Laparoscopy pamwe polycystic ovaries: gadziriro, Implementation uye post-kuvhiyiwa

Gynecological Zvirwere zvinowanikwa mukadzi anenge ose wechipiri. Pakati pavo vane zvikuru zvakapararira polycystic ovaries. zvokurwara ichi hachisi chinotapuriranwa chirwere. Naizvozvo, hazvibviri kuti kuvabata. Mukuwedzera, yakafanana chirwere kunoitika chete pakati pavakadzi. Mune zvimwe zviitiko, zvokurwara achiumbwa pakazosvika kuyaruka. Dzimwe nguva chirwere chiri vachiberekwa. Mumwe kurapwa vaiona laparoscopy pamwe polycystic ovaries. Reviews pamusoro nzira iyi, pane zvakasiyana-siyana. Handiti rinoreva mumwe mhando kuvhiyiwa. Naizvozvo, vamwe vakadzi vanosarudza kushandisa dzimwe nzira kurapwa. Zvisinei, maererano vanachiremba, nokushanda dzimwe nguva inodiwa.

Chii polycystic ovary chirwere?

polycystic ovaries chokuita hormone abnormalities. The chirwere inogona vachiberekwa uye vawana muupenyu (kazhinji vakura). Muchiitiko chokutanga chinoitwa anokonzerwa kuvabereki, inopfurwa mune embryo munguva. Asi rokuongorora vachiberekwa polycystic chete kuyaruka. Kusvikira panguva iyoyo, asi zvokurwara hakuiti unooneka. Vakatodzidza polycystic ovary chirwere kazhinji anova pamusoro pakanyorwa kwemakemikari anobudiswa zvirwere. Izvi zvinosanganisira chirwere cheshuga, kufutisa, zvirwere adrenal mumasero kana thyroid shwanu. Dzimwe nguva polycystic kuumbwa pashure kushandiswa kwemakemikari omuviri zvinodhaka zvinokuvadza uropi, refu-refu. The mashandiro kuti kukura zvokurwara iri kuchinja zvinotevera:

1. Kuderera mune inonzi estrogen uye progesterone. Kuwedzera mwero vanhurume mahormone - androgens.
2. Thickening tunica albuginea ovary. Somugumisiro, mashoko follicles hadzina kuparadzwa, uye zai haisi kubuda. Nokuda kuti kutyora dzichiri kushaya mbereko ovulation.
3. Kuzadza follicular Urume uye chikofu inotungamirwa.

Kuchinja kwakadaro kuitika kana chirwere inogona kuwanwa. Panyaya iyi, hosha inonzi polycystic ovarian syndrome (PCOS). Zviratidzo zvacho zvinosanganisira: kufuta, hypertrichosis, kushaya mbereko. Zviratidzo vachiberekwa abnormalities vaiona underdevelopment "mufananidzo nomunhukadzi" (yakamanikana chiuno, malformed mazamu), mburwa, oligomenorrhea.

Laparoscopy pamwe polycystic

Laparoscopy pamwe ovarian polycystic chokuita zvomusejari kurapa. Rinoshandiswa muzviitiko apo zvokurapa kurapa rotsva. nzira iyi kubviswa ovarian cysts anonzi kuva inonyatsobudirira. Uyezve, zvichienzaniswa kuvhura kuvhiyiwa laparoscopy iri shoma chaizvo. Nokuti mamwe makomborero dzinosanganisira:

1. Kuderedza ngozi yematambudziko.
2. Kupfupikisa ari postoperative kumwedzi.
3. Kukurumidza kupora.
4. Minimum aesthetic zvikanganiso (zvichienzaniswa yakazaruka kuvhiyiwa ari abdominal mhango).

Pasinei zvazvakanakira pachena pamusoro nzira, kuti achiri Chavanoitirana nharo: angava kuita laparoscopy pamwe polycystic ovaries? Pashure pezvose, vamwe vanachiremba angarayira vakadzi kutanga kuedza kurapwa. Kutaura zvazviri, mune zvimwe zviitiko, kuchinja kunokwanisa kukurira polycystic. Kuti kudzorera ovarian nerevane rinoshandiswa kurapwa hadzi mahormone. Also ushandiswe mishonga kuti adzikatidza kwetunhu androgens. Zvisinei, mishonga havasi inoshanda nguva dzose. Kunyanya nyaya vawana chirwere. Naizvozvo, kana pashure nzira yokurapwa maturo isina kuchengetwa, Zvinokurudzirwa laparoscopy pamwe polycystic ovaries. Pasi nzira iyi zvinoratidza kubviswa emura kubva mumuviri mhango idzodzo vachishandisa chaiwo kuvhiya michina. Cheka laparoscopy usingashandi, saka havaiti kusiya zvizorwa urema pashure kuporesa. Kazhinji, nzira iyi inobatsira kubvisa zvakadai kwazvo zviratidzo sezvo mukadzi kushaya mbereko.

Mhando dzakasiyana-siyana laparoscopy pamwe polycystic ovaries

Laparoscopy nokuti polycystic ovaries anogona kuitwa nenzira dzakawanda. It zvinoenderana nechinangwa vakadzinganiswa chiremba, uyewo hwokugadzira nezvaanogona pakati tsika yokurapa. Kufanana kuvhiya zvose zvakadaro, laparoscopy ovaries anogona kuva chirwere uye dzokurapwa. First akaita mu vanofungidzirwa polycystic kana abnormality haina dzakaonekwa zvakarurama. Kazhinji, chirwere laparoscopy anova dzokurapwa evanhu. Wechipiri, akavapindurawo, rakakamurwa akawanda kusarudza. Pakati pavo:

1. Dekortizatsiya ovaries. Izvi mhando kurapwa ndiko kubvisa laparoscopy yokumusoro muviri deko. Nokuda dekortizatsii pamusoro rukoko kunova wakawondereiko kudai mazuva ose, zvichiita kuti vagovere uye kuibvisa pamusoro follicles.
2. Cautery cysts. kurapa kwakadaro rinoitwa kushandisa Laser michina. Operation kunoratidzwa kuita cheka akawanda pamusoro pechiso ovary. Zvinoguma kubviswa mukati dzavo hwomukova uye cysts. Kwapera nguva, pane kudzorerwa kwomuzvarirwo muviri tishu.
3. Resection pakati ovary. Inozivikanwa nokubvisa chikamu muviri iyo rine cysts. Nzira iyi haigoni ringashandiswa kana inotungamirwa mvura yaiva mhiri pose ovary.
4. Elektrotermokoagulyatsiya. musimboti Uyu muviri laparoscopy kuita ponji muviri mumunda cystic idzodzo. Panguva imwe cheteyo, yakatakura kunze coagulation pakati ovary, kudzivisa ropa.
5. Elektrodrilling. Ko nezvainoita magetsi nharaunda cysts. saka Content idzodzo kubviswa.

All zvaungasarudza idzi zvinobudirira laparoscopy. Musiyano pakati pavo kuti arege nzira ose anoitwa neimwe kiriniki. Vamwe mishonga vanoonekwa kuti zvinodhura uye kutora nzvimbo bedzi unyanzvi zvokurapa masangano.

Preparation kunorapwa

Laparoscopy haatarisiri yakaoma kugadzirira. Kunyange zvakadaro, zvaidiwa mimwe mirayiro vasati kuvhiya kunokosha. Pakutanga mazuva mashoma asati laparoscopy akaita akatevedzana chirwere nemiedzo. Idzi dzinosanganisira: kuti KLA, muedzo HIV, njovhera uye kuzvimba chiropa ropa. Also vakatapwa weti kudzivisa renal zvirwere. Uyezve, zvinokosha rabhoritari chirwere maitirwo ezvinhu ndiwo: nokukanganisika Kuongororwa ropa uye coagulation. Rimwe zuva asati vachiita ECG zvidzidzo.

Kuwedzera chirwere dzokuvhiya, unofanira kuchenesa ura avaida laparoscopy ovaries. Nokuti chinangwa ichi, shandisa laxatives kana mushonga enema. Tichifunga kuti oparesheni rinoitwa pasi vakawanda yokutindivadza, kwemaawa anoverengeka pamberi harigoni kutora zvokudya uye mvura. Zvinofanira kurangarirwa kuti nzira isina anoitwa panguva yekutevera nokuda mukuru mukana ropa.

Nzendo laparoscopy pamwe polycystic ovary

Kungofanana avhiyiwa, laparoscopy pamwe polycystic ovarian akaita stepwise. Chokutanga, ziva kuti nzira iri kuitwa achiedza Manyiminya mudziyo, mavhidhiyo kamera uye anokosha zvokushandisa. Zvose zvinhu izvi vane chidukuduku saizi. The oparesheni zvinosanganisira zvinotevera matanho:

1. General yokutindivadza (intravenous yokutindivadza).
2. A 3 kana 4 cheka pamusoro pemvura Anterior abdominal rusvingo. The dhayamita neimwe asingadi kupfuudza 1 masendimita 2 kubudisa nechepazasi dumbu incision nokuda okusuma pakuvhiya vari umbilicus -. For Manyiminya mudziyo uye kamera.
3. Jekiseni kupinda abdominal mhango pamwe carbon dioxide inobvisa kuvandudza Visualization zvomukati.
4. Voga pakati ovaries.
5. Kubviswa cysts. danho iri zvinogona kuitwa nenzira dzakasiyana-siyana.
6. Coagulation kuti wakaremara midziyo. Ndisati ndabva peritoneal mhango, chiremba anofanira kuva nechokwadi chokuti hapana ropa.
7. Kubvisa zvishandiso kubva mumuviri murwere.
8. Suturing cheka.

Chikofu Kubviswa chidobi kunoenderana iyo shanduro laparoscopy yavaizoenda. The oparesheni chinogara avhareji 30 kusvika 60 maminitsi.

Recovery kubva laparoscopic ovarian polycystic apo

Sezvo laparoscopy rinoreva zvishoma invasive dzokuvhiya, nemamwe matambudziko pashure kuvhiya hadziwanzowaniki. Zvisinei, unofanira kupa muviri wako mukadzi achapora. Kuti aite izvi, murwere kugara muchipatara mazuva 7-10 pashure kuvhiyiwa. yacho marwadzo (kana zvaitika), akagadzirisa ura basa kwenguva vakapiwa nguva. Pazuva rokutanga murwere inokurudzirwa kuti netsoka dzako, kana zvichiita - kufamba wadhi. Izvi zvakakodzera kudzivisa kukura adhesions vari chiuno. Mushure maawa 6 pashure mukadzi laparoscopy vakabvumira kunwa (mvura, muto). Kudya zvinogona rinotevera. basa mumuviri uye bonde zvinofanira kumbosiyiwa nokuda 1 mwedzi. The sutures vanobviswa pashure pemazuva 10 pashure kuvhiyiwa.

Laparoscopy uye ovarian pamuviri

Vakadzi vazhinji vanofarira mubvunzo: kana laparoscopy inowirirana PCOS uye pamuviri? Zvechokwadi, hungu. Zvechokwadi, kazhinji oparesheni ichi rinoitwa kurapa kushaya mbereko. Naizvozvo, kana paine polycystic uye kuronga pamuviri laparoscopy. Zvisinei, pashure pokuvhiyiwa havagoni kuva vakagadzirira pamuviri pakarepo.

Zvinoumba laparoscopy vakadzi vane pamuviri vane polycystic ovaries

Mune zvimwe zviitiko, mukadzi anogona pamuviri, pasinei polycystic ovaries. Izvi zvinoitika kana chirwere kwakasimbiswa ichangopfuura kana mvura idzodzo vane miganhu diki. Muzviitiko apo zvokurwara iri kuona panguva pamuviri, kuvhiya iri contraindicated. Zvinofanira kunyatsoongororwa zvazvaiita pedyo gayinakorojisiti.

Kuronga pamuviri pashure laparoscopy

How kuronga pamuviri pashure laparoscopic ovarian polycystic apo? Kana mhaka mwana kwaingova chirwere kuti pamuviri zvinogoneka nokuda nokushanda. Zvisinei, 3 months pashure laparoscopy mukadzi anofanira kutora kemikari gadziriro. Shure panguva ino, aidzidza nhamba yezvidzidzo. Zvino zvinoita kuti vaita pamuviri.

Laparoscopy pamwe polycystic ovaries uye pamuviri: wongororo vanachiremba

Kazhinji, vanachiremba vanokurudzira munhu zvishoma invasive kuvhiyiwa, sezvo ivo yekuzvidzivirira yematambudziko uye vanoonekwa zvishoma chaizvo. Kazhinji anouya achida pamuviri laparoscopic ovarian polycystic chiduku pashure. Reviews gynecologists zvakaratidza kuti mashoko. Zvisinei, vanachiremba vanoti Danho rokutanga kurapwa kunofanira kurapwa kurapa. Kuvhiya inokurudzirwa pashure kukundikana kuchinja nzira.

Laparoscopy pamwe polycystic ovaries: wongororo wevarwere

Vakadzi vanenge inini pokuvhiyiwa, vakanga inogutswa mugumisiro. Vanoti kupindira akabatsira kukurira zvinetso zvakadai polycystic ovaries. Mushure varwere laparoscopy wongororo vakawanda kunge zvakanaka. Vamwe vakadzi vanokwanisa vana yakafanira nokushanda. Patient yakataurawo kuti pamwedzi pashure laparoscopic ovarian kuva dzose. Kuwedzera normalization iri kutenderera, vakadzi anoratidza kuchinja mamiriro pakuyerera, zvinoderedza kurwadziwa pamberi kumwedzi.