Hysterectomy laparoscopic hana: kia-operative manawa, i ka hopena nāʻana. Removal o uterine fibroids laparoscopically: hōʻike manaʻo

Currently, ua aʻoʻia kū hoʻokahi loea e ae no kekahiʻano o gynecological 'uao me ka palena haʻahaʻa complications, a me ka haahaa o ka trauma. Laparoscopic hysterectomy ma - kekahi o ia mau mea.

Laparoscopy like me ka hou 'ana i kūpono

Laparoscopicʻoki kino ua Ua puni no ka no 20 makahiki. Iloko o keia manawa ka mea, ua hoʻokūpaʻa wale me he minimally invasive pono a me ka hana ana me ka palena haʻahaʻa kia-operative complications.

Laparoscopic i kūpono ma ka gynecology loaa nui hiʻona. Mua, e like me ka papa hana i hana gynecologicalʻoki kino uuku puke. Akā, ma ka makahiki hou i loko o ka hapanui o nā keʻena lāʻau lapaʻau a me Ho 'Oponopono, ka mea, ua lilo ia i mea commonplace. I kekahi o kēia mau hana mea e wehe uterine fibroids laparoscopically. Reviews o nā mea maʻi hōʻike 'ana i ka mea, he kokololio hoihoi hou ia ana o ka hana nona iho, me ka pilikia o nā complications a me adhesions o ka liilii, a me ka wahi poino i ka ili, aole ia e luku aku i ke ano o na wahine.

No ka mea hana koi limahana palapala hōʻoia no, a ua hoano e. Uao ua palapala hopu i keia hihia, ka palena haʻahaʻa complications. I kekahi manawa, he huihui 'ana o ka laparoscopic a me kaʻike mauʻoki kino wale Pono, e hoola i ka hoʻomanawanui ka ola. Kēia hoʻomalu, e koho i ka pololei hana, e hana lākou nā mea maʻi i kēlā me kēia hihia pākahi.

He nui ka haukapilaʻo e lawe mai i ka wehe 'ia o ka uterine fibroids laparoscopically. Ma Moscow, kokoke kela gynecological 'Oihana ua lako pono me ka pono lako a pan, a he akamai no ka lawe ana mai i kēia manipulation. Mai o nā mea a pau i ka gynecologicalʻoki kino 50-60% i paa ma ka laparoscopy.

Ke kumu pono o ka iaoiaeii:

• haahaa o ka trauma;

• ka poe ola, ke ola hana ana i nā mea a pau nā loko;

• ka ho'ēmiʻana o ka lāʻau kū-operative eha;

• ka palena haʻahaʻa adhesions ;

• pōkole manawa o ka hospitalization;

• noho ma ka lā mālama;

• ka ho'ēmiʻana o nā hua'ōlelo o ke kīnā o ke kino;

• i ka palena iki o postoperative hernias;

• ka palena iki manawa no ka hoʻopulapulaʻana;

• e olaʻi lāʻau.

Noke kekahi manawa, laparoscopy

A pau keia olelo, ao ke ano i loko o ka papa o kaʻoki kino a me ka hoola ana i na wahine uhi i na keakea i hoʻomaopop 'ana i loko o kekahi laparoscopicʻoki kino:

• hana a aʻo o ka palapala hōʻoia no hoʻomalu kauoha nui hoolilo;

• surgeon pono noho laparoscopic 'ana i kūpono a me nā loinaʻoki kino;

• Complications i ka 'aʻe' ana i ka mana o na nā loko pili me ka ka pahu kui o ke kinoea i loko o ka abdominal lua, akā,? Iaea, a ao ka Kāohiʻana o kēia mau complications hiki ke käpae ';

• Mai noho aliʻi mai ka manawa kūpono o ka me mechanical poino i ka likeʻole nā loko, nā'aʻaʻa a me nā hale.

Noi ma Gynecology

Ma gynecological laparoscopy hana Ua laha. Ma waho aʻeo ia kaʻike, i ole na hihia o ka huʻi abdomen, hooholo na kumu o ka infertility, ua hoʻohana 'laparoscopic hana ma ka wahi, i hiki e like me:

1. Ectopic hāpai keiki.

2. O ka nahā o ka Tube.

3.ʻoki lāʻau lapaʻau sterilization.

4. Endometriosis.

5. ka lina maʻi.

6. Ke Kula Kaiapuni 'maʻi o ovarian cysts, sklerokistoz, ovarian apoplexy.

7. Benign ho okumu uterus (hysterectomy laparoscopicʻano hana ho'ēmi i kā ka pilikia o postoperative complications).

8. hyperplastic keʻano o ka hanaʻana,ʻaʻole amenable i ka makeʻe kulana Inc.

Recently gynecologists mau hoʻohana laparoscopic hysterectomy a hiki ma malignant hikoko. Owai la ka mea nui he nui wale i kūpono no keia hana, ke kaumaha ma muli o ka nui o ka uterus, kona kūlana, a komo i loko o ke kaʻina hana o ka kokoke nā loko. Hoʻomano hoʻohana fibroids keia hana ma kekahi mau localizations.

uterine fibroids

Uterine fibroids - benign maʻi i loko a ma lalo o ka aoao o hormones ia lŘlŘ ka hoʻonuiʻana o fibrous'aʻaʻa me ke kahua o ka knots. Ua malama he kiʻekiʻe prevalence o ka maʻi - ma kahi o 25% o nā mea a pau gynecological pilikia. uterine fibroids mai ka hopena ma luna o ka holoʻokoʻa kino o na wahine. Myomectomy ua noʻonoʻo i ke "gula paʻamau" iapaau ana no keia maʻi.

Hysterectomy laparoscopically. ano

Ka wā koho i kekahi ano o kaʻoki lāʻau lapaʻau lapaʻau o fibroids ua laweʻia i loko o ka mooolelo nui aʻe: i ka wahi a me ka nui o ka aka wahi, functionality, a me ka poho o ka e pili nā loko, i ka nui ana o ka wahine. Ke kaumaha ma muli o ka uterine lesions appendages i kekahi mauʻano o kaʻoki kino ma ka reproductive nā loko.

I ka hana pono ia mea:

- huina hysterectomy ka wā i hele ai i ke kino a me ka cervix; subtotal - ka uterus ua wehe i ke kino. Inā a me ka uterus amputated ohe - gistertubektomiya, a ina paipu a me Yachnik, ua kapaia ia hana gistertubovarioektomiya. I ka'ano'ē hana e like me pangisterektomii - kāpae i nā mea a pau na genitalia pu me ka lymph aka wahi a glands a puni nā'aʻaʻa o ka vagina, a he nawaliwali kekahi io oncological keʻano o ka hanaʻana.

- I dala uuku o nā huahelu, a no ka mālama 'ana i ka hanau keiki na wahine hana ablativeʻoki kino. Kekahi o kēia mau mea i ka wehe subserous uterine fibroids laparoscopically. Me ka hōʻemi iki uterine lesion lawe enucleation aka wahi, a laila husking fibrous'aʻaʻa me ka hope olaʻi hui,. Ma hope iho o kēia mau hana, he wahine hiki ke kiʻi Hapai ma hope o ka kekahi manawa, a hanau.

Contraindications

Aia nā contraindications no kaʻoki kino, e wehe i ka uterus fibroids laparoscopically. Reviews Gynecologists paipai ia i loko o ka hapanui o na hihia o ka hana hiki e lawe mai a pau, koe wale no ka poe wahine, ka poe e ae, mai loa mea'ōnaehana mānowai koko, naehana hanu ole, i ka hernia, pilikia a me ke koko coagulation'ōnaehana a marasmus

Pili contraindications - he ano ma i ka hana mea hiki, akā, e makana kekahi pilikia. Ka mea, e:

• me ka nui loa haʻi subcutaneous momona;

• untreated infectious maʻi;

• adhesions;

• effusion ole imua o ka loli ma ka abdominal lua o ka oi aku 1 hano.

Akā, ke kālā no gynecologists, me laparoscopic hana, ma hope hou ninaninau ana ia mai i hoakakaia papa o ka lapaʻau, sanitize foci o ka maʻiʻaʻai, a lawe maiʻoki kino. I ka Ia manawa ke kaumaha i ka "pros" a me ka "Con" mua oe i lilo i ka laparoscopic hana.

Makaukau no kaʻoki kino

Reviews o nā wāhine, ka poe i undergone hysterectomy laparoscopically, ka mea, ua ikeia e hoʻomanawanui iki mai i hauʻoli i wale i ka makaukau: ka hana mau 40 minuke, a me ka la hoomalolo - 2 pule a oi.

Ma ana i ka wahine e hele mai ma hope o ka ho'āʻo ma, a me nā hualoaʻa loaa e e haawi aku:

• ke koko ho'āʻo ma (huina, biochemical, koko type a me RH ololi, no ka hepatitis, syphilis a me ka HIV clotting, me ka manao paa o ka monakō koko);

• mimi ho'āʻo ma - nui, a me ka manao paa o ke kō;

• smears;

• electrocardiogram;

• m-kukuna;

• ultrasound;

• colposcopy;

• nana o hoʻomalu: ke kino, ina e pono, he cardiologist a me na mea e ae.

Ma mua o ka mea hana i nā mea maʻi me ka uterine fibroids pono ke kaawale PalekanaEND_LINK curettage o ka uterus, a no ka loaa histological hualoaʻa. He mea pono no ka hoʻoponopono 'i ke kahe ana o ka nui o keʻoki kino, a hoʻopau, a pale hou? Acaeoey o ka maʻi' aʻai keʻano o ka hanaʻana.

All examinations - he pono i ke kaʻina hana, a me ka wale nō ma hope o ka piha ana o ka surgeon e e hiki ke lawe mai ana o ka uterus laparoscopically.

I ka lā mua o kaʻoki kino ua i waiho ia ai, oe pono e koli i ka pubic lauoho.

Mamua o kaʻoki kino, o ka wahine ka hoʻopiha mai i ka 'ae' ana i ka palapala anesthesia, a kaawale no ka hana. Inā pono, i 'inikua paha psychoprophylactic hoʻomākaukau no kaʻoki kino.

hana Technology

Ke hana, e wehe i ka uterus laparoscopically hoʻokō ka wā myomas nui like 'ole mai i ka 16 pule o ka hāpai keiki, a i huikau e kahe ana ke koko, wehewehe aku e kokololio ulu a pilikia o malignant hou'. Oiai kekahi inā pilikia ka haumāna 'Oihana loa weheʻia ka uterus, i ka nui o ka i mea e pili ana i 20 pule. Akā, oi pinepine, mai ka makahiki o ka wahine, lawe mai i ka wehe 'ia o ka uterine fibroids laparoscopically e waiho i ka hapa uuku o ka uterus no menstruation.

E hoʻohana i ekolu a eha puncture ka abdominal pā (he - kokoke i ka piko, a me ka kekahi mau - ma kēlā me kēiaʻaoʻao) a lawelawe trocars. Kēia mea i hoakaka ia me ka pahupaʻiwikiō no ka mālamaʻana i ka malamalama a me ka supercharger mea hoʻonoho i carbon dioxide a nitrous'okesaside a me na mea paahana.

Ma hope o ana o ka nana i hana laparoscopically uterine fibroids. No keia ligament ua excised, ligated moku dissected mai ka uterus, a me ka vagina pa ka mea, ua wehe 'ia ma ka vagina ma ka mea o incisions i loko o nā vaults. Keia hana ua kapaʻia laparoscopically kokua vaginal myomectomy. Pana aku au i suturing incisions i loko o ka vagina. I kekahi hana e kāpae i mau aka wahi me ka hou-uao.

Ma hope o odalyayut ke koko a me ka wai, loaa i ka mea hana, nana ua lawe mai hou na kino, a me nā paia o ka abdominal lua. Pono ka huli ina pono bandaged a ligated moku, ina paha propotevanie koko a me lymphatic loli. Hoʻopau kinoea a me ka hōʻike 'ia nei i na mea paahana. A laila, stitches ia lŘlŘ ma luna o kaʻili a me ka subcutaneous'aʻaʻa ma ke kahua o ka trocar, kaʻili ua sutured mea hoʻonani sutures.

Ka lōʻihi like 'ole o ka hana e ia mai 15 minuke i 1.5 hola ke kaumaha ma muli o ka buke o ka pau keia laʻoki lāʻau lapaʻau' uao.

Analgesia ma na hana like ana o ka uterus laparoscopically: hōʻike manaʻo

He aha anesthesia ka maikaʻi? Keia ninau E e wehe pilikia pu me ka surgeon ka anesthesiologist, haawi mai i ka nui ana o ka hoomanawanui, na nā hoailona o ke keʻena hoʻokolohua haʻawina, ka oaeuiinoe ka leo o ka hana. Ma ka hapanui o na hihia, ka hui endotracheal anesthesia. Reviews o na wahine e olelo aku i ka mea, ua maikai tolerated, me ole headache. Female Wake ma hope o 15-20 minuke ma hope o ka hana e like me kēia wehe 'ana o ka uterus laparoscopically.

Ke postoperative manawa me ka pono anesthesia hiki aku ai i ka maikaʻi i nā hualoaʻa ma hope o ka piʻiʻana: ai ka eha, aole ia i bother, eia wale nīnūnē discomfort, a hele ma ka 2 lā. I kekahi manawa ka mea, hiki e nausea, akā, he hana docked "metoclopramide". I ka lā mua oe e inu wale ka wai. I ke ahiahi, e hiki mua kiʻi mai, a lākou e ala hou mai. Ma ka lua o ka lāʻoe eʻai ai, a 'aʻole i mea nāuki mai i ka na naau oʻu, e like me porridge, Nā Kopa, haleʻuwī waiū me nā huahana. Ke extract ua lawe mai i ka lua o ka lā ma hope o ka piʻiʻana, a me ka poe mai la i paa hou mai la ma hope o 30 lā. Ma hope i ka wahine maluhia hiki ke hele i ka hana, akā, me ke kapu o ke kaumaha physical hana no ka mahina. Sutures i wehe 'ia ma luna o postoperative ka lā 5.

Ma hope oʻoki kino, i ka hiki complications, i mea pohihihi keia: keia poino trocar na nā loko, kahe ana ke koko mai ma lalo o nā ipu ligated, subcutaneous emphysema. A pau i kēia hiki ke hooki ina pololei malaila? Ieaoa ana a me ka hana i ka hooia ana o ka abdominal lua akahele.

waiwai

It E e kaulana ia ma hope o ka hana e like me ka laparoscopic hysterectomy iaoia, na waiwai kamaʻilioʻana e kiʻi. Loaa ia lŘlŘ ma hope o 2 pule o ka hoʻopulapula. 30 lā ma hope o ka hana o ka wahine ke hele aku e pili ana i kā lākou mau hana e like me ka hana mau. Paipai hiki hoounauna. Akā, i ka mahina hope, ia mea undesirable e kiʻi i ka abdominal nāʻiʻo, hookiekie paona i loko o ka lā.

I ke kakahiaka nui lā e 'ike nīnūnē nagging eha ma ka abdomen. He mea maʻamau, a e hele aku i loko o 1-2 lā. I ka ho okumu ana o adhesions mea hiki, akā, e like me ka 'ikepili helu keia ia lŘlŘ loa kākaʻikahi a ma wale ka aaiaoe predisposition o ka meaola ole ma lalo hoikeia endometriosis.

Hōʻemi iki hookuuia mai ka wahine'āpana. He mea maʻamau ina e malamaia na ovaries. Ka mea, e hoʻomau i ka paka hormones mea i keia naoh.

Hihia o ka hoʻoʻino keʻano o ka hanaʻana ma hope o laparoscopicʻoki kino i pohihihi keia, no ka mea, o ka antibiotic ua hoonohoia koke ma hope o ka piʻiʻana a me ka hoomau ana i 5 mau lā. I ka Ia manawa ka mea, hahau mai ia i ka wai a me ka electrolyte haku mele 'ana o ke koko.

Hoihoi hou ia fertility hoomanawanui kokoke koke, akā, i loko o kekahi hihia he mea he hoomahuahua i loko o libido. A wahine ke ola i ka moe ola ma hope o 1 mahina ma hope oʻoki kino. Inā i ke kino ua waihonakala, e hiki ke kiʻi hapai i loko o eono mahina ma hope o ka piʻiʻana.

Where hiki au e lawe mai i ka hana?

He nui ka haukapilaʻo ke kaumaha hysterectomy laparoscopically. Ma Moscow kulanakauhale Ho 'Oponopono mea i hoʻolako pono me ka ipu, a i hoʻomalu i ike i kēiaʻano hana, e kaumaha aku aiʻoe i kēia mau lawelawe. Ke hana kumukuai Ua ae like me ka hele kauka.

Ke ana manaʻo hiki ke hana i ka oihana a me ka noho mālama '-haukapila. E hoʻomaka i na hana e hiki kakau mea palena piha. Ke kāki o laparoscopic hysterectomy mea ma kahi o 45 a hiki i 70 tausani.