Indima ye-D & Cs ekusweleni kwe-Uterus
Ukubambelela kwe-intrauterine yizindawo zesikhumba esibucayi ezindongeni zesibeletho esivame ukukhula ngemva kokuba owesifazane ene- dilation kanye nokuhlanzwa (i-D & C) -Inqubo yokususa isibeletho sesishukela sokukhulelwa esingaxoshwa ngesikhathi sokukhulelwa kwesisu. Ucwaningo olwenziwe ngo-2014 lwathola ukuthi cishe owesifazane kwabahlanu kulesi sikhwama aqala ukulahlekelwa isisu. Ngokuvamile, ukunamathela kwe-intrauterine kubangelwa ukutheleleka, njengesifo sofuba socansi (esivame kakhulu emazweni asathuthuka kunase-United States).
Kungakhathaliseki ukuthi yisiphi isizathu, ukunamathela kwe-intrauterine ngezinye izikhathi kuxhumene nezimpawu ezithile, njenge:
- ukungabikho
- izinkinga zokuya esikhathini, kufaka phakathi i-amenorrhea (engenayo izikhathi)
- ubuhlungu be-pelvic
- ukulahlekelwa ukukhulelwa okuvamile
Lapho ukunamathela kwe-intrauterine kubangela izimpawu ezinjengezi, owesifazane kuthiwa une- Asherman syndrome . Kunezindlela eziningi zokuthola izicubu ezibomvu ezindongeni zesisu, kuhlanganise ne-hysteroscopy, i-hysterosonography, i- hysterosalpingogram , i- ultrasound yangaphandle , noma inhlanganisela. Ngayinye yalezi zivivinyo kuvumela udokotela ukuthi abone ukuthi ukunamathela kuyini. Inembile kunazo zonke i-hysteroscopy.
Ukwelapha Ukunciphisa Amathrekhi
Uma uhlakulela ukwelashwa kwakho kuzoxhomeka ezimweni. Ngokwesibonelo, uma unesifo noma ezinye izimpawu, akudingeki uphathwe. Okufanayo nakanjani uma ungahle uhlele ukuba nezingane.
Ukwelashwa okuvamile kakhulu kwe-intrauterine ukuxhunyaniswa yi-hysteroscopic resection, lapho izinhlamvu zisuswa khona.
Ngemuva kwalokho, udokotela wakho angancoma ukubeka isikhathi esifushane samakhemikhali eFoley ukunciphisa ubungozi bokuthi ukunamathela kuzobuya. Ungaphinde unikezwe i-estrogen therapy ukugqugquzela ukuvuselelwa kwezicubu ze-uterine. Uma uzama ukuphumelela ukukhulelwa futhi ucabanga ukuthi kunesizathu, ungakwazi ukukhulelwa emva kwalolu hlelo.
Ingabe owesifazane kufanele agweme i-D & C Ngemuva kokuthatha isisu?
Uma ulahlekelwa ukukhulelwa futhi udokotela wakho ekululeka ukuba ube ne-D & C, ungase ukhathazeke ngokuthi inqubo izoshiya izibazi futhi ikuvimbele ukuthi ungakhulelwa futhi. Thola ukuthi kungani udokotela wakho ezwa ukuthi kubalulekile ukuba ne-D & C, qaphele ukuthi abesifazane abaningi abahlakuleli ukubambisana okukhulu emva kokuba babe munye, bese bekala izingozi nezinzuzo nomnakekeli wakho.
Kuthiwani ngeD & C amaningi? Ukuba nale nqubo izikhathi ezingaphezu kweyodwa kubonakala sengathi kwandisa ingozi yokuthuthukisa ukuxilongwa kwe-uterine, ngakho-ke ungase ufune ukugwema okungaphezu kweyodwa i-D & C uma kungadingekile emzimbeni. Ngakolunye uhlangothi, uma udokotela wakho ekululeka ukuba ube ne-D elandelayo futhi ecacile impilo yakho incike kulo, cishe kufanele ucabange, noma okungenani uthole umbono wesibili.
Imithombo:
I-AAGL Ehamba Nezinkinga Zomzimba Omncane Emhlabeni Wonke. Umbiko wezokuSebenza we-AAGL: Izikhombandlela Zokuziphatha Zokuphathwa Kwe-synechiae. I-J Minim i-Gynecol evamile. 2010 Jan-Feb; 17 (1): 1-7.
Imisedari, MI. (2016). I-Intrauterine Adhesions. Ku: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Hooker AB et al. Ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-Meta ye-Intrauterine Adhesions emva kokushada: Ukuvama, Izingozi, kanye Nemiphumela Yesikhathi Esizayo Yokuzala. Ukuvuselelwa kwe-Hum Reprod. 2014 Mar-Apr; 20 (2): 262-78.