Hysterectomy

Hysterectomy ke ho buuoa ho tlosa popelo ea mosali (popelo). Popelo ke karolo e sekoti e mesifa e fepang lesea le ntseng le hola nakong ea bokhachane.

O kanna oa tlosoa sohle kapa karolo ea popelo nakong ea "hysterectomy". Li-tubes tsa mahe le mae a bomme le tsona li ka tlosoa.

Ho na le mekhoa e mengata e fapaneng ea ho etsa hysterectomy. E ka etsoa ka:

• Ho khaola ka mpeng (ho bitsoa bulehileng kapa mpa)
• Ho khaola ho nyane ho isa ho e mene ho isa ho e mene ka mpeng ebe ho sebelisoa laparoscope
• Ho khaola ka hara botshehadi, ho thuswa ke tshebediso ya laparoscope
• Sehiloeng sa ho buoa ka hara botshehadi ntle le ts'ebeliso ea laparoscope
• Ho khaola likotoana tse tharo ho isa ho tse 'ne ka mpeng, molemong oa ho etsa opereishene ea liroboto

Uena le ngaka ea hau le tla etsa qeto ea hore na ke mofuta ofe oa ts'ebetso. Khetho e tla latela nalane ea hau ea bongaka le lebaka la ho buuoa.

Ho na le mabaka a mangata ao mosali a ka hlokang hysterectomy, ho kenyelletsa:

• Adenomyosis, boemo bo bakang linako tse boima, tse bohloko
• Kankere ea popelo, hangata ke mofetše oa endometrium
• Kankere ea sefuba kapa liphetoho molomong oa molomo tse bitsoang cervical dysplasia tse ka lebisang mofetseng
• Kankere ea ovary
• Bohloko ba pelvic ba nako e telele (bo sa foleng)
• Endometriosis e matla e sa ntlafoleng ka kalafo tse ling
• Ho tsoa mali ho tsoa botšehaling nako e telele, e sa laoloang ka kalafo e meng
• Ho thella ha popelo ka hara botshehadi (popelo ya popelo)
• Lihlahala ka popelong, joalo ka uterine fibroids
• Ho tsoa mali ho sa laoleheng nakong ea pelehi

Hysterectomy ke opereishene e kholo. Maemo a mang a ka phekoloa ka lits'ebetso tse seng kae tse hlaselang joalo ka:

• Ho kenyelletsa mothapo oa popelo
• Ho tlosoa ha Endometrial
• Ho sebelisa lipilisi tsa thibelo ea bokhachane
• Ho sebelisa meriana ea bohloko
• Ho sebelisa IUD (intrauterine device) e ntšang hormone progestin
• Laparoscopy ea 'mele

Likotsi tsa ts'ebetso efe kapa efe ke:

• Matšoao a alejiki meriana
• Mathata a phefumolohang
• Ho koala mali, ho ka bakang lefu haeba ba ea matšoafong
• Ho tsoa mali
• Tšoaetso
• Ho lematsa libakeng tse haufi tsa 'mele

Likotsi tsa hysterectomy ke:

• Ho lematsa senya kapa ureters
• Bohloko nakong ea thobalano
• Ho khaotsa ho ilela khoeli ha mae a bomme a tlosoa
• Ho fokotsa thahasello ho thobalano
• Kotsi e eketsehileng ea lefu la pelo haeba mae a bomme a tlosoa pele a khaotsa ho ilela khoeli

Pele o nka qeto ea ho ba le hysterectomy, botsa mofani oa tlhokomelo ea bophelo hore na a ka lebella eng kamora ts'ebetso. Basali ba bangata ba hlokomela liphetoho 'meleng ea bona le ka tsela eo ba ikutloang ka eona ka bona ka mor'a hore ba tsoaloe. Bua le mofani, lelapa le metsoalle ka liphetoho tsena tse ka bang teng pele u etsoa opereishene.

Bolella sehlopha sa tlhokomelo ea bophelo ka meriana eohle eo u e sebelisang. Tsena li kenyelletsa litlama, litlatsetso le meriana e meng eo u e rekileng ntle le lengolo la ngaka.

Nakong ea matsatsi a pele ho ts'ebetso:

• U ka kopuoa ho emisa ho sebelisa aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), le lithethefatsi tse ling tse kang tsena.
• Botsa mofani oa hau hore na ke lithethefatsi life tseo u lokelang ho li nka ka letsatsi la ts'ebetso ea hau.
• Haeba u tsuba, leka ho emisa. Botsa mofani oa hau thuso ea ho tlohela.

Letsatsing la ho buuoa:

• Hangata o tla botsoa hore o se ke oa noa kapa oa ja letho lihora tse 8 pele ho ts'ebetso.
• Nka meriana efe kapa efe eo mofani oa hau a u joetsitseng eona hore u e noe ka ho noa metsi hanyane.
• Fihla sepetlele ka nako.

Kamora ho buuoa, o tla fuoa meriana ea bohloko.

U kanna ua ba le tube, e bitsoang catheter, e kentsoeng ka har'a senya ho fetisa moroto. Boholo ba nako, catheter e tlosoa pele e tsoa sepetlele.

U tla kopuoa ho ema le ho potoloha kapele kamoo ho ka khonehang kamora ho buuoa. Sena se thusa ho thibela maqeba a mali hore a se thehe maotong a hao mme a potlakise ho fola.

O tla kopuoa ho tsoha ho ea hlapela kapele kamoo o khonang. U ka khutlela lijong tse tloaelehileng kapele kamoo u ka khonang ntle le ho baka ho nyekeloa le ho hlatsa.

U lula nako e kae sepetlele ho latela mofuta oa "hysterectomy".

• U kanna oa khutlela hae letsatsing le hlahlamang ha opereishene e etsoa ka hara botshehadi, ka laparoscope, kapa kamora ho buuoa ka roboto.
• Ha ho etsoa leqeba le leholoanyane la ho buoa ka mpeng, ho ka hlokahala hore u lule sepetlele matsatsi a 1 ho isa ho a mabeli. U kanna ua hloka ho lula nako e telele haeba "hysterectomy" e etsoa ka lebaka la mofets'e.

Ho u nka nako e kae ho fola ho latela mofuta oa hysterectomy. Karolelano ea linako tsa ho hlaphoheloa ke:

• Hysterectomy ea ka mpeng: libeke tse 4 ho isa ho tse 6
• Hysterectomy ea bosali: libeke tse 3 ho isa ho tse 4
• Thuso ea liroboto kapa kakaretso ea laparoscopic hysterectomy: libeke tse 2 ho isa ho tse 4

Hysterectomy e tla baka ho khaotsa ho ilela khoeli haeba u boetse u tlositsoe mae a bomme. Ho tlosoa ha mae a bomme ho ka lebisa ho fokotseheng ha thobalano. Ngaka ea hau e ka khothaletsa kalafo e ncha ea estrogen. Buisana le mofani oa hau likotsi le melemo ea kalafo ena.

Haeba hysterectomy e etselitsoe mofets'e, o kanna oa hloka kalafo e ngoe.

Bosaling hysterectomy; Ho ntša mpa ka mpeng; Hysterectomy ea mokokotlo; Hysterectomy e matla; Ho tlosoa popelo; Laparoscopic hysterectomy; Li-laparoscopically li thusitse hysterectomy ea botšehali; MOLAO; Kakaretso ea "laparoscopic hysterectomy"; TLH; Laparoscopic supracervical hysterectomy; Robotically e thusitse hysterectomy

• Hysterectomy - mpa - ho tsoa
• Hysterectomy - laparoscopic - ho tsoa
• Hysterectomy - bosaling - ho tsoa
• Tlhokomelo ea leqeba la ho buoa - e bulehile
• Ho kenyelletsa mothapo oa pōpelo - ho tsoa

• Laparoscopy ea 'mele
• Hysterectomy
• Sebete
• Hysterectomy - Letoto la lihlooho tse

Komiti ea Tloaelo ea Gynecologic. Maikutlo a komiti no 701: ho khetha tsela ea hysterectomy bakeng sa lefu le kotsi. Gynecol e thibelang. 2017; 129 (6): e155-e159. PMID: 28538495 pubmed.ncbi.nlm.nih.gov/28538495/.

Jones HW. Ho buuoa ka mafu a basali. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 70.

Karram MM. Hysterectomy ea bosali. Ka: Baggish MS, Karram MM, li-eds. Atlas ea Pelvic Anatomy le Gynecologic Surgery. La 4 ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 53.

Thakar R. Na popelo ke setho sa thobalano? Ts'ebetso ea thobalano kamora ho tlosoa ha mpa. Thobalano Med Rev. 2015; 3 (4): 264-278. PMID: 27784599 phatlalalitsoe.ncbi.nlm.nih.gov/27784599/.