Yintoni ongayilindela kwiSalpingo-Oophorectomy

Umxholo

• Ngubani ekufuneka enale nkqubo?
• Ndilungiselela njani?
• Kwenzeka ntoni ngexesha lenkqubo?
• Utyando lwesisu oluvulekileyo
• Utyando lweLaparoscopic
• Utyando lweerobhothi
• Kunjani ukuchacha?
• Zithini iziphumo ebezingalindelekanga kunye nomngcipheko?
• Imbonakalo

Ushwankathelo

I-Salpingo-oophorectomy lutyando lokususa ii-ovari kunye ne-fallopian tubes.

Ukususwa kwetyhubhu enye ye-ovary kunye ne-fallopian kubizwa ngokuba yi-unilateral salpingo-oophorectomy. Xa zombini zisuswe, ibizwa ngokuba yi-bilal salpingo-oophorectomy.

Le nkqubo isetyenziselwa ukunyanga iimeko ezahlukeneyo, kubandakanya umhlaza we-ovari.

Ngamanye amaxesha ama-ovari asempilweni kunye neetyhubhu ze-fallopian ziyasuswa ukunceda ukuthintela umhlaza we-ovari kwabasetyhini abasemngciphekweni omkhulu. Oku kwaziwa njengokunciphisa umngcipheko kwi-salpingo-oophorectomy.

Olu tyando lubonakalisiwe lusebenza ngempumelelo ekunciphiseni umngcipheko womhlaza webele kunye nowesibeleko. Funda ngakumbi malunga noonobangela kunye nemingcipheko yomhlaza we-ovari.

I-Salpingo-oophorectomy ayibandakanyi ukususwa kwesibeleko (hysterectomy). Kodwa akuqhelekanga ukuba zombini iinkqubo zenziwe ngexesha elinye.

Ngubani ekufuneka enale nkqubo?

Unokuba ngumgqatswa ofanelekileyo wale nkqubo ukuba ufuna unyango lwe:

• umhlaza wesibeleko
• endometriosis
• amathumba anobungozi, ii-cysts, okanye amathumba
• I-ovarian torsion (ukujijwa kwe-ovary)
• usulelo lwe-pelvic
• ukukhulelwa kwe-ectopic

Ingasetyenziselwa ukunciphisa umngcipheko we-ovari kunye nomhlaza webele kubafazi abasemngciphekweni omkhulu, njengaleyo ithwala i-BRCA. Ukunciphisa umngcipheko wesifo somhlaza webele kunye ne-ovari kunokuba yinto efanelekileyo nenokubiza iindleko.

Emva kokuba amaqanda akho esusiwe, awuyi kuzala. Oko kubalulekile ukuqaphela ukuba ungaphambi kokuba uyeke ukuya exesheni kwaye ungathanda ukumitha umntwana.

Ndilungiselela njani?

Nje ukuba zisuswe zombini ii-ovari kunye ne-fallopian tubes, awusayi kuba namaxesha okanye ukwazi ukukhulelwa. Ke ukuba usafuna ukukhulelwa, xoxa ngazo zonke iindlela onokukhetha kuzo nogqirha wakho.

Kunokuba bubulumko ukudibana nengcali yenzala ngaphambi kokucwangcisa utyando.

Emva kotyando, uya kuba sele uyekile ukuya exesheni kwaye ilahleko ye-estrogen ngequbuliso inezinye iziphumo emzimbeni. Thetha nogqirha wakho malunga nazo zonke iziphumo ezinokubangelwa lolu tyando kunye neendlela zokulungiselela utshintsho oza kulifumana.

Olu tyando lunokwenziwa kusetyenziswa usiko olukhulu, ilaposcope, okanye ingalo yerobhothi. Buza ugqirha wakho ukuba loluphi uhlobo olulungele wena kwaye ngoba.

Ngenxa yokuba ii-ovari zakho zivelisa uninzi lwe-estrogen kunye neprogesterone emzimbeni wakho, buza malunga neenzuzo kunye neengozi zokunyanga okuya endaweni yehomoni. Tshela ugqirha wakho ngayo nayiphi na imeko yezempilo kunye nawo onke amayeza owathathayo.

Qiniseka ukuba uqhagamshelana ne-inshurensi yakho ukuze ufumanise ukuba baya kuyigubungela le nkqubo. Iofisi kagqirha wakho kufuneka akwazi ukukunceda ngale nto.

Nazi ezinye iingcebiso ezimbalwa zokwenza unyango:

• Awuyi kuba nakho ukuqhuba ngokwakho ekhaya ukusuka esibhedlele, ke yenza umgca ukukhwela kwangaphambili.
• Lungiselela uncedo emva kotyando. Cinga malunga nokhathalelo lwabantwana, imisebenzi, kunye nemisebenzi yasekhaya.
• Ukuba uyasebenza, uya kufuna ukuhlela ixesha lokuphumla kunye nomqeshi wakho ukuze uphinde uchache kwinkqubo. Unokwazi ukusebenzisa izibonelelo zexesha elifutshane zokukhubazeka, ukuba zikhona. Thetha kwisebe lakho lezabasebenzi ukuze ufunde malunga nokhetho lwakho.
• Pakisha ingxowa yasesibhedlele ngee-slippers okanye iikawusi, ingubo kunye nezinto zangasese ezimbalwa. Ungalibali ukuzisa iimpahla ezikhululekileyo ekulula ukubeka kuzo uhambo oluya ekhaya.
• Gcina ikhitshi ngezinto eziyimfuneko kwaye ulungiselele ukutya kweentsuku ezimbalwa kwisikhenkcezisi.

Ugqirha wakho uya kunika imiyalelo malunga nexesha lokuyeka ukutya nokusela ngaphambi kotyando.

Kwenzeka ntoni ngexesha lenkqubo?

ISalpingo-oophorectomy inokufikelelwa ngeendlela ezininzi. Utyando luhlala luthatha phakathi kwe-1 kunye neeyure ezingama-4.

Utyando lwesisu oluvulekileyo

Utyando lwesiko ludinga ianesthesia ngokubanzi. Ugqirha wenza isisu esiswini sakho kwaye ususe ii-ovari kunye neetyhubhu ze-fallopian. Emva koko ukusikwa kuthungisiwe, kufakelwe isitokhwe, okanye kuncanyathiselwe.

Utyando lweLaparoscopic

Le nkqubo inokwenziwa phantsi kwe-anesthesia ngokubanzi okanye yendawo. I-laparoscope yityhubhu enokukhanya kunye nekhamera, ke ugqirha wakho wotyando unokubona amalungu akho e-pelvic ngaphandle kokwenza ukusikwa okukhulu.

Endaweni yoko, kwenziwa iziqwengana ezincinci ukwenzela izixhobo zogqirha ukufikelela kwii-ovari kunye neetyhubhu ze-fallopian. Oku kuyasuswa ngeendlela ezincinci. Okokugqibela, ukusikwa kuvaliwe.

Utyando lweerobhothi

Le nkqubo yenziwa ngendlela encinci. Ugqirha usebenzisa ingalo yerobhothi endaweni yelaparoscope.

Ukuxhotyiswa ngekhamera, ingalo yeerobhothi ivumela ukubonwa kwenkcazo ephezulu. Ukuhamba ngokuchanekileyo kwengalo yeerobhothi kuvumela ugqirha ukuba afumane kwaye asuse ii-ovari kunye neetyhubhu ze-fallopian. Ukuvalwa kuyavalwa.

Kunjani ukuchacha?

Utyando lwe-Laparoscopic okanye lweerobhothi lunokubandakanya ukuhlala esibhedlele ubusuku bonke kodwa ngamanye amaxesha kunokwenziwa ngaphandle kwesigulana. Inkqubo evulekileyo yesisu inokufuna iintsuku ezimbalwa esibhedlele.

Emva koqhaqho, unokuba neebhanji ngaphezulu kokubethwa kwakho. Ugqirha wakho uza kukuxelela xa ungabasusa. Musa ukubeka into yokuthambisa okanye yokuthambisa emanxebeni.

Ugqirha wakho uya kuthi akunike i-antibiotics ukuthintela usulelo. Unokufuna amayeza eentlungu, ngakumbi ukuba unokuhlinzwa ngotyando.

Kungekudala emva kokuba uvukile, uya kukhuthazwa ukuba uvuke uhambe. Ukuhambahamba rhoqo kuya kunceda ukuthintela amahlwili egazi. Uya kuyalelwa kwakhona ukuba uphephe ukuphakamisa ngaphezulu kweeponti ezimbalwa okanye ukuzibandakanya kwimithambo enzima iiveki ezimbalwa.

Ungalindela ukukhutshwa kwilungu lobufazi emva kotyando, kodwa ke thintela iitampon kunye ne-douching.

Unokufumana iimpahla ezikhululekileyo ngakumbi xa uphilisa.

Kuxhomekeka kulwazi oluthile lotyando lwakho, ugqirha wakho uya kukunika imiyalelo malunga nokuhlamba kunye nokuhlamba, kunye nokuba ungaqala nini ukwenza ngokwesondo. Ugqirha wakho uya kukwazisa ukuba ungene nini ukuze ulandele.

Khumbula, wonke umntu uyachacha kwinqanaba lakhe.

Ngokubanzi, utyando lwe-laparoscopic kunye neerobhothi lubangela iintlungu ezingaphantsi koqhaqho kunye nokunqongophala okuncinci kunesisu esiswini. Unokwazi ukuphinda uqalise imisebenzi yesiqhelo kwiiveki ezimbini ukuya kwezintathu, xa kuthelekiswa neeveki ezintandathu ukuya kwezisibhozo zotyando lwesisu.

Zithini iziphumo ebezingalindelekanga kunye nomngcipheko?

I-Salpingo-oophorectomy ithathwa njengenkqubo ekhuselekileyo, kodwa njengalo naluphi na utyando, inobungozi. Oku kubandakanya ukopha, usulelo, okanye impendulo engeyiyo kwi-anesthesia.

Eminye imingcipheko enokubakho yile:

• amahlwili egazi
• ukwenzakala kumchamo wakho wokuchama okanye kumalungu angqongileyo
• umonakalo wemithambo-luvo
• I-hernia
• ukubunjwa kwezicubu ezibomvu
• isithintelo samathumbu

Tshela ugqirha wakho ngoko nangoko ukuba unayo:

• ubomvu okanye ukuvuvukala kwisiza sokusika
• ifiva
• i-drainage okanye ukuvulwa kwenxeba
• ukwanda kwentlungu esiswini
• ukopha kakhulu kwilungu lobufazi
• ukubhobhoza okunuka kakubi
• ubunzima bokuchama okanye ukuhambisa amathumbu
• isicaphucaphu okanye ukugabha
• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba
• isiqaqa

Ukuba awukabikho ngaphaya kokuyeka ukuya exesheni, ukususa zombini ii-ovari kunokubangela iziphumo ebezingalindelekanga ezinxulumene nolu tshintsho. Oku kunokubandakanya:

• kushushu kwaye kubila ebusuku
• ukoma kwilungu lobufazi
• ubunzima bokulala
• unxunguphalo kunye noxinzelelo

Kwixesha elide, ukuya exesheni kwandisa umngcipheko wesifo sentliziyo kunye ne-osteoporosis. Funda ngakumbi malunga nokulindela ngexesha lokuyeka ukuya exesheni.

Imbonakalo

I-Salpingo-oophorectomy ibonakalisile ekwandiseni ukusinda kwabasetyhini abaphethe utshintsho lwe-BRCA.

Uyakwazi ukubuyela kwimisebenzi yakho yesiqhelo kwiiveki ezimbini ukuya kwezintandathu.