Chii chinonzi Oophorectomy? Chinangwa, Maitiro & Kupora

Oophorectomy ndiko kubviswa kwevhavha imwe kana mbiri nekuvhiya. Maitiro aya anoitwa kana mavhavha aine chirwere, achiisa njodzi kuhutano, kana sechikamu chekurapa kenza. Kunyange zvazvo kufunga nezvekuvhiyiwa kwemavhavha kuchigona kuita sekunetsa, kunzwisisa zvinoitika panguva yemaitiro aya kunogona kukubatsira kuti unzwe wakagadzirira uye wakavimbika nezvekuchengetwa kwako.

Chii chinonzi oophorectomy?

Oophorectomy maitiro ekuvhiya uko vanachiremba vanobvisa vhavha imwe kana mbiri kubva mumuviri wemukadzi. Mavhavha ako ari nhengo diki, dzakaita seamond dzinogadzira mazai uye mahomoni akaita seestrogen neprogesterone. Kana vhavha imwe yabviswa, inonzi unilateral oophorectomy, uye kana ese ari maviri abviswa, inonzi bilateral oophorectomy.

Kuvhiyiwa uku kunogona kuitwa chega kana kusanganiswa nemamwe maitiro. Dzimwe nguva vanachiremba vanobvisa mavhavha pamwe chete nematehwe emukati, izvo zvinonzi salpingo-oophorectomy. Nzira chaiyo inoenderana nemamiriro ako ezvinhu ekurapa uye chikonzero chekuvhiyiwa kwako.

Nei oophorectomy ichiitwa?

Vanachiremba vanokurudzira oophorectomy nezvikonzero zvakawanda zvekurapa, kubva mukurapa kenza kusvika pakugadzirisa mamiriro anorwadza. Sarudzo inogara ichienderana nezvido zvako zvehutano uye nhoroondo yekurapa. Kunzwisisa zvikonzero izvi kunogona kukubatsira kuti unzwe wakaziviswa zvakawanda nezvechirongwa chako chekurapa.

Heano mamiriro makuru ekurapa anogona kuda kubviswa kwemavhavha:

• Kenza yeOvari: Kana kenza ikakura muovari, kuibvisa kazhinji ndiyo nzira inoshanda zvakanyanya kudzivirira kupararira
• Mavhuvhuto eOvari: Mavhuvhuto makuru, anoramba aripo, kana anofungira ayo asingapinduri kune dzimwe nzira dzekurapa anogona kuda kubviswa nekuvhiya
• Endometriosis: Zviitiko zvakakomba uko tishu yeendometrial inokura paovari, ichikonzera kurwadziwa kukuru uye matambudziko
• Ovarian torsion: Kana ovari ikamonereka uye ikacheka ropa rayo, ichida kubviswa nekukurumidza kudzivirira kufa kwetishu
• Pelvic inflammatory disease: Zvirwere zvakakomba zvinokuvadza maovari zvisingagone kugadziriswa
• BRCA gene mutations: Vakadzi vane njodzi huru yegene yekenza yeovari vanogona kusarudza kubviswa kwekudzivirira

Zvikonzero zvisingawanzoitiki zvinosanganisira kurapwa kwekenza yemazamu inonzwa mahomoni uye mamwe mamiriro e genetic. Chiremba wako achanyatso kuyera mabhenefiti nenjodzi asati akurudzira kuvhiyiwa uku, achiita shuwa kuti ndiyo sarudzo yakanakisa yehutano hwako.

Ndeipi nzira yekuvhiya ye oophorectomy?

Oophorectomy inogona kuitwa ichishandisa nzira dzakasiyana dzekuvhiya, zvichienderana nemamiriro ako chaiwo uye anatomy. Mazhinji maitiro nhasi anoshandisa nzira diki dzinopinda, izvo zvinoreva kucheka kudiki uye nguva yekupora nekukurumidza. Chiremba wako achasarudza nzira yakanakisa zvichienderana nezvinhu zvakaita se saizi yeovari yako, kuvepo kwetishu yemaronda, uye chikonzero chekuvhiya.

Nzira mbiri huru dzekuvhiya ndedzi:

1. Laparoscopic oophorectomy: Chiremba wako anoita zvidimbu zvidiki 3-4 mudumbu rako uye anoshandisa kamera yakatetepa inonzi laparoscope kutungamira kuvhiyiwa. Nzira iyi inowanzoita kuti pave nekutambudzika kushoma, mavanga madiki, uye kupora nekukurumidza.
2. Open oophorectomy: Chiremba wako anoita chidimbu chikuru mudumbu rako kuti awane zvakananga uye abvise mazai. Nzira iyi inogona kuve yakakosha kune huwandu hukuru, nyama yakawanda yemaronda, kana kesi dzekenza.

Panguva yekuvhiyiwa, uchagamuchira general anesthesia saka uchavata zvachose. Kuvhiyiwa kunowanzo kutora 1-3 maawa, zvichienderana nekukomba kwenyaya yako. Chiremba wako achanyatso bvisa mazai kubva mumidziyo yeropa yakatenderedza uye matishu asati avabvisa.

Mushure mekubviswa, mazai anowanzoendeswa kulaboratory kuti aongororwe. Izvi zvinobatsira vanachiremba kusimbisa kuongororwa uye kuronga chero imwe kurapwa yaungangoda.

Maitiro ekugadzirira oophorectomy yako?

Kugadzirira oophorectomy kunosanganisira matanho akati wandei anobatsira kuona kuti kuvhiyiwa kwako kunofamba zvakanaka uye kupora kwako kunonyaradza sezvinobvira. Chikwata chako chekurapa chichakutungamira kuburikidza nechinhu chimwe nechimwe chekugadzirira, asi kuziva zvekutarisira kunogona kubatsira kuderedza kushushikana.

Hezvino zvaunogona kutarisira mumavhiki nemazuva asati kuvhiyiwa kwako:

• Kuedzwa kusati kwavhiyiwa: Kuongororwa kweropa, maimaging scans, uye zvichida EKG kuti uve nechokwadi chekuti une hutano hwakakwana hwekuvhiyiwa
• Kuongorora mishonga: Chiremba wako achatarisa mishonga yese nemamwe mavitamini, achimisa mamwe anogona kuwedzera njodzi yekubuda ropa
• Mirairo yekutsanya: Unozofanira kudzivisa kudya kana kunwa kwemaawa 8-12 usati wavhiyiwa kudzivirira matambudziko panguva yeanesthesia
• Kuronga rutsigiro: Rongera kuti mumwe munhu akutyaira kumba uye akubatsire nemabasa ezuva nezuva kwemazuva mashoma ekutanga
• Gadzirira imba yako: Chengeta zvipfeko zvakasununguka zvakanyanya, chikafu chiri nyore kugadzirira, uye chero zvinhu zvinokurudzirwa

Chiremba wako achakurukurawo zvaunofanira kutarisira panguva yekupora uye kupindura chero mibvunzo yaunayo. Usazeze kubvunza nezve chero chinhu chinokunetsa - chikwata chako chekurapa chinoda kuti unzwe wakavimbika uye wakagadzirira.

Maitiro ekuverenga mhedzisiro yako yeoophorectomy?

Mushure meoophorectomy yako, tishu yeovari yakabviswa inotumirwa kulaboratory yepatology kuti iongororwe zvakadzama. Iyi ongororo inopa ruzivo rwakakosha nezvehutano hwako uye inobatsira kutungamira chero imwe kurapwa yaungangoda. Mushumo wepatology unowanzo svika mukati memazuva 3-7 mushure mekuvhiyiwa.

Mushumo wako wepatology uchasanganisira zvakawanda zvakakosha:

• Tsanangudzo yetishu: Ruzivo nezvehukuru, uremu, uye chitarisiko chemaovari akabviswa
• Zvakawanikwa zvemicroscopic: Zvinoita sei tishu pasi pemicroscope, kusanganisira chero maseru asina kujairika
• Kuongororwa: Mamiriro chaiwo akawanikwa, senge benign cysts, endometriosis, kana cancer
• Tumor staging: Kana cancer ikawanikwa, mushumo unotsanangura kuti yakafambira mberi sei uye kana yakapararira

Chiremba wako achatsanangura mhedzisiro iyi zvakadzama panguva yekusangana kwako kunotevera. Vachashandura mazwi ekurapa mumutauro waunogona kunzwisisa uye vachakurukura zvinoreva zvawanikwa kuhutano hwako mberi.

Nzira yekugadzirisa kupora mushure me oophorectomy?

Kupora kubva ku oophorectomy kunosiyana zvichienderana nemaitiro ekurapa akashandiswa uye maitiro ako ekupora. Vakadzi vazhinji vane laparoscopic surgery vanopora nekukurumidza kupfuura avo vane open surgery. Kunzwisisa zvekutarisira kunogona kukubatsira kuronga nguva yekupora kwakanaka.

Hezvino zvaunogona kutarisira panguva yekupora kwako:

• Kugara muchipatara: Laparoscopic surgery inowanzoita kuti ubude pazuva rimwe chete, nepo open surgery inogona kuda mazuva 1-3 muchipatara
• Kugadzirisa kurwadziwa: Uchapihwa mishonga yekurwadziwa kwemazuva mashoma ekutanga, wobva wajaira kusarudzo dzisiri dzekurapa
• Zvirambidzo zvebasa: Hapana kusimudza zvinhu zvinorema (kupfuura mapaundi gumi) kwemavhiki 4-6, nekudzoka zvishoma nezvishoma kumabasa akajairika
• Kuchengetwa kwemavanga: Chengeta zvikamu zvakachena uye zvakaoma, uchitarisa zviratidzo zvehutachiona senge kutsvuka, kuzvimba, kana kubuda zvisina kujairika
• Kusangana kunotevera: Kuongororwa nguva dzose nachiremba wako kuti aongorore kupora uye akurukure chero zvinokunetsa

Vakadzi vazhinji vanodzoka kubasa mukati memavhiki 2-6, zvichienderana nezvavanoda kubasa uye kufambira mberi kwekupora. Chiremba wako achapa gwara rakatarwa zvichienderana nemamiriro ako ega uye maitiro ekurapa.

Ndezvipi zvinochinja mahomoni mushure me oophorectomy?

Kubvisa imwe kana ese maovari kunokanganisa kugadzirwa kwako mahomoni, izvo zvinogona kutungamira kune akasiyana siyana ekuchinja kwemuviri uye kwemanzwiro. Kana uine ovary imwe yakabviswa, iyo ovary yasara inowanzoita mahomoni akakwana kuchengetedza basa rakajairika. Zvisinei, kubvisa maovari ese kunokonzera menopause nekukasira, zvisinei nezera rako.

Kana mazai ese abviswa, unogona kusangana nekuchinja uku kwemahomoni:

• Menopause yekare: Mwedzi yako inomira zvachose, uye hauchakwanisi kubata pamuviri zvakasikwa
• Kupisa kwemuviri uye kutukwa kweusiku: Izvi zvakajairika sezvo muviri wako uchigadzirisa kune yakaderera estrogen mazinga
• Kuchinja kwemanzwiro: Unogona kusangana nekuchinja kwemanzwiro, kushushikana, kana kuora mwoyo nekuda kwekuchinja kwemahomoni
• Kukanganiswa kwekurara: Kuchinja mumaitiro ekurara kwakajairika panguva iyi yekugadzirisa
• Kuoma kwevagina: Estrogen yakaderera inogona kukonzera kuti matishu evagina ave matete uye asina mafuta

Chiremba wako anogona kukurudzira kurapwa kwemahomoni kuti akubatsire kubata zviratidzo izvi. Kurapa uku kunogona kuvandudza zvakanyanya hupenyu hwako panguva yekuchinja.

Ndezvipi zvinoitika kwenguva refu ye oophorectomy?

Oophorectomy inogona kuva nezvinhu zvakawanda zvinogara kwenguva refu pahutano hwako, kunyanya kana mazai ese abviswa menopause isati yaitika. Kunzwisisa izvi zvinogona kuchinja kunokubatsira kushanda nechikwata chako chehutano kuchengetedza hutano hwako nekufamba kwenguva.

Zvimwe zvezvinhu zvikuru zvinogara kwenguva refu zvinosanganisira:

• Utano hwemapfupa: Estrogen yakaderera inogona kuwedzera njodzi yako ye osteoporosis, zvichiita kuti kuongororwa kwemapfupa kuve kwakakosha
• Utano hwemoyo: Estrogen inobatsira kudzivirira kurwisa kwemoyo, saka unogona kuda kuongororwa kwemoyo nemoyo
• Utano hwepabonde: Kuchinja mumazinga emahormone kunogona kukanganisa libido uye kunyaradzwa pabonde, asi nyaya idzi dzinorapika
• Kushanda kwezivo: Vamwe vakadzi vanocherechedza kuchinja mundangariro kana kuisa pfungwa, kunyangwe tsvagiridzo ichienderera mberi
• Kuchinja kwehuremu: Kuchinja kwemahomoni kunogona kukanganisa metabolism uye kugoverwa kwehuremu

Kushanda pamwe chete nechikwata chako chehutano kunogona kukubatsira kuti utarisire mhedzisiro iyi yenguva refu nemazvo. Kuongororwa nguva dzose, kusarudza mararamiro ane hutano, uye kurapwa kwakakodzera kunogona kukubatsira kuchengetedza hutano hwakanaka mushure me oophorectomy.

Ndezvipi njodzi nematambudziko e oophorectomy?

Sezvo chero nzira yekuvhiya, oophorectomy inotakura njodzi nemigumisiro inogona kuitika. Kunyange zvazvo matambudziko akakomba asingawanzoitiki, kunzwisisa zvinogoneka izvi kunokubatsira kuti uite zvisarudzo zvine ruzivo nezvekuchengetwa kwako uye kuziva zviratidzo zvekuyambira panguva yekupora.

Njodzi dzakajairika dzine chekuita ne oophorectomy dzinosanganisira:

• Kubuda ropa: Kumwe kubuda ropa panguva kana mushure mekuvhiyiwa kwakajairika, asi kubuda ropa kwakanyanya kunogona kuda kumwe kurapwa
• Kutapukirwa: Njodzi yekutapukirwa panzvimbo yekuvhiya kana mukati, kazhinji inodzivirirwa nekuchengetwa kwakakodzera
• Anesthesia reactions: Zvisingawanzoitiki asi zvinogoneka zvisina kunaka kune general anesthesia
• Blood clots: Njodzi diki yekugadzira clots mumakumbo kana mapapu, kunyanya nekukuvhiwa kwenguva refu
• Kukuvadzwa kwenhengo dzepedyo: Zvisingawanzoitiki zvekukuvara netsaona kubhuroka, ura, kana midzi yeropa

Zvisingawanzoitiki asi matambudziko akakomba anogona kusanganisira kubuda ropa kwakanyanya kunoda kuwedzerwa ropa, kukuvadzwa kukuru kwenhengo, kana zvirwere zvinotyisa upenyu. Chikwata chako chekuvhiya chinotora matanho akawanda ekuderedza njodzi idzi, uye vakadzi vazhinji vanopora vasina matambudziko akakomba.

Ndingafonera rinhi chiremba mushure me oophorectomy?

Kuziva kuti ungabatana rinhi nemupi wako wehutano mushure me oophorectomy kwakakosha kuchengeteka kwako uye rugare rwepfungwa. Kunyange zvazvo kusagadzikana uye shanduko zvakajairika panguva yekupora, zviratidzo zvakati wandei zvinoda kutariswa kwekurapa nekukurumidza.

Fonera chiremba wako nekukurumidza kana ukaona:

• Kubuda ropa zvakanyanya: Kunyorovesa mapedi anopfuura rimwe paawa kwemaawa akati wandei
• Zviratidzo zveutachiona: Fivha inodarika 101°F, kurwadziwa kwakanyanya mudumbu, kana kubuda kwemvura inonhuwa
• Matambudziko ekufema: Kuoma kufema, kurwadziwa muchipfuva, kana kukosora ropa
• Kurwadziwa kwakanyanya: Kurwadziwa kusingavandudzike nemishonga yakanyorwa kana kuwedzera
• Kuzvimba kwemakumbo: Kuzvimba kamwe kamwe, kurwadziwa, kana kudziya mumakumbo ako

Unofanirawo kuronga nguva dzekutevera nguva dzose kuti uongorore kupora kwako uye kukurukura chero zvinokunetsa. Chikwata chako chehutano chiripo kuti chikutsigire mukati merwendo rwako rwekupona.

Mibvunzo inowanzo bvunzwa nezve oophorectomy

Q.1 Ko oophorectomy ndiyo chete kurapwa kwemavhairi cysts here?

Kwete, oophorectomy haisi iyo chete kurapwa kwemavhairi cysts. Mazhinji emavhairi cysts haana njodzi uye anozvigadzirisa ega pasina kurapwa. Chiremba wako anogona kutanga kuraira kumirira nekuchenjerera, kutonga kuberekwa kwemahomoni, kana mamwe mishonga yekugadzirisa cysts.

Kuvhiyiwa kunowanzo fungwa kana cysts dzakakura, dzichiramba, dzichikonzera zviratidzo zvakanyanya, kana kuita sezvinofungira kenza. Kunyangwe zvakadaro, vanachiremba vanowanzoedza kubvisa cyst chete vachichengetedza ovary, kunyanya muvakadzi vadiki vanoda kuchengetedza kubereka.

Q.2 Ko oophorectomy inokonzera menopause nekukasira here?

Oophorectomy inokonzera menopause nekukasira chete kana maovari ese ari maviri abviswa. Kana uine ovary imwe ine hutano yasara, inowanzoita mahomoni akakwana kuti achengetedze kutenderera kwemwedzi kwakajairika uye kudzivirira zviratidzo zvemenopause.

Zvisinei, vamwe vakadzi vane ovary imwe vanogona kuona menopause zvishoma pamberi pezvaizova zvakajairika. Iyo ovary yasara inowanzoenderera mberi ichishanda zvakajairika kwemakore mazhinji mushure mekuvhiyiwa.

Q.3 Ndingachiri kuva nevana mushure me oophorectomy here?

Kukwanisa kwako kuva nevana mushure me oophorectomy kunoenderana nekuti mazai mangani akabviswa uye kana uine zvimwe zvikamu zvekuita zvekuita zvekuita zvakanaka. Kana zai rimwe chete richibviswa uye uchine chibereko chako, unowanzoita pamuviri zvakasikwa.

Kana mazai ese ari maviri akabviswa, haugone kuita pamuviri uchishandisa mazai ako. Zvisinei, unogona kukwanisa kutakura pamuviri uchishandisa mazai emupi kuburikidza ne in vitro fertilization, chero chibereko chako chichigwinya.

Q.4 Zvinotora nguva yakareba sei kupora kubva ku oophorectomy?

Nguva yekupora inosiyana zvichienderana nemaitiro ekuvhiya uye maitiro ako ekupora. Vakadzi vazhinji vane kuvhiyiwa kwe laparoscopic vanodzoka kumabasa akajairika mukati mevhiki 2-4, nepo kuvhiyiwa kwakavhurika kungada mavhiki 4-6 kuti vapore zvizere.

Unogona kunzwa wakaneta kwevhiki rekutanga kana maviri sezvo muviri wako uchipora. Kurwadziwa kunowanzoita zvakanyanya mukati memazuva mashoma ekutanga, uye vakadzi vazhinji vanogona kudzokera kubasa mukati memavhiki 2-6 zvichienderana nezvinodiwa nebasa ravo.

Q.5 Ndichada here hormone replacement therapy mushure me oophorectomy?

Unogona kuda hormone replacement therapy kana mazai ese ari maviri akabviswa, kunyanya kana uri mudiki pane zera rinowanzoitika rekuenda kumwedzi. Hormone therapy inogona kubatsira kubata zviratidzo zvekuenda kumwedzi uye kudzivirira njodzi dzehutano dzenguva refu senge osteoporosis.

Chiremba wako achakurukura kana hormone replacement therapy yakakunakira zvichienderana nezera rako, nhoroondo yehutano, uye chikonzero chekuvhiyiwa kwako. Sarudzo inoenderana nezvinhu zvako zvenjodzi uye zvaunofarira.