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Salpingectomy kwizibhedlele zeApollo, eLucknow

Yabelana nge:

Kutheni Izigulana Zikhetha Izibhedlele zaseApollo, eLucknow ukuze Zifumane I-Salpingectomy

  • Inxalenye yeqela lee-Apollo Hospitals, elasekwa ngo-1983 - ngaphezulu kweminyaka engamashumi amane yamava onyango eIndiya, kunye nezibhedlele ezingaphezu kwama-70 kunye nenethiwekhi yeqela lonke yoogqirha abangaphezu kwe-10,000.
  • Icandelo elizinikeleyo le-Obstetrics & Gynaecology kwi-Apollomedics Super Specialty Hospital, eLucknow, kunye neqela labacebisi elinamalungu amaninzi apho iingcali eziphezulu ze-gynecologists zihlala zinamava otyando angamashumi amabini ukuya kwamashumi amathathu, nganye ixhaswa yi-anesthesia, unyango olubalulekileyo kunye namaqela e-radiology afumaneka imini nobusuku.
  • Ugxininiso lotyando olufikelelekayo kancinci Uninzi lwee-salpingectomy apha luzanywa nge-laparoscopically, kusetyenziswa ii-laparoscopy stacks eziphezulu, izixhobo eziphambili zokuvala imithambo yegazi kunye nezixhobo zamandla, kunye neenkqubo zanamhlanje zotyando lwe-electrosurgical, ezidla ngokuthetha ukunqunyulwa okuncinci, iintlungu ezincinci kunye nokubuyela ekhaya kwangoko kunotyando oluvulekileyo.
  • Indlela elungele imeko kaxakeka yokukhulelwa okuqhekekileyo kwe-ectopic, kunye neenkonzo zongxamiseko ezingama-24, inkxaso yebhanki yegazi kwindawo, uvavanyo lwe-ultrasound kunye ne-beta-hCG lwangaphakathi, kunye neendawo zokusebenzela ezisetyenziswa rhoqo ezine-HEPA filtration.
  • Ikopi epheleleyo ye-oncology apho i-salpingectomy yenziwa khona kwi-ovarian called okanye i-ovarian callen, tubal okanye peritoneal money, gynae-oncology, frozen-section pathology, medical oncology kunye ne-radiation oncology ziyafumaneka phantsi kophahla olunye, ngoko ke unyango lwe-staging kunye ne-adjuvant alulibaziseki ngokudluliselwa.
  • Ingcebiso enolwazi ngokuzala Kwabasetyhini abancinci, iqela lixoxa ngokuba ingaba umbhobho ochaseneyo ungagcinwa na, kuthetha ukuthini oku kuqulunqwa kwendalo kwixesha elizayo, kunye nokuba i-IVF yindlela yokwenyani.
  • Kucetywa ukhathalelo lwamakhaya nemikhwa yamaNdiya Ingcebiso igubungela ukuhlala phantsi, izindlu zangasese ezifana nezaseIndiya, ukulala phantsi, ukusebenzisa izitebhisi, kunye noncedo olungakanani oluya kufuneka lunikezwe lusapho oludibeneyo kwiiveki ezimbini zokuqala.
  • Idesika ye-inshurensi kunye ne-TPA kwindawo ukugunyaziswa kwangaphambili ngaphandle kwemali kwiinkampani ezininzi zeinshorensi ezinkulu kunye neenkqubo zikarhulumente, kuxhomekeke kwimigaqo-nkqubo.
  • Iinkqubo zomgangatho ezivunyiweyo Izibhedlele zeqela le-Apollo zilandela imigangatho evunyiweyo ye-NABH kunye ne-NABL yomgangatho wesibhedlele kunye nelebhu, kunye nokuhlolwa okucwangcisiweyo kokulawula usulelo.

isishwankathelo

I-Salpingectomy yinkqubo yotyando equka ukususwa kwetyhubhu enye okanye zombini. Olu tyando ludla ngokuba yimfuneko kubasetyhini abajongene neengxaki ezahlukeneyo zempilo yokuzala, kubandakanya ukukhulelwa kwesisu, iintlungu ezingapheliyo zesinqe, okanye iintlobo ezithile zomhlaza. Kwizibhedlele zase-Apollo eLucknow, sijolise kwimigangatho ephezulu kwezempilo, sisebenzisa ubuchwepheshe bangoku kunye neendlela zotyando ezisetyenzisiweyo ukuze sisebenzele iziphumo ezilungileyo kwizigulana zethu. Iqela lethu loogqirha abanobuchule kunye neengcali zonyango lizinikele ekuboneleleni ngononophelo lomntu ngamnye. Siza kukukhokela kuhambo lwakho lwempilo ngovelwano nobuchule.

I-salpingectomy isenokuba yi-lateral (ityhubhu enye), i-bilateral (zombini iityhubhu), iyonke (ityhubhu yonke) okanye inxalenye (icandelo). Ingenziwa njengotyando olucwangcisiweyo okanye njengengxamiseko, kwaye isenziwa ngakumbi njenge- salpingectomy enethuba - ukususwa kweetyhubhu ngexesha lolunye utyando lwe-pelvic olufana notyando lwe-caesarean okanye i-hysterectomy, kubafazi abagqibezele intsapho yabo, njengendlela enokwenzeka yokunciphisa umngcipheko womhlaza we-ovarian kamva.

Kutheni iSalpingectomy iyimfuneko

I-Salpingectomy yinkqubo enokulungisa iimeko ezininzi zonyango. Idla ngokuboniswa kwiimeko ezilandelayo:

  • Ukukhulelwa kweEctopic: Xa iqanda elivundisiweyo lingena ngaphandle kwesibeleko, ngesiqhelo kwityhubhu ye-fallopian, linokuba yingozi enkulu kwimpilo. I-salpingectomy ingafuneka ukuthintela iingxaki ezisongela ubomi.
  • Iintlungu Ezingapheliyo zePelvic: Iimeko ezifana ne-endometriosis okanye isifo sokudumba kwesisu zinokubangela iintlungu ezingapheliyo. Ukususa umbhobho we-fallopian ochaphazelekayo kunokunciphisa ukungonwabi kwaye kuphucule umgangatho wobomi kwizigulana ezikhethiweyo.
  • Cancer: Kwimeko yomhlaza we-ovarian okanye we-fallopian tube, i-salpingectomy inokuba yinxalenye yesicwangciso sonyango esibanzi sokususa izicubu zomhlaza kunye nokunciphisa ukusasazeka ngakumbi.

Ezinye iimpawu ezaziwayo ziquka i- hydrosalpinx (ityhubhu egcwele ulwelo, evalekileyo) ngaphambi kwe-IVF, ithumba le-tubo-ovarian elingakangeni kwiintsholongwane, i-tubal torsion, kunye nokuthintela ukukhulelwa okusisigxina apho kukhethwa i-salpingectomy endaweni ye-tubal ligation yendabuko.

Iingenelo zokuhlinzwa nge-salpingectomy ziquka ukukhululeka kwiimpawu, ukuthintela iingxaki, kunye nokukhusela impilo yokuzala iyonke. Kwizibhedlele zase-Apollo eLucknow, iqela lethu liza kuvavanya imeko yakho ethile kwaye licebise inyathelo elifanele iimfuno zakho.

Oko Kuthethwa Zizikhokelo Zangoku

Iingcebiso ezinxulumene ne-salpingectomy eIndiya zisebenzisa isikhokelo selizwe nesamazwe ngamazwe:

  • I-FOGSI (iFederation of Obstetric and Gynaecological Society of India) Iingcebiso ezilungileyo zeKliniki malunga nokukhulelwa kwe-ectopic zixhasa ukuxilongwa kwangethuba kusetyenziswa i-serial beta-hCG kunye ne-transvaginal ultrasound, kunye nolawulo lotyando nge-laparoscopy apho umfazi ezinzile ngokwe-hemodynamics kwaye kukho ulwazi olufumanekayo. I-Laparotomy ihlala ifanelekile xa kuqhambuka ngenxa yomothuko.
  • Isikhokelo se-RCOG/AEPU Green-top No. 21 (2016, "Ukuchongwa kunye noLawulo lokukhulelwa kwe-Ectopic") khuthaza isalpingectomy endaweni ye-salpingotomy kubafazi abanetyhubhu ephilileyo ye-contralateral, kuba amazinga okukhulelwa okulandelayo ngaphakathi kwesibeleko afana ngelixa umngcipheko we-trophoblast eqhubekayo kunye ne-ectopic ephindaphindayo uphantsi. I-salpingotomy ithathwa xa enye ityhubhu ingekho okanye yonakele.
  • Ukususwa kwesalping opportunistic: ulwalathiso oluvela kwimibutho efana ne-ACOG (Imbono yeKomiti Nombolo 774, eqinisekisiweyo) kunye ne-Society of Gynecologic Oncology zixhasa ukuxoxa ngokususwa kweetyhubhu ngexesha lotyando lwe-pelvic okanye xa kucetywayo ukuthintela ukukhulelwa okusisigxina, kubafazi abagqibileyo ukuzala, njengecebo lokunciphisa umngcipheko womhlaza we-ovarian we-serous ovarian osezingeni eliphezulu. Olu lutshintsho kwindlela yangaphambili, apho iityhubhu zazishiywa rhoqo endaweni yazo. Ubungqina bokunciphisa umhlaza ixesha elide lusakhula, ngoko ke bunikezelwa njengokhetho olunolwazi, kungekhona isiqinisekiso.
  • Isikhokelo sokuzala se-ESHRE kunye ne-NICE ixhasa i-laparoscopic salpingectomy kwi-hydrosalpinx ngaphambi kwe-IVF, njengoko inxulunyaniswa nokuphuculwa kokufakelwa kunye namazinga okukhulelwa kwelo qela lithile.
  • UMthetho we-MTP (uLungiso) ka-2021 kunye nemithetho enxulumene nayo yaseIndiya ayithinteli utyando olungxamisekileyo lokukhulelwa okungaphandle kwesisu, oluthathwa njengolawulo lwemeko esongela ubomi, kungekhona njengokuphelisa ukukhulelwa.

Izikhokelo ziyatshintsha. Ugqirha wakho uza kuchaza ukuba loluphi ucebiso olusebenzayo kwimeko yakho kwaye apho ubungqina bungaqinisekanga khona.

Imingcipheko yokuLibazisa

Ukulibazisa i-salpingectomy kunokukhokelela kwiingxaki ezinkulu zempilo. Umzekelo, ukukhulelwa okungakhange kunyangwe kungagqabhuka, okubangela ukopha ngaphakathi kwaye kufuneke ukungenelela okungxamisekileyo. Ngokufanayo, ukulibazisa unyango lweentlungu ezingapheliyo ze-pelvic kunokukhokelela kwiimpawu eziya ziba mandundu kunye nomgangatho wobomi ophantsi. Kwimeko yomhlaza, ukulibazisa kunokuvumela isifo ukuba siqhubeke, okwenza unyango lube nzima kwaye lungasebenzi kakuhle. Kubalulekile ukufuna iingcebiso zonyango ngexesha elifanelekileyo kunye nokungenelela ukuze kuthintelwe le mingcipheko. Kwizibhedlele zase-Apollo eLucknow, sigxininisa ukubaluleka konyango olukhawulezileyo kwaye silapha ukukuxhasa kuyo yonke inyathelo.

Funa uncedo olungxamisekileyo ngokukhawuleza ukuba uvavanyo lokukhulelwa lwakho lubonise ukuba ukhulelwe kwaye unentlungu yesisu esezantsi, intlungu ephuma emagxeni, ukuquleka, ukopha kakhulu, okanye ukubetha kwentliziyo ngokukhawuleza ngenxa yolusu olubandayo noluthambileyo.

Iinzuzo zeSalpingectomy

  • Uncedo lweempawu: Izigulane ezininzi zifumana isiqabu esibalulekileyo kwiintlungu ezingapheliyo kunye nokungonwabi emva kwenkqubo.
  • Iziphumo zeMpilo eziPhuculweyo: Ukungenelela ngexesha elifanelekileyo kunokuthintela iingxaki ezinxulumene nokukhulelwa ngaphandle kokukhulelwa kunye nezinye iingxaki zempilo yokuzala.
  • Umgangatho woBomi owongeziweyo: Ngokujongana neengxaki zempilo ezisisiseko, uninzi lwezigulane luxela umgangatho wobomi ongcono emva kotyando.
  • Ukhathalelo Olulolwakho: Kwizibhedlele zaseApollo eLucknow, sigxila kwizicwangciso zonyango ezilungiselelwe umntu ngamnye ezibonisa iimfuno zakho zempilo ezikhethekileyo.

Ukususwa kweetyhubhu ze-fallopian akususi ii-ovari. Ukuveliswa kweehomoni, imijikelo yenyanga kunye nobudala bokuyeka ukuya exesheni ngokubanzi azichaphazeleki xa ii-ovari zigcinwa.

Ukulungiselela kunye noBuyiselo

Ukulungiselela i-salpingectomy kubandakanya amanyathelo abalulekileyo:

  1. Ukubonisana: Cwangcisa intlanganiso neqela lethu kwi-Apollo Hospitals Lucknow ukuze sixoxe ngembali yakho yezonyango, iimpawu kunye nemfuneko yenkqubo.
  2. Uvavanyo lwangaphambili: Usenokufuna uvavanyo lwegazi, izifundo zemifanekiso okanye olunye uvavanyo ukuqinisekisa ukuba ukulungele utyando.
  3. Uphononongo lwamayeza: Yazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo, njengoko amanye anokufuna ukulungiswa okanye amiswe ngaphambi kwenkqubo.
  4. Ukuzila ukudla: Landela imiyalelo kagqirha wakho ngokuzila ukutya, nto leyo edla ngokuthetha ukuba akumele utye okanye usele kangangeeyure eziliqela ngaphambi kotyando.

Iingcebiso zokuBuyisa kwakhona

  • Ukuqeshwa kolandelo: Yiya kuzo zonke iindwendwe ezicwangcisiweyo ukuze ukuchacha kujongwe kwaye kujongwane neengxaki.
  • Ukuphumla: Vumela umzimba wakho ukuba uphile. Kuphephe ukwenza imisebenzi enzima ubuncinane iiveki ezimbalwa emva kotyando.
  • Ulawulo lweentlungu: Sebenzisa amayeza eentlungu achazwe ngugqirha njengoko kuyalelwe kwaye udibane nogqirha wakho ukuba ukungakhululeki kukhulu.
  • Ukutya okunempilo: Gcina ukutya okunesondlo ukuze uxhase ukuchacha kunye nempilo iyonke.
  • Jonga iingxaki: Lumka xa ubona iimpawu zosulelo okanye ezinye iingxaki ezinje ngomkhuhlane, ukopha kakhulu okanye iintlungu eziqatha, kwaye unxibelelane nomboneleli wakho wezempilo ukuba ziyavela.

Kwizibhedlele zaseApollo eLucknow, sisebenza nzima ukuze silungise imeko yokuchacha, sinikezela ngenkxaso kunye nezixhobo ozidingayo.

Ixesha lotyando kunye neSigaba sangaphambi kwenkqubo

Ukuba utyando lwenzeka nini kuxhomekeke ekubeni kutheni lwenziwa.

imeko Ixesha eliqhelekileyo Ukulungiswa kwangaphambi kwenkqubo
Isisu esingaphandle kwesisu esiqhekekileyo kunye nokopha Kwangoko - kwiiyure nje emva kokuba uxilongiwe Ukubalwa kwegazi ngokukhawuleza, ukuhlelwa kwegazi ngokwamaqela kunye nokudibana okulinganayo, i-ultrasound ecaleni kwebhedi, ukufikelela kwi-IV; imvume ithathwa ngokukhawuleza
Isisu esingenakonakala esizinzileyo Ngosuku olufanayo zingadlulanga iiyure ezingama-24?48 I-serial beta-hCG, i-transvaginal ultrasound, uphononongo lwe-anesthesia
I-Hydrosalpinx ngaphambi kwe-IVF Kucwangcisiwe; ngokuqhelekileyo iiveki ezimbalwa ukuya kwiinyanga ngaphambi komjikelo we-IVF I-Ultrasound/HSG, uvavanyo lwe-ovarian reserve (i-AMH, inani le-antral follicle), isikrini sosulelo
Intlungu engapheliyo ye-pelvic / i-endometriosis Icwangciswe emva kokuba ulawulo lwezonyango luzanyiwe I-Ultrasound okanye i-MRI pelvis, idayari yeentlungu, ngamanye amaxesha i-laparoscopy yokuxilonga
Umhlaza orhanelwayo we-tubal okanye we-ovarian Icwangciswe kwiintsuku ukuya kwiiveki, ibekwe phambili I-CA-125 kunye nee-tumor markers, i-CT abdominal-pelvis, ingxoxo yebhodi ye-gynae-oncology
Ithuba / nge-caesarean okanye i-hysterectomy Ngexesha lomsebenzi ocwangcisiweyo Ingcebiso malunga nokuhlala ixesha elide, imvume ebhaliweyo yokuvala inzala

Kwinkqubo yotyando olucwangcisiweyo, iqela likhetha isiqingatha sokuqala somjikelo wokuya esikhathini xa kunokwenzeka. Ukutshaya kungcono ukuyeka ubuncinane iiveki ezimbini ukuya kwezine ngaphambi kwexesha. Izinto zokunciphisa igazi, amanye amayeza esifo seswekile kunye nezinye izongezo zemifuno okanye ze-Ayurvedic zisenokufuna ukuyekiswa - soloko uzityhila.

Iinketho Zobuchule Zithelekiswa

Indlela Kwenziwa njani Ukuhlala esibhedlele okuqhelekileyo Iqhelekile ukuba Amanqaku anokuqwalaselwa
I-Laparoscopic salpingectomy Iziqwenga zemingxuma yesitshixo ezi-3?4 ze-5?10 mm; ikhamera kunye nesixhobo samandla esisetyenzisiweyo Rhoqo iintsuku ezi-1?2 Izigulane ezininzi ezizinzileyo, kuquka nee-ectopics ezininzi Iintlungu ezincinci, amanxeba amancinci, ukubuyela emsebenzini ngokukhawuleza; kufuneka i-anesthesia jikelele kunye ne-pneumoperitoneum
I-salpingectomy evulekileyo (i-laparotomy) Ukusikwa kwesisu okukodwa okanye okuthe nkqo Rhoqo iintsuku ezi-3?5 Ukuqhekeka okubangelwa kukuqhaqhazela, ukunamathelana okuxineneyo, ubuninzi obukhulu, ezinye iintlobo zomhlaza Ukuphola ixesha elide kunye nesilonda esikhulu, kodwa sikhuselekile xa ukopha kukhulu okanye umzimba uphazamisekile
I-Salpingotomy (ukugcinwa kwetyhubhu) Ityhubhu ivuliwe, izicubu zokukhulelwa zisusiwe, ityhubhu ishiywe endaweni yayo Kufana ne-laparoscopy I-Ectopic xa enye ityhubhu ingekho okanye yonakele Ifuna ukulandelwa kwe-beta-hCG kwi-trophoblast eqhubekayo; umngcipheko ophezulu wokuphindaphinda kwe-ectopic kuloo tube
Ulawulo lwezonyango (i-methotrexate) Inaliti, akukho tyando Indawo yokugcina abantwana emini kunye notyelelo olulandelayo Isisu esincinci, esingaqhekekanga esine-beta-hCG ephantsi kwaye akukho ntliziyo yesisu Iyakuphepha utyando kodwa ifuna ukubekwa esweni ngokungqongqo; malunga ne-10?15% isadinga utyando
Irobhothi-incediswe I-Laparoscopy enolawulo lwezixhobo zerobhothi Kufana ne-laparoscopy Iimeko ezikhethiweyo ezintsonkothileyo okanye ze-oncology apho zifumaneka khona Ixabiso liphezulu; inzuzo ngaphezu kwe-laparoscopy eqhelekileyo ye-salpingectomy elula ayikaqinisekiswa
Ulawulo olulindelekileyo Ukulinda ngononophelo ngovavanyo lwegazi oluphindaphindwayo Ingaphandle Ukuwa kwe-beta-hCG, iimpawu ezincinci Kuphela kwiqela elincinci; lifuna ukufikelela okuthembekileyo kunyango olungxamisekileyo

Iinkqubo Ngamanye amaxesha zenziwa ngexesha elinye

  • I-laparoscopy yokuxilonga kunye ne-adhesiolysis ukukhulula ukunamathela kutyando lwangaphambili, usulelo okanye i-endometriosis.
  • Ukususwa kwe-Ovarian cystectomy Ukuba i-cyst ifunyenwe ecaleni kwengxaki ye-tubal.
  • Oophorectomy ukususwa kwesibeleko, ngesiqhelo kuphela xa sinesifo okanye kutyando lomhlaza.
  • Ukususwa okanye ukususwa kwe-endometriosis, kunye nonyango lwethumba elikwi-tubo-ovarian abscess.
  • Ukususwa kwesisu nge-salpingectomy yamacala omabini apho isibeleko sikhutshwa khona.
  • Utyando lwe-contralateral salpingectomy lokuthintela ukukhulelwa okusisigxina kuphela ngemvume ebhaliweyo ecacileyo neyahlukileyo.
  • Ukuhlamba i-peritoneal, ii-biopsies kunye neesampuli ze-omental ngexesha lokulungiselela umhlaza okrokrelwayo.
  • Utyando lweSalpingectomy ngexesha lotyando lweCaesarean − kubafazi abagqibezele usapho lwabo baza bavuma kwangaphambili.

Isigaba-nge-Sigaba soBuyiselo lweXesha

Esi sisikhokelo esiqhelekileyo sotyando lwe-laparoscopic olulula. Utyando oluvulekileyo kunye notyando lomhlaza kuthatha ixesha elide, kwaye iingcebiso zogqirha wakho ziyayigqitha le theyibhile.

Isigaba Yintoni ongayilindela Oko unokukwenza rhoqo I zi lumkiso
Iiyure ezi-0? ezingama-24 Ukozela, umphimbo obuhlungu, iintlungu zomoya emagxeni, isicaphucaphu esincinci Ukusela amanzi, uze utye ukutya okukhaphukhaphu; ukuhlala phantsi nokuhambahamba ngoncedo Musa ukuphuma wedwa ebhedini okokuqala; xela intlungu ebuhlungu okanye ukungakwazi ukuphefumla
Usuku 2?3 Isikhuseli siphuma ekhaya kwiimeko ezininzi ze-laparoscopic; iibhanti zibekwe endaweni yazo Ukuhamba ngaphakathi endlwini, ukuzinyamekela, izinyuko kancinci ngenkxaso Akukho kuphakamisa ngaphezu kwe-2?3 kg; gcina amanxeba omile njengoko kuyalelwe.
Usuku 4?7 Ukudumba kuyaphela; kuqhelekile ukuba namabala amancinci kwilungu lobufazi Ukuhambahamba okufutshane ngaphandle, idesika elula isebenza ekhaya ukuba ikhululekile Kuphephe ukuhlala phantsi kunye nezindlu zangasese ezifana nezaseIndiya; sebenzisa indlu yangasese yaseNtshona okanye isitulo sempahla yasekhaya
Iveki 2 Uhlolo lwenxeba; izititshi okanye izikliphu zisusiwe ukuba azikwazi ukufunxwa Uninzi lubuyela eofisini okanye emsebenzini olula; uhambo olufutshane ngemoto njengomkhweli Akuvumelekanga ukuqhuba ude ukwazi ukubhuleka ngamandla ngaphandle kokuthandabuza, ngesiqhelo malunga neeveki ezi-2
Iiveki 3?4 Amandla ayaphucuka; amanxeba ayaphela Ukupheka ekhaya, umsebenzi wasekhitshini olula, inkqubo yokuhambahamba kancinci Akukho mithwalo inzima, akukho msebenzi wokuzivocavoca umzimba, akukho kukhwela isikuta kwiindlela ezimbi okwangoku
Iiveki 4?6 Uninzi lwemida lususiwe emva kophononongo Ukwabelana ngesondo kudla ngokuvunyelwa emva kokuba ugqirha evumile; ukuhlala phantsi unxibe imilenze enqamlezileyo nokulala phantsi kukhululekile kwakhona Qhubeka nokuquleka kuphela xa isisu singenantlungu xa ugoba
Iiveki ezi-6? Iinyanga ezi-3 Ukuphiliswa kwangaphakathi ngokupheleleyo; ingxoxo yokugqibela ye-pathology kunye nokuzala Ukuzilolonga ngokupheleleyo, ukudada, ijimu, ukuhamba, ucwangciso lwe-IVF ukuba luyasebenza Xela nayiphi na intlungu entsha yesinqe, umkhuhlane okanye ukopha okungaqhelekanga

Imigaqo yokubuyela kwimisebenzi eqhelekileyo kunye nokuzilolonga

Endaweni yemihla emiselweyo, sebenzisa ezi ndawo zokujonga ezisebenzayo:

  • Ungahamba imizuzu engama-20 ukuya kwengama-30 ngokuqhubekayo ngaphandle kwentlungu yesisu.
  • Usela amayeza okudambisa iintlungu anamandla kwaye ulala ubusuku bonke.
  • Amanxeba omile, avalekile kwaye awathambi xa echukunyiswa ngokuqinileyo.
  • Ungakhohlela, uthimle okanye uhleke ngaphandle kokukhusela isisu sakho.
  • Ungavuka phantsi ungancediswanga - kubalulekile ukuba ulala kumatrasi phantsi okanye uhleli unqamleze imilenze xa uthandaza okanye usitya.
  • Xa uqhuba okanye uqhuba inqwelo enamavili amabini: ungamisa imoto yakho ngokukhawuleza, ujike umzimba wakho ukuze ujonge iindawo ezingabonakaliyo, kwaye ulawule izixhobo zokuthintela isantya.
  • Kwijim, yoga okanye ukubaleka: ngesiqhelo emva kophononongo lweeveki ezi-4?6. Phinda uqalise umsebenzi oyintloko, ii-inversions kunye nee-asanas ezinzima ekugqibeleni.
  • Kwabasebenzi abasebenza ngezandla okanye basefama kunye noomsebenzi osisigxina: lindela iiveki ezi-6 ukuya kwezi-8, ixesha elide emva kotyando oluvulekileyo.

Ukunciphisa Amathuba Eengxaki ZeTubal Zexesha Elizayo

I-Salpingectomy inyanga umbhobho ochaphazelekayo kodwa ayisusi umngcipheko ongaphantsi kwelinye icala.

  • Nyanga izifo zesinqe kunye nezifo ezidluliselwa ngesondo kwangethuba nangokupheleleyo; qinisekisa ukuba neqabane nalo liyanyangwa.
  • Funa unyango ngokukhawuleza ngenxa yokukhupha ulwelo olungapheliyo kwilungu lobufazi, umkhuhlane kunye nentlungu yesinqe, okanye intlungu emva kokubeleka okanye ukukhupha isisu.
  • Yeka ukutshaya - yinto ezimeleyo enokubangela ukukhulelwa ngaphandle kokukhulelwa.
  • Ukuba ukhe waba ne-ectopic enye, fumana i-ultrasound kwangoko malunga neeveki ezi-6?7 xa ukhulelwe, ngaphambi kokuba iimpawu ziqale.
  • Sela i-folic acid ngaphambi kokuba ukhulelwe kwaye ugcine isifo seswekile kunye nesifo se-thyroid silawulwa kakuhle.
  • Xoxa ngembali yosapho yomhlaza webele okanye wesibeleko? Uvavanyo lwe-BRCA kunye namaqhinga okunciphisa umngcipheko anokuba yinto efanelekileyo.
  • Yiya kuzo zonke iinkqubo zokulandelela ukuba kukho nasiphi na isicwili setyhubhu esigciniweyo, ukuze i-beta-hCG ilandelelwe iye kwi-zero.

Izinto Eziqwalaselwayo Kulutsha, Abafazi Abadala kunye Namanye Amaqela

Ulutsha kunye nabasetyhini abancinci kakhulu

I-pathology ye-tubal ayiqhelekanga kodwa iyenzeka, idla ngokubangelwa kusulelo okanye ukugoba kwe-tubal. Ukugcinwa kokuchuma yinto ephambili, ngoko ke iqela lotyando liza kuzama ukugcina izicwili naphi na apho kukhuselekile khona, kwaye iingcebiso zibandakanya abazali okanye abagcini njengoko kufuneka ngokomthetho.

Abafazi abangakhange bagqibezele usapho lwabo

Ukulahlekelwa ngumbhobho omnye akudli ngokuthintela ukukhulelwa kwendalo ukuba omnye umbhobho kunye ne-ovary ziphilile. Ukuba zombini iityhubhu zisusiwe, ukukhulelwa kwendalo akunakwenzeka kwaye i-IVF iba yindlela yokukhulelwa. Cela ukuba oku kuxoxwe ngokucacileyo ngaphambi kokuba kuvunyelwene.

Abafazi abasele bedlulile exesheni kunye nabasetyhini abadala

Iimpawu eziphambili ziyatshintsha ziye kubuninzi, umhlaza orhanelwayo kunye nokunciphisa umngcipheko. Ukufaneleka kwe-anesthesia, uxinzelelo lwegazi, isifo seswekile, imeko yentliziyo kunye nokusetyenziswa kwe-anticoagulant kuyahlolwa ngononophelo. Ukunyakaza kwangethuba kubaluleke kakhulu ngenxa yomngcipheko wokuqhekeka kwegazi kunye nosulelo lwesifuba.

Abafazi abatyebe kakhulu, abanesifo seswekile okanye abatyandwe ngaphambili

Utyando lotyando lwangaphambili okanye utyando oluvulekileyo lunokubangela ukunamathela okwandisa utyando okanye ukwenza utshintsho lube lutyando oluvulekileyo lube lula ngakumbi. Ulawulo olufanelekileyo lweswekile ngaphambi kotyando lunciphisa umngcipheko wokosuleleka kwenxeba.

Ukuba Ukhetha Ukungayi Kwenziwe Le Nqubo

Usenokungavumi utyando, kwaye iqela liza kukuhlonipha oko. Kulungile ukwazi ukuba yintoni enokulandelayo:

  • Ukukhulelwa kwe-Ectopic: umngcipheko wokuqhekeka kwetyhubhu, ukopha kakhulu ngaphakathi, ukothuka, kwaye, maxa wambi, ukufa. Le yindawo apho ukwehla okanye ukulibaziseka kuyingozi ngokwenene.
  • IHydrosalpinx: Amanqanaba empumelelo ye-IVF ahlala ephantsi xa i-hydrosalpinx inganyangwa, kwaye umngcipheko wokuphuphuma kwesisu uphezulu.
  • Ithumba le-Tubo-ovarian: isenokuphinda ivele, iqhekeke, okanye ikhokelele kwi-sepsis kunye nentlungu yesinqe ende kunye nokungabi nabantwana.
  • Iintlungu ezingapheliyo ze-pelvic: Iimpawu zisenokuqhubeka; iindlela zonyango ziquka unyango lweehomoni kunye nolawulo lweentlungu, nto leyo abanye abafazi bakhetha ukuyizama ixesha elide.
  • Umhlaza orhanelwayo: ukulibaziseka kunokuvumela ukusasazeka kwaye kunokwenza utyando oluzayo lube lukhulu ngakumbi.

Cela isishwankathelo esibhaliweyo sezinye iindlela, kunye noluvo lwesibini ukuba ufuna olunye? Eli lilungelo lakho.

Izinto Eziphembelela Iindleko

Asipapashi amaxabiso eepakeji apha kuba zonke iimeko zahlukile. Ukuze ufumane uqikelelo oluhambelana nawe, thetha neofisi yokwamkela iindwendwe okanye yokuhlawulisa kwi-Apollo Hospitals Lucknow emva kokubonisana nawe.

Ingxaki Kutheni itshintsha uqikelelo
Utyando olungxamisekileyo xa kuthelekiswa notyando olucwangcisiweyoUkwamkelwa esibhedlele ngexesha likaxakeka kungabandakanya ixesha le-ICU, utofelo-gazi kunye nokuthathwa kwemifanekiso eyongezelelweyo
Utyando lweLaparoscopic xa kuthelekiswa notyando oluvulekileyoIzinto ezahlukeneyo ezisetyenziswayo, izixhobo zamandla kunye nobude bokuhlala
Ityhubhu enye okanye zombiniIxesha lokusebenza kunye nezinto ezisetyenziswayo ziyahluka
Iinkqubo ezongezelelweyoI-Cystectomy, i-adhesiolysis, ukususwa kwe-endometriosis okanye i-hysterectomy yongeza kwi-total
Udidi lwegumbiIgumbi eliqhelekileyo, amagumbi okwabelwana ngamawele, abucala okanye amagumbi esuite ahlawuliswa ngamaxabiso ahlukeneyo, kwaye oku kudla ngokunyusa ezinye iindleko
Ubude bokuhlalaUbusuku obongezelelekileyo besifo seswekile, usulelo okanye ukuchacha kancinci
Ixesha le-Anesthesia kunye ne-OTUtyando olude nolunzima lubiza kakhulu
uphandoUthotho lwe-Beta-hCG, i-CT/MRI, iimpawu zethumba, icandelo eliqandisiweyo, i-histopathology yokugqibela
Iimveliso zegaziIyadingeka kwizigulane eziqhekekileyo ze-ectopic kunye ne-anemia
Ulawulo lwezifo ezibangelwa kukunganyamezelaniUkufakwa kwentliziyo, izintso okanye ukuphefumla; Ukhathalelo lwe-ICU okanye lwe-HDU
Izinto ezifakwayo kunye nezinto ezisetyenziswayoIzixhobo zokuvala eziphambili, izithintelo zokunamathela
Ukulandelela kunye ne-physiotherapyUtyelelo lokuphonononga, ii-dressing, ii-scan ezongezelelweyo

I-inshurensi kunye noNyango olungenamali eIndiya

  • Indlela engenamali: Ukuba i-inshorensi yakho okanye i-TPA inikwe i-inshorensi esibhedlele, idesika ye-inshorensi iphakamisa isicelo sogunyaziso lwangaphambili. Utyando olucwangcisiweyo ludla ngokugunyaziswa kwangaphambili kwiintsuku zokusebenza ezi-3?7; iimeko ezingxamisekileyo ziyacutshungulwa emva kokungeniswa.
  • Indlela yokubuyisela imali: Uhlawula kuqala uze ufake ibango kamva, ungenise isishwankathelo sokukhululwa, ityala lokugqibela kunye nokwahlukana, iingxelo zophando, izitikha zokufakelwa kunye nemiyalelo. Gcina ezokuqala.
  • Amaxesha okulinda: Uninzi lweepolisi zokhuseleko zinexesha lokulinda lokuqala elimalunga neentsuku ezingama-30 zokugula, kunye neenyanga ezingama-24 ukuya kwezingama-48 kwiimeko ezithile, ezithi kwezinye iipolisi ziquka utyando lwe-gynaecological, i-fibroids, i-endometriosis kunye ne-hysterectomy. Ukukhulelwa kwe-ectopic okulawulwa njengengxamiseko kudla ngokuphathwa ngendlela eyahlukileyo kutyando lwe-gynaecological olukhethwayo - jonga amagama epolisi yakho.
  • Ingozi xa ithelekiswa ne-inshorensi ecwangcisiweyo: ukwenzakala ngengozi kudla ngokuhlawulelwa ukususela kusuku lokuqala; iinkqubo ezicwangcisiweyo okanye ezikhethiweyo zixhomekeke kwixesha lokulinda kunye nemida engaphantsi.
  • Izinto ezingabandakanywanga ezinxulumene nokubeleka: Ezinye iipolisi zihlela iimeko ezinxulumene nokukhulelwa phantsi kwezibonelelo zokukhulelwa, ezinokuba nexesha lokulinda elahlukileyo. Ukukhulelwa kwe-ectopic kudla ngokugutyungelwa, kodwa kungekhona yimeko engxamisekileyo yezonyango kunokuba kube yimeko yokubeleka.
  • Ukuvalwa: Ukuthintela ukukhulelwa ngokuzithandela ngokusisigxina kudla ngokungabandakanywa ngaphandle kokuba kwenziwe ngokwemiyalelo yezonyango.
  • Imida engaphantsi: Imilinganiselo yokuqeshisa igumbi inokunciphisa ibango lonke ngokulinganayo, ngoko ke ukukhetha igumbi elingaphezulu kokufaneleka kwakho kunokubiza ngaphezulu komahluko wegumbi.
  • Izicwangciso zikarhulumente kunye neenkampani: I-Ayushman Bharat PM-JAY, CGHS, ECHS, iinkqubo zikarhulumente kunye nemigaqo-nkqubo yenkampani nganye inemithetho yayo yokuxhasa nokwamkela. Qinisekisa imeko yokuxhasa kwi-inshurensi yesibhedlele ngaphambi kokungena.
  • Amaxwebhu okuphatha: ikopi yomgaqo-nkqubo, ikhadi le-elektroniki, ileta yomqeshi ukuba iyasebenza, i-Aadhaar kunye ne-PAN, imiyalelo yangaphambili kunye neengxelo.

Izigqibo zomshuwalense zixhomekeke kumshwalense, hayi esibhedlele. Idesika yeinshorensi inokukukhokela kodwa ayinakuqinisekisa ukuba uyavunywa.

Ukucwangcisa ukungena kwakho kunye noko uza kuzisa

Ngaphambi kokuba uze

  • Qinisekisa ixesha lokunika ingxelo, imiyalelo yokuzila ukutya kunye namayeza omawuwasele ngamanzi.
  • Cwangcisa umlindi omnye onokulala ubusuku bonke; kwiintsapho ezidibeneyo, cwangcisa i-rota ukuze umntu omnye angadinwa.
  • Lungiselela uncedo ekhaya lokupheka, ukunyamekela abantwana kunye nokunyamekela abantu abadala ubuncinane iiveki ezimbini.
  • Susa ipolishi yeenzipho, ubucwebe kunye neelensi zokunxibelelana; shiya izinto ezixabisekileyo ekhaya.

Yintoni ekufuneka uyipakishe

  • Zonke iingxelo zangaphambili, iiskeni, izishwankathelo zokukhululwa esibhedlele kunye nemicu yamayeza yangoku okanye uluhlu olubhaliweyo.
  • I-Aadhaar okanye i-ID enefoto, ikhadi le-inshorensi kunye namaphepha epolisi, iileta zomqeshi okanye zenkqubo.
  • Iimpahla zokulala ezivulekileyo ngaphambili, iimpahla zangaphantsi zekotoni ezinde ezihleli phezu kwezisikiweyo, ii-sanitary pads.
  • Izihlangu ezityibilikayo, izinto zokuhlamba, itawuli encinci, ikomityi okanye ibhotile, kunye netshali ekhaphukhaphu.
  • Itshaja yefowuni enentambo ende, imali encinci, kunye neeglasi.

Ukwenza ukuvuselelwa kwekhaya kube lula ekhaya

  • Khetha indlu yangasese yaseNtshona okanye ubeke isitulo esiqhelekileyo ngaphezu kwendlu yangasese yohlobo lwaseIndiya kangangeeveki ezimbini ukuya kwezintathu.
  • Lala ebhedini endaweni yokulala phantsi ekuqaleni, okanye ugcine isitulo esiqinileyo kufutshane ukuze uphakamise.
  • Gcina izinto oza kuzisebenzisa imihla ngemihla zifikelele esinqeni ukuze ungagobi okanye ufikelele phezulu.
  • Cwangcisa ukutya okulula, okuneproteni eninzi ekhaya - i-dal, i-curd, amaqanda, i-paneer, i-soft khichdi - kunye nolwelo oluninzi kunye nefayibha ukuze uphephe ukuqhina.

Iimpawu Zesilumkiso Ezifuna Uphononongo Olungxamisekileyo

  • Umkhuhlane ongaphezulu kwe-100.4°F (38°C), okanye ukubanda nokuqina.
  • Iintlungu zesisu ezikhulayo endaweni yokuphucuka okuqhubekekayo, okanye isisu esiqinileyo nesivuvukileyo.
  • Ububomvu, ukudumba, ubushushu okanye ubomvu obuvela kulo naliphi na inxeba; umphetho wenxeba ovulekayo.
  • Ukopha kakhulu kwilungu lobufazi xa ufaka iphedi kwisithuba seyure, okanye ukukhupha ulwelo olunuka kakubi.
  • Ukuhlanza okungapheliyo, ukungaphumi kwegesi okanye indle kangangeeyure ezingaphezu kwama-48.
  • Ukuchama okutshayo, ukungakwazi ukuphuma komchamo, okanye igazi kumchamo.
  • Intlungu yethole, ukudumba komlenze omnye, iintlungu zesifuba okanye ukungakwazi ukuphefumla - mhlawumbi ihlwili; yiya kwicandelo lezonyango.
  • Ukuquleka, isiyezi okanye ukubetha kwentliziyo okukhawulezayo.
  • Uvavanyo lokukhulelwa olubonisa iintlungu, ukuba kukho nasiphi na isicwili setyhubhu esigciniweyo.

Kwabaguli Abahamba Bevela Ngaphandle eLucknow

Izibhedlele zeApollo eLucknow zihlala zikhathalela abaguli abavela kulo lonke elase-Uttar Pradesh nakumazwe angabamelwane, kubandakanya iBarabanki, iSitapur, iHardoi, i-Unnao, iRaebareli, iKanpur, iSultanpur, iAyodhya (Faizabad), iGonda, iBahraich, iBasti, iLakhimpur Kheri, iPratapunpur, iVasirakh, i-Amethi, kunye ne-Amethirakh njengenxalenye yeBihar, Uttarakhand kunye neNepal.

  • Thumela iingxelo kwangaphambili nge-imeyile okanye nge-WhatsApp ukuze uphando lungaphindwa ngokungeyomfuneko.
  • Cwangcisa imodeli yokutyelela abantu ababini: Usuku lokuqala lokubonisana novavanyo, umhla olandelayo wokwamkelwa? okanye ubuze ukuba zombini zingadityaniswa na ukuba uhambo lunzima.
  • Hlala apha kangangeentsuku ezi-5-7 emva kokukhululwa esibhedlele Ukuba ikhaya lakho likude ngeeyure ezingaphezu kwe-3?4, ngoko ke uvavanyo lokuqala lwenxeba lungenziwa apha.
  • Intuthuzelo yokuhamba: Emva kwe-laparoscopy, ukuhamba ngemoto okanye ngololiwe iklasi yokulala kulula kakhulu kunebhasi. Qhuba uhambo olude rhoqo emva kwemizuzu engama-90 ukuhamba, kwaye uxhase isisu ngomqamelo omncinci phezu kwezixhobo zokunciphisa isantya.
  • Ukuhamba emoyeni idla ngokungakhuthazwa kwiveki yokuqala emva kotyando lwesisu; cela imvume ebhaliweyo.
  • Ulandelelwano lwasekuhlaleni: Cela isishwankathelo sokukhululwa esibhedlele apho ugqirha okufutshane nekhaya lakho anokuthi athathe inxaxheba khona, kwaye ubuze malunga nokubonisana ngefowuni ukuze kuhlolwe rhoqo.
  • Indawo yokuhlala: Iindlu zeendwendwe kunye neehotele ziyafumaneka kufutshane nesibhedlele; idesika yokufikela ingakubonisa iindlela ezikufutshane.

Unxibelelwano kunye neeNdibano zokuQeqesha

inkcukacha ulwazi
isibhedlele Isibhedlele i-Apollomedics Super Specialty (Izibhedlele ze-Apollo), eLucknow
idilesi Indlela yaseKanpur?Lucknow, kufutshane neSachivalaya Colony, eBargawan, eLDA Colony, eLucknow, eUttar Pradesh 226012
Umnxeba woncedo weqela 1860-500-1066 (Umnxeba woncedo lwesizwe lwe-Apollo Hospitals)
Ukubhukisha kwi-Intanethi Ngephepha lenkqubo ku-apollohospitals.com/lucknow/procedures/salpingectomy, i-app ye-Apollo 24|7, okanye ifomu ye-Book Appointment yesibhedlele.
iinkonzo Emergency Isebe likaxakeka lisebenza iiyure ezingama-24 ngosuku, iintsuku ezisixhenxe ngeveki
I-OPD kunye namaxesha okutyelela Ingcali ethile kwaye ayipapashwanga kwi-intanethi ngokufanayo; iqinisekisiwe ngexesha lokubhukisha
I-imeyile kunye neefowuni ezithe ngqo zesebe Ayipapashwanga kwiphepha lenkqubo; idesika yangaphambili iya kwabelana ngoqhagamshelwano oluchanekileyo xa ufowunela umnxeba woncedo
Idesika ye-inshurensi kunye ne-TPA Iyafumaneka kwindawo; yiya kuyo ngaphambi kokungena ukuze ufumane imvume yangaphambili ngaphandle kwemali

Ngayo nayiphi na into enxulumene nomgaqo-nkqubo, enxulumene nephakheji okanye enxulumene nexabiso, nceda uqinisekise ngokuthe ngqo kwindawo yokwamkela iindwendwe esibhedlele okanye kwidesika yeinshorensi.

Imibuzo ebuzwa qho

Yeyiphi imingcipheko enxulumene nesalpingectomy?

I-Salpingectomy ikhuselekile ngokubanzi, kodwa njengalo naluphi na utyando ineengozi ezifana nosulelo, ukopha, ukusabela kwe-anesthesia kunye nokwenzakala kwamalungu akufutshane kuquka amathumbu, isinyi okanye i-ureter. Oogqirha bethu bathatha amanyathelo okuthintela ezi ngozi, kwaye iingxaki ezinkulu aziqhelekanga ezandleni ezinamava.

Ithatha ixesha elingakanani inkqubo ye-salpingectomy?

Ubude buyahluka ngobunzima kodwa buhlala phakathi kweyure enye ukuya kwezimbini. Amatyala aneentambo ezixineneyo, zombini iityhubhu, okanye iinkqubo ezongezelelweyo zithatha ixesha elide. Iqela lakho lotyando liza kunika uqikelelo oluthe ngqo xa liboniswana.

Ndingabuyela nini kwimisebenzi yam yesiqhelo emva kwe-salpingectomy?

Uninzi lwezigulane luqala kwakhona imisebenzi elula kwiintsuku ezimbalwa, ngelixa imisebenzi enzima ngakumbi ingathatha iiveki ezimbini ukuya kwezintandathu. Ixesha lakho lokuchacha liza kuhlolwa kwintlanganiso yakho yokulandelela.

Ndingayilungiselela njani intlanganiso yokubonisana nge-salpingectomy?

Fowunela umnxeba woncedo lwe-Apollo ku-1860-500-1066 okanye ubhukishe kwi-intanethi kwiwebhusayithi yesibhedlele okanye kwi-app ye-Apollo 24|7. Iqela liza kukukhokela malunga namaxwebhu kunye neengxelo oza kuzizisa.

Yintoni eyenza izibhedlele zaseApollo eLucknow zibe lukhetho olucingelwayo lwe-salpingec

×

hlobo:

Ulwazi olunikwe kweli phepha lujoliswe kwiinjongo zolwazi ngokubanzi kunye nezemfundo kuphela. Nangona senza imizamo efanelekileyo yokuqinisekisa ukuba ulwazi luchanekile, luthembekile, kwaye luhlaziywa rhoqo, akufuneki luthathwe njengoluthatha indawo yeengcebiso zonyango zobungcali, ukuxilongwa, okanye unyango.

Ukufaneleka kwenkqubo yezonyango, kunye neenzuzo zayo, iingozi, ukulungiselela, ukuchacha, iingxaki ezinokubakho, kunye neziphumo ezilindelekileyo, zinokwahluka kumntu nomntu. Ingcali yakho yezempilo iya kugqiba ukuba inkqubo ifanelekile na ngokusekelwe kwimeko yakho kunye nembali yakho yezonyango.

Nceda uqhagamshelane nengcali yezempilo efanelekileyo ukuze ufumane ingcebiso elungele wena ngaphambi kokuba wenze izigqibo malunga nayo nayiphi na inkqubo yezonyango.

Ukuze ufumane ulwazi oluthe kratya malunga nendlela umxholo wethu wezonyango odalwa ngayo, ophononongwa ngayo, ohlaziyiweyo, nogcinwa ngayo, nceda ufunde [uMgaqo-nkqubo wethu Wokuhlela].

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