Popeza kuchotsa chiberekero ndi ntchito yovuta yomwe imakhala ndi zotsatira zoyipa, zimapweteketsa thupi osati mthupi, komanso m'maganizo, ndiye kuti opaleshoni yotereyi yachitidwa pochita zizindikiro zina.
Ntchito yokonzekera kuchotsa chiberekero - kuwerenga
Izi zikuphatikizapo:
- zotupa zoopsa za chiberekero, chiberekero chake ndi mapulogalamu;
- Kuchekera kwa chiberekero kapena kuchepa kwakukulu kwa chiberekero;
- zizindikiro zazikulu zazikulu zowonjezera chiberekero, kukula mofulumira, zovuta ndi magazi ochuluka, makamaka pa nthawi ya kusamba kwa thupi;
- necrosis ya fibromatous nodes;
- endometriosis ya mtundu wamkati, zovuta ndi magazi;
- kusintha kwa kugonana;
- zosaopsa kwambiri za uterine magazi .
Kuchotsa chiberekero: mitundu ya ntchito
Mwa chiwerengero cha ziwalo zomwe zimachotsedwa pa opaleshoni, zimagawidwa mwa:
- chiwerengero (chotsani chiberekero ndi khosi);
- chiwerengero cha chiberekero (thupi lokha limachotsedwa);
- Hysterosalpingoariovectomy (chiberekero ndi mapulogalamu ake achotsedwa);
- (kuchotsa chiberekero, mapuloteni, ziwalo zozungulira zomwe zili ndi minofu, chiberekero ndi mbali ya ubini, yomwe imagwiritsidwa ntchito mu zotupa zakupha).
Mwa mtundu wa malonda:
- Tsegulani opaleshoni yamagetsi . Kuchotsa chiberekero kumachitika kudzera pakhoma lam'mbuyo la m'mimba.
- Ntchito yamaginito . Kuchotsa kumapangidwa kupyolera mukazi.
- Opaleshoni ya laparoscopic kuchotsa chiberekero . Kufikira kulikonse kudzera mwa laparoscope kupyolera pang'onoting'ono kakang'ono kungaphatikizepo ndi robotic hysterectomy.
Mitundu iwiri yomaliza yowonjezera yowonjezereka, kuchepetsa chiopsezo cha mavuto komanso nthawi yobwezeretsa opaleshoni. Ndipo nthawi ya opaleshoni yochotsa chiberekero sichidalira kwambiri mtundu wa njira yosankhira njira monga njira ya dokotalayo, koma zimakhudzidwa ndi zizindikiro zowonjezereka kapena zovuta zomwe zavumbulutsidwa panthawiyi.
Kuchotsa chiberekero - kukonzekera opaleshoni
Kulondola koyambitsa nthawi yowonongeka nthawi zambiri kumagwirizana kwambiri ndi kupambana kwa ntchitoyi. Ngati opaleshoniyi ikugwira ntchito yamagetsi ambiri, nthawi yokonzekera ikhoza kukhala miyezi ingapo ndipo ikuphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo kuti achepetse kukula kwa mfundozo.
Ngati chiberekerocho chichotsedwa ndi zizindikiro zina, ndiye kuti masiku ochepa asanayambe kugwira ntchito, mankhwala ophera ma antibayotiki amaperekedwa kuti asatenge kachilombo ka HIV, komwe kumapitirira nthawi yopuma.
Madzulo a opaleshoni, tebulo nambala 1 (nthaka ya madzi), kuyeretsa enema ndi kukonzekera, komwe kumabwerezedwa musanayambe kugwira ntchito, imayikidwa. Patsiku la opaleshoni, kathete imalowetsedwa m'chikhodzodzo, yomwe imakhalabe kwa maola ena 24. Pa opaleshoni, endotracheal anesthesia, epidural kapena anesthesia wamtsempha amagwiritsidwa ntchito nthawi zambiri.
Kuchotsa chiberekero: moyo pambuyo pa opaleshoni
Kubwezeretsa pambuyo pa ntchito yochotsa chiberekero ndi yaitali. Ambiri amadalira zomwe opaleshoniyo inkachitidwa: kuchotsa chiberekero, chiberekero ndi mapulogalamu, komanso zaka za mkaziyo.
Zotsatira zotsatira za opaleshoni zokhudzana ndi chiberekero ndi mazira oyamba, ndizoyamba, kusamba kwa thupi, kumene kumadza ndi zizindikiro zonse za mthupi m'masiku oyambirira mutatha.
Ngati mimbayi imachotsedweratu kumapeto kwa nyengo kapena kumapeto kwa nthawi, ndiye kuti lamulo, mankhwala ochotsera mavitamini sanagwiritsidwe ntchito, koma ngati kuchotsa chiberekero ndi zowonjezeredwa zinkachitidwa ali wamng'ono, mkaziyo ayenera kutenga ma hormoni a kugonana kwa nthawi yaitali.
Ndi kuchotsa chiberekero popanda mazira, zimapitirizabe kugwira ntchito, choncho popanda umboni wamphamvu sizingachotsedwe kwa achinyamata okha, koma komanso pakakula. Koma, pakayamba kusamba, nthawi zambiri amachotsedwa, mothandizidwa ndi mfundo yakuti pamodzi ndi mazira ochuluka amachotsa mwayi wokhala ndi kansa mwa iwo, amachitanso kachilombo ka HIV.
Zotsatira zina zokhudzana ndi chiberekerocho zimadalira mavuto omwe anachitika panthawi ya opaleshoniyo komanso kuchokera ku matenda omwewo, omwe chiberekerocho chinachotsedwa (kuvulala kwa ziwalo zozungulira, kutuluka mwazi, matenda opatsirana ndi matenda, khansara pambuyo pochita opaleshoni ndi kubwezeretsedwa, thrombosis).