Ukulinganisa Izinzuzo Nezimo Ezingenzeka
Ukuxilongwa nokukhishwa , okuyaziwa nje ngokuthi i-D & C, kuyindlela yokuhlinzwa ngezinye izikhathi esetshenziselwa ngemuva kokukhulelwa kwesisu noma ukukhipha isisu ukususa noma yiziphi izicubu ezisele ezibelethweni. Kuhilela ukusebenzisa idivayisi efana ne-spoon ebizwa ngokuthi i-curette eyenza ngokucophelela uketshezi lwodonga lwe-uterine.
Kwezinye izimo, i-D & C ingase ibhekwe njengesidingo sezokwelapha, ikakhulukazi kwabesifazane abaphuluka kakhulu ngemuva kokukhulelwa kwesisu.
Yindlela esheshayo yokumisa ukuphuma okunjalo futhi ugweme ukuthuthukiswa kwe-hypovolemia (ukulahlekelwa ngokwegazi ngokweqile) kanye ne-anemia.
Uma kuthiwa, i-D & C ingase ingabhekwa njengento edingekayo ezimweni ezithile ezingekho eziphuthumayo, kuhlanganise nokukhulelwa komzimba okungaphelele . Ezimweni ezifana nalezi, unganikezwa ithuba lokuba ne-D & C noma ukuvumela imvelo ithathe inkambo yayo ngokuvumela ukukhulelwa kwesisu kuqhubekele ngesikhathi sayo.
Ukulinganisa Izinzuzo
Kunezinzuzo nezindleko kuleyo ndlela ngayinye. Ukuze wenze ukukhetha okufanele, kuzodingeka ucabangele iseluleko sezokwelashwa udokotela wakho ukuze uqinisekise ukuthi isinqumo sakho sobabili sinolwazi futhi silondekile.
Ngokuqondene neD & C, kunezinhlobo eziningi zezinzuzo okufanele zicatshangelwe, okungukuthi:
- Izoqeda inqubo engokwenyama yokukhulelwa kwesisu ngokushesha. Ngokuphambene nalokho, ukukhulelwa kwesisu okungokwemvelo kungadonsela izinsuku ezingaphezu kwamasonto. I-D & C iyisenzakalo esisodwa, esihleliwe esizoqedela inqubo futhi singasiza ekunciphiseni ukuphuma kwegazi nokweqa. Abanye besifazane bazokhetha i-D & C njengendlela yokunqoba ukuhlukumezeka okusheshayo kokukhulelwa kwesisu. Ngenkathi ingahle inganikeli ukuvalwa okuphelele, ingabahlinzeka izindlela zokwenza kancane kancane imizwelo ngaphandle kokukhumbuza njalo, ngokomzimba wesenzakalo.
- Akusizi ubuhlungu kakhulu. I-D & C ivame ukwenza ngaphansi kwe-anesthesia. Ngaphezu kwalokho, ubuhlungu obulandela buvame ukuba mnene nabesifazane abaningi bakwazi ukubuyela emihlanganweni yabo evamile ngosuku noma ezimbili.
- Linciphisa ingozi yezimo ezithile. Njenganoma iyiphi inqubo yokuhlinzwa, a U-D & C unaso isabelo saso sezinkinga kodwa ngokuvamile kubhekwa njengokuphephile, ikakhulukazi uma kwenziwa nge-ultrasound. Ngokuphambene nalokho, ngokukhulelwa kwesisu okungaphelele, noma yiziphi izinsalela zokukhulelwa zingabangela ukuphuma kwegazi okwesikhathi eside kanye nengozi yokutheleleka.
- Ngeke ubone ukuhlala kokukhulelwa. Njengoba kuphazamiseka njengokungahambi kahle komzimba, ukuhlukunyezwa okwedlulele kokubona ukukhulelwa kuhlala ngesikhathi sokusala kwesisu kungahle kube yinto ehlukumezayo. Lezi zingabandakanya izinsalela zesigqoko sokugcoba kanye nezinsalela ezibonakalayo ze-fetus ngokwayo.
- Linciphisa ingozi yakho yokubuya. Uma ukhetha ukungena kwesisu sokungcoliswa kwemvelo, kunethuba lokuthi kuzodingeka ubuyele emuva kweD & C kamuva uma ukuphuma kwegazi kuqhubeka, izicubu zokubeletha azizange zichithe ngokuphelele, noma ukutheleleka kungene.
- Akukho bufakazi obuyobathinta ukukhulelwa esikhathini esizayo. Ucwaningo luye lwathola ukuthi i-D & C ayihlotshaniswa nanoma iyiphi ingozi enkulu yokucindezeleka kokukhulelwa uma kuqhathaniswa nabesifazane abangakatholi inqubo. Lokhu kuhlanganisa ingozi yokulethwa kwangaphambi kwesikhathi, preeclampsia , ukuphazamiseka kwamapayipi , ukungabonakali, ukuphuma kwe-trimester yokuqala, noma ukukhulelwa kwesisu.
Ukulinganisa Izingozi
Abesifazane abathola ukukhulelwa kwesisu bayodabuka ngokuhlukile kwabanye abanomzwelo ongokomzwelo kunabanye. Ngenkathi kungekho impendulo engalungile noma engalungile, imizwa ibonisa ukuthi iyiphi indlela yokwelapha okufanele ihambisane nezimo ezingekho eziphuthumayo.
Phakathi kwezingozi ezikhona kanye nezinkinga ze-D & C:
- Inqubo iyaphazamiseka. Ngenxa yalokhu, abanye besifazane bazokhetha ukuvumela imvelo ithathe inkambo yayo kunokuba iqhube inqubo engase inomuzwa wokuthi "imitholampilo" noma ibuyele e-anesthesia engadingeki.
- Inqubo ingase isheshe kakhulu kwabanye besifazane. Kuzoba nalabo abangathanda ukuyeka ukulahleka kwabo ngokushesha futhi banomuzwa wokuthi i-D & C iphumelela kahle yonke into yokuthi ingane ikhona ngisho nakhona. Baya esikhundleni sokukhetha ukuphuma kwesisu, kodwa kungakhathaliseki ukuthi kuthatha isikhathi eside kangakanani, kancane kancane bayeke ukulahlekelwa phansi ngokulahlekelwa kwezicubu zokuzalwa.
- Kukhona ingozi yezinkinga ezinkulu. Ngezinye izikhathi i-D & C ingabangela ukuphuma kwegazi okukhulu, ukutheleleka, uterine noma isilonda, noma isimo esingavamile esibizwa ngokuthi i- Asherman syndrome lapho ukunamathela khona (ama-bands of scar scarce) kuvela emgodini wesibindi. Nakuba kungavamile, izinkinga ezinjengalezi zidinga ukucatshangelwa.
- Kunengozi encane kodwa engase ibe yingozi yokungasebenzi komlomo wesibeletho. Ukungaqiniseki komlomo wesibeletho, owaziwa nangokuthi unesibeletho esingenakulungiswa, sisetshenziselwa ukuchaza ukwehliswa kwemisipha nezicubu zomlomo wesibeletho. Kungabangela ukukhulelwa kweso lesandulela ngculaza ngaphambi kwesikhathi sokukhulelwa, okwandisa ingozi yokuzalwa kwangaphambi kokuzalwa noma ukukhulelwa kwesisu. Uma kuthiwa, yisimiso esihlobene kakhulu nezinqubo eziphindaphindiwe ze-D & C. Izifundo eziningi, empeleni, ziyathandabuza mayelana nobuhlobo maqondana nokusetshenziswa kweD & C okulandela ukukhulelwa kwesisu.
Izwi elivela ku-Verywell
Ukukhulelwa kwesisu kungaba yisikhathi sokubhubhisa abesifazane abaningi, ngakho ukwenza isinqumo esicacile kungase kungabi lula ngaso sonke isikhathi. Njengalokhu, udinga ukugxila ekuphepheni kokuqala uma uhlola izinzuzo nezindleko ze-D & C ngokuphathelene nokukhulelwa kwesisu ngokwemvelo.
Uma ukugwema i-D & C kungakulimaza, kungase kudingeke ukuthi ubeke eceleni izimo zakho zemvelo eceleni bese ulungisa izidingo zakho zangokwenyama kuqala. Kungase kungabi lula, kodwa, ngenkathi nokwesekwa, uzoyithola.
> Imithombo:
> I-American College yezidakamizwa namaGynecologists. Imibuzo Ebuzwa Ngokuphindaphindiwe: Ukuxubana Nokuguqulwa (D & C). " Washington, DC; ibuyekeziwe ngo-February 2016.
> Lohmann-Bigelow, A .; Longo, S .; Jiang, Z. et al. "Ingabe ukuhlukunyezwa nokukhwabanisa kuthinta imiphumela yesikhathi esizayo sokukhulelwa?" I-Ochsner J. 2007; 7 (4): 173-76. I-PMCID: PMC3096409.