Laparoscopic myomectomy - a lokacin da, da wanda ya yi?

Laparoscopic Myomectomy - mai tiyata yi ga igiyar ciki myoma. Ya unshi kau da pathological nodes ta hanyar punctures ko incisions a ciki bango. Kamar yadda mai mulkin, yi amfani da ganewa na manyan fibroids ko myomas faru na tsanani da rikitarwa (zub da jini, rashin haihuwa).

abũbuwan amfãni daga fatauci

Daya daga cikin mafi muhimmanci abũbuwan amfãni daga laparoscopic (ra'ayin mazan jiya) myomectomy ne adana daga cikin mahaifa, da dukan ayyuka, ciki har da haila. Har ila yau, wani gagarumin amfani za a iya kira a kananan rauni tiyata da sauri dawo sau bayan da kwayoyin.

disadvantages ayyukan

Surgery cire fibroids yana da kawai 'yan, amma quite tsanani drawbacks. A farko daya za a iya kira a kasadar komowa da cutar a cikin 'yan shekaru bayan da aiki. Dalilin wannan shi ne da rashin yiwuwar a lokacin tiyata domin sanin gaban kananan nodules, wanda zai ƙarshe kara a juz'i. Na biyu drawback - yana yiwuwa lalacewar m ciki gabobin - hanjinsu, mafitsara da kuma ureter.

Lokacin da wanda yake mai ra'ayin mazan jiya myomectomy?

Mutane da yawa likitoci shawara ƙarasa da wannan aiki, kawai matasa mata, wanda ake shirin wani ciki a sosai a kusa lokaci, fibroids karu zuwa irin wannan har magani magani ba ya ba da ake so sakamako. Kuma waɗanda Ladies wanda ba daina son da yara, zai zama mafi m da za su gudanar da tiyata ga hysterectomy. Lalle ne, a kusan dukkan lokuta da cutar kan 5 shekaru iya zama wani koma dawowa.

Har ila yau, laparoscopic myomectomy aka nada a lokuta idan akwai contraindications ga igiyar ciki jijiya embolization - Shigar embolization da miyagun ƙwayoyi a cikin jini na musamman catheter ta cikin femoral jijiya huda.

Laparoscopic Myomectomy: contraindications

• Tuhuma da wani m ƙari.
• A manyan yawan interstitial sites, cire cewa adana haihuwa aiki ne ba zai yiwu.
• A gaban janar contraindications zuwa laparoscopy, wanda zai iya zama wata barazana ga wata mace ta rayuwa.

A cewar da yawa gynecologists, kiba sa 2 da kuma 3, da kuma gaban adhesions ne contraindication ga aiki.

Hanyar laparoscopic myomectomy

Jigon wannan tiyata ne a trocar puncturing da agara na ciki bango a hudu wurare. A daya huda (cibiya) da aka gabatar laparoscope a cikin sauran uku (ciki) - m manipulators. Domin a more dace aiki na kogon ciki yana gabatar da carbon dioxide. Sa'an nan dissect da m hannu na mahaifa, da kuma miomnye nodes an cire, da kuma yana da za'ayi ta hanyar electrocautery hana zub da jini. A surface, inda nodes suna noman tare da Saline da rundunõninsa su ne ake cire, dangane da size: ta hanyar huda (tare da kananan size), wanda aka gabatar da kayayyakin aiki, ko ta hanyar da farji Dome yanke (na manyan size). Laparoscopic myomectomy yi a karkashin janar maganin sa barci. A tsawon lokaci na aiki tsakanin 60 da 180 minti. Wannan irin tiyata ne sosai kama aiki a cire wani hernia ciki (laparoscopic hernia gyara), wanda kuma ya yi ta puncturing na ciki na bakin ciki tube.