Laparoscopic myomectomy - pamene ndi amene amachita?

Laparoscopic Myomectomy - ndi opaleshoni anachitira myoma uterine. Zimatengera kuchotsa mfundo pathological kudzera punctures kapena amacheka pa khoma m'mimba. Monga ulamuliro, ntchito kudziwika fibroids lalikulu kapena myomas yatsoka matendawo aakulu (magazi, osabereka).

ubwino wa ndikupeleka

Mmodzi mwa ubwino chofunika kwambiri laparoscopic (ndiwofatsa) myomectomy ndi kuteteza chiberekero ndi ntchito zake zonse, kuphatikizapo kusamba. Komanso, mwayi kwambiri angatchedwe yaing'ono zoopsa opaleshoni ndi nthawi kudya kuchira pambuyo chamoyo.

ntchito kuipa

Opaleshoni kuti achotse fibroids ali ochepa, koma lalikulu ndithu zovuta. Woyamba angatchedwe chiopsezo zisadzachitikenso matendawa patangopita zaka zochepa pambuyo ntchito. Chifukwa cha ichi ndi zosatheka pa opaleshoni kudziwa pamaso pa tinatake tozungulira laling'ono, limene pamapeto pake kuonjezera mu Volume. The drawback chachiwiri - n'zotheka kuwononga ziwalo pafupi mkati - matumbo, chikhodzodzo ndi ureter.

Pamene ndi amene ali myomectomy ndiwofatsa?

madokotala ambiri amalangiza amachita opaleshoni, yekha atsikana, amene akukonzekera kukhala ndi pakati mu nthawi pafupi kwambiri, fibroids kuchuluka kwa moti mankhwala mankhwala sapereka zotsatira ankafuna. Koma madona amene si yaitali akufuna kukhala ndi ana, adzakhala zomveka kwambiri kuchita opaleshoni chifukwa hysterectomy. Inde, pafupifupi milandu matenda onse a zaka 5 kungakhale kumwa.

Komanso, laparoscopic myomectomy Amasankhidwa milandu pamene pali contraindications kuti uterine mtsempha wamagazi embolization - Lowani embolization wa mankhwala mtsempha wa catheter chapadera mwa femoral mtsempha wamagazi puncture.

Laparoscopic Myomectomy: contraindications

• Kukayikirana kwa chotupa chotupa.
• A ambiri malo interstitial, kuchotsa kuti kuteteza ntchito ubereki sizingatheke.
• Pamaso pa contraindications ambiri kuti laparoscopy, amene akhoza kusokoneza moyo wa mkazi.

Malinga gynecologists ambiri, kunenepa kalasi 2 ndi 3, ndi kukhalapo kwa adhesions ndi contraindication kwa ntchito.

Njira laparoscopic myomectomy

Akamanena za opaleshoni imeneyi ndi trocar puncturing ndi zapambuyo m'mimba khoma m'malo anayi. Mu puncture chimodzi (m'michombo) umayamba laparoscope mu ena atatu (pamimba) - opaleshoni manipulators. Kwa ntchito yabwino ya zinthu zonse m'mimba umayamba mpweya. Ndiye dissect mkono opaleshoni ya m'chiberekero, ndi miomnye mfundo amachotsedwa, ndi ikuchitika mwa electrocautery kuti magazi asiye kutuluka. Pamwamba, kumene mfundo ndi yothiriridwa ndi saline ndi makamu eni kuchotsedwa, malingana ndi kukula awo kudzera puncture ndi (ndi kukula yaing'ono), amene anayambitsa zipangizo, kapena kudzera ku nyini odulidwa mzikiti (chifukwa chachikulu). Laparoscopic myomectomy anachita pansi ochititsa dzanzi ambiri. Kutalika kwa ntchito pakati pa mphindi 60 ndi 180. Mtundu wa opaleshoni ntchito zofanana kwambiri ndi kuchotsa ndi chophukacho pamimba (laparoscopic chophukacho kukonza), amene zinkachitikanso ndi puncturing ndi m'mimba woonda chubu.