Ziziphi iindlela yenzelwa hysterectomies?

Kwiimeko ezininzi, amagqirha ukumisela myoma ngexesha hysterectomy, kunye nomhlaza. Ngokuqhelekileyo, ezi zizathu uphawu oluqhelekilyo hysterectomy.

Fibroids - oku ithumba eqhelekileyo ukuvela emzimbeni ababhinqileyo, yaye ngokufuthi xa iqala ukukhula, kucetyiswa kususwa isibeleko. Ngamanye amaxesha Hysterectomy ibandakanya ukususwa kwimibhobho Imibhobho kunye zamaqanda. Qaphela ukuba lo msebenzi kunzima yaye buhlungu, kungekuphela nje ngokwenyama kodwa yokuziphatha. Umfazi uqala ukuva ukuba kwabo phansi, kodwa ukwenza olo nyango igalelekile, yaye inceda ukususa umzimba kwiinkathazo nokuthintela ingapheli ithumba yobubi.

Kukho izifo ezininzi apho ukususwa isibeleko uboniswa:

1. umhlaza ezikumalungu okuzala. Umhlaza womlomo wesibeleko kunye intamo yalo imfuneko utyando. Ngokuqhelekileyo, oko nakanjani, kunye nokungahoywa ngayo kule meko yinto engenakwenzeka. Xa unikwe sifo lwenziwa ukususwa uteri wesibeleko okanye ngqo (ngokuxhomekeke kuyo umzimba wambetha nezifo elinikiweyo). Izifo ezifuna ukususwa kwezi amalungu, i umhlaza endometrium kunye tubes.
2. Endometriosis. Ngamanye amaxesha, xa uvula ukopha ngenxa yesi sifo, oogqirha ukumisela hysterectomy.
3. Fibroma. Ngokuqhelekileyo, ukususwa isibeleko kulo mzekelo nto imiselwe, kuba neoplasms data efanele unyango endala. Nangona kunjalo, kukho iimeko apho umsebenzi - yiyo kuphela ukhetho kunokwenzeka.
4. prolapse wesizalo. Xa isibeleko asuswa kule ndawo lobufazi, oko kunganeziphumo kuchaphazela umsebenzi namanye amalungu abalulekileyo. Loo Uxilongo kwenziwa emva kokubeleka, ngenxa ukutyeba, ukunciphisa imveliso estrogen. Ngamanye amaxesha imbangela nemisipha buthathaka okanye kwizihlunu zangasese.

Maxa wambi, ngenxa yokuba ukungasebenzi kakuhle kakhulu ukuba sexesheni, kuzo izifo kakhulu yokukrala hysterectomy zangasese okanye seTrojan kuvezwa.

Kukho iintlobo-ntlobo hysterectomy, esetyenziswa kwamanye uhlobo neqondo izifo:

1. Inxalenye (supravaginal) hysterectomy - umsebenzi apho okususa kuphela wesibeleko kunye wesibeleko ayitshintshanga.
2. Radical - ukususwa isibeleko, wesibeleko, yaye ithishu nokuxhasa kwinxenye yelungu lobufazi.

Ukuba msebenzi wenziwe phambi kokuba ukuqala ukuya exesheni, kusenokuba kukho inani iingxaki. Oku inokuphetshwa ukuba wenze oko ngexesha postklimaktichesky. Phakathi iingxaki kunokwenzeka ezinokuvela ukuphazamiseka njengoko ngokweemvakalelo (ukudakumba, ukwanda ixhala kunye nenkxalabo), kunye nelahleko drive ngesondo. Ukuba ngexesha msebenzi wenziwe ucutheko kusisi ngobude, umfazi unakho iintlungu ngexesha lokwabelana ngesondo.

1. Kwamathumbu. Olu hlobo hysterectomy iboniswe xa isibeleko kakhulu ngazo, okanye kukho ezininzi fibroids ezinkulu, azikhuli kunye endometriosis. Ngamanye amaxesha phambi somhlaza zesibeleko kunye hysterectomy ovarian banokutyumba abdominally (ngamanye liqatywe of line bra malunga 11-15 cm okanye nkqo). Ngoko ke, lo isibeleko yasuswa kwaye intamo yalo, ukuyeke evela kwilungu lobufazi apho ke sutured. Ukufunyanwa kulo msebenzi kuthatha ixesha elide, kodwa ukusebenza kwalo kunciphisa ingozi umonakalo kwinkqubo womchamo.
2. Laparoscopy - utyando oluqhutywa phaya amabini okanye amathathu liqatywe kwi esiswini. Laparoscope ngabo engena kwisisu. Ukususwa singahlala ngokusebenzisa kwimibhobho kwangena slits. Ithuba yesiqhelo emva laparoscopy idla kakhulu elifutshane. Isigulane kwiintsuku ezimbalwa akwazi ukubuyela ukuphila ubomi obuqhelekileyo.