I-Hysterectomy

I-Hysterectomy ukuhlinzwa ukuze kususwe isibeletho sowesifazane (isibeletho). Isibeletho isitho semisipha esingenalutho esondla ingane ekhulayo ngesikhathi sokukhulelwa.

Ungase ukhishwe konke noma ingxenye yesibeletho ngesikhathi se-hysterectomy. Amashubhu we-fallopian nama-ovari nawo angasuswa.

Kunezindlela eziningi ezahlukahlukene zokwenza i-hysterectomy. Kungenziwa ngokusebenzisa:

• Ukusikwa kokuhlinzwa esiswini (okubizwa ngokuthi okuvulekile noma kwesisu)
• Ukusikeka okuncane okuthathu kuya kwamane esiswini bese usebenzisa i-laparoscope
• Ukusikwa kokuhlinzwa esithweni sangasese, kusizwa ukusetshenziswa kwe-laparoscope
• Ukusikwa kokuhlinzwa esithweni sangasese ngaphandle kokusebenzisa i-laparoscope
• Ukusikeka okuncane okuthathu kuya kwamane esiswini, ukuze kwenziwe ukuhlinzwa ngerobhothi

Wena nodokotela wakho nizonquma ukuthi hlobo luni lwenqubo. Ukukhetha kuzoya ngomlando wakho wezokwelapha kanye nesizathu sokuhlinzwa.

Kunezizathu eziningi owesifazane angadinga i-hysterectomy, kufaka phakathi:

• I-Adenomyosis, isimo esidala izikhathi ezinzima, ezibuhlungu
• Umdlavuza wesibeletho, imvamisa umdlavuza we-endometrium
• Umdlavuza womlomo wesibeletho noma ushintsho emgodini wesibeletho obizwa nge-cervical dysplasia ongaholela kumdlavuza
• Umdlavuza we-ovary
• Ubuhlungu be-pelvic besikhathi eside (esingapheli)
• I-endometriosis enamandla engabi ngcono ngezinye izindlela zokwelapha
• Ukopha okukhulu, kwesikhathi eside kwesitho sangasese sowesifazane okungalawulwa ngezinye izindlela zokwelapha
• Ukushelela kwesibeletho ungene esithweni sangasese (ukuqhuma kwesibeletho)
• Izimila esibelethweni, ezinjenge-uterine fibroids
• Ukopha okungalawuleki ngesikhathi sokubeletha

I-Hysterectomy ukuhlinzwa okukhulu. Ezinye izimo zingelashwa ngezinqubo ezingezinhle ezifana ne:

• Ukuhlanganiswa komthambo wesibeletho
• Ukukhishwa kwe-Endometrial
• Kusetshenziswa amaphilisi okuvimbela inzalo
• Ukusebenzisa imithi yezinhlungu
• Kusetshenziswa i-IUD (intrauterine device) ekhipha i-hormone progestin
• I-laparoscopy yomzimba

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Amahlule egazi, angadala ukufa uma beya emaphashini
• Ukopha
• Ukutheleleka
• Ukulimala ezindaweni zomzimba eziseduze

Izingozi ze-hysterectomy yilezi:

• Ukulimala esinyeni noma kuma-ureters
• Ubuhlungu ngesikhathi sokuya ocansini
• Ukunqamuka kokuya esikhathini kokuqala uma amaqanda esuswa
• Ukwehla kwesithakazelo kwezocansi
• Ingozi eyengeziwe yesifo senhliziyo uma ama-ovari esuswa ngaphambi kokuya esikhathini

Ngaphambi kokunquma ukwenza i-hysterectomy, cela umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi alindeleni ngemuva kwenqubo. Abesifazane abaningi babona ushintsho emzimbeni wabo nokuthi bazizwa kanjani ngabo ngemuva kokukhishwa kwesibeletho. Khuluma nomhlinzeki, umndeni, nabangane ngalezi zinguquko ezingenzeka ngaphambi kokuhlinzwa.

Tshela ithimba lakho lokunakekelwa kwezempilo ngayo yonke imithi oyiphuzayo. Lokhu kufaka phakathi amakhambi, izithasiselo, neminye imithi oyithenge ngaphandle kwemithi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), kanye nezinye izidakamizwa ezifana nalezi.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela umhlinzeki wakho akusize uyeke.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisishiyagalombili ngaphambi kokuhlinzwa.
• Thatha noma imiphi imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Fika esibhedlela ngesikhathi.

Ngemuva kokuhlinzwa, uzonikezwa imithi yezinhlungu.

Ungase futhi ube neshubhu, okuthiwa i-catheter, efakwe esinyeni sakho ukuze kudluliswe umchamo. Isikhathi esiningi, ipayipi liyasuswa ngaphambi kokuphuma esibhedlela.

Uzocelwa ukuthi usukume uzulazule ngokushesha okukhulu ngemuva kokuhlinzwa. Lokhu kusiza ukuvimbela amahlule egazi ekwakhekeni emilenzeni yakho futhi kusheshise ukutakula.

Uzocelwa ukuthi uvuke usebenzise indlu yangasese ngokushesha okukhulu. Ungabuyela ekudleni okujwayelekile ngokushesha ngangokunokwenzeka ngaphandle kokubangela isicanucanu nokuhlanza.

Uhlala isikhathi esingakanani esibhedlela kuxhomeke ohlotsheni lwe-hysterectomy.

• Ungahle ugoduke ngakusasa lapho ukuhlinzwa kwenziwa ngesitho sangasese sowesifazane, nge-laparoscope, noma ngemuva kokuhlinzwa nge-robotic.
• Lapho kwenziwa ukusika okukhudlwana (imbobo) esiswini, kungadingeka ukuthi uhlale esibhedlela izinsuku ezi-1 kuya kwezi-2. Ungadinga ukuhlala isikhathi eside uma i-hysterectomy yenziwa ngenxa yomdlavuza.

Kuthatha isikhathi esingakanani ukuthi ululame kuya ngohlobo lwe-hysterectomy. Izikhathi zokutakula ezimaphakathi yilezi:

• I-hysterectomy yesisu: amasonto ama-4 kuye kwayi-6
• I-hysterectomy yesitho sangasese sowesifazane: amasonto amathathu kuya kwamane
• I-hysterectomy esizwa irobhothi noma isamba esiphelele: amasonto amabili kuya kwamane

I-hysterectomy izodala ukunqamuka kokuya esikhathini uma futhi ususa ama-ovari akho. Ukususwa kwama-ovari nakho kungaholela ekwehliseni idrayivu yocansi. Udokotela wakho angancoma ukwelashwa esikhundleni se-estrogen. Xoxa nomhlinzeki wakho ngobungozi kanye nezinzuzo zalokhu kwelashwa.

Uma i-hysterectomy yenzelwa umdlavuza, ungadinga ukwelashwa okwengeziwe.

Isitho sangasese sowesifazane sangasese; I-hysterectomy yesisu; I-supracervical hysterectomy; I-hysterectomy enamandla; Ukususwa kwesibeletho; I-laparoscopic hysterectomy; I-laparoscopically isize i-hysterectomy yangasese; UMTHETHO; Ingqikithi ye-laparoscopic hysterectomy; TLH; I-laparoscopic supracervical hysterectomy; Isize i-hysterectomy

• I-Hysterectomy - isisu - ukuphuma
• Ukukhishwa kwe-Hysterectomy - laparoscopic -
• I-Hysterectomy - ukukhishwa kwesitho sangasese sowesifazane
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Ukuhlanganiswa komthambo wesibeletho - ukukhipha

• I-laparoscopy yomzimba
• I-Hysterectomy
• Isibeletho
• I-Hysterectomy - Uchungechunge

Ikomidi Lokusebenza Kwabesifazane. Umbono wekomidi no-701: ukukhetha umzila we-hysterectomy wesifo esibi. Isikhubekiso seGynecol. 2017; 129 (6): e155-e159. I-PMID: 28538495 pubmed.ncbi.nlm.nih.gov/28538495/.

UJones HW. Ukuhlinzwa kwabesifazane. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 70.

I-Karram MM. I-hysterectomy yesitho sangasese sowesifazane. Ku: Baggish MS, Karram MM, ama-eds. I-Atlas of Pelvic Anatomy and Gynecologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 53.

Thakar R. Ngabe isibeletho isitho socansi? Umsebenzi wezocansi ulandela i-hysterectomy. Ucansi Med Rev. 2015; 3 (4): 264-278. I-PMID: 27784599 pubmed.ncbi.nlm.nih.gov/27784599/.