St Nicholas Center for Surgery

Uphengululo:I-Hysterectomy ngumsebenzi osusa isibeleko. Nge-hysterectomy, kuphela isibeleko esishenxisiweyo, okanye kunye nomlomo wesibeleko, i-ovari kunye neetyhubhu ze-fallopian. I-hysterectomy inokwenziwa ngokusebenzisa isisu esisesiswini (isisu hysterectomy) okanye ngokusebenzisa ubufazi (vagst hysterectomy). Ugqirha we-hysterectomy unokwenziwa njengohlinzwa ovulekileyo okanye utyando lwe-laparoscopic (utyando lwe-arthroscopic). I-uterine fibroids yeyona nto ibangela i-hysterectomy. Kuba ixesha lokuhlaziya lide kakhulu, ukusebenza kubonisiwe kuphelaukuba olunye unyango aluphumelelanga. Emva kwe-hysterectomy, umfazi uyeka ukuya esikhathini, akakwazi ukuba nabantwana, kwaye ke kunyangwa unyango kuye. Ububanzi obumiselweyo bokuhlala kwelinye ilizwe: 1 - 3 iivekiEmva kotyando, umfazi udinga iiveki ezininzi zokuvuselelwa ngaphambi kokuba ahambe. Ugqirha kufuneka aqiniseke ukuba imeko yesigulana izinzile, kwaye ukulungele ukuhamba.

Ukuxhaphaka kwesifoIsifo sokuwa, esichaphazela abantu abangaphezu kwezigidi ezingama-50 kwihlabathi liphela, sinika ingxelo yesabelo esikhulu kumthwalo wehlabathi wezifo. Kuqikelelwa ukuba umyinge wabemi bebonke abanendlela yokusebenza esebenzayo (oko kukuthi, ukubanjwa okuqhubekayo okanye imfuneko yonyango) ngexesha elinikiweyo lisusela kwi-4 ukuya kwi-10 kubantu abayi-1000. Nangona kunjalo, iziphumo zohlolisiso olwenziwe kumazwe aphantsi kunye nakwinqanaba eliphakathi libonisa ukuba lo mgangatho uphezulu kakhulu - ukusuka kwi-7 ukuya kwi-15 ngabantu abayi-1000.Kuqikelelwa ukuba kwilizwe jikelele, isifo sokuxhuzula kufunyaniswa minyaka leAbantu abazizigidi ezi-2,4. Kumazwe anengeniso ephezulu, inani lezinto ezintsha ezenzeka minyaka le ngezifo ziphakathi kwama-30 nama-50 nge-100,000. Kumazwe anengeniso ephantsi kunye nephakathi, eli nani linokuphinda kabini ukuphakama.Amaxabiso aphezulu kumazwe anengeniso ephantsi kunye naphakathi anokubakho kunxulunyaniswa nomngcipheko wokwanda kwezifo ezifana nesifo seengcongconi kunye ne-neurocysticercosis; ukunyuka kwamaxabiso ezithuthi ezindleleni; ukulimala kokuzalwa, kunye nolwahluko kwiziseko zonyango, ukubakho kweenkqubo zokuthintela kunye noncedo lwezonyango olufikelelekayo.nullnullnullnullamayeza, utyando lunokunceda.UthinteloIsifo sokuxhuzula (i-demiopathic epilepsy) asithinteleki. Nangona kunjalo, ngenxa yezizathu ezaziwayo zesifo sokuwa kwesibini, amanyathelo othintelo anokuthathwa.    Ukuthintela ukwenzakala entloko kuyeyona ndlela isebenzayo yokuthintela isifo sentloko.     Ukhathalelo olufanelekileyo lwengqondo lubanceda ukunciphisa imeko ye-epilepsy entsha ngenxa yokulimala kokuzalwa.     Ukusetyenziswa kweziyobisi kunye nezinye iindlela zokunciphisa ubushushu bomzimba kubantwana abanomkhuhlane kunokunciphisa ukubakho kokuthuthumbiswa.     Usulelo lwenkqubo ye-nerve ephakathi luyeyona nto ixhaphakileyo kuxhwalekile kwiindawo ezinobushushu aphomaninzi amazwe asakhulayo. Ukupheliswa kwezigulo eziphantsi kwezi meko kunye nomsebenzi wokufundisa ngokubhekisele kuthintelo losuleleko ziindlela ezifanelekileyo zokunciphisa umthwalo wesifo sokuwa emhlabeni wonke, umzekelo, isithuthwane ngenxa ye-neurocysticercosis.U-Allhospital angathanda ukucebisa uNjingalwazi Antonio Russi (Teklin Kiron Clinic, Barcelona), omnye wabalondolozi bezonyango abaseYurophu. NgokukaNjingalwazi Russi, kwizigulana ezingama-95 kwezili-100 ezikwaziyo ukusiphelisa isifo sokuwa emzimbeni emva koncedo olufanelekileyo.Shiya isicelo kwiwebhusayithi yethu kwaye iingcali zethu ziya kunxibelelana nawe kwaye zikuncede ukhethe ezona klinikhi zibalaseleyo ngokubhekisele kwimeko yakho yasimahla.

Into yokuqala ekufuneka beyazi abaguli kunye nawo wonke umntu obhinqileyo malunga nomhlaza wamabele (njengoko, eneneni, malunga naluphi na uhlobo lomhlaza): namhlanje esi ayisosigwebo, isigaba sangaphambi sesi sifo, ayanda amathuba wokoyisa umhlaza ngokupheleleyo. Kwaye kwizigaba ezilandelayo, kukho amathuba ngakumbi okulwa nesi sifo ngokubulela kweendlela zonyango zangoku (jonga ngezantsi).Ngubani osengozini? Umhlaza webele sisifo esingalunganga esibi esenzeka phantse kumfazi omnye kwabalishumi. Umhlaza wesifuba unokufunyaniswa nangaliphi na ixesha, kodwa emva kweminyaka engama-65 ubudala, umngciphekoUkwenziwa kwethumba kukuphindwe kasi-6 kunangaphambili. Abaphandi bafumanisa ezona zinto zibangela ukukhula kwesi sifo:1) Ukufumana inzala: ukuba izalamane, ngakumbi kwicala loomama, ziye zafunyaniswa ukuba zinomhlaza webele, izitho zangasese zabasetyhini, kunye nezinye izifo ze-oncological, ke umngcipheko wokukhula komhlaza webele unyuke;2) ukuqala kokuqala kokuya esikhathini (ukuya kuthi ga kwiminyaka eli-12) kunye nokuqala kade kokuyeka ukuya esikhathini (emva kweminyaka engama-55);I-3) ukungabikho komntwana, ukuzala kade emva kwexesha (emva kweminyaka engama-30), ukunqongophala kokuzala okanye ixesha elifutshane lokuncancisa, isifo sokudumba kwasemva kokubeletha;4) ubomi besondo ngokungaqhelekanga;5) ukulimala kwe-mammary gland;I-6) Ukuchongwa kwe-"dishormonali-mammary gland hyperplasia ”;7) ukukhuluphala;8) ukungasebenzi kwe-thyroid;9) Unyango olungena endaweni yehomoni.Iimpawu zomhlaza wamabele Kwinkqubo yezonyango, ithumba elikwi-gland ye-mammary kwiimeko ezininzi lifunyaniswa ngumfazi okanye iqabane, okwenzekileyo. Isimila sinokufunyanwa xa kubhalwa uviwo lwe-mammologist, ugqirha wezifo zengqondo, okanye ugqirha ofumaneke ngengozi ngexesha lovavanyo.Zeziphi iimpawu ekufuneka ulumkise:    Ukongeza kwimvakalelo kwimfundo ebeleni, umfazi unokujonga utshintsho kwi-nipple: ulceration, retraction, spoting from the nipple. Eli lithuba lokudibana nodokotela kwangoko!     kumanqanaba kamva uphawuukukhula kobuthathaka, ukonakala kwempilo, ukukhohlela, ukuphefumla okunzima, iintlungu zamathambo zinokwenzeka.Unyango lomhlaza webele Unyango lomhlaza webele lwenziwa ngamanqanaba aliqela kusetyenziswa iindlela ezahlukeneyo. Iindlela ezintathu eziphambili zisetyenziswa namhlanje:Unyango lwe-antitumor yamayeza.Kukho iindlela ezahlukeneyo zonyango olunje, ezizezi:* ichemotherapy: kule meko, iziyobisi ezijolise ekutshatyalalisweni kweeseli ze-tumor zisetyenzisiwe;* Unyango lwehomoni, oko kukuthi, ukusetyenziswa kweziyobisi ezixinzelela umsebenzi wehomoni wesisu kunye nomzimba;* Unyango olujolisiweyo luhambo olutsha, indlela apho amachiza “abukhali” kwiziphumo ekujolise kuzo kwiseli yesisu kwaye enze ngokungacacanga kwimpiloizicubu zomntu;* I-Immunotherapy lulwalona lwalathiso lutsha, abathi namhlanje kwiingqungquthela zamazwe amaninzi ze-oncologists babizwe yenye yeendlela eziphambili nezikhuthazayo zokulwa iintlobo ezahlukeneyo zomhlaza. Umxholo we-immunotherapy ukwinkqubo ekhethekileyo yeeseli zomzimba zokuzikhusela. Ngenxa yetekhnoloji yabo eyahlukileyo, bajika baba sisixhobo esinamandla esikwaziyo nokutshabalalisa ngokuchanekileyo iiseli zomhlaza.Ngokuxilongwa komhlaza wamabele, unyango lokuhlinzwa kunye nonyango lweradiation luyasetyenziswa.Shiya isicelo kwiwebhusayithi yethu kwaye iingcali zethu ziya kunxibelelana nawe kwaye zikuncede ukhethe ezona klinikhi zibalaseleyo ngokubhekisele kwimeko yakho yasimahla.

Yintoni ekufuneka uyazi malunga nenkqubo yokufaka intsholongwane ukuba uthatha isigqibo sokuyenza IVF?Kwizibini ezininzi, i-IVF kuphela kwendlela yokuba nomntwana olindelwe kade. Ngaba le nkqubo yeyiphi na, ikhuselekile, ukulungiselela i-IVF kuhamba njani kwaye iyakubiza malini?Inqobo yenkqubo ye-IVFIVF yinkqubo yokuchumisa ngaphandle komzimba: amaqanda kunye nesidoda asuswe emzimbeni, isichumiso senzeka elabhoratri. Emva koko amaqanda achumileyo abekwa kwi-incubator kwiintsuku ezingama-5-6 kwaye kwinkqubo yokuhlukana atyalwe esibelekweni.Iimpawu zeukuqeshwaIVF iboniswa kwiimeko ezininzi zokungachumi: •apha ngasentla, ihlala incediswa yiteknoloji yokuncedisa.I-ICSI -singeniso sokwaluka kwesidoda kwiqanda kusetyenziswa inaliti ebanzi kakhulu. Kuqhutywa ukuba •iimeko zaselebhu. Isetyenziselwa ukuba ukukhuthaza kungaphumeleli. Ukuthintela ukuvuselelwa kwehomoni.Uncedo oluxhonyiweyo yitekhnoloji eyenza ukuba kufakwe umbungu kwisibeleko. Umbungu ujikelezwe yigobolondo elincinci, elitshabalalisa ngaphambi kokufakwa.Ukulungiselela i-IVF, kuqhuba inkqubo kunye nokubeka iliso emva kwe-IVFUkulungiselela i-IVF kuthatha malunga neeveki ezi-2-3 kwaye kubandakanya iimvavanyo kubo bobabini abatshati. Inkqubo ye-IVF ihlala ibandakanya: •nullUkuba i-IVF ayinikezi isiphumo esifunekayo, abanye abantu abatshatayo baphendukela kwiinkonzo zoomama abasaqalayo.Kwamanye amazwe, ubugqwetha buthintelwe ngumthetho, kodwa kukho amazwe apho u-surrogacy afuneka khona kakhulu, umzekelo, eKazakhstan.Namhlanje eRussia, Kazakhstan nakwamanye amazwe e-CIS, kuyenzeka ukuba kwenziwe i-IVF yasimahla nangaluphi na uhlobo lokuzala.Shiya isicelo kwiwebhusayithi yethu kwaye iingcali zethu ziya kunxibelelana nawe kwaye zikuncede ukhethe ezona klinikhi zibalaseleyo ngokubhekisele kwimeko yakho yasimahla.