Vim li cas koj thiaj li yuav tsum tshem lub tsev menyuam thiab yuav ua li cas nws hem

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Kev ua haujlwm tsis ua tiav yam tsis muaj pov thawj loj.

Vim li cas lub tsev menyuam thiaj li raug tshem tawm?

Kev ua haujlwm - hu ua hysterectomy - tsuas yog ua tiav thaum qhia. Kev tshem tawm ntawm lub tsev menyuam tej zaum yuav tsim nyog nyob rau hauv cov xwm txheej hauv qab no Hysterectomy / U. S. National Library of Medicine:

• Nrog ib tug loj myoma. Thaum benign nodes loj hlob nyob rau hauv lub thickness ntawm lub tsev menyuam, lawv stretch thiab deform nws. Qhov tseeb, nws hloov mus ua ib qho khoom fibroid. Tsis tas li ntawd, kev hloov pauv hormonal tshwm sim, vim qhov hnyav los ntshav tshwm sim thaum lub sijhawm lossis lub sijhawm.
• Nrog mob endometriosis, uas yog nrog los ntshav loj thiab mob pelvic mob. Kev phais raug muab tshuaj yog tias cov tshuaj lossis lwm yam kev phais tsis pab.
• Nrog prolapse ntawm lub tsev menyuam. Qhov no feem ntau ua rau urinary incontinence, fecal incontinence, pelvic mob, thiab txawv teb chaws lub cev nyob rau hauv qhov chaw mos. Qee tus poj niam pom tias nws mob mus taug kev thiab zaum. Nws yog qhov tsis muaj txiaj ntsig kom rov qab los ntawm tsev menyuam mus rau nws qhov chaw ntawm nws tus kheej lossis nrog kev pab los ntawm kws kho mob - nws yuav poob rov qab thaum taug kev lossis thaum tus poj niam mus rau hauv chav dej, txham, khaws qee yam hnyav. Kev txo qis tsis yog tsuas yog daws qhov teeb meem xwb, tab sis kuj ua rau muaj kev pheej hmoo ntawm kev kis kab mob thiab o. Qee zaum, bedsores tshwm sim ntawm lub cev.
• Nrog mob qog noj ntshav ntawm lub tsev menyuam lossis nws lub tsev menyuam, nrog rau cov qog nqaij hlav ntawm zes qe menyuam, vim yog cov qog ntshav hauv lub tsev menyuam muaj peev xwm ua tau metastases.
• Nrog loj uterine los ntshav uas tsis tuaj yeem nres. Nws tuaj yeem tshwm sim vim muaj teeb meem ntawm fibroids, endometriosis, lossis thaum yug menyuam.
• Rau qhov mob pelvic ntev, yog tias txhua yam ua tsis tiav. Cov tsos mob ntawm gynecological no feem ntau tshwm sim vim muaj teeb meem ntawm endometriosis, varicose leeg ntawm lub plab me me los yog adhesions.

Dab tsi cuam tshuam qhov kev tshem tawm ntawm lub tsev menyuam tuaj yeem ua rau?

Qhov tshwm sim ntawm hysterectomy, zoo li lwm yam kev ua haujlwm, tuaj yeem ua rau hnyav heev. Ib txhia ntawm lawv tshwm sim thaum lub sij hawm los yog luv luv tom qab phais, thaum lwm tus neeg tom qab ntawd. Cov kws kho mob taw qhia cov teeb meem hauv qab no ntawm Hysterectomy / NHS:

• Allergy rau tshuaj loog. Nws yog qhov tsawg heev, txij li cov kws tshuaj loog ib txwm nug cov neeg mob yog tias lawv muaj tshuaj tsis haum tshuaj.
• Kev puas hlwb. Muaj peev xwm tshwm sim thaum lub sij hawm tshuaj loog uas txhaj rau hauv tus txha caj qaum.
• Ntshav. Qhov kev pheej hmoo yog muaj, ib yam li nrog rau lwm yam kev ua haujlwm.
• Kev raug mob rau lub ureter. Qhov tseeb yog tias nws nyias nyias thiab nyob ib sab ntawm cov kab mob hauv nruab nrog cev, yog li ntawd, qee zaus, thaum lub tsev menyuam raug tshem tawm, nws raug mob.
• Kev puas tsuaj rau lub zais zis. Nws nyob rau pem hauv ntej ntawm lub tsev menyuam thiab tuaj yeem raug mob. Qhov no ua rau los ntshav thiab urinary incontinence. Yog li ntawd, lub qhov txhab yog sutured, thiab ib tug catheter yog ib ntus tso rau hauv lub zais zis.
• Lub plab puas. Thaum lub sijhawm ua haujlwm, muaj kev pheej hmoo ntawm kev raug mob rau lub cev nyob tom qab lub tsev menyuam. Yog li ntawd, los ntshav yuav tshwm sim. Kev puas tsuaj yuav raug sutured, thiab qee zaum, colostomy yuav raug ua - ib ntus qhov nyob rau sab rau sau quav rau hauv ib lub hnab tshwj xeeb.
• Kab mob sib kis. Qee qhov xwm txheej, tom qab kev phais, cov kab mob pathogenic pib ua rau hauv lub qhov txhab lossis qhov tso zis. Qhov no feem ntau yog kho nrog tshuaj tua kab mob.
• Thrombosis. Thaum phais, lub cev ua kom cov ntshav txhaws kom tsis txhob los ntshav. Yog li ntawd, tom qab qhov kawg ntawm kev phais, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov leeg ntawm ob txhais ceg lossis lwm qhov chaw, uas tuaj yeem tawg thiab txhaws cov hlab ntsha tseem ceeb.
• Pelvic organ prolapse. Nws tshwm sim hauv qee tus poj niam. Vim tsis muaj kev txhawb nqa ligaments, lub zais zis, qhov quav thiab sigmoid nyuv sag nrog rau cov phab ntsa ntawm qhov chaw mos. Qhov no ua rau incontinence ntawm cov zis, quav, teeb meem hauv kev sib deev lub neej.
• Insufficiency ntawm zes qe menyuam. Ntau tus neeg ntsib qhov teeb meem no tom qab txog 5 xyoos, yog tias tsuas yog lub tsev menyuam raug tshem tawm. Lub pathology yog txuam nrog qhov tseeb hais tias ib feem ntawm cov ntshav tau txais los ntawm appendages los ntawm uterine hlab ntsha. Tom qab lawv raug tshem tawm, cov khoom noj khoom haus ntawm zes qe menyuam deteriorates thiab lawv tsim cov tshuaj hormones tsawg. Yog li ntawd, muaj cov tsos mob ntawm menopause.
• Thaum ntxov menopause. Yog hais tias tus poj niam lub tsev menyuam raug tshem tawm nrog rau cov appendages, lub cev tam sim ntawd nres synthesizing estrogens. Yog li ntawd, kub flashes, tawm hws thiab qhov chaw mos dryness tshwm sim sai heev, thiab tom qab ntawd muaj osteoporosis Primary Ovarian Insufficiency Txuas rau Osteoporosis / Medscape.

Yuav ua li cas npaj rau kev tshem tawm ntawm lub tsev menyuam

Qee zaum, piv txwv li, los ntshav loj, kev ua haujlwm tau ua sai sai, tsis muaj kev npaj loj. Qhov no yog tsim nyog los cawm ib tug poj niam txoj sia. Hauv lwm qhov xwm txheej, kev phais yog ua tib zoo npaj los txo qhov kev pheej hmoo ntawm cov teeb meem thaum lub sij hawm thiab tom qab kev phais. Ua li no, ua cov hauv qab no Abdominal hysterectomy / Mayo Clinic:

• Kev ntsuam xyuas tau ua tiav. Lawv coj cov ntshav thiab zis rau kev soj ntsuam dav dav thiab kev tshawb fawb biochemical, ua ultrasound ntawm lub plab thiab ECG. Ib qho cytological smear los ntawm lub ncauj tsev menyuam kuj tseem xav tau, thiab qee zaum, kev kuaj ntshav endometrial.
• Rov xav txog cov txheej txheem ntawm kev noj tshuaj yog tias tus poj niam haus lawv. Qee zaum tus kws kho mob qhia koj kom hloov cov tshuaj ntau npaum li cas ob peb hnub ua ntej kev tshem tawm ntawm tsev menyuam.
• Xaiv cov tshuaj loog. Rau hysterectomy, yuav tsum tau siv tshuaj loog kom tus poj niam tsis hnov tsw. Tab sis txhua yam tshuaj muaj nws tus kheej contraindications, uas tus kws kho mob coj mus rau hauv tus account.
• Lawv tab tom npaj yuav nyob hauv tsev kho mob. Tom qab ua haujlwm, koj yuav xav tau ob peb hnub ntawm kev soj ntsuam los ntawm cov neeg ua haujlwm kho mob.

Yuav ua li cas tshem tawm ntawm lub tsev menyuam

Hauv qee tus poj niam, lub cev ntawm lub tsev menyuam raug tshem tawm, tab sis lub tsev menyuam tau khaws cia. Hauv lwm tus, tag nrho lub tsev menyuam yog excised. Thiab tseem muaj lwm tus raug deprived ntawm txawm lub fallopian hlab nrog lub zes qe menyuam. Qee lub sij hawm lawv ua heev radically thiab tshem tawm cov ntaub so ntswg nyob ib puag ncig, lymph nodes thiab sab sauv ntawm qhov chaw mos. Gynecologist xaiv hom kev phais nyob ntawm seb qhov kev kuaj mob thiab tus yam ntxwv ntawm tus poj niam.

Muaj ob txoj hauv kev tseem ceeb los tshem tawm lub tsev menyuam.

Los ntawm qhov chaw mos

Qhov no yog txoj kev raug mob tsawg tshaj plaws, raws li qhov chaw mos hysterectomy / Mayo Clinic incisions ntawm lub plab yuav tsis ua. Yog li ntawd, lawv tawm hauv tsev kho mob sai dua. Txoj kev hysterectomy no tuaj yeem siv tau rau txhua kis, tshwj tsis yog mob qog noj ntshav.

Tag nrho cov manipulations yog ua nrog cov cuab yeej phais tso rau ntawm qhov chaw mos. Qee lub sij hawm, ntxiv rau, cov punctures me me yog ua rau ntawm lub plab, rau hauv cov hlab nrog lub koob yees duab video tau muab tso rau kom pom cov kab mob hauv plab kom zoo dua.

Los ntawm lub plab

Abdominal hysterectomy / Mayo Clinic yog qhov kev xaiv rau lub plab hysterectomy yog tias tus poj niam muaj lub tsev menyuam loj heev nrog cov fibroids uas nyuaj rau tshem tawm ntawm qhov chaw mos, yog tias tus kws kho mob xav tshuaj xyuas cov kab mob hauv plab kom pom cov tsos mob cancer thiab lwm yam teeb meem, los yog tus kws phais xav tias qhov no tsim nyog dua.

Kev xaiv thib ob: phais plab thiab laparoscopy.

Hauv thawj kis, txhawm rau tshem tawm lub tsev menyuam, tus kws kho mob ua qhov kev txiav ntsug lossis kab rov tav hauv plab hauv qab ntawm lub plab. Tsis tas li ntawd, qhov ntsug yog xaiv rau cov qog nqaij hlav cancer, myoma lossis endometriosis, txhawm rau muab tus kws phais mob nkag mus rau hauv lub cev zoo dua. Tom ntej no, ib tug hysterectomy yog ua, lub plab yog ntxuav nrog sterile tov thiab sutured. Qee zaum cov hlab ntsha tau tso rau hauv lub qhov txhab, los ntawm cov kua dej ntws tawm hauv 1-2 hnub.

Hauv qhov thib ob, gynecologists ua haujlwm nrog laparoscope. Ua li no, ob peb punctures yog ua nyob rau hauv lub plab mog, nyob rau hauv uas ib tug raj nrog ib tug yees duab yees thiab ib tug phais ntsuas yog tso.

Yuav ua li cas rov zoo tom qab tshem tawm ntawm lub tsev menyuam

Txhawm rau tiv thaiv lub qhov txhab los ntawm kev mob ntau dhau, tus poj niam tau muab cov tshuaj tua kab mob muaj zog tom qab phais nrog Hysterectomy / NHS. Tsis tas li ntawd, cov tshuaj tua kab mob tau tsim nrog cov tshuaj kom rov qab ntim cov ntshav ncig thiab tiv thaiv cov teeb meem. Cov tshuaj tua kab mob kuj tseem siv los tiv thaiv kev kis kab mob. Thiab nyob rau hauv lub zais zis muaj ib tug catheter rau qee lub sij hawm, uas pab tshem tawm cov zis.

Yog hais tias lub tsev menyuam raug tshem tawm los ntawm qhov chaw mos, ib daim ntaub qhwv ntaub qhwv rau hauv nws li 24 teev los pab txo qhov kev pheej hmoo los ntshav.

Lawv yuav muab tawm ntawm txaj rau hnub tom qab tom qab ua haujlwm. Nws yuav mob thiab nyuaj, tab sis nws yuav pab txo tau cov ntshav txhaws.

Yog tias lub tsev menyuam raug tshem tawm los ntawm qhov chaw mos lossis los ntawm laparoscopy, nws raug tso tawm hauv tsev kho mob tom qab 1-4 hnub. Tom qab kev phais los ntawm kev phais hauv plab, nws yuav siv sij hawm 5 hnub hauv tsev kho mob. Thiab cov sutures ntawm qhov txhab nyob rau hauv ob qho tib si raug tshem tawm nyob rau hauv 5-7th hnub.

Tom qab ntawd, tom qab 4-6 lub lis piam, tus poj niam yuav tsum mus ntsib nws tus kws kho mob kom kuaj mob. Nws yuav siv sijhawm li 8 lub lis piam kom rov zoo tag nrho. Yog tias nws tsis cuam tshuam nrog kev ua haujlwm ntawm tes thiab nqa qhov hnyav, koj tuaj yeem rov qab mus ua haujlwm tom qab 4 lub lis piam: kev so mob feem ntau yog muab rau lub sijhawm ntawd.

Kom txog thaum lub qhov txhab zoo, koj yuav tsum tau ua raws li cov kev txwv Hysterectomy / NHS:

• Tsis txhob tsav tsheb rau 3-8 lub lis piam. Qee cov tshuaj tua kab mob tuaj yeem hloov pauv cov kev xav thiab cov tshuaj tiv thaiv, thiab kev tsav tsheb tuaj yeem tsis xis nyob vim tias braking siv koj cov leeg hauv plab.
• Tsis txhob nqa khoom hnyav lossis ua luam dej. Koj tuaj yeem taug kev, ua lub cev qoj ib ce uas koj tus kws kho mob pom zoo.
• Tsis txhob sib deev rau 4-6 lub lis piam. Nws yog ib qho tsim nyog yuav tsum tau tos kom txog thaum lub qhov txhab kho kom zoo thiab tawm hauv daim ntawv ntawm ichor los ntawm qhov chaw mos nres. Txawm tias tom qab ntawd, tsis txhob hnov qab txog kev tiv thaiv kab mob, vim tias koj tsis tuaj yeem xeeb tub, tab sis koj tuaj yeem kis tau tus kab mob sib deev.