In-In Depth Summary of Hysterectomy Surgery

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Chii Chinonzi Hysterectomy - Hysterectomy Inotsanangurwa

Irosterectomy ndiyo yekubvisa kushandiswa kwezvose kana chikamu chechibereko chemukadzi, kazhinji kurapa kenza, kurwadziwa kusingaperi kana kubuda ropa kunenge kusina kudzorwa nemaitiro mashoma. Kune vamwe vakadzi, zvivako kunze kwechibereko chinobviswawo, kusanganisira chikamu chechikadzi, chibereko chechivivi , fallopian tubes uye mavari.

Kunyengera kunonyanya kuvhiyiwa kunoitwa chete nevakadzi.

Maviri acho akabviswa anovimba nechiremba uye chikonzero chekuvhiyiwa. Somuenzaniso, mukadzi ane chirwere chechibereko chinogona kubviswa mazai kana pane kusafungirwa kuti kenza yakapararira ipapo, asi mukadzi ane zvirwere zvisingaperi zvekubuda ropa angave nemugumisiro unogutsa uye chikamu chechiberekwa chiri kubviswa.

Mhando dzose dzehutachiona dzinoguma kukwanisa kwemukadzi kuti ave nepamuviri. Uyezve, kuvhiyiwa kunosanganisira kubviswa kwemasvosve anoita kuti kubuda kwemazuva kuve mushure mekuvhiyiwa, kana mukadzi wacho asati atoenda kumwedzi.

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

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Hysterectomy: Ndeipi Rinokosha?

Irosterectomy inowanzodiwa apo mamwe ose anosarudza kusanganisira mishonga, kurapwa uye kunyange mamwe mavhivhi asina kubudirira uye hupenyu hwevarwere huri panjodzi kana hutano hwehupenyu huri hukuvadzwa. Zvakaita se:

Fibroids : Izvi zvipembenene hazvisi chekenza, asi zvinogona kukonzera marwadzo, kubuda ropa, kuputika uye kusagadzikana kwakawanda.

Endometriosis : Iyi ndiyo mamiriro ayo mavara anokonzera chibereko chinotanga kupararira kune dzimwe kunze kwechibereko, zvichikonzera kurwadziwa, kuputika, kupererwa kwepamuviri, kusagadzikana uye kubuda ropa kusingaperi .

Kanzira: Kanzira yechibereko kana zvimwe zviitiko zvehutano hwemadzimai inogona kuda hysterectomy sechikamu chekurapa.

Kubuda ropa kusingaperi: Kubuda ropa kunogona kuitika kubva mumamiriro ezvinhu akasiyana-siyana anokonzera chibereko. Zviratidzo zvinokonzerwa neropa risingaperi rinosanganisira anemia, kushaya simba uye kusagadzikana kwenguva refu pamwe nekuzvidya mwoyo uye kuderera muhupenyu hwehupenyu.

Kuora mwoyo kusingaperi: kusatsanangurwa kusingaperi kusuruvara kwepachiviki kazhinji kunokonzera hysterectomy, kunyanya kana marwadzo anobva "kuvhiringidzika" ku "kukanganisa." Kana dambudziko remarwadzo risingagoni kuparadzaniswa kana rakaoma kurapa, vakadzi vazhinji vanosarudza kuvhiyiwa kuti vaise kuguma kunorwadza.

Uterine prolapse : Kana mishonga nemisumbu inotsigira chibereko ichi haikwanise kuiisa panzvimbo, kazhinji mushure mekunge uine mazita mazhinji ekuberekwa kwevakadzi , inogona kutanga kupinda mumudzimai . Muzviitiko zvakakomba, chibereko chinogona kutanga kuputika kubva mumadzimai ekuzarura, chinhu chinokosha chekusagadzikana uye chinogona kutapukirwa . Mumazuva ekutanga, pessary, chigadziro chinobatsira kubata chiberekero panzvimbo, chinogona kuiswa chirwere.

Hemorrhage : Kusagadziriswa kwehutachiona kubuda ropa isinganzwisisiki chinetso chechikamu-c, chikamu chisina kukodzera kubuda ropa, uye mamwe mavhivhi pedyo nechibereko. Rudzi urwu rwekubuda ropa rwakanyanya kwazvo zvokuti upenyu hunopisa. Huru yehupenzi inogona kunge iri nzira chete yekuchengetedza hupenyu hwemu murwere, kunyange zvazvo dzimwe nzira dzingashandiswa.

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

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Hysterectomy Alternatives

Vasati vaita chirwere chinopisa sezvinoita hysterectomy, vakadzi vakawanda vanosarudza kuedza zvidzidzo zvishoma zvinoshamisa zverapi, kusanganisira mishonga, hormone therapy uye kurapwa kwekuvhiya. Mukadzi mumwe nomumwe akasiyana, asi zvinotevera zvinorapwa zvinogona kuva sarudzo, panzvimbo yehusterectomy.

Nheyo yevhu : Imwe nzira yekubuda kunze inowanzoitwa neanesthesiologist, iyo inokonzera uneshetiki muhutano iyo inokonzerwa nekuitisa mashoko anorwadza kuuropi. Kana nharo ichivharwa marwadzo haagoni kuendeswa kuuropi, saka haasisina kunzwa. Bhuku racho nderenguva duku, asi rinogona kudzokororwa.

Kurapa Kwemishonga: Mishonga yemishonga inoshandiswa kurapwa inoshandiswa kurapa zvose zviratidzo uye zvinokonzera uterine zvinetso. Mishonga inorwadza inogona kupiwa nokuda kwevarwere vanorwara vanorwara uye hormone therapy inogona kushandiswa kuderedza endometriosis zviratidzo.

Myomectomy : Kuvhiyiwa kunze kwepabonde kubvisa fibroids, myomectomy inoshandiswa uchishandiswa neteracopic instrument inowanikwa kuburikidza nemukirini inoshandiswa kubvisa fibroids. Kana i-fibroids yakakura kwazvo kuti isabvisa pamuviri wechibereko, chirwere chiduku chemuviri chinogona kuitwa kuti kubviswa kwekukura.

Ablation: Kurapa kwekuremera kana kusingaperi kweropa, kublation ndiyo nzira inopedzisira yavapo iyo chiridzwa chinopindirwa mukati memukati mumuviri mutsva kuparadza maitiro ekupedzisira. I-endometrium inogurwa kana yakasvibiswa kuti iparadze maronda uye inoguma kubuda ropa. Iko kurapwa hakusi kune avo vanoda kugara vakabereka.

Balloon Therapy: Bhaluni inowanikwa nemukati mutezo mukati mechiberekero uye inokonzerwa kuti igone mukati memukuchi. Iko zvino yakazadzwa nemvura inopisa kwemaminitsi masere, zvichibudirira kuparadza kubwinya kwemakemikari kwechibereko chinowanzoita kuti ropa risingaperi risvike. Izvi hazviiti kune ani zvake anoda kuve nepamuviri.

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

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Mhando dzeHysterectomy - Zvose, Zvisarura, Radical uye Subtotal

Kune marudzi akawanda ehurstrectomy chirwere. A hysterectomy inogona kureva kungobviswa kwechibereko, kana zvinogona kureva kubviswa kwechibereko, chibereko chechibereko uye mavhavha. Uyezve, inogona kuitwa nenzira dzakawanda. Kutanga, ngationei maitiro ehutsinye:

Radical hysterectomy: Chibereko, chibereko chechivivhi uye mavha mavari zvinobviswa.

Yese yehutachiona: Chibereko uye chibereko chechivharocho zvinobviswa.

Kushandiswa kwepabonde kana kuti kusasarura: Chikamu chepamusoro chechibereko chinobviswa, zvichisiya chibereko chechivharo uye mazai mavari.

Uye, kune nzira dzakasiyana-siyana dzekuvhiya dzinogona kuitwa - dzimwe nzira dzinoparadza kune vamwe:

Laparoscopic Inobatsira Hysterectomy: Iyi ipi inonzi hysterectomy inoshandisa laparoscopic (minimally invasive) techniques. Zvishandiso zvinowanikwa kuburikidza nekufungidzirwa zviduku mumudumbu uye mumudzimai, mune dzimwe nguva.

Vaginal Hysterectomy: Iyi hysterectomy inoshandiswa zvachose kuburikidza nekukanganiswa kunoitwa mumudzimai , hapana mavara anooneka kubva pane ino.

Muchizivo Hysterectomy: Iyi hysterectomy inoshandiswa uchishandisa incision mudumbu iyo inogona kuva yakananga kubva munzvimbo yepublicic bone kusvika kumucheto badzi, kana inogona kunge yakanamatira pamutsara webuti.

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

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Mibvunzo yeHysterectomy-Inokosha Yokubvunza

Usati wasarudza kuve nekuvhiyiwa kwehutano, iva nechokwadi chokuti chiremba wako akapindura mibvunzo yako zvakakwana. Aya ndiwo mazita emibvunzo yaungada kubvunza:

• Ndezvipi zvirongwa zvaunoda kuzobvisa?
• Ndeipi nzira yauchashandisa? Laparoscopic , yakazaruka, yemukadzi, kusanganiswa?
• Ndeipi migumisiro yechirwere inonzi inofanirwa kuonekwa?
• Ndeupi rudzi rwekubuda kana kubuda ropa kunofungidzirwa kuti ndeyekugadzirisa?
• Ndezvipi zviratidzo zvinofanira kundikurudzira kuti ndiende kune imwe nzvimbo yepamhanho kana kudana chiremba wangu chiremba?
• Ndeupi rudzi rwekufungidzira ndinofanira kutarisira?
• Ndeipi iyo incision (s) inogona kuwanikwa?
• Inguva yakareba ini ndichange ndiri muchipatara?
• Ndinofanira kutora nguva yakareba sei kubasa?
• Ndirini pandingazodzokera kumamiriro angu akaenzana emabasa?
• Ndingada Pap smears mushure mekuvhiyiwa here?
• Pane here zvinyorwa zvandinoda mushure mekuvhiyiwa zvandinogona kuzadza ndisati ndapindirwa kuchipatara?

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

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Hysterectomy: Nzira

Iyo hysterectomy chirongwa chekuvhiya chinogona kuitwa nenzira dzakasiyana-siyana, vaginally, laparoscopically inobatsira, kana kuzarura nepamuviri (mumimba hysterectomy). Pasinei nokuti inosvika sei, hysterectomy inopatient nzira inoshandiswa uchishandisa aneshehesia yakawanda .

Kazhinji, varwere vanorapa vanoporesa nekukurumidza, uye kudzokera kubasa uye basa nekukurumidza semavhiki maviri, apo varwere vane maitiro akazaruka vanoda vhiki kusvika kumapfumbamwe kuti vadzokere kune basa rakanaka.

Nzira yacho inobva yakasiyana nechiremba wokuvhiya uye chikonzero che hysterectomy. Chiberekero chemakumbo makuru hachikwanise kubviswa kuburikidza nevakadzi kana zviduku zvinokonzerwa nelaparoscopic, asi zvinofanira kubviswa kuburikidza nekukanda kukuru. Muzviitiko zvizhinji, nzira yakasununguka ndiyo inonyanya kufarirwa navanachiremba, sezvo kurasikirwa kweropa kudarika, kupora kwekare uye njodzi yehutachiona yakakwirira.

Pasinei nedzimwe nzira inoshandiswa pakuvhiyiwa, iyo nzira inosanganisira kuparadzanisa chibereko kubva mumigumisi uye mhuka dzinobata panzvimbo yacho uye chero zvisikwa zvitsvuku zvinogona kuvapo. Iyo inobva yabviswa kuburikidza nemudzimai kana kubatwa kwepamuviri.

Kamwe chirwere ichi chikaongorora chechi chechiremera chero chipi zvacho kana chekubuda ropa uye chinotarisa kuti chirwere chacho chakakwana, zvigadzirwa zvinodzingwa uye chero zvingaitwa zvinovharwa. Muchizivo laparoscopic zvinyorwa zvinogona kuvharwa ne- sutures inogadziriswa uye tape isina kuberekwa asi huwandu hwekufungidzirwa huchaitwa hwakavharwa nesafu kana suture inobviswa masvondo gare gare nechiremba.

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

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Kudzoka Kubva kuHysterectomy

Kudzoka kubva kune hysterectomy kunowirirana zvikuru kubva kune murwere kusvika kune murwere, zvikurukuru nekuda kwemitemo yakasiyana-siyana inoshandiswa pakuvhiyiwa uye zvikonzero zvakasiyana-siyana kuvhiyiwa kunoitwa.

Somuenzaniso, munhu ane chikamu chechibereko chinobvisa laparoscopically kuti arape ropa risingaperi rinogona kunge rakanyanyisa kurapwa kupfuura murwere ane chirwere chetsika ye hysterectomy inoshandiswa kurapa kenza yemayamu uye chibereko, sekuvhiyiwa zvakaoma mumuviri uye mamiriro ezvinhu anokonzera kukonzera kupera, kurwadziwa, uye kunetseka mupfungwa uye mupfungwa kunetseka.

Vakawanda vanonyadzisira vanodzokera kumusha mushure maawa makumi maviri ekuvhiya nemishonga inorapwa reliever. Vaparoscopic varwere vanogona kudzokera kune zvakawanda zvezviitiko zvavo zvinowanzoitika mukati memavhiki maviri. Varwere vane nzira yakasununguka nekutengesa kukuru kunowanzodikanwa kwemavhiki masere kusvika masere uye vane zviremera zvakawedzerwa pamusana pekuvharwa kukuru. Vachirwere havafanire kusimudza chero chinhu chakakura kudarika mapaundi gumi kwemavhiki masere mushure mekuvhiyiwa.

Incision Care Pashure Kokuvhiya

Pasinei nehuwandu hwehutachiona, varwere vanofanira kurega kupinda mumabhati ekugeza uye kushambira kwemavhiki masere mushure mekuita. Mukuwedzera, kumwe kubuda kunofanira kutarisirwa panguva yekudzikinura, asi kusingazivikanwi kubuda ropa kwakanyanya kana kuti pus inofanira kuziviswa pakarepo.

Vakadzi vakawanda vanogona kudzokera kune zvepabonde pasina kurwadziwa kana kushungurudzika kwemavhiki masere kana masere mushure mekuvhiyiwa, asi chiremba wechiremba mumwechete achava nemafungiro pamusoro pekuti ndeipi yakakodzera.

Mamwe Mashoko:

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

Incision Care Pashure Kokuvhiya

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Upenyu Mushure meHysterectomy

Kune vazhinji vevakadzi vane hysterectomy gore negore, hupenyu hwehupenyu hunovandudzwa nekuvhiyiwa sekurwadziwa, kubuda ropa, uye kunetseka pamusoro pekudzivirira uye zvirwere zvinoderedzwa. Vaya vari vashomanana, vanowana hysterectomy kuti vasava nemafungiro akaipa, kazhinji vanofunga kuti manzwiro avo nekushaya kukwanisa kuva nevana mushure mekuita. Mune zviitiko izvi, haisi chirwere ichocho chinokonzera manzwiro ekuora mwoyo, asi chokwadi chekusakwanisa kubereka vana.

Imwe yemigumisiro yakaipa yekuva nehuwandu hwehutachiona ndiyo kutanga kwekuenda kumwedzi. Vaya vanosarudza kuva nemashizha ekubvisa vachabva vatanga kubuda kwemwedzi mushure mekuvhiyiwa, asi avo vanochengetedza mazai avo vanowanzotora mimba mberi kupfuura inowanzoitika.

Mushure mekuvhiyiwa, mahomoni anotsiviwa anogona kunge akadikanwa. Kune ngozi dzinobatanidza neHommone replacement, asi iyo njodzi inoda kuenzaniswa nehutano hwemurwere hunokonzera osteoporosis nemamwe mamiriro.

Vakadzi vanochengetedza chibereko chechirwere mushure mekuvhiyiwa vanofanira kuronga kupfuurira kuva nePap smear sezvinorayirwa nechiremba wavo, sezvo njodzi yezvirwere zvechirwere ichiripo.

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

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Kurema Kunowana Mushure mekuvhiya kweHysterectomy

Kuwedzera kwehupfumi mushure mehutano husati hunyengeri, vakadzi vazhinji vanowana kuwanda mushure mekuvhiyiwa uku. Imwe tsvakurudzo yekuongorora yakaratidza huwandu hwekuwana huwandu hwemaundi gumi emakore mushure mekuvhiyiwa, asi boka rekutonga revakadzi vakadaro vasina kuvhiyiwa rakawana chikamu chemamiriyoni 1,3. Kunyange zvazvo kuwanikwa uku hakusi kukuru, kana zvichibvumirwa kupfuurira mberi kwenguva inogona kuva yakakosha.

Kutsvakurudza kunoratidzawo kuti vakadzi avo vaiva premenopausal vasati vambovhiyiwa vakanga vari pangozi yakawanda yekuwana uremu mugore raitevera chirwere. Vakadzi vakanga vanyanya kuwandisa vasati vambovhiyiwa, pamwe chete nevakadzi vakadzidza kuchinja kwavo muhukuru hwavo, vari pamatambudziko makuru ekuwedzera kuwanda. Zvakakoshawo kuziva kuti nhamba isingaverengeki yevakadzi vanoda hysterectomy inopfuvura kana kuti yakanyanyisa panguva yekuvhiyiwa.

Kuwedzera maitiro uye kutevera kudya kwekudya zvinokurudzirwa mushure mekunge uine hysterectomy, kunyanya kuvakadzi vari pangozi yakanyanya yekuwana uremu. Kunyangwe kuchinja kuduku mumararamiro ehupenyu, akadai sekuenda kufamba kamwe kamwe pazuva, kunogona kudzivirira kuwedzera uye kuvandudza utano mushure mekuvhiyiwa.

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Zvepabonde Mushure meHysterectomy

Vakadzi vakawanda vane hanya nehuwandu hwemigumisiro yehutano hwehupenyu hwepabonde. Kunyange zvazvo munhu mumwe nomumwe ari akasiyana, hysterectomy haisi nguva dzose yekuchinja kukuru mukuita zvepabonde kana kukwanisa kufara pabonde.

Vanachiremba vanoratirira kumirira kwemavhiki masere kusvika masere kuti vadzokere kune zvepabonde mushure mehutachiona. Mushure menguva iyo, kuita zvepabonde kunofanirwa kuitika kunze kwekutambudzika kana kusagadzikana. Vakadzi vazhinji vanonzwa vachinetseka mukati mavhiki ekutanga ekudzikinura asi sezvo murwere achifunga kuti ane simba, kufarira zvepabonde kunodzoka.

Kuita zvepabonde mushure mehutano hwakanyatsodzidza, uye vakadzi vazhinji vane hutano hwehutano hwakanaka vanodzokera kune iyo yehutano hwemabasa. Vamwe vakadzi vanoona kuti ivo vanofarira zvepabonde mushure mekuvhiyiwa, zvikuru avo avo vaine dambudziko pamusoro pekudzivirira kana kusagadzikana kwepachivi.

Kune kusiyana kune maitiro ekuvhiya. Chimwe chidzidzo chakaratidza kuti vakadzi vaiva ne hysterectomy vakasiya chibereko chepachivande panzvimbo yavo vaiwanzoita zvepabonde panguva yepabonde sezvo chibereko chechivharo chinobatsira mukati mechikadzi chepabonde. Chidzidzo chacho chakaratidzawo kuti kukwanisa kuva nemakumbo emakwenzi, kana mazamu ekunze, haana kuchinjwa nekuvhiyiwa pasinei nekuvapo kwechirwere.

Vamwe varwere vanonzwa kunzwa kurasikirwa kana kuora mwoyo mushure mekuvhiyiwa, uye vamwe vanotanga kumisa, kuderedza zvepabonde motokari. Kana zviratidzo izvi zvichishandiswa zvinobudirira, murwere anogona kutarisira kuwana hupenyu hwakakwana uye hunoita zvepabonde.

Vamwe vakadzi vachatsvaga gorozi kuti vaite zvepabonde vasinganzwisisike mushure mekushaya kwavo hysterectomy, sezvo chirwere ichi chinogona kukonzera humwe hutachiona hunooma.

Zvose Zvaunoda Kuti Uzive Nezve Hysterectomy Surgery

> Sources:

> Inofanirwa Kudzidza Kukura Kwemafuro Inopera Mushure mekunge Premenopausal Hysterectomy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851125/

> Hysterectomy. Medline Plus. 2008 http://www.nlm.nih.gov/medlineplus/hysterectomy.html

> Murefu Information Information Library, The American College yeVokuvhiyiwa uye Gynecologists. 2000. Laparoscopically Inobatsira Vaginal Hysterectomy