Chiberekero cha chiberekero ndi chiwalo chokhala ndi ziwalo zomwe zimayambira pa mucosa. Maphunziro oterewa sali oopsa kwa moyo wa mkazi, koma, monga lamulo, amaletsa kuyambira kwa mimba. Madokotala amanena kuti ngati palibe mankhwala ochizira matenda, mapuloteni angasinthidwe kukhala khansara ya khansa patapita nthawi. Pakali pano, pali njira zingapo zothandizira maphunzirowa, koma hysteroscopy ndiyo njira yabwino kwambiri yochotsedwamo.
Mankhwala osakanizika a mapuloteni: za njirayi
Njirayi ndi njira yamakono yozindikiritsira chiberekero ndikuthandizira kuchotseratu ziphuphu za mucosa. Mosiyana ndi njira zamankhwala zam'mbuyomu, kuchotsedwa kwa pulopeni ya khola lachiberekero ndi chiberekero cha uterine ndi hysteroscopy sizimayambitsa mavuto.
Chofunika kwambiri cha ndondomekoyi ndi kupanga kachilombo koyambitsa matenda m'chiberekero, chomwe chimakhala ndi phukusi lokhala ndi chipangizo (kamera). Choncho, ndi hysteroscopy (polypectomy), dokotala akhoza kuyang'ana kuyang'ana chiberekero cha uterine chifukwa cha kutupa ndi maonekedwe. Pamene mapuloteni amadziwika, amafunidwa kuchotsedwa.
Kukonzekera kwa hysteroscopy ya chiberekero cha uterine
Asanayambe kugwiritsira ntchito mankhwalawa, dokotala ayenera kufotokoza zomwe zimachitika kwa wodwala, komanso amasankhe mtundu wa anesthesia. Ndikofunika kudziwitsa dokotala:
- za chifuwa kwa mankhwala alionse;
- pa kumwa mankhwala kapena zowonjezera mankhwala;
- za mavuto a magazi.
Monga lamulo, mankhwala osokoneza bongo a mapuloteni otchedwa endometrial mapuloteni amachitika pambuyo pa kutha kwa msambo, koma osati patatha kuposa tsiku la khumi la kuzungulira. Zimakhulupirira kuti panthawiyi, nthawi yomwe ingakhale yothandiza kwambiri.
Musanayambe kusungunuka, kutanthauza kuti kuchotsa mapuloteni a endometrial , wodwala akulangizidwa kuti asadye ndi kumwa kwa maola 4-6. Mlungu umodzi musanayambe ndondomekoyi, ndibwino kuti musadwale mankhwala ochepetsa kupweteka ndi magazi. Njirayi imatenga mphindi 10 mpaka 45 ndipo imachitidwa pansi pa anesthesia.
Kuchotsa chiberekero cha chiberekero panthawi yopuma
Monga lamulo, ndondomeko ili motere:
- wodwala amapatsidwa mankhwala a anesthesia, mawonekedwe ake omwe adaneneratu;
- dokotala amalowa mu hysteroscope mu uterine cavity;
- Mimba ya uterine imadzazidwa ndi carbon dioxide kapena madzi kuti chiwonetsedwe bwino;
- ngati chifukwa cha kufufuza kwa chiberekero cha mapulotamu amadziwika, cholinga chawo chimachotsedwa ndi chida chogwiritsidwa ntchito ku hysteroscope;
- Pambuyo pochotsa pulopeni, kuyesa mobwerezabwereza mucosa kumapangidwira kwa zotsalira za mawonekedwe;
- ngati mapuloteni kapena maziko ake asachotsedwa kwathunthu, kuchotsedwa mobwerezabwereza ndi kuyang'aniridwa kumachitika.
Kubwezeretsa pambuyo potsitsimula
Monga lamulo, mankhwala osokoneza bongo amachitidwa panthawi yopuma. Kubwezeretsa pambuyo pa kuchotsedwa kwa pulopeni ndi hysteroscopy kumadalira mtundu wa anesthesia yogwiritsidwa ntchito, koma nthawi zambiri wodwala alibe madandaulo. Nthaŵi zina mkazi amatha kumva ululu m'mimba pamunsi ngati misonkho. Kutaya magazi kumathera masiku awiri pambuyo pake.
Kawirikawiri, odwala amabwerera kumoyo wabwino mkati mwa masiku 1-2 mutatha kugwira ntchito. Mu sabata yoyamba ndiletsedwa kugwiritsa ntchito mankhwala alionse popanda kuvomereza dokotala yemwe akupezekapo.
Ndikofunika kuti nthawi yomweyo mudziwe thandizo lachipatala ngati:
- mumayang'ana magazi ochuluka kuchokera kumaliseche;
- Kutaya kwa mkazi kumakhala ndi mdima wakuda kapena wosasangalatsa;
- ululu waukulu umakhala masiku oposa awiri;
- kutentha kwa thupi kwakukulu.