Kuchita masewera olimbitsa thupi

Opaleshoni yomwe imakonza zolakwika za hymen, nembanemba yopyapyala yomwe ili pafupi ndi khomo la nyini, imatchedwa hymenectomy. Panthawi ya opaleshoni yaying'onoyi, hymen imadulidwa kapena kudulidwa kuti alole kusamba, kugwiritsa ntchito tampon, ndi kugonana. Nthawi zambiri, hymenectomy imachitidwa pofuna kuwongolera zolakwika zamtundu wa hymen zomwe zingayambitse zovuta m'moyo. 

Cholinga cha Hymenotomy:

Izi makamaka zimakhala ngati chithandizo cha congenital hymen malformations, zomwe nthawi zambiri zimabweretsa mavuto monga:

1. Imperforate hymen: Ngati hymen imalepheretsa kutsegula kwa nyini, hymenotomy ndiyofunikira kuti pakhale potsegula ndikulola kuti magazi azitha kuyenda.

2. Hymen ya Microperforate: Anthu ena amatha kukhala ndi hymen yokhala ndi kabowo kakang'ono kwambiri, komwe kungayambitse kusapeza bwino kapena kuwawa panthawi yogonana. Kuchiritsa kwa Hymenotomy kungathandize kukulitsa kutsegula ndikuchepetsa zizindikiro izi.

3. Matenda a Hymenal: Zovuta zina za hymen, monga minofu yolimba kapena yolimba ya hymenal, imatha kuyambitsa kusapeza bwino kapena kuwawa pazochitika zosiyanasiyana. Hymenotomy Healing imatha kuthana ndi mavutowa ndikuwongolera moyo wamunthu.

4. Cribriform Hymen: A cribriform hymen ndi chikhalidwe chomwe mabowo ang'onoang'ono mu fetal membrane amatha kusokoneza kutuluka kwa msambo, kusokoneza kugonana, kapena kugwiritsa ntchito tampon. Pakhoza kukhala chisankho chodzidzimutsa kapena opaleshoni ya hymenectomy.

Ngozi ya Hymenotomy

Opaleshoni iliyonse imabwera ndi zovuta zake. Komabe, hymenotomy nthawi zambiri imawonedwa ngati njira yotetezeka komanso yopanda chiopsezo chochepa. Nachi chidule cha zovuta zomwe zingachitike: 

• Kutenga: Matenda pamalo opangira opaleshoni angayambitse kufiira ndi kutupa ndipo amatsagana ndi ululu ndi kutuluka.

• Kupuma: Ngakhale kuti sizichitika kawirikawiri, magazi amatha kutuluka panthawi kapena pambuyo pake.  

• Kuwotcha: Tizipsera pamalo ochekerapo titha kubweretsa zovuta kapena zovuta zamtsogolo, zomwe zitha kuchititsa kuti kutsegulanso kutsekedwenso.

• Ululu ndi Kusapeza bwino: Kupweteka kwina ndi kusapeza kumayembekezereka pambuyo pa ndondomeko; komabe, ululu waukulu, wautali uyenera kunenedwa. 

• Kuvulala kwa Matupi Ozungulira: Pali chiopsezo chochepa chovulazidwa kuzinthu zoyandikana nazo, monga minyewa ya mkodzo kapena maliseche. 

• Zosafuna Izi zitha kukhala zamankhwala oletsa ululu kapena mankhwala ena omwe amagwiritsidwa ntchito panthawiyi.  

• Kubwereza: Nthawi zambiri pangafunike kuthandizidwanso chifukwa hymen imatha kutsekanso. 

Ubwino wa Hymenotomy

Ubwino umaperekedwa ndi opareshoni kuti akonze zolakwika zobadwa nazo za hymenal zomwe zingayambitse kupweteka kwathupi komanso kusokoneza magwiridwe antchito amthupi. M'munsimu muli zopindulitsa zazikulu mu mawonekedwe a mfundo:  

• Kuchepetsa kutsekeka kwa msambo: Njirayi imalola kuti magazi a msambo aziyenda bwino kwa amayi omwe ali ndi hymen ya imperforate kapena microperforate, motero amachotsa ululu ndikupewa zovuta. 

• Chitonthozo ndi chitonthozo chowonjezereka: Ufulu wogwiritsa ntchito ma tamponi okhala ndi chitonthozo chochuluka umapangitsa moyo kukhala wabwino kwambiri.  

• Kuthetsa ululu panthawi yogonana: Hymenotomy imakonza zolakwika za hymenal zomwe zimayambitsa kupweteka panthawi yogonana komanso zimathandizira kukhala omasuka muubwenzi. 

• Chithandizo cha zovuta zobadwa nazo: Njirayi imathandizira kubadwa kwa hymenal monga imperforate, microperforate, septate, ndi cribriform hymens.

• Moyo Wabwino: Vutoli lathetsedwa, motero moyo wa anthu omwe ali ndi mikhalidwe yotere umakula kwambiri.  

• Chepetsani kusapeza bwino m'thupi: Kutsekeka kwa thupi komwe kumayambitsa kusapeza kumachotsedwa ndi njirayi.

Chisankho cha hymenotomy chiyenera kupangidwa pokambirana ndi wothandizira zaumoyo yemwe angayang'ane zochitika zenizeni ndikupereka malangizo oyenera.

Njira ya hymenotomy ndi njira yowongoka, yocheperako ya opaleshoni. Kayendetsedwe kake ka hymenotomy imatha kusiyanasiyana malinga ndi momwe munthu akukhalira komanso njira zachipatala. Komabe, njira zomwe zimakhudzidwa ndi hymenotomy ndi izi:

Kachitidwe: Dokotala wa gynecologist adzayesa kwathunthu kuti awone hymen ndikupangira zosankha zoyenera. Ndondomekoyi idzakambidwa, pamodzi ndi zoopsa zomwe zingagawidwe za ndondomekoyi ndi ziyembekezo zobwezeretsa. Dokotala angapereke malangizo apakamwa pazamankhwala omwe ayenera kupewa, komanso zofunikira zilizonse zosala kudya musanatenge. Opaleshoniyo nthawi zambiri imachitidwa m'malo ogonera. 

Panthawi ya ndondomeko: Chinthu choyamba chimene chimachitika ndikusintha kukhala chovala chachipatala. Ndiye,

1. Anesthesia: Opaleshoni ya m'deralo kapena yamba ikhoza kuperekedwa kuti wodwalayo atonthozedwe panthawi ya ndondomekoyi.

2. Njira yopangira opaleshoni: Dokotala wa opaleshoni adzasankha njira yoyenera kwambiri malinga ndi momwe munthuyo alili. Izi zingaphatikizepo kupanga pang'ono kapena kuchotsa gawo lina la hymenal.

3. Kukhazikitsa kotsegulira: Pogwiritsa ntchito zida zopangira opaleshoni, dokotalayo amatsegula mosamala mu hymen ndikuwonetsetsa kulondola komanso kupwetekedwa mtima pang'ono kwa minofu yozungulira.

4. Hemostasis ndi kutsekedwa kwa bala: Kutaya magazi kulikonse komwe kungachitike panthawi ya ndondomekoyi kudzayendetsedwa, ndipo malo odulidwawo akhoza kutsekedwa ndi sutures yotsekemera ngati kuli kofunikira.

Kubwezeretsa: Kuchira nthawi zambiri kumakhala kwachangu, ndipo odwala amatha kubwerera kunyumba atangomaliza kumene opaleshoniyo. Kusamva bwino pang'ono kapena kuwawa kumakhala kofala ndipo nthawi zambiri kumachizidwa ndi mankhwala osagulitsika.

Kusamalira Pambuyo Opaleshoni: Ogwira ntchito zachipatala angapereke zambiri zokhudza malo osambira a sitz kuti athandize kuchiritsa komanso kuchepetsa ululu. Odwalawo adzalangizidwa kuti asalowetse kalikonse mu nyini, kuphatikizapo ma tamponi ndi kugonana, kwa nthawi yeniyeni kuti athe kuchiritsa bwino. Nthawi zambiri amakonza zoti anthu azitsatira.

Njirayi ndi yotetezeka komanso yothandiza, yochitidwa pachipatala, ndipo imachira mofulumira. Funsani dokotala wachikazi woyenerera kuti akutsogolereni payekha pa hymenotomy.