Ubume obuphambili kwi-Hysterectomy Surgery

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Iyintoni Hysterectomy - Hysterectomy echazwe

I-hysterectomy yindlela yokutshatyalaliswa kwayo yonke into okanye inxalenye yesisu somfazi, ngokuqhelekileyo ukunyanga umdlavuza, ukuguquka okungapheliyo okanye ukuphuma kwegazi elingakalawulwa yiendlela ezingaphantsi. Kwabesifazana abathile, izakhiwo ezingezizo izibeleko nazo zisuswe, kubandakanywa nenxalenye yesini , umlomo wesibeleko , izigulane ze-fallopian kunye nama-ovari.

Ukunyaniseka kuyinto eqhutywayo ngokugqithiseleyo eyenziwa ngabasetyhini kuphela.

Izicubu zisuswe zixhomekeke kugqirha kunye nesizathu sokuhlinzwa. Ngokomzekelo, umfazi onomdlavuza wesibeleko unokungena kwiiyunithi xa kukho ukukrokra ukuba umdlavuza usasazeke apho, ngelixa umfazi onenkathazo engapheliyo yokuphuma kwegazi unokufumana isiphumo esonelisayo kwaye kuphela isahlulo sokukhulelwa kwesisu.

Zonke iintlobo ze-hysterectomy ziphela ukukwazi ukukhulelwa kowesifazane. Kwakhona, ukuhlinzwa okubandakanya ukususwa kwee-ovari kwenza ukuba ummi wokumisa ungene emva kokuhlinzwa, ukuba loo nto ibhinqa yayingenayo isisu.

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

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I-Hysterectomy: Xa Kuyimfuneko?

I-hysterectomy iyimfuneko xa zonke ezinye iindlela eziquka imithi, unyango kunye nezinye izinto zokuhlinzwa zingaphumelelanga kwaye umphefumlo wesigulane usemngciphekweni okanye umgangatho wobomi uyingozi. Njenge:

I-Fibroids : Ezi zicubu azikho umdlavuza, kodwa zingabangela intlungu, ukuphuma kwegazi, ukuphazamiseka kunye nokuphazamiseka ngokubanzi.

I-Endometriosis : Le yimeko apho izicubu ezithintela isibeletho ziqala ukusasazeka kwiindawo ezingaphandle kwesibeleko, kubangela ubuhlungu, ukutyumba, ukukhulelwa komzimba, ukungabikho komzimba kunye nokuphuma kwegazi.

I-Cancer: I- Cancer yesibeleko okanye ezinye iinkalo zenkqubo yokuzala inzala ingafuna i-hysterectomy njengenxalenye yonyango.

Ukuphuma kwintsholongwane engapheliyo: Ukuphuma kwegazi okungapheliyo kunokubangelwa kwiimeko ezininzi ezahlukeneyo ezichaphazela isisu. Iimpawu ezibangelwa ukuphuma kwegazi okungapheliyo ziquka i-anemia, ubuthathaka nokungapheli kunye nokukhathazeka kunye nokunciphisa umgangatho wobomi.

Ubuhlungu obungapheliyo: Ubuhlungu obungapheliyo buhlungu be-pelvic bubangelwa yi-hysterectomy, ingakumbi xa intlungu ihamba "ephazamisayo" ukuba "ibuhlungu." Xa umthombo weentlungu azinakunqunyulwa okanye kunzima ukunyanga, abaninzi abafazi bakhetha ukuhlinzwa ekupheleni kwintlungu.

I-uterine prolapse : Xa iigaments kunye nezihlunu ezixhasa isibeleko abakwazi ukuzibamba isikhundla, ngokuqhelekileyo emva kokuzalwa kwamanzi amaninzi, kunokuqala ukungena kwi- vaginal l. Kwiimeko ezinzima, i-uterus ingaqala ukukhupha ngaphandle kokuvulwa kwesondo, umthombo obalulekileyo wokungahambi kakuhle kunye nosulelo olunokwenzeka. Kwiimeko zokuqala, i-pessary, isixhobo sokuncedisa ukubamba isibeleko endaweni, sinokufakwa.

Umonakalo : Ukuphuma kwamanzi okungalawulwa ngumzimba kuyinkcenkcesha engavumelekanga yecandelo le-c, utywala olusasebenzi olungasebenzi, kunye nezinye iindlela zokuhlinzwa ngokusondele kwesibeleko. Olu hlobo lokuphaphaza lukhulu kangangokuba ubomi bubungozi. I-hysterectomy engxamisekileyo ingaba yindlela kuphela yokugcina ubomi besigulane, nangona ezinye iindlela zonyango zingalingeka.

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

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Iindlela zengxube

Ngaphambi kokuba utyando oluvakalayo olunjenge-hysterectomy, abaninzi besetyhini bazama ukuzama iikholeji ezincinci zonyango, kuquka amachiza, unyango lwe-hormone kunye nokunyangwa kwamayeza. Umfazi ngamnye uhlukile, kodwa ezi zonyango zilandelayo zinokukhetha, kunokuba i-hysterectomy.

Inqobo yesigxina: Inkqubo yokugulisa isigulo esenziwa ngumntu onesi-anesthhesiologist, osikhupha i-anesthetic kwi-nerve ejongene nokuqhuba imiyalezo yentlungu ebuchosheni. Xa iimbilini zivaliwe intlungu ayikwazi ukuhanjiswa kwingqondo, ngoko ayisayikuvakalelwa. Ibhloko lingezangexeshana, kodwa linokuphindwa.

Ulwaphulo lweMithi: Iyeza zonyango zisetyenziselwa ukunyanga zombini iimpawu kunye nezizathu zeengxaki ze-uterine. Iyeza zonyango zinokunikezelwa ngababandezelekileyo abangapheliyo kunye ne-hormone therapy ingasetyenziselwa ukunciphisa iimpawu ze-endometriosis.

I-Myomectomy : Utyando olusesikhatyweni lokususa i-fibroids, i-myomectomy yenziwa ngethuluzi le-telescopic efakwe kwi- cervix esetyenziselwa ukususa i-fibroids. Ukuba i-fibroids inkulu kakhulu ukuba isuswe ngomlomo wesibeleko, isincinci esincinci esiswini singenziwa ukuze kususwe ukukhula.

I-Ablation: Unyango lwegazi elinzima okanye elingapheliyo, ukuphuma kwegazi kuyindlela yokuphulukana nesifo apho isilathisi singeniswa ngaphakathi kwesibeleko kwisibeleko sokutshabalalisa izicubu ze-endometrial. I-endometrium inqunywe okanye ivuliwe ukuze imonakalise izicubu kwaye iphele ukuphela kwegazi. Olu unyango alukho kwabo bafuna ukuhlala bekhulile.

I-Balloon Therapy: Ibhaluni ifakwa kwi-cervix ukuya kwisibeletho kwaye ihlonyelwe ukuba ifanelwe ngaphakathi ngaphakathi kwesibeleko. Emva koko kuzala ngamanzi ashisayo imizuzu engama-8, ngokutshabalalisa i-endometrial lining of the uterus ngokuqhelekileyo ejongene nokuphuma kwegazi. Le nkqubo ayikho na umntu ofuna ukukhulelwa.

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

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Iintlobo ze-Hysterectomy - Ingqikithi, ekhethekileyo, ephezulu kunye neyona ndawo

Kukho iintlobo ezininzi ze-hysterectomy. I-hysterectomy inokuthetha nje ukususwa kwesisu, okanye kunokuthi ukususwa kwesisu, isibeleko kunye nama-ovari. Kwakhona, inokwenziwa ngezindlela eziliqela. Okokuqala, makhe sijonge kwiindidi zokungahambisani nokuziphatha:

I-hysterectomy enkulu: Isibeleko, umlomo wesibeleko kunye nama-ovari asuswa.

I-hysterectomy iyonke: Ubele kunye nomlomo wesibeleko zisuswa.

I-Subtotal okanye i-hysterectomy: Inxalenye ephezulu yesisu isusiwe, ishiya i-cervix kunye nama-ovari.

Kwaye, kukho iindlela ezininzi ezinokuthi zenziwe ngophando - ezinye iindlela ezingenakudlula ezinye:

I-Laparoscopic Incedise i-Hysterectomy: Le naluphi na uhlobo lwe-hysterectomy usebenzisa i- laparoscopic (ubuncinci). Izixhobo zifakwe kwiinkcazo ezincinci kwisisu nangasifazana, kwiimeko ezininzi.

I-Hysterectomy yeVaginal: Le hysterectomy yenziwa ngokupheleleyo ngokucwangciswa okwenziwe kwisisini , akukho zixhobo ezibonakalayo kule nkqubo.

I-Hysterectomy yamathumbu: Le hysterectomy isenziwa ngokusebenzisa isicatshulwa esiswini esingaba sisigxina kummandla we-pisic bone ukuya kwiqhosha lesisu, okanye ingaba yindawo engqamene ne-bikini line.

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

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Imibuzo Ebalulekileyo Yokubuza I-Hysterectomy

Ngaphambi kokuba uthathe isigqibo sokuba utyando lwe-hysterectomy, qiniseka ukuba ugqirha wakho uphendule imibuzo yakho ngokupheleleyo. Le uluhlu lwemibuzo onokufuna ukuyibuza:

• Ziziphi izakhiwo ozihlose ukususa?
• Yiyiphi indlela oza kuyisebenzisa? I-laparoscopic , evulekileyo, isondo, inhlanganisela?
• Ziziphi iziphumo zecala ezibhekwa njengesiqhelo?
• Luhlobo luni lokukhutshwa okanye ukuphuma kwegazi lubonwa njengesiqhelo kwinkqubo?
• Ziziphi iimpawu ezifanele zindiqaphele ukuba ndiye kwigumbi lexakeka okanye ndibize ugqirha wam?
• Luhlobo luni lokuhlaziya okufanele ndikulindele?
• Ziza kufakwa phi ukufakwa (s)?
• Ndize kube nini ndibe esibhedlele?
• Ndimele ndide ixesha elingakanani lomsebenzi?
• Ndiya kubuyela nini kwinqanaba eliqhelekileyo lomsebenzi?
• Ngaba ndiza kufuneka i-Pap smears emva kokuhlinzwa?
• Ingaba kukho imirhumo endiyayifuna emva kokuhlinzwa ukuba ndingayigcwalisa ngaphambi kokuba ndivunyelwe esibhedlele?

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

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I-Hysterectomy: Inkqubo

I-hysterectomy inkqubo yokuhlinzwa ingenziwa ngeendlela eziliqela, ngokusetyenjini, ngokwase- laparoscopically , okanye evuliwe esiswini (hysterectomy esiswini). Kungakhathaliseki indlela, i-hysterectomy yinkqubo yokungenasifo sengqondo eyenziwa ngokusebenzisa i- anesthesia jikelele .

Ngokuqhelekileyo, izigulane ze- laparoscopic ziphilisa ngokukhawuleza, ngokubuyela emsebenzini nasemsebenzini ngokukhawuleza nje ngeveki ezimbini, ngelixa izigulane ezineenkqubo ezivulekile zifuna iiveki ezintandathu ukuya kwezi-9 ukuba zibuyele kwimisebenzi eqhelekileyo.

Indlela eyahlukileyo iyahluka kunye nokukhethwa kwabagqithisi kunye nesizathu sokuhlaziya i-hysterectomy. Isibeleko esinama-tumors amakhulu asikwazi ukukhishwa kwi- vagina okanye kwiincinci ze-laparoscopic, kodwa kufuneka zisuswe kwi-incision evulekile. Kwiimeko ezininzi, indlela evulekileyo yinto encinci eyithandwa ngabagqirha, njengoko ukulahleka kwegazi kukukhulu, ukubuyisela ixesha elide kwaye umngcipheko wokusuleleka uphezulu.

Kungakhathaliseki indlela esetyenziselwa utyando, inkqubo iquka ukwahlula isisu esisuka kwiigaments kunye nezicubu ezithatha indawo kunye naziphi na izicubu ezibomvu ezikhoyo. Yisuswa kwisisu okanye kwisisindo esiswini.

Emva kokuba ugqirha uye wahlola iisculi zazo naziphi na izicubu okanye ukuphuma kwegazi kwaye unquma ukuba utyando luzalisekile, izixhobo zihoxiswa kwaye naziphi na izinto ezivaliweyo zivaliwe. Izigqibo ze-laparoscopic zesisu zivaliwe nge- sutures ezingenakunqanda kunye ne-tape engenakuncipha ngelixa izigqibo ezininzi ziza kubanjwa zivaliwe kunye ne-staples okanye i-sutures ezisuswe kwiiveki kamva ugqirha.

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

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Ukubuyisela kwi-Hysterectomy

Ukubuyiselwa kwi-hysterectomy kuyahluka ngokubanzi ukusuka kwisigulane ukuya kwisigulane, ngokuyinhloko ngenxa yeendlela ezahlukeneyo ezisetyenziselwa ukuhlinzwa kunye nezizathu ezahlukeneyo zokuhlinzwa.

Ngokomzekelo, umntu onesabelo senambuzane ususwe i- laparoscopically ukuphaphaza okungapheliyo kuya kuba nokulula okulula kunokuba isigulane esinomdla wendabuko esetyenziselwa ukunyanga umdlavuza we-ovari kunye nesisu, njengoko utyando kunzima emzimbeni kwaye imeko engundoqo ibangela ukudinwa, intlungu, kunye nokukhathazeka okukhulu ngokomzimba nangokomzimba.

Uninzi lwezigulane ze-hysterectomy zibuyela ekhaya zingama-48 iiyure zonyango kunye nomthwalo wokunciphisa ubuhlungu. Izigulana zeLaparoscopic ziyakwazi ukubuyela kwimisebenzi yazo eqhelekileyo kwiiveki ezimbini. Izigulane ezineenkqubo ezivulelekileyo kunye nokukhangela okukhulu zifuna iiveki ezintandathu ukuya kweebhozo kwaye zinezithintelo ezinkulu kakhulu ngenxa yokuzibandakanya okukhulu. Ezi zi gulane akufanele ziphakamise nantoni na ngaphezulu kweepounds ezili-10 ubuncinane kwiiveki ezintandathu emva kokuhlinzwa.

Ukunyamekelwa koNyango emva kokuPiliswa

Kungakhathaliseki uhlobo lwe-hysterectomy, izigulane kufuneka ziyeke ukungena kwiibhati zokuhlamba kunye nokubhukuda ubuncinane kwiiveki ezintandathu emva kwenkqubo. Ukongezelela, ukukhutshwa okunye kukulindeleka ngexesha lokuphulukana, kodwa ukuphaphazeka okukhulu okanye ukukhupha okufunekayo kufuneka kubikwe ngokukhawuleza.

Uninzi lwabasetyhini luyakwazi ukubuyela kwisondo ngaphandle kobuhlungu okanye ukuphazamiseka kwiiveki ezisibhozo okanye ezisibhozo emva kokuhlinzwa, kodwa ugqirha ngamnye uya kuba neembono malunga nexesha elifanelekileyo.

Iinkcukacha ezithe xaxe:

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

Ukunyamekelwa koNyango emva kokuPiliswa

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Ubomi Emva kweHysterectomy

Kwininzi yabasetyhini abane-hysterectomy ngonyaka, umgangatho wobomi uphuculo ngokuhlinzwa njengentlungu, ukuphuma kwamanzi kunye nokukhathazeka ngokukhulelwa kunye nezifo kuncitshiswa. Abo bangabancinci, abafumana i-hysterectomy ukuba yinto engalunganga kakhulu, ngokuqhelekileyo banokuthi loo mvakalelo ayikwazi ukufumana abantwana emva kwenkqubo. Kuloo meko, akuyiyo into eyenziwa ngumntu okwenza ukuba uzive evezelekile, kodwa into yokuba ayikwazi ukuzala abantwana.

Enye yeempembelelo ezibi zokuba ne-hysterectomy epheleleyo yinto yokuqalisa ukuphuma kwesisu. Abo bakhetha ukuba banqunywe ama-ovari baza kuqala ukuphuma komzimba emva kokuhlinzwa, kodwa abo bagcina ii-ovari zabo bahlala benesifo sokuqeda umva kwangaphambili kunokuba kunjalo.

Emva kokuhlinzwa, i-hormone substitution ingadingeka. Kukho iingozi ezinxulumene nokutshintshwa kwe-hormone, kodwa ezo zingozi zifanele zilungelelaniswe neziganeko zobungozi be-osteoporosis nezinye iimeko.

Abasetyhini abagcina umlomo wabo wesibeleko emva kokuhlinzwa kufuneka bacwangcise ukuqhubeka bephethe i-Pap smears njengoko kuqhutywe ngugqirha wabo, njengokuba ingozi yezifo zentsholongwane ihlala.

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

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Ukunyameka kobunzima emva kokugqithisa kwe-Hysterectomy

Ukunyuka kwesisindo emva kwe-hysterectomy akuyiyo inkolelo, abafazi abaninzi bafumana ubunzima emva kokuhlinzwa. Olunye uphando olwenziwe uphando lubonisa inzuzo ephakathi kwama-3 iipounds ngonyaka emva kokuhlinzwa, ngelixa iqela lolawulo labafazi abanjalo abangazange baphenywe bafumana umyinge wama-1.3. Nangona le ntlawulo ayikho enkulu kakhulu, ukuba ivunyelwe ukuba iqhubeke ngokuhamba kwexesha ingaba yinto ebalulekileyo.

Uphando lubonisa ukuba abafazi ababengaphambi kwe-foremenopausal ngaphambi kokuhlinzwa, babesengozini enkulu yokufumana ubunzima kunyaka olandelayo emva kokuhlinzwa. Abasetyhini ababengaphezu kokugqithisa phambi kokuhlinzwa, kunye nabasetyhini abaye bafumana ukuguqulwa kobunzima babo, basengozini enkulu yokufumana ubunzima. Kufuneka ukuba uqaphele ukuba inani elingafaniyo labasetyhini abafuna i-hysterectomy likhulu kunene okanye ligqithise ngexesha lokuhlinzwa.

Ukwandisa umsebenzi kunye nokulandelela ukutya okucetywayo kunconywa emva kokuba ne-hysterectomy, ingakumbi kubafazi abasengozini enkulu yokufumana ubunzima. Nokuba utshintsho oluthile lokuphila, njengokuhamba ngokukhawuleza kanye ngosuku, lunokuthintela ukuzuza ubunzima nokuphucula impilo emva kokuhlinzwa.

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Isondo Emva kwe-Hysterectomy

Uninzi lwabasetyhini luxhalabele ngexesha elide le-hysterectomy ngobomi babo bobulili. Nangona umntu ngamnye ehlukile, i-hysterectomy ayisoloko idala utshintsho olukhulu kwi-sex drive okanye ukwazi ukuzonwabisa ngesondo.

Abagqirha bathetha ukulinda ubuncinci beeveki ezi-6 ukuya kwezi-8 ukubuyela kwimisebenzi yesondo emva kwe-hysterectomy. Emva kwelo xesha, ukulala ngesondo kufuneka kuyenzeka ngaphandle kwentlungu okanye ukuphazamiseka. Uninzi lwabasetyhini luziva lukhuni kakhulu kwiiveki zokuqala zokuphucula kodwa njengoko isigulane sinomuva onamandla, inzala kwimbuyiselo yesondo.

Umsebenzi wesondo emva kohlobo lwe-hysterectomy luye lwafundiswa ngokubanzi, kwaye abaninzi abafazi abanempilo yobomi obusempilweni babuyela kuloo nqanaba lomsebenzi. Abanye abasetyhini bafumanisa ukuba banomdla ngakumbi ngokwesini emva kokuhlinzwa, ngakumbi abo babenenkxalabo malunga nokukhulelwa okanye ubuhlungu bentlungu.

Kukho umahluko phakathi kweentlobo zokuhlinzwa. Olunye uphando lubonisa ukuba abasetyhini abanomdla wokuhlambalaza oshiya umlomo wesibeleko babenokuba baninzi xa behamba ngesondo njengoko umlomo wesibeleko udlala indima ebusini. Uphando luye lwabonisa ukuba amandla okuba ne-orgasms ezincinci, okanye i-orgasms yangaphandle, ayitshintshwanga yindlela yokuhlinzwa ngokungakhathaliseki ubukho bomlomo wesibeleko.

Ezinye izigulane zivakalelwa ukulahlekelwa okanye ukuxinezeleka emva kokuhlinzwa, kwaye ezinye ziqala ukuyeka umyeni, ukunciphisa i-sex drive. Ukuba ezi zimpawu zisingathwa ngokufanelekileyo, isigulane sinokulindela ukufumana ubomi obugcweleyo kunye nosebenze ngesondo.

Abanye abesifazana baya kufuna i-lubricant ukuba balala ngesondo ngaphandle kokuphazamiseka emva kohlobo lwabo lwe-hysterectomy, njengoko utyando lunokubangela ukoma komzimba wesisu.

Konke Okufuneka Ukwazi Ngobuchopho be-Hysterectomy

> Imithombo:

> Ukufunda okuPhambili koMzimba wokuPhathwa kwesisindo Emva kwe-Hymenereusus ye-Premenopausal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851125/

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

> IThala leNgcaciso yeMathala, i-American College of Ostrijians kunye neGynecologists. 2000. I-Laparoscopically Assisted Hysterectomy