Yini i-Vaginal Hysterectomy? Injongo, Inqubo & Ukululama

I-vaginal hysterectomy iyinqubo yokuhlinzwa lapho isibeletho sakho sisuswa ngesitho sakho sangasese, ngaphandle kokwenza noma yikuphi ukusikeka esiswini sakho. Le ndlela izizwa ingahlaseli kangako kunezinye izinhlobo ze-hysterectomy ngoba udokotela ohlinzayo usebenza ngokuphelele ngomgodi wakho wemvelo womzimba. Abesifazane abaningi bathola ukuthi le ndlela iyabathokozisa ngoba ngokuvamile isho ukuphola okusheshayo, ubuhlungu obuncane, futhi akukho izibazi ezibonakalayo esiswini sabo.

Yini i-vaginal hysterectomy?

I-Vaginal hysterectomy isho ukuthi udokotela ohlinzayo ususa isibeletho sakho ngokusebenza ngesitho sakho sangasese esikhundleni sokwenza ukusikeka esiswini sakho. Cabanga ngakho njengokuthatha umzila wangaphakathi kunokuba ngaphandle. Intamo yesibeletho sakho ingase futhi isuswe ngalesi senzo, kuye ngezidingo zakho ezithile zezokwelapha.

Le ndlela yokuhlinzwa isetshenziswe ngokuphepha amashumi eminyaka futhi ivame ukuba yindlela ekhethwayo uma kufaneleka ngokwezokwelapha esimweni sakho. Udokotela ohlinzayo uzoxhuma ngokucophelela isibeletho sakho ezicutshini eziqhelile nemithambo yegazi, bese esisusa ngomsele wakho wesitho sangasese. Ukuvulwa bese kuvalwa ngemithungo encibilikayo.

Kungani kwenziwa i-vaginal hysterectomy?

Udokotela wakho angase ancome i-vaginal hysterectomy ukwelapha izimo eziningana ezithinta izinga lempilo yakho noma impilo yakho. Isizathu esivame kakhulu ukwehla kwesibeletho, lapho isibeletho sakho sishelela phansi singene emgodini wakho wesitho sangasese ngoba imisipha nezicubu ezisekelayo ziye zaba buthakathaka.

Nazi izimo eziyinhloko ezingaholela kule ncomo:

• Ukuphuma kwesibeletho okubangela ukungakhululeki noma okuphazamisa imisebenzi yansuku zonke
• Ukuphuma kwegazi eliningi lokuya esikhathini okungaphenduli kweminye imithi
• Ubuhlungu obungapheli besinqe obuthinta kakhulu impilo yakho
• Ama-fibroids amakhulu abangela izimpawu ezinjengokucindezela noma ukuphuma kwegazi
• I-Endometriosis engathuthukanga ngeminye imithi
• Ukuphuma kwegazi okungavamile kwesibeletho lapho eminye imithi ingasebenzanga
• I-Adenomyosis, lapho umugqa wesibeletho ukhula odongeni lwemisipha

Udkt wakho uzohlala ehlola izinketho ezingahlaseli kuqala. Ukuhlinzwa kuba yisinqumo lapho eminye imithi ingazange inikeze impumuzo oyidingayo ukuze uphile ngokukhululeka.

Yini inqubo ye-hysterectomy yesitho sangasese sowesifazane?

Le nqubo ngokuvamile ithatha ihora elilodwa kuya kwamabili futhi yenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele futhi ukhululekile kuyo yonke le nqubo. Udkt wakho ohlinzayo uzokubeka ngendlela efana nendlela ongathatha ngayo ukuhlolwa kwesinqe, ngemilenze yakho isekelwe ezintanjeni.

Nakhu okwenzekayo ngesikhathi sokuhlinzwa kwakho:

1. Udkt wakho ohlinzayo wenza ukusikeka okuncane ngase-cervix yakho ngaphakathi esithweni sakho sangasese
2. Isibeletho sihlukaniswa ngokucophelela esinyeni nase-rectum
3. Imithambo yegazi kanye nemisipha esekela isibeletho ivalwa futhi inqunywe
4. Isibeletho sakho sisuswa ngembobo yesitho sangasese
5. Ingxenye engaphezulu yesitho sakho sangasese ivalwa ngemithungo encibilikayo
6. Ukupakisha kwesikhashana kungase kubekwe ukuze kulawulwe ukuphuma kwegazi

Ithimba lakho lokuhlinza likuqapha ngokucophelela kuyo yonke le nqubo. Abesifazane abaningi bangaba nalolu hlobo lokuhlinzwa njengenqubo yeziguli eziphuma ngaphandle noma ngobusuku obubodwa esibhedlela.

Ungalungela kanjani i-hysterectomy yakho yesitho sangasese sowesifazane?

Ukulungiselela ukuhlinzwa kwakho kusiza ukuqinisekisa umphumela ongcono kakhulu nokululama okubushelelezi. Udkt wakho uzokunikeza imiyalelo ethile, kodwa ukulungiselela ngokuvamile kuqala cishe ngesonto ngaphambi kwenqubo yakho.

Ukulungiselela kwakho ngaphambi kokuhlinzwa kungenzeka kufake:

• Ukunqamula imithi ethile efana ne-blood thinners njengoba kuqondisiwe
• Ukuphuza ama-antibiotics abekiwe ukuvimbela ukutheleleka
• Ukusetshenziswa kokulungiswa okukhethekile kwesitho sangasese ngobusuku obandulela ukuhlinzwa
• Ukwala ukudla noma ukuphuza noma yini ngemuva kwamabili ngaphambi kokuhlinzwa kwakho
• Ukuhlela ukuthi othile akuqhubele ekhaya futhi ahlale nawe
• Ukuqeda noma yiziphi izivivinyo zegazi noma izifundo zokucabanga ezidingekayo

Ithimba lakho lokunakekelwa kwezempilo lizokuhambisa ngesinyathelo ngasinye futhi liphendule noma yimiphi imibuzo. Ukulandela lezi ziqondiso ngokucophelela kusiza ukunciphisa ingozi yakho yezinkinga futhi kusekela ukuphulukiswa okuhle.

Ungazifunda kanjani imiphumela yakho ye-vaginal hysterectomy?

Ngemuva kokuhlinzwa kwakho, uzothola umbiko we-pathology ohlola izicubu ezisusiwe ngaphansi kwe-microscope. Lo mbiko uqinisekisa ukuthi ngabe amangqamuzana angajwayelekile noma izimo zikhona yini futhi usiza ukuqondisa ukunakekelwa kwakho okuqhubekayo.

Umbiko wakho we-pathology ngokuvamile uzokhombisa:

• Izicubu zesibeletho ezijwayelekile ezingenayo imiphumela ekhathazayo
• Ukuqinisekiswa kwezimo ezinjenge-fibroids noma i-adenomyosis
• Ubufakazi be-endometriosis uma lokho kwakusolwa
• Ushintsho oluvuvukalayo olungase luchaze izimpawu zakho
• Ngokungavamile, okutholakele okungalindelekile okudinga ukulandela

Udokotela wakho uzobuyekeza le miphumela nawe ngesikhathi sokuqokwa kwakho okulandelayo. Imibiko eminingi ikhombisa ngqo lokho obekulindelekile ngokuya ngezimpawu zakho zangaphambi kokuhlinzwa nokuhlolwa.

Ungalulama kanjani ku-vaginal hysterectomy?

Ukwelulama ku-vaginal hysterectomy ngokuvamile kuyashesha futhi kunethezekile kune-abdominal hysterectomy ngoba akukho ukusikeka kwesisu okuzokuphulukiswa. Abesifazane abaningi bazizwa ngcono kakhulu phakathi kwamasonto amabili kuya kwamane, yize ukuphulukiswa okuphelele kwangaphakathi kuthatha amasonto angaba yisithupha kuya kwayisishiyagalombili.

Ukwelulama kwakho kungenzeka kulandele lo mugqa wesikhathi ojwayelekile:

• Iviki lokuqala: Phumula, lawula ukungakhululeki ngemithi ebekiwe
• Amasonto 2-4: Khulisa kancane umsebenzi, buyela emsebenzini olula
• Amasonto 4-6: Qala kabusha imisebenzi ejwayelekile ngaphandle kokuphakamisa okunzima
• Amasonto 6-8: Ukululama okuphelele, okuhlanganisa ukuzivocavoca nokusondelana

Wonke umuntu uphola ngejubane lakhe, ngakho-ke ungakhathazeki uma umugqa wakho wesikhathi ubukeka ngendlela ehlukile kancane. Udokotela wakho uzoqapha inqubekela phambili yakho futhi akwazise ukuthi kuphephile nini ukuqala kabusha yonke imisebenzi.

Ziyini izici eziyingozi zezinkinga ze-hysterectomy yesitho sangasese sowesifazane?

Ngenkathi i-hysterectomy yesitho sangasese sowesifazane ngokuvamile iphephe kakhulu, ezinye izici zingakhuphula kancane ingozi yakho yezinkinga. Ukuqonda lokhu kukusiza wena nodokotela wakho ukuthi nenze isinqumo esingcono kakhulu sesimo sakho.

Izici ezingase zikhuphule ingozi yakho yokuhlinzwa zihlanganisa:

• Ukuhlinzwa kwangaphambilini kwesinqe okungenzeka ukuthi kubangele izicubu ezinamathiselwe
• Isibeletho esikhulu kakhulu okunzima ukususa ngesitho sangasese sowesifazane
• I-endometriosis enkulu enezinamatheliso eziningi
• Ukukhuluphala ngokweqile, okungenza ukuhlinzwa kube yinselele enkulu
• Izimo ezingelapheki zezokwelapha njengobulwelwe beswekile noma isifo senhliziyo
• Umlando wokuphazamiseka kokujiya kwegazi
• Ukubhema, okunciphisa ukuphola futhi kwandise ingozi yokutheleleka

Udkt. wakho ohlinzayo uzohlola ngokucophelela lezi zici ngesikhathi sokubonisana kwakho. Noma ngabe unezici eziyingozi, i-hysterectomy yesitho sangasese sowesifazane ingase iseyona ndlela engcono kakhulu kuwe.

Ziyini izinkinga ezingaba khona ze-hysterectomy yesitho sangasese sowesifazane?

Izinkinga ezinzima ezivela ku-hysterectomy yesitho sangasese sowesifazane azivamile, zenzeka ngaphansi kuka-5% wezinqubo. Kodwa-ke, kubalulekile ukuqonda ukuthi yini engenzeka ukuze ukwazi ukwenza isinqumo esinolwazi futhi uqaphele izimpawu zokuxwayisa.

Izinkinga ezingaba khona zihlanganisa:

• Ukuphuma kwegazi okukhulu okudinga ukumpontshelwa igazi (akuvamile kakhulu)
• Ukunyuka kwamagciwane e-pelvis noma endaweni okuhlinzwe kuyo
• Ukwenzeka enyameni eseduze njenge-bladder noma amathumbu
• Amaqhubu egazi emilenzeni noma emaphashini
• Ukungaphenduli kahle emuthini wokubulala izinzwa
• Ukuqhekeka kwe-vaginal cuff lapho ukusikeka kuvuleka khona
• Ngokuvamile, ukuguqulwa kube ukuhlinzwa kwesisu uma kuvela izinkinga

Iqembu lakho labahlinzi lithatha izinyathelo eziningi zokuvimbela lezi zinkinga. Abesifazane abaningi abanazo izinkinga ezinkulu futhi banelisekile kakhulu ngemiphumela yabo.

Kufanele ngibone nini udokotela ngemuva kwe-hysterectomy ye-vaginal?

Izimpawu eziningi zokululama ngemuva kwe-hysterectomy ye-vaginal zivamile futhi zibhekwe. Kodwa-ke, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha ukuqinisekisa ukuphepha kwakho nokuphulukiswa okufanele.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Ukuphuma kwegazi okukhulu okumanzisa amaphedi angaphezu kwelilodwa ngehora
• Ubuhlungu obukhulu besisu noma be-pelvic obanda kakhulu
• Umkhuhlane ongaphezu kuka-101°F (38.3°C) noma ama-chills
• Ukuphuma okungcolile kwe-vaginal
• Ubunzima bokuchama noma ukusha ngesikhathi sokuchama
• Ukuvuvukala komlenze, ububomvu, noma ubuhlungu be-calf
• Ukuphefumula kanzima noma ubuhlungu besifuba

Unganqikazi ukushayela umhlinzeki wakho wezempilo uma kukhona okungazwakali kahle. Bakhona ukukusekela ekululameni kwakho futhi bafuna ukubhekana nanoma yikuphi ukukhathazeka ngokushesha.

Imibuzo ebuzwa njalo mayelana ne-hysterectomy ye-vaginal

Q.1 Ingabe i-hysterectomy ye-vaginal ingcono kune-hysterectomy yesisu?

I-hysterectomy ye-vaginal ivame ukukhethwa uma kufanelekile ngokwezokwelapha ngoba ngokuvamile inikeza ukululama okusheshayo, ubuhlungu obuncane, futhi akukho izibazi ezibonakalayo. Ngokuvamile uzohamba ngokushesha ekhaya futhi ubuyele emisebenzini evamile ngokushesha kunokuhlinzwa kwesisu.

Noma kunjalo, akuwona wonke owesifazane ongumuntu okhethekile we-hysterectomy ye-vaginal. Udokotela wakho uzocabangela izinto ezinjengosayizi wesibeletho sakho, ukuhlinzwa kwangaphambilini, kanye nesimo esithile eselashwayo ukuze anqume indlela engcono kakhulu kuwe.

Q.2 Ingabe i-hysterectomy ye-vaginal ithinta amazinga e-hormone?

Uma kuphela isibeletho sakho esisusiwe futhi ama-ovari akho esele, amazinga akho e-hormone akufanele ashintshe kakhulu. Ama-ovari akho azoqhubeka ekhiqiza i-estrogen ne-progesterone njengoba ayenza ngaphambi kokuhlinzwa.

Noma kunjalo, uma nama-ovari akho esuswa ngesikhathi senqubo, uzozwa ukuya esikhathini ngokushesha nezinguquko ze-hormonal ezihambisanayo. Udokotela wakho uzoxoxa ngezinketho zokwelashwa nge-hormone replacement therapy uma lokhu kusebenza esimweni sakho.

Q.3 Ngingakwazi yini ukuba ne-orgasms ngemva kwe-hysterectomy ye-vaginal?

Abesifazane abaningi basengafinyelela i-orgasm ngemva kwe-hysterectomy ye-vaginal, ikakhulukazi uma ukuphulukiswa sekuqediwe. I-clitoris kanye nezindlela eziningi zemizwa ezihilelekile ekuphenduleni ngokocansi zihlala zikhona ngesikhathi sale nqubo.

Abanye besifazane babika ngisho nokuthuthukiswa kokwaneliseka ngokocansi ngemva kokuhlinzwa ngoba izimpawu ezicasulayo njengokopha okukhulu noma ubuhlungu be-pelvic ziyaxazululwa. Kuyinto evamile ukudinga isikhathi sokuphulukisa ngokomzimba nangokomzwelo ngaphambi kokuqala kabusha ukusondelana.

Q.4 Ngizothatha isikhathi esingakanani ngaphambi kokuthi ngikwazi ukushayela ngemva kwe-hysterectomy ye-vaginal?

Ngokuvamile ungashayela uma ungasathathi imithi ebuhlungu kadokotela futhi uzizwa ukhululekile ukwenza ukunyakaza okusheshayo njengokushaya amabhuleki. Lokhu kuvame ukwenzeka phakathi kwesonto elilodwa kuya kwamabili ngemva kokuhlinzwa.

Qala ngohambo olufushane oluseduze nekhaya uma uqala kabusha ukushayela. Qiniseka ukuthi ungawuphendula umzimba wakho ngokukhululeka futhi usabele ngokushesha uma kudingeka ngaphambi kokushayela amabanga amade.

Q.5 Ngizodinga ukuthatha ama-hormone ngemva kwe-hysterectomy ye-vaginal?

Ukuthi ngabe uyayidinga yini i-hormone therapy kuncike ekutheni ama-ovari akho asusiwe yini kanye nesibeletho sakho. Uma ama-ovari akho esele, ngokuvamile ngeke udinge ukufakwa kwe-hormone ngokushesha ngoba aqhubeka ekhiqiza ama-hormone akho emvelo.

Uma ama-ovari akho esusiwe, cishe uzohlomula ku-hormone replacement therapy ukuphatha izimpawu zokuya esikhathini futhi uvikele impilo yakho yesikhathi eside. Udokotela wakho uzokusiza ukuthi ulinganise izinzuzo nezingozi ze-hormone therapy ngokusekelwe esimweni sakho somuntu ngamunye.