Yavaive pashure kubviswa dumbu: kurapwa. Nokubviswa dumbu pashure pemakore 50: nemigumisiro

Zvinoerera kubva dzokubereka turakiti - zvisingatomboiti chinhu vakadzi. Vanogona kuitika mune zvose zvinoitika uye anoratidza kukura chirwere. Kuparadzana aona ari kuramba endometrium panguva yekutevera, uyewo kuenda ovulation. Pathological secretion anooneka somugumisiro chirwere pamwe pabonde pathologies, kuzvimba dumbu uye zvinoshandiswa, oncological zvirwere. Zvisinei, kusarudzwa anogona kuvhiringidza uye navakadzi ainge avhiyiwa chibereko. Muchiitiko chino, unofanira kuisa dzinorwadza. Kana pathological secretion zvinokosha kutaura kuti chiremba.

Yavaive pashure chibereko: wokuyera uye zvokurwara

Chibereko ari nesayenzi anonzi chibereko. Kazhinji, voitakura nokuda kenza munhukadzi dzokubereka nadzo. Dzimwe kuvhiyiwa rinoitwa kuzvidzivirira nechiyero kuti muzvidzivirire kenza.

Pasinei kwakaita nzira iyi kunze, vakadzi vazhinji vanotya migumisiro chibereko. Kutya uku kwakakodzera. Pashure kwakadaro kuvhiyiwa kungaita ngozi. Vamwe varwere vakachengeta zvinoyerera pashure nokubviswa dumbu. Kazhinji, vari kuona mumazuva mashomanana. Sezvingatarisirwa, kusarudzwa hauna chokuita kuramba endometrium uye kuenda kumwedzi. Zvechokwadi, mushure extirpation pamusoro nhengo kuti hazviiti. Muzviitiko zvizhinji inesungano kukundikana vazvo uye oncological mutoo izvo vasara abdominal mhango. Mune zvimwe zviitiko, ropa anogona kukonzerwa kukuvara pedyo nhengo pakuvhiya.

Zvairatidza kuti chibereko

Zvinofungidzirwa kuti mukadzi, pashure nokubviswa dumbu riri chakaremara nokuda kutadza kuita pasikarudzi ushande. Zvisinei, kuvhiyiwa akadaro kakawanda kuitwa munguva kubereka. Mune zvisingawanzoitiki kacho, chibereko rinoitwa kuti vakadzi zera rokubereka. Mukuru chiratidzo nokuda kubviswa sikarudzi chinhu akaipa nebundu rimwe cervix, endometrial kana zvinoshandiswa. Kana mukadzi yave kenza, chibereko anoonekwa chete nzira kumisa chirwere kwacho uye kuti aponese upenyu hwake. Other zvairatidza kuti chibereko dzinosanganisira:

1. Higher pangozi yokuita bundu. Precancerous ezvinhu ndiwo: guru uterine fibroids, idzokororo endometrial polyps, fibroids.
2. Kurasikirwa muviri kana kusiya 3-4 inegumi.
3. Endometriosis hakusi amenable kurapwa.
4. Suppurative endometritis unoenda mukuparadzwa nhengo uye kuzvimba peritoneum.
5. Kunotevera chokuita zvomusejari kupindira (nhengo perforation curette, intrauterine mudziyo).
6. Full increment placenta chirwere mukuvamba postpartum nguva.
7. Uterine atsamwira.

Pasinei nokuti chibereko anoreva yakakura kuvhiya kupindira, nzira bedzi kuti aponese upenyu murwere nezvirwere izvi.

Nzira chokubvisa dumbu

Pane nzira dzakawanda kubvisa dumbu. Kakawanda, kuvhiyiwa rinoitwa nevanhu rakavhurika kuvhiyiwa. Izvi zvinoita kuti kurongazve pelvic mhango uye kudzivisa kuzvimba peritoneum. Kana paine kenza zvokurwara, zvidzidzo zvakawanda chibereko. Mune zvimwe zviitiko, nokubviswa dumbu akaita laparoscopically. Chidobi wokuvhiya kunobva nzvimbo sei, yezvakaita pathological kwacho uye womukadzi zera. Nokuda izvi ndiwo anotevera nzira chibereko:

1. Supravaginal kudimurwa. oparesheni Izvi zvinogona kuitwa panguva fibroids, endometriosis, kenza pezvakaitwa mukutanga nezvishoma. Chimwe zita nokuti kuvhiyiwa - subtotal chibereko. It kunoratidzwa ndechokuti chikamu cervix uye zvinoshandiswa havasi pasi kubviswa. Kunoitawo mukadzi kurarama kurara upenyu.
2. chibereko. Chimwe zita nokuti oparesheni - nhamba chibereko. Anobvisa Nhengo uye cervix. Extirpation rinoitwa panguva endometrial kenza, akawanda polyps, matambudziko ose nepamuviri uye pakusununguka. Uyewo, zvachose chibereko vangarega nokuti gomarara achiri Danho varwere zera rokubereka.
3. Operation Washington. Dzinoratidzwa kubviswa dumbu uye zvinoshandiswa, okumusoro rechitatu nyinyo, ari kwematunhu node nodes uye parametrium faibha. Kwakadaro kuvhiyiwa inonzi yakakura chibereko. It rinoshandiswa oncology tsika nokuda kudzivirira kupararira bundu.

Kazhinji, vanachiremba vanoedza kuita zvose zvinobvira kuchengeta gonads - ovaries. Kunyanya kana murwere ari muduku kana repakati. Zvisinei, muna nekenza kazhinji kushandisa kuti Washington oparesheni.

Laparoscopic chibereko: unhu

Kashoma chibereko rinoitwa laparoscopically. In kenza, nzira iyi nokubvisa dumbu iri rinenge hatibati, sezvo haabvumiri kuti zvakarurama kuona miganhu bundu. Laparoscopic chibereko zvinogoneka rayo deletion, endometriosis, myoma kana nzvimbo huru.

Zvakanakira Kuvhiya ichi anosanganisira kwakaderedza mukana ropa uye kuderera kwemitambo post-kushanda nguva. Uyezve vazvo kushanda asingaoneki pashure laparoscopy, kusafanana yakazaruka chibereko. The oparesheni rinoitwa uchibatsirwa anokosha zvishandiso, izvo chakaunzwa makomba duku pamusoro Anterior abdominal rusvingo.

Laparoscopic chibereko ane matanho zvakafanana rakavhurika kuvhiyiwa. A nevamwe chinhu ndechokuti manipulations zvose zvinoitwa uchibatsirwa dzinokosha zvishandiso. Zviito mano aya akaratidza pamusoro Monitor. Kufunga ichi, chiremba anoita manipulations zvose. Mune zvimwe zviitiko, laparoscopic unyanzvi unobatanidzwa pamwe kusangana nekutsi kwemukadzi chibereko. Pasinei zvakanakira nzira, vanachiremba vanosarudza kuitisa purogiramu chibereko.

Chibereko: postoperative

Vakadzi vose anozivikanwa kunonyengedza zvinoyerera pashure nokubviswa dumbu. Fani iyi anonzi muupenyu mukati rokutanga. Mukutanga postoperative nguva kusvibisa kunokonzerwa vascular kukuvara. Cherechedza kuti chibereko - ichi haisi kuvhiya raisanganisira yose pelvic mhango. Saka pashure chibereko kusvibisa spreadable hunhu ave. Vanogona tara kusvika 6 mavhiki. Kana, pane kusvibisa yakaratidza kunonyengedza kurasikirwa neropa, unofanira pakarepo kuudza chiremba wako. Zvikasadaro, pakava kungaita kuti mamiriro nehana uye rufu.

Akapfeka chibooreso pashure chibereko

Vakadzi vose vaiva chibereko, Zvinokurudzirwa kupfeka bhandeji postoperative. miganhu yacho vari kugadziridzwa kuti muviri murwere. The bhandeji zvinobatsira kugadzirisa abdominal netsandanyama. Izvi zvinobatsira kuti rikurumidze nekupodzwa mapfundo kudzivirira yematambudziko. Kupfeka chifukidziro kuratidzwa mune akazotevera postoperative nguva. Chibooreso inogona kutengwa chemishonga. Hazvina kunyanya zvakafanira panyaya munhoroondo mukadzi, pane genera dzakawanda.

Uyewo, varwere vose vane simba tsandanyama ari Anterior abdominal rusvingo, vanofanira kupfeka bhandeji nokuda postoperative. Encombrements corset anofanira aenzane vazvo. Kana urefu chehondo zvinogona kugadziridzwa, nohupamhi zvinofanira munhu mumwechete. Zvinokurudzirwa kuti corset akadzivira vanga 1 masendimita kubva pasi uye pamusoro.

Zvemamiriro zvinoyerera pashure chibereko

Kuwedzera ropa clots zvingaitika uye dzimwe choutsi pashure kubviswa dumbu. Izvi zvinosanganisira mucous uye purulent exudates pathological. kuparadzana kwakadaro kunoitika muna anogumbura pezvakaitwa ari nyinyo kana cervix chitendero. Pasinei chibereko, varwere vari zvepabonde. Saka, utachiona siyana kwemabhakitiriya uye nemavhairasi zvigare zviri dziripowo.

Kana zvinoyerera pashure kubviswa dumbu vane risingafadzi kwakanaka kana kujairika ruvara (chena, yellow, mitsetse neropa), vanofanira kutanga gayinakorojisiti. The pakuonekwa pathological zvinwiwa zvingaratidza kupararira kenza. Izvi ndezvechokwadi kunyanya ropa. Naizvozvo, siya chiratidzo ichi hakufaniri kurerutswa.

Postoperative yematambudziko

Ngozi matambudziko anoitika chibereko zvinosanganisira ropa uye peritonitis. Mumwe nomumwe izvi zvinhu kungaita kuti murwere rufu. Saka, mukati memazuva 7-10 murwere inofanira kuva pasi zvokurapa achitarisirwa.

Ropa kunoitika kana chikuru pelvic nemidziyo dzaparadzwa uye ruptured postoperative sutures. Izvi zvinoda kukurumidzirwa kuvhiya kupindira. Marapirwo ndehwokuti kubvisa kwaibva ropa uye akazadza Nyorera mumwe zvisingaoneke. Peritonitis hwapedyo naye chinoda kugadziriswa zvemukati kana kwokunze vazvo. Ari achiperekedzwa kuda kurutsa, zviratidzo kudhaka uye unopinza kurwadziwa mudumbu.

Nokubviswa dumbu pashure 50 makore: zvinokonzerwa uye fungidziro

Kazhinji, chibereko inobatanidzwa kenza munhukadzi nhengo dzokubereka nadzo. Naizvozvo, nokubviswa dumbu pashure pemakore 50 kazhinji chamboitwa. Migumisiro kuvhiyiwa uku kunobva ezvinhu murwere uye kuvapo somatic zvirwere.

Chaizvoizvo oparesheni riri kubudirira. Kana ukatevera chiremba dzokurumbidza, unogona kudzivisa migumisiro yakadaro, sezvo kusiyana uku kunoita kuti vazvo uye paumbwe adhesions. Muchiitiko chino, mwedzi mishoma gare gare mukadzi akadzokera hwandaiva mararamiro. The fungidziro pamusoro kusavapo yematambudziko uye kupararira anomera zvakanaka.

Kurapa pashure chibereko

Treatment pashure kubviswa dumbu zvainanga mukudzivirira kukura neutachiona uye ropa. Mumazuva okutanga, varwere ushandiswe antibacterials uye tupukanana. zvingaitwa "Ceftriaxone" kuvabata, "Metronidazole". Zvinoratidza kurwadziwa mishonga pashure chibereko. Kwemazuva akawanda, mushonga "Ketonal" raitongwa intramuscularly. Kana kurasikirwa ropa vakaperekedza aizomupa mishonga.

Kudzivirira ropa

Kuti tidzivise ropa ari postoperative nguva, dzinofanira kutevedzera yachiremba mushonga. Mumwedzi wokutanga riri zvaisambobvumirwa kusimudza masimbi uye basa remaoko. Zvinofanira kubvisa mutoro, uyewo kuita zvepabonde. Zvinokurudzirwa kupfeka bhandeji. Nokuti kudzivirira kusangana nekutsi kwemukadzi noutachiona uye Urinary zvomukati zvakafanira kuchengeta mitemo utsanana pakutanga uye mushakabvu postoperative nguva.