Dzimwe nguva zvirwere zvakaoma uye zvinoregererwa zvinofanira kutarisirwa nokukurumidza. Ichi chiyero chakanyanya, uye vanachiremba vanoenda kwairi chete nechishuwo chakanyanya, apo dzimwe nzira dzekurapa haibatsiri. Chimwe chezviitiko - kubviswa (kubudiswa), kana kubviswa kwechibereko. Inonziwo izwi rokuti "hysterectomy".
Zviratidzo zvekubuda kwechibereko
Kuvhiya kwekubviswa kwechibereko kunoitwa kana murwere ane zvirwere zvinotevera:
- chirwere chinotyisa chechirwere, chiberekero kana ovary;
- endometriosis uye adenomyosis;
- guru uterine myoma ;
- fibrosis yechibereko;
- zvimwe zvirwere zvekuberekwa kwevakadzi, umo kune kukanganisa kwakanyanya kwekuenda kumwedzi, kubuda ropa kwakanyanya, kurwadziwa, uye zvinokonzera kupisa.
Uyewo, kushandiswa kwekudzimirwa kwechibereko chinogadzirwa nemukadzi anoshandiswa pabonde anoshandura.
Marudzi e hysterectomy
Basa iri rinoshandiswa nenzira dzakasiyana-siyana zvichienderana nechirwere chakaita kuti chidikanwe, uye zvimwe zvimwe zvinhu (nguva uye muviri wemukadzi, kuvapo kwemwana mune an anamnesis, nezvimwewo). Saka, maererano nenzira yekuurawa, hysterectomy inogona kuva:
- vaginal;
- laparoscopic;
- laparatomicheskoy (kuzarura).
Nenzira yekubudiswa, chibereko chinoparadzaniswa:
- kubviswa kwechibereko pamwe nemutsipa;
- kubviswa kwechibereko, mukati mechirwere chacho kuchengetwa;
- kubviswa kwechibereko pamwe nezvose zvinowanikwa (tubes, maovari);
- radical extirpation (kugadziriswa kwese kwese).
Izvi zvinoreva, kana murwere akarayirwa kubatwa kwechibereko mushure mezvipfeko, izvi zvinoreva kuti kuwanika kwechibereko kunowanikwa kuburikidza nevakadzi, uye chete nhengo isina mazai uye fallopian tubes ichabviswa.
Nzira yekushanda kwekubuda kwechibereko
Kushanda kwemarudzi chero ipi zvayo kubvisa chibereko chinowanikwa pasi rose anesthesia. Kana kupera kwekushandisa uchishandisa nzira ye laparoscopy, zvinyorwa zvishoma zvishoma zve peritoneum zvinogadzirwa uye zvinodiwa zvinoshandiswa zvinoitwa kuburikidza nazvo. Kana iine laparotomy, ipapo imwe yakakura inoputika yakagadzirwa pamucheto wepasi, zvino inodarika uterine ligaments, inomisa kubuda kwemidziyo, inodura muviri weuterine kubva kumadziro emadzimai uye inobvisa chikamu.
Nekudzingwa kwemadzimai, vanachiremba vanotanga kushandura mhandara, ezvo vanoita kuvhara kwakadzika kwechepamusoro (uye kana zvichifanira kuwedzera kuwedzerwa kune rumwe rutivi), kudhonza muviri wechibereko uye kubvisa zvakakosha. Zvadaro zvikwereti zvinowanikwa zvakasarudzwa, zvichisiya chete bongo rekudonha mvura.
Migumisiro yekudarika kwechibereko uye zvinogona kuitika kana mushure mekuvhiyiwa
Pakati pemigumisiro yekubudirira kwekushanda, zvinotevera zvinogona kutaurwa:
- murwere haachazokwanisi kuva nepamuviri;
- kumisa kumwedzi kunowanzoitika kare kwemakore akawanda;
- zviratidzo zvechirwere, uyo ane kurapa kwaive kubviswa kwechibereko, zvishoma nezvishoma zvinonyangarika kusvikira kuzora kwakakwana.
Zvisinei, dzimwe nguva mushure mekuvhiyiwa, zvinetso zvinowanzoitika, somuenzaniso, suture ya postoperative inopisa, kubuda ropa, magetsi, etc. Izvi zvinowanzoitika kakawanda mushure mekushanda kwecavitary. Vanachiremba vanofanira kutarisa nguva idzi uye vopindura kwavari munguva.
Kudzorera mushure mekunyengedzera
Muviri wemukadzi mushure mokunge uchinge wapera mubereki unodzokera kune huri huri huri mukati mehafu kusvika kumwedzi miviri. Pakutanga, murwere mushure mokuvhiyiwa kwechibereko chekuberekwa kunogona kunetseka neropa richibuda kubva munharaunda yebonde, kunetseka nekugunzva, kusuruvara kwe suture, mafungiro emafungiro anokonzerwa nekuchinja kwehomoni.
Kana kuri hutano hwepabonde mushure mekubuda kwechibereko, zvinogona kuitika kare mumwedzi miviri mushure mekushanda. Ikozvino zvinogona kuonekwa kuti hapana chikonzero chekudzivirira pakubata pamuviri usina kukodzera, uye kubva kumigodhi - kunogona kuderera mukuchiva kwepabonde, kumwe kunetseka mukutanga kwepabonde. Zvisinei, kune mukadzi mumwe nomumwe uyu ari oga.