Abin da ya kamata ka sani game da wannan madadin ga Hysterectomy
Fibroid ciwon sukari ne hujja da aka bai wa fiye da kashi ɗaya bisa uku na kimanin kimanin 600,000 da aka yi kowace shekara a Amurka. Amma akwai wani zaɓi.
Yayin da za a nemi gadon maye gurbin, za a iya cire ƙwayar ciwon ƙwayar fibroid yayin da yake adana cikin mahaifa . Yayin da likitancin likita ya yi, ƙwaƙwalwar ƙaƙƙarfa ce mai lafiya da kuma tasiri mai mahimmanci ga hysterectomy.
Shiri
Kayan aiki na yau da kullum yana hada da allurar Lupron a kowane wata a cikin watanni biyu zuwa hudu da suka gabata. Lupron ya dakatar da samar da estrogen , yana haifar da fibroids da karuwa a girman. A wannan lokaci, al'ada yakan lalace.
Akwai rikice-rikicen tsakanin likitoci game da amfani da Lupron, duka saboda tsada ne kuma saboda ya haifar da bayyanar cututtuka irin su zafi mai zafi da dare . Wasu kuma sun damu cewa zai iya rikitar da wasu ƙananan fibroids zuwa wani batu inda ba za a iya ganin su a likita ba a yayin tiyata kuma cewa wadannan fibroids ba a sani ba zasu sake girma kuma suna iya buƙatar ƙarin tiyata.
Za'a iya yin amfani da ƙwaƙwalwa a cikin sauƙi amma sau da yawa, duk lokacin da aka yi aikin tiyata, hadarin adhesions pelvic yana ƙaruwa.
Kyakkyawan ƙarancin jiki ya kamata ya samar da cikakkiyar taimako daga dukan alamun bayyanar da ke tattare da ciwon sukari na fibroid. Duk da haka, fibroids sukan karu da baya, suna buƙatar buƙatar tsaftatawa daga bisani.
Risks da aka haɗi
Yawancin likitocin da ba su da kwarewa a yin aiki a cikin kullun za su fita don yin amfani da su saboda rashin fahimtar su ya kara hadarin rikitarwa.
Kodayake matsaloli suna da wuya a yayin da aka yi aiki da kyau, mata masu la'akari da wannan hanya ya kamata su san abin da zai yiwu.
Matsalolin da za a iya yiwuwa sun haɗa da hasara ta jini, hawan (ƙuƙwalwar jijiyar zuciya), anemia, ciwo, marigayi na hanzarin zuciya, rashin haihuwa, yiwuwar yin juyawa zuwa hysterectomy a lokacin da nake aiki, da kuma tiyata.
Ko da yake ciwon ciki har yanzu yana yiwuwa bayan tacewa, matan da suka kasance masu ciki bayan wani mummunan fuskarta ta fuskar yiwuwar wani ɓangaren sunarean saboda rauni mai karfi a cikin bango mai ciki.
Kodayake fiye da kashi 99 na fibroids sun zama marasa lafiya, likitanku ya kamata yayi magana game da yiwuwar ciwon daji kafin ingancin ku.
Types da Janar tsari
Akwai hanyoyi da yawa don yin wani abu na jiki. Ana iya yin bazuwa ko kuma ciki, ta amfani da hanyoyi daban-daban. Irin nau'ikan da aka zaɓa wanda ya zaba ya dogara da girman da kuma wurin da ciwon fibroid.
Bayan da mace ta kasance ƙarƙashin maganin rigakafi, an saka wani katako a cikin mafitsara don ajiye ta a cikin hanya. An kuma sanya wani kullun a cikin cikin mahaifa kuma an zubar da ƙwalji mai launi don ta ɓoye ɗakin kifin ciki; wannan wanzuwa na yunkurin mahaifa ya zama dole don taimakawa likita ya ƙayyade wurin da fibroids, wanda sau da yawa suna da yawa basu bambanta daga nama na mahaifa.
Bikin mai launin ruwan wuta yana shiga cikin shafukan fallopian kuma ya ba likita damar ƙayyade ko an katange ko buɗe. Za a iya yin gyaran gyaran gyare-gyare a cikin tubes na fallopian yayin wannan hanya.
Daga baya, an yi amfani da miyagun ƙwayoyi a cikin farkon fibroid da aka ƙaddamar don cirewa, da haddasa jini don dakatar da minti 20 kuma yale likitan ya cire fibroid tare da rashin hadarin zub da jini da kuma karuwa.
Dole ne a kula da kulawa ta musamman a lokacin rufe lahani (sararin samaniya) inda aka cire fibroid. Kowace nau'i na nama dole ne a sutured akayi daban-daban don hana tsummoki da sauran matsalolin. Kamar yadda aka cire kowace fibroid, ana maimaita wannan hanya.
Duk mata masu jituwa da fasaha na yau da kullum suna kula da yiwuwar buƙata ta hanyar shiga cikin al'ada na al'ada yayin da myomectomy ke ci gaba.
Kamar yadda aka ambata a baya, akwai hanyoyi da yawa don aiwatar da wani abu mai kyau.
Maganin ƙwayar ƙwayar cuta
Anyi wannan a yayin da ake amfani da hysteroscopy tare da taimakon wani kamfani don kula da fibroids submucosal. Wasu nau'o'in myomectomy za a iya yi a wannan hanya idan intramural ko fibroids subrosal sun kasance.
Laparoscopic Myomectomy
Wannan hanya ce ta kawar da fibroids kuma ta gyara gurbin hagu inda aka samo fibroid. Gyaran gyaran da ya dace yana da muhimmanci sosai wajen rigakafin rikitarwa. An sanya karamin haɗari, yawanci a cikin cibiya, kuma an saka laparoscope a inda aka yi myomectomy. Wannan nau'i na myomectomy yana bayarwa lokaci mafi sauƙi.
Laparoscopic Myomectomy tare da Colpotomy
Wannan hanya ce da ke hada da incision a cikin farji don cire manyan ɓangaren fibroids. Wannan hanya ba ta rufe lahani da hagu ta fibroid kuma dole ne a yi tare tare da wata hanya.
Laparoscopic Minilap Myomectomy
Wannan hanya ce ta hada da karamin ƙwayar ciki na ciki don cire fibroids. Irin wannan hanya za a iya amfani dashi ga kowane girman fibroid. Saboda incision ne kawai 4-5 cm, maida ya sauri fiye da na al'ada myomectomy.
Tsarina na al'ada
Wannan shi ne mafi yawan abin da ya fi yawan aiki, kamar yadda ka'idodin halittu masu laparoscopic suka fi wuya a yi. Tsarin gargajiya na gargajiya yana buƙatar haɗari na ciki na 5-7 da kwana uku, har zuwa makonni shida zuwa takwas don dawowa.
Abin da za ku tambayi likita
- Me yasa kake bayar da shawarar canzawa a yanzu?
- Mene ne haɗari idan na yanke shawara akan myomectomy?
- Sau nawa kuke yin myomectomies?
- Shin za ku iya yin wani sabon abu ba tare da la'akari da girman ko wuri na fibroids ba?
- Wane nau'i na wulakanci kuke shawara a gare ni? Me ya sa?
- Shin, zan buƙaci fassarar jini ?
Ka tuna, likitanka ya kamata ya bayyana duk wasu zaɓuɓɓuka masu yiwuwa kafin ka yanke shawara. Idan likitanku ba ya bayar da maganin da ke cikin fibroids kuma ya nacewa a kan hysterectomy, yana iya yiwuwa saboda ba shi da kwarewa sosai don ya yi aiki da kyau, kuma ya kamata ka tambayi shi don likita zuwa likita wanda yake da kwarewa wajen yin aiki. Kyakkyawan likita zai ba ku irin wannan mahimmanci kuma ra'ayi na biyu shi ne koyaushe mai hikima kafin wani tiyata.
> Source:
> Fibroids Uterine. Littafin Ilimi na ACOG na APC74. http://www.acog.org/publications/patient_education/bp074.cfm