I-ovarian cyst - ukuhlinzwa noma i-laparoscopy?
Lolu hlobo lokuzikhethela indlela yokwenza ukungenelela okuhlinzekwayo kwenziwa ngabadokotela. Lokhu kucabangela izici eziningi. Okuyinhloko ubukhulu bemfundo. Uma kuncane (8-10 cm ububanzi), kwenziwa i-laparoscopic ukususa i-cyst ye-ovari. Le ndlela ithatha ukuhlukunyezwa okungathí sina kwezicubu, akudingi i-dissection emigqeni, udonga lwesisu. Amathuluzi adingekayo adluliselwa emgodini omncane - ububanzi buka-5 mm. I-laparoscopy kakhulu ye-cyst ye-ovari (inkambo yokusebenza) ihlelwe ngemishini yevidiyo, eyanciphisa ingozi yokulimala ezithombeni ezizungezile.
Uma unquma indlela yokuhlinzeka ngokuhlinzwa, cabangela izinkomba ze-laparoscopy, phakathi kwazo:
- ukuphuka kwe-neoplasm ;
- Shintsha imilenze yemfundo;
- Ukuhlolwa, ukuhlolwa kwangaphandle kwe-cyst;
- Ukudla okubonakalayo kwe-biopsy.
Ukusebenza akukwenziwa lapho:
- ukuvuvukala kwe-peritoneum;
- i-sepsis;
- ingozi ye-cerebrovascular;
- i-infarction ye-myocardial;
- ukushaqeka kwamanzi.
Ukulungiselela i-laparoscopy yama-cysts wama-ovari
Isikhathi esandulele ukungenelela kokusebenza ngokuhambisana nokuhlolisisa ukuhlolwa okuningi. Ngakho-ke, ukulungiswa kokusebenza ukuze ususe i-cyst ye-ovari kuhlanganisa okulandelayo:
- Ukuhlolwa kwegazi: i-biochemistry, jikelele, ukuvala i-clotting, ukuzimisela kwe-Rh factor, ukutheleleka (isibindi, isibindi, i-HIV);
- I-ultrasound ye-pelvis encane;
- ama-smears avela ku-vagin;
- ECG;
- i-fluorography.
Lezi zivivinyo ze-laparoscopy yama-cysts ama-ovari ziyingxenye ebalulekile yenqubo yokulungiselela. Uhlu lwawo lungathuthukiswa phambi kwezifo ezingapheli. Ngombono wokuhlanza amathumbu, owesifazane unqunywe i-laxative ngosuku olulandelayo, futhi i-enema yenziwa amahora ambalwa ngaphambi kokuqala. Amahora angu-12 ngaphambi kwe-laparoscopy yama-cysts ama-ovari, angabandakanyi ukudla, - isisu kufanele sibe nalutho. Indima ebalulekile idlalwe ukulungiswa kwengqondo kwabesifazane. Ebusuku kadokotela uhlola isiguli, umtshele izici zokusebenza, ukulungisa umphumela omuhle.
I-cyst ye-ovari isusiwe kanjani?
Ukuphendula umbuzo weziguli mayelana nokuthi ukusebenza kanjani ukususa i-cyst ovarian kwenzeka, - udokotela kuqala uveza ukuthi konke kwenziwa ngosizo lwekhamera yevidiyo. Ifakwe lamalensi, okukhulisa ngokuphindaphindiwe izithombe ezivezwe kumqapha. Yona kanye inqubo yokususwa kwenzeka ngaphansi kwe-anesthesia jikelele - owesifazane akazwa lutho ngesikhathi esisodwa.
Okuqala endaweni ephawuliwe, kwenziwa amaphuzu, lapho i-laparoscope efakwe khona. I-carbon dioxide isondliwa ngaleso sikhathi. Kudingekile ukuthola ukufinyelela okungcono kuma-ovari, ukulungisa umgoqo we-peritoneum. Kuphelele, izinhlamvu ezingu-3 zenziwe: eyodwa - ikhamera, abanye ababili - amathuluzi. Ngokusekelwe esithombeni, udokotela ohlinzayo wenza umthengisi we-neoplasm. Ngemuva kwama-cysts ama-laparoscopy ovarian, igesi likhishwa emgodini wesisu, izigxivizo ziyasetshenziswa kuma-punctures ezenziwe futhi zimbozwe ngama-bandage angenayo. Isikhathi sokusebenza singaba amahora angu-3, ngokwesilinganiso - amaminithi angu-60.
I-laparoscopy ye-cyst ovarian period postoperative
Ukubuyiswa ngemuva kwe-laparoscopy ye-cyst ye-ovari iyashesha. Ngobusuku ngemuva kokuhlinzwa, intombazane ivunyelwe ukuvuka. Ngezinsuku ezingu-3-4 ubuhlungu emalungwini buphela ngokuphelele. Ukuhoxiswa kwenzeka ngosuku lwe-7-9. Kuze kube yileso sikhathi, ukwelashwa nsuku zonke nge-antiseptic kwenziwa, i-antibacterial ovment (Levomecol) isetshenziswa phezulu, okuvimbela ukutheleleka.
Ngemuva kweparoscopy ebambezelekile, odokotela batusa imithetho elandelayo:
- ukukhishwa komsebenzi oqinile ngokomzimba 1-2 izinyanga;
- ukuyeka ukulala ocansini amasonto amabili;
- Ukukhipha ukugeza okuvakashelayo, ama-saunas, okugeza okuhlanzekile ukufaka ishaja.
Ukudla emva kwama-cysts ama-ovarian laparoscopy
Odokotela badinga ngokuphuthumayo ukuhambisana nokudla okunye, ukulalela ukwakheka kokudla. Ngokushesha emva kwama-laparoscopy, ama-cysts ama-ovaria, emva kwamahora angu-4-5, avunyelwe ukuphuza inani elincane lamanzi namanje. Emva kokuphela kwamahora angu-6-8, isidlo sokuqala senziwa, - umhluzi wamanzi. Amahora angu-24 okuqala avunyelwe ukuba adle imikhiqizo yobisi omuncu - i-kefir, i-yoghurt.
Ngosuku lwesibili, isobho semifino singeziwe ekudleni. Isitsha sesibili singaba umuthi we-steam, u-sikwashi noma amazambane ahlambulukile. Ukuphendula umbuzo weziguli mayelana nokuthi yini engadliwa ngemuva kwama-cysts e-laparoscopy ama-ovarian, odokotela bakhomba ukungavumeleki kokusetshenziswa:
- isinkwa;
- i-kash;
- izithelo ezintsha.
Le mikhiqizo iqukethe inani elikhulu lezitshalo ezitshalayo ezibangelwa ukuguquka. Lesi simo sibonakala ukungezwani kwodonga lwangaphakathi lwesisu, okumele lugwetshwe esikhathini esilandelayo. Lapho uhlanganisa ukudla, intombazane kufanele ihambisane nemiyalo yezokwelapha nezincomo ukuze ugweme izinkinga ezingenzeka. Okulandelayo kukhishwe ekudleni:
- i-confectionery;
- amaswidi;
- inyama enamafutha;
- ukudla okuthosiwe;
- bukhali;
- iziphuzo ezimuncu namajusi.
Inyanga emva kwama-cysts eparoscopy ovarian
Ngokushesha umsebenzi uqokwa ngemuva kokuphela kokugeleza kokuya esikhathini - ngosuku olungu-7-8 lomjikelezo. Lokhu kubalwa kwenziwa ukubuyiswa okuphelele komzimba ekuqaleni komjikelezo olandelayo. Isikhathi lapho ukuphuma esikhathini sokuya esikhathini kwenzeka ngemva kokuba i-laparoscopy ye-cyst ye-ovari ihlale ingashintshi. Kodwa okuphambene nakho kungaphawulwa. Kulesi simo, usuku lokusebenza lithathwa usuku lokuqala lwenyanga.
Kumele kukhunjulwe ukuthi kungase kube nokuphuma okuncane kwegazi emva kokuhlinzwa, kungahlanganiswa ne-cyclic. Unomthamo omncane, ohlala kuze kube yizinsuku ezintathu. Kubalulekile ukuqapha ngokucophelela umbala - uma umbala uphenduka obomvu nge-tinge eluhlaza okwesibhakabhaka - kuyakudingeka ukuvakashela udokotela, ngoba uphawu lwe-symptomatology lwalolu hlobo lubonisa ukutheleleka.
Izinkinga emva kwe-laparoscopy yama-cysts ama-ovarian
Le nqubo ayiyona into ebuhlungu kakhulu, iqhutshwa ngaphansi kokulawulwa kwemishini yevidiyo, ngakho-ke izinkinga zisuke zingekho. Ngokusho kwezokudokotela, cishe ku-2% amacala okuphulwa aphawulwe. Ukuze uzigweme ngokuphelele, odokotela bahlela ngokucophelela ukususa i-cyst ye-ovari, imiphumela okungaba kanje:
- ukubonakala komzwelo wokuzihlambalaza nokuhlanza;
- ukushisa komzimba okwandisiwe;
- soreness kule notch.
Imiphumela embi kakhulu yokusebenza ayivamile. Zivame ukuhlushwa yiziqu eziphansi zesigqirha sokuhlinza, ukungabi nalwazi. Umphumela ungaba:
- ukulimala ezithombeni zomzimba;
- ukusabela komzimba ku-carbon dioxide esetshenzisiwe;
- ukusabela okweqile ku-anesthetic.
Ubuhlungu ngemva kweparoscopy yama-cysts ama-ovari
Ngokushesha ngemva kokungenelela kokuhlinzwa, ukuhoxiswa kwe-anesthesia, isiguli sigcizelela ukuthi i-ovary yakhe ibuhlungu ngemva kokususa i-cyst. Lokhu kungaba umphumela wokusebenza. Ubuhlungu obunjalo bumiswa ngokuthatha imithi yobuhlungu. Uma izinzwa ezibuhlungu zingapheli ngokuphelele emva kwezinsuku ezingu-1-2, lokhu kungabonisa izinkinga zenkathi yokusebenza emva kwesikhathi:
- ukulimala ezithombeni eziseduze;
- inqubo yokuvuvukala.
Ukukhulelwa emva kokususwa kwe-cyst ye-ovari
Ngokuvamile ama-cystic formations e-ovary ayisithiyo sokukhulelwa. Leli qiniso lihlobene nombuzo wabesifazane abaningi mayelana nokuthi kungenzeka yini ukuthi ukhulelwe ngemuva kokususwa kwe-cyst ye-ovari. Odokotela bakhombisa ukuthi amathuba okukhulelwa emva kokuhlinzwa ayenyuka kakhulu. Ngokufanayo, ukwelashwa kwemithi ye-hormone kunqunywe, kubuyiselwa ukusebenza okulungile kwe-gonads. Isikhathi salo siyizinyanga ezingu-3-6. Ekupheleni kwendlela yokwelashwa, baqala ukuhlela ukukhulelwa.