Kuwongolera mitsempha ya uterine

Kuwongolera kwa ziwiya za uterine ndi njira yothandizira uterine fibroids, yomwe ndi njira yothetsera kuchotsa chiberekero cha mkazi. Cholinga cha njirayi ndi kuimitsa magazi m'magazi a myoma pogwiritsa ntchito jekeseni (apadera), zomwe zimapangitsa kuti mitsempha ikhale yovuta. Zotsatira zake, zizindikiro zowopsya zimafa ndipo mawonetseredwe amachepetsa.

Uterine zomangira thupi (EMA): zizindikiro

Ndondomekoyi imachitika malinga ndi zizindikiro:

• kukula kwa chiberekero kumagwirizanitsidwa ndi masabata 9 a mimba ndi zina;
• nthiti zam'mimba zedi mpaka masentimita 8;
• kukhalapo kwa zigawo zazikulu pakakhala multiple fibroids ;
• menometrorrhagia;
• wodwala amakana njira zina zamankhwala.

Kuwongolera mitsempha ya uterine: zotsutsana

Monga mtundu uliwonse wa opaleshoni, EMA ili ndi zotsutsana zambiri:

• kukula kwakukulu kwa chiberekero (masabata oposa 25 a mimba);
• zizindikiro zambiri zosiyana;
• matenda opatsirana a ziwalo zoberekera za mkazi;
• njira yotupa m'mimba;
• magazi osauka m'magazi a myomatous;
• impso kulephera;
• mimba.

Pachifukwa ichi, kugwidwa kwa mitsempha ya uterine ikhoza kusinthidwa ndi kupezeka kwa mitsempha ya uterine, yomwe imachitidwa ndi njira ya laparoscopy. Kugwiritsidwa ntchito kwapadera kwa mitsempha ya uterine kumaphatikizapo kugwiritsidwa ntchito kwapadera, kutulutsa kanthawi kochepa (mapepala a magazi ake, mankhwala osokoneza bongo chifukwa cha gelatin - amasungunuka okha patapita kanthawi). Njira yaying'ono siigwiritsidwa ntchito mobwerezabwereza.

Kukonzekera kwa uterine komiti yokhazikika

Musanayambe njirayi, mayi ayenera kukonzekera: dokotala amapereka piritsi la antianaerobic (ornidazole 1 piritsi kawiri patsiku) ndi mankhwala ophera antibacterial omwe ayenera kudyedwa masiku asanu pamaso pa EMA. Ngati pali chithokomiro cha chithokomiro, chithandizo chokonzekera chikuchitidwa. Kuwongolera mitsempha ya uterine kumachitika kuchipatala.

Mu maora awiri, 500 mg ya ceftriaxone imayendetsedwa mwa intravenously kuchepetsa chiopsezo cha matenda opatsirana. Madzulo a enema oyeretsa, ndipo pa tsiku la opaleshoni, chikhodzodzo chimachotsedwa pogwiritsa ntchito kathete.

Komabe, njira yochizira imakhala yofulumira ndipo mkazi akhoza kutumizidwa kunyumba tsiku lomwelo.

Zotsatira za chiberekero cha uterine

Ubwino wa njirayi ndikutaya kwathunthu kwa magazi m'mayi chifukwa chochita opaleshoni. Kugwiritsidwa ntchito kwa mitsempha ya uterine kungabweretse mavuto otsatirawa:

• ululu m'mimba pamunsi;
• hematoma pa malo a pamoto;
• kunyoza, kusanza;
• malungo.

Nthawi zambiri, pali zinthu monga:

• kulowa mkati mwa chiberekero cha tizilombo toyambitsa matenda;
• kusowa magazi ku chiberekero;
• peritonitis;
• thromboembolism ya mitsempha ya pulmonary;
• necrosis ya makoma a ziwalo zoyandikana pokhala ndi ndondomeko zomatira.

Kuchotseratu kwathunthu kwa chiwalo chogonana kumachitika peresenti yochepa ya milandu.

Mavuto pambuyo poyambira amakhala ochepa, kotero njira imeneyi imakhala yotchuka kwambiri pakati pa amai odwala matendawa.

Amayi ambiri amanena kuti kuchepa kwa msambo kumachepa. Ofufuza ena asonyeza kuti kuchititsa Kumanga thupi kumalimbikitsa kusamba kwayambika kwa zaka (zaka makumi anayi ndi makumi anai).

Mpaka tsopano, zotsatira za EMA pa ntchito yobereka ya amayi sizidziwika. Komabe, kutenga mimba pambuyo poyambitsa mitsempha ya uterine ikhoza kupitilira popanda mavuto pokhapokha ngati opaleshoni ikugwira bwino ntchito yotseka mitsempha. Komabe, malingana ndi zotsatira za maphunziro omwe apanga, palibe vuto lalikulu la kutenga mimba mwabwino pambuyo pa opaleshoni. Kugwiritsidwa ntchito kwa mitsempha ya uterine ndi njira yothandiza komanso yotetezeka ya mankhwala a uterine. Pachifukwachi, mutatha njirayi, sipadzakhalanso zizindikiro.