Laparoscopy ne amaqanda polycystic: ukulungiswa, ukuphunyezwa nasemva utyando

izifo yamanina afumaneka phantse kuzo zonke umfazi wesibini. Phakathi kwazo amaqanda kakhulu ixhaphake polycystic. Le ngezifo ayilo sisifo esosulelayo. Ngoko ke, akunakwenzeka ukuba ukubamba kubo. Ukongeza, isifo efanayo kwenzeka kuphela phakathi kwabafazi. Kwezinye iimeko, le ngezifo kwenziwa kwangethuba kangangoko elivisayo. Maxa wambi isifo naso. Enye unyango ingqalelo laparoscopy kunye zamaqanda polycystic. Reviews kule nkqubo, kukho izinto ezahlukeneyo. Ngapha koko, libhekisela kolunye uhlobo lotyando. Ngoko ke, abanye abafazi bakhetha ukusebenzisa ezinye iindlela zonyango. Noko ke, ngokutsho oogqirha, umsebenzi ngamanye amaxesha kufuneka.

Yintoni polycystic isizalo syndrome?

amaqanda polycystic ezinxulumene ukungaqheleki hormone. Isifo ingaba naso kwaye ezifunyenwe ubomi (ngokuqhelekileyo nasebudaleni). Kwimeko yokuqala oko kubangelwa yemfuza, ezikhandelwa kweli xesha osandul. Kunjalo nokuxilonga polycystic naso kuphela elivisayo. De kube lelo xesha, lo ngezifo akuthethi ukuzibonakalisa. Ezifuniweyo polycystic yamaqanda syndrome rhoqo ukuvela imvelaphi ukuphazamiseka yonyango. Ezi ziquka isifo seswekile, ukutyeba, izifo adrenal okanye ingaba lengqula. Maxa wambi polycystic kwakhiwa emva ukusetyenziswa umonzakalo ebuchotsheni, ixesha elide amachiza hormone. Indlela yophuhliso yale ngezifo na utshintsho zilandelayo:

1. Nciphisa kwi estrogen kunye yiprogesterone. Ukwandisa izinga ka emzimbeni sex eyindoda - androgens.
2. Ukudumba tunica albuginea maqanda. Ngenxa yoko, i zoboya nje kutshatyalaliswa, kwaye kwamaqanda akaveli. Ngenxa ephula ekuphuhliseni ukungachumi ovulation.
3. Ukuzalisa follicular ukubunjwa fluid kunye cyst.

Olunjalo utshintsho kwenzeka xa sifo ezifunyenwe. Kulo mzekelo, esi sifo kuthiwa syndrome polycystic ovarian (PCOS). iimpawu zayo ziquka: ukutyeba, hypertrichosis, ukungachumi. Iimpawu ezingaqhelekanga iziphene ingqalelo umba wokungaphuhliswa "umfanekiso nenkazana" (isinqe emxinwa, amabele yemfuza), amaqhakuva, oligomenorrhea.

Laparoscopy ne polycystic

Laparoscopy ne polycystic ovarian inxulumene zonyango yotyando. Lusetyenziswa kwiimeko apho kunyango lwezempilo lutshitshe. Le ndlela zokususwa cysts ovarian kuthathwa ukuba ngempumelelo kakhulu. Ukongeza, xa kuthelekiswa ukuvula utyando laparoscopy ingaphantsi esibuhlungu. Kuba nezinye izibonelelo ziquka:

1. Ukunciphisa ubungozi iingxaki.
2. Kokunciphisa kwexesha postoperative.
3. ibuyambo ekhawulezileyo.
4. Ubuncinane iziphene zobugcisa (uthelekisa ne utyando evulekileyo kwisisu).

Nakuba kwakukho iingenelo ezicacileyo le ndlela, ukuba kusekho ingxoxo-mpikiswano: nokuba ukwenza laparoscopy kunye zamaqanda polycystic? Ngapha koko, abanye oogqirha ukucebisa abasetyhini ukuba baqalise ukuzama amayeza. Eneneni, kwezinye iimeko, unyango elondoloza kuyisombulula loongxaki polycystic. Ukuze ukubuyisela umsebenzi ovarian kusetyenziswa unyango iihomoni ababhinqileyo. Kwakhona emiselweyo amayeza ukuba asithe Yindibanisela androgens. Noko ke, iziyobisi ayisoloko olusebenzayo. Ingakumbi xa sifo ezifunyenwe. Ngoko ke, ukuba emva kwikhondo isiphumo unyango akukho waphawula, kucetyiswa laparoscopy kunye zamaqanda polycystic. Phantsi kwale ndlela kuthetha ukususwa ulwelo evela iimanyano umzimba uvuleke usebenzisa izixhobo ezikhethekileyo yotyando. Ukusikwa laparoscopy ncinane, ngoko ke musa ukundishiya iziphene izithambiso emva impiliso. Kwiimeko ezininzi, le ndlela kunceda ukuphelisa iimpawu ezinkulu ezifana ukungachumi ababhinqileyo.

Iintlobo laparoscopy kunye zamaqanda polycystic

Laparoscopy for amaqanda polycystic inokuba kwenziwa ngeendlela ezininzi. Oku luxhomekeke kwinjongo lukho ugqirha, kwakunye izakhono zobugcisa kwiziko lonyango. Njengabo bonke utyando ezinjalo, amaqanda laparoscopy kunokuba diagnostic nezinyangayo. Okokuqala lwenziwa polycystic okusolwayo xa ukungaqheleki akukho kubonakele ngokuchanileyo. Amaxesha amaninzi, laparoscopy diagnostic uba izakhi ngamayeza nokunyanga. Okwesibini, nayo, yahlulelwe kwii iinketho eziliqela. Phakathi kwabo:

1. Dekortizatsiya zamaqanda. Olu hlobo lonyango kukususa laparoscopy eliphezulu iqokobhe umzimba. Ngenxa dekortizatsii umgangatho umaleko iba ukubhitya, eyenza kube lula ukwahlula kunye ekukhuleni zoboya.
2. cysts Cautery. Loo unyango olwenziwa ngokusebenzisa izixhobo laser. Umsebenzi sikuko ekwenzeni ukusikwa eziliqela phezu isizalo. Isiphumo yi Ukususwa kuvulwa cysts neSebe imixholo yazo. Emva kwexesha elithile, kukho ukubuyiselwa umcu womzimba obuqhelekileyo.
3. Resection ye isizalo. Lubonakala ngokususa inxalenye yomzimba iqulathe cysts. Lendlela ingasetyenziswa xa ukuyilwa fluid ibekwe kuzo kumphezulu isizalo.
4. Elektrotermokoagulyatsiya. Le ngobuwena i laparoscopy enyangayo enze umzimba okuhlatywa entsimini kwingxelo esinganyangekiyo. Kwangaxeshanye, wazithwala ngaphandle coagulation lwe isizalo, ukunqanda ukopha.
5. Elektrodrilling. Ngaba impembelelo cysts kummandla yangoku. Iziseko Content ndlela isusiwe.

Zonke ezi ndlela zithathwa laparoscopy olusebenzayo. Umahluko phakathi kwabo kukuba akukho yonke inqubo yenziwa ekliniki ethile. Ezinye unyango zithathwa ukuba imali eninzi kwaye kwenzeka kuphela kumaziko zonyango ezikhethekileyo.

Ukulungiselela utyando

Laparoscopy ayifuni ukulungiselela ezintsonkothileyo. Noko ke, ukuthobela imithetho ethile phambi kokuba uqhaqho kuyimfuneko. Kwindawo yokuqala kwiintsuku ezimbalwa phambi kokuba laparoscopy wenza uthotho lweemvavanyo diagnostic. Ezi ziquka: i pat, uvavanyo igazi-HIV, ngegcushuwa kunye hepatitis. Kwakhona wayisa umchamo ukunqanda izifo sezintso. Ukongeza, ilebhu ebalulekileyo iinkqubo zokuxilonga zezi: Uhlalutyo kwemichiza igazi coagulation. Ngenye imini phambi kokwenza izifundo ECG.

Ukongeza iinkqubo zokuxilonga, kufuneka acoce amathumbu eve zamaqanda laparoscopy. Ukulungiselela le njongo, sebenzisa laxatives okanye amayeza enema. Xa sicinga ukuba umsebenzi lwenziwa phantsi zomzimba jikelele, kuba iiyure eziliqela ngaphambi kokuba asikwazi ukuthatha ukutya kunye namanzi. Kufuneka kukhunjulwe ukuba le nkqubo akwenziwa ngexesha sexesheni ngenxa umngcipheko ophezulu ukopha.

Amanqanaba laparoscopy nge nomselu polycystic

Njengayo nayiphi utyando, laparoscopy kunye ovarian polycystic eyenziwa stepwise. Kuqala kwinto zonke, kuba bayazi ukuba lo nkqubo ikhutshwa phandle usebenzisa isixhobo enombala, ikhamera yevidiyo kunye nezixhobo ezizodwa. Zonke ezi zinto zibe ubungakanani elincinane kakhulu. Umsebenzi ubandakanya le manyathelo alandelayo:

1. zomzimba Jikelele (zomzimba emthanjeni).
2. A ukusikwa 3 okanye 4 phezu eludongeni sobuKristu esiswini. Ubukhulu bepali nganye kuzo ayidluli 1 cm 2 ukuvelisa liqatywe esezantsi esisu ukuba ukuqaliswa izixhobo zoqhaqho kwi umbilicus -. Ifowuni enombala kunye ikhamera.
3. Inaliti waya kwisisu icarbon dioxide ukuphucula nokuthelekelela amalungu.
4. Ukuqhela zamaqanda.
5. Ukususwa cysts. Eli nyathelo enokwenziwa ngeendlela ezahlukeneyo.
6. Coagulation imikhumbi ezonakeleyo. Ngaphambi kokuba lo kwisisu peritoneal, ugqirha kufuneka aqinisekise ukuba akukho ukopha.
7. Ukususa izixhobo emzimbeni yesigulane.
8. Suturing ukusikwa.

ukususwa Cyst ndlela kuxhomekeke ukuba loluphi uguqulelo lwe laparoscopy wahlelwa. Olu tyando ithatha umlinganiselo imizuzu engama-30 ukuya kuma-60.

Angalulama polycystic laparoscopy ovarian xa

Njengoko laparoscopy libhekisela nkqubo kancinane yeli lizwe, iingxaki emva kotyando zinqabile. Nangona kunjalo, kufuneka unike umzimba wakho umfazi lulama. Ukuze wenze oku, ukuhlala yomguli esibhedlele iintsuku 7-10 emva kotyando. ebekwe ubuhlungu (ukuba kwenzeka), zilungiswe umsebenzi amathumbu oyithengileyo yothuba elithile sexesha. Ngosuku lokuqala isigulane Kucetyiswa ukuba ngeenyawo zenu, ukuba kunokwenzeka - ukuhamba ewadini. Oku kuyimfuneko ukuze uphuhliso azikhuli kwi isinqe. Emva kweeyure ezi-6 emva kokuba umfazi laparoscopy ukuba usele (amanzi, umhluzi). Ukutya kunokuba ngosuku olulandelayo. umsebenzi Physical kunye nobuhlobo ngesondo kufuneka luhlehliswe kwinyanga 1. Le sutures zisuswa emva kweentsuku ezili-10 emva kotyando.

Laparoscopy nokukhulelwa ovarian

abafazi abaninzi banomdla lo mbuzo: ingaba laparoscopy iyahambelana PCOS nokukhulelwa? Kakade ke, ewe. Eneneni, kwiimeko ezininzi kulo msebenzi yenziwa ukunyanga ubudlolo. Ngoko ke, ukuba kukho polycystic kunye nocwangciso lokukhulelwa laparoscopy. Noko ke, emva kokuba usebenzo akanakuba nangoko ukulungele ukukhawula.

Iimpawu laparoscopy xa abasetyhini abakhulelweyo kunye zamaqanda polycystic

Kwezinye iimeko, abafazi ukukhawula umntwana, nangona zamaqanda polycystic. Oku kwenzeka xa sifo kuphuhliswa kutsha okanye zolwakhiwo ulwelo ziziinkalo ezincinane. Kwiimeko apho ngezifo eshiyekileyo ifunyanwa ngexesha lokukhulelwa, ahlinzwe contraindicated. Ngokusondele kufuneka esweni ngumbelekisi.

Uceba ukukhulelwa emva laparoscopy

Indlela ukucwangcisa i ukukhulelwa emva laparoscopy polycystic ovarian nini? Ukuba unobangela ukungachumi nje isifo ukukhulelwa kunokwenzeka ngenxa nokusebenza. Noko ke, iinyanga ezi-3 emva kokuba laparoscopy umfazi kufuneka athathe amalungiselelo hormone. Emva kweli xesha, ukuba wayeqhuba inani lezifundo. Ngoko ke kusenokwenzeka ukuba uqhubeke ukukhawula umntwana.

Laparoscopy kunye amaqanda polycystic kunye nokukhulelwa: nokubuyekezwa oogqirha

Kwiimeko ezininzi, oogqirha bacebisa usebenzela kancinane yeli lizwe, njengoko ukunciphisa ingozi yokuba iingxaki kwaye zithathwa ngaphantsi esibuhlungu. Amaxesha amaninzi iza ukukhulelwa efunekayo emva laparoscopy ngelixa polycystic ovarian. Ukuphonononga gynecologists ziqinisekisa ukuba iinkcukacha. Noko ke, oogqirha bathi kwinqanaba lokuqala unyango kufuneka unyango zonyango. Surgery kuyacetyiswa emva ukusilela iindlela angqingqwa.

Laparoscopy ne amaqanda polycystic: Ukubuyekezwa ezigulane

Abafazi abaye unenzondelelo utyando, ananeliseki isiphumo. Bathi nongenelelo ezithile ukuhlangabezana nengxaki ezifana zamaqanda polycystic. Emva izigulane laparoscopy ncomo abaninzi mihle. Abanye abafazi bayakwazi ukuba abantwana ngenxa nokusebenza. Nomonde Kwakhona wathi ngenyanga emva laparoscopy ovarian abe rhoqo. Ukongeza kuqheleke komjikelo, abafazi abonisa utshintsho kubunjani yencindi, ukuncitshiswa intlungu phambi kokuba sexesheni.