Kana chiremba akati, "Ndinofanira kubviswa chibereko changu," unganzwa kutya kukuru uye kunetseka. Mibvunzo yakaita sekuti 'Kuvhiyiwa kuchafamba sei?', 'Chii chichaitika kwandiri?', 'Hupenyu hwangu huchachinja sei mune ramangwana?' ingangove iri mupfungwa dzako. Izvozvo zvakajairika. Saka nhasi, ngatitaurei nezvekuvhiyiwa uku kwekubvisa chibereko, kureva kuvhiyiwa kwekubvisa chibereko, kuti tiwane mhinduro dzemibvunzo yese yauri kufunga nezvayo.
Zvichitaurwa zviri nyore, chii chinonzi hysterectomy?
Kubviswa kwechibereko (hysterectomy) inzira yekuvhiya inobvisa chibereko chako . Kazhinji, chibereko chinobviswa pamwe chete nechikamu chemuromo wechibereko. Zvichienderana nechikonzero chekuvhiyiwa, zvingangodiwawo kubvisa nhengo dzakatenderedza chibereko, dzakadai semachubhu efallopian nemazai.
Chinhu chinonyanya kukosha ndechekuti mushure mekuvhiyiwa uku, hauchazokwanisi kuva nevana. Uye kutenderera kwako kwemwedzi, kana kuti kuenda kumwedzi, kuchamirawo zvachose.
Ndeapi marudzi ekuvhiyiwa kwe hysterectomy aripo?
Chiremba wako achakutsanangurira rudzi rwekuvhiyiwa kwaunoda zvichienderana nemamiriro ako ehutano. Izvi zvichaona kana maovari nemachubhu efallopian achabviswa pamwe chete nechibereko. Ngatitarisei mhando huru.
| Rudzi rwekuvhiyiwa | Zvinhu zvekubvisa uye mhedzisiro yacho |
|---|---|
| Kubviswa kweHysterectomy Yese | Chibereko nemuromo wechibereko zvinobviswa, asi maovari anosara mukati. Nekuti maovari anosara mukati, haungoerekana wasvika pakuguma kuenda kumwedzi. |
| Kuvhiyiwa kweSupracervical Hysterectomy | Chikamu chepamusoro chechibereko chete ndicho chinobviswa, zvichisiya chibereko chasara chisina kukuvadzwa. Nekuti chibereko chasara chisina kukuvadzwa, uchafanirwa kuramba uchiongororwa Pap smears. |
| Kubviswa kweHysterectomy yese neBilateral Salpingo-oophorectomy | Chibereko, muromo wechibereko, machubhu efallopian (salpingectomy), uye maovari (oophorectomy) zvese zvinobviswa. Nekuti maovari anobviswa, uchatanga kuenda kumwedzi mushure mekuvhiyiwa. |
| Kubviswa kweHysterectomy kwakanyanya | Pamusoro pezvose zvataurwa pamusoro apa, chikamu chepamusoro chechikadzi nenyama yakapoteredza uye ma lymph nodes zvinobviswawo. Nzira iyi inonyanya kushandiswa kana paine kenza. Pano zvakare, ma ovaries anobviswa, zvichikonzera kuenda kumwedzi nekukurumidza. |
Sei kubviswa kwechizvaro chechibereko kuchidikanwa?
Vanachiremba vanowanzokurudzira kubviswa kwechibereko senzira yekupedzisira. Kuvhiyiwa uku kunongoitwa chete kana mamwe marapirwo akundikana. Mune zvimwe zviitiko, ingangove ndiyo mhinduro chete.
Heano mamwe ezvikonzero zvikuru zvekuvhiyiwa kwechibereko:
- Kubuda ropa kusingadzivisiki, kusina kujairika, kana kuti kwakawandisa kubva muchibereko .
- Kurwadziwa kwakanyanya muchiuno kusingatsungiririki.
- Mabundu asiri ekenza anobuda muchibereko, kunyanya (uterine fibroids) .
- Endometriosis chirwere chakakomba zvikuru.
- Kudonha kwechibereko : Izvi zvinogona kukonzera kusazvidzora.
- Kenza dzemuchibereko, mazamu, kana chibereko.
- Zvirwere zvemukati mechibereko, semuenzaniso (Hyperplasia) kana (Adenomyosis) .
- Matambudziko akakomba panguva yekusununguka, akadai sekuputika kwechibereko.
Ndedzipi nzira dzekuvhiya?
Zvichienderana nerudzi rwekubvisa chibereko chaunoda, chiremba wako achasarudza nzira yekuvhiya yakakodzera. Tichazivawo nezvenzira idzodzo.
| Nzira yekuvhiya | Tsananguro nenguva yekupora |
|---|---|
| Kubviswa kweHysterectomy yeVaginal | Kuchekwa kudiki kunogadzirwa pamusoro pemukadzi uye chibereko chinobviswa nepariri. Hapana kuchekwa mudumbu. Kunoshandiswa mastichi anonyungudika. Iyi ndiyo nzira ine matambudziko mashoma uye inopora nekukurumidza (anenge mavhiki mana). Kazhinji, unogona kuenda kumba zuva rimwe chete. |
| Kuvhiyiwa kweLaparoscopic Kuvhiyiwa kweVaginal Hysterectomy | Chubhu diki ine kamera (laparoscope) inopinzwa nepaburi remukadzi kuti ione zvakanaka nhengo dzakapoteredza. Chibereko chinobviswa nepaburi remukadzi. Izvi hazvidiwo kucheka dumbu. Kupora kunokurumidza. |
| Kuvhiyiwa kweLaparoscopic Abdominal Hysterectomy | Kuchekwa kudiki kunoitirwa pedyo nemuromo wechibereko uye laparoscope inopinzwa nayo. Zvishandiso zvekuvhiya zvinopinzwa kuburikidza nemamwe machekwa madiki akati wandei uye chibereko chinochekwa kuita zvidimbu zvidiki uye chinobviswa kuburikidza nemachekwa emudumbu kana nhengo yemukadzi. Unogona kuenda kumba mushure mezuva rimwe kana maviri. Marwadzo acho madiki uye kupora kunokurumidza. |
| Kuvhiyiwa kweLaparoscopic Hysterectomy neRobotic-assisted | Zvakafanana nenzira iri pamusoro apa, asi chiremba anovhiya anotonga kuvhiya uku achibatsirwa nerobhoti. Nguva yekupora yakafanana nekuvhiya kwe laparoscopic. |
| Kubviswa kweHyster mudumbu | Chibereko chinobviswa kuburikidza nekucheka dumbu kwemasendimita 1.5-1.5. Maitiro aya anowanzo shandiswa kana paine kenza, kana chibereko chacho chakakura zvikuru, kana chirwere chacho chapararira kune dzimwe nzvimbo. Uchafanira kugara muchipatara kwemazuva mashoma, uye zvinotora nguva yakareba (inenge mavhiki matanhatu) kuti upore. |
Chii chaungatarisira mushure mekuvhiyiwa?
Nguva yekupora uye zvirambidzo
Nguva yekupora inosiyana zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa. Kazhinji zvinotora pakati pemavhiki mana kusvika matanhatu. Munguva iyi, uchafanira kutevedzera zvimwe zvirambidzo.
- Kusimudza zvinhu zvinorema: Usasimudza zvinhu zvinorema kupfuura makirogiramu 4.5 (mapaundi gumi) kwemavhiki mana kusvika matanhatu.
- Kurara Nevanhu: Dzivisa kusangana pabonde kwemavhiki matanhatu mushure mekuvhiyiwa.
- Zvimwe zvinhu:Dzivisa kushandisa matamponi, kushambira mumadziva, kana mugungwa kwemavhiki mana kusvika matanhatu.
- Kutyaira: Kana wakavhiyiwa dumbu rako, usatyaira kwemavhiki maviri. Unogona kutyaira kwemazuva mashoma mushure mekuvhiyiwa kwe laparoscopic. Zvisinei, kana uri kutora mishonga inoderedza marwadzo, usatyaira kusvika warega kuishandisa.
- Kudzokera kubasa: Zvichienderana nerudzi rwebasa rako, unogona kudzokera kubasa mukati memavhiki maviri kusvika matanhatu. Taura nachiremba wako nezvenyaya iyi.
Kuchinja kwemuviri nepfungwa
Zvakajairika kunzwa shanduko mumuviri wako nepfungwa mushure mekuvhiyiwa.
- Mumuviri: Kutevera kwako kuchamira zvachose. Unganzwa kurwadziwa, kusanzwa kunzwa, kana kuvaviwa munzvimbo dzakachekwa kwemavhiki mashoma. Izvi zvichadzikira zvishoma nezvishoma. Kana mazai ako akabviswa, unogona kuona zviratidzo zvekuenda kumwedzi (semuenzaniso, kupisa, kuoma kwechikadzi, kushaya hope). Taura nachiremba wako nezveizvi, sezvo paine mishonga iripo.
- Manzwiro Epfungwa: Vamwe vanhu vanogona kunzwa kusuruvara, kusurukirwa, kana kuti sekunge varasikirwa nechimwe chinhu mushure mekuvhiyiwa uku. Vamwe vanogona kunzwa zororo guru kubva pakurwadziwa kusingaperi kana kubuda ropa rakawandisa. Kana uchinetseka nezvemamiriro ako epfungwa, taura nachiremba wako, mhuri, kana shamwari yaunovimba nayo nezvazvo.
Unofanira kutaura nachiremba rini?
Kana ukaona chimwe chezviratidzo izvi uri kumba mushure mekuvhiyiwa, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kubuda ropa kutsvuku-tsvuku kupenya kwechikadzi .
- Fivha inodarika 38 degrees Celsius (100.4 Fahrenheit).
- Kusvotwa zvakanyanya kana kurutsa.
- Kuomerwa nekuita weti, hutachiona hwemudumbu, kana kuita weti kakawanda.
- Kutsvuka, kuzvimba kwakanyanya , kana kuti mvura yakaita semapundu iri kubuda paburi.
- Marwadzo anowedzera zvishoma nezvishoma pane kudzikira.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwechibereko (hysterectomy) kuvhiyiwa kukuru kunowanzoitwa nevanhu vakawanda. Usatya zvisina kufanira.
- Rudzi rwekuvhiyiwa kwaunoda uye kuti kunoitwa sei zvinoenderana nemamiriro ako ezvinhu.
- Zvinotora nguva kuti munhu apore zvizere mushure mekuvhiyiwa. Zvakakosha kutevedzera mirairo yachiremba nemazvo.
- Hutano hwepfungwa hwakakosha sehutano hwemuviri. Taura nemumwe munhu waunovimba naye nezvezviri mupfungwa dzako.
- Taura pachena nachiremba wako nezvemibvunzo kana zvinokunetsa, usati wavhiyiwa uye mushure mekuvhiyiwa.
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