Zamkatimu
Kodi chithandizochi ndi chiyani?Kodi chithandizochi ndi chiyani?
Kujambula kwa chiberekero cha chiberekero chimatchulidwa ngati opaleshoni yochotsera chiwalo cha chiberekero ndi khola lachiberekero. Kugwiritsira ntchito kuchipatala kumagwiritsidwa ntchito pokhapokha pofuna kuganizira ndi kuchiritsa. Mwachitsanzo, ndi umwazi wakupha, mapepala a mimba ndi chiberekero, ndi zina. Komanso, kupopera kumachitika ndi cholinga chochotsera mimba mpaka masabata khumi ndi awiri. Kutsekedwa kumaperekedwa pambuyo pa kukakamizidwa kutha kwa mimba kumapeto kwa nthawi ndi nthawi yobereka, ndi kuperewera kwa amayi osakwanira. Pamene placenta ikuchedwa mu chiberekero cha uterine, ndicho chimene chimayambitsa kukhetsa magazi.
Malingana ndi kutanthauzira kwachipatala, chiberekero ndi chiwalo chokhala ndi minofu chomwe chimakhala ngati "peyala" mu mawonekedwe. Chilengedwe mu chiberekero chimaperekedwa ndi chingwe, chomwe chimadutsa pachiberekero cha chiberekero chimagwirizana ndi malo akunja. Mimba ya uterine imaphatikizidwa ndi mapumapeto mucosa. Pakati pa msambo, endometrium imakula. Ngati palibe mimba, chipolopolo chimakanidwa ndi thupi. Pali zovuta. Pambuyo pa msambo, endometrium imayamba kukula kachiwiri.
Pogwiritsa ntchito makina a mucous memorane, endometrium yokha imachotsedwa. Choonadi sichoncho chonse chimachotsedwa, koma chimangokhala chokhazikika. Pambuyo pa kuperewera kwa nembanemba ya uterine, kukula kwa endometrial kumakhalabe, kumene kumakhala nembanemba yatsopano.
Asanachitike ndi pambuyo pa opaleshoni
Monga lamulo, opaleshoni ya opaleshoni imachitidwa asanayambe kusamba, masiku angapo asanayambe kuyembekezera. Izi zachitika kotero kuti njira yothetsera uterine mucosa m'kupita kwa nthawi ikugwirizana ndi nthawi zakuthupi zotsutsa endometrium. Madzulo a opaleshoni, mkaziyo akufufuzidwa ndi munthu wodwala matenda am'thupi. Pa tsiku la opaleshoni - dokotala wodziŵa za matenda opaleshoni. Kufufuza kwachidziwitso, kuphunzira za vaginito ndi chiberekero ndi chithandizo cha magalasi ndi phunziro laumunthu kuti lifotokoze malo ndi maonekedwe a chiberekero. Kuchotsa zovuta ndikudziwitsidwa kuti zotsutsana.
Kawirikawiri opaleshoni imachitidwa pansi pa anesthesia (koma nthawi zina pansi pake) mu mpando wachikazi. Khola lachiberekero likukulitsidwa kudzera mwa ojambulira osiyana a diameter. Ntchito yonseyo imakhala pafupifupi mphindi 15. Pambuyo pochiza chiberekero cha wodwalayo, odwala amathera maola kapena masiku angapo kuchipatala. Pasanathe mwezi umodzi patatha opaleshoni, munthu ayenera kupewa kugonana. Ndikoyenera kuyang'ana dokotala kuti musapewe mavuto. Izi zikuphatikizapo:
- kupweteka kwa chibvundi), chiberekero, matenda, kutukuka kwa kutupa;
- kupititsa patsogolo kwa intrauterine adhesions, zomwe zingayambitse kuswa kwa msambo ndi ntchito yobereka.
Pasanapite masiku atatu kuchokera pa opaleshoni, nthawi zina amawona mawanga akuwonekera. Ayenera kuchenjezedwa ngati kutayika kwaima nthawi yomweyo ndipo panthawi yomweyo pangakhale kupweteka m'mimba. Pali mantha kuti khola lachiberekero limatuluka komanso hematoma imapangidwira (magazi amasonkhana mu uterine cavity). Ndikofunikira nthawi yomweyo kuti akalankhule kwa dokotala komanso kuti apite kapena kuchitika ku US. Pofuna kupewa chitukuko cha mahematomu, monga prophylaxis m'masiku oyambirira a postoperative, mutha kutenga katatu patsiku (piritsi 1). Komanso pakapita nthawi, mankhwala ochepa ophera tizilombo amayenera - kupewa kutsekemera ndi mavuto ena.
Zosokoneza
Kuwongolera kugonana kwa uterine mucosa ndi kufufuza kumeneku kumapangika ndi kukayikira kwa dysplasia ndi khansara ya chiberekero, chifuwa chachikulu. Kuwongolera komweko kwa chiberekero cha uterine kumapangidwira kuti chidziwitsidwe pamene deta ya ultrasound imaloleza kuti zidziwike bwino:
- Ndi kutuluka kwa magazi, kutuluka popanda zizindikiro za mimba, kusabereka komanso nthawi zina.
- Ngati mkazi ali ndi nthawi yayitali komanso yambirimbiri ndi kumasulidwa kwa magazi.
- Ngati pali zozizwitsa zamagazi zamkati.
- Pamene mkazi sangathe kutenga mimba kwa nthawi yaitali.
- Ndi zina, matenda osowa kwambiri.
- Kuchulukitsa kuchipatala kumachitidwa pamene maonekedwe opatsirana amadziwika.
Dokotala akhoza kuona kusintha kwa mucosa pa ultrasound, koma n'zosatheka kudziwa bwinobwino molondola ultrasound nthawi zonse. Nthawi zina, ultrasound iyenera kuchitidwa kangapo kale komanso pambuyo pa kusamba. Izi ndi zofunika kuti mudziwe zoyenera kuchita. Ngati mapangidwe amatha pambuyo pa kusamba - perekani chithandizo cha uterine mucosa.
Kuphatikizidwa kumaperekedwa kuchotsa zotsalira za nembanemba pambuyo pobereka, kuperewera kwa mayi, kutaya mimba.
Contraindications
Kukopa kwa mutersa mucosa kumatsutsana pamene:
- Matenda opatsirana kwambiri, kuwonjezereka kwa matenda aakulu a ziwalo;
- matenda opweteka kwambiri a ziwalo zoberekera;
- kukayikira kwa perforation (kusokonezeka kwa umphumphu wa khoma) la chiberekero.
Pazidzidzidzi (mwachitsanzo, kutaya magazi mwamsanga pakapita nthawi), zotsutsana sizingaganizidwe.
Kujambula chiberekero cha chiberekero chingathe kupeza matenda angapo oopsa, kusokoneza mimba yosafuna. Komabe, izi ndi ntchito yopanda chitetezo ndi mavuto omwe angathe.