Hauora, Rongoā
Tikanga laparoscopic hysterectomy: wā pou-mahi, te mau hopearaa arotake. Tangohanga o fibroids uterine laparoscopically: arotake
I tēnei wā, whakawhanakehia matou hangarau auaha e tukua mo te momo o te wawaotanga gynecological ki pōauautanga iti, me te iti o te whētuki. hysterectomy Laparoscopic e - tetahi o ratou.
Laparoscopy rite te tikanga hou
Kua pokanga Laparoscopic kua tawhio hoki i runga i te 20 tau. I roto i tenei wa kua whakapumautia reira iho rite te tikanga minimally urutomo me te whai hua ki iti pōauautanga pou-mahi.
riro tikanga Laparoscopic i roto i te gynecology nui rongonui. I mua, i mahi i te tikanga taua pokanga gynecological pukapuka iti. Otiia i roto i nga tau tata nei i roto i te nuinga o haumanu me ngā hōhipera, kua riro te reira kitea. Ko tētahi o ēnei ngā mahi, ko te ki te tango fibroids uterine laparoscopically. tohu Reviews o tūroro e reira ko he toe fakafoki tere o te mahi kaha, e kore e te mōrea o pōauautanga me adhesions o te kino iti, me te iti ki te kiri pahuatia te ahua o te wahine.
Hoki te mahi titau kaimahi whai tohu, me te ite. raihanatia wawaotanga e i roto i tenei take, pōauautanga iti. I roto i ētahi wā, Me tika te huinga o te laparoscopic me tafa tikanga ki te whakaora ora o te manawanui. Ka whiriwhiri i tēnei mātanga te tikanga tika ki te hamani ratou tūroro i roto i ia take takitahi.
He maha ngā hōhipera kawe i te tango o fibroids uterine laparoscopically. I roto i Moscow, rite rawa tata nga tari gynecological te ki te taputapu tika, me te he tohunga mo e mau ana i roto i tenei whawhe. I roto o te pokanga gynecological katoa e pupuri 50-60% i te laparoscopy.
Ko te painga matua o te tikanga:
• iti o te whētuki;
• tere mahi whakaora o whēkau katoa;
• Tuhinga o mamae pou-operative;
• iti adhesions ;
• wā poto o te hohipera;
• noho i roto i te tiaki ra;
• whakaiti o ngā o hauātanga;
• he iti o hernias postoperative;
• te wa iti mo te whakanohonoho;
• te tiaki rongoa.
taime tōraro laparoscopy
enei āhuatanga pai katoa i roto i te akoranga o te pokanga, me te whakaora i nga wahine taupoki ana i te āhuatanga katoa e te hunga tūturu i roto i tetahi pokanga laparoscopic:
• mīhini me te whakangungu o ngā tohunga tohu rapua e fakamolé nui;
• Me riro taote tikanga laparoscopic me tafa tuku iho;
He • fifi i roto i te ofatiraa o te mahi o nga whekau e pā ana ki te werohanga o te hau ki roto ki te kōhao puku, engari whakatika i te ako me te taea te karohia te ārai o enei pōauautanga;
• e kore e whakahaere tikanga i roto i te taea o te kino aunoa ki ngā whēkau, te kopa, me ngā hanganga.
Taupānga i roto i Gynecology
I roto i te mahi laparoscopy gynecological he whānui. I tua atu ki te tātaritanga i roto i te wā pahuhu o puku whakapeka, whakatau i te take o te pākoko, whakamahia tukanga laparoscopic te i roto i ngā āhuatanga pērā i:
1. hapū i te pūkano.
2. Ko te āputa o te ngongo.
3. sterilization Surgical.
4. Endometriosis.
5. Ko te mate piripiri.
6. kehekehe mate o cysts ovarian, sklerokistoz, pā whakarere ovarian.
7. hanganga Koló kōpū (hysterectomy technique laparoscopic te whakaiti i te mōrea o pōauautanga postoperative).
8. tukanga hyperplastic, e kore Nireaha ki te therapy momo.
Aita i maoro a'e gynecologists whakamahia nuitia hysterectomy laparoscopic noa i roto i te pukupuku mārere. Ko wai whakawhanakehia maha tikanga mo tenei mahi, i runga i te rahi o te kōpū, tona mana, me te whai wāhi i roto i te tukanga o whēkau tata rānei. whakamahia whānuitia fibroids tenei mahi i localizations rerekē.
fibroids uterine - mate Koló i nei i raro i te mana o hormones puta tini o te kiko kaiota ki te hanganga o knots. kitea te reira i te nuinga tiketike o te mate - e pā ana ki 25% o ngā raruraru gynecological katoa. fibroids uterine he pānga i runga i te tinana katoa o te wahine. whakaaro Myomectomy ko te maimoatanga "paerewa koura" mo tenei mate.
Hysterectomy laparoscopically. momo
A, no te kōwhiri i te tikanga o hāparapara maimoatanga o fibroids tangohia te ki āhuatanga maha pūkete: te wāhi me te rahi o kōpuku, te taumahinga, ranei mate o whekau pātata, te huru whānui o te wahine. Tei runga i te uterine pāpaka konga he maha ngā momo o te pokanga i runga i nga whekau whakaputa uri.
I roto i te whakamahi mahi:
- katoa hysterectomy ka nekehia atu te tinana, me te waha; tapekeroto - nekehia atu te kōpū e te tinana. Ki te me te kōpū putorino avae - gistertubektomiya, a ki te putorino, me te Yachnik, huaina taua mahi ko gistertubovarioektomiya. Ki ngā mahi tuwhena pērā i pangisterektomii - muku tahi taihemahema ā-katoa ki taikiri repe e karapoti te kopa o te tukanga oncological tenetene, me te wahi i haere ranei.
- A, no te moni iti o ngā waeine me ki tiaki wahine whanautanga tamariki te mahi pokanga ablative. Ko tētahi o enei ko te tango fibroids uterine subserous laparoscopically. Ki te uterine lesion kawea kōpuku enucleation iti, i.e. husking kiko kaiota ki te okana whakaora muri. I muri i enei ngā mahi, e taea te tiki i te wahine hapu i muri i te tetahi wa, me te hoatu whanau.
contraindications
He contraindications mō te pokanga ki te tango i te fibroids kōpū laparoscopically. Reviews Gynecologists fokotu'u mai e i roto i te nuinga o te wā e taea te katoa kawea te mahi i roto i, ki te kahore hoki te hunga wahine e mamae i Cardiovascular kino, kore romahā, i te whaturama, raruraru ki te pūnaha toto coagulation marasmus ranei
contraindications whanaunga - he huru i roto i te mea ka taea te mahi, engari he hakari reira te tahi mau fifi. Ko ratou:
• tino korerotia ngako subcutaneous;
• kāore mate hopuhopu;
• adhesions;
• effusion aroaro o ranei wai i roto i te kōhao puku o neke atu i te 1 rita.
Ko gynecologists hou, he tukanga laparoscopic, i muri i te uiui atu o taua mate i whakaritea te akoranga o te maimoatanga, te sanitize aronga o te mate, me te kawe i roto i te pokanga. I te wa ano paunatia i te "AtAKi" me "raruraru" i mua i te noho koe i te mahi laparoscopic.
Takanga hoki pokanga
Reviews o nga wahine nei i pehia hysterectomy laparoscopically, kua mohiotia ai e ratou e pai ki te faaineineraa anake tūroro: pumau te mahi 40 meneti, me te faaineineraa - 2 wiki me te ake.
I te mahi kia haere mai i te wahine i muri i te whakamātautau, a ka tukua nga hua whiwhi:
• whakamātautau toto (katoa, matüora, momo toto me te tauwehe rH, mo te kakā, pakewakewa me te upoo- HIV, te faaotiraa o te kūhuka);
• whakamātautau mimi - whānui me te faaotiraa o te huka;
• waimeha;
• hiko-;
• x-hihi;
• ultrasound;
• colposcopy;
• tirohanga o tohunga: he kaihaumanu, ki te tika, he mafatu me ētahi atu.
I mua i te mahi mō ngā tūroro ki fibroids uterine titau te tīwani tätari motuhake o te kōpū, ka ki te whiwhi hua histological. Ko te tika tenei ki te whakatutuki i te take o te nui o te pokanga, ka te whakakore me te ārai i te whanaketanga atu o ngā tukanga mate pukupuku.
whakamātautau katoa - he tukanga e tika ana, a muri anake ka taea ki te kawe i roto i tango o te kōpū laparoscopically te tūhuratanga ki tonu o te tākuta.
Ko te ra i mua i te pokanga kore e tūtohu ki te kai, me heu e koe te huruhuru tore.
I mua i te pokanga, te wahine whakakiia i te puka whakaae ki rehunga, a motuhake mo te mahi. Ki te tika, te whakarato te faaineineraa hauora psychoprophylactic ranei mo te pokanga.
Hangarau mahi
Ko te mahi ki te tango i te kōpū laparoscopically whakamana ina rahi ake myomas ki 16 wiki o te hapūtanga, e kua uaua e toto, āhuatanga e tupu tere mōrea o te huringa mārere ranei. Ahakoa tino nekehia etahi ngaio mātanga te kōpū, te rahi o te mea e pā ana ki 20 wiki. Ko atu pinepine, homai te tau o te wahine, kawea atu te tango o fibroids uterine laparoscopically mahue i te wahi iti o te kōpū mō paheketanga.
Whakamahia toru, ka wha nga poka te taiepa puku (he - e tata ana te pito me te atu e rua - i runga i ia taha) me trocars whakahaere. Tenei pūrere whakaratohia ki te kāmera mō te aroturuki i te marama ranei, ki te hauhā tāutanga supercharger waikura Sinks me taputapu ranei.
I muri i tango o te tirohanga i mahi fibroids laparoscopically uterine. motuhia hoki te tenei nape, oko ligated dissected i te kōpū, me te taiepa tenetene te nekehia atu te reira i roto i te tara i te tikanga o vahi i roto i te ruma. Tenei mahi e huaina laparoscopically āwhina myomectomy tara. Whakapau suturing vahi i roto i te puta tenetene. I roto i te kotahi mahi kia muku kōpuku maha, kahore anō-wawaotanga.
pea te roanga o te mahi i te 15 meneti ki te 1.5 haora i runga i te rōrahi o te wawaotanga hāparapara pau rānei.
Analgesia i roto i taua ngā mahi rite te tango o te kōpū laparoscopically: arotake
He aha te rehunga he pai? kia tenei pātai e faatiti'aifarohia huihui ki te faitafá he anesthesiologist, homai te huru whānui o te manawanui, i nga tohu o rangahau taiwhanga, te rōrahi tata o ngā mahi. I roto i te nuinga o te wā, te ngā rehunga endotracheal. mea arotake o te wahine e te pai nohotahi reira, ki kore ānini. wake Wahine i muri i 15-20 meneti i muri i te mahi pērā i te tango o te kōpū laparoscopically.
Ko te wā postoperative ki rehunga tika arata'i ki hua pai i muri i te wawaotanga: e kore e te mamae whakararuraru, i reira he hūhi iti anake, e haere i roto i te 2 nga ra. I te tahi taime e taea e te reira whakapairuaki, engari te tāmau reira "metoclopramide". Ko te ra tuatahi ka taea e koe te inu i te wai anake. I roto i te ahiahi, taea kua tiki e koe ki runga, me te ara ki runga. I te rua o nga ra ka taea e kai koe, e kore nei e mukākā te whēkau, pērā i pāreti, hupa, hua miraka. kawea te wāhanga kei te roto i te rua o nga ra i muri i te wawaotanga, a katia poroporoaki mate i muri i te 30 nga ra. I muri i taua te wahine humarie e taea te haere ki te mahi, engari ki te rāhuitanga o te mahi tinana taimaha mo te marama. E nekehia atu Sutures i postoperative ra 5.
I muri i te pokanga, nga pōauautanga taea, e he onge: tenei whara trocar whekau, toto i raro i te oko ligated, emphysema subcutaneous. tenei katoa e taea te ārai ki te tino piri mahi taputapu, me te āta mahi i te arotake o te kōhao puku.
pānga
Me kï reira e muri i te mahi pērā i te tikanga hysterectomy laparoscopic, ahu te pānga ki te tiki. puta Whakaora i muri i te 2 wiki o whakanohonoho. 30 ra i muri i te mahi e taea te haere te wahine e pā ana ki to ratou mahi rite mua. Manakohia mahi whaihua. Ko te marama i muri mai, he mea houhou ki te uta i te uaua puku, ara taimaha i te ra.
I te tīmatanga o nga ra kia wheako mamae pukukino iti i roto i te puku. Ko te noa tenei a kia haere i roto i 1-2 ra. He taea te hanganga o adhesions, engari rite ki tatauranga puta tenei rawa uaua me anake i roto i te predisposition ira o te kaiao raro endometriosis whakahuatia ranei.
rere iti i te wahi taihemahema. Ko te noa tenei ki te e tiakina nga ovaries. tonu ratou ki te whakaputa i hormones e meinga tenei tauhohenga.
He onge Kēhi o ngā tukanga inflammatory i muri pokanga laparoscopic, no te mea i whakaritea te rongoā paturopi te tonu i muri i te wawaotanga me te tonu hoki 5 ra. I te wa ano fakatonutonu reira wai me te kawehiko hanganga o te toto.
Whakahokia hua manawanui tata tonu, engari i roto i ētahi wā i reira he he hua i roto i te libido. Ka taea e te wahine e ora i te ora fakasekisualé i muri i te 1 marama i muri i te pokanga. Ki te kei te rongoa te tinana, e taea te tiki e koe hapu i roto i nga marama e ono i muri i te wawaotanga.
Hea ahau e ahei te mau atu i te mahi?
Ka taea e maha ngā hōhipera whakahere hysterectomy laparoscopically. I roto i te hōhipera pa Moscow e kua rite rawa ki te taputapu me te whai tohunga e mohio ka whakahere tenei tikanga a koutou enei ratonga. whakaae ana te utu tauwhitinga te ki te rata haere.
Ka taea te mahi te rangahau i roto i te tari i roto i te noho mua hōhipera-ranei. Ki te whakahaere i taua ngā mahi ka taea motunga rēhita. Ko te utu o te hysterectomy laparoscopic ko e pā ana ki 45 ki te 70 mano.
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