The oparesheni kubvisa dumbu

The oparesheni kuti abvise dumbu ndiyo nzira inonyanya Kuvhiya, gynecological. Chibereko rinoitwa pakuparwa kukundikana dzimwewo nzira iripo. Muzviitiko zvakawanda, kuvhiya kubvisa dumbu unokubvumira kuponesa upenyu hwemukadzi. In okurapa, pane uye kupindira pamusoro kwete chete yemuviri asiwo ovaries uye fallopian sepombi. oparesheni iyi inonzi oophorectomy.

Kukuru Kupindira Muzviitiko zvizhinji Zvingagadziriswa ane zvakaoma, pasinei kuvapo kunyange Mhedziso zvairatidza kuti mufambiro wayo.

Zvinofanira kucherechedzwa kuti pamwe kusanzwa uye marwadzo zvinoitika pashure chero avhiyiwa, varwere vakawanda pashure pokuvhiyiwa kubvisa dumbu vari kuona kuora mwoyo mupfungwa, pfungwa vasingakoshi uye nenyonganyonga, kutya siyana.

Zvairatidza kunorapwa inofanira kufungwa:

- nyanyisa neoplasms of cervix kana nhengo mumuviri;

- adenomyosis kana endometriosis (pasina vamwe zviyero kuti zvinobudirira pamusoro kwenguva refu kurapa);

- mumwe benign nebundu (fibroids);

- akaratidza kusiya kana kurasikirwa;

- zvokurwara, afunge kuramba kurwadziwa chiuno.

Kwemakore, nokuti kupindira achishandisa anonzi abdominal kuwana. Muchikamu ichi chakange kuitwa chiremba pamadziro pamberi peritoneum. In mushonga ano, nzira iyi inenge kumboshandisa. Nhasi, kuvhiya kubvisa dumbu rinoitwa laparoscopically. The Kupindira rinoitwa kuburikidza cheka diki mudumbu. The oparesheni zvinogonawo kuitwa kubudikidza nyinyo, pamwe vazvo vose vanoramba mukati maro.

Zvinofanira kucherechedzwa kuti bhuku kuvhiyiwa panguva nzira ingava yakasiyana.

Supravaginal kana subtotal chibereko kunosanganisira chibereko pamwe pakuchengetedza cervix.

Kana kubvisa muviri kupindira rinoitwa uye zvinoshandiswa.

A yakakura chibereko kunosanganisira kudimurwa ovarian sepombi mhango pacharo, cervix, pelvic akarikomberedza zvinyama uye node nodes uyewo rokumusoro rechitatu nyinyo.

Nzira uye bhuku kukanganiswa chiremba anosarudza. Muchiitiko chino, nhoroondo anofanira kutorwa kunyanya chirwere.

Laparotomy nzira inoshandiswa kana kushanda kunoratidzwa kubvisa uterine polyps, panguva yakawedzerwa muviri pane zvinokosha adhesions. Nzira iyi inosanganisira tinopinda kuburikidza incision ari Anterior abdominal rusvingo.

The oparesheni kuti kubvisa dumbu zvikuru neusimbe unyanzvi (laparoscopic uye kusangana nekutsi kwemukadzi) kunoderedza kupora nguva varwere. Kazhinji, kuti cervix iri kuramba, uyewo, uye haatarisiri kudimurwa. Saka, pane anoramba nemarunda, zvinoderedza uwandu rwakashata zviitiko (semuenzaniso, Urinary incontinence). Uyezve, chiitiko ichi kunoderedza ngozi zvepabonde dysfunction pashure kuvhiyiwa.

Varwere chokuita kubviswa muviri kungava mubvunzo zvakakwana chaivo pamusoro utano, zvakaita upenyu, chitarisiko.

Pashure pokuvhiyiwa kokutanga kazhinji anozivikanwa marwadzo. Ivo vane ukama apore fomu adhesions kana vazvo. Anogona kuitika uye ropa. Ya kupora pashure Kupindira inotsamira zvichibvira matambudziko. Saka, kuita weti kakawanda vakaratidza vachivavhiringidza, thrombosis, fivha, suppuration vazvo.

Pashure zvachose chibereko akacherekedza shanduko Nzvimbo yacho chiuno. Izviwo, kwakakanganisa inobata muura uye dundira.