Ngezikhathi ezithile izifo eziyinkimbinkimbi nezinqatshelwe kumele ziphathwe ngokushesha. Lokhu kuyinkinga enkulu, kanti odokotela baya kuso kuphela ngesidingo esikhulu, lapho ezinye izindlela zokwelashwa zingasiza. Enye yalezi zenzo - ukususwa (amputation), noma ukukhulelwa kwesibeletho. Kubizwa nangokuthi igama elithi "hysterectomy".
Izinkomba zokukhulelwa kwesibeletho
Ukwelashwa kokususwa kwesibeletho kwenziwa uma isiguli sinesifo esilandelayo:
- isisu esinesifo somlomo wesibeletho, isisu noma i-ovary;
- i-endometriosis ne-adenomyosis;
- i-myoma enkulu ye-uterine ;
- i-fibrosis yesisu;
- ezinye izifo zesimiso sokuzala, lapho kukhona ukuhlukumeza okukhulu komjikelezo wokuya esikhathini, ukuphuma kwegazi okukhulu, ubuhlungu, nezinqubo ezivuthayo.
Futhi, ukuhlinzwa kokubeletha kwesibeletho kwenziwa owesifazane oguqulwe ngesondo.
Izinhlobo ze-hysterectomy
Lokhu kusebenza kwenziwa ngezindlela ezehlukene kuye ngokuthi isifo esibangela isidingo salo, nezinye izici (ubudala kanye nomzimba wesifazane, ukutholakala kwengane ku-anamnesis, njll). Ngakho, ngokwendlela yokubulawa, i-hysterectomy ingaba:
- isisu;
- i-laparoscopic;
- laparatomicheskoy (evulekile).
Ngendlela yokukhulelwa, lesi sibeletho sihlukile:
- ukususwa kwesibeletho kanye nentamo;
- ukususwa kwesibeletho, lapho umlomo wesibeletho ugcinwa khona;
- ukususwa kwesibeletho nazo zonke izingxenye zokusebenza (amashubhu, ama-ovari);
- ukukhishwa okukhulu (ukususwa okuphelele kwesistimu yonke).
Lokhu kungukuthi, isibonelo, uma isiguli sikhishwa ukukhulelwa kwesisu ngaphandle kwesibeletho, lokhu kusho ukuthi ukutholakala kwesibeletho kuzonikezwa ngeziswini, futhi kuphela isitho ngaphandle kwama-ovari nama-tublopian tubes kuzosuswa.
Inkambo yokuhlinzwa kokukhulelwa kwesibeletho
Ukusebenza kwanoma yiluphi uhlobo lokususa lesi sibeletho kungaphansi kwesifo esiphezulu se-anesthesia. Lapho kukhishwa ngokusebenzisa indlela ye-laparoscopy, ukucubungula okuncane okuncane kwe-peritoneum kwenziwa futhi ukuphathwa okudingekayo kwenziwa ngazo. Uma i-laparotomy, khona-ke ukukhishwa okukhulu okuphambene kwenziwa ngesisu esingaphansi, bese kuwela imigqa ye-uterine, kumisa ukuphuma kwemikhumbi, kunciphisa umzimba we-uterine kusuka ezindongeni zangasese bese ususa isitho.
Ngokukhishwa kwamagciwane, odokotela baqala ukukhipha igciwane lesiswini sangasese, bese wenza ukuchotshozwa okujulile kwengxenye engenhla (futhi uma kunesidingo wenze izimboni ezengeziwe ohlangothini), badonsa umzimba wesisu bese unquma okudingekayo. Khona-ke ukucubungula kwe-lateral kugxotshiwe, kushiya umgodi kuphela wamanzi.
Imiphumela yokukhulelwa kwesibeletho kanye nezinkinga ezingenzeka ngemuva kokuhlinzwa
Phakathi kwemiphumela yokusebenza okuphumelelayo, okulandelayo kungabonakala:
- isiguli ngeke sisakwazi ukukhulelwa;
- ukuphuma esikhathini sokuvama ngokuvamile kwenzeka eminyakeni eminingana ngaphambili;
- izimpawu zalesi sifo, ukwelashwa kwakhe kwakususwa kwesibeletho, kancane kancane inyamalale kuze kube yilapho kutholakala ngokugcwele.
Kodwa-ke, ngezinye izikhathi ngemuva kokuhlinzwa, izinkinga zenzeka, isibonelo, i-suture postoperative ivuvuka, ukuphuma kwegazi, njll Lokhu kwenzeka kaningi emva kokusebenza kwe-cavitary. Odokotela kumele baqaphe lezi zikhathi futhi baphendule kubo ngesikhathi.
Ukubuyiswa ngemuva kwe-hysterectomy
Umzimba wesifazane emva kokukhulelwa kwesibeletho ubuyela esimweni sawo esivamile phakathi kwesigamu kuya ezinyangeni ezimbili. Okokuqala, isiguli emva kokuhlinzwa kokukhulelwa kwesibeletho singase sikhathazeke ngokuphuma kwegazi kusukela emgodini wokubeletha, ubunzima ngokuchama, ukukhathazeka kwe-suture, ukuguquka kwemizwelo ehambisana nezinguquko ze-hormone.
Ngokuqondene nokuphila ngokocansi ngemva kokukhulelwa kwesibeletho, kungenzeka ukuthi kakade ezinyangeni ezingu-2-3 ngemuva kokusebenza. Lapha kungaqaphela ukuthi asikho isidingo sokuvikela ngokukhulelwa okungafuneki, futhi kusukela emayini - ukunciphisa kungenzeka ngesifiso socansi, ukukhathazeka okunye kokulala ngokocansi. Noma kunjalo, owesifazane ngamunye lo muntu ngamunye.