St Nicholas Center for Surgery

Buyekeza:I-Hysterectomy kuwukususa isibeletho. Nge-hysterectomy, kuphela isibeletho esisuswa, noma futhi isibeletho, ama-ovari namashubhu we-fallopian. I-hysterectomy ingenziwa ngokusebenzisa isisu sesibeletho (isisu se-hysterectomy) noma ngokusebenzisa isitho sangasese sowesifazane sangasese sowesifazane. I-hysterectomy ingenziwa njengokuhlinzwa okuvulekile noma ukuhlinzwa kwe-laparoscopic (ukuhlinzwa kwe-arthroscopic). Ama-fibter we-uterine ayimbangela evame kakhulu ye-hysterectomy. Njengoba isikhathi sokuvuselela isikhathi eside kakhulu, ukusebenza kukhonjiswa kuphela ngaphakathiuma ezinye izindlela zokwelapha zingaphumelelanga. Ngemuva kwe-hysterectomy, owesifazane uyeka ukuya esikhathini, akakwazi ukuba nezingane, futhi kunqunywe ukwelashwa kwe-hormonal therapy. Isilinganiso sobude bokuhlala phesheya: 1 - 3 amasontoNgemuva kokuhlinzwa, owesimame udinga amaviki ambalwa wokuvuselelwa ngaphambi kokuhamba. Udokotela kufanele aqiniseke ukuthi isimo sesiguli sesizinzile, futhi ukulungele ukuhamba.

Ukutheleleka kwezifoIsithuthwane, esithinta abantu abangaphezu kwezigidi ezingama-50 emhlabeni jikelele, sibanga ingxenye enkulu yomthwalo wezifo emhlabeni jikelele. Kulinganiselwa ukuthi ingxenye yesamba senani lonke elinefomu elisebenzayo lokuxhuzula (okungukuthi, ngokubanjwa okuqhubekayo noma isidingo sokwelashwa) ngesikhathi esinikezwe sisuka kwabangu-4 kuye kwabali-10 kubantu abayi-1000. Kodwa-ke, imiphumela yolunye ucwaningo emazweni anengeniso ephansi nephakathi iphakamisa ukuthi le ngxenye iphakeme kakhulu - ukusuka kwabayi-7 kuye kwabali-15 kubantu abayi-1000.Kulinganiselwa ukuthi emhlabeni wonke, isithuthwane sitholakala minyaka yonke ngaphakathiAbantu abayizigidi eziyi-2,4. Emazweni angenayo imali ephezulu, inani lamacala amasha alezi zifo asezingeni eliphakeme labantu liphakathi kwamashumi amathathu kuya kwangama-50 kwabangu-100,000. Emazweni ahola kancane futhi aphakathi nendawo, leli nani lingaphakama kabili.Izinga eliphakeme emazweni anengeniso ephansi naphakathi nendawo kungenzeka ukuthi ahlotshaniswe nengozi eyandayo yezifo ezibangelwa umalaleveva ezifana nomalaleveva kanye ne-neurocysticercosis; ukukhuphuka kwamanani okulimala kwabantu omgwaqo; ukulimala kokubeletha, kanye nokwehluka kwengqalasizinda yezokwelapha, ukutholakala kwezinhlelo zokuvimbela nokunakekelwa kwezempilo okungabizi.nullnullnullnullumuthi, ukuhlinzwa kungasiza.UkuvimbelaIsithuthwane se-Idiopathic asivikeleki. Kodwa-ke, ngezimbangela ezaziwayo zesifo sokuwa kwesibili, izindlela zokuthibela zingathathwa.    Ukuvimbela ukulimala kwekhanda kuyindlela ephumelela kunazo zonke yokuvimbela ukwanda kwesixakaxaka.     Ukunakekelwa okuphelele kwengqondo kusiza ukunciphisa izehlakalo zesifo sokuwa okuncane ngenxa yokulimala kokubeletha.     Ukusetshenziswa kwezidakamizwa nezinye izindlela ukwehlisa izinga lokushisa lomzimba ezinganeni ezinomkhuhlane kunganciphisa amathuba okubanjwa kobunzima.     Ukutheleleka kohlelo lwezinzwa oluyimbangela kuyimbangela evamile yesifo sokuwa ezindaweni ezishisayo laphokunamazwe amaningi athuthukayo. Ukuqedwa kwamagciwane ngaphansi kwalezi zimo nomsebenzi wokufundisa maqondana nokuvimbela ukutheleleka kuyizindlela ezisebenzayo zokunciphisa umthwalo wesifo sokuwa emhlabeni wonke, ngokwesibonelo, isithuthwane ngenxa ye-neurocysticercosis.U-Allhospital angathanda ukuncoma uSolwazi Antonio Russi (Teknon Kiron Clinic, Barcelona), ongomunye wabaholi abaphambili bezokwelapha baseYurophu. NgokukaProfessor Russi, iziguli ezingama-95 kwezingu-100 zikwazi ukuqeda ngokuphelele lesi sifo sokuwa ngemuva kokuthola ukwelashwa okufanele.Shiya isicelo kuwebhusayithi yethu futhi ongoti bethu bazokuthinta bakusize ukhethe umtholampilo ohamba phambili ngokuhambisana necala lakho mahhala.

Into yokuqala iziguli nawo wonke umuntu wesifazane okudingeka ayazi ngomdlavuza webele (njengoba, ngempela, noma uluphi uhlobo lomdlavuza): namuhla lesi akusona isigwebo, isigaba sangaphambi kwesifo, amathuba aphezulu wokuhlula umdlavuza ngokuphelele. Futhi ezigabeni zakamuva, kunamathuba amaningi futhi amaningi okulwa ngempumelelo nesifo sibonga ukuqala kwezindlela zanamuhla zokuguqula izindlela zokwelapha (bheka ngezansi).Ubani osengozini? Umdlavuza webele yi-neoplasm ebabayo eyenzeka cishe koyedwa kwabesifazane abayishumi. Umdlavuza webele ungatholakala kunoma yimuphi ubudala, kepha ngemuva kweminyaka engama-65 yobudala, ubungoziUkwakheka kwesimila kukhuphuke amahlandla ayi-6 kunangaphambilini. Abaphenyi bakhomba izimbangela ezilandelayo zokukhula kwalesi sifo:1) ifa elisindayo: uma izihlobo, ikakhulukazi ohlangothini lukamama, zitholakale zinomdlavuza webele, izitho zangasese zowesifazane, nezinye izifo ze-oncological, khona-ke ingozi yokuthola umdlavuza webele iyanda;2) ukuqala kokuqala kokuya esikhathini (kuze kube yiminyaka eyi-12) kanye nokuqala kwesikhathi kokuya esikhathini (ngemuva kweminyaka engama-55);I-3) ukungazali inzalo, ukuzalwa kokufika sekwedlule isikhathi (ngemuva kweminyaka engama-30), ukuntuleka kokuqunjelwa yisisu noma isikhathi esifushane sokuncelisa ibele, i-postitis ye-mastitis;4) impilo yobulili engajwayelekile;5) ukulimala kwe-gland ye-mammary;6) ukuxilongwa kwe "dishormonalmammary gland hyperplasia ”;7) ukukhuluphala;8) ukungasebenzi kwegilo;9) ukwelashwa esikhundleni se-hormone.Izimpawu zomdlavuza webele Kwezokwelapha, isimila esiswini sezilwane ezincelisayo ezimweni eziningi sitholwa ngowesifazane noma oshade naye, okwenzeka futhi. Isimila singatholakala lapho kuhlolwa udokotela wezifo ezincelisayo, udokotela wezifo zamehlo, udokotela ohlinzayo, noma ukutholakala ngengozi ngesikhathi sokuhlolwa kwesibalo.Yiziphi izimpawu okufanele ziqwashise:    ngaphezu kokuzizwa ngemfundo ebeleni, owesifazane angabona izinguquko ezingalweni: ulceration, retraction, ubona kusukela ingono. Lesi yisikhathi sokubonana nodokotela ngokushesha!     ezigabeni zakamuva umakiubuthakathaka obukhulayo, ukuwohloka kwempilo, ukukhwehlela, ukuphefumula kanzima, ubuhlungu bethambo kungenzeka.Ukwelashwa Komdlavuza Webele Ukwelashwa umdlavuza webele kwenziwa ngezigaba eziningana kusetshenziswa izindlela ezahlukahlukene. Izindlela ezintathu eziphambili zisetshenziswa namuhla:Umuthi wokwelapha antitumor.Kunezinhlobo eziningi zokwelapha okunjalo, okungukuthi:* i-chemotherapy: kulokhu, izidakamizwa ezihlose ekubhujisweni kwamaseli e-tumor ziyasetshenziswa;* Ukwelashwa kwama-hormone, okungukuthi, ukusetshenziswa kwezidakamizwa ezicindezela ukusebenza kwe-hormonal kwesimila kanye nomzimba;* Ukwelapha okuqondisiwe kuyinkomba entsha, indlela lapho izidakamizwa “zibukhali” ngomphumela oqondiwe kumaseli we-tumor futhi kakhulu kuthinta abaphilileizicubu zomuntu;* I-Immunotherapy iyinkomba entsha kakhulu, namuhla ezinhlanganweni zamazwe omhlaba ze-oncologists ibizwa ngokuthi enye yezindlela eziphambili kakhulu nezikhuthazayo zokulwa nezinhlobo ezahlukene zomdlavuza. Umongo we-immunotherapy usezinhlelweni ezikhethekile zamaseli omzimba eziguli. Ngenxa yobuchwepheshe babo obuhlukile, baphenduka isikhali esinamandla esingabona futhi sibhubhise ngokunembile amaseli womdlavuza.Ngokuxilongwa komdlavuza webele, ukwelashwa okuhlinzwa nokwelashwa ngemisebe nakho kuyasetshenziswa.Shiya isicelo kuwebhusayithi yethu futhi ongoti bethu bazokuthinta bakusize ukhethe umtholampilo ohamba phambili ngokuhambisana necala lakho mahhala.

Yini okudingeka uyazi mayelana nenqubo yokutshelwa kokufakelwa Uma unquma ukwenza i-IVF?Emibhangqwaneni eminingi, i-IVF ukuphela kwendlela yokuba nengane elindelwe isikhathi eside. Uhlobo luni lwenqubo lolu, luphephile, kuhamba kanjani ukulungiselela i-IVF futhi kuzobiza malini?Umnyombo wenqubo ye-IVFIVF inqubo yokufaka umquba ngaphandle komzimba: amaqanda nesidoda asuswe emzimbeni, ukuvundiswa kwenzeka elabhoratri. Ngemuva kwalokho amaqanda avundisiwe afakwa ku-incubator izinsuku ezingama-5-6 futhi lapho kuhlukaniswa khona atshalwe esibelethweni.Izinkomba zeukuqokwaIVF kuboniswa ezimweni eziningi zokungazali: •ngaphezulu, kuvame ukuhambisana nobuchwepheshe bokulekelela.I-ICSI - ukwethulwa kwesidoda okwenziwa ngeqanda kusetshenziswa inaliti elincanyana kakhulu. Kwenziwe uma •izimo zaselebhu. Kuyasetshenziswa uma ukukhuthaza kwehluleka. Kugwema ukukhuthaza kwe-hormonal.Ukusikeka okusizayo kuwubuchwepheshe obunikeza amandla ukufakwa kombungu esibelethweni. Umbungu uzungezwe yigobolondo elincanyana, elichithwa ngaphambi kokufakwa.Ukulungiselela i-IVF, ukwenza inqubo nokubheka emva kwe-IVFUkulungiselela i-IVF kuthatha cishe amasonto ama-2-3 futhi kufaka nokuhlolwa kwabo bobabili abashadayo. Uhlelo lwe-IVF luvame ukufaka: •nullUma i-IVF inganikeli ngomphumela oyifunayo, eminye imibhangqwana iphendukela ezinsizakalweni zoomama ababa ngama-surrogate.Kwamanye amazwe, umthetho we-surrogacy wenqatshelwe ngumthetho, kepha kunamazwe lapho i-surrogacy idingeka khona kakhulu, ngokwesibonelo, eKazakhstan.Namuhla eRussia, Kazakhstan nakwamanye amazwe e-CIS, kungenzeka ukwenza i-IVF mahhala cishe nganoma yiluphi uhlobo lokuzala.Shiya isicelo kuwebhusayithi yethu futhi ongoti bethu bazokuthinta bakusize ukhethe umtholampilo ohamba phambili ngokuhambisana necala lakho mahhala.