Ovarian cyst - kuvhiya kana laparoscopy?
Rudzi urwu rwokusarudza nzira yekuitisa kupindira kunoshandiswa navanachiremba. Izvi zvinotarisa zvimwe zvinhu. Icho chikuru ndicho chiyero chedzidzo. Kana iri duku (8-10 masentimita muhupamhi), basa re laparoscopic rinoitwa kuti ribvise cyst ovarian. Iyi nzira inotora kushungurudzika kwakanyanya kwemasukisi, hairevi kududzirwa muzvikamu, mudumbu remadziro. Izvo zvinodhaka zvinoshandiswa zvinoshandiswa kuburikidza nehomwe duku - denga re 5 mm. Icho chaparoscopy chaiyo ye-ovarian cyst (iyo yebasa) yakagadzirirwa nemavhidhiyo, izvo zvinoderedza ngozi yekukuvadza kune nhengo dzakapoteredza.
Kana uchitarisa nzira yekuvhiya, funga nezvezviratidzo zve laparoscopy, pakati peiyo:
- kuputika kwe-neoplasm ;
- Gadzirisa makumbo edzidzo;
- Kuongorora, kunze kwekuongorora kristi;
- Nyaya dzinobata biopsy.
Basa racho harisi kuitwa apo:
- kuputika kwe peritoneum;
- sepsis;
- cerebrovascular accident;
- myocardial infarction;
- kushamiswa kukuru.
Kugadzirira kweparoscopy ye-ovarian cysts
Nguva inotangira kushanda kupindira kunobatanidzwa neongororo dzakawanda dzekuongororwa. Nokudaro, kugadzirira kwekuvhiya kubvisa krisiti yevarivha inosanganisira zvinotevera:
- kuongororwa ropa: biochemistry, general, for clotting, determination of Rh factor, for infection (hepatitis, syphilis, HIV);
- Ultrasound yediki pelvis;
- smears kubva kumudzimai;
- ECG;
- fluorography.
Iyi miedzo ye laparoscopy ye-ovarian cysts inokosha chikamu chekugadzirira. Nhamba yavo inogona kuwedzerwa mukuvapo kwezvirwere zvisingaperi. Nechinangwa chokuchenesa matumbo, mukadzi anorayirwa kuti ave nechinotyisa pamusi iwoyo, uye enema inoshandiswa maawa mashomanana kusati kwatanga. Maawa gumi nemaviri asati apera laparoscopy ye-cyvos ovarian, haafaniri kudya zvokudya, - mudumbu haufaniri kuva isina chinhu. Basa rinokosha rinowedzerwa nekugadzirira kwepfungwa kwevakadzi. Pakati peusiku wechiremba anoongorora murwere, anomuudza zvinhu zvekushanda, achigadzirisa kune zvakanaka.
Kost ye ovarian yakabviswa sei?
Kupindura mubvunzo wevarwere pamusoro pekushanda kwebasa rekuvhara chirwere chekuvhara mahara, - chiremba wekutanga kune zvose zvinoratidza kuti zvose zvinoitwa nekubatsirwa kwevhidhiyo kamera. Iyo yakagadzirwa nemarori, ayo anowedzera kuwedzera mifananidzo yakaratidzwa pane chekuona. Iyo iyo nzira yekubviswa inowanikwa pasi pevanhu vazhinji anesthesia - mukadzi haanzwi chero panguva imwe chete.
Kutangira panzvimbo yakatarwa, punctures inogadzirwa, apo laparoscope inowanikwa. Carbon dioxide inobva yatengeswa. Izvo zvakakosha kuti upfuurire huri nani kune mazai ega, kururamisa ganda re peritoneum. Pakupedzisira, 3 notch dzinogadzirwa: mune imwe - kamera, 2 vamwe - yezvigadzirwa. Kubva pane chifananidzo, chiremba anovhiya anoita resection ye-neoplasm. Mushure mokunge laparoscopy ovarian cysts, gesi inosunungurwa kubva pamimba yepamuviri, stitches inoshandiswa kune punctures yakaitwa uye yakafukidzwa nemabhenji asina kuchena. Nguva yekushanda inogona kusvika maawa matatu, pavhareji - 60 maminitsi.
Laparoscopy ye-ovarian cyst - postoperative period
Kudzoka pashure pokunge laparoscopy yejasi yevarivha inoenda nokukurumidza. Manheru manheru mushure mekuvhiya, musikana wacho anobvumidzwa kusimuka. Kwemazuva 3-4 marwadzo muzvibatanidzwa anonyangarika zvachose. Kurega kunotora nzvimbo musi we7-9. Kusvikira panguva iyo, kurapwa kwezuva nezuva nean antiseptic kunoitwa, antibacterial ointment (Levomecol) inoshandiswa kumusoro, iyo inodzivirira utachiona.
Pashure pekuparara kwelaparoscopy, vanachiremba vanokurudzira mitemo inotevera:
- kusabatwa nemishonga yakasimba mumuviri 1-2 mwedzi;
- kurega zvepabonde kwevhiki mbiri;
- Kuchengetedza kushanyira mabhati, saunas, hygienic baths kutsiva mvura.
Zvokudya pashure peaparoscopy ovarian cysts
Vanachiremba vanoda kukurumidza kuteverwa nehumwe kudya, kunyatsoteerera kurongeka kwezvokudya. Pakarepo mushure mokunge laparoscopy, ma cysts ovarian, mushure memaawa 4-5, vanobvumirwa kunwa zvishoma zvechiri mvura. Mushure mekupera kwemaawa 6-8, kudya kwekutanga kunoitwa, - mvura yemvura. Maawa makumi maviri nemaviri anotenderwa kudya mishonga yemukaka yakaoma-kefir, yoghurt.
Pazuva rechipiri, muto wezvirimwa unowedzerwa kune kudya. Chechipiri ndiro inogona kunge ine sendimu yakagadzirwa, squash kana mbatata yakasvibiswa. Kupindura mubvunzo wevarwere pamusoro pezvinogona kudyiwa mushure mekuparara kwelaososcopy ovarian, vanachiremba vanoratidza kusagamuchirwa kwekushandisa:
- chingwa;
- kash;
- chibereko chitsva.
Izvi zvakagadzirwa nemhando yakawanda yemiti yakasimwa inokonzera kugadzirisa. Ichi chiitiko chinoratidzirwa nekudzvinyirira kwemukati mudumbu rusvingo, iyo inofanira kudziviswa mushure mekushanda kwenguva. Paunenge uchiunganidza kudya, musikana anofanira kutevedzera mirairo yezvechiremba uye mazano kuti arege kunetseka. Izvi zvinotevera zvakabviswa kubva pakudya:
- confectionery;
- sweets;
- mafuta ane nyama;
- fried food;
- rinopinza;
- zvinwiwa zvakasviba nemiti.
Mwedzi wega wega shure kweparuscopy ovarian cysts
Pakarepo chirongwa chinogadzwa mushure mekupera kwekuenda kumwedzi - musi we7-8 wekufamba. Iyi kuverengerwa inogadzirirwa kudzorerwa kwakakwana kwemuviri kusvika pakutanga kwekupedzisira. Nguva iyo kubuda kwemwedzi kunowanikwa mushure mekunge laparoscopy yejasti yevarivha inoramba isingachinji. Asi zvinopesana zvinogonawo kuonekwa. Munyaya iyi, zuva rekushanda rinotorwa zuva rokutanga romwedzi.
Iko kunofanira kutakurwa mupfungwa kuti pangangodaro kuve nekuderera kweropa kudarika mushure mekuvhiyiwa, kusina kubatanidzwa nebhaclic. Vane vhudzi duku, rinogara kusvika mazuva matatu. Zvinotarisirwa kunyatsocherechedza mavara - kana ruvara rune ruvara rune ruvara rwemavara-tishita-zvakakosha kushanyira chiremba, sezvo zviratidzo zvechimiro ichi zvinoratidza utachiona.
Matambudziko mushure mokunge laparoscopy ye-ovarian cysts
Nzira yacho haisi iyo yakaipisisa, inotungamirirwa pasi pekutungamirirwa kweiyo mavhidhiyo, saka zvinetso zvinenge zvisina kubviswa. Maererano nekucherechedza nezvezvokurapa, munenge 2% yezvikanganiso zvinowanikwa. Kuti uzvidzivirire zvachose, vanachiremba vanonyatsoronga kubvisa krisiti yevarivha, iyo migumisiro inogona kunge yakaita seyiyi:
- kuonekwa kwekunzwa kusuruvara uye kurutsa;
- kuwedzera kwekushisa kwemuviri;
- kusuruvara mucheki.
Mimwe migumisiro yakakomba yekushanda haifaniri. Vanowanzogadziriswa nehutsika hwechiremba wechirembachire, kusava nekuziva. Mugumisiro unogona kuva:
- kukanganisa kune nhengo dzemuviri;
- kuitika kwomuviri kune yakaiswa carbon dioxide;
- zvinokonzera kugadzikana kusvika kune anesthetic.
Pain mushure me laparoscopy yeovarian cysts
Anenge pakarepo mushure mekuvhiya, kusununguka kubva kune anesthesia, murwere anotaura kuti chirwere chake chinoshungurudza mushure mokubvisa krisst. Izvi zvinogona kuva chikonzero chekushanda. Kutambudzika kwakadaro kunomira nekutora mishonga inorwadza. Kana kushungurudzwa kunorwadza kusingatongopera zvachose mushure memazuva maviri, izvi zvinogona kuratidza zvinetso zveperioperative nguva:
- kukuvadzwa kunhengo dziri pedyo;
- kuvhiringidza nzira.
Kuberekwa mushure mokubviswa kwechivhisi chemaawa
Kakawanda maitiro e-cystic muovary inopinganidza pamuviri. Ichokwadi ichi chinopindirana nemubvunzo wevakadzi vakawanda pamusoro pekuti zvinokwanisika kuva nepamuviri mushure mokubvisa krisiti yevarivha. Vanachiremba vanoratidza kuti mikana yekudyara mushure mekuvhiyiwa yakanyanya kuwedzera. Mukufananidza, imwe nzira ye hormonal therapy inorayirwa, kudzorera kushanda zvakanaka kwegonads. Nguva yaro ndeye mwedzi 3-6. Pakupera kwemaitiro erapi, vanotanga kuronga pamuviri.