Mawere a chiberekero amakumana ndi maulendo ofanana azimayi a msinkhu uliwonse. Mankhwala amakono sakudziwa njira yowonjezera yothetsera vutoli kusiyana ndi kuchita opaleshoni. Asanasankhe kuchotsa chiberekero mu chiberekero kapena chiberekero, amayi ambiri akudabwa kuti njirayi ikuchitika bwanji.
Njira zochotsera chiberekero cha chiberekero zimasiyana malinga ndi mtundu wa matenda.
Pali mitundu yosiyanasiyana ya polyps:
- Zosasangalatsa, zomwe zimakhala ndi mitsempha yambiri (yofala kwambiri kwa atsikana);
- Zosakaniza zokhazokha, zomwe zimapangidwa kuchokera kumatenda amodzimodzi;
- zamagetsi, zimakhala ndi minofu yowonjezera (yowonjezereka mwa amayi ali ndi zaka zakubadwa);
- kanyumba kake, kamene kali ndi mawonekedwe othandizira komanso mafinya (nthawi zambiri kukula kwake).
Kuchotsa pulopeni mu chiberekero: hysteroscopy
Njira imodzi yamakono komanso yodekha ya endoscopy ndi hysteroscopy. Njira imeneyi ndi mawonekedwe a optical omwe amalowetsedwa mu chiberekero cha uterine pofuna kuchipatala ndi kuchipatala mosapangidwanso ndi kuvulala kwina. Choyamba, matenda opatsirana pogonana amachitidwa kuti adziwe matenda. Komanso, dokotala amasankha mankhwala oyenera ochizira matenda, omwe amafunika kuti aeshesia ambiri azikhala odwala. Njirayi imaphatikizapo kuika kachilombo koyambitsa matenda a hysteroscope - ndodo yayitali yaitali yokhala ndi kanema kamera ndi chipangizo chowala. Pothandizidwa ndi zipangizo zina (laser kapena lumo) pulopesi imachotsedwa mu chiberekero. Mankhwala osakanikirana "osasunthika", ndiyeno amachititsa kuti awonongeke. Kawirikawiri ndondomeko imatenga kuchokera kwa mphindi zingapo mpaka ola limodzi, nthawi zambiri matenda owonetsa matendawa amatenga nthawi yaitali kuposa ntchitoyo. Nthaŵi zambiri, opaleshoni ya kuchotsedwa kwa chiberekero cha polima imagwiritsidwa ntchito pokhapokha.
Kuchotsa pulopeni m'chiberekero ndi laser
Mankhwala othandiza ma Laser kuti asamalire mitundu yambiri ya mankhwalawa amatengedwa njira yabwino kwambiri yothandizira. Pali mitundu yambiri ya laser therapy, malinga ndi mlingo wa laser mtanda, kuphatikizapo apamwamba kapena otsika. Pa opaleshoni yotereyi, dokotala nthawizonse amayang'anitsitsa ndondomekoyi, kuyang'anira kusintha pawindo. Kuchotsa mapuloteni kumachitika m'zigawo ndipo dokotala amatha kuwononga kuchuluka kwake kwa minofu ya laser, yomwe imalepheretsa kuvulala kwa matenda wathanzi ndi kuchepetsa nthawi yowonzanso. Mankhwala a laser amadziwika ndi kuchepa kwa magazi, chifukwa laser "zimasindikizira" zotengerazo ndipo zimapanga kachigawo kakang'ono kamene kamateteza malo okhudzidwa ndi matendawa.
Ndondomeko yochotsa chiberekero cha chiberekero ndi laser ilibe zotsatira zake, chifukwa sizisiya zochepa, zomwe sizikusokoneza kukonzekera mimba ndipo sizikukhudzanso njira yoberekera mtsogolo. Nthawi yobwezeretsa ndi machiritso athunthu amatenga miyezi 6 mpaka 8, yomwe ndi yocheperapo kusiyana ndi mitundu ina yowonjezera.
Chithandizo pambuyo pochotsa chiberekero cha chiberekero
Patsiku la postoperative (masabata 2-3), wodwalayo akhoza kukhala ndi magazi pang'ono ndi kupweteka m'masiku oyambirira atachotsedwa. Ndi ululu wopweteka, mungathe kutenga mankhwala ozunguza bongo (mwachitsanzo, ibuprofen). Kuchepetsa chiopsezo cha mavuto pambuyo pochotsedwa chiberekero cha polima pogwiritsa ntchito matenda ndi chithandizo chochizira, kugwiritsira ntchito zida, kugwiritsira ntchito mankhwalawa ndi kugonana kumayenera kutayidwa. Sitikulimbikitsanso kuti musambe ndikupita ku sauna. Musamwe mankhwala osokoneza bongo omwe ali ndi acetylsalicylic acid (aspirin) ndikugwira ntchito yolemetsa. Pambuyo pa kuchotsedwa kwa chiberekero cha mankhwala, ma ARV amasonyezedwa kuti aziyendetsa mwezi uliwonse komanso ngati prophylaxis kuti abwererenso.