Zimene Mukuyenera Kudziwa Zokhudza Njira Zina Zotsutsana ndi Hysterectomy
Zilonda zotupa ndizimene zimaperekedwanso kulungama kwa magawo atatu mwa magawo atatu a mafilimu omwe amachitika pafupifupi 600,000 chaka chilichonse ku United States. Koma pali njira ina.
Mukasankha myomectomy mmalo mwake, zotupa za fibroid zingakhoze kuchitidwa opaleshoni pamene zikuteteza chiberekero . Mukachita ndi dokotala wodziwa zambiri, myomectomy ndi njira yowonjezera komanso yothandiza kwa hysterectomy.
Kukonzekera
Thandizo la Preoperative nthawi zambiri limaphatikizapo jekeseni ya mwezi wa Lupron miyezi iwiri kapena inayi yapitayo. Lupron imachititsa maantirogen kupanga, kuchititsa kuti fibroids ikhale yochepa. Panthawi imeneyi, kusamba nthawi zambiri kumatha.
Pali mikangano pakati pa madokotala ponena za kugwiritsa ntchito Lupron, chifukwa ndi okwera mtengo komanso chifukwa chimayambitsa matenda a menopausal monga kutentha ndi kutuluka usiku . Ena amadandaula kuti akhoza kutaya tizilombo tating'ono kwambiri mpaka pamene sangawonekere kwa dokotala panthawi ya opaleshoni komanso kuti mafinysi omwe sakuwonekeranso adzakula ndikusowa opaleshoni yowonjezera.
Myomectomy ikhoza kuchitidwa mobwerezabwereza koma nthawi iliyonse opaleshoni imachitidwa, chiopsezo chotenga thupi chimakhala chokwanira.
Myomectomy yopambana imayenera kupereka mpumulo wathunthu ku zizindikiro zonse zokhudzana ndi zotupa za fibroid. Komabe, fibroids nthawi zambiri imabwerera, ndikusowa kufunika kwa hysterectomy pambuyo pake.
Zoopsya Zogwirizana
Madokotala ambiri omwe saphunzitsidwa kuchita myomectomy adzasankha hysterectomy chifukwa kusowa kwawo kumawonjezera chiopsezo cha mavuto.
Ngakhale mavuto ali ochepa pamene myomectomy ikuchitidwa bwino, amayi akuganizira njirayi ayenera kudziwa zowopsa.
Zovuta zowonjezereka zimaphatikizapo kutayika kwa magazi, ileus (kutsekeka kwa m'mimba), kuchepa kwa magazi, kupweteka, kutsekedwa kwa m'mimba mochedwa, kusabereka, kuthekera kutembenuka ku hysterectomy panthawi ya myomectomy, ndi opaleshoni yotsatira.
Ngakhale kuti mimba imathabe pambuyo pa myomectomy, amayi omwe amatha kutenga mimba pambuyo pa myomectomy amatha kuwona gawo loperewera chifukwa chokhoza kufooka mu khoma la uterine.
Ngakhale kuti maperesenti opitirira 99 peresenti ya fibroids ndi owopsa, dokotala wanu ayenera kukambilana ndi mwayi womwe sungakhalepo wa kansa musanayambe matenda anu a myomectomy.
Mitundu ndi Njira Zowonongeka
Pali njira zingapo zopangira myomectomy. Ikhoza kuchita mimba kapena m'mimba, pogwiritsa ntchito njira zosiyanasiyana. Mtundu wa myomectomy wosankhidwa umadalira kukula ndi malo a zotupa za fibroid.
Pambuyo pa mayi ali pansi pa anesthesia, kathete imalowetsedwa mu chikhodzodzo kuti ikhale yopanda kanthu panthawiyi. Kathetanso wina amalowetsedwa m'chiberekero ndipo utoto wabuluu umalowetsedwa kuti uwononge uterine; Udongo uwu wa chiberekero ndi chofunikira kuthandiza dokotala kudziwa momwe malo a fibroids, omwe nthawi zambiri ndi aakulu kwambiri, amadziwika ndi minofu ya chiberekero.
Diso la buluu limathamangiranso m'matope amodzi ndipo amalola dokotala kudziwa ngati atsekedwa kapena kutseguka. Kukonzekera kwa miyendo ya falsipian ikhoza kupangidwanso panthawiyi.
Kenaka, mankhwala amayiritsidwa m'thupi loyamba lopangidwa pofuna kuchotseratu, kuchititsa kuti magazi athe kuyima kwa mphindi 20 ndikulola dokotala kuchotsa kachilomboka kuti asakhale ndi chiopsezo chochepa cha magazi ndi kuikidwa magazi.
Chisamaliro chapadera chiyenera kutengedwa pamene kutseketsa cholakwika (danga) chotsalira kumene utomoni umachotsedwa. Mitundu iliyonse ya minofu iyenera kukwapulidwa payekha kuti iteteze kuvulaza ndi mavuto ena. Pamene chida chilichonse chikuchotsedwa, njirayi imabwerezedwa.
Azimayi onse omwe ali ndi njira zowonongeka za myomectomy ayenera kudziwa kuti pakufunika kusintha kwa miyambo ya mimba pamene myomectomy ikupitirira.
Monga tanenera kale, pali njira zingapo zopangira myomectomy.
Myomectomy yachiberekero
Izi zimachitidwa panthawi ya hysteroscopy mothandizidwa ndi resectoscope kuti muzitsatira submucosal fibroids. Mitundu ina ya myomectomy ikhoza kuchitidwa panthawiyi ngati mawonekedwe a intramural kapena subserosal fibroids alipo.
Laparoscopic Myomectomy
Imeneyi ndi njira yomwe imachotseratu ulusi ndi kukonzanso kachilombo koyambira komwe malo amtunduwu amakhala. Kukonzekera bwino kwa chilema ndikofunika kwambiri pakupewa mavuto. Kupanga pang'ono kumapangidwira, kawirikawiri pamphuno, ndipo laparoscope imalowetsedwa kumene myomectomy imachitidwa. Mtundu uwu wa myomectomy umapereka nthawi yowonongeka mwamsanga.
Laparoscopic Myomectomy ndi Colpotomy
Iyi ndiyo ndondomeko yomwe imaphatikizapo kutengeka m'mimba kuti muchotse zidutswa zambiri za fibroids. Ndondomekoyi siimitseketsa chosowa chotsalira ndi fibroid ndipo chiyenera kuchitidwa mogwirizana ndi njira ina.
Laparoscopic Minilap Myomectomy
Iyi ndi njira yomwe imaphatikizapo kachilombo kakang'ono ka mimba pofuna kuchotsa fibroids. Ndondomekoyi ingagwiritsidwe ntchito kwa kukula kwake kulikonse. Chifukwa chopangidwa ndi 4-5 masentimita okha, kupuma kumakhala kofulumira kuposa kuchokera ku myomectomy yeniyeni.
Myomectomy Yachibadwa
Imeneyi ndi mtundu wofala kwambiri wa myomectomy, monga laparoscopic myomectomies ndi zovuta kwambiri kuchita. Chikhalidwe cha myomectomy chimafuna kusakaniza kwa m'mimba kwa 5-7 masentimita, masiku atatu mpaka asanu a chipatala, ndi masabata asanu ndi limodzi kapena asanu ndi atatu kuti athetse.
Zimene Mungamufunse Dokotala Wanu
- Nchifukwa chiyani mukuyamikira myomectomy tsopano?
- Kodi ndizoopsa zotani ndikasankha motsutsana ndi myomectomy?
- Kodi mumachita kangati myomectomies kangati?
- Kodi mungathe kupanga myomectomy popanda kulingalira kukula kapena malo a fibroids?
- Ndi mtundu wanji wa myomectomy omwe mukukundipangira? Chifukwa chiyani?
- Kodi ndifuna kuikidwa magazi ?
Kumbukirani, dokotala wanu ayenera kufotokozera zonse zomwe mungathe musanapange chisankho chanu. Ngati dokotala wanu sapereka myomectomy kwa fibroids ndikutsutsa hysterectomy, ndizotheka chifukwa iye sadziwa zambiri kuti athandize myomectomy, ndipo muyenera kumupempha kuti adziwitse kwa dokotala yemwe ali ndi luso lopanga myomectomy. Dokotala wabwino adzakondwera kukupatsani chilolezo chotere ndipo lingaliro lachiwiri nthawi zonse ndilo kusankha mwanzeru musanachite opaleshoni yaikulu.
> Chitsime:
> Uterine Fibroids. ACOG Education Pamphlet AP074. http://www.acog.org/publications/patient_education/bp074.cfm