Laparoscopic myomectomy - apo uye uyo kuita?

Laparoscopic Myomectomy - a pokuvhiyiwa aitira uterine myoma. Kunosanganisira kubviswa pathological nodes kuburikidza punctures kana cheka pamusoro abdominal pamadziro. Kazhinji, akashandiswa vasabatwa makuru fibroids kana myomas panowanikwa kwazvo zviome (ropa, kushaya mbereko).

zvakanakira mutengapwe

Chimwe chezvinhu zvinokosha zvakanakira laparoscopic (kuchinja) myomectomy ndiyo pakuchengetedza dumbu dzaro mashandiro zvose, kusanganisira kumwedzi. Uyewo, chinokosha zvinobatsira zvinogona kunzi chiduku kunotevera oparesheni uye nokutsanya kupora nguva pashure nhengo.

payakaipira akavhiyiwa

Surgery kubvisa fibroids ane shoma, asi zvikuru zvakakomba zvainovhiringidzawo chete. Wokutanga anogona kunzi njodzi dzokororo chirwere mukati makore mashomanana avhiyiwa. Chikonzero ichi ndicho chisingabviri pakuvhiya kuona pamberi nodules duku, izvo zvichaita pakupedzisira kuwedzera vhoriyamu. The drawback rechipiri - zvinokwanisika kukuvara pedyo nhengo dzomukati - paura, dundira uye ureter.

Kana kuna ani kumwe myomectomy?

vanachiremba vakawanda angarayira kushandisa oparesheni ichi, vakadzi vaduku chete, vari kuronga nhumbu iri pedyo zvikuru nguva, fibroids yakawedzera kusvika zvokuti mishonga kurapwa haapi zvinozoita. Asi avo Vakadzi vasina refu kuva nevana, uchava musoro kuita kuvhiyiwa chibereko. Zvechokwadi, kazhinji kacho ari chirwere anopfuura 5 makore angava kuitazve.

Uyewo, laparoscopic myomectomy anogadzwa zviitiko apo pane contraindications kuti uterine tsinga embolization - Nyora embolization zvinodhaka muropa midziyo chaiyo anobudisa mushonga zvishoma nezvishoma achishandisa femoral tsinga ponji.

Laparoscopic Myomectomy: contraindications

• Nokufungirana munhu akaipa bundu.
• A vakawanda interstitial nzvimbo, achibvisa kuti ndichengetedze dzokubereka nerevane hazvibviri.
• Kuvapo vakawanda contraindications kuti laparoscopy, izvo zvinogona kukanganisa kuupenyu hwemukadzi.

Maererano gynecologists zhinji, kufutisa giredhi 2 3, uye kuvapo adhesions ari contraindication nokuda oparesheni.

Method laparoscopic myomectomy

Musimboti Kuvhiya uku ndiko trocar puncturing ari Anterior abdominal rusvingo munzvimbo mana. Mune imwe ponji (guvhu) hunosumwa laparoscope mune dzimwe nhatu (dumbu) - zvomusejari manipulators. Nokuti yamunenge nokushanda abdominal mhango kutaurwa carbon dioxide. Zvadaro dissect kuti kuvhiya ruoko dumbu, uye miomnye nodes vanobviswa, uye rinoitwa pachishandiswa electrocautery kurega ropa. Nechepamusoro, uko nodes vari unodiridzwa pamwe sesaline uye wehondo pachavo vanobviswa, zvichienderana saizi yavo kuburikidza ponji (navaduku saizi), akanga akatanga maturusi kana kuburikidza kusangana nekutsi kwemukadzi mazibota chekawo (nokuti hombe kukura). Laparoscopic myomectomy anoitwa pasi zvavo yokutindivadza. Ya kwomudzimu pakati 60 uye 180 maminitsi. Izvi mhando wokuvhiya zvakafanana chaizvo kushanda kubvisa imwe heniya dumbu (laparoscopic heniya kugadzira), rinova zvinoitwa puncturing ari abdominal dzakaonda chubhu.