Hysterectomy

Hysterectomy kuvhiya kubvisa chibereko chemukadzi (chibereko). Chibereko chiumbwe chine tsandanyama chinodyisa mwana ari kukura panguva yekuzvitakura.

Iwe unogona kuve nezvose kana chikamu chechibereko chakabviswa panguva yehyssterectomy. Iyo fallopian machubhu uye maovari anogona zvakare kubviswa.

Kune nzira dzakawanda dzakasiyana dzekuita hysterectomy. Izvo zvinogona kuitwa kuburikidza:

• Kucheka kwekuvhiya mudumbu (kunonzi kuvhura kana mudumbu)
• Matatu kana mana madiki ekuvhiya mudumbu uyezve kushandisa laparoscope
• Kucheka kwekuvhiya mukati memukadzi, kubatsirwa nekushandisa laparoscope
• Kucheka kwekuvhiya mumukadzi pasina kushandisa laparoscope
• Matatu kusvika mana madiki ekuvhiya mudumbu, kuitira kuita robotic kuvhiya

Iwe nachiremba wako muchasarudza kuti ndeipi nzira yekuita. Sarudzo inoenderana nenyaya yako yekurapa uye chikonzero chekuvhiyiwa.

Pane zvikonzero zvakawanda mukadzi angangoda hysterectomy, inosanganisira:

• Adenomyosis, mamiriro anokonzeresa, anorwadza nguva
• Kenza yechibereko, kazhinji kenza yemendometrium
• Gomarara remuromo wechibereko kana shanduko mumuromo wechibereko inonzi cervical dysplasia inogona kukonzeresa kugomarara
• Kenza yeovary
• Yenguva refu (isingaperi) kurwadziwa kwepamuviri
• Yakanyanya endometriosis iyo isingaite zvirinani nemamwe marapirwo
• Yakanyanya, yakareba-nguva yekubuda ropa iyo isingadzorwe nemamwe marapirwo
• Kutsvedza kwechibereko mukati memukadzi (uterine prolapse)
• Tumota muchibereko, senge uterine fibroids
• Kusadzora kubuda ropa panguva yekusununguka

Hysterectomy kuvhiya kukuru. Mimwe mitezo inogona kurapwa nemaitiro mashoma eakashusha akadai se:

• Uterine tsinga embolization
• Endometrial ablation
• Kushandisa mapiritsi ekudzivirira kubereka
• Kushandisa mishonga inorwadza
• Uchishandisa IUD (intrauterine mudziyo) inoburitsa iyo hormone progestin
• Pelvic laparoscopy

Ngozi dzekuvhiyiwa chero ndedzipi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Ropa rakagwamba, iro rinogona kukonzera rufu kana vakafamba kuenda kumapapu
• Kubuda ropa
• Utachiona
• Kukuvadza kunzvimbo dzemuviri dziri padyo

Njodzi dzeiyo hysterectomy ndeiyi:

• Kukuvadza kune dundira kana ureters
• Marwadzo panguva yepabonde
• Kutanga kuenda kumwedzi kana mazai achibviswa
• Kuderedza kufarira bonde
• Kuwedzera kwenjodzi yechirwere chemoyo kana mazai achibviswa usati waenda kumwedzi

Usati wasarudza kuita hysterectomy, bvunza wako mupi wezvehutano kuti chii chaunotarisira mushure mekuita. Vakadzi vazhinji vanocherekedza shanduko mumitumbi yavo uye nemanzwiro avanozviona ivo pachavo mushure mekuvhiyiwa. Taura nemupi, mhuri, uye shamwari nezve izvi zvinogona kuitika usati wavhiyiwa.

Udza boka rako rezvehutano nezvese mishonga yauri kutora. Izvi zvinosanganisira mahebhu, zvinowedzera, uye mimwe mishonga yawakatenga usina kunyorerwa.

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kukumbirwa kuti urege kutora aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), uye chero mimwe mishonga yakaita seiyi.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti abatsire kurega.

Pazuva rekuvhiyiwa kwako:

• Iwe unowanzo bvunzwa kuti usamwe kana kudya chero chinhu kwemaawa masere pamberi pekuvhiyiwa.
• Tora chero mishonga iyo mupi wako yaakakuudza kuti utore nekamwe kadiki kemvura.
• Svika kuchipatara nenguva.

Mushure mekuvhiyiwa, iwe unozopihwa mishonga yekurwadziwa.

Iwe unogona zvakare kunge uine chubhu, inonzi catheter, yakaiswa mudundira rako kupfuudza weti. Kazhinji yenguva, iyo catheter inobviswa usati wabuda muchipatara.

Iwe uchakumbirwa kuti umuke uye utenderere nekukurumidza nekukasira mushure mekuvhiyiwa. Izvi zvinobatsira kudzivirira kuwanda kweropa kubva mukuumba mumakumbo ako uye nekumhanyisa kupora.

Iwe unozokumbirwa kusimuka kuti ushandise imba yekugezera nekukurumidza kana uchikwanisa. Iwe unogona kudzokera kuchikafu chakajairwa nekukurumidza iwe uchikwanisa pasina kukonzera kusvotwa uye kurutsa.

Inguva yakareba sei yaunogara muchipatara zvinoenderana nerudzi rwechibereko.

• Iwe unogona kuenda kumba zuva rinotevera kana kuvhiya kwaitwa kuburikidza nemukadzi, ne laparoscope, kana mushure mekuvhiyiwa robhoti.
• Kana kucheka kukuru kwekuvhiya (incision) mudumbu kwaitwa, ungangoda kugara muchipatara kwemazuva 1 kusvika maviri. Ungangoda kugara kwenguva yakareba kana iyo hysterectomy yaitwa nekuda kwegomarara.

Zvinotora nguva yakareba sei kuti uwanezve zvinoenderana nerudzi rwehutachiona. Avhareji yekudzosa nguva ndeiyi:

• Abdominal hysterectomy: mavhiki mana kusvika matanhatu
• Vaginal hysterectomy: mavhiki matatu kusvika mana
• Robhoti-yakabatsirwa kana yakazara laparoscopic hysterectomy: mavhiki maviri kusvika mana

Iyo hysterectomy inokonzeresa kuenda kumwedzi kana iwe zvakare uine ako ovari abviswa. Kubviswa kwemazai kunogona zvakare kukonzera kudzikira kwepabonde drive. Chiremba wako anogona kukurudzira estrogen kutsiva kurapwa. Kurukura nemupi wako njodzi uye zvakanakira kurapwa uku.

Kana iyo hysterectomy yakaitirwa cancer, ungangoda kumwe kurapwa.

Vaginal hysterectomy; Abdominal hysterectomy; Supracervical hysterectomy; Radical hysterectomy; Kubviswa kwechibereko; Laparoscopic hysterectomy; Laparoscopically inobatsira vaginal hysterectomy; LAVH; Yese laparoscopic hysterectomy; TLH; Laparoscopic supracervical hysterectomy; Robotically akabatsira hysterectomy

• Hysterectomy - mudumbu - kubuda
• Hysterectomy - laparoscopic - kubuda
• Hysterectomy - kusangana nekutsi kwemukadzi - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika
• Uterine tsinga embolization - kubuda

• Pelvic laparoscopy
• Hysterectomy
• Uterus
• Hysterectomy - Series

Komiti paGynecologic Practice. Maonero eKomiti kwete 701: kusarudza nzira ye hysterectomy yechirwere chebenign. Obstet Gynecol. 2017; 129 (6): e155-e159. PMID: 28538495 pubmed.ncbi.nlm.nih.gov/28538495/.

Jones HW. Gynecologic kuvhiyiwa. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 70.

Karram MM. Vaginal hysterectomy. Mune: Baggish MS, Karram MM, eds. Atlas yePelvic Anatomy uye Gynecologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2016: chits.

Thakar R. Icho chibereko inhengo yebonde here? Zvepabonde basa rinotevera hysterectomy. Zvepabonde Med Rev. 2015; 3 (4): 264-278. PMID: 27784599 pubmed.ncbi.nlm.nih.gov/27784599/.