Hysterotrachelectomy

Amputation wa khomo pachibelekeropo zikhoza kuchitika mwa njira zosiyanasiyana. Ichi ndi chifukwa mlingo wa kwe ndi hypertrophy.

Pali njira zotsatirazi ntchito:

- mkulu amputation wa khomo pachibelekeropo;

- mphero kuchotsa ukazi gawo;

- kuchotsedwa kwa phirilo-mphako;

- diatermokonizatsiya.

opaleshoni Tikutero chifukwa mapindikidwe kutchulidwa chifukwa cha fractures angapo, aakulu Endocervicitis ndi connective alibe, hypertrophy kapena kupezeka ndi tizilombo ting'onoting'ono kobwereza. Komanso, ablation khomo lachiberekero yasonyezedwa leukoplakia, follicular hypertrophy, nonhealing kapena kukokoloka kobwereza ndi erythroplakia.

Mkulu kuchotsa njira ntchito adenoma ndi mipata kwambiri osakaniza ectropion (eversion mucosa). Komanso njira imeneyi umagwiritsidwa ntchito nkhani ya kutchulidwa elongation wa khosi kosaoneka ndi kudula maliseche.

Yozungulira amputation ndi oyenera odwala kukokoloka kobwereza, endotservitsitah aakulu limodzi ndi tizilombo ting'onoting'ono kobwereza.

The mphero ablation khomo lachiberekero akusonyeza kuti zolimbitsa follicular hypertrophy, komanso pathologies zina, popanda kugwiritsa ntchito amputation mkulu.

Ngati matenda a khansa angagwiritsidwe ntchito diatermokonizatsii njira ntchito electrocautery tsamba njira kapena conical kuchotsa. Pamene zimenezi zili zoyenera kwambiri kuti njira yoyamba.

Supravaginal amputation wa chiberekero ndi kuchotsa opaleshoni ya limba mu thupi m'chigawo cha mkati os supravaginal khosi gawo. Motero, ndi yekhayo khosi amakhalabe pambuyo opaleshoni.

Nthawi zina, kuchotsa thupi uterine anapangidwa pang'ono kuposa Os mkati. Zimenezi zimathandiza kusunga mbali yaing'ono ya endometrium (a mucosa). Ngati pali wina (endometrium) chamoyo mazira yafupika (yafupika) mawonekedwe umadutsa magawo yemweyo wa zimenezi pa mkombero kusamba. Kawirikawiri mwezi pambuyo supravaginal kuchotsa sizichitika.

Pa phukusi Sikuti kutsegula nyini. M'dera la zili mkati os mu m'njira khomo lachiberekero, amamuchititsa wosabala. Pankhaniyi anagwira m'mimba-khoma njira nadvlagalischoe hysterectomy ndi kuwasokoneza zikuchitika m'munda aseptic opaleshoni. The kuchotserapo milandu pamene opaleshoni amachitidwa pa kutupa mu zokhudzana thupi, perforation kapena mowiriza anawononga pa mimba.

Amputation la chiberekero. zotsatira

Kuti mupewe mavuto intraoperative monga ureteral kuvulala kwa chikhodzodzo.

zotsatira More oopsa - mapangidwe hematomas, magazi. Magazi mu nthawi postoperative amapezeka ndi anatsimikiza kovuta. Ichi ndi chifukwa chakuti iwo zimachitika malo chatsekedwa (magawo), ndipo kenako mu zonse m'mimba (kapena mwachindunji mu izo nthawi imodzi). Pa nkhani imeneyi, gawo yotsalira peritonization ziwiya zonse ndi Mitsemphayi opangidwa mobwerezabwereza mayeso ndipo ngati n'koyenera, ligation zina (makamaka pamaso pa ligatures chachikulu kukodzedwa ziwiya varicose magazi). Ngati ndi kotheka, mu ulamuliro wa hemostasis anachita kuvomerezedwa ngalande za peritoneum, kapena kuwonjezeka opaleshoni kuti hysterectomy.

Ndi zotsatira postoperative monga kufinya, magazi. Zikatero, pambuyo alowererepo limasonyeza relaparotomy. Mu nkhani ya matenda mochedwa, zamafinya zinangoti hematomas yoikidwiratu relaparotomy, ngalande ndi konzanso la m'chiuno, extirpation wa chitsa.