Irin wannan aiki, kamar yadda aka cire cikin mahaifa, hanya ce mai kyau don magance wasu cututtuka na gynecological. Ana gudanar da shi a asibitin, kuma aiwatar da shi ya riga ya wuce mataki mai tsawo. Yi la'akari da wannan tsoma baki, iri, hanyoyi, yiwuwar rikitarwa da sakamakon bayan cire daga cikin mahaifa.
Cire daga cikin mahaifa - alamomi na tiyata
Hawan mahaifa daga cikin mahaifa - abin da ake kira aiki don cire sashin jikin mace. Ana gudanar da ita akan shaidar, wanda akwai da yawa. Daga cikin mafi mahimmanci yana da daraja cewa:
- m tafiyar matakai a cikin mahaifa;
- oncology na cervix;
- fibroids uterine , a cikin girma girma fiye da makonni 12 na ciki;
- da sauri girma na ciwon ciki - a kowace shekara don watanni 4 na ciki da kuma mafi;
- necrosis na kumburi mai yatsa;
- menorrhagia rikitarwa ta hanyar anemia;
- adenomyosis na digiri na 3-4;
- ciwo mai tsanani a cikin ƙananan ƙwararru;
- prolapse na mahaifa ;
- endometriosis ba tare da kyautatawa ba bayan tsarin ra'ayin mazan jiya (maganin maganin magani), tsaftacewa.
Hanyoyi don cire mahaifa
Yayin yin aiki mai mahimmanci, ana amfani da hanyoyi daban-daban na yunkurin amfani da uterine. Zaɓin wannan takamaiman ya dogara da irin wannan cin zarafi, ƙaunar ƙaunar jinin kwayar halitta da kayan aiki. Bisa ga sakamakon duban dan tayi, likitoci sun yanke shawarar yin amfani da wannan ko wannan fasaha. Sau da yawa, cirewar mahaifa ya haɗa tare da haɗari na kyallen takarda. Dangane da girman aikin da suka yi, sun bambanta:
- Subtotal;
- total;
- Alamar kwakwalwa;
- m.
Bugu da ƙari, dangane da hanyar yin amfani da kwayar ƙararrawa a lokacin tiyata, hysterectomy zai iya zama:
- laparotomic - an cire cikin mahaifa ta hanyar incision a ciki;
- kawar da mahaifa ta hanyar hanyar laparoscopic - ta amfani da na'urar ta musamman, ta hanyar ƙananan ramuka a cikin bango na ciki;
- Raunin hanzari - samun dama ga mahaifa ya shafa ta hanyar farji.
Subtotal hysterectomy na mahaifa
Anyi amfani da sutura ta tsakiya idan akwai yiwuwar kare jinsin, wannan ɓangare na jikin kwayar cutar bata shafi. Ana yin gyaran hannu don rage lokacin yin aiki a cikin cututtukan cututtuka mai tsanani. A wannan hanya, ana amfani da tiyata a cikin ƙananan endometriosis na pelvic, wanda aka bayyana ta hanyar aiwatar da kwaskwarima a ƙananan ƙananan ƙwayar. Tare da irin wadannan cututtuka, haɗarin lalacewar ureter yana ƙaruwa. Bayanai game da wannan nau'i na aikin hannu shine:
- babu pathology na appendages;
- gaban isa motsi na mahaifa;
- tsallakewa daga farji ;
- girman girman dabbar neoplasm ba ta wuce girman tayin a makonni 12 na gestation;
- gaban filin da ya dace.
Jimlar hysterectomy
Irin wannan magani ana kiransa a matsayin mahaifa. Hanyar yana daya daga cikin nau'in hysterectomy mafi yawan. Samun dama ga kwaya ya samu ta hanyar bude ɓangaren ciki. A wannan aiki, an cire mahaifa, idan babu raunuka a cikin wuyansa, wannan sashi ya bar. A lokaci guda, ana yin jigilar tubes na fallopian da ovaries. Gyaran aikin sakewa bayan da aka yi amfani da kwayar cutar ta hanyar amfani da kwayoyin hormones kafin lokacin farawa na mazauni .
Ana cire cikin mahaifa tare da appendages
Ana gudanar da irin wannan aikin tiyata ta hanyar nazari na musamman. An kira shi a matsayin hysterosalpingography - abin da yake, marasa lafiya ba wakiltar, don haka suka tambayi likita. Tare da wannan binciken, an gano mahimmancin asibiti na fallopian. An gabatar da wakili na musamman. Sa'an nan kuma ana ɗaukar hotuna X-ray.
Idan an gano ciwon kanji a cikin shambura kuma yada zuwa gabobin da ke kusa da kyallen takalma, an cire cikin mahaifa. Samun dama ga kwayar da aka shafi ta hanyar farji ne ko bango na ciki. Saboda gaskiyar cewa marasa lafiya marasa lafiya ba su jure wa aiki mai yawa ba, likitocin likitoci suna zaban nau'in hagu. A wannan yanayin, cire gaba ɗaya daga cikin mahaifa da kuma appendages - gland, jabu jima'i.
Msterectomy radical
An yi aikin tiyata domin kawar da mahaifa irin wannan ne tare da lalacewa mai yawa na tsarin haihuwa. Suna yin amfani da shi don mummunan ciwon sukari na ƙananan ƙwararru, da ƙananan ƙwayoyin halitta. Yin aiki ya shafi cire daga cikin mahaifa da kuma appendages, kashi na uku na tsofaffi, ƙananan fatalwa, ƙwayoyin lymph na yankin. Sau da yawa, irin wannan magani ana amfani da shi bayan hanyoyi masu yawa na ra'ayin mazan jiya. Bayan irin wannan magungunan, mace zata rasa tsarin haihuwa, wanda ya haddasa tsarin maye gurbin hormone.
Cire cirewa - lokaci na baya
Bayan aiki don cire cikin mahaifa, dole ne a kiyaye mace a kalla 24 hours kwanta barci, ko da kuwa irin hanyar samun dama (na ciki ko na ciki). A ƙarshen wannan lokacin, an yarda likitoci su tashi cikin sauri don motsawa. Wannan yana taimakawa wajen bunkasa peristalsis na hanji, ban da matsaloli kamar su paresis. Tare da ciwo mai tsanani, an wajabta magungunan analgesic. Don hana kamuwa da cuta, ana gudanar da wani tsari na maganin kwayoyin cutar.
A cikin layi daya, ana iya ba da takaddama ga wadanda aka tsara. Wadannan kwayoyi sun hana ci gaban irin wannan rikitarwa a matsayin jini na ciki. Idan farfadowa ta wuce sauri kuma ba ta zama rikitarwa a kowane hanya ba, bayan kwana 8-10, an cire cire sassan waje na waje. Lokacin da aikin yayi ta hanyar laparoscopic, an yarda da haƙuri a tashi bayan sa'o'i 5-6, kuma ana fitar da shi don kwanaki 3-5. Tabbatacce a farkon lokacin aikin safiya shi ne lura da abincin - abinci mai tsabta da ruwa don kafa harsashi.
Nemo bayan hysterectomy
Nemo bayan cire daga cikin mahaifa zai iya zama saboda rashin bin ka'idar tiyata, rashin cin nasara da shawarwarin likita. Idan a farkon lokacin da suka wuce bayan wannan lokaci ne sakamakon kuskuren likita, sa'an nan a cikin marigayi (a cikin 'yan watanni) - rashin nasarar bin ka'idoji da umarni na likitoci da marasa lafiya. Daga cikin matsaloli masu yawa, irin waɗannan ayyukan kamar cirewa cikin mahaifa ya shafa, su ne:
- zubar da ciki ;
- kafawar hematomas;
- zub da zubar da zub da jini daga suture;
- ciwo ga gabobin da ke kusa a lokacin aikin tiyata - ƙwayoyin cuta, mafitsara, ureters;
- thrombophlebitis na kafafu;
- ragewar farji;
- suppuration na wani rauni postoperative;
- kamuwa da kamuwa da mafitsara (sakamakon sakamakon catheterization mai tsawo);
- peritonitis (kumburi na peritoneum);
- thromboembolism.
Pain bayan cire daga cikin mahaifa
Raunin bayan da ake amfani da kwayar cutar yana da farko a ciki, cikin sutures. Don dakatar da mummunan rauni, likitoci sukan rubuta marasa lafiya ba kwayoyin cutar ba. Lokacin tsawon ciwon ciwo yana da ƙasa. Sau da yawa marasa lafiya sukan yi kuka game da jin zafi a cikin kwanaki 3-4 na farko. Bayan wannan lokaci, tausayi na raguwa zai iya ci gaba a cikin sutures na waje, lokacin da ake yin amfani da mahaifa a ciki.
Discharge bayan cire daga cikin mahaifa
Rawan jini, launin ruwan kasa bayan tsaftace jiki yana da al'ada. Za a iya kiyaye su har tsawon kwanaki 14 daga lokacin da ake yin aiki. Kasancewar ciwon ciki da fitarwa daga tsarin haifuwa bayan wannan lokaci ya zama dalilin da ya tuntubi masanin ilimin likitan jini. Wannan bayyanar cututtuka na iya nuna rikitarwa na lokaci na baya, wanda daga cikinsu:
- zub da jini;
- Tsarin magunguna a kananan ƙananan ƙwayoyin cuta.
Bandage bayan cire daga cikin mahaifa
Abun ciki bayan cire daga cikin mahaifa yana buƙatar kulawa ta musamman ga shi. Saboda raunin jiki na kwayoyin halitta, jaririn na ciki, wadda ba a iya gani ba a cikin nau'in tiyata, dole ne mata su ɗauki bandeji. Sau da yawa, wannan na'urar tana bada shawara ga marasa lafiya da shekarun mazaopausal da suka yi ciki da yawa. Dole ne zaɓin samfurin ya yi ta gwani. Suna sawa takalma yau da rana, suna kashewa kawai a lokacin shawagi da kafin barcin dare.
An shawarci likitoci su ba da fifiko ga takalma na kayan abu. Lokacin amfani da shi, rashin jin daɗi ya kamata ya kasance babu. Kula da nisa daga samfurin. Doctors sunyi magana game da buƙatar wucewa da nisa na toka tare da fuska a sama da kuma ƙasa da mimita 1 (tare da laparotomy na tsakiya). Dressing shi yana samar da kwance a baya.
Drugs bayan cire daga cikin mahaifa
Wace magungunan da za a yi bayan cirewar cikin mahaifa kuma idan ya kamata a yi amfani da su an yanke shawarar ta likitan likitanci. Sau da yawa, saboda kawar da gland tare da mahaifa, ya zama wajibi don amfani da hormonal na nufin normalize jiki. Yana da mahimmanci mahimmanci na maye gurbin hormone ga mata fiye da shekaru 50 wadanda ke tilasta tiyata. A wannan yanayin, ana amfani da shirye-shiryen progestogen da ciwon estrogen.
Lokacin da aka kawar da mahaifa tare da abubuwan da aka kwatanta shi ne kasancewar babban nau'i mai yatsa, ana bada haƙuri a ciwon ciwon estrogen monotherapy bayan tiyata. Wannan magani yana da hadari, ya haɗa da amfani da nau'o'in magunguna daban-daban:
- Allunan don magance baki - Ovestin, Livial, Proginova;
- ointments da gels don amfani na waje - Estrogel, Divigel.
Idan an cire cire cikin mahaifa don ciwon endometriosis, ƙwayar mahimmanci tare da hormones, estrogens da gestagens an gudanar. A wannan yanayin, kwayoyi irin su:
- Klyane;
- Proginova.
An umurci likitoci na likitanci don magance magungunan maganin hormonal don fara watanni 1-2 bayan cirewa cikin mahaifa. Irin wannan magani yana rage yiwuwar tasowa cututtukan zuciya, osteoporosis. Duk da haka, yanke shawara game da bukatar yin amfani da shi shine kawai da likita. Cikakken cika alkawarinsa da shawarwari yana tabbatar da matakan gaggawa.
Rayuwa bayan cire daga cikin mahaifa
Laparoscopic hysterectomy ba zai tasiri tsawon rai a kowace hanya, amma ya inganta inganta quality. Mata suna kawar da bayyanar cututtukan da cutar ta haifar, sun manta sosai game da bukatar likita. Mutane da yawa marasa lafiya sun kara yawan libido. Amma sau da yawa aiki ya tilasta mata su yi amfani da hormones na dogon lokaci. Bugu da ƙari, akwai bukatar yin nazarin lokaci-lokaci da nazarin gynecology. Manufar ita ce saka idanu, ba sake komawa ba, lokacin da hanyar cirewa ta zama mummunar.
Cire da mahaifa - sakamakon jiki
Tsinkayar mahaifa tana nuna ba kawai a cikin tsarin tsarin haihuwa ba, har ma a jiki duka. Bayan cirewar mahaifa, sakamakon aikin zai iya zama kamar haka:
- kafawar adhesions a cikin rami na ciki;
- kaddamar da wani mawuyacin launi;
- yawancin fata a cikin yanki;
- mazauna;
- rashin lafiya na rayuwa.
Jima'i bayan cire daga cikin mahaifa
Mutane da yawa marasa lafiya waɗanda ke yin aikin tiyata suna da sha'awar tambaya game da ko zai iya yin jima'i bayan cire daga cikin mahaifa. Doctors amsa gaskiya ga wannan tambaya. Jima'i, kamar yadda dā, zai zama abin ban sha'awa - duk wuraren da aka damu suna kiyaye su. Tare da adana ovaries suna ci gaba da aiki, suna watsar da hormonal jima'i. Duk da haka, jin zafi, rashin tausayi a lokacin jima'i ba za a iya sarauta ba.
Irin wannan abin mamaki ne a cikin matan da suke fama da ƙwayar mahaifa (a cikin tsohuwar tsofaffi) ko tsinkaye mai tsabta - ɓangaren tsofaffi yana jin dadi. Duk da haka, za a iya kawar da wannan matsala, a kan kuɗin dogara da fahimta tsakanin mace da abokinta. Yin sauraron bukatun abokin tarayya, mutum ba zai iya jin dadi kawai ba, amma kuma ya ba da shi ga ƙaunataccensa.