Kurapa kwehutachiona husina kunaka kunofungidzirwa sekupedzisira
A hysterectomy ndiko kushandiswa kwekuvhima kwezvose kana chikamu chechibereko chemukadzi. Iyo nzira iyo dzimwe nguva inoshandiswa pakurapa kenza, kurwadziwa kusingaperi, kubuda kukuru, kana zvimwe zvinetso zvakakomba zvechibereko.
Imwe yemamiriro ezvinhu anobatwa ne hysterectomy inonzi adenomyosis , mamiriro ezvinhu umo mukati mechidzitiro chechiberekero (endometrium) chinopinda kuburikidza nemadziro emasumbu emuviri.
Kunzwisisa Adenomyosis
Adenomyosis haisi mungozi wehupenyu asi imwe inogona kukanganisa hutano hwomukadzi hwehupenyu. Zviratidzo zvinosanganisira kubvongodza, nguva dzinorema, kuputika, kurwadziwa kwepamuviri, uye kubvisa. Mamiriro aya anogona kukura muhutano hwose kana kuti kunzvimbo imwe chete.
Adenomyosis inonyanya kuongororwa muvakadzi vane makore-kati avo vane vana. Iro chirwere chisati chaitika chinogona kuwedzerawo ngozi.
Adenomyosis kazhinji inokanganisa chimwe chiitiko chinonzi uterine fibroids . Izvi hazvirevi kukura mukati kana pamusvingo uterine kusiyana nesadenomyosis iyo ine zvishoma yakatsanangurwa sarudzo. Kuongororwa kunowanzoshandiswa kushandiswa kana kushandisa ultrasound transvaginal kana maginetic resonance imaging (MRI) scan. MRI inowanzoshandiswa kana mukadzi ari kutambudzika kubuda ropa.
Non-Surgical Treatment Options
Kurapa kweAdenomyosis kunowanzoenderana nekuoma kwezviratidzo.
Zviratidzo zviduku zvinowanzobatwa nemishonga yepamusoro-in-pain uye pombi yekupisa kuti ubatsire kupera. Pakati pezvimwe zvinosarudzwa:
- Utachiona hweHormone hunogona kubatsira kuderedza nhamo kana nguva dzinorwadza.
- Uterine arteri embolism inzira iyo catheter inopa zviduku zviduku muurter uterine kudzivirira ropa kuderera kune zvigunwe,
- Endometrial ablation ndiyo inowanzosavhiringidza nzira inoparadza (ablates) chikamu chemukati uterine kuti ubvise marwadzo.
- Kuvhiyiwa kwepadoscopic ndiyo yegoridhe yepamusoro yekusvitsa zvishoma kuderedza kushandiswa kwezvinyorwa zveadenomyotic. Achishandisa midziyo yakasarudzwa uye kukanganisa kweiyo, chiremba anovhiya anogona kunyatsoona uye kubvisa chero zvisikwa zvisingawanzoitiki.
Apo Hysterectomy Inoratidzwa
A hysterectomy inongoratidzwa chete kana hutano hwomukadzi hwehupenyu hwakakanganiswa zvakanyanya uye dzimwe nzira dzese dzokurapwa dzakapera.
Nezvo izvo zvataurwa, chirwere chakakwana cheAdenomyosis is hysterectomy. Kusiyana ne-fibroids, iyo inowanzokomberedzwa ne capsule, hapana muganhu wakajeka pakati pezvisina kufanana uye zvakajairika uterine tissue. Nemhaka yeizvi, mamiriro acho anowanzodzoka kunyange mushure mokunge ablation kana embolism.
Zvichienderana nemamiriro acho ezvinhu, kune huwandu hunobatsira kune hysterectomy:
- Mikana yekuwedzera kurapwa yakaderedzwa.
- Kana iwe uri kure nemakore ekuberekera vana, zvinonyanya kujekesa kurapwa.
- Kana pane imwe mamiriro ezvinhu akange aripo, akadai se endometriosis , zvingava nyore kuvabata vose kamwechete.
Nzira Iyo Maitiro Akaitwa Sei
Kune marudzi akawanda ehusterectomy inogona kushandiswa kurapa adenomyosis.
Nzira yekuvhiya inowanikwa zvikuru maererano nehuwandu hwekuguma kwepameteri.
Hureredzi yose (inosanganisira kubviswa kwechibereko uye chibereko chechirwere) kana kuti subtotal hysterectomy (umo chete chikamu chepamusoro chechibereko chinobviswa) chinoshandiswa chete mumamiriro ezvinhu apo adenomyosis yakapararira.
Pasinei nemararamiro anoshandiswa, hysterectomy inowanikwa pasi peanesthesia yakawanda uye inosanganisira kuparadzaniswa kwechibereko kubva mumasukisi anoitora panzvimbo. Kamwe chibereko chacho chabviswa, kuvharwa kwekudzivirira kwakavharwa ne staples, sutures, absorbable sutures, kana tape isina kubatwa.
Post-Surgical Recovery
Vazhinji vakadzi vanotora hysterectomy vanogona kudzokera kumusha maawa makumi maviri ekuvhiya uye kudzokera kumabasa avo evanhu vemazuva maviri.
Mushure mokunge vaine hysterectomy, hazvishamisi kuti mukadzi ave nehuwandu hwezviratidzo zvemarumeopausal, kusanganisira:
- Hot flashes
- Maitiro anofamba
- Yakaderera libido
- Vaginal dryness
- Night sweats
Izvo zvose zvinonyadzisa, zvisinei nemhando, zvinopedza kukwanisa kwemukadzi kubata. Kushushikana kwepfungwa kunogona kuparadza mukadzi, kunyanya kana kuronga mhuri. Ndicho chikonzero chekuti hysterectomy inofanirwa kuonekwa sekushandiswa kwekupedzisira kana pasina imwe nzira yekurapa hurema kana marwadzo anokonzerwa nedenomyosis.
> Kwakabva:
> American College of Obstetrics uye Gynecology. "Hysterectomy: FAQs." Washington, DC; yakagadziridzwa muna 2015.
> Tosti, C .; Troìa, L .; Vannuccini, S. et al. "Kurapa kwezvino uye munguva yemberi yeadenomyosis." J Endometr Pelvic Pain Disord. 2016; 8 (4): 127-135. DOI: 10.5301 / je.5000261.