Ongakulindela ku-Laparoscopy ye-Endometriosis

-Delile

• Ngubani okufanele abe ne-laparoscopy?
• Ungayilungiselela kanjani i-laparoscopy
• Inqubo yenziwa kanjani
• Kunjani ukululama?
• Ingabe kuyasebenza?
• Ukungabi nenzalo
• Ngabe zikhona izinkinga zokuhlinzwa lokhu?
• Ukuthatha

Ukubuka konke

I-laparoscopy inqubo yokuhlinza engasetshenziselwa ukuxilonga nokwelapha izimo ezahlukahlukene, kufaka phakathi i-endometriosis.

Ngesikhathi se-laparoscopy, insimbi yokubuka ende, ezacile, ebizwa ngokuthi yi-laparoscope, ifakwa esiswini ngesikhumba esincane, sokuhlinzwa. Lokhu kuvumela udokotela wakho ukuthi abuke izicubu noma athathe isampula lezicubu, elibizwa ngokuthi yi-biopsy. Bangasusa futhi ama-cysts, okufakelwe kanye nezicubu ezibomvu ezibangelwa i-endometriosis.

I-laparoscopy ye-endometriosis iyinqubo enobungozi obuncane futhi ehlasela kancane. Ngokuvamile kwenziwa ngaphansi kwe-anesthesia ejwayelekile ngudokotela ohlinzayo noma wezifo zabesifazane. Iningi labantu liphuma esibhedlela ngosuku olufanayo. Ukuqapha ebusuku kwesinye isikhathi kuyadingeka, noma kunjalo.

Ngubani okufanele abe ne-laparoscopy?

Udokotela wakho angancoma i-laparoscopy uma:

• Uhlala uzwa ubuhlungu obukhulu besisu okukholelwa ukuthi budalwa yi-endometriosis.
• I-Endometriosis noma izimpawu ezihlobene nazo ziqhubekile noma zavela ngokulandela ukwelashwa kwe-hormone.
• I-Endometriosis kukholakala ukuthi iphazamisa izitho zomzimba, njengesinye noma isilonda.
• I-Endometriosis kusolwa ukuthi ibanga ukungazali.
• Kutholwe isisindo esingajwayelekile ku-ovary yakho, ebizwa nge-ovarian endometrioma.

Ukuhlinzwa nge-laparoscopic akulungele wonke umuntu. Ukwelashwa kweHormone, indlela yokwelashwa engeyona eyingozi, kungabekwa kuqala. I-Endometriosis ethinta isisu noma isinye ingadinga ukuhlinzwa okuqhubekayo.

Ungayilungiselela kanjani i-laparoscopy

Ungayalwa ukuthi ungadli noma uphuze okungenani amahora ayisishiyagalombili okuholela enkambisweni. Iningi lama-laparoscopy yizinqubo zokwelashwa kweziguli. Lokho kusho ukuthi awudingi ukuhlala emtholampilo noma esibhedlela ubusuku bonke. Kodwa-ke, uma kunezinkinga, kungadingeka ukuthi uhlale isikhathi eside. Kungumqondo omuhle ukupakisha izinto ezimbalwa zomuntu siqu uma kungenzeka.

Hlela umlingani, ilungu lomndeni, noma umngani ozokuhambisa ngemoto ekhaya futhi azohlala nawe ngemuva kwenqubo yakho. I-anesthesia ejwayelekile ingadala isicanucanu nokuhlanza, futhi. Ukulungiselela isikhwama noma umgqomo wokugibela imoto uye ekhaya kuwumqondo omuhle.

Ungahle ufundiswe ukuthi ungagezi noma ugeze kuze kube ngamahora angama-48 kulandela i-laparoscopy ukuvumela ukusikwa kuphole. Ukugeza ngaphambi kwenqubo kungakwenza uzizwe ukhululekile.

Inqubo yenziwa kanjani

Uzonikezwa i-anesthetic ejwayelekile noma yendawo ngaphambi kokuhlinzwa ukuze wenze i-anesthesia ejwayelekile noma yendawo. Ngaphansi kwe-anesthesia ejwayelekile, uzolala ungabuzwa ubuhlungu. Imvamisa iphathwa ngomugqa we-intravenous (IV), kodwa futhi inganikezwa ngomlomo.

Ngaphansi kwe-anesthesia yendawo, indawo lapho kwenziwa khona imbobo iyoba ndikindiki. Uzophaphama ngesikhathi sokuhlinzwa, kodwa ngeke ubuzwe ubuhlungu.

Ngesikhathi se-laparoscopy, udokotela wakho ohlinzayo uzokwenza imbobo esiswini sakho, imvamisa ngaphansi kwesibutbutton sakho. Okulandelayo, kufakwa ishubhu elincane elibizwa ngokuthi i-cannula embobeni. I-cannula isetshenziselwa ukufaka isisu ngegesi, imvamisa i-carbon dioxide noma i-nitrous oxide. Lokhu kusiza udokotela wakho ohlinzayo ukubona ingaphakathi lesisu sakho ngokucace kakhudlwana.

Udokotela wakho ohlinzayo ufaka i-laparoscope ngokulandelayo. Kukhona ikhamera encane ngaphezulu kwe-laparoscope ebavumela ukuthi babone izitho zakho zangaphakathi esikrinini. Udokotela wakho ohlinzayo angenza ukusikeka okwengeziwe ukuthola umbono ongcono. Lokhu kungathatha imizuzu engama-45.

Lapho kutholakala i-endometriosis noma izicubu ezibomvu, udokotela wakho ohlinzayo uzosebenzisa enye yezindlela zokuhlinza ukuyelapha. Lokhu kufaka phakathi:

• Ukuzijabulisa. Udokotela wakho ohlinzayo uzosusa izicubu.
• Ukukhishwa kwe-Endometrial. Le nqubo isebenzisa amakhaza, ukushisa, ugesi, noma imisebe ye-laser ukuqeda izicubu.

Uma inqubo isiqedile, udokotela wakho ohlinzayo uzovala imbobo ngemithungo eminingana.

Kunjani ukululama?

Masinyane ngemuva kokuhlinzwa, ungahle uzwe:

• imiphumela emibi evela ku-anesthetic, kufaka phakathi i-grogginess, isicanucanu nokuhlanza
• ukungakhululeki okubangelwa igesi eyeqile
• ukopha okuncane kwesitho sangasese sowesifazane
• Ubuhlungu obuncane esizeni se-incision
• Ubuhlungu esiswini
• ukushintsha kwemizwelo

Kufanele ugweme imisebenzi ethile ngokushesha ngemuva kokuhlinzwa kwakho. Lokhu kufaka phakathi:

• ukuzivocavoca okukhulu
• ukugoba
• ukuzelula
• ukuphakamisa
• ucansi

Kungathatha isonto noma ngaphezulu ngaphambi kokuthi ulungele ukubuyela emisebenzini yakho ejwayelekile.

Kufanele ukwazi ukuqhubeka nokuya ocansini kungakapheli amasonto amabili kuya kwamane kulandela inqubo, kodwa hlola udokotela wakho kuqala. Uma uhlela ukukhulelwa, ungaqala ukuzama futhi uma umzimba wakho usululeme.

Isikhathi sakho sokuqala ngemuva kokuhlinzwa singase sibe side, sisinde, noma sibe buhlungu kakhulu kunokujwayelekile. Zama ukungatatazeli. Umzimba wakho usaphola ngaphakathi, noma ngabe uzizwa ungcono. Uma ubuhlungu bukhulu, xhumana nodokotela wakho noma ukunakekelwa kwezokwelapha okuphuthumayo.

Ngemuva kokuhlinzwa kwakho, unganciphisa inqubo yokutakula ngoku:

• ukuphumula ngokwanele
• ukudla ukudla okuncane futhi uphuze uketshezi olwanele
• ukwenza ukunyakaza okumnene ukusiza ukuqeda igesi eyeqile
• ukunakekela ukusikeka kwakho ngokukugcina kuhlanzekile futhi kungangeni elangeni eliqondile
• enika umzimba wakho isikhathi esidinga ukwelashwa
• ukuxhumana nodokotela wakho ngokushesha uma uhlangabezana nezinkinga

Udokotela wakho angaphakamisa ukuqokwa kokulandelwa phakathi kwamasonto amabili kuya kwayisithupha ngemuva kokuhlinzwa. Uma une-endometriosis, lesi yisikhathi esihle sokukhuluma ngohlelo lokuqapha nokwelashwa lwesikhathi eside futhi, uma kunesidingo, izinketho zokuzala.

Ingabe kuyasebenza?

Ukuhlinzwa nge-laparoscopic kuhlotshaniswa nokwehla kobuhlungu obukabili ezinyangeni eziyisithupha nezingu-12 ngemuva kokuhlinzwa. Ubuhlungu obubangelwa i-endometriosis bungagcina buvele.

Ukungabi nenzalo

Ukuxhumana phakathi kwe-endometriosis nokungabi nenzalo kuhlala kungacaci. Kodwa-ke, i-endometriosis ithinta amaphesenti angama-50 abesifazane abangatholi inzalo, ngokusho kwe-European Society of Human Reproduction and Embryology.

Kwisifundo esisodwa esincane, Amaphesenti angama-71 abesifazane abangaphansi kweminyaka engama-25 abahlinzwa i-laparoscopic ukwelapha i-endometriosis baqhubeka nokukhulelwa futhi babeletha. Ukukhulelwa ngaphandle kokusebenzisa ubuchwepheshe bokuzala obusizayo kunzima kakhulu uma ungaphezu kweminyaka yobudala engama-35.

Kwabesifazane abafuna ukwelashwa kokungazali abathola i-endometriosis ebucayi, in vitro fertilization (IVF) kungaphakanyiswa njengenye indlela yokuhlinzwa kwe-laparoscopic.

Ngabe zikhona izinkinga zokuhlinzwa lokhu?

Izinkinga zokuhlinzwa kwe-laparoscopic azivamile. Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Lokhu kufaka phakathi:

• ukutheleleka esinyeni, esibelethweni, noma kwezicubu ezizungezile
• ukopha okungalawuleki
• ukulimala kwamathumbu, kwesinye, noma kwe-ureter
• izibazi

Xhumana nodokotela wakho noma ukunakekelwa okuphuthumayo uma uthola noma yikuphi okulandelayo ngemuva kokuhlinzwa kwe-laparoscopic:

• ubuhlungu obukhulu
• isicanucanu noma ukuhlanza okungapheli kungapheli usuku olulodwa noma ezimbili
• ukwanda kwegazi
• ukwanda kobuhlungu esizeni sokuqunjelwa
• ukukhishwa okungavamile kwesitho sangasese sowesifazane
• ukukhishwa okungavamile esizeni se-incision

Ukuthatha

I-laparoscopy inqubo yokuhlinza esetshenziselwa ukuxilonga i-endometriosis nokwelapha izimpawu ezifana nobuhlungu. Kwezinye izimo, i-laparoscopy ingathuthukisa amathuba akho okukhulelwa. Izinkinga azivamile. Abesifazane abaningi bayalulama ngokugcwele.

Khuluma nodokotela wakho ukuthola okwengeziwe ngezingozi nezinzuzo zokuhlinzwa nge-laparoscopic.