Inqubo ngempumelelo, ngaphandle kobuhlungu futhi ephephile nempilo yabesifazane - wesibeletho Cryodestruction!

Eyodwa yezindlela eziningi zalezi zinsuku sezihambile ukwelapha izifo wesibeletho kubhekwa cryosurgery. Leli gama kungenziwa ngokwezwi nezwi ehunyushwa ngokuthi njengoba "breaking abandayo." Ngakho-ke, singaba ichaze: cryosurgery wesibeletho - indlela yesimanje ithonya lendawo ku wesibeletho liquid nitrogen ngaphansi kwamazinga okushisa aphansi (-90 - -150 degrees) ngenhloso yokwelapha, nezicubu zisuswe ayafa esebenzisa umnkantsha (Ukupholisa).

Cryodestruction wesibeletho - inqubo uyazonga kakhulu kuhlinzwa ngalesi sikhathi. izinzuzo eziningi ngendlela cryosurgical ukuqinisekisa ukusetshenziswa kabanzi ke ekwelapheni izinqubo sokugembula nezifo wesibeletho.

Izinzuzo cryodestruction:

1. umphumela kobuhlungu ku wesibeletho, ezidinga kungekho analgesia eyengeziwe ngoba ukubanda kubangela ukuphazamiseka okusheshayo nozwela kwalapho, ukudala umphumela analgesic.

2. Inqubo ngaphandle kwegazi ngoba lapho kriovozdejstvie kwenzeka vasospasm, thrombosis we microvasculature. Ngenxa yalokho, indawo necrosis kule nqubo futhi emva kuchitheka igazi.

3. Cryosurgery asishintshi futhi akusenzi kuyaqina wesibeletho, ngakho ukuvulwa wesibeletho ngesikhathi sokubeletha okwalandela kwenzeka ngokuvamile, evumela ukusetshenziswa le ndlela ku abesifazane nulliparous.

4. Kungenzeka negalelo esicacile isikhungo zokugula inikeza umonakalo sakugcina kakhulu enyameni ezungezile.

5. wesibeletho Cryosurgery akusho izibazi.

6. Ukuba lula eyisihlobo inqubo.

7. Nokuvinjelwa Ukudlulela ka neoplasms futhi ngemva kokuhlinzwa.

8. nabuhlungu futhi kalula ibekezelelwe.

9. Inikeza nomphumela ozinzile futhi ukululama ephelele lendwangu.

10. Azikho ngangibuye ngihluleke.

11. Asikho isidingo ngoba suturing noma ukuhlinzwa ukunakekelwa eziyinkimbinkimbi.

12. Ngesikhathi inqubo eside.

13. Angazi badinga ukulungiselela preoperative eside.

14. Izinqubo ukuhlukumezeka Minimal.

15. Ukwenqabela izimila kwenzeka kanyekanye ne indawo le inyama ephilile.

16. ingozi okuphansi yezinkinga.

17. Ukuvuselelwa izindlela engokwemvelo esimiso somzimba sokuzivikela ezifweni umthombo ukuchayeka.

Ngu bikho eyisihlobo izinqubo kungabandakanya:

1. Ubude ukuchayeka ukuphulukiswa endaweni (kusukela izinsuku ezingu-10 kuya kwezingu-21).

2. kuyafaneleka ngesikhathi ukhetha indlela yokwelashwa (izimila likhulu kakhulu, kunzima) Hhayi njalo.

ukusebenza

Ukuze ubone ukuthi imingcele lesion wesibeletho ziphathwe glycerol p-rum Lugol sika. Ulwelwesi lwamafinyila kufanele kube olumanzi. Khona-ke krionakonechnik efudumele yayicindezele ebusweni entanyeni ukuze lesion ihlanganiswa ngokuphelele. Uma lesion bazocula esifundeni ithiphu, ingozi ukwehluleka yokusebenza, futhi uma wenza ezingaphezu kwezingu-3 kuya ku-5 mm, kuyilapho ukunqotshwa ngeke asuswe. Ngemva kwalokho, umbonisi refrigerant icushiwe, futhi ngemva kwemizuzwana embalwa, ithiphu isivele primerznet kufinyelele entanyeni. Kulokhu isikhathi sokubeka izingcwecwe elangeni besamukela angaphansi kwamaminithi 3 (imizuzu 3 kuya ku 5). Ekupheleni cryotherapy ithiphu thaws, wasinda. defrosting ezisheshayo kungenzeka nge ngenkasa p sodium isotonic chloride-isethi.

izigaba cryodestruction

1. Okokuqala kwenzeka izicubu okokuqandisa usebenzisa liquid nitrogen. Indwangu iba abandayo, obukhulu, omhlophe, bangakhathaleli muntu; kwesinye isikhathi kuhambisane umuzwa ukuluma okuncane noma esivuthayo, ubuhlungu ezincane.

2. Phakathi 1-3 amahora - edema eseduze futhi hyperemia.

3. Phakathi 6 - 24 amahora - epidermialnyh nesenzakalo Bubbles (nge oluhambisana noma okuqukethwe serous).

4. Gcwalisa necrosis kwenqatshwa kwenzeka ngesikhathi amasonto 2-6, kusale indawo kancane obonakalayo. Ngakho kukhona epithelization kwemizi kanye nezicubu eziseduze.

5. Kusukela 3 kuya ku-6 izinyanga, kukhona ukubuyiselwa zonke izakhiwo netakhiwo dermis, ukuvuselelwa ephelele izindawo, elihambisana evamile, isikhumba enempilo.

Izinkomba cryodestruction e zabesifazane:

1. ukuguguleka wesibeletho ;

2. simila wesibeletho ;

3. epithelium ectopia;

4. cervicitis ezingamahlalakhona;

5. leukoplakia;

6. dysplasia (grade 1-2);

7. sowesifazane sangasese condyloma, perineum, ngemomozi;

8. ectropion;

9. papilloma emomozini noma ngemomozi yakho;

10. antiretsidivnoe ukwelashwa eyinkimbinkimbi polyp e umsele wesibeletho (emva ukususwa kuhlinzwa we polyp);

11. kraurosis futhi leukoplakia ngemomozi;

Izimo inqubo:

1. izifo sibi noma subacute sokuvuvukala esithweni yangaphakathi;

2. isifo ukuvuvukala sangasese noma wesibeletho, isitho sangasese somuntu wesifazane flora ubumsulwa grade 3-4;

3. STD;

4. esobala kakhulu isibanda kwesibeletho ukusonteka;

5. endometriosis, fibroids, ezidinga ukwelashwa kuhlinzwa;

6. dysplasia grade 3 engapheli noma okusolwa ukuthi umdlavuza wakhe;

7. isimila esibelethweni;

8. isifo ukuphathwa kwabathintwayo decompensation esiteji;

9. acute izifo ezithathelwanayo.

Ngaphambi inqubo ukuza uthintane udokotela wezifo zabesifazane ukubhekana umbuzo kungenzeka le ndlela oluthile lokwelashwa. Phakathi kokubonisana kwenziwe: iqoqo izikhalazo isiguli yakhe nemlandvo wetekwelashwa kwakhe, ukuhlola zangasese esibukweni ke - kocingo phezu izitshalo osenyameni lwesitho sangasese sowesifazane, smear PCR ngokuba khona izifo, smear wesibeletho nge Pap (biopsy uma kuboniswe) kanye colposcopy.

Ngokusho imiphumela inhlolovo ukusetha Ihlahlubo inquma indlela kahle ukwelashwa. Cryodestruction wesibeletho ngokuvamile eyenziwa kusukela 7 kuya ku-10 ngosuku umjikelezo.

Cryodestruction wesibeletho: Izibuyekezo

Iningi iklayenti phendula kahle le ndlela, ngoba isibalo esikhulu sezithunjwa izinzuzo (njengoba kushiwo ngenhla), iziguli ikakhulukazi ekhuthaza kobuhlungu, ukwelashwa ngaphandle kwegazi, kungenzeka ebeletha, akukho izibazi kanye nekghono eliphezulu. Kodwa kukhona izitatimende ezingehli kahle eziphathelene. ngokuvamile Lokhu kwenzeka ngenxa yemikhuba emibi luhlolo preoperative noma ukukhubazeka ngesikhatsi operation (lokhu kubonisa ukuthi udinga ukwenza imitholampilo cryo yedwa ongumholi onokwethenjelwa).

Njengoba sifundile e pathologies wesibeletho ngendlela ephumelelayo futhi ephephile ukuze kwelashwe cryosurgery wesibeletho. Imiphumela ingelashwa nokunganakwa lezi zifo ingaba ebuhlungu ngisho ibangele umdlavuza. Ngakho ukwelapha isifo wesibeletho qiniseka futhi uhlale unempilo!