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Iyini Hysterectomy - Hysterectomy EchazweI-hysterectomy iyisuswe sokukhipha konke noma ingxenye yesisu somfazi, ngokuvamile ukuphatha umdlavuza, ubuhlungu obungapheli noma ukuphuma kwegazi okungakalawulwa yizindlela ezincane ezingenasidingo. Kwabesifazane abathile, izakhiwo ngaphandle kwesibeletho nazo zisusiwe, kufaka phakathi ingxenye yesifazane , umlomo wesibeletho , ama- tublopian tubes nama-ovaries.
Ukuzikhethela ukuhlinzwa okuvame ukwenziwa ngabesifazane kuphela.
Amathisusi asuswe athembele ku-operesheni kanye nesizathu sokuhlinzwa. Isibonelo, owesifazane onomdlavuza wesibeletho angase asuswe ama-ovari uma kukhona ukusola ukuthi umdlavuza usakaze lapho, ngenkathi owesifazane onenkinga yokuphaphazeka okungapheli angase abe nomphumela owanelisayo ngaphandle kokuba ingxenye yesisu isuswe.
Zonke izinhlobo ze-hysterectomy ziphela ikhono lomfazi lokukhulelwa. Futhi, ukuhlinzekwa okubandakanya ukususwa kwama-ovari kuyabangela ukuyeka esikhathini sokumisa ukufaka emva kokuhlinzwa, uma owesifazane engakaze angene esikhathini sokuya esikhathini.
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
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I-hysterectomy: Uma Kudingeka Yini?Ngokuvamile i-hysterectomy iyadingeka lapho zonke ezinye izinyathelo ezibandakanya imithi, ukwelashwa kanye nezinye izinhlinzeko ezingazange ziphumelele futhi impilo yesiguli isengozini noma izinga lakhe lokuphila lilimazwa. Njenge:
Ama-fibroid : Lezi zicubu azikona umdlavuza, kodwa zingabangela ubuhlungu, ukuphuma kwegazi, ukuphazamiseka nokungahambi kahle.
I-Endometriosis : Lesi yisimo lapho izicubu ezithinta isibeletho ziqala ukusabalalisa ezindaweni ezingaphandle kwesibeletho, okubangela ubuhlungu, ukuchotshozwa, ukukhulelwa kwesisu, ukungabikho komzimba nokuphuma kwegazi.
I-Cancer: I- Cancer yesibeletho noma ezinye izindawo zesistimu yokuzala abesifazane ingadinga i-hysterectomy njengengxenye yokwelapha.
Ukwelapha okungapheliyo: Ukusuka okungapheli kungabangela izimo eziningi ezehlukene ezithinta isisu. Izimpawu ezibangelwa ukuphuma kwegazi okungapheli zihlanganisa i-anemia, ubuthakathaka nokukhathala okungapheli kanye nokukhathazeka nokunciphisa izinga lokuphila.
Ubuhlungu obungapheliyo: Ubuhlungu obungavamile obungavamile obuhlungu obuhlungu obuhlungu obukhulu obungama-pelvic ngokuvamile buyisizathu se-hysterectomy, ikakhulukazi uma ubuhlungu buhamba "obucasulayo" kuya "obunzima." Uma umthombo wobuhlungu ungenakuhlukaniswa noma kunzima ukuphatha, abesifazane abaningi bakhetha ukuhlinzwa ukubeka ukuqeda ubuhlungu.
Ukwehla kwesibindi : Uma izigxobo nemisipha ezisekela isibeletho abakwazi ukuzibamba esikhundleni, ngokuvamile emva kokuzalwa kwezibeletho eziningi, kungase kuqale ukungena emgodini wesifazane . Ezimweni ezinzima, lesi sibeletho singase siqale ukuphuma ngaphandle kokuvulwa kwesisu, umthombo obalulekile wokungahambi kahle nokutheleleka okungenzeka. Ezikhathini zokuqala, i-pessary, idivayisi yokusiza ukubamba isibeletho endaweni, ingafakwa ngokuhlinzwa.
Ukulimaza igazi : Ukungalawulwa kwegazi lomzimba okungalawuleki kuyinkimbinkimbi engavamile yesikhumba c, ukuphaphazeka kwamakhemikhali angasebenzi, nokunye ukuhlinza eduze kwesibeletho. Lolu hlobo lokugaya lukhulu kakhulu kangangokuthi ukuphila kuyingozi. I-hysterectomy ephuthumayo ingaba yindlela kuphela yokulondoloza impilo yesiguli, nakuba ezinye izifo zingase zizame.
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
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Ama-Hysterectomy AlternativesNgaphambi kokuhlinzwa okunomthelela njenge-hysterectomy, abesifazane abaningi bakhetha ukuzama izifundo ezincane zokwelashwa, kuhlanganise nemithi, ukwelashwa kwe-hormone kanye nokwelashwa okuhlinzekwayo. Owesifazane ngamunye uhlukile, kodwa lezi zindlela zokwelapha ezilandelayo zingase zikhethe, kunokuba i-hysterectomy.
I-block yolwazi: Inqubo yokuphulukisa iziguli eyenziwa yi-anesthhesiologist, oshaya i-anesthetic emndenini onomthwalo wokwenza imiyalezo ebuhlungu ebuchosheni. Uma inzwa ivinjelwe ubuhlungu abukwazi ukudluliselwa ebuchosheni, ngakho-ke akusasazwa. I-block yesikhashana, kodwa ingabuyekezwa.
Imithi yokwelashwa : Imithi yokwelashwa isetshenziswa ukuphatha kokubili izimpawu nezimbangela zezinkinga zebele. Imithi yokwelashwa inganikezwa iziguli ezigulayo ezingapheli kanye nokwelashwa kwe-hormone kungasetshenziswa ukunciphisa izimpawu ze-endometriosis.
I-Myomectomy : Ukuhlinzwa okuphulukisiwe ukukhipha i-fibroids, i-myomectomy yenziwa ngokusebenzisa ithuluzi le-telescopic efakwe emlonyeni wesibeletho esetshenziselwa ukususa i-fibroids. Uma i-fibroids inkulu kakhulu ukuba ingasuswa emgodini wesibeletho, ukucubungula okuncane kwesisu kungenziwa ukuze kususwe ukukhula.
I-Ablation: Ukwelashwa kokuphuma kwegazi okunzima noma okungapheliyo, ukuphulukiswa kwegazi kuyindlela yokuphulukisa lapho isilwane singeniswa ngaphakathi kwesibeletho singena esibelethweni sokubhubhisa izicubu ze-endometrial. I-endometrium inqunywe noma igwetshwe ukulimaza izicubu bese iphela ukuphuma kwegazi. Le ukwelashwa akukhona kulabo abafisa ukuhlala bevuthiwe.
I-Balloon Therapy: I-balloon ifakwa emgodleni wesibeletho singena esibelethweni bese ihlonyelwe ukulingana ngaphakathi kwesibeletho. I-ke igcwele ngamanzi ashisayo imizuzu eyisishiyagalolunye, ngokubhubhisa ngokuphumelelayo uketshezi lwe-endometrial kwesibeletho esivame ukubhekana nokuphuma kwegazi okungapheli. Le nqubo akuyona yimuphi umuntu ofuna ukukhulelwa.
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
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Izinhlobo ze-Hysterectomy - Ingqikithi, Eyingxenye, Eyingqayizivele kanye neyodwaKunezinhlobo eziningi zezokwelapha ze-hysterectomy. I-hysterectomy ingasho ukususwa nje kwesibeletho, noma kungasho ukususwa kwesibeletho, umlomo wesibeletho kanye nama-ovari. Futhi, ingenziwa ngezindlela eziningana. Okokuqala, ake sibheke izinhlobo zezinhlobo zokuziphatha:
I-hysterectomy enkulu: Isibeletho, umlomo wesibeletho kanye nama-ovari asuswa.
Ingqikithi ye-hysterectomy: Isibeletho nomlomo wesibeletho zisuswa.
I-hyterectomy e-subtotal noma ingxenye: Ingxenye engenhla yesisu isusiwe, ishiya umlomo wesibeletho kanye nama-ovari.
Futhi, kunezindlela eziningana ukuhlinzwa kungenziwa - ezinye izindlela zihlasela kakhulu kunezinye:
I-Hysterectomy Ephathekayo YaseLaparoscopic: Lona noma iyiphi i-hysterectomy esebenzisa ama- laparoscopic (amancane amancane). Izinsimbi zifakwa ngokusebenzisa ukucubungula okuncane emlonyeni nasesiswini, ezimweni eziningi.
I-Hysterectomy yama-vaginal: Le hysterectomy yenziwa ngokugcwele ngokucubungula okwenziwe esithweni sangasese , azikho izibazi ezibonakalayo kule nqubo.
I-Hysterectomy ye-Abdominal: Le hysterectomy yenziwa ngokusebenzisa ukuchotshozwa esiswini okungaba yi-vertical kusuka endaweni yethambo le-pubic kuya enkinobho yesisu, noma kungase kube nendawo ehambisana ne-bikini line.
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
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Imibuzo Ebalulekile Yokubuza I-hysterectomyNgaphambi kokuba unqume ukuthi uhlinzekwe nge-hysterectomy, qiniseka ukuthi udokotela wakho ohlinzayo uphendule imibuzo yakho ngokuphelele. Lona uhlu lwemibuzo ongase ufune ukuyibuza:
- Yiziphi izakhiwo ozihlose ukususa?
- Iyiphi indlela oyisebenzisayo? I-laparoscopic , evulekile, isisu, inhlanganisela?
- Imiphi imiphumela emibi ethathwa njengokujwayelekile?
- Luhlobo luni lokukhipha noma ukuphuma kwegazi olubhekwa njengelesijwayelekile?
- Yiziphi izimpawu okufanele zixwayise ukuba ngiye ekamelweni eliphuthumayo noma ngibize udokotela wami ohlinzayo?
- Ngabe ngiluhlobo luni lomshini okufanele ngilindele?
- Kuzokwenzeka kuphi ukukhipha (s)?
- Ngizohlala isikhathi esingakanani esibhedlela?
- Kumelwe ngisuse isikhathi esingakanani emsebenzini?
- Ngingabuyela nini esimweni sami esivamile somsebenzi?
- Ingabe ngizodinga ama-pap smears ngemva kokuhlinzwa?
- Zikhona yini izimiso engizodinga emva kokuhlinzwa ukuthi ngingagcwalisa ngaphambi kokuba ngingeniswe esibhedlela?
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
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Hysterectomy: InquboInqubo yokuhlinzeka nge-hysterectomy ingenziwa ngezindlela eziningana, nge-vaginally, laparoscopically , noma evuliwe esiswini (hysterectomy esiswini). Kungakhathaliseki indlela, i-hysterectomy inqubo yokugulisa isifo esithathelwanayo esenziwa ngokusebenzisa i- anesthesia ejwayelekile .
Ngokuvamile, iziguli ze- laparoscopic ziphulukisa okusheshayo, ngokubuyela emsebenzini nasemisebenzini masonto amabili, kuyilapho iziguli ezinezinqubo ezivulekile zidinga amasonto ayisithupha kuya kwengu-9 ukuba zibuyele emisebenzini evamile.
Le ndlela ihluka ngokukhetha okuhlinzekwa ngophakamisi kanye nesizathu se-hysterectomy. Isibeletho esinamathumba amakhulu angeke sikwazi ukususwa ngesiswini noma kumincintiswano encane ye-laparoscopic, kodwa kumele isuswe ngokucubungula okukhulu okuvulekile. Ezimweni eziningi, indlela evulekile yilabo abahlinzayo abahlinzekwa kakhulu, njengoba ukulahleka kwegazi kunkulu, ukuphumula kuyinde futhi ingozi yokutheleleka iphakeme.
Kungakhathaliseki indlela esetshenziselwa ukuhlinzeka, inqubo ihlukanisa isisu kusuka emigqeni kanye nezicubu ezibamba endaweni futhi nanoma yiziphi izicubu ezibomvu ezingase zikhona. Kanjalo isuswe ngesisu noma ukukhulelwa kwesisu.
Lapho udokotela ohlinzayo ehlola izicubu kunoma yiziphi izicubu noma ukuphuma kwegazi futhi enquma ukuthi ukuhlinzwa sekuphelile, izinsimbi zihoxiswa futhi noma yikuphi ukucubungula kuvaliwe. Ukubhekwa kwe-laparoscopic kwesisu kungavalwa nge- sutures engenakwenzeka kanye ne-tape oyinyumba kuyilapho ukucubungula okukhulu kuyobe kugcinwe kuvaliwe noma okuyisisekelo noma ama-sutures asuswa amasonto kamuva udokotela ohlinzayo.
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
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Ukubuyisela Ku-HysterectomyUkubuyiselwa kwe-hysterectomy kuyahlukahluka kakhulu kusuka kwesineke kuya kwesineke, ikakhulukazi ngenxa yezindlela ezahlukene ezisetshenziswa ekuhlinzekeni kanye nezizathu ezihlukahlukene ukuhlinzwa kwenziwa.
Isibonelo, umuntu ophethe ingxenye yesibeletho ususwe i- laparoscopically ukuze aphathe ukuphuma kwegazi okungapheli kuyoba nokululala okulula kunokuba isiguli esinomkhuba wendabuko we-hysterectomy esetshenziselwa ukwelapha umdlavuza we-ovaries kanye nesisu, njengoba ukuhlinzeka kunzima emzimbeni futhi isimo esibucayi sibangela ukukhathala, ubuhlungu, nokucindezeleka okukhulu ngokomzwelo nangokomzimba.
Iziguli eziningi ze-hysterectomy zibuyela ekhaya zingakapheli amahora angu-48 okuhlinzwa ngokukhululeka kwezidakamizwa. Iziguli ze- Laparoscopic ziyakwazi ukubuyela emisebenzini yazo evamile ngaphakathi kwamasonto amabili. Iziguli ezinenqubo evulekile ne-incision enkulu zidinga amaviki ayisithupha kuya kweziyisishiyagalombili futhi zibe nemingcele eyengeziwe kakhulu ngenxa yokucubungula okukhulu. Lezi ziguli akufanele ziphakamise okungaphezu kwamakhilogremu angu-10 okungenani amasonto ayisithupha emva kokuhlinzwa.
Ukunakekelwa kwe-Incision Ngemuva kokuhlinzwa
Kungakhathaliseki uhlobo lwe-hysterectomy, iziguli kufanele zigweme ukungena emabhati okugeza nokubhukuda okungenani amasonto ayisithupha emva kwenqubo. Ngaphezu kwalokho, ukukhishwa okuthile kufanele kulindeleke ngesikhathi sokuphumula, kodwa ukuphaphazeka okukhulu okungaqondakali noma i- pus kumele kubikwe ngokushesha.
Abaningi besifazane bayakwazi ukubuyela ocansini ngaphandle kobuhlungu noma ukungakhululeki ngamasonto ayisithupha noma ayisishiyagalolunye emva kokuhlinzwa, kodwa udokotela ohlinzayo ngamunye uyoba nombono wokuthi kufaneleka nini.
Ulwazi olungaphezulu:
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
Ukunakekelwa kwe-Incision Ngemuva kokuhlinzwa
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Ukuphila Ngemva Kwe-HysterectomyKwabaningi besifazane abanesifo se-hysterectomy ngonyaka, izinga lokuphila lenziwa ngcono ngokuhlinzwa njengoba ubuhlungu, ukuphuma kwegazi, nokukhathazeka mayelana nokukhulelwa nezifo kunciphisa. Labo abasebancane, abathola i-hysterectomy ukuba yinto engafanele kakhulu, ngokuvamile baveza ukuthi leyo mizwa ihluleka ukuba nezingane ngemuva kwenqubo. Kulezo zimo, akuwona ukuhlinzwa ngokwayo okubangela ukuzwa ukucindezeleka, kodwa iqiniso lokuthi awukwazi ukuzala abantwana.
Omunye wemiphumela emibi emibi yokuba ne-hysterectomy esiphelele ukuqala kokuya esikhathini. Labo abakhetha ukuba nama-ovaries asuswe bazoqala ukuqeda esikhathini emva kokuhlinzwa, kodwa labo abagcina ama-ovari abo bavame ukubhekana nokuya esikhathini ngaphambi kwesikhathi.
Ngemuva kokuhlinzwa, i-hormone substlacement ingadingeka. Kunezingozi ezihambisana nokushintshwa kwe-hormone, kodwa lezo zingozi kudingeka zilinganiswe ngokumelene nezinkinga zesiguli se-osteoporosis nezinye izimo.
Abesifazane abagcina umlomo wesibeletho ngemuva kokuhlinzwa kufanele bahlele ukuqhubeka bephethe ama-pap smears njengoba kuqondiswa udokotela wabo ohlinzayo, njengoba ingozi yezifo zomlomo wesibeletho isala.
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
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Ukuthola Isisindo Ngemva Kokuhlinzwa Kwe-HysterectomyUkuzuza kwesisindo ngemuva kwe-hysterectomy akuyona inganekwane, abesifazane abaningi bathola isisindo ngemuva kwalokhu kuhlinzwa. Ucwaningo olulodwa lwezocwaningo lwabonisa inzuzo ephakathi kwamakhilogremu amathathu ngonyaka ngemuva kokuhlinzwa, kuyilapho iqembu lokulawula labesifazane abanjengalabo abangenalo ukuhlinzwa lathola isilinganiso samakhilogremu angu-1.3. Nakuba le nzuzo ayikho enkulu kakhulu, uma ivunyelwe ukuqhubeka ngokuhamba kwesikhathi ingaba yinto ephawulekayo.
Ukucwaninga kubonisa nokuthi abesifazane ababengaphambi kwe-premenopausal ngaphambi kokuhlinzwa kwakungengozini enkulu yokuthola isisindo ngonyaka olandelayo ukuhlinzwa. Abesifazane ababengaphezu kokukhululeka ngaphambi kokuhlinzwa, kanye nabesifazane abaye babhekana nokushintshashintsha kwesisindo sabo somuntu omdala, basengozini enkulu yokuthola isisindo. Kumele futhi kuqaphele ukuthi inani elingenakubalwa labesifazane abadinga i-hysterectomy likhulu ngokweqile noma likhuluphele ngesikhathi sokuhlinzwa.
Ukwengeza ukuzivocavoca nokulandelela ukudla okunconywayo kunconywa emva kokuba ne-hysterectomy, ikakhulukazi kwabesifazane abasengozini enkulu yokuthola isisindo. Ngisho nezinguquko ezincane endleleni yokuphila, njengokuhamba ngokukhamba kanyekanye ngosuku, kungavimbela ukuzuza kwesisindo nokuthuthukisa impilo emva kokuhlinzwa.
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Ukuya ocansini emva kwe-hysterectomyAbaningi besifazane bakhathazekile ngemiphumela yesikhathi eside ye-hysterectomy ekuphileni kwabo ngokocansi. Ngenkathi umuntu ngamunye ehlukile, i-hysterectomy ayiphumeli njalo ekushintsheni okukhulu kocansi noma ikhono lokujabulela ubulili.
Odokotela abahlinzayo basikisela ukulinda okungenani amasonto ayisithupha kuya kwangu-8 ukuze babuyele emisebenzini yocansi ngemuva kwe-hysterectomy. Emva kwalesi sikhathi, ukulala ngokobulili kufanele kwenzeke ngaphandle kokubuhlungu noma ukungakhululeki. Abaningi besifazane bazizwa bekhathazekile kakhulu phakathi kwamasonto okuqala okuphulukisa kodwa njengoba isiguli sizizwa sinamandla kakhulu, inzalo ekubuyiseni ubulili.
Umsebenzi wezocansi ngemuva kwe-hysterectomy uye wahlolisiswa kakhulu, futhi abesifazane abaningi abanempilo enempilo yobulili babuyela kulowo msebenzi. Abanye besifazane bathola ukuthi banesithakazelo kwezocansi ngemuva kokuhlinzwa, ikakhulukazi labo ababenezinkinga mayelana nokukhulelwa noma ubuhlungu obungapheli be-pelvic.
Kukhona umehluko phakathi kwezinhlobo zokuhlinzwa. Ucwaningo olulodwa lubonisa ukuthi abesifazane abano-hysterectomy abashiya umlomo wesibeletho babekhona amathuba okuba ne-orgasm ngesikhathi sokulala ngokocansi njengoba umlomo wesibeletho udlala indima ema-vaginal vaginal. Ucwaningo lwalubonisa nokuthi ikhono lokuba nama-orgasms ama-clitoral, noma ama-orgasms angaphandle, awazange ashintshwe ngokuhlinzwa kungakhathaliseki ukuba khona komlomo wesibeletho.
Ezinye iziguli zithola umuzwa wokulahlekelwa noma ukucindezeleka ngemva kokuhlinzwa, kanti ezinye ziqala ukuyeka esikhathini, ukunciphisa ukushayela ucansi. Uma lezi zimpawu zisingathwa ngokuphumelelayo, isiguli singalindela ukubhekana nokuphila kocansi okugcwele nokusebenzayo.
Abanye besifazane bayodinga ukugcoba ukuze balale ocansini ngaphandle kokungahambi kahle ngemva kwe-hysterectomy yabo, njengoba ukuhlinzeka kungabangela ukomama kwesisu.
Konke Okudingeka Ukwazi Ngokwe-Hysterectomy Surgery
> Imithombo:
> Ukufundwa Kwesisindo Sokuqhathaniswa Nesisindo Ngemva Kwe-Hymenereusus E-Premenopausal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851125/
> Hysterectomy. I-Medline Plus. 2008 http://www.nlm.nih.gov/medlineplus/hysterectomy.html
> Library Library Information, I American College of Izifo kanye Gynecologists. 2000. Hysterectomy eVaginal Acanoscopically Assisted