Izindleko Zokuhlinzwa Kwe-Hysterectomy

I-Hysterectomy ihilela ukukhishwa kwesibeletho ngokuhlinzwa. Le nqubo yenziwa ukubhekana nezimo ezinjengomdlavuza, ukopha okungajwayelekile, fibroids, kanye nokwanda kwesibeletho. Kunezizathu eziningana zokuthi kungani abesifazane bengadinga i-hysterectomy. Ukuhlinzwa kwenziwa ukwelapha izinkinga ezihlukahlukene zezinhlungu ezingapheli, kanye nezinhlobo ezithile zomdlavuza kanye nezifo. Kuye ngesimo, udokotela uzophakamisa ukuthi isiguli sidinga i-hysterectomy yesisu, isitho sangasese sowesifazane noma i-laparoscopic.

Imvamisa, isikhathi esidingekayo se-hysterectomy yesisu nesitho sangasese sowesifazane siphakathi kwemizuzu engama-60 kuya kwengama-90, kanti i-laparoscopic hysterectomy ithatha cishe imizuzu eyi-120. A hysterectomy kuthathwa njengokwelashwa okuphephe kakhulu, nakuba iziguli kungase kudingeke zichithe okungenani usuku esibhedlela ngemva kwalokho. Nokho, bangase bacelwe ukuthi bahlale ezinye izinsuku ezimbalwa uma kudingeka. 

Nakuba kuthathwa njengokuphephile, kunezingozi ezithile kanye nezinkinga ezihlobene nokuhlinzwa. Ezinye zezinkinga ezivamile ze-hysterectomy ukungenwa yizifo, ukopha esithweni sangasese sowesifazane, ukulimala kwezitho ezizungezile, nezinye izingozi ezivame ukuxhunyaniswa ne-hysterectomy. Ngemva kokuhlinzwa, abantu ngokuvamile badinga ama-sanitary pads ngenxa yokopha okukhulu nokuphuma komchamo esithweni sangasese. Ngisho nangemva kokuhlinzwa, kungase kube khona ithuba lokukhipha isitho sangasese sowesifazane amasonto ambalwa. Lokhu kuthathwa njengokujwayelekile hhayi imbangela ye-alamu. 

Ziyini Izindleko Zokuhlinza Isibeletho (I-Hysterectomy) eNdiya?

Intengo emaphakathi yenqubo yokususa isibeletho e-India ingaba phakathi kwama-INR Rs. 25,000/- kanye ne-INR Rs. 1,80,000/-. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, izindleko zokuhlinzwa zokususwa kwesibeletho eNdiya zingahluka kancane ngokusekelwe endleleni esetshenziselwa i-hysterectomy, izingxenye ezisusiwe, odokotela bezifo zabesifazane, izinga labo lokuhlangenwe nakho, indawo yesibhedlela, nezinye izindleko zezokwelapha nezingezona ezokwelashwa.

Nalu uhlu lwamadolobha anezindleko ezihlukene zokususa isibeletho eNdiya -

Yiziphi Izindleko Ezithinta Ukuhlinzwa Kokukhipha Isibeletho (I-Hysterectomy)?

Kunezici ezimbalwa ezithinta izindleko ze-hysterectomy eNdiya, njenge:

• ukubonisana
• Okuhlangenwe nakho kukadokotela
• Uhlobo lwesibhedlela
• I-anesthesia
• Izisetshenziswa ezisetshenzisiwe
• Uhlobo lokuhlinzwa
•  imizwa

Izinhlobo ze-Hysterectomy

Kunezinhlobo ezintathu ze-hysterectomy. Udokotela angaphakamisa ukuthi iyiphi inqubo ye-hysterectomy edingwa yiziguli, kuye ngobucayi noma ubunzima besimo:

• I-Radical Hysterectomy: I-Radical hysterectomy ngokuvamile yenziwa ukuze kukhishwe isibeletho, umlomo wesibeletho, udonga olungenhla lwesitho sangasese sowesifazane, kanye nezicubu ezisekelayo. Kungase futhi kunconywe ezimeni zomdlavuza. I-salpingo-oophorectomy yamazwe amabili yigama lezokwelapha le-radical hysterectomy lapho kukhishwa khona womabili amashubhu e-fallopian. Lokhu kungase kubangele ukuyengwa noma kwezokwelapha menopause ngemva kokukhishwa kwama-ovari ngaphambi kokuba owesifazane afinyelele esikhathini esingokwemvelo.
• I-Hysterectomy Eyingxenye noma Ephelele: Umlomo wesibeletho ushiywa uphelele, futhi izingxenye ezimbili kwezintathu eziphezulu zesibeletho ziyakhishwa ngesikhathi sokukhishwa kwe-hysterectomy ingxenye. Lokhu kungcono kakhulu kwabesifazane abangakaze benze i-Pap smear engavamile. Isiguli kuzodingeka siqhubeke sibheke umdlavuza womlomo wesibeletho ngokuhlola i-pap smear evamile. Futhi, i-hysterectomy eyingxenye ingenziwa esiswini noma nge-laparoscopically.
• I-Hysterectomy Ephelele noma Ephelele: Isibeletho nomlomo wesibeletho kokubili kukhishwa ngesikhathi sokuhlinzwa okuphelele. I-hysterectomy ephelele inciphisa amathuba ekusasa umdlavuza wesibeletho noma we-endometrial.

I-Hysterectomy kube ukuhlinzwa okuphumelelayo kakhulu kwabesifazane abanezinkinga ezingezinhle ze-gynecological, njengoba kunikeza impumuzo esheshayo nehlala njalo.

Uhlobo lwe-hysterectomy olwenziwe lunquma ubude bokululama nokuphulukiswa ngemva kokuhlinzwa. Iziguli kufanele zilandele ngokuqinile zonke iziqondiso zikadokotela ukuze kusheshiswe inqubo yokwelapha. Ngemva kokuhlinzwa, kungcono kakhulu ukuyeka ukuvivinya umzimba okukhandlayo nokuphakamisa izinto ezinzima ngemva kokuhlinzwa. Emasontweni ambalwa, kunconywa ukuba ugweme ukwenza ucansi kuze kube yilapho izibazi zelashwa futhi ukukhishwa kwesitho sangasese sowesifazane kuyeka. Ukuhamba kuwuhlobo olululekwa kakhulu lokuzivocavoca ngemva kokuhlinzwa ngoba kusiza ukuqinisa imisipha ye-pelvic nephansi yomzimba.

Izindlela zokuhlinzwa kwe-hysterectomy

Ukuhlinzwa kwe-Hysterectomy ngezizathu ezingezona umdlavuza kungase kuthinteke izici eziningana, okuhlanganisa ubukhulu nokuma kwesitho sangasese sowesifazane nesibeletho, ukuthi isibeletho singafinyelelwa kalula kanjani, ukuba khona kwanoma yiziphi izinkinga ezengeziwe ngaphandle kwesibeletho, isidingo sezinye izinqubo ezihambisana nokukhishwa kwesisu, ukuphuthuma kwecala, kanye nezintandokazi zesiguli esinolwazi.

Kunezindlela ezinhlanu zokwenza i-hysterectomy, ezihlanganisa:

• I-hysterectomy yesisu
• I-Laparoscopic hysterectomy
• I-robotic hysterectomy
• I-Laparoscopically assisted vaginal hysterectomy (LAVH)
• I-hysterectomy yesitho sangasese sowesifazane

Ukulungiselela ukuhlinzwa

Ngaphambi kokwenza i-hysterectomy, udokotela wakho oyinhloko noma udokotela wezifo zabesifazane uzoxoxa nawe ngobungozi benqubo kanye nezinzuzo. Ukuze ugweme izinkinga zomzuzu wokugcina, ukuthwebula kwe-radiology okudingekayo nokuhlolwa kwelebhu kufanele kuqedwe okungenani izinsuku ezintathu ngaphambi kokuhlinzwa. Uzocelwa ukuthi usayine ifomu lemvume elibonisa ukuqonda kwakho ukusebenza. Ukulungiselela ukuhlinzwa kuhilela izinyathelo ezithile ezibalulekile:

• Ukuyeka imithi ethile enconywe udokotela wakho ohlinzayo, kuyilapho kungase kuqale emisha.
• Ukwazisa udokotela wakho ohlinzayo mayelana nanoma yikuphi ukudla ongase ube nakho.
• Ukuyeka ukubhema nokuphuza amaviki angu-6 kuya kwangu-8 ngaphambi kokuhlinzwa ukuze kusize ukululama.
• Ukugwema ukudla noma ukuphuza phakathi kwamabili ngobusuku bangaphambi kokuhlinzwa, njengokuyalelwa ngudokotela wakho ohlinzayo.
• Ukudla ukudla kwasekuseni okulula kanye nesidlo sasemini ngosuku lokuhlinzwa, okulandelwa ukudla okuwuketshezi okucacile.
• Ukulandela imiyalelo yokuzila ukudla kwanoma yiziphi izivivinyo zokucabanga ezidingekayo ngaphambi kokuhlinzwa, okungase kuhlanganise ne-enema uma kunesidingo.
• Sicela uqinisekise yonke imininingwane nemiyalelo ngqo nodokotela wakho ohlinzayo ukuze alungiselele ukuhlinzwa ngempumelelo.

Ngesikhathi sokuhlinzwa

Ukufika esibhedlela okungenani amahora amabili ngaphambi kokuhlinzwa kuyancomeka. Isiguli sizoshintsha sigqoke ingubo yasesibhedlela futhi sihlolwe izimpawu ezibalulekile ngemva kokungena embhedeni. Udokotela ohlinzayo noma omunye uchwepheshe wezempilo uzochaza inqubo, futhi isiguli sizosayina ifomu lemvume.

Ngaphambi kokuhlinzwa, indawo yokuhlinzwa iyahlanzwa ukuze kuthuthukiswe ukubonakala futhi kuncishiswe ubungozi bokutheleleka endaweni yokusikwa. Iziguli zingagqoka izingubo ezikhululekile, ezixegayo kodwa kufanele zisuse izinto ezibalulekile njengamawashi nobucwebe.

Ulayini we-IV ufakwa ukuze unikeze uketshezi kanye nama-antibiotics ngaphambi kokuhlinzwa, futhi kungase kunikezwe umuthi odambisa ukukhathazeka njengoba isiguli siyiswa egunjini lokuhlinza.

Isiguli siyaquleka, futhi ukuhlinzwa kuqala. Ngokuya ngesimo sesiguli, udokotela ohlinzayo angasebenzisa izinsimbi ezihlukahlukene zezinhlobo ezahlukene ze-hysterectomy:

• I-hysterectomy evulekile noma yesisu
• I-Laparoscopic hysterectomy
• I-robotic hysterectomy
• I-vaginal hysterectomy.

Ngemuva kokuhlinzwa kwe-hysterectomy (Ukubuyisela Ngemva Kokuhlinzwa)

Ngemuva kwe-hysterectomy, ukululama ngemuva kokuhlinzwa kubalulekile ezigulini. Nakhu ongakulindela:

• Ukuhlala Esibhedlela: Iziguli eziningi zihlala esibhedlela izinsuku ezingu-1-2 ngemva kokuhlinzwa kwesisu, kodwa izikhathi zokululama ziyahlukahluka kuye ngokuthi hlobo luni lwe-hysterectomy olwenziwe.
• Ukulawula Ubuhlungu: Ukungakhululeki kuvamile; imithi yezinhlungu inqunyelwe ukuyilawula.
• Umsebenzi: Ekuqaleni, ukuvivinya umzimba okulinganiselwe kuyelulekwa. Ukuhlanganiswa kancane kancane kwemisebenzi yokukhanya kuyakhuthazwa.
• Ukudla: Kuqalwa ukudla okuwuketshezi okucacile, kuqhubekele ekudleni okuvamile. Ukuqunjelwa kuvamile; ukudla okunefibre kuyasiza.
• Ukunakekelwa Kwenxeba: Ukunakekelwa kwendawo yokusikwa kubalulekile ukuvimbela ukutheleleka nokuqinisekisa ukuphulukiswa okufanele.
• Landelela: Ukubonana njalo nomhlinzeki wezokunakekelwa kwempilo kuyadingeka ukuze kuqashwe ukululama nokubhekana nanoma yikuphi ukukhathazeka.

Izinkinga Zokuhlinzwa Kwe-Hysterectomy

• Ukutheleleka endaweni yokuhlinzwa noma emgudwini womchamo/wokuzala
• Ukopha kakhulu ngesikhathi noma ngemva kokuhlinzwa
• Amahlule egazi emilenzeni noma emaphashini
• Ukulimala kwezitho eziseduze (isinye, amathumbu, imithambo yegazi)
• Ubuhlungu bangemva kokuhlinzwa
• Ukwehla

Lokhu kungenzeka uma ukunakekelwa kungenziwanga kahle:

• Ukopha okudinga ukumpontshelwa noma ezinye izinqubo
• Izinkinga zokuchama njengobunzima bokuchama noma ukungakwazi ukuzibamba
• Izinkinga zamathumbu kanye nokuqunjelwa
• I-vaginal cuff dehiscence kanye ne-herniation engenzeka
• I-vaginal prolapse kanye nokwehla kwesitho
• Ubuhlungu be-pelvic obungapheli
• Ukusabela okungekuhle ku-anesthesia
• Imiphumela yesikhathi eside njengokunqamuka kokuya esikhathini kanye nokungalingani kwamahomoni.

Vakashela CARE Izibhedlela ukubonana nodokotela ukuze uthole imininingwane eyengeziwe ngezindleko zokususa isibeletho se-laparoscopy. Odokotela bethu bazokusiza futhi ukuthi uqonde izindleko zokuhlinzwa kwe-hysterectomy ngesikhathi sokubonisana. Bhukha i-aphoyintimenti namuhla.

Disclaimer

Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.

Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.

Imibuzo Evame Ukubuzwa

1. Ingakanani izindleko ezijwayelekile zokuhlinzwa kwe-Hysterectomy e-Hyderabad? 

Izindleko ze-hysterectomy e-Hyderabad, njengakunoma iyiphi indawo, zincike ezicini ezifana nohlobo lokuhlinzwa, ukukhetha kwesibhedlela, nokuthi kwenziwa emkhakheni womphakathi noma ozimele. Izindleko zingasukela ezinkulungwaneni kuye ezinkulungwaneni zama-Indian Rupees.

2. Kuthatha isikhathi esingakanani ukululama ekukhishweni kwesibeletho? 

Ubude besikhathi sokululama buhluka ngokuya ngohlobo lwe-hysterectomy. Ngokuvamile, kuthatha cishe amasonto angu-6 kuya kwangu-8 ukuthi abesifazane abaningi babuyele emisebenzini evamile. Kodwa-ke, ukululama kungashesha noma kuhambe kancane kuye ngempilo yomuntu ngamunye kanye nendlela ethile yokuhlinzwa.

3. Iyiphi iminyaka engcono kakhulu yokukhishwa kwe-hysterectomy? 

Iminyaka efanelekile ye-hysterectomy incike ezimweni zezokwelapha kanye nezimpawu. Ngokuvamile kucatshangelwa abesifazane abanezinkinga ezithile zempilo, njenge-uterine fibroids, i-endometriosis, noma i-uterine prolapse eqinile, futhi ngokuvamile iyanconywa ngemva kokuba ezinye izinketho zokwelashwa seziphelile. Isinqumo kufanele senziwe ngokubonisana nomhlinzeki wezempilo.

4. Yiziphi izinkomba zokuhlinzwa kwe-hysterectomy?

Izinkomba zokuhlinzwa kwe-hysterectomy zifaka izimo ezifana ne-fibroids, ukopha okungavamile kwesibeletho, i-endometriosis, i-uterine prolapse, i-adenomyosis, nomdlavuza othile we-gynecological. Isinqumo senziwa ngokusekelwe ekuxilongweni okuqondile kanye nempilo nezidingo zesiguli.