The msoko pa khomo pachibelekeropo pa mimba: zizindikiro, zosokonezeka zotheka ndi zotsatira

Mimba - yofunika ndi yofunika nthawi mu moyo wa mkazi aliyense. Mwatsoka, pa nthawi iyi ya matenda - si zachilendo. Ndipo nthawi zina, dokotala anu akuonetsa kuti wodwalayo ndondomeko yapadera, imene msoko umagwiritsidwa ntchito. Pa khomo pachibelekeropo pa seams mimba zofunika pofuna kupewa padera kapena msanga kubadwa.

Komano, opaleshoni pa kubala mantha akazi. Popeza njirayi akapatsidwa imene milandu? ndi mavuto kumatanthauza chiyani? Kodi njira ya opaleshoni ndi mmene nyengo konzanso? Mayankho a mafunso amenewa ndi chidwi odwala ambiri.

suture pa khomo pachibelekeropo pa mimba: chifukwa kuli kofunika?

Chiberekero - chiwalo chofunika cha ziwalo zoberekera. Ndi apa kuti implantation wa dzira ndi pofuna kukwaniritsa Ndisanaumbidwe lapansi. Mwachibadwa, pa khomo pachibelekeropo la chiberekero mkazi pang'onopang'ono wayamba kumuchitikira, kuyambira ndi sabata 36. Koma odwala ena kutsegula kumachitika panthawi oyambirira.

Ndi zinadzala ndi zotsatira zowawa kwambiri kwa mwanayo, chifukwa kukula matupi akhoza kukhala yotheka. Padera kapena msanga kubadwa - ndi zotsatira zake kuti akhoza kukumana ndi mayi woyembekezera. Ndi zinthu izi, ndipo madokotala mankhwala suturing pa khomo pachibelekeropo pa mimba - ngati ndondomeko akhoza kupulumutsa moyo wa mwanayo.

The zikuonetsa chachikulu ndondomeko

Kumene, pali zochitika kumene seams pa khosi la chiberekero pa mimba ndi zofunika kwambiri. Zikuonetsa kuti njira zotsatirazi:

• Khomo lachiberekero kulephera - kudwala amene anatsagana ndi inalipo kapena kufupikitsa wa khomo pachibelekeropo ngalande khomo lachiberekero. A chodabwitsa ofanana akufotokozera mu chiberekero zopindika anatomical, womwe zikhoza kugwirizana ndi zolephera makina, poyamba asamuka matenda yotupa, khansa ndi zina zotero D..
• disruptions m'thupi, chifukwa kuti mahomoni kulamulira dziko la mpanda limba ubereki. Kusintha kuchuluka kwa mahomoni ena mwa magazi kungayambitse zosangalatsa kapena chidule minofu chiberekero, kutsegula oyambirira a khomo pachibelekeropo.
• Ngati wodwalayo mbiri zokhudza padera yapita anabadwa msanga, dokotala mwina kwambiri kuyan'ana ukupeza wodwalayo ndi mankhwala opaleshoni ngati n'koyenera.

The msoko pa khomo pachibelekeropo pa mimba samalani chitukuko yachibadwa mwanayo. Komabe, chabe azamba luso kudzisankhira pa ndondomeko.

wathuwu amafuna suturing?

suture pa khomo pachibelekeropo pa mimba - ndondomeko si zovuta. Komabe, dokotala anu angasankhe kugwira opaleshoni pokhapokha kudutsa nkhani zonse zofunikira ndi mayesero.

Kuyambira sabata la 12 la mimba, akazi anatumiza ultrasound bwinobwino imene katswiri kungatithandize kudziwa Kuwulura oyambirira a chiberekero. Kutsimikiza matenda a ultrasound Mungathe kubwereza. Mwachibadwa, monga kale ntchito ina iliyonse, m'pofunika kutenga magazi ndi mkodzo mayesero kukayendera kuchuluka kwa timadzi mu mwazi wa amayi apakati ndi kuchita ndi mayesero ena. Kutatsala tsiku opaleshoni ya imagwiridwa ukazi.

Features opaleshoni

N'zoona kuti chidwi wodwalayo kuti mukudziwa momwe izo zimachitika alowererepo pa opaleshoni. Ndipotu, si chotero njira zosavuta, ndipo zimatha mphindi kuposa 15-20. Suturing imagwiridwa pogonekedwa ndi mankhwala ambiri. Pofuna kulimbikitsa chiberekero, kawirikawiri ntchito amphamvu nayiloni ulusi.

adokotala akhoza kuika msoko m'mphepete kunja kapena mkati mwa pakamwa. Access kuti zimakhala ndi akatswiri ikuchitika mwa nyini, koma zina laparoscopic ndondomeko (kudzera punctures yaing'ono khoma m'mimba). Chiwerengero cha stitches zimadalira nthawi yochuluka bwanji kutsegula khomo pachibelekeropo.

Pamene stitches kuchotsedwa?

Kale woyikidwa sutures pa khomo pachibelekeropo pa mimba amathandiza zipatso m'mimba mayi. Monga ulamuliro, iwo anachotsa sabata 37. Mwachibadwa, pamaso mkazi amaloŵamo kuona ndi ultrasound, imene n'zotheka kudziwa mwana mokwanira anayamba abadwe.

Kuchotsa zinthu suture imagwiridwa popanda mankhwala oletsa ululu - njirayi mwina si kwambiri zosangalatsa, koma sabweretsa chisoni ndi kusala. makontena zambiri zimachitika tsiku lomwelo. Koma ngakhale ngati palibe kulimbana, mkazi ayenera kuchipatala.

Akuti zina (osowa), suture wa khomo pachibelekeropo woyembekezera, tsoka, sangalepheretse oyambirira ndondomeko kubadwa. Ndiye sutures ndi kuchotsedwa pa maziko mwadzidzidzi. Ngati mulibe kugwira ndondomeko Patapita nthawi, sutures akhoza sichikupindulitsani kwambiri pharynx, ndi kusokoneza pobereka ndi kudzetsa mavuto a m'tsogolo (ngati mkazi akufuna mwana wina).

Nthawi postoperative: malamulo ndi njira

The sutures pa khomo pachibelekeropo pa mimba kupereka mwana yachibadwa chitukuko yoopsa. Komabe, kupambana ndondomeko zimadalira mmene nyengo konzanso. Woyamba masiku 3-7 pambuyo opaleshoni mkazi amathera mu chipatala, kuyang'aniridwa zonse madokotala. Iye Kwalamulidwa okhwima bedi zina, phwando wothandizila antibacterial (monga kupewa kutupa) ndi spasmolytics (kuteteza makoma uterine). Komanso, kuchapa zonse ikuchitika sutures ndi njira antiseptic.

Mu masiku oyambirira angapo, wodwala akumva kupweteka kwa ulesi pamimba. Mwina maonekedwe a kumaliseche ukazi mu mawonekedwe a ichor, wothira mwazi. zochitika zofanana amaonedwa zachilendo ndipo ali okha. Pang'onopang'ono, mayiyo anabwerera ku moyo wabwinobwino.

Pali ena amafuna kuti ayenera kutsatira kuti mapeto a mimba. Makamaka, mayi woyembekezera sangathe zolemera, ntchito yamanja, chogwira ntchito mopitirira muyeso (thupi lathu kapena maganizo). Contraindicated ndi moyo kugonana. Nkofunika kuti amai ndi ana ndi yosangalala ndi wathanzi tulo. kudya zakudya zopatsa nthanzi zabwino bwanji thanzi la (kupewa kudzimbidwa) ndipo amayenda mu mpweya wabwino.

The msoko pa khomo pachibelekeropo pa mimba: zosokonezeka

Mofanana ndi opaleshoni iliyonse, suturing nkhani pangozi ena. Ndondomeko zingachititse ena mavuto, monga kutupa. kudwala zingakuthandizeni zimayambitsa osiyana - zina tizilombo toyambitsa matenda kulowa mu minofu pa ndondomeko, nthawi zina ngakhale pa konzanso lapansi. Komanso nkutheka chitukuko cha matupi awo sagwirizana yotupa anachita pokhudzana ndi zimakhala suture. mavuto amenewa nthawi zambiri limodzi ndi maonekedwe a kumaliseche atypical ukazi, kupweteka m'munsi m'mimba, malungo.

The chiberekero pambuyo suturing pa mimba angakhale hyperactive. Chifukwa Hyper akazi zinachitikira kukoka, cramping ululu pamimba m'munsi. Childs, wodwalayo kubwerera udindo yachibadwa pogwiritsa kukonzekera mwapadera ndi bedi zina.

Musaiwale kuti Kuwulura msanga kwa chiberekero ndi zotsatira osati vuto osiyana. M'pofunika kuti achite matenda mokwanira, aphunzire za chikuchititsa kudwala ndi kuthetsa wochititsa. Mwachitsanzo, pamene wodwala Kwalamulidwa m'thupi matenda phwando mankhwala m'thupi wapadera. Aakulu kutupa ndi kunatanthauzanso mankhwala enieni.

Contraindications kwa ndondomeko

Tikumbukenso kuti njirayi angathe kuchitidwa osati mu nkhani iliyonse. The msoko pa khomo pachibelekeropo pa mimba ndi contraindicated milandu zotsatirazi:

• Pamaso pa otsika Mwamphamvu yotupa ndondomeko mu ziwalo zoberekera dongosolo.
• Kuchuluka excitability wa chiberekero (amatanthauza milandu kumene sangathe atathana ndi mankhwala).
• Magazi.
• Magazi matenda, popeza kuti pangakhale wina ataya magazi.
• matenda aakulu aakulu, kuphatikizapo impso kuwonongeka, mtima kapena chiwindi.
• Anaphonya mimba, imfa ya mwana m'mimba.
• Pamaso pa anomalies ena mu njira ya chitukuko cha mwana (Mukapeza mwa njira yodziwira ndi mayesero).
• Suturing ndi nthawi malire - phukusi si ikuchitika pambuyo 25 TH sabata mimba.

Akuti ngati pazifukwa zina n'zosatheka kuchititsa opaleshoni (mwachitsanzo, ngati vutoli anawapeza mochedwa kwambiri), ndiye chiberekero zoika pessary wapadera unapangidwa cholimba pulasitiki. Iwo osati amasunga khomo pachibelekeropo kutsekedwa, koma pang'ono amachotsa katundu kuchokera pampanda uterine. Komanso, mtima tikulimbikitsidwa bedi zina.

Reviews madokotala ndi odwala alowererepo mwamsanga

Kumene, zambiri zothandiza akhoza akamagwira akulankhula ndi mayi wina amene anasiya msoko pa khomo pachibelekeropo pa mimba. Reviews wochita, ndi njira, kwa gawo lalikulu positive. Akatswiri ambiri amanena kuti nthawi zina chotero opaleshoni - njira yokhayo kupulumutsa moyo wa mwanayo ndi kumupatsa nthawi yokwanira chitukuko yachibadwa.

Akazi siyani ndemanga zabwino. Ndondomeko n'zosavuta - pa tsiku loyamba postoperative yekha pangakhale nkhawa. Kumene, pali kuthekera matendawo. Zimadalira pa yamtunduwu, zinachitikira ndi luso zachipatala, koma chifukwa amayi apakati akhoza amalangiza mosamala kuti kusankha akatswiri ndi kutsatira malangizo ake onse pambuyo suturing.