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Hysterectomy

A hysterectomy is a surgery to remove a womans uterus. The uterus
is one of the organs of the female reproductive system and is about the
size of a closed hand. You can no longer have children after you have
your uterus removed, and you will no longer have periods (menstruate).
If your ovaries are not removed, you will continue to make female
hormones. If your ovaries are removed, menopause will occur.

                                                          Fallopian Tube




                                                 Uterus


                                       Ovary



                                        Cervix


                                                             Vagina




                                                             Labia


There are different types of hysterectomy surgeries. Ask your doctor
what type of surgery you are having and if your cervix, tubes and ovaries
are being removed.
	 Vaginal hysterectomy  the uterus is removed through the vagina.
   No incision in the abdomen is needed.
	 Abdominal hysterectomy  the uterus is removed through an
   incision in the abdomen.




1
C畉t B畛 T畛 Cung

Ph畉u thu畉t c畉t b畛 t畛 cung c畛a ph畛 n畛 動畛c g畛i l hysterectomy. T畛 cung
l m畛t trong c叩c b畛 ph畉n c畛a h畛 sinh s畉n n畛 v c坦 k鱈ch th動畛c g畉n b畉ng
n畉m tay. Qu箪 b kh担ng c嘆n c坦 th畛 sanh con sau khi b畛 c畉t b畛 t畛 cung, v
c滴ng kh担ng c嘆n c坦 kinh nguy畛t n畛a. N畉u ch動a b畛 c畉t b畛 bu畛ng tr畛ng, th狸
qu箪 b v畉n ti畉p t畛c t畉o ra h畛cm担n n畛. N畉u b畛 c畉t bu畛ng tr畛ng th狸 s畉 b畛
m達n kinh.

                                                        V嘆i t畛 cung




                                                  T畛 cung


                                   Bu畛ng tr畛ng



                                     C畛 t畛 cung


                                                            m 畉o




                                                            M担i


C坦 nhi畛u lo畉i ph畉u thu畉t c畉t b畛 t畛 cung kh叩c nhau. H畛i b叩c s挑 xem qu箪
b ph畉i theo lo畉i ph畉u thu畉t no v c坦 b畛 c畉t b畛 c畛 t畛 cung, v嘆i t畛 cung
v bu畛ng tr畛ng kh担ng.
	 C畉t b畛 t畛 cung 動畛ng 但m 畉o (vaginal hysterectomy) - t畛 cung
   動畛c c畉t b畛 qua 但m 畉o. Kh担ng c畉n r畉ch v畉t m畛 n董i b畛ng.
	 C畉t b畛 t畛 cung 動畛ng b畛ng (abdominal hysterectomy) - t畛 cung
   動畛c c畉t b畛 qua v畉t m畛 n董i b畛ng.




Hysterectomy. Vietnamese.
1
	 Laparoscopic hysterectomy  several small incisions are made in
   the abdomen and the doctor works through these small incisions
   using a laparoscope. This instrument makes it easier for the doctor to
   see small areas during surgery. Other small instruments are used to
   detach and remove the uterus.
    ff   Robotic hysterectomy  It is very similar to a laparoscopic
         hysterectomy. Instruments are more flexible and the doctor uses a
         special camera to guide the instruments during surgery.


To Prepare
	 Tell your doctor all the medicines you are taking. Be sure to include
   any prescription or over the counter medicines, vitamins and herbs.
    ff   You may be told not to take aspirin or ibuprofen (Advil, Motrin)
         for a few days before your surgery. If you take aspirin daily, do
         not stop taking it without asking your doctor first.
    ff   If you are taking blood thinners or medicines to prevent clots,
         check with the doctor who prescribed the medicine to see if you
         should stop the medicine before surgery.
	 Ask your doctor if you should take your medicines the morning of
   your surgery. If so, take them with small sips of water only.
	 Do not eat or drink anything, including water, after midnight before
   your surgery.
	 If you have any allergies to medicines, foods or other things, tell the
   staff before your surgery.
	 An adult family member or friend will need to take you home when
   you leave the hospital. It is not safe for you to drive or leave alone.




2
	 C畉t b畛 t畛 cung soi qua b畛ng (laparoscopic hysterectomy)  b叩c s挑
   r畉ch vi v畉t m畛 nh畛 n董i b畛ng d湛ng 畛ng soi 畛 b畛ng. D畛ng c畛 ny gi炭p
   b叩c s挑 d畛 dng th畉y 動畛c nh畛ng ch畛 nh畛 trong l炭c ph畉u thu畉t. C叩c
   d畛ng c畛 nh畛 kh叩c 動畛c d湛ng 畛 t叩ch v c畉t b畛 t畛 cung.
    ff   C畉t b畛 t畛 cung b畉ng robot (Robotic hysterectomy)  G畉n gi畛ng
         v畛i c畉t b畛 t畛 cung soi qua b畛ng. C叩c d畛ng c畛 uy畛n chuy畛n h董n v
         b叩c s挑 d湛ng m叩y ch畛p h狸nh 畉c bi畛t 畛 d畉n 動畛ng cho nh畛ng d畛ng
         c畛 ny trong l炭c ph畉u thu畉t.


Chu畉n b畛
	 Cho b叩c s挑 bi畉t m畛i lo畉i thu畛c qu箪 v畛 ang d湛ng. Nh畛 cho bi畉t b畉t c畛
   lo畉i thu畛c theo toa hay b叩n t畛 do, vitamin v th畉o d動畛c.
    ff   B叩c s挑 y棚u c畉u qu箪 b kh担ng d湛ng thu畛c aspirin ho畉c ibuprofen
         (Advil, Motrin) vi ngy tr動畛c khi ph畉u thu畉t. N畉u qu箪 b d湛ng
         thu畛c aspirin hng ngy, kh担ng n棚n ng動ng d湛ng thu畛c ny n畉u
         ch動a h畛i tr動畛c 箪 ki畉n c畛a b叩c s挑.
    ff   N畉u qu箪 b d湛ng thu畛c lo達ng m叩u hay thu畛c ngn ng畛a c畛c
         m叩u 担ng, h畛i b叩c s挑 達 k棚 toa thu畛c xem qu箪 b c坦 n棚n ng動ng
         d湛ng thu畛c ny tr動畛c khi ph畉u thu畉t kh担ng.
	 H畛i b叩c s挑 xem qu箪 b c坦 ph畉i u畛ng thu畛c vo bu畛i s叩ng th畛c hi畛n
   ph畉u thu畉t kh担ng. N畉u c坦, ch畛 u畛ng thu畛c v畛i t畛ng h畛p n動畛c nh畛.
	 畛ng n hay u畛ng b畉t c畛 th畛 g狸, k畛 c畉 n動畛c, t畛 sau n畛a 棚m c畛a 棚m
   tr動畛c khi ph畉u thu畉t.
	 N畉u b畛 d畛 畛ng v畛i thu畛c, th畛c n hay nh畛ng th畛 kh叩c, h達y cho nh但n
   vi棚n bi畉t tr動畛c khi ph畉u thu畉t.
	 Ng動畛i l畛n trong gia 狸nh ho畉c b畉n th但n c畉n 動a qu箪 b v畛 nh khi
   xu畉t vi畛n. Qu箪 b l叩i xe ho畉c r畛i kh畛i b畛nh vi畛n m畛t m狸nh th狸 kh担ng
   an ton.




Hysterectomy. Vietnamese.
2
During Surgery
	 You will wear a hospital gown.
	 An IV (intravenous) tube is put in a vein in your arm for giving
   medicines and fluids.
	 You will be taken on a cart to the operating room and then helped
   onto a table.
	 Medicine is given in your IV to keep you asleep and free from pain.
	 You will have a catheter that drains urine from your bladder. This
   tube is often removed the morning after your surgery.
	 Another tube may be put in through your nose and is passed down to
   your stomach to remove fluids so that you will not feel sick to your
   stomach. This tube is often taken out before you leave the recovery
   room.
	 The surgery area or abdomen is cleaned.
	 Your uterus is removed. Your cervix, tubes and ovaries may also be
   removed.
	 Any incisions are closed with stitches, staples or special tapes called
   steri-strips.
	 A bandage is put over the incisions.


After Surgery

In the Hospital
	 You are taken to the recovery room where you are watched closely
   until you wake up and are doing well.
	 Your breathing, blood pressure and pulse are checked often.




3
Trong l炭c ph畉u thu畉t
	 Qu箪 b s畉 m畉c 叩o chong b畛nh nh但n.
	 Qu箪 b 動畛c 畉t m畛t 畛ng vo trong t挑nh m畉ch n董i c叩nh tay 畛 ch鱈ch
   thu畛c v truy畛n ch畉t l畛ng.
	 Qu箪 b 動畛c 動a 畉n ph嘆ng ph畉u thu畉t b畉ng xe 畉y r畛i 畛 l棚n n畉m
   tr棚n bn ph畉u thu畉t.
	 Qu箪 b 動畛c ch鱈ch thu畛c vo t挑nh m畉ch 畛 ng畛 v kh担ng th畉y au.
	 Qu箪 b 動畛c 畉t 畛ng d畉n l動u n動畛c ti畛u t畛 bng quang. 畛ng ny
   th動畛ng 動畛c l畉y ra vo bu畛i s叩ng sau khi ph畉u thu畉t.
	 Qu箪 b c滴ng c坦 th畛 動畛c lu畛n m畛t 畛ng kh叩c qua m滴i r畛i i xu畛ng
   畉n bao t畛 畛 h炭t ch畉t l畛ng v kh担ng b畛 c畉m gi叩c n担n nao trong bao
   t畛. 畛ng ny th動畛ng 動畛c l畉y ra tr動畛c khi qu箪 b r畛i kh畛i ph嘆ng h畛i
   s畛c.
	 V湛ng ph畉u thu畉t ho畉c b畛ng 動畛c ch湛i s畉ch.
	 T畛 cung 動畛c c畉t b畛. C畛 t畛 cung, v嘆i t畛 cung v bu畛ng tr畛ng c滴ng c坦
   th畛 動畛c c畉t b畛.
	 M畛i v畉t m畛 動畛c kh辿p k鱈n b畉ng ch畛 may, inh k畉p ho畉c bng d叩n 畉c
   bi畛t g畛i l steri-strips.
	 Bng v畉t m畛 l畉i.


Sau khi ph畉u thu畉t

畛 b畛nh vi畛n
	 Qu箪 b 動畛c chuy畛n 畉n ph嘆ng h畛i s畛c 畛 theo d探i s叩t cho 畉n khi
   th畛c gi畉c v h畛i s畛c.
	 Qu箪 b 動畛c th動畛ng xuy棚n ki畛m tra nh畛p th畛, huy畉t 叩p v nh畛p tim.




Hysterectomy. Vietnamese.
3
	 If you are staying at the hospital, you will be taken to your room.
	 A pad will be placed between your legs in case you have vaginal
   bleeding.
	 You also may have special stockings on your legs while you are in
   bed to help prevent blood clots.
	 The staff may teach you how to cough, deep breathe and use an
   incentive spirometer. An incentive spirometer is a device used to help
   you take deep breaths. These exercises help open the airways of the
   lungs and prevent pneumonia. If you have abdominal incisions, place
   a pillow or a folded blanket over your incisions for support when
   deep breathing or coughing. Do these exercises every 1 to 2 hours
   while you are awake.
	 You will be given medicine to control your pain. Tell your nurse if
   you have pain.
	 The IV is used to give you medicine and fluids until you are able to
   eat and drink well. You may be given a few ice chips if you are not
   sick to your stomach.
	 You will be given clear liquids at first and then slowly progress to
   regular foods.
	 Your bandage will be removed the day after surgery. Your incision
   may have:
    ff   Stitches that dissolve on their own.
    ff   Staples which are often taken out a few days after surgery.
    ff   Steri-strips that come off on their own in 7 to 10 days.
	 If you have a vaginal hysterectomy, you will not have an incision.
	 For your safety, when you leave the hospital, you will need to have
   an adult family member or friend take you home. You should have
   someone stay with you for at least the first 24 hours you are home.




4
	 N畉u n畉m l畉i b畛nh vi畛n, qu箪 b 動畛c 動a v畛 ph嘆ng c畛a b畛nh vi畛n.
	 M畛t bng g畉c 動畛c 畉t 畛 gi畛a hai ch但n trong tr動畛ng h畛p qu箪 b b畛
   ch畉y m叩u 但m 畉o.
	 Qu箪 b c滴ng c坦 th畛 mang lo畉i v畛 畉c bi畛t vo ch但n trong khi n畉m
   tr棚n gi動畛ng 畛 ngn ng畛a b畛 c畛c m叩u 担ng.
	 Nh但n vi棚n s畉 d畉y qu箪 b c叩ch ho, h鱈t th畛 s但u v s畛 d畛ng ph畉 dung k畉.
   Ph畉 dung k畉 l m畛t d畛ng c畛 gi炭p h鱈t th畛 s但u. C叩c bi t畉p ny gi炭p m畛
   th担ng 動畛ng th畛 trong ph畛i v ngn ng畛a b畛 vi棚m ph畛i. N畉u qu箪 b
   c坦 v畉t m畛 n董i b畛ng, n棚n 畉p nh畉 v畉t m畛 ny b畉ng g畛i ho畉c m畛n khi h鱈t
   th畛 s但u ho畉c ho. Th畛c hnh c叩c bi t畉p ny m畛i 1 畉n 2 gi畛 trong l炭c
   th畛c.
	 Qu箪 b 動畛c cho d湛ng thu畛c 畛 gi畉m au. B叩o cho y t叩 bi畉t n畉u b畛
   au.
	 畛ng 畉t trong t挑nh m畉ch 動畛c d湛ng 畛 ch鱈ch thu畛c v truy畛n ch畉t
   l畛ng cho 畉n khi qu箪 b c坦 th畛 n u畛ng b狸nh th動畛ng. Qu箪 b c坦 th畛
   動畛c cho ng畉m vi m畉u n動畛c 叩 n畉u kh担ng b畛 n担n nao bao t畛.
	 畉u ti棚n qu箪 b 動畛c cho d湛ng ch畉t l畛ng d畛 ti棚u h坦a r畛i d畉n d畉n 畉n
   th畛c n th担ng th動畛ng.
	 Bng v畉t m畛 動畛c th叩o ra vo ngy h担m sau sau khi ph畉u thu畉t. V畉t
   m畛 c畛a qu箪 b c坦 th畛 c坦:
    ff   Ch畛 may t畛 ti棚u m畉t.
    ff   inh k畉p, th動畛ng 動畛c l畉y ra vi ngy sau khi ph畉u thu畉t.
    ff   Bng d叩n steri-strips t畛 ti棚u m畉t trong t畛 7 畉n 10 ngy.
	 N畉u tr畉i qua th畛 thu畉t c畉t b畛 t畛 cung 動畛ng 但m 畉o, th狸 qu箪 b kh担ng
   c坦 v畉t m畛 no.
	 Khi xu畉t vi畛n, qu箪 b c畉n c坦 ng動畛i l畛n trong gia 狸nh ho畉c b畉n th但n
   動a v畛 nh cho an ton. Qu箪 b c滴ng c畉n c坦 ng動畛i t炭c tr畛c b棚n c畉nh
   m狸nh trong 鱈t nh畉t 24 gi畛 sau khi v畛 畉n nh.




Hysterectomy. Vietnamese.
4
At Home
	 Take your medicine as directed.
	 Schedule a follow-up visit with your doctor. You will need to see
   your doctor in 4 to 6 weeks.
	 Wash any incisions gently with soap and water and pat dry. You may
   take a shower or sponge bath, but do not take tub baths.
	 A small amount of vaginal discharge is normal for 2 to 4 weeks after
   surgery. Change the pad every few hours. Wash the vaginal area with
   soap and water and pat dry.
	 Do not put anything in your vagina until your doctor checks you.
    ff   Do not douche.
    ff   Do not have sexual intercourse.
    ff   Do not use tampons.


Activity Limits
	 Limit your activities for 4 to 6 weeks.
	 Do not lift over 10 pounds for at least 2 weeks.
	 You may do light housework such as washing dishes and cooking.
	 Do not do strenuous activities, such as vacuuming or exercising for at
   least 2 weeks.
	 Do not drive for 2 weeks, but you can ride in a car for short trips.
	 Go up and down stairs slowly, one step at a time.
	 Take walks. Starting with short distances. Slowly increase how long
   and fast you walk.




5
V畛 nh
	 D湛ng thu畛c theo ch畛 畛nh.
	 L畉y h畉n kh叩m theo d探i v畛i b叩c s挑. Qu箪 b c畉n i kh叩m b叩c s挑 trong t畛
   4 畉n 6 tu畉n.
	 R畛a nh畉 nhng v畉t m畛 b畉ng x b担ng v n動畛c r畛i lau ch畉m ch畉m nh畉
   cho kh担 r叩o. Qu箪 b c坦 th畛 t畉m v嘆i sen ho畉c d湛ng s畛p t畉m, nh動ng
   畛ng t畉m trong b畛n.
	 C坦 l動畛ng nh畛 ch畉t d畛ch 但m 畉o ti畉t ra l i畛u b狸nh th動畛ng trong t畛 2
   畉n 4 tu畉n sau khi ph畉u thu畉t. Thay kh畛i g畉c m畛i vi gi畛. R畛a v湛ng
   但m 畉o b畉ng x b担ng v n動畛c r畛i ch畉m ch畉m nh畉 cho kh担 r叩o.
	 Kh担ng n棚n 畉t b畉t c畛 th畛 g狸 vo 但m 畉o cho 畉n khi b叩c s挑 kh叩m qu箪
   b.
    ff   Kh担ng n棚n th畛t r畛a.
    ff   Kh担ng n棚n giao h畛p.
    ff   Kh担ng n棚n d湛ng tm b担ng v畛 sinh.


Ho畉t 畛ng n棚n h畉n ch畉
	 H畉n ch畉 ho畉t 畛ng trong 4 畉n 6 tu畉n.
	 Kh担ng n棚n n但ng v畉t n畉ng h董n 10 c但n Anh (4.5 kg) trong 鱈t nh畉t 2
   tu畉n.
	 Qu箪 b c坦 th畛 lm vi畛c nh nh畉 nhng nh動 r畛a ch辿n d挑a v n畉u n.
	 Kh担ng n棚n lm nh畛ng c担ng vi畛c v畉t v畉, nh動 h炭t b畛i ho畉c t畉p luy畛n
   trong 鱈t nh畉t 2 tu畉n.
	 Kh担ng n棚n l叩i xe trong 2 tu畉n, nh動ng qu箪 b c坦 th畛 i xe h董i cho
   hnh tr狸nh ng畉n.
	 L棚n xu畛ng c畉u thang ch畉m r達i, b動畛c t畛ng b動畛c m畛t.
	 i b畛. Kh畛i 畉u b畉ng qu達ng 動畛ng ng畉n. Tng d畉n qu達ng 動畛ng v
   t畛c 畛 i.




Hysterectomy. Vietnamese.
5
Other Issues
	 If your ovaries are taken out, you may have signs of menopause such
   as hot flashes, vaginal dryness or mood changes.
	 It is common to have many feelings after surgery. You may feel sad,
   fearful, nervous or angry. Share these feelings with your loved ones
   and friends to help you cope as you recover. If the sadness does not
   go away after a few weeks, talk to your doctor.
	 Your looks will not change after this surgery. There are no physical
   changes except that you may have a scar from your incision.
	 Your surgery should not affect your ability to have sex or the way you
   or your partner feel while having sex. Ask your doctor when you may
   resume sexual activity and discuss any concerns you may have about
   sex.


Call your doctor right away if you have:
	 Shaking, chills or a temperature over 101 degrees F or 38 degrees C
	 An incision that is swollen, red, has drainage or comes apart
	 Bleeding from your incisions
	 Pain, warmth or tenderness in your legs
	 Heavy vaginal bleeding, soaking 2 to 3 pads in one hour
	 Vaginal drainage with an odor
	 Trouble urinating
	 Burning when you urinate or feel a need to urinate often
	 Skin that is itchy, swollen or has a rash
	 Severe mood swings or feel depressed




6
V畉n 畛 kh叩c
	 N畉u bu畛ng tr畛ng 動畛c c畉t b畛, qu箪 b c坦 th畛 c坦 d畉u hi畛u c畛a th畛i k畛
   m達n kinh nh動 n坦ng ran ng動畛i, kh担 但m 畉o ho畉c thay 畛i t但m tr畉ng.
	 Qu箪 b c坦 nhi畛u x炭c c畉m sau khi ph畉u thu畉t l i畛u b狸nh th動畛ng.
   Qu箪 b c坦 th畛 hay bu畛n, s畛 h達i, n坦ng n畉y ho畉c t畛c gi畉n. T但m s畛 v畛i
   nh畛ng ng動畛i th但n y棚u v b畉n th但n v畛 c叩c x炭c c畉m ny s畉 gi炭p qu箪 b
   thanh th畉n khi h畛i ph畛c. N畉u n畛i 但u s畉u kh担ng t畛 kh畛i sau vi tu畉n,
   th狸 bn v畛i b叩c s挑.
	 V畉 ngoi c畛a qu箪 b s畉 kh担ng thay 畛i sau th畛 thu畉t ny. Kh担ng c坦
   thay 畛i th但n th畛 no ngoi tr畛 qu箪 b c坦 th畛 c坦 v畉t s畉o n董i v畉t m畛.
	 Th畛 thu畉t ny kh担ng 畉nh h動畛ng 畉n kh畉 nng giao h畛p ho畉c kho叩i
   c畉m c畛a qu箪 b hay b畉n t狸nh trong l炭c giao h畛p. H畛i b叩c s挑 xem khi
   no qu箪 b c坦 th畛 giao h畛p tr畛 l畉i v bn th畉o m畛i th畉c m畉c v畛 t狸nh
   d畛c v畛i h畛.


G畛i cho b叩c s挑 ngay l畉p t畛c n畉u qu箪 b b畛:
	 Run r畉y, 畛n l畉nh ho畉c s畛t cao h董n 101 畛 F hay 38 畛 C
	 V畉t m畛 b畛 s動ng, 畛ng 畛, ch畉y n動畛c vng ho畉c bung ra
	 Ch畉y m叩u n董i v畉t m畛
	 au, th畉y 畉m ho畉c au khi 畉n vo n董i ch但n
	 Ch畉y nhi畛u m叩u t畛 但m 畉o, 動畛t 畉m t畛 2 畉n 3 bng g畉c trong m畛t
   gi畛
	 N動畛c r畛 ra t畛 但m 畉o c坦 m湛i
	 Kh坦 i ti畛u
	 B畛ng r叩t khi i ti畛u ho畉c th畉y hay b畛 m畉c ti畛u
	 Da b畛 ng畛a, s動ng ph湛 ho畉c n畛i m畛 ay
	 Thay 畛i t但m tr畉ng nghi棚m tr畛ng ho畉c th畉y bu畛n n畉n




Hysterectomy. Vietnamese.
6
D畛ch v畛 d畛ch thu畉t ti li畛u y t畉/y h畛c/y khoa  C担ng ty d畛ch thu畉t CNN

     Medica Translation Services  CNN Translation Company




                                          C担ng ty d畛ch thu畉t CNN | www.cnntranslation.com

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Hysterectomy viet dich thuat phien dich cnn

  • 1. Hysterectomy A hysterectomy is a surgery to remove a womans uterus. The uterus is one of the organs of the female reproductive system and is about the size of a closed hand. You can no longer have children after you have your uterus removed, and you will no longer have periods (menstruate). If your ovaries are not removed, you will continue to make female hormones. If your ovaries are removed, menopause will occur. Fallopian Tube Uterus Ovary Cervix Vagina Labia There are different types of hysterectomy surgeries. Ask your doctor what type of surgery you are having and if your cervix, tubes and ovaries are being removed. Vaginal hysterectomy the uterus is removed through the vagina. No incision in the abdomen is needed. Abdominal hysterectomy the uterus is removed through an incision in the abdomen. 1
  • 2. C畉t B畛 T畛 Cung Ph畉u thu畉t c畉t b畛 t畛 cung c畛a ph畛 n畛 動畛c g畛i l hysterectomy. T畛 cung l m畛t trong c叩c b畛 ph畉n c畛a h畛 sinh s畉n n畛 v c坦 k鱈ch th動畛c g畉n b畉ng n畉m tay. Qu箪 b kh担ng c嘆n c坦 th畛 sanh con sau khi b畛 c畉t b畛 t畛 cung, v c滴ng kh担ng c嘆n c坦 kinh nguy畛t n畛a. N畉u ch動a b畛 c畉t b畛 bu畛ng tr畛ng, th狸 qu箪 b v畉n ti畉p t畛c t畉o ra h畛cm担n n畛. N畉u b畛 c畉t bu畛ng tr畛ng th狸 s畉 b畛 m達n kinh. V嘆i t畛 cung T畛 cung Bu畛ng tr畛ng C畛 t畛 cung m 畉o M担i C坦 nhi畛u lo畉i ph畉u thu畉t c畉t b畛 t畛 cung kh叩c nhau. H畛i b叩c s挑 xem qu箪 b ph畉i theo lo畉i ph畉u thu畉t no v c坦 b畛 c畉t b畛 c畛 t畛 cung, v嘆i t畛 cung v bu畛ng tr畛ng kh担ng. C畉t b畛 t畛 cung 動畛ng 但m 畉o (vaginal hysterectomy) - t畛 cung 動畛c c畉t b畛 qua 但m 畉o. Kh担ng c畉n r畉ch v畉t m畛 n董i b畛ng. C畉t b畛 t畛 cung 動畛ng b畛ng (abdominal hysterectomy) - t畛 cung 動畛c c畉t b畛 qua v畉t m畛 n董i b畛ng. Hysterectomy. Vietnamese. 1
  • 3. Laparoscopic hysterectomy several small incisions are made in the abdomen and the doctor works through these small incisions using a laparoscope. This instrument makes it easier for the doctor to see small areas during surgery. Other small instruments are used to detach and remove the uterus. ff Robotic hysterectomy It is very similar to a laparoscopic hysterectomy. Instruments are more flexible and the doctor uses a special camera to guide the instruments during surgery. To Prepare Tell your doctor all the medicines you are taking. Be sure to include any prescription or over the counter medicines, vitamins and herbs. ff You may be told not to take aspirin or ibuprofen (Advil, Motrin) for a few days before your surgery. If you take aspirin daily, do not stop taking it without asking your doctor first. ff If you are taking blood thinners or medicines to prevent clots, check with the doctor who prescribed the medicine to see if you should stop the medicine before surgery. Ask your doctor if you should take your medicines the morning of your surgery. If so, take them with small sips of water only. Do not eat or drink anything, including water, after midnight before your surgery. If you have any allergies to medicines, foods or other things, tell the staff before your surgery. An adult family member or friend will need to take you home when you leave the hospital. It is not safe for you to drive or leave alone. 2
  • 4. C畉t b畛 t畛 cung soi qua b畛ng (laparoscopic hysterectomy) b叩c s挑 r畉ch vi v畉t m畛 nh畛 n董i b畛ng d湛ng 畛ng soi 畛 b畛ng. D畛ng c畛 ny gi炭p b叩c s挑 d畛 dng th畉y 動畛c nh畛ng ch畛 nh畛 trong l炭c ph畉u thu畉t. C叩c d畛ng c畛 nh畛 kh叩c 動畛c d湛ng 畛 t叩ch v c畉t b畛 t畛 cung. ff C畉t b畛 t畛 cung b畉ng robot (Robotic hysterectomy) G畉n gi畛ng v畛i c畉t b畛 t畛 cung soi qua b畛ng. C叩c d畛ng c畛 uy畛n chuy畛n h董n v b叩c s挑 d湛ng m叩y ch畛p h狸nh 畉c bi畛t 畛 d畉n 動畛ng cho nh畛ng d畛ng c畛 ny trong l炭c ph畉u thu畉t. Chu畉n b畛 Cho b叩c s挑 bi畉t m畛i lo畉i thu畛c qu箪 v畛 ang d湛ng. Nh畛 cho bi畉t b畉t c畛 lo畉i thu畛c theo toa hay b叩n t畛 do, vitamin v th畉o d動畛c. ff B叩c s挑 y棚u c畉u qu箪 b kh担ng d湛ng thu畛c aspirin ho畉c ibuprofen (Advil, Motrin) vi ngy tr動畛c khi ph畉u thu畉t. N畉u qu箪 b d湛ng thu畛c aspirin hng ngy, kh担ng n棚n ng動ng d湛ng thu畛c ny n畉u ch動a h畛i tr動畛c 箪 ki畉n c畛a b叩c s挑. ff N畉u qu箪 b d湛ng thu畛c lo達ng m叩u hay thu畛c ngn ng畛a c畛c m叩u 担ng, h畛i b叩c s挑 達 k棚 toa thu畛c xem qu箪 b c坦 n棚n ng動ng d湛ng thu畛c ny tr動畛c khi ph畉u thu畉t kh担ng. H畛i b叩c s挑 xem qu箪 b c坦 ph畉i u畛ng thu畛c vo bu畛i s叩ng th畛c hi畛n ph畉u thu畉t kh担ng. N畉u c坦, ch畛 u畛ng thu畛c v畛i t畛ng h畛p n動畛c nh畛. 畛ng n hay u畛ng b畉t c畛 th畛 g狸, k畛 c畉 n動畛c, t畛 sau n畛a 棚m c畛a 棚m tr動畛c khi ph畉u thu畉t. N畉u b畛 d畛 畛ng v畛i thu畛c, th畛c n hay nh畛ng th畛 kh叩c, h達y cho nh但n vi棚n bi畉t tr動畛c khi ph畉u thu畉t. Ng動畛i l畛n trong gia 狸nh ho畉c b畉n th但n c畉n 動a qu箪 b v畛 nh khi xu畉t vi畛n. Qu箪 b l叩i xe ho畉c r畛i kh畛i b畛nh vi畛n m畛t m狸nh th狸 kh担ng an ton. Hysterectomy. Vietnamese. 2
  • 5. During Surgery You will wear a hospital gown. An IV (intravenous) tube is put in a vein in your arm for giving medicines and fluids. You will be taken on a cart to the operating room and then helped onto a table. Medicine is given in your IV to keep you asleep and free from pain. You will have a catheter that drains urine from your bladder. This tube is often removed the morning after your surgery. Another tube may be put in through your nose and is passed down to your stomach to remove fluids so that you will not feel sick to your stomach. This tube is often taken out before you leave the recovery room. The surgery area or abdomen is cleaned. Your uterus is removed. Your cervix, tubes and ovaries may also be removed. Any incisions are closed with stitches, staples or special tapes called steri-strips. A bandage is put over the incisions. After Surgery In the Hospital You are taken to the recovery room where you are watched closely until you wake up and are doing well. Your breathing, blood pressure and pulse are checked often. 3
  • 6. Trong l炭c ph畉u thu畉t Qu箪 b s畉 m畉c 叩o chong b畛nh nh但n. Qu箪 b 動畛c 畉t m畛t 畛ng vo trong t挑nh m畉ch n董i c叩nh tay 畛 ch鱈ch thu畛c v truy畛n ch畉t l畛ng. Qu箪 b 動畛c 動a 畉n ph嘆ng ph畉u thu畉t b畉ng xe 畉y r畛i 畛 l棚n n畉m tr棚n bn ph畉u thu畉t. Qu箪 b 動畛c ch鱈ch thu畛c vo t挑nh m畉ch 畛 ng畛 v kh担ng th畉y au. Qu箪 b 動畛c 畉t 畛ng d畉n l動u n動畛c ti畛u t畛 bng quang. 畛ng ny th動畛ng 動畛c l畉y ra vo bu畛i s叩ng sau khi ph畉u thu畉t. Qu箪 b c滴ng c坦 th畛 動畛c lu畛n m畛t 畛ng kh叩c qua m滴i r畛i i xu畛ng 畉n bao t畛 畛 h炭t ch畉t l畛ng v kh担ng b畛 c畉m gi叩c n担n nao trong bao t畛. 畛ng ny th動畛ng 動畛c l畉y ra tr動畛c khi qu箪 b r畛i kh畛i ph嘆ng h畛i s畛c. V湛ng ph畉u thu畉t ho畉c b畛ng 動畛c ch湛i s畉ch. T畛 cung 動畛c c畉t b畛. C畛 t畛 cung, v嘆i t畛 cung v bu畛ng tr畛ng c滴ng c坦 th畛 動畛c c畉t b畛. M畛i v畉t m畛 動畛c kh辿p k鱈n b畉ng ch畛 may, inh k畉p ho畉c bng d叩n 畉c bi畛t g畛i l steri-strips. Bng v畉t m畛 l畉i. Sau khi ph畉u thu畉t 畛 b畛nh vi畛n Qu箪 b 動畛c chuy畛n 畉n ph嘆ng h畛i s畛c 畛 theo d探i s叩t cho 畉n khi th畛c gi畉c v h畛i s畛c. Qu箪 b 動畛c th動畛ng xuy棚n ki畛m tra nh畛p th畛, huy畉t 叩p v nh畛p tim. Hysterectomy. Vietnamese. 3
  • 7. If you are staying at the hospital, you will be taken to your room. A pad will be placed between your legs in case you have vaginal bleeding. You also may have special stockings on your legs while you are in bed to help prevent blood clots. The staff may teach you how to cough, deep breathe and use an incentive spirometer. An incentive spirometer is a device used to help you take deep breaths. These exercises help open the airways of the lungs and prevent pneumonia. If you have abdominal incisions, place a pillow or a folded blanket over your incisions for support when deep breathing or coughing. Do these exercises every 1 to 2 hours while you are awake. You will be given medicine to control your pain. Tell your nurse if you have pain. The IV is used to give you medicine and fluids until you are able to eat and drink well. You may be given a few ice chips if you are not sick to your stomach. You will be given clear liquids at first and then slowly progress to regular foods. Your bandage will be removed the day after surgery. Your incision may have: ff Stitches that dissolve on their own. ff Staples which are often taken out a few days after surgery. ff Steri-strips that come off on their own in 7 to 10 days. If you have a vaginal hysterectomy, you will not have an incision. For your safety, when you leave the hospital, you will need to have an adult family member or friend take you home. You should have someone stay with you for at least the first 24 hours you are home. 4
  • 8. N畉u n畉m l畉i b畛nh vi畛n, qu箪 b 動畛c 動a v畛 ph嘆ng c畛a b畛nh vi畛n. M畛t bng g畉c 動畛c 畉t 畛 gi畛a hai ch但n trong tr動畛ng h畛p qu箪 b b畛 ch畉y m叩u 但m 畉o. Qu箪 b c滴ng c坦 th畛 mang lo畉i v畛 畉c bi畛t vo ch但n trong khi n畉m tr棚n gi動畛ng 畛 ngn ng畛a b畛 c畛c m叩u 担ng. Nh但n vi棚n s畉 d畉y qu箪 b c叩ch ho, h鱈t th畛 s但u v s畛 d畛ng ph畉 dung k畉. Ph畉 dung k畉 l m畛t d畛ng c畛 gi炭p h鱈t th畛 s但u. C叩c bi t畉p ny gi炭p m畛 th担ng 動畛ng th畛 trong ph畛i v ngn ng畛a b畛 vi棚m ph畛i. N畉u qu箪 b c坦 v畉t m畛 n董i b畛ng, n棚n 畉p nh畉 v畉t m畛 ny b畉ng g畛i ho畉c m畛n khi h鱈t th畛 s但u ho畉c ho. Th畛c hnh c叩c bi t畉p ny m畛i 1 畉n 2 gi畛 trong l炭c th畛c. Qu箪 b 動畛c cho d湛ng thu畛c 畛 gi畉m au. B叩o cho y t叩 bi畉t n畉u b畛 au. 畛ng 畉t trong t挑nh m畉ch 動畛c d湛ng 畛 ch鱈ch thu畛c v truy畛n ch畉t l畛ng cho 畉n khi qu箪 b c坦 th畛 n u畛ng b狸nh th動畛ng. Qu箪 b c坦 th畛 動畛c cho ng畉m vi m畉u n動畛c 叩 n畉u kh担ng b畛 n担n nao bao t畛. 畉u ti棚n qu箪 b 動畛c cho d湛ng ch畉t l畛ng d畛 ti棚u h坦a r畛i d畉n d畉n 畉n th畛c n th担ng th動畛ng. Bng v畉t m畛 動畛c th叩o ra vo ngy h担m sau sau khi ph畉u thu畉t. V畉t m畛 c畛a qu箪 b c坦 th畛 c坦: ff Ch畛 may t畛 ti棚u m畉t. ff inh k畉p, th動畛ng 動畛c l畉y ra vi ngy sau khi ph畉u thu畉t. ff Bng d叩n steri-strips t畛 ti棚u m畉t trong t畛 7 畉n 10 ngy. N畉u tr畉i qua th畛 thu畉t c畉t b畛 t畛 cung 動畛ng 但m 畉o, th狸 qu箪 b kh担ng c坦 v畉t m畛 no. Khi xu畉t vi畛n, qu箪 b c畉n c坦 ng動畛i l畛n trong gia 狸nh ho畉c b畉n th但n 動a v畛 nh cho an ton. Qu箪 b c滴ng c畉n c坦 ng動畛i t炭c tr畛c b棚n c畉nh m狸nh trong 鱈t nh畉t 24 gi畛 sau khi v畛 畉n nh. Hysterectomy. Vietnamese. 4
  • 9. At Home Take your medicine as directed. Schedule a follow-up visit with your doctor. You will need to see your doctor in 4 to 6 weeks. Wash any incisions gently with soap and water and pat dry. You may take a shower or sponge bath, but do not take tub baths. A small amount of vaginal discharge is normal for 2 to 4 weeks after surgery. Change the pad every few hours. Wash the vaginal area with soap and water and pat dry. Do not put anything in your vagina until your doctor checks you. ff Do not douche. ff Do not have sexual intercourse. ff Do not use tampons. Activity Limits Limit your activities for 4 to 6 weeks. Do not lift over 10 pounds for at least 2 weeks. You may do light housework such as washing dishes and cooking. Do not do strenuous activities, such as vacuuming or exercising for at least 2 weeks. Do not drive for 2 weeks, but you can ride in a car for short trips. Go up and down stairs slowly, one step at a time. Take walks. Starting with short distances. Slowly increase how long and fast you walk. 5
  • 10. V畛 nh D湛ng thu畛c theo ch畛 畛nh. L畉y h畉n kh叩m theo d探i v畛i b叩c s挑. Qu箪 b c畉n i kh叩m b叩c s挑 trong t畛 4 畉n 6 tu畉n. R畛a nh畉 nhng v畉t m畛 b畉ng x b担ng v n動畛c r畛i lau ch畉m ch畉m nh畉 cho kh担 r叩o. Qu箪 b c坦 th畛 t畉m v嘆i sen ho畉c d湛ng s畛p t畉m, nh動ng 畛ng t畉m trong b畛n. C坦 l動畛ng nh畛 ch畉t d畛ch 但m 畉o ti畉t ra l i畛u b狸nh th動畛ng trong t畛 2 畉n 4 tu畉n sau khi ph畉u thu畉t. Thay kh畛i g畉c m畛i vi gi畛. R畛a v湛ng 但m 畉o b畉ng x b担ng v n動畛c r畛i ch畉m ch畉m nh畉 cho kh担 r叩o. Kh担ng n棚n 畉t b畉t c畛 th畛 g狸 vo 但m 畉o cho 畉n khi b叩c s挑 kh叩m qu箪 b. ff Kh担ng n棚n th畛t r畛a. ff Kh担ng n棚n giao h畛p. ff Kh担ng n棚n d湛ng tm b担ng v畛 sinh. Ho畉t 畛ng n棚n h畉n ch畉 H畉n ch畉 ho畉t 畛ng trong 4 畉n 6 tu畉n. Kh担ng n棚n n但ng v畉t n畉ng h董n 10 c但n Anh (4.5 kg) trong 鱈t nh畉t 2 tu畉n. Qu箪 b c坦 th畛 lm vi畛c nh nh畉 nhng nh動 r畛a ch辿n d挑a v n畉u n. Kh担ng n棚n lm nh畛ng c担ng vi畛c v畉t v畉, nh動 h炭t b畛i ho畉c t畉p luy畛n trong 鱈t nh畉t 2 tu畉n. Kh担ng n棚n l叩i xe trong 2 tu畉n, nh動ng qu箪 b c坦 th畛 i xe h董i cho hnh tr狸nh ng畉n. L棚n xu畛ng c畉u thang ch畉m r達i, b動畛c t畛ng b動畛c m畛t. i b畛. Kh畛i 畉u b畉ng qu達ng 動畛ng ng畉n. Tng d畉n qu達ng 動畛ng v t畛c 畛 i. Hysterectomy. Vietnamese. 5
  • 11. Other Issues If your ovaries are taken out, you may have signs of menopause such as hot flashes, vaginal dryness or mood changes. It is common to have many feelings after surgery. You may feel sad, fearful, nervous or angry. Share these feelings with your loved ones and friends to help you cope as you recover. If the sadness does not go away after a few weeks, talk to your doctor. Your looks will not change after this surgery. There are no physical changes except that you may have a scar from your incision. Your surgery should not affect your ability to have sex or the way you or your partner feel while having sex. Ask your doctor when you may resume sexual activity and discuss any concerns you may have about sex. Call your doctor right away if you have: Shaking, chills or a temperature over 101 degrees F or 38 degrees C An incision that is swollen, red, has drainage or comes apart Bleeding from your incisions Pain, warmth or tenderness in your legs Heavy vaginal bleeding, soaking 2 to 3 pads in one hour Vaginal drainage with an odor Trouble urinating Burning when you urinate or feel a need to urinate often Skin that is itchy, swollen or has a rash Severe mood swings or feel depressed 6
  • 12. V畉n 畛 kh叩c N畉u bu畛ng tr畛ng 動畛c c畉t b畛, qu箪 b c坦 th畛 c坦 d畉u hi畛u c畛a th畛i k畛 m達n kinh nh動 n坦ng ran ng動畛i, kh担 但m 畉o ho畉c thay 畛i t但m tr畉ng. Qu箪 b c坦 nhi畛u x炭c c畉m sau khi ph畉u thu畉t l i畛u b狸nh th動畛ng. Qu箪 b c坦 th畛 hay bu畛n, s畛 h達i, n坦ng n畉y ho畉c t畛c gi畉n. T但m s畛 v畛i nh畛ng ng動畛i th但n y棚u v b畉n th但n v畛 c叩c x炭c c畉m ny s畉 gi炭p qu箪 b thanh th畉n khi h畛i ph畛c. N畉u n畛i 但u s畉u kh担ng t畛 kh畛i sau vi tu畉n, th狸 bn v畛i b叩c s挑. V畉 ngoi c畛a qu箪 b s畉 kh担ng thay 畛i sau th畛 thu畉t ny. Kh担ng c坦 thay 畛i th但n th畛 no ngoi tr畛 qu箪 b c坦 th畛 c坦 v畉t s畉o n董i v畉t m畛. Th畛 thu畉t ny kh担ng 畉nh h動畛ng 畉n kh畉 nng giao h畛p ho畉c kho叩i c畉m c畛a qu箪 b hay b畉n t狸nh trong l炭c giao h畛p. H畛i b叩c s挑 xem khi no qu箪 b c坦 th畛 giao h畛p tr畛 l畉i v bn th畉o m畛i th畉c m畉c v畛 t狸nh d畛c v畛i h畛. G畛i cho b叩c s挑 ngay l畉p t畛c n畉u qu箪 b b畛: Run r畉y, 畛n l畉nh ho畉c s畛t cao h董n 101 畛 F hay 38 畛 C V畉t m畛 b畛 s動ng, 畛ng 畛, ch畉y n動畛c vng ho畉c bung ra Ch畉y m叩u n董i v畉t m畛 au, th畉y 畉m ho畉c au khi 畉n vo n董i ch但n Ch畉y nhi畛u m叩u t畛 但m 畉o, 動畛t 畉m t畛 2 畉n 3 bng g畉c trong m畛t gi畛 N動畛c r畛 ra t畛 但m 畉o c坦 m湛i Kh坦 i ti畛u B畛ng r叩t khi i ti畛u ho畉c th畉y hay b畛 m畉c ti畛u Da b畛 ng畛a, s動ng ph湛 ho畉c n畛i m畛 ay Thay 畛i t但m tr畉ng nghi棚m tr畛ng ho畉c th畉y bu畛n n畉n Hysterectomy. Vietnamese. 6
  • 13. D畛ch v畛 d畛ch thu畉t ti li畛u y t畉/y h畛c/y khoa C担ng ty d畛ch thu畉t CNN Medica Translation Services CNN Translation Company C担ng ty d畛ch thu畉t CNN | www.cnntranslation.com