zambiri imatenga pakati pa 1 ndi 4 maola.

Tsegulani opaleshoni yam'mimba

Opaleshoni yachikhalidwe imafunikira ochititsa dzanzi ambiri. Dokotalayo amalowetsa m'mimba mwanu ndikuchotsa thumba losunga mazira ndi mazira. Kenaka chovalacho chimasokedwa, kumata, kapena kumata.

Opaleshoni ya laparoscopic

Njirayi imatha kuchitidwa ndi anesthesia wamba kapena wamba. Laparoscope ndi chubu lokhala ndi kuwala ndi kamera, kotero dotolo wanu amatha kuwona ziwalo zanu zam'mimba osapanga pang'ono.

M'malo mwake, zochepetsedwa zingapo zingapo zimapangidwa kuti zida za dotolozi zitheke m'mazira ndi timachubu ta mazira. Izi zimachotsedwa kudzera pazing'onoting'ono. Pomaliza, zochekedwazo zatsekedwa.

Opaleshoni ya Robotic

Njirayi imachitidwanso kudzera pazing'onozing'ono. Dokotalayo amagwiritsa ntchito mkono wa roboti m'malo mwa laparoscope.

Dzanja lokhala ndi maloboti limakhala ndi kamera. Kusuntha kwabwino kwa mkono wa roboti kumalola dokotalayo kuti apeze ndikuchotsa thumba losunga mazira ndi mazira. Zomwezo zimatsekedwa.

Kodi kuchira kuli bwanji?

Kuchita opaleshoni ya laparoscopic kapena robotic kumatha kuphatikizira kugona mchipatala usiku wonse koma nthawi zina kumachitika mopitilira kuchipatala. Njira yotsegulira m'mimba imatha kutenga masiku angapo kuchipatala.

Pambuyo pa opaleshoni, mutha kukhala ndi mabandeji pazomwe mumachita. Dokotala wanu angakuuzeni nthawi yomwe mungachotsere. Osayika mafuta kapena mafuta pazilonda.

Dokotala wanu angakupatseni maantibayotiki kuti muteteze matenda. Mwinanso mungafunike mankhwala opweteka, makamaka ngati mwachita opaleshoni yotseguka.

Mukangodzuka, mudzalimbikitsidwa kudzuka ndikuyenda. Kuyenda mozungulira pafupipafupi kumathandiza kupewa kuundana kwamagazi. Mudzawalangizanso kupewa kukweza mapaundi ochepa kapena kuchita masewera olimbitsa thupi kwa milungu ingapo.

Mutha kuyembekezera kutuluka kwachinyama pambuyo pa opaleshoni, koma pewani ma tampon ndi douching.

Mutha kupeza zovala zosasunthika bwino panthawi yamachiritso.

Kutengera mtundu wa opaleshoni yanu, dokotala wanu amakupatsani malangizo okhudza kusamba ndi kusamba, komanso nthawi yomwe mungayambirenso kugonana. Dokotala wanu adzakudziwitsani nthawi yoti mudzalandire.

Kumbukirani, aliyense amachira pamlingo wake.

Kawirikawiri, opaleshoni ya laparoscopic ndi robotic imayambitsa kupweteka kochepa pambuyo pa opaleshoni komanso kuchepa pang'ono kusiyana ndi kupweteka m'mimba. Mutha kuyambiranso kuchita zinthu zachilendo mkati mwa milungu iwiri kapena itatu, kutengera milungu isanu ndi umodzi kapena isanu ndi itatu yochitidwa opaleshoni yam'mimba.

Zotsatira zake zoyipa ndi zoopsa zake ndi ziti?

Salpingo-oophorectomy imawerengedwa kuti ndi njira yotetezeka, koma monganso opaleshoni iliyonse, imakhala ndi zoopsa zina. Izi zimaphatikizapo kutaya magazi, matenda, kapena kuyankha koyipa kwa anesthesia.

Zowopsa zina ndi izi:

• kuundana kwamagazi
• kuvulaza kwamitsempha yanu kapena ziwalo zozungulira
• kuwonongeka kwa mitsempha
• chophukacho
• mapangidwe a minofu yofiira
• kulepheretsa matumbo

Uzani dokotala wanu nthawi yomweyo ngati muli:

• kufiira kapena kutupa pamalo obowolera
• malungo
• ngalande kapena kutsegula kwa bala
• kuwonjezera kupweteka m'mimba
• Kutuluka magazi kwambiri kumaliseche
• kutuluka konyansa
• kuvuta kukodza kapena kusuntha matumbo
• nseru kapena kusanza
• kupuma movutikira
• kupweteka pachifuwa
• kukomoka

Ngati simunathe msambo, kuchotsa mazira onse awiri kumatha kuyambitsa zovuta zomwe zimakhudzana ndi kusinthaku. Izi zingaphatikizepo:

• kutentha ndi thukuta usiku
• kuuma kwa nyini
• kuvuta kugona
• nkhawa ndi kukhumudwa

M'kupita kwanthawi, kusamba kwa thupi kumawonjezera chiopsezo cha matenda amtima ndi kufooka kwa mafupa. Phunzirani zambiri za zomwe muyenera kuyembekezera mukamasamba.

Chiwonetsero

Salpingo-oophorectomy yawonetsedwa kuti ikuwonjezera kupulumuka kwa azimayi omwe amakhala ndi masinthidwe amtundu wa BRCA.

Mutha kubwereranso kuzinthu zanu zachilendo mkati mwa milungu iwiri kapena isanu ndi umodzi.