Hysterotrachelectomy

Okwalandelwa wesibeleko kungenziwa ngeendlela ezahlukeneyo. Oku kungenxa ngomlinganiselo ngentshabalalo kunye hypertrophy.

Kukho iindlela zilandelayo yokusebenza:

- umlenze ophezulu wesibeleko;

- nesinqumka ukususwa kusisi inxenye;

- ukususwa cone-emise;

- diatermokonizatsiya.

Le ahlinzwe eboniswe deformation ngokukhawuleza ngenxa yamophula, Endocervicitis ezingapheliyo kunye ukuphela nokuqina, hypertrophy okanye ubukho polyp yomhla nezolo. Ngaphezu koko, ablation wesibeleko esiboniswe leukoplakia, hypertrophy follicular, nonhealing okanye ukhukuliseko nezolo kunye erythroplakia.

ukususwa indlela High asetyenziswe adenoma kunye discontinuities ezinkulu zidityaniswe kunye ectropion (eversion isifo). Ukongeza, le ndlela lisetyenziswa kwimeko zobude ngokukhawuleza entanyeni engaphaya noqhoqhoqho zangasese.

umlenze etsobhileyo ilungele izigulana ukhukuliseko nezolo, endotservitsitah esinganyangekiyo, ekhatshwa polyp yomhla nezolo.

Nesinqumka ablation wesibeleko uboniswe ngokulinganisela hypertrophy follicular, kwakunye nezinye izinto ezimbi, ngaphandle efuna ukusetyenziswa okwalandelwa ophezulu.

Ukuba Umhlaza Uxilongo ingasetyenziswa diatermokonizatsii indlela usebenzisa indlela electrocautery blade okanye ukususwa etsobhileyo. Xa oku ezifaneleke ngakumbi indlela yokuqala.

ukusikwa Supravaginal of wesibeleko yeyona kokususa welungu emzimbeni kummandla lo os lwangaphakathi entanyeni supravaginal nesabelo. Ngenxa yoko, kuphela entanyeni uhlala emva kotyando.

Kwezinye iimeko, ukususwa yomzimba zesibeleko yenziwa engaphezulwana nje kancinane kune os lwangaphakathi. Oku kukuvumela ukuba ugcine inxalenye encinane endometrium (i isifo). Ukuba kukho into enye amaqanda (endometrium) ukusebenza yancitshiswa (ukuncipha) ifom ehamba amanqanaba efanayo inguqu ngethuba lomjikelo sexesheni. Ngokuqhelekileyo ngenyanga emva alwenzeki ukususwa supravaginal.

Ngeli ukungenelela akuyomfuneko ukuvula lobufazi. Kummandla imixholo os lwangaphakathi emjelweni wesibeleko, ithande ukuba abulawe. Kulo mzekelo ikhutshwa esiswini-udonga indlela nadvlagalischoe hysterectomy i uphazamiseko ziyenzeka entsimini ngotyando aseptic. Ezi nketho iimeko xa ukusebenza yenzelwa phezu komtshiso kwi ezihlobene emzimbeni, perforation okanye komsipha ezizenzekelayo ngexesha lokukhulelwa.

Okwalandelwa isibeleko. imiphumela

Kuba iingxaki intraoperative ziquka ureteral konzakale lwesinye.

nemiphumela emibi eyingozi - ukuyilwa hematomas, ukopha. Ukopha kwixesha postoperative abafunyenwe kwaye isonjululwe nzima kakhulu. Oku kungenxa yokuba kwenzeka kwindawo esekhusini (parameters), emva koko waya kwisisu (okanye ngqo kuwo kwaoko). Kulo mba, isigaba intsalela peritonization zonke iimpahla kunye nemisipha impahla ngokuphindaphindiweyo uhlolo kunye, xa kukho imfuneko, tubal ezongezelelweyo (ingakumbi phambi ezihlangene amakhulu eyandisiweyo imithambo yegazi varicose). Ukuba kuyimfuneko, eziphantsi kolawulo hemostasis wenza yokuhambisa amanzi olusisinyanzelo le peritoneum, okanye ukwanda utyando hysterectomy.

Ngu iziphumo postoperative ziquka bazigruzule, ukopha. Kwiimeko ezinjalo, emva kokuba ungenelelo ubonisa relaparotomy. Xa isigulo kade, iyabhiqiza hematomas amisiweyo relaparotomy, ukuhamba kwamanzi kunye kwimo zangasese, extirpation of isiphunzi.