Kuzama Kwambiri Pachirendo cha Hysterectomy

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Kodi Hysterectomy Ndi Chiyani?

Mankhwala osokoneza bongo ndi opaleshoni kuchotsa zonse kapena gawo la chiberekero cha mkazi, makamaka kuchiza khansara, kupweteka kosalekeza kapena kutaya magazi kwambiri komwe sikunayambe kuyendetsedwa ndi njira zocheperako. Kwa amayi ena, nyumba zopanda chiberekero zimachotsedwanso, kuphatikizapo mbali ya chiberekero , chiberekero , mazira ndi mazira.

Kusayeruzika ndi opaleshoni yowonjezereka yomwe imachitidwa kwa amayi okha.

Ziphuphuzi zimachotsedwa kudalira dokotala wa opaleshoni ndi chifukwa cha opaleshoni. Mwachitsanzo, mayi yemwe ali ndi khansa ya chiberekero akhoza kukhala ndi mazira ochuluka ngati pali kukayikira kuti khansara yayamba kufalikirako, pomwe mayi yemwe ali ndi vuto lakumwazi kwa magazi angakhale ndi zotsatira zokwanitsa ndi chiberekero chochotsedwa.

Mitundu yonse ya hysterectomy imatha kuthetsa mphamvu ya mkazi kutenga pakati. Komanso opaleshoni zomwe zimaphatikizapo kuchotsedwa kwa mazirawa zimayambitsa kusamba kwa thupi pambuyo pochita opaleshoni, ngati mkaziyo sanafike kale kusamba.

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

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Kusokoneza Magetsi: Ndi Liti Pamene Ndikofunika?

Mankhwalawa amafunika kwambiri pamene zina zonse kuphatikizapo mankhwala, chithandizo komanso opaleshoni zina sizinapambane ndipo moyo wa wodwalayo uli pangozi kapena umoyo wake ukuwonongeka. Monga:

Fibroids : Izi zotupa sizing'onoting'ono , koma zimayambitsa kupweteka, kutaya mwazi, kupweteka komanso kusokonezeka.

Endometriosis : Izi ndizimene minofu yomwe imayambitsa chiberekero imayamba kufalikira kumadera opanda chiberekero, kuwapweteka, kupweteka, kuperewera kwa amayi, kusabereka komanso kutuluka magazi.

Khansara: Khansara ya chiberekero kapena mbali zina za chiberekero cha ubereki zingafunike hysterectomy monga gawo la mankhwala.

Kuchetsa kwa magazi: Kuchepetsa magazi kumabwera chifukwa cha zinthu zosiyanasiyana zomwe zimakhudza chiberekero. Zizindikiro zowonongeka kwa magazi zimaphatikizapo kuchepa kwa magazi, kufooka ndi kutopa kwakukulu pamodzi ndi nkhawa ndi kuchepa mu umoyo wa moyo.

Kupweteka kwapweteka: Kupweteka kosawerengeka kosadziwika kawirikawiri kumakhala chifukwa cha hysterectomy, makamaka pamene kupweteka kumachokera ku "kukwiyitsa" kukhala "kovuta." Pamene chitsimikizo cha ululu sichitha kupezeka kapena chovuta kuchiza, amayi ambiri amasankha opaleshoni kuti aike kutha kwa ululu.

Kuchuluka kwa chiberekero : Pamene mitsempha ndi minofu yomwe imachiza chiberekero silingakhoze kuigwira iyo, nthawi zambiri atakhala ndi mabala ambiri a abambo , ikhoza kuyamba kulowa mumtambo wamadzi. Pa milandu yoopsa, chiberekero chingayambe kutuluka m'mimba ya chiberekero, chitsimikizo chachikulu cha matenda osatetezeka . Poyambirira, pessary, chipangizo chothandizira kuti chiberekero chikhalepo, chikhoza kuikidwa opaleshoni.

Kuchepa kwa magazi : Kutaya magazi kosalamulirika kumakhala kosavuta kumva kagawo kakang'ono, kagawidwe ka magazi, ndi opaleshoni ina pafupi ndi chiberekero. Mtundu uwu wa magazi ndi woopsa kwambiri moti umakhala wowopsya. Nthenda yowopsa mwadzidzidzi ndiyo njira yokhayo yopulumutsira moyo wa wodwalayo, ngakhale kuti mankhwala ena angayesedwe.

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

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Njira Zopangira Mafinya

Asanakhale ndi opaleshoni yosautsa ngati hysterectomy, amayi ambiri amasankha kuyesa maphunziro ovuta kwambiri, kuphatikizapo mankhwala, mankhwala a hormone ndi mankhwala opaleshoni. Mkazi aliyense ali wosiyana, koma mankhwala otsatirawa angakhale oyenera, m'malo mwa hysterectomy.

Mitsempha ya mitsempha: Njira yochiritsira matenda odwala matenda opatsirana amachitidwa ndi wodwalayo wamagetsi, yemwe amayambitsa matenda amadzimadzi m'mitsempha yomwe imayambitsa mauthenga opweteka ku ubongo. Pamene mitsempha yatsekedwa ululu sungathe kufalikira ku ubongo, kotero sichimvekanso. Chipikacho ndi cha kanthawi, koma chikhoza kubwerezedwa.

Thandizo la mankhwala: Mankhwalawa amagwiritsidwa ntchito pochiza zizindikiro ndi zifukwa za mavuto a uterine. Mankhwala opweteka angaperekedwe kwa odwala matenda aakulu ndi mankhwala ophera ma ARV angagwiritsidwe ntchito kuchepetsa matenda a endometriosis.

Myomectomy : Opaleshoni ya kuchipatala kuchotsa fibroids, myomectomy imagwiritsidwa ntchito pogwiritsira ntchito chida chaching'onong'ono chomwe chimagwiritsidwa ntchito kudzera m'chiberekero chomwe chimagwiritsidwa ntchito kuchotsa fibroids. Ngati fibroids ndi zazikulu kwambiri kuti zisachotsedwe pamimba, kachilombo kakang'ono kamene kakhoza kupangidwira kuchotsa kukula.

Ablation: Chithandizo cha magazi olemera kapena aakulu, kuperewera kwa magazi ndi njira yapadera yomwe imagwiritsidwa ntchito ndi kachilombo koyambitsa chiberekero kuti iwononge minofu ya endometrial. Endometrium imadulidwa kapena kuundana kuti iwononge minofu ndi kutha kwa magazi. Mankhwalawa si omwe akufuna kukhalabe achonde.

Thandizo la Balloon: Balloyo imayikidwa kudzera m'chiberekero mumberekero ndipo imakhuthala kuti ikhale mkati mwa chiberekero. Kenako imadzazidwa ndi madzi otentha kwa mphindi zisanu ndi zitatu, ndikuwononga bwino chiberekero cha chiberekero chomwe chimayambitsa magazi ambiri. Ndondomekoyi si yokhudza aliyense amene akufuna kutenga pakati.

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

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Mitundu ya Hysterectomy - Yonse, Yopanda, Yopambanitsa ndi Yowonjezera

Pali mitundu yambiri ya opaleshoni ya hysterectomy. Kusakanizidwa kungatanthauze kuchotsa chiberekero, kapena kungatanthauze kuchotsa chiberekero, chiberekero ndi mazira. Ndiponso, izo zikhoza kuchitidwa mwanjira zingapo. Choyamba, tiyeni tiyang'ane mitundu yamatsenga:

Mankhwala osokoneza bongo: Chiberekero, chiberekero ndi mazira omachotsedwa amachotsedwa.

Chiwerengero cha hysterectomy: Chiberekero ndi chiberekero zimachotsedwa.

Kutentha kwapadera kapena tsankho: Gawo lakumtunda la chiberekero limachotsedwa, kusiya chiberekero ndi mazira.

Ndipo, pali njira zingapo opaleshoniyi yomwe ingachitidwe - njira zina zowonjezera kuposa zina:

Mankhwala Osokoneza Bongo a Laparoscopic: Awa ndi hysterectomy pogwiritsa ntchito laparoscopic (minimally invasive). Zidazi zimayikidwa kudzera m'magulu ang'onoang'ono m'mimba ndi m'mimba, nthawi zambiri.

Matenda a Vaginal: Mankhwalawa amachitidwa kwathunthu kupyolera mu chipsinjo chopangidwa mu vaginayi , palibe zida zooneka kuchokera mu njira iyi.

Matenda a m'mimba: Izi zimagwiritsidwa ntchito pogwiritsa ntchito chifuwa cha m'mimba chomwe chingakhale chowonekera kuchokera kumbali ya pubic bone mpaka pamimba ya mimba, kapena ikhoza kukhala yopanda malire pamtsinje wa bikini.

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

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Mafunso Ofunika Kwambiri Okhudza Magetsi

Musanayambe kuchita opaleshoni ya hysterectomy, onetsetsani kuti dokotala wanu ayankha mafunso anu kwathunthu. Ili ndi mndandanda wa mafunso omwe mungafune kufunsa:

• Kodi mukufuna kukonza zotani?
• Kodi mungagwiritse ntchito njira yanji? Laparoscopic , yotseguka, yamaliseche, kuphatikiza?
• Ndi zotsatira zotani zomwe zimaonedwa ngati zachilendo?
• Kodi kutaya kapena kutuluka kwa mtundu wanji kumaonedwa kuti ndi kozoloŵerako?
• Ndi zizindikiro ziti zomwe ziyenera kundichenjeza kuti ndipite ku chipinda chodzidzimutsa kapena kuimbira dokotala wanga opaleshoni?
• Kodi ndikuyenera kutengera mtundu wotani?
• Kodi mankhwalawa angapezeke kuti?
• Ndidzakhala ndi nthawi yayitali bwanji kuchipatala?
• Ndiyenera kutaya nthawi yayitali bwanji?
• Kodi ndingabwere liti kuntchito yanga yachizolowezi?
• Kodi ndifuna Pap smears pambuyo opaleshoni?
• Kodi pali zolemba zomwe ndikufunikira pakuchita opaleshoni zomwe ndingathe kuzidza ndisanalowe kuchipatala?

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

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Hysterectomy: The Procedure

Mankhwala opatsirana pogwiritsa ntchito hysterectomy angapangidwe m'njira zingapo, mwazimayi, laparoscopically kuthandiza, kapena kutseguka pamimba (m'mimba mwachisawawa). Mosasamala kanthu ka njirayi, hysterectomy ndi njira yoperekera matenda opatsirana yomwe imagwiritsidwa ntchito pogwiritsa ntchito anesthesia .

Kawirikawiri, odwala laparoscopic amachiza mofulumira kwambiri, kubwereranso kuntchito ndi ntchito mofulumira ngati milungu iwiri, pamene odwala atseguka amafunika masabata asanu ndi limodzi kapena asanu ndi anai kuti abwerere ku ntchito yachizolowezi.

Njirayi imasiyana ndi dokotala wa opaleshoni komanso chifukwa cha hysterectomy. Chiberekero chokhala ndi zotupa zazikulu sichikhoza kuchotsedwa kudzera mu makazi a mkazi kapena zochepa za laparoscopic, koma ziyenera kuchotsedwa kupyolera muzitsulo zazikulu zotseguka. Nthaŵi zambiri, njira yotseguka ndi yosavomerezeka ndi opaleshoni, monga kutaya mwazi kwakukulu, kuchepetsa ndikutenga kachilombo kawopsa.

Mosasamala kanthu ka njira yomwe ikugwiritsidwa ntchito pa opaleshoniyi, njirayi imaphatikizapo kulekanitsa chiberekero ku mitsempha ndi minofu yomwe imaigwiritsira ntchito ndi minofu iliyonse yomwe ingakhalepo. Kenako amachotsedwa kudzera mu umaliseche kapena kumimba kwa m'mimba.

Dokotala atayesa kuyang'anitsitsa minofu yamtundu uliwonse kapena kutuluka m'magazi ndipo amalingalira kuti opaleshoniyo yatha, zidazo zimachotsedwa ndipo zochitika zilizonse zatsekedwa. Zochitika za m'mimba za laparoscopic zikhoza kutsekedwa ndi sutures zosavuta ndi tepi yoyera pamene zochitika zazikulu zidzatsekedwa ndi zotupa kapena sutures zomwe amachotsedwa patapita milungu ingapo ndi dokotala wa opaleshoni.

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

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Kuchokera ku Hysterectomy

Kuchulukitsidwa kwa hysterectomy kumasiyana kwambiri kuchokera kwa wodwala mpaka wodwala, makamaka chifukwa cha njira zosiyana siyana zomwe zimagwiritsidwa ntchito pa opaleshoni ndi zifukwa zosiyanasiyana zochitidwa opaleshoni.

Mwachitsanzo, munthu amene ali ndi kachilombo ka HIV amachotsa khungu lachironoskopi kuti athetse magazi ambiri nthawi zina amatha kuchira mosavuta kusiyana ndi wodwala yemwe ali ndi chizolowezi cha hysterectomy pofuna kuchiza khansa ya mazira ndi chiberekero, monga opaleshoni zovuta pa thupi ndi chikhalidwe chachikulu chimayambitsa kutopa, kupweteka, ndi kupsinjika kwakukulu ndi kuthupi.

Odwala ambiri osakanizidwa amabwerera kunyumba mkati mwa ma opaleshoni 48 ndi opaleshoni yochepetsa ululu. Odwala laparoscopic amatha kubwerera kuntchito zawo zambiri mkati mwa masabata awiri. Odwala omwe amatseguka ndi makina akuluakulu amafunika masabata asanu ndi limodzi kapena asanu ndi atatu ndipo amakhala ndi zoletsedwa kwambiri chifukwa cha incision yaikulu. Odwalawa sayenera kukweza chilichonse choposa mapaundi 10 kwa masabata asanu ndi limodzi pambuyo pa opaleshoni.

Kusamalidwa Pogwiritsa Ntchito Opaleshoni

Mosasamala kanthu ka mtundu wa hysterectomy, odwala ayenera kupewa kutayika m'madzi osambira ndi kusambira kwa milungu iwiri mutatha. Kuonjezerapo, zina zotere zimayenera kuyembekezera kuchira, koma kutuluka kwazidzidzidzi kosafunika kapena kupopera kumafunika kuchitidwa nthawi yomweyo.

Amayi ambiri amatha kubwerera kugonana popanda kupweteka kapena kusokonezeka pakapita masabata asanu ndi limodzi kapena asanu ndi atatu atatha opaleshoni, koma opaleshoniyo ali ndi lingaliro la nthawi yoyenera.

Zambiri Zambiri:

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

Kusamalidwa Pogwiritsa Ntchito Opaleshoni

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Moyo Pambuyo pa Kusakaniza Thupi

Kwa amayi ambiri omwe ali ndi hysterectomy chaka chilichonse, umoyo umasintha ndi opaleshoni monga ululu, magazi, ndi nkhawa zokhudza mimba ndi matenda zimachepetsedwa. Anthu ocheperapo, amene amapeza hysterectomy kukhala choipa kwambiri, nthawi zambiri amawona kuti malingaliro awo akulephera kukhala ndi ana atatha. Pazochitikazi, sikuti opaleshoni yokhayo imayambitsa maganizo a kupsinjika maganizo, koma chenicheni chakuti sangathe kubereka ana.

Imodzi mwa zotsatira zoyipa za kukhala ndi chiwonongeko chonse ndi kuyamba kwa kusamba. Amene amasankha kukhala ndi mazira ochuluka amayamba kusamba pakatha opaleshoni, koma omwe amasunga mazira awo nthawi zambiri amatha kusintha msambo kuposa kale.

Pambuyo pa opaleshoni, mahomoni angalowe m'malo. Pali zoopsa zomwe zimayambitsidwa ndi ma hormone, koma zoopsazi ziyenera kukhala zogwirizana ndi zovuta za wodwalayo chifukwa cha matenda a mitsempha ndi zina.

Azimayi amene amasunga kachilombo ka HIV pambuyo pochita opaleshoni ayenera kukonzekera kupitiliza kukhala ndi mapepala a Pap monga momwe opaleshoni awo amawafotokozera, chifukwa chiopsezo cha matenda a chibelewere chimakhalabe.

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

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Kuchulukitsa Kupeza Opaleshoni Yopanda Mafupa

Kulemera kwa phindu pambuyo pa hysterectomy si nthano, amayi ambiri amalemera kulemera pambuyo pa opaleshoni iyi. Kafukufuku wina adawonetsa phindu la pafupifupi mapaundi atatu chaka chonse atatha opaleshoni, pamene gulu lolamulira la amayi ofanana omwe sanachite opaleshoni linapeza pafupifupi mapaundi 1.3. Ngakhale kuti phindu ili si lalikulu kwambiri, ngati ilolololedwa kuti lizipitirira patapita nthawi lingakhale lofunika kwambiri.

Kafukufuku akuwonetsanso kuti akazi omwe anali ammayi apamtima asanayambe opaleshoni anali pangozi yaikulu yowonjezereka mu chaka chotsatira opaleshoni. Azimayi omwe anali olemera kwambiri asanakwane opaleshoni, komanso amayi omwe adakumanapo ndi kusinthasintha kwa kulemera kwao, ali pangozi yaikulu ya kulemera. Ndiyeneranso kuzindikira kuti chiwerengero chochepa cha amayi omwe amafuna hysterectomy ndi olemera kwambiri kapena owonjezera panthawi ya opaleshoni.

Kuwonjezera masewera olimbitsa thupi ndikutsata chakudya choyenera kumalimbikitsidwa atakhala ndi hysterectomy, makamaka kwa amayi omwe ali pangozi yaikulu yolemera. Ngakhale kusintha kwakukulu kwa moyo, monga kuyenda mofulumira kamodzi patsiku, kumatha kuchepetsa kulemera ndi kusintha thanzi pambuyo pa opaleshoni.

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Kugonana Pambuyo Pachinyengo

Azimayi ambiri amadandaula ndi zotsatira za nthawi yayitali pa moyo wawo wa kugonana. Ngakhale kuti munthu aliyense ali wapadera, hysterectomy sikuti nthawi zonse zimasintha kwambiri pa kugonana kapena kukondwerera kugonana.

Ochita opaleshoni amaonetsa kuti akudikirira masabata 6 mpaka 8 kuti abwerere ku zochitika zogonana pambuyo pa hysterectomy. Pambuyo pake, kugonana kumayenera kukhala kopanda kupweteka kapena kusokonezeka. Amayi ambiri amalephera kwambiri pakatha masabata oyambirira a kuchira koma pamene wodwala amamva kuti ali ndi mphamvu, chidwi chimabwereranso pa kugonana.

Zochitika zogonana pambuyo pa hysterectomy zakhala zikuphunzitsidwa mochuluka, ndipo amayi ambiri omwe ali ndi thanzi labwino la kugonana amabwerera kuntchito yomweyi. Azimayi ena amapeza kuti ali ndi chidwi chogonana atatha opaleshoni, makamaka omwe amadandaula za mimba kapena kupweteka kwapakhosi.

Pali kusiyana pakati pa mitundu ya opaleshoni. Kafukufuku wina wasonyeza kuti akazi omwe anali ndi hysterectomy yomwe inachokera pachibelekero nthawi zambiri amakhala opweteketsa panthawi yogonana ngati kachilombo ka HIV kakuyendera m'mimba. Phunzirolo linasonyezanso kuti kuthekera kukhala ndi ziwalo zamkati, kapena zozizwitsa zakunja, sikunasinthidwe ndi opaleshoni mosasamala kuti kukhalapo kwa chiberekero.

Odwala ena amavutika maganizo kapena kuvutika maganizo pambuyo pa opaleshoni, ndipo ena amayamba kusamba, kuchepetsa kugonana pagalimoto. Ngati zizindikirozi zimagwiritsidwa ntchito bwino, wodwalayo angayembekezere kukhala ndi moyo wogonana ndi wokwanira.

Azimayi ena amafunika mafuta kuti azigonana osasokonezeka pambuyo poyambitsa matenda a hysterectomy, popeza opaleshoni ikhoza kuyambitsa mazira ena.

Chilichonse Chimene Muyenera Kudziwa Ponena za Opaleshoni ya Hysterectomy

> Zotsatira:

> Cholinga Chofuna Kuphunzira Kulemera kwa Thupi Pambuyo pa Hymenereusus ya Premenopausal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851125/

> Hysterectomy. Medline Plus. 2008 http://www.nlm.nih.gov/medlineplus/hysterectomy.html

> Laibulale Yowunikira Odwala, American College of Obstetricians ndi Gynecologists. 2000. Kupopera kwa Vaginal Hysterectomy kwa Laparoscopically