Uhlolojikelele lwe-Hysterectomy

Inqubo yokuhlinzwa yokukhipha isibeletho emzimbeni ibizwa ngokuthi i-hysterectomy. Abesifazane abadlula okufanayo bazolahlekelwa amandla okukhulelwa nokuya esikhathini. Ziningi izimbangela eziyisisekelo zokuthola i-hysterectomy ebandakanya ukopha okungavamile, ama-fibroids, umdlavuza, kanye ne-uterine prolapse. 

Ake sihlole izinhlobo ze-hysterectomy, izinqubo zokuhlinzwa, izimpawu nezimpawu, ukwelashwa, ukuvimbela, nokunye ukuxilonga.

Iyini i-Hysterectomy?

Ukukhishwa kwesibeletho nomlomo wesibeletho kuyinqubo ebizwa ngokuthi i-hysterectomy. Kuncike ebukhulwini bokugula ukunquma ukuthi ezinye izitho nezicubu ezifana namashubhu e-fallopian nama-ovari zizokhishwa noma cha.

Isibeletho yisizalo somntwana esibhidliza ulwelwesi lwaso njalo ngenyanga ngenxa yokuya esikhathini. Ngeke ukwazi ukukhulelwa noma ukuya esikhathini ngemva kwesikhathi hysterectomy.       

Izinhlobo ze-Hysterectomy

Kunezinhlobo eziningi zokuhlinzwa ezihlobene ne-hysterectomy. Ubunzima besimo buzonquma ukuthi amashubhu e-fallopian noma ama-ovari azokhishwa noma cha.

• Ukukhishwa kwesibeletho nomlomo wesibeletho ngaphandle kwama-ovari kubizwa ngokuthi i-Total Hysterectomy.
• Uma ukuhlinzwa kususwa ingxenye engaphezulu yesibeletho futhi ishiya umlomo wesibeletho ibizwa ngokuthi i-Supracervical Hysterectomy.
• Ukukhishwa kwesibeletho, umlomo wesibeletho namashubhu e-fallopian kanye nama-ovari kubizwa ngokuthi i-hysterectomy ephelele nge-Bilateral Salpingo-oophorectomy.
• I-hysterectomy isiyonke ene-salpingo-oophorectomy yamazwe amabili kanye nengxenye engenhla yesitho sangasese sowesifazane ibizwa ngokuthi i-Radical Hysterectomy. Ngokuvamile, kwenziwa lapho umdlavuza utholwa. 

Kungani kwenziwa i-Hysterectomy?

I-hysterectomy inqubo yokuhlinzwa lapho kukhishwa khona isibeletho, futhi kwezinye izimo, umlomo wesibeletho, ama-ovari, namashubhu e-fallopian nawo angase akhishwe. Le nqubo ngokuvamile yenziwa odokotela bezifo zabesifazane futhi ingenye yokuhlinzwa okuvamile kwabesifazane. Kunezizathu eziningana zezokwelapha zokuthi kungani i-hysterectomy ingenziwa:

• I-uterine fibroids: Lezi izimila ezingenawo umdlavuza ezikhula ngaphakathi noma eduze kwesibeletho. Zingabangela izikhathi ezinzima noma ezibuhlungu, ukucindezela kwe-pelvic, nokungakhululeki. Uma ama-fibroids emakhulu noma ebangela izimpawu eziphawulekayo, kungase kunconywe ukukhishwa kwe-hysterectomy.
• I-Endometriosis: Lesi yisimo lapho izicubu ezixhumene nesibeletho (endometrium) zikhula ngaphandle kwesibeletho, okuholela ebuhlungu, ukuvuvukala, kanye nezibazi ezingase zibe khona. Uma ezinye izindlela zokwelapha zihluleka ukunikeza usizo, i-hysterectomy ingase icatshangelwe.
• Umdlavuza wesibeletho: Lapho amangqamuzana anomdlavuza etholakala esibelethweni, ngokuvamile kwenziwa i-hysterectomy ukuze kukhishwe umdlavuza futhi kuvinjwe ukusakazeka kwawo kwezinye izingxenye zomzimba.
• Ubuhlungu be-pelvic obungapheli: Ezimweni lapho ubuhlungu be-pelvic obungapheli bubucayi futhi bungaphenduli ekwelashweni okuvamile, i-hysterectomy ingase ibe yindlela yokugcina yokunciphisa ubuhlungu.
• I-prolapse yesibeletho: Lokhu kwenzeka lapho imisipha nemisipha esekela isibeletho iba buthaka, okubangela ukuba isibeletho singene esithweni sangasese. Uma izinyathelo zokulondoloza zingasebenzi, i-hysterectomy ingabhekana nalesi simo.
• Ukopha okungavamile: Uma owesifazane ezwa ukopha isikhathi eside, esindayo, noma okungajwayelekile okungaphenduli kwezinye izindlela zokwelapha, i-hysterectomy ingase ibe inketho yokuxazulula inkinga.

Izimpawu Nezibonakaliso 

Ngemuva kokuhlolwa okufanele, udokotela wakho angancoma ukuhlinzwa kwe-hysterectomy e-Hyderabad. Inqubo ingasetshenziswa uma uhlangabezana nesinye salezi zimpawu nezimpawu ezilandelayo zokukhishwa kwesibeletho, noma uhlangabezana nezinye izifo eziwumsuka-

• Uma ukopha esithweni sakho sangasese kukhulu futhi kungavamile futhi ungakwazi ukulawula nganoma yimiphi imithi.
• Ubuhlungu obukhulu ngesikhathi sokuya esikhathini obungakwazi ukulawula ezinye izindlela zokwelapha.
• I-Leiomyomas noma i-uterine fibroids engenawo umdlavuza
• Ukwanda kobuhlungu be-pelvic esibelethweni. Lobu buhlungu bungase bungazinzi nanoma ikuphi okunye ukwelashwa.
• I-Uterine Prolapse- isimo lapho isibeletho siwela emseleni wesitho sangasese sowesifazane. Kungase kube ngenxa yemisipha yokusekela ebuthaka. Inkinga ingase ihlanganise ukungakwazi ukuzibamba komchamo kanye nobunzima bokuhambisa amathumbu.
• Umdlavuza womlomo wesibeletho noma wesibeletho noma okungavamile. Ukuhlinzwa kungasetshenziswa futhi ukuvimbela umdlavuza.
• Izimo ezifana ne-hyperplasia, i-polyps yesibeletho ephindaphindiwe, noma i-adenomyosis.

Sifo 

• Ukuxilongwa kwenziwa ngendlela yokuhlolwa ngokomzimba. Odokotela bazohlola isisindo somzimba wakho, futhi baqaphe umfutho wegazi lakho, ukushaya kwenhliziyo, nezinye izitho ezibalulekile. Konke lokhu kuqoshwa ngaphambi kwenqubo.
• Kamuva kungase kudingeke ukuthi uhlolwe igazi, ama-x-ray, ama-MRI scans, nezinye izinqubo ze-endoscopic uma kudingeka. 
• Konke lokhu kuhlola kuzonquma uhlobo lokuhlinzwa oludingekayo esibelethweni kanye nobukhulu benkinga.

Ukwelashwa 

Njengoba lokhu kuyinqubo yokuhlinzwa, i-hysterectomy izokwenziwa kuye ngokuthi isimo sakho sibucayi kangakanani. Uzoshintshwa izingubo zasesibhedlela. Ukushaya kwenhliziyo yakho nezinga lokushaya kwenhliziyo kuzogadwa. 

Ungase futhi unikezwe uketshezi lwe-IV ukuletha imithi. Uyenza ibe jikelele noma isifunda i-anesthesia kuye ngohlobo lwenqubo. 

Kunezindlela eziningi zokuhlinzwa ze-hysterectomy.

• I-Vaginal Hysterectomy: Kule nqubo yokuhlinzwa, ingaphezulu lesitho sangasese sowesifazane liyasikwa ukuze kukhishwe isibeletho. Akukho ukusika kwangaphandle futhi imithungo encibilikayo ifakwa esithweni sangasese. Ngokuvamile kwenziwa ngenxa yezizathu ezingezona umdlavuza futhi iziguli zingalindela izinkinga ezincane. Ukululama kungathatha amaviki angu-4 futhi iziguli zingahamba ngosuku olufanayo ngemva kokuhlinzwa.
• I-Laparoscopic Hysterectomy: I-Laparoscope iyishubhu elincanyana elinekhamera yevidiyo. Ifakwa ngaphansi kwesisu. Udokotela ohlinzayo uzonqamula inkinobho yesisu futhi asebenzise amathuluzi ukuze akhiphe isibeletho. Isikhathi sokululama sifushane futhi asibuhlungu kakhulu kune-hysterectomy yesisu.
• I-Abdominal Hysterectomy: Inqubo yenziwa kusukela esiswini futhi yenziwa nge-pubic bone noma inkaba. Imithungo kanye nezisekelo zisetshenziselwa ukuvala i-incision. Kwenziwa lapho umdlavuza ubandakanyeka futhi ungasakazekela kwezinye izindawo ze-pelvic. Kungase kudingeke ukuthi uhlale esibhedlela izinsuku ezi-2 kuya kwezingu-3. 

Zonke lezi zinqubo zokuhlinza zingakusiza ukuthi ubhekane nezinkinga ezihlobene nesibeletho.

Yiziphi izinkinga ze-hysterectomy?

Njenganoma iyiphi inqubo yokuhlinzwa, kunethuba elincane lokuhlangabezana nezinkinga, njenge:

• Ukwakheka kwehlule legazi 
• Ukutheleleka okunzima
• Ukuphuma ngokweqile 
• Ukuvinjwa kwamathumbu
• Imithungo yangaphakathi edabukile 
• Ukulimala komgudu womchamo 
• Izinkinga ezihlobene ne-anesthesia.

Izinyathelo Zokuvimbela Ngemva Kokuhlinzwa

• Iziguli zingase zithole ukuncenga kwesiteshi ngemva kwenqubo. Kungase kuthathe amasonto angu-6. Sebenzisa ama-sanitary pads ukuze ukhiphe.
• Iziguli azidingeki ukuthi ziphakamise izinto ezisindayo ezinesisindo esingaphezu kwamakhilogremu angu-10. Kufanele ulandele okufanayo okungenani amaviki ama-4 kuya kwayi-6.
• Iziguli nazo ziyanconywa ukuthi zingabeki lutho esithweni sangasese amaviki ama-4 kuya kwayisi-6. Angeke futhi bahileleke kunoma yikuphi ukuya ocansini ngemva kwamasonto ayisithupha ukuhlinzwa kwe-hysterectomy.
• Iziguli zingageza kodwa ukusika kufanele kugezwe ngensipho namanzi. Awudingi ukufaka ibhandishi endaweni. Ungawasusi ama-staples ngokwakho, vakashela udokotela wakho ukuze azisuse.
• Iziguli zingashayela ngemva kwamasonto amabili zokuhlinzwa. Uma ungasayisebenzisi imithi yokulala, ungase uqalise kabusha imisebenzi yakho yansuku zonke.
• Ungakwazi ukuzilolonga futhi wenze izivivinyo ezilula emasontweni ama-4 kuya kwayisi-6. Xhumana nodokotela wakho ngaphambi kokuzitika ngokuphakamisa izinsimbi.
• Iziguli zingaphinde ziqale ukusebenza ngemva kwamaviki ama-4 kuya kwayisi-6.

Inqubo yokuhlinzwa izothatha cishe amasonto ama-4 kuya kwangu-6 ukuze ilulame. Kubuye kuncike ekuvikelekeni kokuhlinzwa. 

Manje, kufanele wazi zonke izici ezihlobene ne-Hysterectomy. Sekukonke, landela lezi zinyathelo zokuvimbela ezingenhla ukuze ube nempilo futhi uphile impilo ephephile nejabulisayo.

Izibhedlela ze-CARE, esinye sezibhedlela ezingcono kakhulu zezempilo yabesifazane e-Hyderabad, sihlinzeka ngokuhlinzwa kwe-hysterectomy okusezingeni eliphezulu ngodokotela abahlinzayo abanolwazi.