Ukwabiwa emva kokuba ukususwa isibeleko: unyango. Ukususwa isibeleko emva kweminyaka 50: iziphumo

Osenyameni evela iphecana angasese - yinto eqhelekileyo ukuba amabhinqa. Baya angenzeka zombini eqhelekileyo kubonisa kuphuhliso sifo. Ukwahlukana iqatshelwe ukwaliwa endometrium esexesheni, kwakunye ahambe ovulation. secretion yezifo ivela njenge ngenxa usulelo kunye ezimbi ezidluliselwa ngeentlobano zesini, ukudumba wesibeleko kunye waso, izifo oncological. Noko ke, ukukhethwa lisenokubhidekisa nabafazi baba hysterectomy izalwe. Kulo mzekelo, kufuneka uzifakelele umthombo wabo. Xa secretion zophendlo lwezifo Kuyimfuneko ukuba ilungiswe kwagqirha.

Ulwabiwo emva hysterectomy: nanjengokwesimo kwaye kwegazi

Hysterectomy kuthiwa hysterectomy ngokwenzululwazi. Kwiimeko ezininzi, kuliwa umhlaza kwinkqubo ababhinqileyo okuzala. Maxa wambi umsebenzi lwenziwa njengenyathelo lokuthintela ukuvimbela umhlaza.

Nangona ukwanda yale ndlela aphesheya, abafazi abaninzi bayoyika ngemiphumo hysterectomy. Olu loyiko sifanelekile na. Emva kokuba onjalo msebenzi nemiphumela emibi kakhulu. Ezinye izigulane baphawula bekhululwa esibhedlele emva kususwa isibeleko. Ngokuqhelekileyo, yokuba ndiyibonile ngemihla embalwa. Ngokwendalo, ukukhethwa akazalani ukwaliwa endometrium kunye sexesheni. Eneneni, emva kokuba extirpation welungu oko akwenzeki. Kwiimeko ezininzi umalunga ukusilela beentanda kunye nenkqubo oncological eseleyo kwi kwisisu. Kwezinye iimeko, ukopha ukuba zibangelwa ngumonakalo amalungu ezikufuphi ngexesha utyando.

Ubungqina obubonakalayo buxela ukuba hysterectomy

Kukholelwa ukuba umfazi, emva kokuba ukususwa isibeleko ayilungile ngenxa ekungakwazini ukwenza umsebenzi angasese. Nangona kunjalo, umsebenzi eso amaninzi kwenziwa kwisithuba ukuya exesheni. Kwiimeko ezinqabe kakhulu, omnye hysterectomy lwenziwa ngenxa namakhosikazi aselekhulile yokuzala. Uphawu ephambili sokususwa eveze kukho ithumba wesibeleko, endometrial okanye waso. Ukuba ibhinqa liye unesifo somhlaza, kukho hysterectomy kuthathwa kuphela kwendlela eya kumisa inkqubo izifo ukusindisa ubomi bakhe. Ezinye izinto ezibonisa ukuba hysterectomy ziquka:

1. basengozini enkulu yokuba ithumba. iimeko Precancerous zezi: fibroids zesibeleko enkulu, polyp nezolo endometrial, fibroids.
2. Ukulahleka lomzimba okanye ukushiywa degrees 3-4.
3. Endometriosis akukho iSADC unyango.
4. endometritis Suppurative eya kwintshabalalo zomzimba kunye ukudumba peritoneum.
5. Trauma ezinxulumene ngongenelelo zotyando (ilungu perforation curette, isixhobo intrauterine).
6. ngumkhaya kokupha epheleleyo kwafunyaniswa kwixesha lokuqala Kukudandatheka.
7. uqhekeko wesizalo.

Nangona yokuba hysterectomy libhekisela ungenelelo olukhulu yotyando, ekuphela kwendlela ukusindisa ubomi umguli kunye ezi zifo.

Iindlela yokususa isibeleko

Kukho iindlela ezininzi ukususa isibeleko. Amaninzi, umsebenzi wenziwa utyando evulekileyo. Oku kwenza kube lula ukuba ngokutsha kwisisu zangasese kunye nokuthintela ukudumba peritoneum. Ukuba kukho ngezifo umhlaza, aqhube hysterectomy olubanzi. Kwezinye iimeko, ukususwa isibeleko eyenziwa laparoscopically. Technique zotyando kuxhomekeke kummandla ochaphazelekayo, uhlobo inkqubo zophendlo lwezifo kunye nobudala bhinqa. Ngenxa yale meko ezi ndlela zilandelayo hysterectomy:

1. umlenze Supravaginal. Lo msebenzi wenziwe fibroids, endometriosis, iinkqubo somhlaza usaqala. Elinye igama utyando - hysterectomy losuku. Lubonakala kukuba yinxalenye wesibeleko kunye ezihlobene abekho phantsi ukususwa. Ivumela umfazi ukuba baphile ubomi zesini.
2. hysterectomy. Elinye igama ukusebenza - iyonke hysterectomy. Lisusa organ kunye wesibeleko. Extirpation oluqhutywa phaya umhlaza endometrial, polyp ezininzi, iingxaki ekhulelwe naxa ezala. Kwakhona, hysterectomy ogcweleyo bamba umhlaza womlomo wesibeleko kwi i izigulane kumabakala okuqala yokuzala.
3. Operation Wertheim. Luphawulwa kususwe wesibeleko kunye waso, eyesithathu eliphezulu kwinxenye yelungu lobufazi, kwiindawo nkovu zengingqi kunye parametrium nefayibha. Olo tyando ngokuba hysterectomy olukhulu. Lusetyenziswa practice Oncology kuthintelo ukunwenwa nethumba.

Kwiimeko ezininzi, oogqirha bazama ukwenza konke okusemandleni ukugcina gonads - zamaqanda. Ingakumbi ukuba isigulana uselula okanye eliqina. Noko ke, ngo imihlaza basoloko babhenele nokusebenza Wertheim.

hysterectomy laparoscopy: iimpawu

Hysterectomy lunqabe eyenziwa laparoscopically. Xa umhlaza, le ndlela yokususa isibeleko phantse zange isetyenziswe, njengoko akavumeli ukufumanisa ngokuchanileyo imida thumba. hysterectomy laparoscopy kunokwenzeka nokususa yayo, endometriosis, myoma okanye iziza enkulu.

Izinto eziluncedo kulo utyando ziquka kwanciphisa ingozi ukopha kunye nokuncitshiswa kwexesha post-operative. Ukongeza, ezi seams phantse ongabonakaliyo emva laparoscopy, ngokungafaniyo hysterectomy evulekileyo. Olu tyando lwenziwa ngoncedo izixhobo ezizodwa, apho kuqaliswa nasemingxunyeni amancinci phezu kodonga sobuKristu esiswini.

hysterectomy laparoscopy unawo amanyathelo efanayo njengoko utyando evulekileyo. Eyona lisahlulayo kukuba zonke zazo yenziwa ngoncedo izixhobo ezikhethekileyo. Iintshukumo zezi zixhobo eboniswe kwi esweni. Ukujolisa kule, ugqirha owenza zonke zazo. Kwezinye iimeko, ubuchule laparoscopy kudityaniswe hysterectomy lobufazi. Ngaphandle iingenelo le ndlela, oogqirha bakhetha ukuqhuba hysterectomy lwesiqhelo.

Hysterectomy: postoperative

Bonke abafazi ziphawulwe ekubhobhozeni lweenkcukacha emva kususwa isibeleko. Le nto ithathwa eqhelekileyo phakathi ngosuku lokuqala. Kweli xesha lokuqala postoperative zokubona okubangelwa kukwenzakala nemithambo. Phawula ukuba hysterectomy - le yinkqubo yotyando kakhulu leyo ababandakanyekayo yonke kwisisu zangasese. Ngoko emva hysterectomy zokubona ikharektha spreadable uyayixhasa. Bayakwazi uphawu ukuya kwiiveki ezi-6. Ukuba, endaweni amabala lubonise ukopha lweenkcukacha, kufuneka ngoko nangoko wazise ugqirha wakho. Kungenjalo, ingxaki inokukhokelela nematha kunye nokufa.

Linxibe isibiyeli emva hysterectomy

Bonke abafazi abaye baba hysterectomy, kucetyiswa ukuba banxibe postoperative bandage. imilinganiso yalo kuyalungiswa emzimbeni wakhe. Walisusa kunceda ukulungisa imisipha esiswini. Oku kunceda ukuba bakhawulezise ukuphiliswa amalungu kunye nokuthintelwa iingxaki. Ukunxiba kwilinen eboniswe kwixesha elizayo postoperative. Khawuwabhinqise njengomfo zingathengwa kwi ekhemesti. Kuyimfuneko ngakumbi kwimbali kwimeko yomfazi, kukho kwisizukulwana eziliqela.

Kwakhona, zonke izigulane kunye nezihlunu ezibuthathaka eludongeni akudala esiswini, kufuneka banxibe umhlabelo, ukuba postoperative. Ubukhulu corset uya ayangqinelana ezivuzayo. Ukuba ubude webutho anokuthi alungi-lungiswe, ububanzi kufuneka uwedwa. Kucetyiswa ukuba corset ivaliwe kukuqulungana 1 cm ukusuka ezantsi kunye phezulu.

Amanzi ezingahambi emva hysterectomy

Ukongezelela egazi igazi zingenzeka kunye nezinye ezikhutshwayo emva kokuba ukususwa isibeleko. Ezi ziquka exudates yangaphakathi kunye ubovu yezifo. ukwahlukana okunjalo kwenzeka kwiinkqubo ukudumba kwi nehlelo ikuku okanye wesizalo. Nangona hysterectomy, izigulane baba neentlobano zesini. Ngoko ke, usulelo amagciwane ezahlukeneyo bacteria kwaye wentsholongwane egazini azinikezelwanga ngaphandle.

Ukuba bekhululwa esibhedlele emva kokuba ukususwa wesibeleko kufuneka ivumba elibi okanye umbala engaqhelekanga (namhlophe, naziiperile, enemizila igazi), kufuneka ukuba bajonge ugqirha. Imbonakalo iziselo zophendlo lwezifo asenokubonisa ukuba ukwanda somhlaza. Oku kuyinyaniso ngokukodwa ukopha. Ngoko ke, ushiye le uphawu asimele sikubethe ngoyaba.

iingxaki Postoperative

iingxaki eziyingozi hysterectomy ziquka ukopha kunye peritonitis. Nganye kwezi meko kungakhokelela ekufeni yesigulane. Ngoko, kwiintsuku 7-10 isigulane kufuneka abe phantsi kweliso elibukhali likagqirha.

Ukopha kwenzeka ukuba iimpahla ezinkulu zangasese ziye ezonakeleyo gqobhoza sutures postoperative. Oku kufuna ungenelelo engxamisekileyo yotyando. Injongo yonyango ukuphelisa umthombo ukopha kunye ezizalisa BCC. Peritonitis eyenzeke iyabhiqiza beentanda lwangaphakathi okanye lwangaphandle. Uphelekwa isicaphucaphu, iimpawu kunxilwe kunye neentlungu ezibukhali esiswini.

Ukususwa isibeleko emva kweminyaka 50: imiphumela nabanye abantu abane

Kwiimeko ezininzi, kukho hysterectomy unxulunyaniswa ngumhlaza amalungu zangasese. Ngoko ke, ukususwa isibeleko emva kweminyaka engama-50 rhoqo eyenziwa. Imiphumo yalo msebenzi ixhomekeke kwi imeko yomguli kunye ukubakhona kwezifo somatic.

Ziyindlela msebenzi ngempumelelo. Ukuba ulandela ingcebiso kagqirha, unako intlungu enjalo, njengoko divergence beentanda kwaye ukuyilwa azikhuli. Kulo mzekelo, kwiinyanga ezimbalwa kamva umfazi wabuyela ukuphila ubomi obuqhelekileyo. I-ALS ukungabikho ingxaki kunye nokwanda yamathumba kakuhle.

Treatment emva hysterectomy

Unyango emva kokuba ukususwa isibeleko ezijolise ekuthinteleni uphuhliso yosulelo, beze. Kwiintsuku zokuqala, izigulane ezimiselweyo elwa kunye antimicrobials. izisombululo "Ceftriaxone" sibaphatha, "Metronidazole". Ibonisa uthomalaliso intlungu emva hysterectomy. Kuba iintsuku eziliqela, ichiza "Ketonal" ezilawulwa intramuscularly. Xa ukopha olwenziwe unyango ukumnika.

Prevention of ukopha

Ukuze kuthintelwe ukopha kwixesha postoperative, kufuneka ilandele ummiselo kagqirha. Ngenyanga yokuqala kubhaliwe esalelweyo ngqo ukuphakamisa iintsimbi kwaye wenze umsebenzi wezandla. Kufuneka ukuphelisa umthwalo, ngokunjalo ngesondo. Kuyanconywa ukuba banxibe umhlabelo. Kuba ekuthinteleni izifo langasese kunye namaziko wokuchama kuyimfuneko ukuba bagcine nemithetho yococeko kwixesha phambi kwexesha nasemva kwexesha postoperative.