Curettage la chiberekero chifukwa cha mimba.

Kuchipala ndi uterine M'mimbamo ikuchitika kwa akazi amene akufuna kapena kuchotsa mimba zapathengo ndipo ngakhale akufuna. Mimba kungakhale yokumba kapena mowiriza (ie, pamene, pambuyo mimbayo mowiriza - .. mimba - akazi kuchipala kuti kuchotsa mbali zotsala za chiberekero ndi latuluka linagwira). Komanso, ayenera kuti kuchipala wapemphedwa kuti akazi zochizira matenda monga fibroids, zotupa (khansa ndi mtima wabwino hyperplasia wa endometrium, ndi zina zotero. Komanso njira kuigwiritsa ntchito pa matenda. Chidwi kuti mutapatsidwa zotsatira amene akanatha kumabwera chifukwa njirayi.

Pali mitundu ingapo ya mimba: ndi dokotala opaleshoni. Amapanga ogaŵikana kuchotsa oyambirira mimba (nthawi ayenera kuti milungu 11), ndipo m'malo mochedwa (pamene nthawi ya masabata oposa 11). Opaleshoni mimba zimapangidwa ndi ndondomeko amatchedwa curettage ndi zipatso. Ngakhale kuti m'zaka za m'ma 21, ndondomeko ikuchitika pafupifupi mwachimbulimbuli. zochita azamba kuti kukhudza, kotero bwino ntchito ndi pakalibe mavuto mwachindunji zokhudzana ndi dokotala wodziwa. Monga ulamuliro, zotsatira curettage kungakhale sizimadziwika kwambiri, zikubweretsa zochitika sizingasinthe.

Pambuyo kuchipala ndi uterine M'mimbamo imagwiridwa, mkazi   Nthawi zambiri kukhala matenda aakulu mu dera kugonana. zochitika zimenezi zikuchitika chifukwa cha matenda amene angayambe chifukwa thrombosis mitsempha ya m'chiberekero, m'chiuno peritonitis, metritis, parmetrit, metroendometritis ndi salpingo. Izi si ndandanda ya mawonetseredwe pathological. Komabe nthawi zambiri mavuto kugwirizana ndi mbali mochedwa wa linagwira ndi, akusokoneza msambo, ndipo angagwe kulephera khomo lachiberekero.

Ngakhale mavuto monga perforation la chiberekero n'zochepa kwambiri Komabe, akuluakulu uterine ziwiya akhoza kukhala ndi mavuto pa chitukuko, ndi chikhodzodzo ndi matumbo. Pambuyo mimba kumachitika ndipo kenako mavuto amene amagwirizana ndi kusinthika kwa endometrium (kumene wosweka woyambira wosanjikiza ndi akulu wosanjikiza chiberekero lokha). Komanso, ndondomeko tidzapeze yimitsira wa ntchito yamchiberekero n'kuyamba kukhala adhesions m'dera la Os mkati mwa ngalande khomo lachiberekero. Zonsezi zikuchitika chifukwa cha amphamvu zoopsa choipa zimene zinachitika pa curettage.

Pamene mimba, amene anachita mu trimester mimba, kuyambira kusintha pathological wa mantha dongosolo autonomic. Zimenezi zimabweretsa zosiyanasiyana zotsatira, ndipo, nthawi zambiri, angathe ziwiya dystonia. Pankhaniyi, mkazi kumawonjezera kutopa, kupweteka msambo kumachitika, zina kudumpha kuthamanga, iwo amayamba kumva kusapeza mu mtima, mukhoza kuyamba kukhazikitsa matenda pa mundawo m'mimba ndi kuyan'anila ena mu ntchito ya chamoyo wonse.

Nthawi zambiri mkazi ndondomeko curettage akhoza kuonjezera excitability ya ubongo, makamaka choncho kumene ndondomeko zachitika popanda mankhwala ochititsa. Kenako, zinthu zimenezi zikhoza psychopathy ndi zina obsessive-zinazake matenda. Komabe, zotsatira zake zopanda ambiri kuchotsa mimba ndi kulephera kupeza woyembekezera. Ichi ndi chifukwa n'zotheka mimba tsogolo ectopic, pangakhale musanaganizire mimba ndipo kenako padera kobwereza.

mimba ambiri ngozi kwa atsikana. Ndi mavuto a njirayi, iwo amaoneka owala kuposa akazi nulliparous.

Pambuyo kuchotsa mimba atsikana kuyamba okhazikika kulephera kupita kumwezi. Ngati akazi onse akubereka angachire mu miyezi 2-3 pambuyo kuchotsa mimba, atsikanawo ndi mavuto, yomwe INGATHE kuyambitsa padera. Pakhoza kubwera osabereka Tubala ndi zipolowe pambuyo khomo lachiberekero expander Gegara amapezeka kuvulala m'kamwa mwa Ukalawu ndipo tsono kukulitsa mtima kufafaniza thupi ndi khomo pachibelekeropo. Ena amakhulupirira ndondomeko chiberekero chtoaspiratsiya zochepa olanda, koma izo siziri.

Izi si mndandanda wa zotsatira zomwe zingabuke pambuyo kuchotsa mimba. Komanso, zimachitika kuti njirayi zosasangalatsa akuphwanya lamulo la ntchito yamchiberekero-kusamba, chifukwa kuthamanga kwambiri ndi maselo onse dziphunzitsiranso wa paraventricular phata la ubongo imene imalamulira kutentha kwa. Komabe, iwo ali mu mkhalidwe okondwa, ndipo pa nthawi yomweyo, pituitary gonadotrophin kaphatikizidwe ndi nakweza mawu ake, imbaenda kusintha zinchito, omwe kawirikawiri sizingasinthe. Choncho, tikuona kuti mimba kuvulaza kwambiri thupi lonse, akazi ndi ena mwa iwo pambuyo mimba nawo moyo zosiyanasiyana matenda.