Chithandizo cha uterine chosadziwika chimagwiritsidwa ntchito posachedwapa
Kusakanizidwa ndi kuchotsedwa kwa zonse kapena gawo la chiberekero cha mkazi. Ndi njira yomwe nthawi zina imagwiritsidwa ntchito pofuna kuchiza khansa, kupweteka kosalekeza, kutaya magazi kwambiri, kapena matenda ena akuluakulu a chiberekero.
Chimodzi mwa zinthu zomwe zimagwiritsidwa ntchito ndi hysterectomy chimatchedwa adenomyosis , chomwe chimapangitsa kuti chiberekero cha mkati (endometrium) chidutse m'mimba mwa chiberekero.
Kumvetsa Adenomyosis
Adenomyosis si chikhalidwe chowopsya koma chimakhudza kwambiri moyo wa mkazi. Zizindikiro zimaphatikizapo kupunduka, nthawi zovuta, kutsekemera, kupweteka kwa m'mimba, ndi kupweteka. Matendawa amatha kupitilira mu chiberekero chonse kapena kumalo amodzi.
Adenomyosis kawirikawiri imapezeka kuti ndi amayi achikulire omwe ali ndi ana. Kuchita opaleshoni yoyamba ija kumapanganso chiopsezo.
Adenomyosis kawirikawiri imalakwitsa chifukwa cha vuto lina lotchedwa uterine fibroids . Izi ndizowonjezera zosavuta kapena zowonongeka kusiyana ndi adenomyosis yomwe ili ndi mapangidwe ochepa. Kuzindikira kumagwiritsidwa ntchito pogwiritsa ntchito transvaginal ultrasound kapena kujambula kwa magnetic resonance (MRI) . MRI imagwiritsidwa ntchito makamaka ngati mayi akudwala kwambiri.
Osati Opaleshoni Chithandizo Cha Njira
Chithandizo cha adenomyosis chimadalira kwambiri kuopsa kwa zizindikiro.
Zizindikiro zochepa nthawi zambiri zimatha kuchiritsidwa ndi mankhwala opweteka kwambiri pamtundu komanso penti yotentha kuti athandizidwe. Mwa zina zomwe mungachite:
- Thandizo la mahomoni lingathandize kuchepetsa nthawi yolemetsa kapena yopweteka.
- Mitsempha yotchedwa uterine embolism ndi njira imene catheter imadyetsa tizilombo tating'onoting'ono ting'onoting'ono kuti tipewe kuthamanga kwa magazi kumatenda,
- Kuperekera kwa m'mimba ndi njira yowonongeka yomwe imawononga (ablates) ziwalo za uterine kuti zithetse ululu.
- Kuchita opaleshoni ya laparoscopic ndiyeso la golide lochotseratu matupi a adenomyotic. Pogwiritsira ntchito zipangizo zamakono ndi chosowa chachingwe, dokotalayo amatha kuona bwinobwino ndikuchotsa minofu iliyonse yodabwitsa.
Pamene Hysterectomy Imasonyeza
Kusakanizidwa kumangotchulidwa ngati khalidwe la mkazi limakhudzidwa kwambiri ndipo njira zina zamankhwala zatha.
Ndizinenedwa kuti, mankhwala okhawo a adenomyosis ndi hysterectomy. Mosiyana ndi fibroids, zomwe nthawi zambiri zimazunguliridwa ndi capsule, palibe malire omwe ali pakati pa zachilendo komanso zachibadwa za mimba. Chifukwa cha ichi, vutoli likhoza kubwereranso ngakhale atapereka mankhwala kapena embolism.
Malingana ndi mkhalidwewu, pali ubwino wambiri ku hysterectomy:
- Kupeza chithandizo chamankhwala kuchepetsedwa.
- Ngati mulibe zaka zakubadwa za mwana wanu, ndizo chithandizo chotsimikizika kwambiri.
- Ngati pali zina zomwe zilipo, monga endometriosis , zikhoza kukhala zosavuta kuzichitira zonse mwakamodzi.
Momwe Procedure Ili Kuchitikira
Pali mitundu yambiri ya hysterectomy yomwe ingagwiritsidwe ntchito pochiza matendawa.
Njira yogwiritsira ntchito opaleshoniyi imadalira kwambiri momwe zimakhalira.
Nthendayi yowonjezera (yomwe imakhudza kuchotsa chiberekero ndi kachilombo ka HIV) kapena kachilombo koyambitsa matenda (komwe kokha chigawo chapachiberekero cha chiberekero chachotsedwa) chimagwiritsidwa ntchito pokhapokha ngati adenomyosis ikufalikira.
Mosasamala za njira yomwe amagwiritsidwira ntchito, hysterectomy imagwira pansi pa matenda a anesthesia ndipo imaphatikizapo kupatukana kwa chiberekero kuchokera ku ziphuphu zomwe zimagwira izo mmalo mwake. Chiberekerocho chitachotsedwa, chovalacho chimatsekedwa ndi zochepa, sutures, sutures, kapena matepi osabala.
Kubwezeretsa Kwasitomala Posachedwapa
Azimayi ambiri omwe ali ndi hysterectomy amatha kupita kunyumba mkati mwa maola 48 a ntchito ndikubwerera kuntchito zawo zapadera mkati mwa masabata awiri.
Pambuyo pokhala ndi hysterectomy, si zachilendo kuti mkazi aziwona zizindikiro zosiyanasiyana za mimba, kuphatikizapo:
- Kutentha kumatentha
- Chikhalidwe chimasintha
- Kuchepetsa libido
- Vuma lakuya
- Kutuluka kwa usiku
Njira zonse zopangira ma hysterectomy, mosasamala kanthu za mtundu, zidzathetsa kuthekera kwa mzimayi kutenga pakati. Zomwe zimachitika pambuyo pake zingasokoneze mkazi, makamaka ngati akukonzekera banja. Ndi chifukwa chake kuti hysterectomy iyenera kuyesedwa ngati njira yomaliza pamene palibe njira ina yothandizira olemala kapena ululu wochitidwa ndi adenomyosis.
> Chitsime:
> American College of Obstetrics ndi Gynecology. "Kusokoneza bongo: FAQs." Washington, DC; zasinthidwa mwezi wa 2015.
> Tosti, C .; Troìa, L .; Vannuccini, S. et al. "Chithandizo chamakono cham'tsogolo ndi cham'tsogolo cha adenomyosis." J Endometr Chisokonezo Chakumva Chisoni. 2016; 8 (4): 127-135. DOI: 10.5301 / je.5000261.