Hysterectomy

Hysterectomy yog phais kom tshem tus poj niam lub tsev menyuam (menyuam). Lub tsev menyuam yog cov khoob ntawm cov leeg uas pabcuam tus menyuam kom loj hlob thaum cev xeeb tub.

Koj tuaj yeem tshem tag nrho lossis ib feem ntawm lub tsev menyuam tshem tawm thaum txoj kev phais mob hysterectomy. Cov leeg ntshav thiab hlab qe kuj tseem yuav raug tshem tawm.

Muaj ntau ntau txoj hauv kev los ua tus mob hysterectomy. Nws tuaj yeem ua kom tiav los ntawm:

• Muaj kev phais hauv plab (hu ua qhib lossis lub plab)
• Peb mus rau plaub txoj kev phais me me hauv plab thiab tom qab ntawd siv lub ntsej muag laparoscope
• Kev phais mob hauv qhov chaw mos, pab los ntawm kev siv lub laparoscope
• Kev phais mob qhov chaw mos nyob hauv qhov chaw mos yam tsis tas siv lub laparoscope
• Peb mus rau plaub qhov kev phais me me hauv plab, txhawm rau ua haujlwm phais neeg hlau

Koj thiab koj tus kws kho mob yuav txiav txim txoj kev kho mob twg. Cov kev xaiv yuav nyob ntawm koj li keeb kwm kho mob thiab qhov laj thawj ntawm kev phais mob.

Muaj ntau ntau cov laj thawj uas tus poj niam yuav xav tau kev phais mob menyuam, nrog rau:

• Adenomyosis, mob uas ua rau lub sijhawm hnyav, mob nyhav
• Mob khees xaws rau lub tsev menyuam, feem ntau feem ntau mob cancer ntawm lub cev
• Mob kheesxaws ncauj tsev menyuam lossis hloov pauv ntawm lub ncauj tsev menyuam hu ua ncauj tsev menyuam uas ua rau mob cancer
• Mob kheesxaws ntawm zes qe menyuam
• Mob ncauj plab ntev (mob)
• Mob endometriosis uas tsis mob zoo dua nrog rau lwm yam kev kho mob
• Mob ntshav tawm qhov chaw mos mob heev thiab ntev los ntshav uas tsis yog tswj nrog lwm yam kev kho mob
• Txo lub tsev menyuam mus rau hauv lub paum (uterine prolapse)
• Cov hlav nyob rau hauv lub tsev menyuam, xws li uterine fibroids
• Kev tswj tsis tau los ntshav thaum yug menyuam

Hysterectomy yog phais mob hnyav. Qee qhov mob tuaj yeem kho nrog qhov txheej txheem tsis zoo xws li:

• Uterine artery embolization
• Endometrial ablation
• Siv tshuaj tswj tsis pub muaj menyuam
• Siv tshuaj kho mob
• Siv IUD (cov khoom tso tawm hauv lub cev) tso tawm cov tshuaj hormone progestin
• Pelvic laparoscopy

Kev phom sij ntawm kev phais yog:

• Kev fab tshuaj rau cov tshuaj
• Cov teeb meem ua pa
• Cov ntshav txhaws, uas tuaj yeem ua rau tuag taus yog tias lawv taug kev mus rau lub ntsws
• Ntshav
• Kab mob
• Kev raug mob rau thaj tsam ze lub cev

Kev phom sij ntawm lub qhov nqaij hlav yog:

• Kev raug mob rau lub zais zis lossis rau txoj hlab zis
• Mob thaum sib deev
• Qoj ntxov ntxov yog lub zes qe menyuam raug tshem tawm
• Tsis tshua muaj kev nyiam sib deev
• Muaj kev pheej hmoo ntau ntxiv ntawm kab mob plawv yog tias zes qe menyuam raug tshem tawm ua ntej lub sijhawm ntas

Ua ntej yuav txiav txim siab kom muaj kev phais mob nqaij hlav, nug koj tus kws kho mob seb yuav muaj dab tsi ntxiv tom qab qhov txheej txheem. Coob tus pojniam pom tias lawv lub cev hloov txawv txav thiab lawv xav licas txog lawv tus kheej tomqab txiav ntshav tawm. Tham nrog tus muab kev pab, tsev neeg, thiab cov phooj ywg txog cov kev hloov no ua ntej koj yuav phais mob.

Qhia rau pab neeg tu koj txog txhua yam tshuaj koj noj. Cov no suav cov tshuaj ntsuab, tshuaj ntxiv, thiab lwm yam tshuaj uas koj yuav yam tsis tas yuav tshuaj.

Thaum lub hnub ua ntej kev phais mob:

• Tej zaum yuav kom koj tsum tsis txhob noj cov tshuaj aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), thiab lwm yam tshuaj zoo li cov no.
• Nug koj tus kws kho mob saib koj yuav siv cov tshuaj twg hnub koj phais.
• Yog koj haus luam yeeb, sim nres. Nug koj tus kws kho mob kom pab txiav.

Hnub koj phais:

• Koj yuav kom feem ntau tsis txhob haus dej los yog noj dab tsi rau 8 teev ua ntej kev phais mob.
• Noj yam tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Mus txog tsev kho mob kom ncav sijhawm.

Tom qab phais tas, koj yuav tau muab tshuaj rau qhov mob.

Koj kuj tseem yuav muaj txoj hlab, hu ua lub raj yas, tso rau hauv koj lub zais zis kom tso zis. Feem ntau, cov nplais tawm raug tshem tawm ua ntej tawm hauv tsev kho mob.

Yuav kom koj sawv thiab txav mus los sai li sai tau tom qab phais mob. Qhov no pab tiv thaiv cov ntshav txhaws ntawm kev ua rau koj txhais ceg thiab nrawm nrawm dua.

Luag yuav hais kom koj sawv mus siv chav dej sai li sai tau. Koj tuaj yeem rov qab noj cov zaub mov kom ib txwm noj sai li sai tau uas koj tuaj yeem tsis ua rau xeev siab thiab ntuav.

Lub sijhawm koj nyob hauv tsev khomob ntev npaum li cas yog nyob ntawm seb hom qog nqaij hlav yog dabtsi.

• Koj tuaj yeem yuav mus tsev ib hnub tom qab thaum phais qhov ncauj los ntawm qhov chaw mos, nrog lub laparoscope, lossis tom qab phais mob.
• Thaum phais loj dua (phais hauv plab) hauv plab plab, koj yuav tsum nyob hauv tsev kho mob ntev txog 1 txog 2 hnub. Tej zaum koj yuav xav nyob ntev dua yog tias tu leeg mob vim mob qog noj ntshav.

Ntev npaum li cas nws yuav siv sij hawm koj yuav rov qab yog nyob ntawm hom ntawm hysterectomy. Cov sij hawm rov qab nruab nrab yog:

• Lub plab phais plab: 4 txog 6 lub lis piam
• Vaginal hysterectomy: 3 txog 4 asthiv
• Cov cuab yeej siv tau hlau lossis tag nrho laparoscopic hysterectomy: 2 txog 4 lub lis piam

Txoj kev phais mob ua pob yuav ua kom lub cev ntas yog tias koj tseem muaj koj lub zes qe menyuam tshem tawm. Kev tshem tawm ntawm lub zes qe menyuam tuaj yeem tuaj yeem ua rau lub zog tsav qis dua. Koj tus kws kho mob yuav pom zoo kom hloov tshuaj estrogen. Tham nrog koj tus kws kho mob txog ntawm cov teeb meem thiab cov txiaj ntsig ntawm txoj kev kho no.

Yog hais tias qhov mob hysterectomy tau ua rau mob qog noj ntshav, koj yuav tsum tau kho ntxiv.

Vaginal hysterectomy; Lub plab hysterectomy; Supracervical hysterectomy; Tshaj dhau hysterectomy; Kev tshem tawm ntawm lub tsev menyuam; Laparoscopic hysterectomy; Laparoscopically pab chaw mos hysterectomy; LAVH; Tag nrho cov laparoscopic hysterectomy; TLH; Laparoscopic supracervical hysterectomy; Muaj kev pab kho tus kheej hysterectomy

• Hysterectomy - plab - tso tawm
• Hysterectomy - laparoscopic - kev tso tawm
• Hysterectomy - chaw mos - tso tawm
• Kev phais mob kho mob - qhib
• Uterine artery embolization - kev tshem tawm

• Pelvic laparoscopy
• Hysterectomy
• Uterus
• Hysterectomy - Series

Pab Pawg ntawm Gynecologic Xyaum. Pawg neeg tawm tswv yim tsis yog 701: xaiv txoj hauv kev ntawm hysterectomy rau benign kab mob. Obstet GynecolCov. 2017; 129 (6): e155-e159. PMID: 28538495 pubmed.ncbi.nlm.nih.gov/28538495/.

Jones HW. Kev phais mob gynecologic. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 70.

Karram HLI. Vaginal hysterectomy. Hauv: Baggish MS, Karram MM, eds. Atlas of Pelvic Anatomy thiab Gynecologic phaisCov. 4 tug ed. Philadelphia, PA: Elsevier; 2016: chap 53.

Thakar R. Lub tsev menyuam puas pw ua ke? Kev sib deev ua haujlwm tom qab hysterectomy. Poj Niam Deev Hluas RevCov. Xyoo 2015; 3 (4): 264-278. PMID: 27784599 pubmed.ncbi.nlm.nih.gov/27784599/.