Kutsutsidwa kwa ovary

M'magwiridwe a amayi, madokotala nthawi zambiri amachita ovarian resection nthawi zambiri. Zizindikiro za opaleshoniyi nthawi zambiri zimakhala ndi matenda osiyanasiyana a ovine: follicular cysts, teratodermoid ndi endometrioid maonekedwe, polycystic ovaries ndi ena. Nthaŵi imene resection ya tsambali, mazira ochuluka kapena imodzi mwa izo inkachitidwa ndi laparotomy, ndiko kuti, pamene chitsulo chokhala ndi masentimita angapo kutalika, chidachitika kale. Inde, kulowerera koteroko kunaphatikizidwa ndi kusokonezeka kwa thupi lachikazi. Kuwonjezera apo, zotsatira za ovarian resection zinadziwonetsera zokha mwa mawonekedwe a zovuta, nthawi zambiri zovuta, ndipo nthawi yotsatila ntchito inakhala nthawi yayitali.

Njira zamakono za ovarian resection

Madera onse akuluakulu amachiritso amakono akutembenukira ku njira monga laparoscopy, ndipo matenda a amayi ndi amodzi. Ubwino sungathe kuyankhulidwa: odwala amalekerera ndondomekoyi mosavuta, nthawi yowonjezera ntchito imachepetsedwa, zovuta ndizosowa kwambiri. Kuonjezera apo, kwa akazi, zodzoladzola ndizofunika kwambiri - m'malo mwa zilonda zazing'ono zazing'ono zomwe zili ndi zilonda zazing'ono zomwe zimathera mwamsanga.

Laparoscopy kawirikawiri imachitidwa pansi pa matenda a anesthesia, kotero mkaziyo alibe ululu. Chofunika kwambiri cha ndondomekoyi ndi chakuti kupyolera muzigawo 3-4 m'mimba, amai amawotchedwa trocar - zitsulo zopanda pake. Kudzera mwa iwo, kenaka alowe kanema kanema ndi zipangizo zoyenera. Katemera wina amathandiza kudyetsa mafuta, omwe amachititsa kuti peritoneum ikhale yowonjezereka, zomwe zimapangitsa kuti mavitamini apange mazira ambiri. Pofika pochita opaleshoni, madokotala amawonedwa nthawi zonse. Chokhacho sichinachitike ndi scalpel, yomwe ingakhoze kuvulaza mwangozi matenda ozungulira, koma ndi electrocoagulator yofatsa kapena mpeni wa electron. Pakali pano amakulolani kuti musamawononge magazi, choncho palibe chifukwa chofuna kuwonjezera. Pambuyo pake, matendawa amachotsedwa, ndipo opaleshoni ya m'mimba imadulidwa ndi dokotala yemwe ali ndi ziphuphu zojambulidwa kudzera mu trocar. Kenaka mpweya ndi zida zonse zimachotsedwa.

Nthawi yopuma

Zowawa zowonjezera pambuyo pa resection ndizosowa. Pofuna kupewa zovuta komanso ngati chithandizo chowonjezera pambuyo pa ovarian resection, mkazi amatenga mankhwala opha tizilombo, ndipo ngati kuli koyenera, painkillers. Patapita sabata, zonsezi zimachotsedwa, koma kwa masiku ena asanu ndi awiri muyenera kupita kukavala nawo mankhwalawa.

Mavuto pambuyo pa ovarian resection ndi laparoscopy akuphatikizapo anesthesia, kuvulala mwadzidzidzi m'matumbo, mitsempha ya magazi, matenda, seroma mapangidwe kapena hematoma, kumatira, chithokomiro cha postoperative ndi malungo. Kuonjezerapo, mutatha resection, ovary akhoza kupweteka, koma posachedwa kudutsa.

Zofunika kudziwa

Chilengedwe chinapanga kuti abambo oyenera mwa amayi adakula kwambiri kuposa kumanzere. Palinso follicle pamenepo, ndipo magazi akuyenda bwino. Choncho, resection ya ovary yolondola pamapeto pa kutenga mimba ndi owopsa kuposa resection ya ovary kumanzere. Koma ngakhale ngati resection ya "basic" ovary, mwayi wa mimba kufika 70%, zomwe ziri zochuluka kwambiri.

Pazochitika zochepa zomwe zimakhala zofunikira, madokotala ochita opaleshoni amagwiritsa ntchito njira yothetsera resection ya mazira ochuluka, chifukwa njirayi ndi imodzi mwa anthu ochepa kwambiri.

Musanavomereze kuchita opaleshoni yotereyi, sikungakhale zopanda nzeru kuti muyambe kufufuza kuchokera kwa akatswiri angapo, mvetserani maganizo awo ndikupeza njira yothetsera vuto lanu, chifukwa mwayi wokhala mayi sungatheke pa msinkhu uliwonse.