Ongakulindela kuSalpingo-Oophorectomy

-Delile

• Ngubani okufanele abe nale nqubo?
• Ngilungiselela kanjani?
• Kwenzekani ngesikhathi senqubo?
• Vula ukuhlinzwa kwesisu
• Ukuhlinzwa nge-Laparoscopic
• Ukuhlinzwa ngamarobhothi
• Kunjani ukululama?
• Iyini imiphumela emibi nezingozi?
• Umbono

Ukubuka konke

ISalpingo-oophorectomy ukuhlinzwa okususa ama-ovari kanye namashubhu we-fallopian.

Ukususwa kweshubhu elilodwa le-ovary ne-fallopian kubizwa nge-unilateral salpingo-oophorectomy. Lapho zombili zisusiwe, ibizwa ngokuthi i-bilateral salpingo-oophorectomy.

Le nqubo isetshenziselwa ukwelapha izimo ezahlukahlukene, kufaka phakathi umdlavuza we-ovari.

Kwesinye isikhathi ama-ovari anempilo namashubhu we-fallopian ayasuswa ukusiza ukuvimbela umdlavuza we-ovari kwabesifazane abasengozini enkulu kakhulu. Lokhu kwaziwa njengokunciphisa ubungozi i-salpingo-oophorectomy.

Lokhu kuhlinzwa kukhonjiswe ukuthi kusebenza kakhulu ekwehliseni ubungozi besifo somdlavuza webele nowama-ovari. Funda kabanzi ngezimbangela nezici zobungozi zomdlavuza we-ovari.

I-Salpingo-oophorectomy ayibandakanyi ukususwa kwesibeletho (i-hysterectomy). Kepha akuvamile ukuthi zombili izinqubo zenziwe ngasikhathi sinye.

Ngubani okufanele abe nale nqubo?

Ungahle ube ngumuntu olungele ukhetho lwale nqubo uma udinga ukwelashwa kwe:

• umdlavuza we-ovari
• i-endometriosis
• izicubu ezinobungozi, ama-cysts, noma amathumba
• i-ovarian torsion (ukusonteka kwe-ovary)
• ukutheleleka kwe-pelvic
• ukukhulelwa kwe-ectopic

Ingasetshenziswa futhi ukunciphisa ingozi yomdlavuza wesibeletho nowesifuba kwabesifazane abasengozini enkulu, njengalabo abaphethe ukuguqulwa kwezakhi zofuzo ze-BRCA. Ukunciphisa ubungozi besifo somdlavuza webele nowama-ovari kungaba yindlela esebenzayo futhi engabizi kakhulu.

Ngemuva kokuthi ama-ovari akho esusiwe, uzobe ungazali. Lokho ukucatshangelwa okubalulekile uma ungakayi esikhathini futhi ungathanda ukukhulelwa ingane.

Ngilungiselela kanjani?

Uma womabili ama-ovari kanye namashubhu we-fallopian esusiwe, ngeke usaba nezikhathi noma ukwazi ukukhulelwa. Ngakho-ke uma usafuna ukukhulelwa, xoxa nodokotela wakho ngazo zonke izinketho zakho.

Kungaba ukuhlakanipha ukuhlangana nochwepheshe wenzalo ngaphambi kokuhlela ukuhlinzwa.

Ngemuva kokuhlinzwa, uzobe usufinyelele ngokuphelele ukunqamuka kokuya esikhathini futhi ukulahleka okungazelelwe kwe-estrogen kuneminye imiphumela emzimbeni. Khuluma nodokotela wakho ngayo yonke imiphumela engenzeka lokhu kuhlinzwa nezindlela zokulungiselela izinguquko ozohlangabezana nazo.

Ukuhlinzwa kungenziwa kusetshenziswe ukusika okukhulu, i-laparoscope, noma ingalo ye-robotic. Buza udokotela wakho ukuthi yiluphi uhlobo olulungele wena nokuthi kungani.

Ngoba ama-ovari akho akhiqiza iningi le-estrogen ne-progesterone emzimbeni wakho, buza ngobuhle nobubi bendlela yokwelashwa esikhundleni sehomoni. Tshela udokotela wakho nganoma yiziphi ezinye izimo zezempilo nayo yonke imithi oyiphuzayo.

Qiniseka ukuthi uthinta umshwalense wakho ukuthola ukuthi ngabe bazoyibheka yini le nqubo. Ihhovisi likadokotela wakho kufanele likwazi ukukusiza ngalokhu.

Nawa amanye amathiphu ambalwa wokuhlinza:

• Ngeke ukwazi ukuzishayela uzihambise ekhaya usuka esibhedlela, ngakho-ke yenza ulayini ngaphambi kwesikhathi.
• Hlela usizo ngemuva kokuhlinzwa. Cabanga ngokunakekela izingane, ukuthunyelwa, nemisebenzi yasendlini.
• Uma usebenza, uzofuna ukuhlela isikhathi sokuphumula nomqashi wakho ukuze ululame enkambisweni. Ungakwazi ukusebenzisa izinzuzo zesikhashana zokukhubazeka, uma zikhona. Khuluma nomnyango wezabasebenzi ukuze ufunde ngezinketho zakho.
• Pakisha isikhwama sasesibhedlela ngamaslippers noma amasokisi, ingubo, nezinto zokugeza ezimbalwa. Ungakhohlwa ukuletha izingubo ezikhululekile okulula ukuzibeka ohambweni oluya ekhaya.
• Thenga ikhishi ngezidingo bese ulungisa ukudla okungabiza izinsuku ezimbalwa ngefriji.

Udokotela wakho uzokunikeza imiyalo mayelana nokuthi uyeka nini ukudla nokuphuza ngaphambi kokuhlinzwa.

Kwenzekani ngesikhathi senqubo?

I-Salpingo-oophorectomy ingafinyelelwa ngezindlela eziningana. Ukuhlinzwa kuvamise ukuthatha phakathi kwehora elilodwa kuya kwelesine.

Vula ukuhlinzwa kwesisu

Ukuhlinzwa kwendabuko kudinga i-anesthesia ejwayelekile. Udokotela ohlinzayo wenza imbobo esiswini sakho futhi asuse ama-ovari kanye namashubhu we-fallopian. Ngemuva kwalokho imbobo iyathungwa, ifakwe, noma inanyathiselwe.

Ukuhlinzwa nge-Laparoscopic

Le nqubo ingenziwa ngaphansi kwe-anesthesia ejwayelekile noma yendawo. I-laparoscope yishubhu elinokukhanya nekhamera, ngakho-ke udokotela wakho ohlinzayo angabona izitho zakho zangasese ngaphandle kokwenza imbobo enkulu.

Esikhundleni salokho, kusikwa okumbalwa okuncane ukuze amathuluzi kadokotela afinyelele kuma-ovari kanye namashubhu we-fallopian. Lokhu kususwa ngemifantu emincane. Ekugcineni, ukusikeka kuvaliwe.

Ukuhlinzwa ngamarobhothi

Le nqubo yenziwa futhi ngokusikwa okuncane. Udokotela ohlinzayo usebenzisa ingalo eyirobhothi esikhundleni se-laparoscope.

Ifakwe ikhamera, ingalo ye-robotic ivumela ukubonwa kwencazelo ephezulu. Ukunyakaza okuqondile kwengalo eyirobhothi kuvumela udokotela ohlinzayo ukuthola nokususa ama-ovari kanye namashubhu we-fallopian. Okusikiwe kuvaliwe.

Kunjani ukululama?

Ukuhlinzwa nge-laparoscopic noma nge-robotic kungabandakanya ukuhlala esibhedlela ubusuku bonke kepha kwesinye isikhathi kungenziwa ngaphandle kokugula. Inqubo evulekile yesisu ingadinga izinsuku ezimbalwa esibhedlela.

Ngemuva kokuhlinzwa, ungahle ube namabhandeshi ngaphezulu kokucutshunguliwe. Udokotela wakho uzokutshela ukuthi ungazisusa nini. Ungafaki ama-lotion noma amafutha emanxebeni.

Udokotela wakho mhlawumbe uzokunika ama-antibiotic ukuvikela ukutheleleka. Ungase futhi udinge imishanguzo yezinhlungu, ikakhulukazi uma unokuhlinzwa okuvulekile.

Ngokushesha ngemuva kokuvuka kwakho, uzokhuthazwa ukuthi usukume uhambe. Ukuhambahamba njalo kuzosiza ukuvimbela amahlule egazi. Uzokwaziswa futhi ukuthi ugweme ukuphakamisa ngaphezu kwamakhilogremu ambalwa noma ukuzibandakanya ekuzivocavoca umzimba amasonto ambalwa.

Ungalindela ukukhishwa kwesitho sangasese sowesifazane ngemuva kokuhlinzwa, kepha gwema ama-tampon kanye ne-douching.

Ungathola izingubo ezikhululekile zikhululekile ngesikhathi senqubo yokwelashwa.

Ngokuya ngemininingwane yokuhlinzwa kwakho, udokotela wakho uzokunikeza imiyalo maqondana nokugeza nokugeza, nokuthi ungaqala nini ukuya ocansini. Udokotela wakho uzokwazisa nokuthi ungene nini ukuze ulandele.

Khumbula, wonke umuntu uyalulama ngezinga lakhe.

Ngokuvamile, ukuhlinzwa kwe-laparoscopic ne-robotic kubangela ubuhlungu obuncane bokuhlinzwa kanye nokulimala okuncane kunokucubungula esiswini. Ungaqala kabusha imisebenzi ejwayelekile kungakapheli amasonto amabili kuya kwamathathu, uma kuqhathaniswa namasonto ayisithupha kuya kwayisishiyagalombili wokuhlinzwa kwesisu.

Iyini imiphumela emibi nezingozi?

I-Salpingo-oophorectomy ibhekwa njengenqubo ephephe kakhulu, kepha njenganoma yikuphi ukuhlinzwa, inezingozi ezithile.Lokhu kufaka ukopha, ukutheleleka, noma ukusabela okungalungile ku-anesthesia.

Ezinye izingozi ezingaba khona yilezi:

• amahlule egazi
• ukulimala komgudu wakho wokuchama noma izitho ezizungezile
• ukulimala kwemizwa
• i-hernia
• ukwakheka kwezicubu ezibomvu
• ukuvimbelwa kwamathumbu

Tshela udokotela wakho ngokushesha uma unayo:

• ububomvu noma ukuvuvukala esizeni sokusikwa
• imfiva
• amanzi noma ukuvulwa kwesilonda
• ukwanda kobuhlungu besisu
• ukopha ngokweqile esithweni sangasese
• ukukhishwa okunuka kabi
• ubunzima bokuchama noma ukuhambisa amathumbu akho
• isicanucanu noma ukuhlanza
• ukuphelelwa umoya
• ubuhlungu besifuba
• ukuquleka

Uma ungakadluli ukuya esikhathini, ukususa womabili amaqanda kungadala imiphumela emibi ehlobene nalolu shintsho. Lokhu kungafaka:

• ukushisa okushisayo nokujuluka ebusuku
• ukoma kwesitho sangasese sowesifazane
• ubunzima bokulala
• ukukhathazeka nokudangala

Ngokuhamba kwesikhathi, ukunqamuka kokuya esikhathini kwandisa ubungozi besifo senhliziyo kanye nokuqaqanjelwa ngamathambo. Funda kabanzi mayelana nokuthi yini ongayilindela ngesikhathi sokunqamuka kokuya esikhathini.

Umbono

I-Salpingo-oophorectomy ikhonjisiwe ukuthi ikhulisa ukusinda kwabesifazane abaphethe izinguquko zofuzo ze-BRCA.

Uzokwazi ukubuyela emisebenzini yakho ejwayelekile kungakapheli amasonto amabili kuya kwayisithupha.