Njengoba ukususwa kwesibeletho kuyinkimbinkimbi yokusebenza enemiphumela emibi, ihlukumeza umzimba hhayi kuphela ngokomzimba, kodwa futhi ngokwengqondo, ukungenelela kokusebenza okunjalo kwenziwa ngezinkomba ezithile.
Umsebenzi ohleliwe wokususwa kwesibeletho - ukufundwa
Lokhu kufaka:
- izicubu ezinonya zesisu, umlomo wesibeletho kanye nemikhawulo;
- ukukhulelwa kwesibeletho noma ukwehla okukhulu kwesibeletho;
- ama-node amaningi amaningi esibelethweni, okukhula ngokushesha, okunzima ngokuphuma kwegazi okukhulu, ikakhulukazi esikhathini sokuqala komzimba;
- i-necrosis yama-node fibromatous;
- i-endometriosis yohlobo lwangaphakathi, oluyinkimbinkimbi ngokuphuma kwegazi;
- ukushintsha kocansi;
- okungavamile ukwelapha uterine .
Ukususwa kwesibeletho: izinhlobo zokusebenza
Ngenombolo yezitho ezisuswa ngesikhathi sokuhlinzwa, ihlukaniswe ibe:
- isamba (susa isibeletho ngentamo);
- i-subtotal (kuphela umzimba wesibindi isusiwe);
- I-Hysterosalpingoariovectomy (lesi sibeletho kanye nezinsizakusebenza zayo zisusiwe);
- kakhulu (susa isibeletho, ama-appendages, izicubu ezizungezile ezinama-lymph nodes, umlomo wesibeletho kanye nengxenye yesifazane, ngokuvamile esetshenziselwa izicubu ezimbi).
Ngohlobo lokuthengiselana:
- Vula ukuhlinzwa kwamagundane . Ukususwa kwesibeletho kwenziwa ngodonga olungaphambili lwesigxobo esiswini.
- Umsebenzi wama-vaginal . Ukususwa kwenziwa nge-vagin.
- Ukuhlinzeka nge-laparoscopic ukususa isibeletho . Noma yikuphi ukutholakala nge-laparoscope nge-incision encane kungabandakanya i-hysterectomy ye-robotic.
Lezi zinhlobo ezimbili zokungenelela ziyanciphisa, zinciphisa ingozi yezinkinga kanye nenkathi yokuphumula ngemuva kokuhlinzwa. Futhi isikhathi sokusebenza sokususwa kwesibeletho asincike ekutheni uhlobo lwenqubo yokungenelela ekhethiwe njengalokhu kukhono lokuhlinza, kepha luthonywe yizinkomba zokwandiswa kokungenelela noma izinkinga ezivezwe ngesikhathi sokusebenza.
Ukususwa kwesibeletho - ukulungiselela ukuhlinzwa
Ukufaneleka kokuqhuba isikhathi sokuqapha kuqala kuvame ukuhlobene ngqo nokuphumelela kokusebenza. Uma ukuhlinzwa kwenziwa nge-fibroids eminingi, isikhathi sokulungiselela singase sibe izinyanga ezimbalwa futhi kubandakanya ukuthatha izidakamizwa ze-hormonal ukunciphisa ubukhulu be-node.
Uma lesi sizalo sisuswe ezinye izibonakaliso, izinsuku ezimbalwa ngaphambi kokusebenza, ukwelashwa kwama-antibiotic kunqunyelwe ukuvimbela ukutheleleka, okuqhubekayo esikhathini sokuhamba kwesikhathi.
Ngobusuku bokuhlinzwa, ithebula le-1 (ukudla okuyisisekelo komhlaba), i-enema yokuhlanza nokulungisa, okuphindaphindiwe ngaphambi kokusebenza, kunqunywe. Ngosuku lokusebenza, i-catheter ifakwa kwisilwane, ehlala khona amahora angu-24. Esikhathini sokuhlinzwa, i-anesthesia endotracheal, i-epidural noma i-anesthesia yomgogodla isetshenziswa kaningi.
Ukususwa kwesibeletho: impilo emva kokuhlinzwa
Ukubuyiswa ngemuva kokusebenza kokususa isibeletho isikhathi eside. Iningi lixhomeke kulokho okwenziwayo: ukukhishwa kwesibeletho kuphela, noma isibeletho kanye nezinto zokusebenza, kanye nobudala besifazane.
Imiphumela emva kokuhlinzwa kokususwa kwesibeletho kanye nama-ovaries, okokuqala, ukuphuma esikhathini, okuhambisana nazo zonke izimpawu zesibindi ezinsukwini zokuqala ngemuva kokungenelela.
Uma ama-ovari esuswa ngaphambi kokumiswa komzimba noma ukuyeka esikhathini, ngakho-ke njengomthetho, i-hormone therapy esikhundleni sokubekwa esikhundleni ayinqunyelwe, kepha uma ukususwa kwesibeletho kanye nemikhawulo yezinsimbi kuyenziwa ngesikhathi esincane, owesifazane kuyodingeka athathe ama-hormone ocansini isikhathi eside.
Ngokususwa kwesibeletho ngaphandle kwama-ovari, baqhubeka nokusebenza, ngakho-ke ngaphandle kobufakazi obunamandla abasuswanga hhayi kuphela abasebancane, kodwa futhi lapho bekhulile. Kodwa, ngesikhathi sokuqala kokuya esikhathini, zivame ukukhishwa, zishukunyiswe yiqiniso lokuthi kanye nama-ovaries akhipha ithuba lokuthuthukisa inqubo yomdlavuza kuzo, nazo zenza umlomo wesibeletho.
Ezinye imiphumela zokususwa kwesibeletho zixhomeke ngqo ezinkingeni ezenzeka ngesikhathi sokusebenza kanye nasesifo ngokwazo, lapho isisu sisuswa khona (ukulimala kwamalungu angomakhelwane, ukuphuma kwegazi, izinkinga zokutheleleka, umdlavuza ngemva kokuhlinzwa nokuphindaphinda, ukucindezeleka).