Isitshisi

IHysterectomy lutyando lokususa isibeleko sowasetyhini (isibeleko). Isibeleko lilungu lomzimba elinemingxunya elinokondla okhulisa umntwana ngexesha lokukhulelwa.

Unako konke okanye inxalenye yesibeleko isuswe ngexesha lokukhulelwa komzimba. Imibhobho yesibeleko kunye namaqanda nawo angasuswa.

Zininzi iindlela zokwenza i-hysterectomy. Inokwenziwa ngoku:

• Ukusikwa kotyando esiswini (esibizwa ngokuba sivulekile okanye isisu)
• Ukusikwa kathathu ukuya kwesine okuncinci esiswini kunye nokusebenzisa i-laparoscope
• Ukusikwa kotyando kwilungu lobufazi, kuncedwa kukusetyenziswa kwe-laparoscope
• Ukusikwa kotyando kwilungu lobufazi ngaphandle kokusebenzisa i-laparoscope
• Ukusikwa kathathu ukuya kwesine okuncinci esiswini, ukuze kwenziwe utyando lweerobhothi

Wena kunye nogqirha wakho uya kuthatha isigqibo sokuba loluphi uhlobo lwenkqubo. Ukhetho luya kuxhomekeka kwimbali yakho yezonyango kunye nesizathu sotyando.

Zininzi izizathu zokuba umntu wasetyhini afune i-hysterectomy, kubandakanya:

• I-Adenomyosis, imeko ebangela ubunzima, amaxesha abuhlungu
• Umhlaza wesibeleko, uninzi lomhlaza we-endometrium
• Umhlaza womlomo wesibeleko okanye utshintsho kumlomo wesibeleko ekuthiwa yidysplasia yomlomo wesibeleko enokukhokelela kumhlaza
• Umhlaza wesibeleko
• Ixesha elide (elingapheliyo) iintlungu zangasese
• I-endometriosis ebukhali engangqinelani nolunye unyango
• Okubi, ixesha elide ukopha kwilungu lobufazi elingalawulwa ngolunye unyango
• Ukutyibilika kwesibeleko kwilungu lobufazi (uterine prolapse)
• Amathumba esibelekweni, anjenge-uterine fibroids
• Ukopha okungalawulekiyo ngexesha lokubeleka

IHysterectomy lutyando olukhulu. Ezinye iimeko zinokunyangwa ngeenkqubo ezingangenanga ezinje ngezi:

• Ukudityaniswa komthambo wesibeleko
• Ukupheliswa kwe-Endometrial
• Sebenzisa iipilisi zokulawula inzala
• Sebenzisa amayeza entlungu
• Sebenzisa isixhobo se-IUD (intrauterine device) esikhupha iprogestin yehomoni
• Iiparvic laparoscopy

Iingozi zalo naluphi na utyando zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Amahlwili egazi, anokubangela ukufa ukuba baya kwimiphunga
• Ukopha
• Usulelo
• Ukwenzakala kwimimandla yomzimba ekufuphi

Umngcipheko we-hysterectomy zezi:

• Ukwenzakala kwisinyi okanye ureters
• Intlungu ngexesha lokwabelana ngesondo
• Ukuyeka ukuya exesheni kwangoko ukuba amaqanda asuswe
• Ukunciphisa umdla kwisini
• Umngcipheko wesifo sentliziyo ukuba amaqanda asuswe ngaphambi kokuyeka ukuya exesheni

Ngaphambi kokuthatha isigqibo sokuba ne-hysterectomy, cela umboneleli wakho wezempilo ukuba alindele ntoni emva kwenkqubo. Abasetyhini abaninzi bayalubona utshintsho kwimizimba yabo nakwindlela abavakalelwa ngayo malunga nabo emva kokukhulelwa komzimba. Thetha nomboneleli, usapho kunye nabahlobo malunga nolu tshintsho lunokwenzeka ngaphambi kotyando.

Xelela iqela lakho lokhathalelo lwempilo ngawo onke amayeza owasebenzisayo. Oku kubandakanya imifuno, izongezo, kunye namanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), kunye nezinye iziyobisi ezinje.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Buza umboneleli wakho ngoncedo lokuyeka.

Ngomhla wotyando lwakho:

• Uya kuhlala ucelwa ukuba ungaseli okanye utye nantoni na iiyure eziyi-8 ngaphambi kotyando.
• Thatha nawaphi na amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphunga esincinci samanzi.
• Fika esibhedlele ngexesha.

Emva kotyando, uya kunikwa amayeza entlungu.

Unokuba nayo ityhubhu, ebizwa ngokuba yi-catheter, efakwe kwi-bladder yakho ukuhambisa umchamo. Uninzi lwexesha, i-catheter iyasuswa ngaphambi kokuphuma esibhedlele.

Uya kucelwa ukuba uvuke kwaye ujikeleze ngokukhawuleza emva kokuhlinzwa. Oku kunceda ukuthintela amahlwili egazi ekubeni enze imilenze yakho kunye nokukhawulezisa ukubuyela kwimeko yesiqhelo.

Uya kucelwa ukuba uvuke usebenzise igumbi lokuhlambela ngokukhawuleza. Unokubuyela kwindlela eqhelekileyo yokutya kwangoko ngaphandle kokubangela isicaphucaphu nokugabha.

Uhlala ixesha elingakanani esibhedlele kuxhomekeke kuhlobo lwe-hysterectomy.

• Unokubuyela ekhaya ngosuku olulandelayo xa utyando lwenziwa kwilungu lobufazi, nge-laparoscope, okanye emva kotyando lweerobhothi.
• Xa kunqunyulwe (isisongo) esiswini, kusenokufuneka uhlale esibhedlele kangangeentsuku ezi-1 ukuya kwezi-2. Kuya kufuneka uhlale ixesha elide ukuba i-hysterectomy yenziwe ngenxa yomhlaza.

Kuthatha ixesha elingakanani ukufumana kwakhona kuxhomekeke kuhlobo lwe-hysterectomy. Amaxesha okufumana kwakhona:

• Isisu esivela esibelekweni: kwiiveki ezi-4 ukuya kwezi-6
• I-hysterectomy yelungu lobufazi: iiveki ezi-3 ukuya kwezi-4
• Uncedwe ziirobhothi okanye iyonke i-laparoscopic hysterectomy: iiveki ezi-2 ukuya kwezi-4

I-hysterectomy iya kubangela ukuya exesheni ukuba unawo amaqanda akho. Ukususwa kwama-ovari kunokukhokelela ekunciphiseni ukuqhuba kwesondo. Ugqirha wakho unokucebisa unyango lwe-estrogen. Xoxa nomboneleli wakho ngomngcipheko kunye nezibonelelo zolu nyango.

Ukuba i-hysterectomy yenziwe ngomhlaza, unokufuna olunye unyango.

Ubufazi besibeleko; Isisu esiswini; ISupracervical hysterectomy; Utshintsho olukhulu kwisibeleko; Ukususwa kwesibeleko; I-Laparoscopic hysterectomy; I-Laparoscopically incede i-hysterectomy yelungu lobufazi; UMTHETHO; Iyonke i-laparoscopic hysterectomy; TLH; I-Laparoscopic supracervical hysterectomy; Uncedise i-hysterectomy

• I-Hysterectomy - isisu - ukukhutshwa
• I-Hysterectomy-laparoscopic-ukukhutshwa
• I-Hysterectomy - ubufazi-ukukhutshwa
• Unonophelo lwenxeba lotyando - luvulekile
• Ukucola umthambo wesibeleko-ukukhupha

• Iiparvic laparoscopy
• Isitshisi
• Isibeleko
• IHysterectomy-Uthotho

IKomiti yeNdlela yokuziQhelanisa neGynecologic. Uluvo lwekomiti no 701: ukhetha indlela ye-hysterectomy yesifo esibi. IGynecol ebambekayo. Ngo-2017; 129 (6): e155-e159. IINKCUKACHA: 28538495 pubmed.ncbi.nlm.nih.gov/28538495/.

UJones HW. Utyando lwe-Gynecologic. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 70.

IKarram MM. Isibeleko sobufazi. Ku: Baggish MS, Karram MM, ii-eds. I-Atlas yePelvic Anatomy kunye noPhando lweGynecologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 53.

Thakar R. Ngaba isibeleko lilungu lesini? Umsebenzi wezesondo ulandela isibeleko. Ukwabelana ngesondo ngeRev. 2015; 3 (4): 264-278. IINKCUKACHA: 27784599 pubmed.ncbi.nlm.nih.gov/27784599/.