Okwenziwe, Okwenzekayo, Futhi Kulindelwe Isikhathi Sokuvuselelwa
I-laparoscopy ingasetshenziselwa ukuxilongwa ukungabi namuntu noma ukuphatha inkinga yokuzala. I-laparoscopy yindlela yokuhlinza ehilela ukwenza ukusika okukodwa, kokubili, noma okuncane emathunjini, lapho udokotela efaka khona i-laparoscope nezinsimbi ezikhethekile zokuhlinza. I-laparoscope iyitayipi elincane, elinesibindi, elinesibani nekhamera.
I-laparoscopy ivumela udokotela wakho ukuba abone izitho zangasese futhi ngezinye izikhathi enze ukulungiswa, ngaphandle kokwenza ukucubungula okukhulu okungadinga isikhathi eside sokutakula nokuhlala esibhedlela.
Kungakhathaliseki ukuthi i-laparoscopy noma isifo esingahloliswanga kufanele yenziwe yini kwabesifazane abane-infertility ingxabano. Uma owesifazane ezwa ubuhlungu be-pelvic , khona-ke kuvumelwane ukuthi ukuhlinzwa kunganconywa.
Kodwa-ke, ezimweni zokungaboni kahle, noma izimo lapho ubuhlungu be-pelvic abuyona into, kungakhathaliseki ukuthi izinzuzo zokuhlinzeka ngokweqile izingozi kuyindaba yokuphikisana.
Ngabe i-Laparoscopy iphakanyisiwe?
Udokotela wakho angase asho ukuhlinzeka nge-laparoscopic ukusiza ukuxilongwa imbangela yokungasebenzi. Ngokuvamile, kwenziwa kuphela ngemva kokuhlolwa kwesifo sokungabikho komzimba , noma uma izimpawu zivuma ukuhlolwa.
I-laparoscopy akufanele yenziwe njalo, noma kunjalo.
Izizathu ezingenzeka ukuthi udokotela wakho angancoma ukuthi i-laparoscopy yokuhlonza ihlanganisa:
- Uzwa ubuhlungu ngesikhathi socansi
- Unezinkinga ezinkulu zokuya esikhathini noma ubuhlungu be-pelvic ngezikhathi ezithile emjikelezweni wakho
- Ukusobala kuya ekugcineni kwe- endometriosis okusobala
- Izifo zokuvuvukala ngama- pelvic noma ukunamathela okukhulu kwe- pelvic kuyasolwa
- Udokotela wakho usola ukukhulelwa kwe - ectopic (okungaba impilo engozini uma ishiywe ingalashwa)
Ngokuvamile (kodwa hhayi ngaso sonke isikhathi), uma i-laparoscopy yokuhlonza ithola izinkinga, udokotela ohlinzayo uzolungisa, asuse, noma aphathe ngenye indlela inkinga.
Ukuhlinzeka nge-laparoscopic kungase kusetshenziselwe ukwelapha ezinye izimbangela zokungabikho komuntu wesifazane.
Udokotela wakho angase ancoma ukuhlinzwa uma
- I-Hydrosalpinx iyasolakala . Lona uhlobo oluthile lwe- tube evimbekile ye-fallopian . Ukukhipha ithubhu ethintekayo kungathuthukisa izinga lokuphumelela kwe-IVF .
- Izindleko ze-Endometrial zisolakala ukuthi zinciphisa ukuzala kwakho. Lokhu kunengxabano, kanti odokotela abathi ukususwa kuyadingeka kuphela uma ubuhlungu, kanti abanye abakushoyo bangathuthukisa izinga lokukhulelwa lokukhulelwa futhi kufanelekile ukwenza ngisho noma ubuhlungu be-pelvic akuyona inkinga.
- Ukwelashwa kungakwazi ukuvula noma ukulungisa ithubhu eliyisidumbu. Amanani okuphumelela ahluke kakhulu uma kuziwa ekubuyiselweni kwe-tubal. Uma i-IVF iyodingeka ngisho nangemva kokuhlinzwa, ukuya ngqo ku-IVF kuyisinqumo esingcono. Uma lo wesifazane esemncane futhi zonke ezinye izinto ezikhulayo zibukeka kahle, ukulungiswa kokuhlinzwa kungafaneleka ukuzama kuqala.
- I-cyst ye-ovari ikhonjelwa ukuthi ibangela ubuhlungu noma ivimbele amashubhu we-fallopian. Ngesinye isikhathi, umsele we-cyst onenaliti eqondiswa yi-ultrasound ungcono. Ukususwa kwe-cyst enkulu ye-endometrial ovarian kunganciphisa ama- ovarian reserves . Udokotela wakho kufanele akhulume ngalokhu nawe.
- I- fibroid ibangela ubuhlungu , ihlanekeze umthamo wesibindi, noma ivimbele amashubhu akho angama-fallopian.
- Unayo i-PCOS nodokotela wakho uncoma ukugaya ama-ovari. Ukugaya i-ovarian i-laparoscopic kuhilela ukwenza amapulctures amancane amathathu kuya kwangu-8 kuma-ovari. Kulaba besifazane abane-PCOS abangazange bavotele izidakamizwa zokuzala , le nqubo ingabenza bakwazi ukuzulazula ngokwabo. Kodwa-ke, izingozi zingase zingaphezu kwezinzuzo, futhi ukusetshenziswa kwayo kuyinkinga.
Kungani Kubalulekile?
Ezinye izimbangela zokwelashwa zingatholakala kuphela ngokusebenzisa i-laparoscopy. (I-Endometriosis, isibonelo.) I-laparoscopy ivumela udokotela wakho ukuba angaboni nje kuphela ukuthi yini ngaphakathi kwesisu sakho kodwa futhi nokukhula okusobala okuyi-biopsy noma ama-cysts.
Futhi, ukuhlinzeka kwe-laparoscopic kungaphatha ezinye izimbangela zokungabi nabantwana, okukuvumela ithuba elingcono lokukhulelwa ngokwemvelo noma ngemithi yokwelapha .
Kodwa-ke, isizathu esibaluleke kakhulu se-laparoscopy ukuxilongwa uma ngabe ubhekene nobuhlungu be-pelvic.
I-laparoscopy ingasetshenziswa ukususa izicubu ezincane, i-fibroid, noma i-endometrial deposit ebangela ubuhlungu.
- Ngingazi kanjani Uma Izigqoko Zami Zingavamile?
- Ingabe Izigqoko Zesiqhwa Kungenza Kunzima Ukuthola Umkhulelwe?
Kwenziwe Kanjani?
I-laparoscopy yenziwa esibhedlela ngaphansi kwe-anesthesia ejwayelekile. Ngenkathi ngezinye izikhathi kungenzeka ukuqhuba i-laparoscopy yokuxilonga ehhovisi lomtholampilo wokuzala, lokhu akukhuthazwa. Esimweni sehhovisi, uma kukhona okutholakala ngesikhathi senqubo, kuzodingeka ukuthi ube nenqubo futhi endaweni yesibhedlela sokulungisa.
Udokotela wakho uzokunikeza imiyalelo yokuthi ungalungiselela kanjani ukuhlinzekwa kusengaphambili. Ngokuqinisekile uzotshelwa ukuthi ungadli noma uphuze amahora angu-8 noma ngaphezulu ngaphambi kokuhlinzwa okuhleliwe, futhi ungase ufundiswe ukuthatha ama-antibiotic.
Uma ufinyelela esibhedlela, uzothola i-IV, okuyilapho uketshezi kanye nemithi ukukusiza ukuphumula kuzonikezwa. I-anesthhesiologist izobeka imaski ebusweni bakho, futhi emva kokuphefumula i-sweet smelling gas imizuzu embalwa, uzolala.
Lapho i-anesthesia isifile ukusebenza, udokotela uzokwenqabela encane inkinobho yakho yesisu. Ngalesi sici, inaliti izosetshenziselwa ukugcwalisa isisu sakho ngegesi dioxide gas. Lokhu kunikeza udokotela wakho indawo ukuze abone izitho futhi athuthe izinsimbi zokuhlinzwa.
Uma isisu sakho sesigcwele igesi, udokotela ohlinzayo uzobe esebeka i-laparoscope ngokusebenzisa ukusika ukubuka nxazonke ezithombeni zakho zomzimba. Udokotela ohlinzayo angase futhi abe nezicubu ze-biopsy zokuhlola.
Ngezinye izikhathi kunciphisa okwenziwe kabili noma kathathu ukuze ezinye izinto ezincane zokuhlinzwa zingasetshenziselwa ukulungisa noma ukuhambisa izitho ezizungezile ukuze zibe nombono ongcono.
Udokotela ohlinzayo uzobukeka ahlolisise izitho zomzimba nezitho zomzimba eziseduze. Uzobheka ukuthi kukhona ama-cysts, fibroids, izicubu ezincane noma ukunamathela, nokukhula kwe-endometrial. Uzophinde abheke isimo, umbala, nobukhulu bezitho zokuzala.
Idayi ingahle ijowe ngomlomo wesibeletho, ngakho-ke udokotela ohlinzayo angakwazi ukuhlola uma ngabe amashubhu avulekile avulekile.
Ngisho noma kungekho izibonakaliso ze-endometriosis noma ezinye izinkinga ezitholakala, udokotela ohlinzayo angasusa isampula yamathisimu okufanele ahlolwe. Ngezinye izikhathi, i- endometriosis enobumnene kakhulu incane futhi ayikwazi ukubonwa ngamehlo nekhamera ye-laparoscopic.
Uma kukhishwa ukuthi i- ectopic pregnancy , udokotela ohlinzayo uzohlola izilimo eziyizikhumba zokukhulelwa okungavamile.
Uyozizwa Kanjani?
Phakathi nokuhlinzwa kwe-laparoscopic, uzoba ngaphansi kwemiphumela ye-anesthesia ejwayelekile, ngakho akufanele uzizwe ubuhlungu, noma ukhumbule inqubo.
Uma uvuka, ungase ube nesifo somzimba. Lokhu kubangelwa i-tube ebeka phansi umphimbo wakho ukukusiza uphefumule ngesikhathi sokuhlinzwa. (Le tube iyasuswa ngaphambi kokuba uvuke).
Kungokwemvelo ukuthi indawo ezungeze ukusikeka uzizwe ukhululekile, futhi isisu sakho singase sibe nomuzwa wokuthi sinethenda, ikakhulukazi uma udokotela wakho esusa amanxeba amaningi. Ungase uzizwe uvinjelwe kusuka ku-carbon dioxide gas, futhi ungase uzwe ubuhlungu obunzima ehlombe lakho. Lokhu kufanele kuhambe ngezinsuku ezimbalwa.
Noma ngabe uzobuyela ekhaya ngosuku olufanayo nokuhlinzwa kwakho, kufanele uhlele ekutholeni lula okungenani elilodwa noma ezimbili izinsuku. Ungadinga isonto noma amabili ukuze ululame uma kulungiswa okuningi. Qinisekisa ukuthi ukhuluma nodokotela wakho ukuthi yini ongayilindela.
Udokotela wakho angase futhi anikeze imishanguzo yobuhlungu kanye nemithi elwa namagciwane.
Kufanele uxhumane nodokotela wakho uma ngokushesha uma ...
- Uzwa ubuhlungu obukhulu besisu noma bubuhlungu
- Uthuthukisa umkhuhlane ka 101 noma ngaphezulu
- Kukhona ukuqhuma noma ukuphuma okuphawulekayo kwisayithi lokungena
Izingozi
Njenganoma iyiphi inqubo yokuhlinzeka, i-laparoscopy iza nezingozi.
Ngokusho kwe-American Society of Medicine Reproductive, owesifazane oyedwa noma ababili kulawo ma-100 angase ahlakulele inkinga, ngokuvamile eyingane.
Ezinye izinkinga ezivamile zihlanganisa:
- ukutheleleka kwesisu emva kokuhlinzwa
- ukucasula isikhumba ezungeze izindawo zokungcola
Okunye okungajwayelekile, kodwa okungenzeka, izingozi zibandakanya:
- ukwakheka kokunamathela
- i-hematomas edongeni lomzimba
- ukutheleleka
Izinkinga ezinkulu azivamile, kepha zifaka:
- umonakalo ezithombeni noma emithanjeni yegazi etholakala esiswini (ukuhlinzwa okuqhubekayo kungadingeka ukulungisa noma yimuphi umonakalo owenziwe.)
- ukusabela okweqile
- umonakalo wezinzwa
- ukugcinwa kwe-urinary
- ama-clots wegazi
- nezinye izinkinga ezibulalayo ze-anesthesia
- ukufa (cishe 3 kuzo zonke 100,000)
Uma Imiphumela Yingajwayelekile
Kuye okungahambi kahle, udokotela ohlinzayo angase aphathe inkinga ngesikhathi sokuhlinzwa okufanayo. Ukuncipha, ukukhula kwe-endometrial, ama-cysts, kanye nama-fibroids kungasuswa kwezinye izimo.
Uma ama-tubes fallopian avinjelwe, angase avulwe, uma kunokwenzeka. Uma kutholakala i-ectopic pregnancy, udokotela ohlinzayo uzosusa ukukhulelwa okungavamile futhi alungise noma yikuphi ukulimala kwezicubu. Kungase kudingeke asuse wonke amathrekhi we-fallopian.
Emva kokuhlinzwa, udokotela wakho uzochaza ukuthi yini ongakhetha ngayo yokukhulelwa. Uma ngabe i-fibroids isusiwe noma i-fallopian tube yalungiswa, ungase ukwazi ukukhulelwa ngaphandle kosizo.
Futhi, esimweni se-endometriosis noma i-PID, ukukhishwa kwezicubu ezibomvu kungenza ukwazi ukukhulelwa ngaphandle kokwelashwa okunye.
Uma emva kwezinyanga ezimbalwa emva kokuhlinzwa ungazitholi ukodwa, udokotela wakho angancoma ukwelashwa kokuzala .
Imithombo
I-Endometriosis ne-Infertility: Ingabe Ukuhlinzwa Kungasiza? Iphepha Lokungapheli Elibekezelayo. I-American Society of Medicine Yokuzala.
> Kuohung, Wendy. Hornstein, uMarku D. "Ukuhlaziywa kokungenzi lutho kwabesifazane. "UpToDate.com.
I-Laparoscopy ne-Hysteroscopy: Umhlahlandlela Weziguli. I-American Society of Medicine Yokuzala.
> Tulandi, Togas. "Ukuhlinza Ngokubeletha Kwabesifazane Abafayo. "