Unyango lwe-uterine engaqhelekanga lubonwa njengesigqibo sokugqibela
I-hysterectomy yindlela yokukhutshwa kwayo yonke into okanye inxalenye yesisu somfazi. Yinkqubo edlalwa ngamanye amaxesha ukunyanga umdlavuza, intlungu engapheliyo, ukuphuma kwegazi elininzi, okanye ezinye iingxaki ezinzulu zesisu.
Enye yeemeko eziphathwe yi-hysterectomy ibizwa ngokuba yi- adenomyosis , imeko apho intsimbi yangaphakathi ye-uterus (endometrium) ihamba ngodonga lwe-muscular of the uterus.
Ukuqonda i-Adenomyosis
I-Adenomyosis ayiyona imeko esongela ubomi kodwa enye inokuchaphazela kakhulu umgangatho wobomi bomfazi. Iimpawu zibandakanya ukuxinwa, ixesha elibi, ukuqhawula, iintlungu ezisezantsi, kunye nokubetha. Le meko ingahlakulela kuyo yonke imbilini okanye ibekwe kwindawo eyodwa kuphela.
I-Adenomyosis idla ngokufunyaniswa rhoqo kwindoda eneminyaka ephakathi-ubudala ebenabantwana. Ukuhlinzwa kwangaphambili komhlaza kungakwandisa umngcipheko.
I-Adenomyosis ihlala iphosakele kwenye imeko ebizwa ngokuthi i- uterine fibroids . Ezi ziinkalo ezingenakunqununu okanye kwi-wall uterine ngokuchasene ne-adenomyosis enesakhiwo esichazwe phantsi. Ukuxilongwa kusetyenziswa ngokusetyenziswa kwe-ultrasound yangaphandle okanye i -imaging magnetic resonance (MRI) . I-MRI isetyenziswa kakhulu xa ibhinqa lijongene nokuphuma kwegazi.
Izinketho zokuNyango ezingapheliyo
Utyando lwe-adenomyosis luxhomeke kakhulu kwiinkalo zempawu.
Iimpawu ezincinci zihlala ziphathwa ngamachiza amaninzi kunye nefuthe lokufudumala ukuze kuncede ukukhulula. Phakathi kwezinye iindlela:
- I-hormone yokwelapha inokunceda ukunciphisa ixesha elinzima okanye elibuhlungu.
- Ukugqithisa umthambo wesibindi yindlela yokwenza i-catheter isondla iincinci ezincinci kwi-arterial uterine ukuvimba ukuhamba kwegazi kwiimpawu ezichaphazelekayo,
- I-endometrial ablation iyinkqubo encinci ye-invasive eyonakalisa (i-ablates) iinxalenye ze-uterine yarner ukukhuphula intlungu.
- Utyando lwe-laparoscopic ngumgangatho wegolide wokutshatyalaliswa kwezinto ezincinci ze-adenomyotic tissue. Ukusebenzisa izixhobo ezizodwa kunye nokuchithwa kwe-keyhole, ugqirha unokwazi ukujonga kwaye ukususa naziphi na izicubu ezingaqhelekanga.
Xa i-Hysterectomy ibonakalisiwe
I-hysterectomy iboniswa kuphela ukuba umgangatho wobomi wobomi uphathwe kakubi kwaye zonke ezinye iindlela zokonyango ziphelile.
Xa kuthethwa oko, unyango oluphela kuphela lwe-adenomyosis yi-hysterectomy. Ngokungafani nama-fibroids, ahlala ejikelezwe yi-capsule, akukho mda ocacileyo phakathi kwezicubu ezingavamile kunye neziqhelekileyo ze-uterine. Ngenxa yoko, le meko iyakwazi ukuphinda iphinde ibuye emva kokuxhoma okanye ukumbumba.
Ngokuxhomekeka kwimeko, kukho iinzuzo ezininzi kwi-hysterectomy:
- Ubungakanani bonyango olongezelelweyo luncitshiswa.
- Ukuba ungaphaya kweminyaka yakho yokuzala abantwana, yinkqubo ecacileyo ngakumbi yonyango.
- Ukuba kukho ezinye iimeko ezikhoyo, ezifana ne- endometriosis , kunokuba lula ukuba baphathwe bonke ngokukhawuleza.
Indlela iNkqubo eyenziwa ngayo
Kukho iintlobo ezininzi ze-hysterectomy ezingasetyenziselwa ukuphathwa kwe-adenomyosis.
Indlela yokugonywa isekelwe ngokubanzi malunga nokungena kwe-endometri.
I- hysterectomy epheleleyo (equka ukususwa kwesibeleko kunye nomlomo wesibeleko) okanye i-hysterectomy esezantsi (apho kuphela isahlulo esiphezulu sesisu esisusiweyo) isetyenziswe kuphela kwiimeko apho i-adenomyosis isasazeka.
Nangakhathaliseki inkqubo esebenzisiweyo, i-hysterectomy yenziwa phantsi kwe-anesthesia jikelele kwaye ibandakanya ukuhlukana kwesibeletho esivela kwiifom e zibeka kuyo. Emva kokuba isisu sisuswe, isilonda sokunyanga sivaliwe nge-staples, sutures, sutures okanye i-tape engenakunyumba.
Ukubuyiswa Kwangemva Kwokuphanda
Uninzi lwabasetyhini abafumana i-hysterectomy bangahamba ekhaya ngaphakathi kweeyure ezingama-48 zomsebenzi kwaye babuyele kwimisebenzi yabo eqhelekileyo kwiiveki ezimbini.
Emva kokuba sele i-hysterectomy, akuqhelekanga ukuba ibhinqa lifumane uluhlu lweempawu ze-menopausal, eziquka:
- Ukutshisa okushisayo
- Ukuhamba kweemvakalelo
- Ukunciphisa libido
- Ukuma komzimba
- Ukukhupha ebusuku
Zonke iinkqubo ze-hysterectomy, kungakhathaliseki uhlobo, ziya kuphelisa amandla omfazi wokukhulelwa. Iimvakalelo zengqondo ziyakhathaza umfazi, ingakumbi ukuba ucwangcisa intsapho. Kungenxa yesi sizathu ukuba i-hysterectomy imele ibe yinto yokugqibela xa kukho kungekho ndlela yokuphatha ukukhubazeka okanye intlungu ebangelwa yi-adenomyosis.
> Umthombo:
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. "Hysterectomy: FAQs". EWashington, DC; kuhlaziywe ngoMatshi 2015.
> Tosti, C .; Troìa, L .; Vannuccini, S. et al. "Ukonyango lwangoku kunye nekamva lwe-adenomyosis." I-Endometr ye-J Endometr Ingxaki yePilvic Pain Disord. 2016; 8 (4): 127-135. INGXELO: 10.5301 / je.5000261.