Hysterotrachelectomy

Ukusikwa kwamalungu wesibeletho kungenziwa ngezindlela ezihlukene. Lokhu kungenxa degree of kokubhujiswa kwawo hypertrophy.

Kukhona izindlela ezilandelayo wokusebenza:

- ukunqunywa okusezingeni eliphezulu wesibeletho;

- nhlonhlo ukususwa sowesifazane sangasese ingxenye;

- ukususwa Intaba-okwenyanga;

- diatermokonizatsiya.

Lokhu kuhlinza kuboniswa ngenxa ukusonteka evelele ngenxa waphuka multiple, Endocervicitis ezingamahlalakhona ukonakala zezinzwa, hypertrophy noma khona polyp yansukuzonke. Ngaphezu kwalokho, ablation wesibeletho siboniswa leukoplakia, hypertrophy follicular, nonhealing noma ukuguguleka yansukuzonke kanye erythroplakia.

High ukususwa indlela esetshenziswe adenoma futhi unokungaxhumani omkhulu lihambisana ectropion (eversion mucosa). Ngaphezu kwalokho, le ndlela isetshenziswa endabeni ukunwebeka evelele entanyeni kungaphezu umqhewu zangasese.

ukunqunywa oyindilinga kufanelekile iziguli ukuguguleka yansukuzonke, endotservitsitah okungamahlalakhona, ephelezelwa polyp yansukuzonke.

Nesigaxa ablation wesibeletho kuboniswa ngenxa ngokulinganisela hypertrophy follicular, kanye nezinye pathologies, ngaphandle kokudinga ukusetshenziswa ukunqunywa okusezingeni eliphezulu.

Uma uphethwe umdlavuza ingasetshenziswa diatermokonizatsii indlela usebenzisa electrocautery blade indlela noma ukususwa oyindilinga. Lapho lokhu kufaneleka kakhudlwana indlela yokuqala.

ukunqunywa Supravaginal wesizalo ukususwa kuhlinzwa isitho emzimbeni e esifundeni os yangaphakathi entanyeni supravaginal ingxenye. Ngakho, kuphela igama entanyeni uhlala emva kokuhlinzwa.

Kwezinye izimo, ukususwa lesizalo umzimba kwenziwa kancane ephakeme ukwedlula os yangaphakathi. Lokhu kukuvumela ukuba ugcine ingxenye encane endometrium (le mucosa). Uma kukhona omunye (endometrium) ukusebenza amaqanda encishisiwe (encishisiwe) ifomu sidlula izigaba efanayo yokushintsha ukuthi esesikhathini umjikelezo. Ngokuvamile nyangazonke ngemva akwenzeki ukususwa supravaginal.

Kulokhu kungenela kwezinga akudingekile ukuvula sangasese. Endaweni lokuqukethwe os lwangaphakathi umsele wesibeletho, uvame ukuba oyinyumba. Kulokhu eyenziwa besisu-odongeni indlela nadvlagalischoe hysterectomy kuyinto ukuphazamiseka okwenzeka ensimini aseptic kuhlinzwa. Okukhishiwe izimo lapho msebenzi ukwenziwa yisishiso emzimbeni ezihlobene, perforation noma ukudabuka nokuguqulwa ngesikhathi sokukhulelwa.

Ukunqunywa kwesibeletho. imiphumela

Ukuze yezinkinga intraoperative zihlanganisa ureteral ukulimala kwesinye.

imiphumela angeziwe eziyingozi - kumiswa hematomas, ukopha. Ukopha esikhathini postoperative uxilongwe futhi zixazululwe nzima impela. Lokhu kungenxa yokuthi zenzeka endaweni avaliwe (nemingcele), bese ku ngaphakathi komgodi ongaphakathi kwamathumbu (noma ngqo ke ngesikhathi esisodwa). Kule ndaba, esigabeni asalile peritonization zonke izitsha nemisipha ekhiqizwa ukuhlolwa okuphindaphindiwe, futhi uma kudingeka, Ligation ezengeziwe (ikakhulukazi khona ligatures omkhulu enwetshiwe izitsha varicose igazi). Uma kunesidingo, in the ukulawula hemostasis kwenziwa amanzi esiyisibopho peritoneum, noma ukwanda ukuhlinzwa ukuze hysterectomy.

Ngu imiphumela nasezinkingeni ezilandela ngemva kokuhlinzwa zihlanganisa nokulimala, ukopha. Ezimweni ezinjalo, ngemva kokungenela libonisa relaparotomy. Uma ukuxilongwa sekwephuzile, iqhubeka hematomas esimisiwe relaparotomy, amanzi kanye nokuhlumelelisa okhalo, extirpation of isiphunzi.