Ciwon mahaifa

Hysterectomy shine tiyata don cire mahaifar mace (mahaifa). Mahaifa wani yanki ne na muscular wanda ke ciyar da jariri mai tasowa yayin ciki.

Wataƙila an cire duk ko ɓangaren mahaifar a lokacin aikin fida. Hakanan za'a iya cire bututun mahaifa da na ovaries.

Akwai hanyoyi daban-daban da yawa don yin aikin cirewar mahaifa. Yana iya yi ta hanyar:

• Wani yanki da aka yanke a ciki (wanda ake kira a buɗe ko na ciki)
• Toananan ƙananan tiyata uku zuwa huɗu a cikin ciki sannan kuma amfani da laparoscope
• Yankewar tiyata a cikin farji, ta amfani da laparoscope
• Yankewar tiyata a cikin farji ba tare da amfani da laparoscope ba
• Toananan cutan tiyata uku zuwa huɗu a cikin ciki, don yin aikin tiyata

Kai da likitan ku za ku yanke shawarar wane nau'in aikin. Zaɓin zai dogara ne akan tarihin lafiyar ku da kuma dalilin tiyatar.

Akwai dalilai da yawa da mace za ta iya buƙatar cirewar ciki, gami da:

• Adenomyosis, yanayin da ke haifar da nauyi, lokaci mai raɗaɗi
• Ciwon daji na mahaifa, mafi yawan lokuta endometrial cancer
• Ciwon mahaifa ko canje-canje a mahaifa da ake kira dysplasia na mahaifa wanda ka iya haifar da cutar kansa
• Ciwon daji na ovary
• Ciwon mara na tsawon lokaci (na kullum)
• Tsananin cututtukan zuciya wanda baya samun sauki tare da sauran magunguna
• Mai tsananin, zubar jini na dogon lokaci wanda ba'a sarrafa shi tare da sauran magunguna
• Slipping mahaifar cikin farji (ɓarkewar mahaifa)
• Tumurai a cikin mahaifa, kamar fibroids na mahaifa
• Zubar da jini ba tare da kulawa ba yayin haihuwa

Ciwon mahaifa babban tiyata ne. Wasu yanayi ana iya magance su tare da ƙananan hanyoyin haɗari kamar:

• Maganin jijiyar mahaifa
• Rushewar endometrium
• Yin amfani da kwayoyin hana daukar ciki
• Yin amfani da magungunan ciwo
• Yin amfani da IUD (na cikin mahaifa) wanda ke fitar da homon na progestin
• Pelvic laparoscopy

Hadarin kowane tiyata shine:

• Maganin rashin lafia ga magunguna
• Matsalar numfashi
• Jinin jini, wanda na iya haifar da mutuwa idan sun yi tafiya zuwa huhu
• Zuban jini
• Kamuwa da cuta
• Rauni ga yankuna na kusa

Hadarin da ke cikin mahaifa sune:

• Rauni ga mafitsara ko mafitsara
• Jin zafi yayin saduwa
• Sauke al’ada da wuri idan an cire kwayayen
• Rage sha'awar jima'i
• Riskarin haɗarin cututtukan zuciya idan an cire ƙwanan ciki kafin lokacin haila

Kafin yanke shawarar yin tiyatar mahaifa, tambayi likitocinka abin da yakamata a yi bayan aikin. Mata da yawa suna lura da canje-canje a cikin jikinsu da yadda suke ji game da kansu bayan an gama cirewar mahaifa. Yi magana da mai ba da sabis, dangi, da abokai game da waɗannan canje-canjen da za a iya yi kafin a yi tiyata.

Faɗa wa ƙungiyar kula da lafiyar ku game da duk magungunan da kuke sha. Wadannan sun hada da ganye, kari, da sauran magunguna da kuka siya ba tare da takardar sayan magani ba.

A lokacin kwanakin kafin aikin:

• Ana iya tambayarka ka daina shan aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), da kowane irin kwayoyi.
• Tambayi mai ba ku magani wadanne kwayoyi ne ya kamata ku sha a ranar tiyata.
• Idan ka sha taba, yi ƙoƙari ka daina. Tambayi mai ba ku sabis don ya daina.

A ranar tiyata:

• Sau da yawa za a tambaye ku kada ku sha ko ku ci wani abu har tsawon awanni 8 kafin aikin tiyatar.
• Anyauki kowane magunguna da mai ba ku magani ya gaya muku ku sha da ɗan ƙaramin shan ruwa.
• Zuwanka asibiti akan lokaci.

Bayan tiyata, za a ba ku magungunan ciwo.

Hakanan kana iya samun bututu, wanda ake kira catheter, a saka a cikin mafitsara don yin fitsari. Mafi yawan lokuta, ana cire catheter kafin barin asibitin.

Za a umarce ku da ku tashi ku yi tafiya da wuri-wuri bayan tiyata. Wannan yana taimakawa hana daskarewar jini daga samuwar ku a kafafun ku kuma yana saurin warkewa.

Za'a umarce ka da ka tashi kayi amfani da gidan wanka da zaran ka samu damar yin hakan. Kuna iya komawa ga tsarin abinci na yau da kullun da zaran kun iya ba tare da haifar da tashin hankali da amai ba.

Tsawon lokacin da kuka zauna a asibiti ya dogara da nau'in ƙwayar mahaifa.

• Wataƙila za ku iya komawa gida washegari lokacin da ake yin tiyata ta cikin farji, tare da laparoscope, ko kuma bayan tiyata ta mutum-mutumi.
• Lokacin da aka yanke babban tiyata (ɓacin ciki) a cikin ciki, ƙila a buƙaci a kwana a asibiti na kwana 1 zuwa 2. Wataƙila kuna buƙatar tsayawa na dogon lokaci idan an yi aikin cire mahaifa saboda cutar kansa.

Yaya tsawon lokacin da zai ɗauke ka ka warke ya dogara da nau'in ƙwayar mahaifa. Matsakaicin lokacin dawowa sune:

• Ciwon ciki na ciki: makonni 4 zuwa 6
• Ciwon mara na farji: makonni 3 zuwa 4
• Taimako na Robot ko jimlar hysterectomy na laparoscopic: 2 zuwa makonni 4

Ciwon mara na iya haifar da haila idan kuma an cire maka kwan mace. Cire ovaries na iya haifar da raguwar sha'awar jima'i. Kwararka na iya bayar da shawarar maganin maye gurbin estrogen. Tattaunawa tare da mai bayarwa game da haɗarin da fa'idodin wannan maganin.

Idan an yi aikin mahaifa don cutar kansa, wataƙila kuna buƙatar ƙarin magani.

Farjin mace; Ciwon ciki na ciki; Supracervical hysterectomy; Tsattsauran jijiyoyin jikin mutum; Cire mahaifa; Laparoscopic hysterectomy; Taimakon laparoscopically taimakawa mara aikin farji; LAVH; Jimlar hysterectomy na laparoscopic; TLH; Laparoscopic supracervical hysterectomy; Taimako ta hanyar amfani da kwakwalwa

• Hysterectomy - ciki - fitarwa
• Hysterectomy - laparoscopic - fitarwa
• Hysterectomy - farji - fitarwa
• Kula da rauni na tiyata - a buɗe
• Maganin jijiyar mahaifa - fitarwa

• Pelvic laparoscopy
• Ciwon mahaifa
• Mahaifa
• Tsarin mahaifa - Jeri

Kwamitin Aikin Gynecologic. Ra'ayin kwamitin babu 701: zabar hanyar cutar mahaifa don cutar rashin lafiya. Obstet Gynecol. 2017; 129 (6): e155-e159. PMID: 28538495 pubmed.ncbi.nlm.nih.gov/28538495/.

Jones HW. Yin aikin tiyata na mata. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 70.

Karram MM. Farjin mace na farji. A cikin: Baggish MS, Karram MM, eds. Atlas na Pelvic Anatomy da Gynecologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2016: babi na 53.

Thakar R. Shin mahaifar mahaifa ce? Yin jima'i bayan aikin cysterectomy. Yin Jima'i Rev. 2015; 3 (4): 264-278. PMID: 27784599 pubmed.ncbi.nlm.nih.gov/27784599/.