Ovarian cyst - opaleshoni kapena laparoscopy?
Njira yamtundu wa njira yopangira opaleshoni ikuchitidwa ndi madokotala. Izi zimaganizira zinthu zingapo. Chimodzi chachikulu ndi kukula kwa maphunziro. Ngati yaying'ono (8-10 masentimita m'mimba mwake), opaleshoni ya laparoscopic imachotsedwa pofuna kuchotsa chotupa cha ovarian. Njira imeneyi imapangitsa kuti ziphuphu zisawonongeke kwambiri, sizikutanthauza kuti ziwalozo, m'mimba mwathu. Zida zofunikira zimayambira pang'onopang'ono - mamita 5 mm. Ma laparoscopy omwe amachititsa opaleshoniyo amawongolera ndi zipangizo zamakono, zomwe zimachepetsa chiopsezo cha ziwalo zozungulira.
Pofuna kudziwa momwe angagwiritsire ntchito opaleshoni, ganizirani zizindikiro za laparoscopy, mwa izi:
- kupasuka kwa neoplasm ;
- Kupotoza miyendo ya maphunziro;
- Kufufuza, kuyang'ana kunja kwa khungu;
- Zakudya zakuthupi zogwiritsidwa ntchito.
Kuchita sikuchitika pamene:
- kutupa kwa peritoneum;
- sepsis;
- chithandizo;
- myocardial infarction;
- kusokonezeka kwa magazi.
Kukonzekera laparoscopy wa ovarian cysts
Nthawi yapitayi yowonjezereka ikugwirizanitsidwa ndi mayesero ambiri a matenda. Choncho, kukonzekera opaleshoni kuti muchotse chotupa cha ovari ndi izi:
- mayesero a magazi: biochemistry, ambiri, kutseka, kuteteza Rh factor, matenda (hepatitis, syphilis, HIV);
- Ultrasound ya pelvis yaing'ono;
- smears kuchokera ku vagina;
- ECG;
- fluorography.
Mayesero awa a laparoscopy a mavalasi ovani ndi gawo lalikulu la kukonzekera. Mndandanda wawo ukhoza kuwonjezeka pamaso pa matenda aakulu. Pofuna kuyeretsa m'matumbo, mkazi amalembedwa mankhwala osokoneza bongo tsiku lomwelo, ndipo enema imapangidwa maola angapo isanayambe. Maola 12 isanafike laparoscopy ya ovarian cysts, sichidyanso chakudya, - m'mimba musakhale chopanda kanthu. Ntchito yaikulu imasewera ndi kukonzekera maganizo kwa amayi. Madzulo a dokotala akuyesa wodwalayo, amamuuza zomwe akuchita, kusintha kwa zotsatira zake.
Kodi chotsitsa chimbudzi chimachotsedwa bwanji?
Kuyankha funso la odwala momwe ntchito ikuchotsera vutoli, - dokotala poyamba amasonyeza kuti zonse zimachitidwa mothandizidwa ndi kamera ya kanema. Imakhala ndi lens, yomwe imabwereza mobwerezabwereza zithunzi zomwe zikuwonetsedwa pazitsulo. Njira yokhayo yothetserako imapezeka pansi pa anesthesia - mkazi samamva chilichonse panthawi yomweyo.
Choyamba pa malo odziwika, timapanga timapanga, kumene laparoscope imayikidwa. Mpweya wa carbon dioxide umadyetsedwa. Ndikofunika kuti upeze bwino ma ovariya, ndikuwongolera chingwe cha peritoneum. Zonsezi, 3 sizinapangidwe: chimodzi - kamera, 2 ena - zida. Malingana ndi fanolo, dokotalayu akuchita resection ya neoplasm. Pambuyo pa laparoscopy ovarian cysts, mpweya umamasulidwa kuchokera pamimba pamimba, timitengo timagwiritsidwa ntchito pamapanga opangidwa ndi nsalu zopanda kanthu. Kutalika kwa opaleshoni kungakhale maola 3, pafupifupi - mphindi 60.
Laparoscopy ya chiwindi cha mazira - nthawi yopuma
Kubwezeretsa pambuyo pa laparoscopy ya ovarian cyst kumapita mwamsanga. Madzulo atatha opaleshoni, mtsikanayo amaloledwa kudzuka. Kwa masiku 3-4 ululu m'magulu umatha. Kutaya kumachitika tsiku la 7 mpaka 9. Mpaka apo, chithandizo cha tsiku ndi tsiku ndi antiseptic chimachitika, antibacterial mafuta (Levomecol) amagwiritsidwa ntchito pamwamba, zomwe zimateteza matenda.
Pambuyo pa laparoscopy yochedwa, madokotala amalimbikitsa malamulo otsatirawa:
- kuchotsedwa pachitetezo champhamvu 1-2 miyezi;
- kupewa kugonana kwa milungu iwiri;
- Kuchotsa kusambira, saunas, kusamba kwaukhondo kusinthanso kusamba.
Kudya pambuyo pa laparoscopy ovarian cysts
Madokotala amangofuna kuti azitsatira zakudya zina, mosamala kuti azidya zakudya. Mwamsanga pambuyo pa laparoscopy, ovarian cysts, pambuyo pa maola 4-5, amaloledwa kumwa madzi pang'ono. Pambuyo pa maola 6-8, chakudya choyamba chikuchitika, - madzi msuzi. Maola 24 oyambirira amaloledwa kudya zakudya za mkaka wowawasa - kefir, yoghurt.
Pa tsiku lachiwiri, msuzi wa masamba umaphatikizidwa ku zakudya. Chakudya chachiwiri chikhoza kukhala chotupa cha steam, sikwashi kapena mbatata yosenda. Poyankha funso la odwala pa zomwe angadye pambuyo pa laparoscopy ovarian cysts, madokotala amasonyeza kuti sakuyenera kudya:
- mkate;
- kash;
- zipatso zatsopano.
Zakudyazi zili ndi zinyama zambiri zomwe zimapangitsa kuti munthu azikhala wodekha. Matendawa amadziwika ndi zovuta za m'mimba ya m'mimba, zomwe ziyenera kupeŵedwa mu nthawi yopuma. Pakuthandizira zakudya, msungwana ayenera kutsatira malangizo ndi madokotala kuti athe kupeŵa mavuto. Zotsatirazi zimachotsedwa ku zakudya:
- chisangalalo;
- maswiti;
- nyama yochuluka;
- chakudya chokazinga;
- chakuthwa;
- zakumwa zowawa ndi timadziti.
Mwezi uliwonse pambuyo pa laparoscopy ovarian cysts
Nthawi yomweyo opaleshoniyo imasankhidwa pambuyo pa kutha kwa msambo - pa tsiku la 7-8 la kuzungulira. Kuwerengera uku kumachitidwa kuti thupi libwezeretsedwe kwathunthu kumayambiriro kwa ulendo wotsatira. Nthaŵi imene kutuluka kwa msambo kumachitika pambuyo poti laparoscopy ya chiwindi cha mazira imakhala yosasinthika. Koma zosiyana zingathe kuzindikiranso. Pachifukwa ichi, tsiku la opaleshoni limatengedwa tsiku loyamba la mweziwo.
Ziyenera kunyalidwa m'maganizo kuti pangakhale kusamba pang'ono kwa magazi pambuyo pa opaleshoni, osagwirizana ndi njinga zamoto. Ali ndi buku laling'ono, lokhazikika mpaka masiku atatu. Ndikofunika kuyang'anitsitsa mosamala mtundu - ngati mtundu umasanduka bulauni ndi tinge wonyezimira - ndi bwino kukachezera dokotala, popeza chizindikiro cha mtundu umenewu chikusonyeza matenda.
Zovuta pambuyo pa laparoscopy ya ovarian cysts
Ndondomekoyi siipweteka kwambiri, imayang'aniridwa ndi zipangizo zamakanema, choncho zovuta zimachotsedwa. Malingana ndi zochitika zachipatala, pafupifupi 2% mwa kuphwanya malamulo amadziwika. Kuti muwapewe konse, madokotala mosamala akukonzekera kuchotsa chotupa cha ovari, zotsatira zake zingakhale motere:
- maonekedwe a kusungulumwa ndi kusanza;
- kutentha kwa thupi;
- kupweteka muzitsulo.
Zotsatira zoopsa kwambiri za ntchitoyi sizodziwika. Nthawi zambiri amatsatiridwa ndi chidziwitso chochepa cha dokotala wa opaleshoni, kupanda chidziwitso. Zotsatira zikhoza kukhala:
- kuwonongeka kwa ziwalo za m'mimba;
- momwe thupi limagwirira ntchito kwa carbon dioxide;
- zimakhala zosavomerezeka ndi mankhwala osokoneza bongo.
Ululu wa laparoscopy wa ovarian cysts
Nthawi yomweyo atatha kuchita opaleshoni, kuchoka kwa anesthesia, wodwalayo amamuuza kuti mimba yake imamupweteka atachotsa chotupacho. Izi zingakhale zotsatira za opaleshoni. Kupweteka koteroko kumaimidwa ndi kumwa mankhwala opweteka. Ngati zowawazo sizikutha pambuyo patsiku la 1-2, izi zikhoza kusonyeza zovuta za nthawi yotsatira:
- kuvulala kwa ziwalo zoyandikana;
- njira yotupa.
Mimba pambuyo pa kuchotsedwa kwa ovarian kansalu
Kawirikawiri mapangidwe a kansalu ka ovary amalepheretsa kubereka. Mfundo iyi ikukhudzana ndi funso la amayi ambiri kuti ndizotheka kutenga mimba pambuyo pochotsa chipolowe cha ovari. Madokotala amasonyeza kuti mwayi wa umuna pambuyo pa opaleshoni ukuwonjezeka kwambiri. Mofananamo, mankhwala opangidwa ndi mahomoni amaperekedwa, kubwezeretsa ntchito yoyenera ya gonads. Nthawi yake ndi miyezi 3-6. Kumapeto kwa mankhwalawa, amayamba kukonzekera mimba.