Zvamunofanira Kuziva Nezvechirongwa Chiripo kune Hysterectomy
Fibroid tumor is the justification given for over one-third of the estimated 600,000 hysterectomy performed annually in United States. Asi pane imwe nzira.
Mukusarudza ye myomectomy panzvimbo pacho, utachiona hwe-fibroid hunogona kuvhiyiwa chirwere uchiri kuchengetedza chibereko . Kana yakaitwa nechiremba ane ruzivo, myomectomy ndiyo nzira yakachengeteka uye inoshanda kune hysterectomy.
Kugadzirira
Utachiona hwekugadzirira hunowanzobatanidza kuvhara kwemwedzi weLupron mumwedzi miviri kusvika mina inotangira nzira. Lupron inomira isrogen yakagadzirwa, zvichiita kuti fibroids iwedzere muhukuru. Munguva ino, kuenda kumwedzi kunowanzopera.
Kurwisana kunovapo pakati pechiremba pamusoro pekushandiswa kweLupron, zvose nokuti inodhura uye nokuti inokonzera zviratidzo zvemenoopausal zvakadai sekupisa kunopisa uye usiku hutukutu . Vamwe vanonetsekawo kuti inogona kupera zvimwe zviduku zvakanyanya kusvika kune imwe nzvimbo iyo zvichange zvisingaoneki kunechiremba panguva yekuvhiyiwa uye kuti izvozvi zvisingaoneki zvinowedzerazve uye zvichida zvinoda kuvhiyiwa.
A myomectomy inogona kuchengetedzwa zvakachengetwa kakawanda asi, nguva imwe neimwe kana kuvhiyiwa kuchiitwa, mukana wokubatana kwepelvic inowedzera.
Imwe myomectomy inobatsira inofanira kupa rubatsiro rwakakwana kubva kune dzose zviratidzo zvinosanganisira fibroid tumor. Zvisinei, fibroids inowanzokura zvakare, zvichida kuti chidimbu che hysterectomy chivepo.
Associated Risks
Vanachiremba vazhinji vasina kudzidziswa mukuita myomectomy vachasarudza hysterectomy nokuti kusakwanisa kwavo kuwedzera huwandu hwezvinetso.
Kunyangwe zvinetso zvisinganzwisisiki apo myomectomy iri kuitwa zvakanaka, vakadzi vanofunga izvi nzira inofanira kuziva nezvezvinogona kuitika.
Zvinokonzerwa nezvinetso zvinosanganisira kurasikirwa kweropa, ileus (chivharo chemuviri), chirwere chepamuviri, kurwadziwa, kunonoka kwepamuviri, kusabereka, zvinogona kutendeuka ku hysterectomy munguva ye myomectomy, nekuvhiyiwa kunotevera.
Kunyange zvazvo pamuviri zvichiri kuitika mushure mokurwisa myomectomy, vakadzi vanova nepamuviri mushure mekuona myomectomy vanotarisana nezvinodiwa zvechikamu chekuchengetedza chikonzero nekuda kwekukanganisa kunowanikwa muuranda uterine.
Kunyange zvazvo inopfuura 99 muzana ye fibroids inorwara, chiremba wako anofanirwawo kukurukura chinowanikwa chisingawanzo chekenza pamberi pako ye myomectomy.
Zvinyorwa uye Gwaro Rekushandisa
Kune nzira dzakawanda dzekuita myomectomy. Inogona kuitwa mumadzimai kana mumimba, kushandisa nzira dzakasiyana-siyana. Rudzi rwemaomectectomy rakasarudzwa runobva paukuru uye nzvimbo yezviremara zve-fibroid.
Mushure mokunge mukadzi ari pasi peanesthesia, catheter inopindirwa muchikwereti kuitira kuti irege kuva isina chinhu panguva iyo nzira. Imwe catheter inowedzerwa mukati mechiberekero uye dhayi yebhuruu inorowa kuti iparadze uterine cavity; iyi tsvina yehutachi uterine inofanirwa kubatsira chiremba kutsanangura nzvimbo ye fibroids, iyo inowanzo yakakura kwazvo iyo isinganzwisisiki kubva mumuviri wechibereko.
Dheu yebhuruu inomhanyawo kune ma fallopian tubes uye inobvumira chiremba kuti aone kana akavharwa kana kuti akazaruka. Kugadziriswa kune fallopian tubes kunogonawo kuitwa panguva iyi.
Zvadaro, mishonga inorohwa muyo yekutanga inogadziriswa kubviswa, zvichiita kuti ropa rivepo kwemaminitsi makumi maviri uye zvichibvumira chiremba kubvisa froid ine rishoma kudarika ropa nekuwedzerwa ropa.
Kuchengetedzwa kwakanyanya kunofanira kutorwa kana kupfigira chiremera (nzvimbo) yakasara apo yakagadziriswa. Nhengo imwe neimwe yezvipfeko inofanira kusungirirwa pane imwe neimwe kudzivirira zvivharo nezvimwe zvinetso. Sezvo rimwe nerimwe rinosvibiswa richibviswa, iyi nzira inodzokororwa.
Vose vakadzi vari kuita zvishoma nezvishoma inomusarura myomectomy nzira vanofanira kuziva nezvezvinodiwa kuti vatendeukire kune imwe tsika yepamuviri panguva iyo myomectomy iri kuenderera mberi.
Sezvambotaurwa, pane nzira dzakawanda dzekuita myomectomy.
Trans-cervical Myomectomy
Izvi zvinoshandiswa panguva yehutorikopu nekubatsira resectoscope kuti iite submucosal fibroids. Mimwe mhando ye myomectomy inogona kuitika panguva iyi kana maitiro emishonga kana subserosal fibroids aripo.
Laparoscopic Myomectomy
Iyi ndiyo nzira inobvisa fibroids uye inogadzirisa chikamu chesiyero uko fibroid yakanga iripo. Kugadzirisa kwakakwana kwechirema chacho kunokosha zvikuru mukudzivirira kwezvinetso. Chinhu chiduku chinoshandiswa, kazhinji munhizha, uye laparoscope inowanikwa apo myomectomy inoshandiswa. Izvo zvakadai zve myomectomy inopa nguva yakakurumidza kupora.
Laparoscopic Myomectomy neColpotomy
Iyi ndiyo nzira inosanganisira kuvharwa mukati memadzimai kubvisa zvidimbu zve fibroids. Iyi nzira haisati yavhara chikamu chakasara ne fibroid uye inofanira kuitwa pamwe chete neimwe nzira.
Laparoscopic Minilap Myomectomy
Iyi ndiyo nzira iyo inosanganisirawo zviduku zvekudzivirira kwemimba kubvisa fibroids. Iyi nzira yekugadzirisa inogona kushandiswa chero upi hwehupi hwe fibroid. Nokuti iyo incision inongova 4-5 cm chete, kupora kunokurumidza kupfuura kubva kune yakakurumbira myomectomy.
Myomectomy inowanzotaurwa
Ichi ndicho chichiri chinowanzoitwa rudzi rwemyomectomy, sezvo laparoscopic myomectomies zvakaoma kuita. Chimiro chinonzi myomectomy chinoda 5-7 inch emimba incision, mazuva matatu kusvika mashanu ekurapwa, uye masabata matanhatu kusvika masere kuti awane.
Chii Chakubvunza Chiremba Wako
- Sei uri kukurudzira myomectomy ikozvino?
- Ndezvipi njodzi kana ndikasarudza kurwisa myomectomy?
- Iwe unowanzoita sei myomectomies?
- Iwe unogona kuita myomectomy usingatarisiri hukuru kana nzvimbo ye fibroids?
- Ndechipi chemaomectomy uri kundipa zano? Sei?
- Ndichatsvaka kuwedzerwa ropa here?
Yeuka, chiremba wako anofanirwa kutsanangura zvose zvingasarudzwa musati waita sarudzo yako. Kana chiremba wako asingatauri myomectomy kune fibroids uye anoramba achitsvaga hysterectomy, zvinowanzoitika nokuti haana ruzivo rwakakwana kuti agone kuchengetedza myomectomy, uye unofanira kumubvunza kuti atumire kune chiremba anoziva mukuita myomectomy. Chiremba akanaka achafara kukupa iwe kutumirwa kwakadaro uye wechipiri maonero anogara ari chisarudzo chouchenjeri kusati kupi nekuvhiyiwa kukuru.
> Kwakabva:
> Uterine Fibroids. ACOG Dzidzo Pamphlet AP074. http://www.acog.org/publications/patient_education/bp074.cfm