I-ovarian cyst - surgery okanye laparoscopy?
Olu hlobo lokuzikhethela kwindlela yokuqhuba ukungenelelo kwenziwa ngabagqirha. Oku kuqwalasela inani lezinto. Owona mgangatho ngowona mkhulu wemfundo. Ukuba lincinci (8-10 cm ububanzi), kusetyenziswa i-laparoscopic ukususa i-cyst ovarian. Le ndlela ithatha uxinzelelo oluncinci lweetcukthi, aludingi ukutshatyalaliswa kwimiqolo, udonga lwesisu. Izixhobo eziyimfuneko ziqaliswa ngendawo encinci - ububanzi be-5 mm. I-laparoscopy ye-cyst ye-ovari (inkqubo yokusebenza) ichanekile kunye nezixhobo zevidiyo, ezinciphisa umngcipheko wokulimala kwizitho ezijikelezayo.
Xa uqikelele indlela yokungenelela kwongongophala, qwalasela iziboniso ze-laparoscopy, phakathi kwazo:
- ukuphuka kwe-neoplasm ;
- Gweba imilenze yemfundo;
- Uviwo, ukuhlolwa kwangaphandle kwe-cyst;
- Ukufundwa kwezinto eziphathekayo kwi-biopsy.
Umsebenzi awukwenziwanga xa:
- ukuvutha kwe-peritoneum;
- sepsis;
- ingozi yengozi;
- i-myocardial infarction;
- tshutshisa.
Ukulungiselela i-laparoscopy yama-cyst ovarian
Ixesha elingaphambi kokungenelela kokusebenza lidibene neemviwo ezininzi zokuxilonga. Ngaloo ndlela, ukulungiswa komsebenzi ukususa i-cyst ye-ovari iquka oku kulandelayo:
- Uvavanyo lwegazi: i-biochemistry, ngokubanzi, ukuvala i-clotting, ukuzimisela kwe-Rh, ukusuleleka (i-hepatitis, syphilis, i-HIV);
- I-Ultrasound ye-pelvis encinci;
- i-smears ukusuka kwisini;
- ECG;
- i-fluorography.
Ezi mvavanyo ze-laparoscopy ze-cysts ze-ovari ziyingxenye ebalulekileyo yenkqubo yokulungiselela. Uluhlu lwabo luyakwandiswa phambi kwezifo ezingapheliyo. Ngombono wokuhlambulula amathumbu, ibhinqa inqunywe i-laxative kwangaphambili, kwaye i-enema yenziwe ngeeyure ezimbalwa ngaphambi kokuqala. 12 iiyure ngaphambi kokuba i-laparoscopy yama-cyst ovarian, ingabandakanyi ukutya, - isisu kufuneka singabi nalutho. Indima ebalulekileyo idlalwe ngumalungiselelo wengqondo yabasetyhini. Ngomhla wokugqirha ugqirha uhlola isigulane, umxelele iimpawu zomsebenzi, ukulungiswa kwisiphumo esihle.
Ikhutshwe njani i-cyst ovarian?
Ukuphendula umbuzo wezigulane malunga nendlela usebenze ngayo ukususa i-cyst ovarian eyenzekayo, - ugqirha wokuqala kuqala uqwalasela ukuba yonke into eyenziwa ngoncedo lwekhamera yevidiyo. Ixhotyiswe ngamalensi, okwandisa ngokuphindaphindiweyo imifanekiso eboniswe kweso saziso. Yona inqubo yokususwa ivela phantsi kwe-aneshesia jikelele-loo ntokazi ayifuni nantoni ngexesha elifanayo.
Eyokuqala kwindawo ephawulweyo, iiplctures zenziwe, apho i-laparoscope efakwe khona. I-carbon dioxide iyondliwa. Kubalulekile ukufikelela okungcono kuma-ovari, ukulungisa isigxina se-peritoneum. Ingqikithi, iincotshi ezi-3 zenziwe: enye - ikhamera, abanye 2 - izixhobo. Ngokusekelwe emfanekisweni, ugqirha wenza uphando lwe-neoplasm. Emva kweelastoscopy ovarian cysts, igesi igxothwa kwisisu esiswini, izibonda zisetyenziselwa iiplctures ezenziwe kunye nezibophelelo ezinobumba. Ubude bomsebenzi bunokufikelela kwiiyure ezingama-3, ngokomyinge - imizuzu engama-60.
I-Laparoscopy yexesha lokuhamba emva kwe-ovarian cyst postoperative
Ukubuyiswa emva kwe-laparoscopy ye-cyst ye-ovari ihamba ngokukhawuleza. Ngobusuku emva kokusebenza, intombazana ivumelekile ukuba ivuke. Kwiintsuku eziyi-3-4 intlungu edibeneyo iphela. Ukuhoxiswa kwenzeka ngomhla we-7-9. Kuze kube ngoko, unyango lwe-day antiseptic luyenziwa, i-antibacterial ointment (Levomecol) isetyenziselwa phezulu, ekhusela ukusuleleka.
Emva kwelaparoscopy elibazisekile, oogqirha bancomela le mithetho elandelayo:
- ukukhutshwa komsebenzi oqinileyo ngokomzimba 1-2 kwiinyanga;
- ukungabikho kwesondo ngeveki ezimbini;
- Ukukhuphela ngaphandle ukuhlamba iibhafu, i-saunas, ukuhlamba okuhlambulukileyo ukubuyisela isitya.
Ukutya emva kwe-laparoscopy ovarian cysts
Oogqirha badinga ngokukhawuleza ukuthotyelwa kwesondlo esithile, ukunyamekela ukwakhiwa kokutya. Ngokukhawuleza emva kwe-laparoscopy, i-cysts yama-ovari, emva kweeyure ezingama-4-5, avunyelwe ukusela isamba esincinci samanzi. Emva kokuphelelwa kweeyure ezingama-6-8, isonka sokuqala senziwa, - umhluzi wamanzi. Iiyure ezingama-24 zokuqala zivunyelwe ukutya iimveliso zobisi ezimuncu - i-kefir, i-yoghurt.
Ngomhla wesi-2, isobho semifuno songezwa ekudleni. Isitya sesibini sinokuba ngumgca we-steam, i-squash okanye amazambane ahlambulukileyo. Ukuphendula umbuzo wezigulane malunga noko kunokudliwa emva kwama-cysts ase-laparoscopy ovarian, oogqirha babonisa ukungavumeleki kokusetyenziswa:
- isonka;
- kash;
- iziqhamo ezintsha.
Ezi mveliso ziqulethe inani elikhulu lezityalo zityalo ezibangelwa ukuguquka. Le meko ibonakaliswa yinkxalabo yodonga lwangasemva lomzimba, okumele lukhunjulwe kwixesha elisemva kokusebenza. Xa uqulunqa ukutya, intombazana kufuneka ihambelane nemiyalelo yezokwelapha kunye neziphakamiso zokukhusela iingxaki. Ezi zilandelayo zifakwe ngaphandle kokutya:
- i-confectionery;
- iilekese;
- inyama enamafutha;
- ukutya okuthosiweyo;
- bukhali;
- iziphuzo ezimuncu kunye neerisi.
Ngenyanga emva kweeparoscopy ovarian cysts
Ngokukhawuleza umsebenzi utyunjwe emva kokuphela kokuhamba kwexesha - ngomhla we-7-8 womjikelezo. Oku kubalwa ukubuyiswa okupheleleyo komzimba ekuqaleni komjikelezo olandelayo. Ixesha apho ukuphuma kwindoda kwenzeka emva kokuba i-laparoscopy ye-cyst ye-ovari ihlale ingatshintshi. Kodwa into echasene nayo ingaqatshelwa. Kule meko, umhla wokusebenza uthathwa ngosuku lokuqala lwenyanga.
Kufuneka ikhunjulwe ingqalelo ukuba kunokuba nomfutho omncinci wegazi emva kokuhlinzwa, kungabandakanywa ne-cyclic. Unomthamo omncinci, ohlala kwiintsuku ezi-3. Kubalulekile ukujonga ngokugqithiseleyo umbala - ukuba umbala uphenduka obomvu nge-tinge eluhlaza-kubalulekile ukutyelela ugqirha, ekubeni i-symptomatology yolu hlobo ibonisa intsholongwane.
Iingxaki emva kwe-laparoscopy yama-cyst ovarian
Inkqubo ayibuhlungu kakhulu, iqhutyelwa phantsi kolawulo lwezixhobo zevidiyo, ngoko ke iingxaki zikhutshwa ngaphandle. Ngokutsho kwengxelo yezokwelapha, malunga ne-2% yamacala okuphulwa aphawulwa. Ukuze baphephe ngokupheleleyo, oogqirha baceba ngokucokisekileyo ukususa i-cyst ye-ovari, nemiphumo yoko ingaba yile ndlela:
- ukubonakala kwentswelo yokucungcutheka kunye nokuhlanza;
- ukwanda kweqondo lomzimba;
- ukunyameka kwi-inotshi.
Imiphumo embi kakhulu yokusebenza ayinqabile. Zivame ukuxhaswa ngumgangatho ophantsi wegqirha, ukungahambi kwamava. Isiphumo sinokuba:
- umonakalo kwizitho zeplavic;
- ukuphendula komzimba kwi-carbon dioxide;
- isenzo esichaphazelekayo kwi-anesthetic.
Ubuhlungu emva kwe-laparoscopy yama-cyst ovarian
Ngokukhawuleza emva kokungenelela kokuphaphazeleka, ukuhoxiswa kwi-anesthesia, isigulane siyaphawula ukuba i-ovary yayo iyalimala emva kokususa i-cyst. Oku kungaba ngumphumo wokusebenza. Intlungu enjalo igqitywa ngokuthatha imithi yeentlungu. Ukuba iimvakalelo ezibuhlungu zingapheli ngokupheleleyo emva kweentsuku ezingama-1-2, oku kungabonisa iingxaki zexesha lokuhamba emva:
- ukulimala kwizitho eziseduze;
- inkqubo yokuvuvukala.
Ukukhulelwa emva kokususwa kwe-cyst ovarian
Ngokuqhelekileyo i-cystic formations kwi-ovary iyimqobo yokukhulelwa. Le nyaniso inxulumene nombuzo wabasetyhini abaninzi malunga nokuba kungenzeka yini ukuba ukhulelwe emva kokususwa kwe-cyst ye-ovari. Oogqirha babonisa ukuba amathuba okukhulelwa emva kokuhlinzwa ayenyuka kakhulu. Ngendlela efanayo, i-hormone ye-hormone imiselwe, ukubuyisela ukusebenza ngokufanelekileyo kwe-gonads. Ixesha layo liinyanga ezi-3-6. Ekupheleni kwekhosi yeyeza, baqala ukucwangcisa ukukhulelwa.