Hysterectomy
Tsvaga Hysterectomy kunze kwenyika neMozocare Hysterectomy kunze kwenyika A hysterectomy ndiko kuvhiya kwechibereko uye, mune dzimwe nguva, cervix. Kune akatiwandei matekiniki ayo anogona kuve anoverengerwa uye murwere anofanirwa kubvunza nachiremba wavo nezvesarudzo dzakanakisa kwavari, sezvo vese vachitakura njodzi dzakasiyana nezvakanaka. Mune zvimwe zviitiko, robotic kana laparoscopic kuvhiya ndiyo yakanyanya kunaka sarudzo, nepo mune zvimwe zviitiko chiremba anovhiya angasarudza kubvisa chibereko kuburikidza nekuvhura kwemukadzi. Kune zvikonzero zvakawanda nei murwere achifunga nezve hysterectomy, zvese kudzikisira mamiriro ekurapa akadai seendometriosis kana zvimwe zvikonzero, sekuderedza njodzi yakakura yemamwe marudzi ekenza. Ikoko kenza ndiyo inonyanya kunetsekana, chiremba anovhiya anogona kukurudzira kubviswa kwechibereko chechibereko nemazai zvakare, izvo zvinowanzoitwa panguva imwe chete. Hysterectomies inoita kuti zvisakwanise kuve nepamuviri uye inogumisa kuenda kumwedzi, kunyangwe vakadzi vazhinji vachiri kuona zvimwe zvezviratidzo zvenguva yavo. Hysterectomy inzira yakakomba yekuvhiya asi inoshanda zvakanyanya pakurapa kwakawanda mamiriro ekurapa. Iyo zvakare ndiyo yakajairika maitiro echikadzi ekuvhiya. Ndekupi kwandingawane iyo hysterectomy maitiro kunze kwenyika? Makiriniki eOstestrics uye Gynecology muThailand chimwe chezvinhu zvinokwezva vashanyi vezvokurapa kuThailand kubva kumativi ese epasi, kunyanya varwere vanobva kuAustralia. Vanachiremba muThailand vanowanzo simbisa mune mamwe maitiro senge hysterectomy uye saka vane ruzivo rwakawanda rwunovabvumidza kuve nemitengo yakaderera yezvinetso uye mhedzisiro zvirinani pane vanoziva vasina ruzivo. Zvipatara muThailand zvakare zvine mukurumbira wakanaka. Makiriniki eObestrics uye Gynecology muTurkey akabatsira kuita kuti nzvimbo iyi ive nzvimbo huru yevarwere vanobva kuUK neFrance vanoda kudzivirira mari dzekunze dzekuvhiya kana nguva refu yekumirira kurapwa kuNHS. Makiriniki eObestrics uye Gynecology muIndia anokwevera varwere zvakanyanya kubva kuMiddle East ne Africa vasina mukana wevanachiremba vanovhiya munyika dzekumusha kwavo. India zvakare inzvimbo inokura yevashanyi vekurapa vanobva kutenderera pasirese avo vanoda kutora mukana wemutengo wakaderera wekurapa uye zvipatara zvinoshanda.
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Nezve Hysterectomy
Hysterectomy inzira yekuvhiya inoitwa kubvisa chibereko (chibereko). Inoitirwa kurapa akasiyana mamiriro akasiyanasiyana, inorema nguva, kurwadziwa kwepamuviri, gomarara reovari, gomarara remuromo wechibereko, gomarara repamuviri, fibroids (tumarara tumarara), endometriosis, uye kurwadziwa kusingaperi kwepamuviri. MaHysterectomies anowanzoitwa mumadzimai ari pamusoro pemakore makumi mana. Kune mhando dzakasiyana dzehyssterectomy dzinogona kuitwa, zvinoenderana nenyaya yemurwere. Yese hysterectomy, inova ndiyo inonyanya kuitwa hysterectomy, inosanganisira kubvisa chibereko nemuromo wechibereko. A subtotal hysterectomy ndiko kubviswa kwechibereko. Yakazara hysterectomy neBSO (bilateral salpingo-oophorectomy) inosanganisira kubvisa chibereko, cervix, ovaries, uye fallopian machubhu. Iyo yakasarudzika hysterectomy yakafanana neiyo yakazara hysterectomy neBSO, pamwe nekuwedzera kwekubvisa dzakakomberedza nyama, mafuta, lymph gland, uye chikamu chemukadzi. Pane nzira nhatu dzekuvhiya dzakasiyana dzekuita hysterectomy inosanganisira laparoscopic hysterectomy, dumbu hysterectomy, uye vaginal hysterectomy. Kana kamwe hysterectomy yaitwa, hazvichakwanise kuti mukadzi ave nepamuviri, saka varwere vanofanirwa kuve nechokwadi chekuti havadi kuve nepamuviri vasati vavhiyiwa. Kuve nehutachiona kunogona kutora mavhiki matanhatu kusvika masere kuti upore kubva, sezvo iri iro basa hombe. Yakakurudzirwa Severe endometriosis Isingaperi pelvic pain Inorwadza uterine fibroids Uterine prolapse Kusarongeka kubuda ropa (apo mamwe marapirwo asina kubudirira) Kenza yechibereko, chibereko kana ovari . Varwere vangangoda mavhiki akati wandei vasati vakodzera kufamba vachitevera hysterectomy. Huwandu hwenzendo dzekune dzimwe nyika dzinodiwa 40. Hazviwanzo kuve zvakakosha kuti uve nekushanyirwa kwekutevera kuchipatara kunze kwekunge paine matambudziko. Hysterectomy inoitwa sekuvhiya kwakashama kana laparoscopically, iyo inokurukurwa nemurwere pakubvunzana. Nguva inodiwa Nhamba yemazuva ari muchipatara 3 - 6 mazuva Avhareji yekugara kunze kwenyika 8 - 3 mavhiki. Varwere vangangoda mavhiki akati wandei vasati vakodzera kufamba vachitevera hysterectomy. Huwandu hwenzendo dzekune dzimwe nyika dzinodiwa 5. Hazviwanzo kuve zvakakosha kuti uve nekushanyirwa kwekutevera kuchipatara kunze kwekunge paine matambudziko. Nguva inodiwa Nhamba yemazuva ari muchipatara 1 - 3 mazuva Avhareji yekugara kunze kwenyika 1 - 3 mavhiki. Varwere vangangoda mavhiki akati wandei vasati vakodzera kufamba vachitevera hysterectomy. Huwandu hwenzendo dzekune dzimwe nyika dzinodiwa 5. Hazviwanzo kuve zvakakosha kuti uve nekushanyirwa kwekutevera kuchipatara kunze kwekunge paine matambudziko. Hysterectomy inoitwa sekuvhiya kwakashama kana laparoscopically, iyo inokurukurwa nemurwere pakubvunza.,
Pamberi Pemaitiro / Kurapa
Varwere vanoitwa hysterectomy inoda vanozoongororwa akati wandei uye bvunzo vasati vavhiyiwa. Chiremba anozoongorora kuongorora kwepamuviri, bvunzo yepapa, pamwe nekutora sampuro yeropa neweti. Chiremba anovhiya achatsanangura hunyanzvi hwekuvhiya hucha shandiswa uye varwere vanofanirwa kugadzirira chero mibvunzo ingave, yekubvunza pamberi pekuvhiya. Chiremba anogona kuraira varwere kuti varege kutora maaspirin uye mamwe marudzi emishonga. Vakasvuta vanokurudzirwa kuti varege kusvuta kweinenge vhiki mbiri pamberi pekuvhiyiwa. Varwere vachakumbirwa kuti varege kudya uye kunwa mumaawa anotangira kuvhiyiwa, kuitira kuti vagadzirire anesthetic.
Zvaiitwa Sei?
Kune nzira nhatu dzakasiyana dzekuvhiya, izvo zvinosanganisira kubvisa chibereko chero mudumbu, mukadzi, kana laparoscopically. Pamberi pekuvhiya kwatanga kateti yekuvhenekesa inogona kunge iri murethra kuitira kudzora uye kudurura dundira. Dumbu hysterectomy inoitwa nekugadzira yakatwasuka ichidzika pasi padumbu, kana yakatwasuka pamusoro pebvupa repachiuno, kuyambuka bhaini mutsara. Chibereko chinobva chabviswa nepadumbu uye nzvimbo yekuchekesa yakavharwa nemasuture. Mukana weiyi nzira ndeyekuti chiremba anovhiya anogona kuwana yakakwana, isina kuvharwa maonero echibereko. Iyi nzira yekuvhiya inowanzo kurudzira kune varwere vanotambura nehombe fibroids. A vaginal hysterectomy inoitwa nekugadzira incision mukati memukadzi, uye kubvisa chibereko kubva munyama dzakakomberedza. Chibereko chinobva chabviswa kuburikidza nemukadzi uye iyo incision saiti yakavharwa neanonyungudika sutures. Iyi nzira yekuvhiya inowanzo shandiswa pakurapa varwere vane uterine prolapse. Iyo ine ipfupi yekupora nguva kupfuura dumbu hysterectomy, asi haina kugara yakakodzera. Iyo laparoscopic hysterectomy inoitwa chero kuburikidza nemudumbu kana mukadzi, zvisinei panzvimbo pekugadzira imwe hombe incision, inosanganisira kugadzira zvidiki zvidiki. Laparoscope inozoiswa kuburikidza nezvidiki zvidiki, uye chibereko uye chero zvimwe zvikamu zvehurongwa hwekubereka zvinobviswa kuburikidza nekacheka. Rudzi rwekuvhiya iyi ndiyo nzira inosarudzika yekuvhiya pazvinogoneka, sekuvhiya kushoma kunokanganisa kuve nenguva pfupi yekupora. Anesthesia General anesthetic. Maitiro Ekureba Iyo Hysterectomy inotora maawa maviri kusvika mana. Chiremba anovhiya achabvisa chibereko, uye anogona kubvisa kana zvimwe zvikamu zvehurongwa hwekubereka kana zvichidikanwa.,
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Post post Kuchengetwa Mushure mekuvhiyiwa, varwere vanowanzo pedza mazuva matatu kusvika mashanu muchipatara. Pakutanga varwere vanozove nedrip muruoko rwavo uye catheter yekubvisa weti kubva mudundira. Zvakajairika kuti unzwe kuneta uye kusagadzikana. Nedumbu hysterectomy, panogona kuve nemidziyo yekuvhiya kubva mudumbu. Mushure mekubuda kwemukadzi kusangana nekutsi kwemukadzi murwere anogona kuve neye gauze kurongedza kwemaawa makumi maviri nemana kudzikisa njodzi yekubuda ropa. Kana zvichikwanisika, zvinokurudzirwa kufamba zvishoma zuva rinotevera, kudzikisa njodzi yeakadzika vein thrombosis (DVT). Kwemavhiki matanhatu kana zvakadaro, varwere vanogona kusangana nekubuda nekubuda ropa, asi inofanira kupfuura mushure menguva iyoyo. Vazhinji varwere vanopinda kuenda kumwedzi mushure mekuvhiyiwa, uye nekudaro mushonga wekutsiva mahormone unogona kubatsira kudzikisira zviratidzo. Uyezve, vakadzi vanowanzo kurairwa kuti varege kuita zvepabonde kubva pamasvondo matanhatu mushure mekuvhiyiwa. Zvinogona kusagadzikana Varwere vanofanirwa kutarisira kuona kushaya simba, kusuruvara, uye kuneta mushure mekuvhiyiwa.,
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