Laparoscopy for pregnancy: iimpawu ukusebenza, imiphumela

Kweli nqaku, senza sinikele ukuba uqhelane nokukhulelwa laparoscopy ethunjini, nto leyo eyenzeka ngokufuthi, malunga-5%. Ngelishwa, ukuhlangulwa yomntwana zange baphumelele, ukupheliswa ngaphambili kwamanyathelo ezithathwe, amathuba angaphezulu ukusindisa waso okanye ubomi nkqu bhinqa. Ukuba ngaba wehlelwa imiqondiso zokukhulelwa, kufuneka ngoko nangoko uye ugqirha. I-ultrasound msinyane wayenza, ngokukhawuleza kwaye kube lula ungafumana ukususa imiphumo ebuhlungu. Ukongeza, ultrasound kunceda ubone indawo umzila we iqanda. Ukuba ultrasound lwabonisa ukuba pregnancy, kuyimfuneko ukuba enze ngoko nangoko (angaluphazamisa) na. Yiyiphi indlela enokwenziwa? Yintoni laparoscopy tube ne pregnancy? Zonke ezi mibuzo ziya kufumana impendulo kweli nqaku.

pregnancy

Kuba isiqalo sijonga ekukhulelweni uthatha ngayo ndawo. Le ngxubevange gametes amabini (isidoda kanye ova) kwi ityhubhu Imibhobho. Emva kwale nkqubo sele aqhamileyo iqanda uthuthela wesibeleko, kwaye iqhotyoshelwe eludongeni. Lo ngumzekelo ukukhulelwa oqhelekileyo, nto leyo eyenzeka kwi alithoba anesihlanu amaxesha ngaphandle kwekhulu. Kwezinye iimeko, iqanda lugciniwe kwi ityhubhu Imibhobho, babethelelwe naphi na ngaphandle lweHo- zesibeleko. Apho umbungu ingalungiswa:

• tube Imibhobho;
• kwi esiswini;
• kule yamaqanda.

Le iqanda endaweni aqhamileyo kuthiwa ukhulela ethunjini. Gcina umntwana kule meko ayikasebenzi, ugqirha kufuneka amisele inkqubo uphelele. Laparoscopy for pregnancy - yeyona ndlela ithandwa kakhulu nonobubele zonyango. Ukuba ixesha lokuthatha amanyathelo, ngoko emva kotyando emva ngexesha ziqalise ukwenza izicwangciso ukuzalwa komntwana.

Ethunjini okanye noTubhali ukukhulelwa - yinto ngezifo, apho iqanda ingenisa ngaphandle isibeleko. Kubalulekile ukuphawula ukuba kutshanje inani lamatyala uyakhula.

Zintoni izinto ezibangela ukuba kuxhokonxa olu zokugula? Ezi ziquka oku kulandelayo:

• Izifo ezosulelayo le esizalweni;
• iziguli waso;
• ukuphazamiseka okanye iinkqubo ukudumba ibakho lwesinye womchamo;
• Isakhiwo azalwa okuthile imibhobho;
• ukusebenza, kudluliselwa tubes;
• ukusilela hormone;
• izisu rhoqo;
• phambi kweleli (indlela yokucwangcisa);
• indlela ende unyango kunye namalungiselelo hormone;
• endometriosis zangasese;
• thumba tubes njalo njalo.

tube Laparoscopy nge pregnancy ukuvela kwi tubes, kukho unxibelelwano. I ngaphambili lokufunyaniswa le ngezifo kwaye enze loo msebenzi, kokukhona amathuba okuba kusinda ezihlobene. Ukongeza, kufuneka ufumanise unobangela kwaye uthathe amayeza ukuze ukuphinda.

Types of pregnancy

Umfundi omnye zinikeze uhlobo zilandelayo pregnancy (kwindawo ukulungisa iqanda)

• pipe;
• ovarian;
• esiswini;
• wesibeleko.

Uhlobo lokuqala yeyona ixhaphakileyo (98% yazo zonke iimeko). Xa kwenzeka umbhobho ngesibopheleli pregnancy kwenye isifo le tubes. Ngoko ke kunokwenzeka ukuba zahlule ifomu tubular omnye zenyathi ezininzi (ngenxa indawo kwi ityhubhu Imibhobho):

• ampullar;
• isthmic;
• Embi;
• fimbrial.

Ezinye iintlobo ezintathu ezi kakhulu inqabile. Xa kusenzeka ukukhulelwa ovarian ethunjini liluhlanganise em- le follicle, ngelixa esiswini - em- esiswini, wesibeleko - kule wesibeleko.

ayini

ixesha kubaluleke kakhulu ukubona ubukho ukhulela ethunjini. Oku kuya kunceda iimpawu zakhe. Okokuqala, umfazi unokuziva ayeqaqanjelwa, mhlawumbi uya kuyinikela esinqeni. Ukuba kwesi sigaba akafane abone ugqirha, iintlungu kungekudala uza kuba bukhali. Akukho mfuneko yokuba athathe amayeza eentlungu, njengoko oku ukuphazamisa lokufunyaniswa pregnancy. Kanye njengokuba umfazi uve ubuthathaka nkqi, isiyezi kunye isicaphucaphu.

Nikelani ingqalelo ulwabiwo, ukuze babe umbala wamagazi, oku kubonisa ukopha ngaphakathi ngenxa yomonakalo ezihlobene. Ukuba uvavanyo lokukhulelwa yi HIV kwaye uqaphele ezi mpawu, qiniseka ukuya ugqirha. Nceda uqaphele ukuba ilahleko osezingqondweni - kukwayinto entle iliphawu kwesi sifo.

Ugqirha kufuneka athumele ukuba ibe iimviwo ultrasound, iziphumo zalo ziya kufumaneka kwisiza umzila we iqanda. Emva kokufumana iziphumo ugqirha imisela unyango. Iindlela ukuba balahle pregnancy:

• laparotomy (yokungenelela lwentsebenziswano, nto leyo ibandakanya uvula udonga esiswini, ukususwa umbungu umbhobho okanye nomselu);
• laparoscopy (pregnancy yeyona ndlela ibhetele akanangozi, ngexesha lokusebenza kwenza kuphela okuhlatywa elincinane);
• amayeza.

Ngoku makhe sithethe okungakumbi indlela nganye.

Laparotomy - ukususwa iqanda, nto leyo enokukhokelela ityhubhu ukususwa okanye maqanda. Le ndlela yasetyenziswa ngaphambili, ngaphambi kokufika laparoscopy. Noko ke, kwezinye iikliniki kokuba kwenziwa unanamhla. Lo isenokuba meko zilandelayo:

• Ayifumaneki izixhobo eziyimfuneko mihla;
• Akukho specialist ongenza i laparoscopy utyando;
• imeko emandundu mfazi, ezisongela ubomi bakhe.

Laparotomy lwenziwa ngeendlela ezininzi:

• ukusenga;
• tubotomiya;
• tubektomiya.

Indlela yokuqala ivumela ukulondoloza nokukhusela ityhubhu cut Imibhobho. Iqanda ke extruded, kunokwenzeka, ukuba ibekwe kufuphi uphume ityhubhu. Emva kokuba aqalise obhinqileyo unakho ukufumana ukukhulelwa.

Tubotomiya ibandakanya liqatywe okanye ukususwa ityhubhu kunye iqanda Palsy. Asebenzisa le ndlela, ukuba ususe le iqanda akakwazi yi extrusion. Kwenzeke phinda ukukhulelwa kwabasetyhini emva kotyando kuhlala, kodwa yehla kakhulu.

Tubektomiya - ukususwa ityhubhu Imibhobho, kunye maqanda xa kuyimfuneko. Kakade ke, abasetyhini abakhulelweyo kusenokwenzeka ukuba akukho nyanzelekile ukuba ukusindisa ubomi bakhe she. Ngokuqhelekileyo, le ndlela babhenela kuphela kwiimeko kakhulu xa imizuzwana ukubala.

Ngoku nisinga indlela okwangoku ngakumbi ethandwayo, le utyando - laparoscopy kunye nokukhulelwa ethunjini. Kucingwa yingozi yaye nesisa. Le ndlela ngezantsi siza kuhlawula ixesha okuninzi.

Le ndlela yokugqibela - olu nyango. Kubalulekile ukuphawula ukuba oogqirha musa ukuthembela nto, wakhetha uqhaqho. Le ndlela iyasetyenziswa kunqabile kakhulu kwaye ixesha elincinane kakhulu. kubume bayo siyifumana kwintshayelelo "Methotrexate" ichiza ubabulalayo nobanda mbungu. Kusenokwenzeka ukuba ukukhulelwa emva unyango ngamachiza ngempumelelo Oku hayi yaguquka kuthelekiswa ukuba yintoni ngaphambili.

laparoscopy

Njengoko kuchaziwe ngaphambili, laparoscopy kunye pregnancy - kuba yeyona ndlela ilungileyo unyango. Ngoko nangoko kufanele kuqatshelwe ukuba ngaphantsi esibuhlungu. Laparoscopy kunceda kakhulu ebelapha balahle pregnancy, oko lowo ukuvela ngaphandle isibeleko. Woman ngexesha utyando angeke awubone intlungu okanye ukungakhululeki, njengoko kusenziwa phantsi Ukubulawa jikelele.

Ugqirha kufuneka enze liqatywe encinane kwisisu nokuba sikuhambise nkusungula isixhobo esisodwa apho uyakwazi ukususa i umbungu ukusuka tube Imibhobho. Ukusebenza yonke ilawulwa yi koomatshini ultrasound.

Njengokuba sele kucaca, lo laparoscopy umntwana pregnancy ngeke asinde. Kodwa ekuhambeni kwexesha ukwenza utyando inceda ukusindisa ubomi kunye nempilo yomfazi. Xa ukusola yokuqala pregnancy uye kwagqirha. Le unyango ngokukhawuleza iya kuthatyathwa ukukhulelwa ethunjini, kokukhona ekusenokwenzeka ukuba ibhinqa elizayo ukuba babe nabantwana.

Kakade ngexesha lokusebenza, ugqirha ugqiba ukuba awuthintele ityhubhu okanye hayi. Konke oku kuxhomekeke kwizinto ezininzi. tube tubes igcinwe ukuba:

• ukukhulelwa zexesha elifutshane;
• salpinx aziphazamiseki kakhulu.

Ukuba ngaba ezi zinto zimbini zibalulekileyo ithotyelwe, ugqirha yenza liqatywe encinane ukususa i sac sokukhulelwa. Emva kokuba nokusebenza umfazi onjalo iba ngcono kwaye igcina impilo zakho zokuzala. Kungenjalo (ukuba iqanda enkulu kangangoko nengenzulu traumatised ngamandla Imibhobho ityhubhu) ugqirha ugqiba ukususa inxalenye okanye yonke umbhobho.

Kwakhona nditsala ingqalelo yakho yokuba i ngaphambili kufuna uncedo ugqirha, amathuba angaphezulu ukulondoloza impilo yabo nenzala. Yiba ingqalelo uze umamele iziganeko emzimbeni wakho. Ukushwankathela eli candelo, ndifuna ukuqaqambisa iingenelo zotyando maxesha ebizwa laparoscopy:

• yokopha Small;
• ibuyambo ekhawulezileyo emva ukusebenza;
• iingxaki postoperative ezinqabileyo;
• akukho umonakalo.

Kulo msebenzi, kusekho ezinye eziluncedo:

• Oku kwenzeka ngexesha okuxhaphaza laparoscopy kwisisu egazini (blood unobangela ukuyilwa azikhuli, yokugqibela, ke, kungakhokelela ekubeni uphindaphindo pregnancy);
• Emva kotyando, ugqirha nga ukuhlola imeko Umbhobho yesibini kunye waso;
• angenelele kunokwenzeka Nokulungiswa (colliotomy, abuyisele imibhobho patency).

Kamsinya uya kunikwa laparoscopy, ithuba ngakumbi lokukhulelwa umntwana onempilo kwixesha elizayo.

umbhobho Igcina

Laparoscopy for pregnancy kunye nokulondolozwa umbhobho lwenziwa phantsi imithetho ethile: ityhubhu ezincinane sokukhulelwa akukho yonakele. Kwezinye iimeko, ugqirha akayi kuba nako ukuphuma umbhobho, kuba oko kungabangela ukwenzeka izifo, njengoko iya kuphinda kuwenza umsebenzi wayo ngqo.

Laparoscopy ne pregnancy kunye nokulondolozwa umbhobho kunokwenzeka kuphela unyango ngexesha esibhedlele. Mamela imiqondiso umzimba wakho. Uphuhliso pregnancy kuyingozi kuba eludongeni Imibhobho tube isithabazi ngokwandayo iqanda. Ngenxa yoko, musa ukuma up uqhume. Kweli nqanaba kubalulekile ukuba igcinwe kumbhobho, nobomi lomfazi.

Ukuba uziva iimpawu zokuqala pregnancy, qhagamshelana ngumbelekisi. Uxilongo ngayo kuyehla amanqaku ezininzi:

• ukuqokelela kulingwa igazi hCG;
• ultrasound.

Ukuba uvavanyo lokukhulelwa ethunjini, nokuba kubanjwa amakhaya abo, baya kubonisa iziphumo ezidibanisayo. Nangona kunjalo, i-ultrasound eshiyekileyo ifunyanwa iqanda em- zesibeleko. Kulo mzekelo, kukho imfuno engxamisekileyo ukuya uxilongo laparoscopy. Ukuba ukulibala ukwenza oku, amathuba okuphila umbhobho kunye nokulondolozwa impilo sokuzala inkulu kakhulu.

ukususwa ithumbu

Operation laparoscopy pregnancy kunye nokususwa ityhubhu nakanjani kuyimfuneko kwezinye iimeko. On kubo uya kufunda kweli candelo nqaku.

Lo msebenzi ngokwawo kukhuselekile ngokupheleleyo kunye nexesha ibuyambo ekhawulezileyo kwahlukile abafazi emva kwayo. Kuyinto phantsi Ukubulawa jikelele. Kuba ukuphunyezwa kwayo kufuneka enze okuhlatywa ezintathu (ubukhulu hayi sentimitha ngaphezu kwesinye) ukwenzela laparoscope kunye neetyhubhu laparoscopy. Le yesibini efunekayo ukuze ukubonisa umfanekiso, apho kuyimfuneko ukuhlola amagunya karhulumente.

Laparoscopy uneendidi ezimbini:

• tubotomiya (of esiye ndithethile ngasentla, ugqirha ayigqobhoze ityhubhu Imibhobho uze ususe iqanda, ukugcina umsebenzi kumbhobho);
• tubektomiya (ukususwa ityhubhu Imibhobho).

ngemibhobho Laparoscopy tubes ngexesha pregnancy kunye nokususwa ityhubhu efunekayo ngexesha likaxakeka, inzima kakhulu (ukuba kugcinwe ityhubhu Imibhobho uthwala umngcipheko ngaphezu isuswe). Gcina oko kunokwenzeka xa kunokwenzeka ukuba akukho utshintsho kwisakhiwo, kungenjalo akukho ngqiqweni kwaye iyingozi.

Ngoko tubektomiya ukwenza ukuba:

• ukuba utshintsho ayibuyiseki umva kwi tube Imibhobho;
• pregnancy ne umzila iyaphindwa kumbhobho efanayo ngaphambili emva tubotomii;
• azikhuli kwi isinqe.

Xa inyathelo mezosalpinks excised kwaye isthmic ehlukanisiwe. Salpinx isuswe kunye iqanda Palsy. Hlola ubume lokuhlola Umbhobho "zithwele" kunceda enye. Emva kokuba uphando gqirha yenza isigqibo: ungenza ushiye ityhubhu kumguli okanye kungcono ukususa.

Ukugcina impilo ephathelele ekuzaleni kunye amathuba ukukhulelwa nokuba umntwana onempilo kufuneka ungalibali utyelelo ugqirha. unyango ngexesha unyango - ngundoqo ikusasa lakho.

ukululama

Ngoko laparoscopy - ke ukususwa pregnancy, leyo, ukuba unyango ngexesha elithethe ngakumbi. Sele kwaqaqambisa inzuzo yalo msebenzi. One of them - recovery ekhawulezayo abafazi emva laparoscopy. Ukususwa pregnancy ngoncedo yale ndlela kuxhomekeke emingxunyeni lihlaba encinane ukuba kuqaliswe izixhobo ezikhethekileyo. Kulo mba, i sutures zisuswe ngomhla wesihlanu okanye lwesixhenxe emva kotyando xa engekho komtshiso oko.

Iingcebiso oogqirha kwixesha postoperative:

• nonyango manxeba ayodini kwiiveki ezimbini;
• ezimbini kuphela iiveki ukuba isiphango;
• ungadli ezinamafutha kunye nezinongo;
• sex kunokwenzeka kuphela emva kokubuyiselwa ukuba sexesheni;
• ukukhulelwa Ukucwangcisa kuxoxwa nge nogqirha (exabisa kwinyanga ukulinda 1 ukuya ku-4).

ukopha

Kweli candelo, siza kuxubusha ukopha emva lokukhulelwa laparoscopy ethunjini. abafazi abaninzi abaye baba lo msebenzi, waphawula ukuba emveni kweentsuku 20-30 ukopha evulekileyo. Babeka phezu isiphumo icala unyango emiselweyo. Ezantsi apha kukho uluhlu isampulu iziyobisi yesiqhelo:

• calcium chloride;
• "Metrogil";
• "Aktovegin";
• "TSikloferon";
• "AGT";
• "Diclofenac";
• "CA Gluconate";
• "Voebenzim";
• "Rotramitsin";
• "Viferon".

Ikhosi ye unyango kufuneka kuqale ngokukhawuleza emva kotyando, sebenzisa ezo iziyobisi, ngubani omisa ugqirha khona. Phambi lokuvula ukopha unakho ashiye egazi igazi, oku ke kuqhelekile kakhulu emva laparoscopy. Vula ukopha - akunto oko kufana ngenyanga.

Ukukhetha

Zokubona emva laparoscopy ethunjini intetho lokukhulelwa malunga kwinyanga ezayo. Ngokukhawuleza emva kotyando, musani kuba navuso ukuba kukhethwe iya kuba 'yokuthambisa' umlinganiswa. Ukuba amabala uvele ekuqaleni ngaphezu kweentsuku 25-30 emva kotyando, ibonisa zesibeleko ukopha. Qiniseka ukuba udibane nogqirha.

Kwakhona, musa bazihlube utyelelo kwi ugqirha ukuba akukho kukhululeka ngaphezu kwenyanga emva kotyando. Oku kubonisa ukuba imali eseleyo kakuhle hormone kufuneka bapase ikhondo ekhethekileyo unyango.

Ukuba kukho usulelo emzimbeni, ukukhululwa kuya kuba ivumba elibi. Ziyafana ukuyondelelana kwendlela isidudu. Qiniseka ukuba iphumele uviwo kunye nonyango.

Inyanga emva kotyando

Inyanga emva ukukhulelwa laparoscopy ethunjini bafika zingadlulanga iintsuku ezingamashumi amathathu emva kokuba usebenzo. Musa ukuxhala ukuba ubona egazi.

Amenorrhea lubonisa ukungaphumeleli kwamadlala emva kotyando. Thetha nogqirha wakho. Ubophelelekile ukuba akuthumele ukuba iimvavanyo ukuqinisekisa okanye ukuyinyelisa le ngcamango. Ukuba naluphi na utyeshelo ukusuka norm wathumela ngoko nangoko ukuba thethwano ukuya ugqirha.

Ukukhulelwa emva laparoscopy

Ukukhulelwa emva ukukhulelwa laparoscopy ethunjini kunokwenzeka. Nceda qaphela ukuba kuyimfuneko ukuba libonisane ngalo mba kunye ugqirha. Ukuba akukho Izimo, ungaqalisa izicwangciso ukuba ukhulelwe kwinyanga ezayo.

Kubalulekile ukuqwalasela into yokuba ukuze ukuthintela ukwenzeka pregnancy kufuneka bangenele uviwo olupheleleyo kwaye kubonakale imbangela ukwenzeka kwayo. Emva nokuchonga ukulungisa naziphi na iingxaki, ungenza ngokukhuselekileyo ukwenza enye try baby ukukhulelwa.

Ukukhulelwa elide-ilindelwe emva laparoscopy, pregnancy akakwazi kuhamba ixesha elide. Kulo mzekelo, abasetyhini kufuneka inkxaso inkqubo IVF. Kubalulekile ukukhankanya ukuba le ndlela yokuthintela ukukhulelwa nabo amantombazana kunye namabhinqa babe ityhubhu zesibeleko lususiwe ngexesha lokusebenza.

reviews

ukukhulelwa Laparoscopy ethunjini yi ncomo kakhulu positive. Ngapha koko, le ndlela luphawulwa kwimeko yesiqhelo ngokukhawuleza kwaye ukukwazi ukugcina impilo ephathelele ekuzaleni. Ukongeza, ugqirha ngexesha utyando ungakutshabalalisa kusekho iingxaki nqanda umfazi okhulelweyo. Ezi ziquka asike of azikhuli okanye noTubhali patency nokubuyiselwa.