Ukwelashwa kokungajwayelekile kwesibeletho kubhekwa njengesenzo sokugcina
I-hysterectomy iyisusa sokukhishwa kwezinto zonke noma ingxenye yesisu somfazi. Kuyindlela eyenziwa ngezinye izikhathi ukuphatha umdlavuza, ubuhlungu obungapheli, ukuphuma okunzima, noma ezinye izifo ezinzima zesisu.
Omunye wemibandela ephathwe yi-hysterectomy ibizwa ngokuthi i- adenomyosis , isimo lapho i-lining yangaphakathi yesibeletho (i-endometrium) ihlukana nodonga lwe-muscle wesibeletho.
Ukuqonda i-Adenomyosis
I-Adenomyosis ayiyona isimo esisongela ukuphila kodwa esisodwa singathinta ngokujulile ikhwalithi yokuphila yowesifazane. Izimpawu zihlanganisa ukuchoboza, izinkathi ezinzima, ukuxubha, ubuhlungu obuphansi besisu, nokubhubhisa. Lesi simo singakhula kulo lonke isisu noma sibe indawo eyodwa kuphela.
I-Adenomyosis ijwayele ukutholakala ukuthi inabesifazane abaneminyaka emibili abaye baba nezingane. Ukuhlinzwa kwangaphambi kokubeletha kungase kwande ingozi.
I-Adenomyosis ivame ukuphutha ngesinye isimo okuthiwa i- uterine fibroids . Lezi zikhula ezingenakunqamuki noma odongeni lwe-uterine uma kuqhathaniswa nesimo sokuhlushwa esinesakhiwo esichazwe phansi. Ukuhlola ngokuvamile kwenziwa ngokusebenzisa i-ultrasound yangaphandle noma i- imagery magnetic resonance (MRI) . I-MRI isetshenziswa kakhulu uma owesifazane ezwa ukuphuma kwegazi.
Izinketho ezingelapheki zokwelapha
Ukwelashwa kwe-adenomyosis kuncike ikakhulukazi ekuqinekeni kwezimpawu.
Izimpawu ezincane zivame ukwelashwa ngemithi yokuhlunguphaza okungaphezu kwamakhompiyutha kanye nomshini wokushisa ukuze kusize ukunciphisa ukucindezeleka. Phakathi kwezinye izinketho:
- Ukwelapha ama-hormone kungasiza ekunciphiseni izinkathi ezinzima noma ezibuhlungu.
- I-arterial uterine embolism iyindlela lapho umcengezi udla khona izinhlayiyana ezincane emthonjeni we-utéine ukuze uvimbele ukugeleza kwegazi kuya kwezicubu ezithintekile,
- Ukuphumula kwe-endometriyamu inqubo encane encane eyonakalisa (isusa) izingxenye ze-uterine lining ukuze unciphise ubuhlungu.
- Ukuhlinzwa kwe-laparoscopic kuyinqubo yegolide yokususwa okungenasisindo kwezicubu ezinamandla. Esebenzisa imishini ekhethekile kanye nokuhlunga kwe-keyhole, udokotela ohlinzayo angabuka ngokuqondile futhi asuse noma yikuphi izicubu ezingavamile.
Lapho i-Hysterectomy Ikhonjiswa
I-hysterectomy iboniswa kuphela uma ikhwalithi yokuphila komfazi ishintshwe kakhulu futhi zonke ezinye izindlela zokwelapha seziphelile.
Njengoba kuthiwa, ukwelashwa okuphelele kuphela kwe-adenomyosis yi-hysterectomy. Ngokungafani nama-fibroids, okuvame ukuzungezwe i-capsule, akukho mngcele ocacile phakathi kwezicubu ezingavamile nezijwayelekile zesibindi. Ngenxa yalokhu, lesi simo singase siphinde siphinde siphume ngisho nangemva kokuphumula noma ukumbumbana.
Kuye ngesimo, kunezinzuzo ezimbalwa ze-hysterectomy:
- Amathuba okuthola ukwelashwa okunye anciphisa.
- Uma ungaphezu kweminyaka yakho yokuzala ingane, kungcono ukwelashwa okucacile kakhulu.
- Uma kunezinye izimo ezikhona, ezifana ne- endometriosis , kungase kube lula ukuwaphatha ngaso sonke isikhathi.
Indlela iNqubo eyenziwa ngayo
Kunezinhlobo eziningana ze-hysterectomy ezingasetshenziswa ukuphatha i-adenomyosis.
Indlela yokuhlinza isekelwe ikakhulukazi ekungeneni kwe-endometrium.
I- hysterectomy ephelele (ehilela ekususeni kwesibeletho nomlomo wesibeletho) noma i-hyterectomy e-subtotal (lapho kuphela ingxenye engenhla yesibeletho isusiwe) isetshenziselwa kuphela ezimweni lapho i-adenomyosis isakazeke khona.
Kungakhathaliseki ukuthi kusetshenziswe kanjani, i-hysterectomy yenziwa ngaphansi kwe-anesthesia ejwayelekile futhi ihilela ukwehlukana kwesibeletho kusuka ezintanjeni ezibeka endaweni yayo. Uma isisu sisusiwe, isilonda soguquko sivaliwe ngokuyisisekelo, ama-sutures, ama-sutures angenayo, noma i-tape oyinyumba.
Ukubuyiswa kokuthunyelwe kokuthunyelwe
Abaningi besifazane abaphethe i-hysterectomy bangaya ekhaya zingakapheli amahora angu-48 okusebenza futhi babuyele emisebenzini yabo evamile phakathi kwamasonto amabili.
Ngemva kokuthola i-hysterectomy, akuyona into engavamile ukuba owesifazane abone izinhlobo eziningi zempawu ze-menopausal, kufaka phakathi:
- Ukushisa okushisayo
- I-Mood iyashintsha
- Kunciphise libido
- Ukomisa kwamagagasi
- Izithukuthuku ebusuku
Zonke izinqubo ze-hysterectomy, kungakhathaliseki uhlobo, zizoqeda ikhono lomfazi lokukhulelwa. Ukulimala ngokomzwelo kungabhubhisa owesifazane, ikakhulukazi uma ehlela umndeni. Kungenxa yalesi sizathu ukuthi i-hysterectomy kufanele ibhekwe njalo njengendlela yokugcina uma kungekho enye indlela yokwelapha ukukhubazeka noma ubuhlungu obubangelwa ukuhlaselwa komzimba.
> Umthombo:
> I-American College ye-Obstetrics ne-Gynecology. "Hysterectomy: FAQs." Washington, DC; ibuyekeziwe ngoMashi 2015.
> Tosti, C .; Troìa, L .; Vannuccini, S. et al. "Ukwelashwa kwamanje nokwasekusasa kwe-adenomyosis." I-J Endometr Isifo sePilvic Pain. 2016; 8 (4): 127-135. I-DOI: 10.5301 / je.5000261.