Laparoscopic myomectomy - mgbe na onye ọ ịrụ?

Laparoscopic Myomectomy - a ịwa ahụ rụrụ maka eriri akpa nwa myoma. Ọ na-agụnye mwepụ nke enweghị nchịkwa ọnụ site punctures ma ọ bụ mbepụ na abdominal mgbidi. Dị ka a na-achị, na-eji na nchọpụta nke nnukwu fibroids ma ọ bụ myomas omume nke oké nsogbu (na-agba ọbara, infertility).

uru nke azụmahịa

Otu n'ime ndị kasị mkpa uru nke laparoscopic (mgbanwe) myomectomy bụ ichebe akpanwa ya niile ọrụ, tinyere ịhụ nsọ. Ọzọkwa, a ịrịba uru nwere ike a na-akpọ a obere trauma ịwa ahụ na ngwa ngwa mgbake ugboro mgbe organism.

ọghọm arụmọrụ

Surgery wepụ fibroids nwere nanị ole na ole, ma ọ bụ nnọọ oké njọ drawbacks. Onye mbụ nwere ike na-akpọ a ize ndụ nke nlọghachite nke ọrịa n'ime afọ ole na ole mgbe ndị ọrụ. Ihe kpatara nke a bụ na-apụghị ime n'oge ịwa ahụ iji chọpụta ọnụnọ nke obere nodules, nke ga-emecha ntọt ke olu. The abụọ drawback - ọ bụ omume na mmebi n'akụkụ esịtidem akụkụ - eriri afọ, eriri afo na ureter.

Mgbe na onye bụ a mgbanwe myomectomy?

Ọtụtụ ndị dọkịta nye ndụmọdụ-amalite a ọrụ, naanị eto eto ndị inyom, bụ ndị na-eme atụmatụ a ime na-adịghị oge, fibroids mụbara ruo n'ókè nke na ọgwụ ọgwụgwọ adịghị enye chọrọ mmetụta. Ma ndị ladies na-adịghị ogologo chọrọ ka ha mụọ ụmụ, ga-abụ ihe ò kụziere ahụ n'ihi hysterectomy. N'ezie, fọrọ nke nta niile ikpe nke ọrịa karịrị 5 afọ nwere ike ịbụ a ọzọ.

Ọzọkwa, laparoscopic myomectomy họpụtara ikpe mgbe e nwere contraindications maka eriri akpa nwa akwara embolization - Tinye embolization nke ọgwụ na ọbara arịa nke a pụrụ iche catheter site femoral akwara mgbapu.

Laparoscopic Myomectomy: contraindications

• Enyo nke a ajọ akpụ.
• A ọnụ ọgụgụ buru ibu nke interstitial saịtị, wepụ na ichebe omumu ọrụ bụ ekwe omume.
• Ọnụnọ nke general contraindications na laparoscopy, nke nwere ike ịbụ a egwu egwu ka a nwaanyị ndụ.

Dị ka ọtụtụ ndị gynecologists, ibu oké ibu ọkwa 2 na 3, na ọnụnọ nke adhesions bụ a contraindication maka ọrụ.

Method laparoscopic myomectomy

Ihe kachasi mkpa a ịwa ahụ bụ a trocar puncturing ihu abdominal mgbidi na anọ ebe. Na otu mgbapu (otubo) na ẹkenam laparoscope na ndị ọzọ na atọ (afo) - ịwa manipulators. N'ihi na a ihe adaba ọrụ nke abdominal uji eze na ẹkenam carbon dioxide. Mgbe ahụ dissect nke ogwugwo ogwe-aka nke akpanwa, na miomnye ọnụ na-ewepụ, na a rụrụ site electrocautery iji kwụsị ọbara ọgbụgba. The elu, ebe ọnụ na-mmiri na saline na ụsụụ ndị agha ha na-ewepụ, dabere na ha size: site a mgbapu (na obere size), nke e ẹkenam ngwaọrụ, ma ọ bụ site na mmamiri dome ịkpụ (n'ihi na nnukwu size). Laparoscopic myomectomy rụrụ n'okpuru general ná Nkụnwụ. Na oge nke ọrụ n'agbata 60 na 180 nkeji. Nke a na ụdị ịwa ahụ dị yiri nnọọ iji wepụ a hainia afo (laparoscopic hainia mmezi), nke a na-eme site na puncturing na abdominal mkpa tube.