Yini Engayilindela KuD & C for Ukususwa Kokuqala Kwangasese

I-D & C, noma ukuhlenga nokukhishwa, kungenye yezinqubo zokuhlinzwa ezivame kakhulu ezenziwa abesifazane. Kuvame ukusetshenziselwa ukuqedela ukukhulelwa kwesisu lapho kwenzeka ukuthi lesi sibeletho siphumelele ngokugcwele okuqukethwe kokukhulelwa okuhlulekile. Inqubo yokwenza isisu ngaphambi kweviki le-12 lokukhulelwa lenziwa ngendlela efanayo. Ngaphezu kwalokho, inqubo isetshenziselwa ukuxilonga noma ukuphatha igazi elingavamile lokuphuma kwamagciwane kanye nokusiza ukuxilonga umdlavuza wesibeletho.

Sibutsetelo

Ngezinye izikhathi i-D & C iyadingeka ngokwemithi. Uma owesifazane enegazi elingajwayelekile ngokweqile njengenkinga yokukhulelwa kwesisu, i-D & C ingasindisa ngisho nokuphila ngoba ivimba ukuphuma kumthombo. Kwezinye izimo, i-D & C ingase isetshenziswe uma udokotela ezwa ukuthi ukukhulelwa kwesisu akunakwenzeka ukuqedela ngaphandle kokungenelela.

Nakuba i-D & C isetshenziswe njengegama elijwayelekile lokwelapha ukwelashwa kwesisu, ku-trimester yokuqala inqubo ngokuvamile i-D & A (ukuhlanjululwa nokufisa), okusho ukuthi udokotela usebenzisa "i-curette yokuthambisa" kunokuba i-curette ebukhali ukuze ichithe lesi sibeletho.

Izinzuzo

Abesifazane abane-D & C abanamazinga aphansi okuvunyelwa esibhedlela abangenakulungiswa kunabesifazane abenezinsizakalo ngokungenelela kwezokwelapha noma akukho ukungenelela. Ngokwengqondo, i-D & C ingabuye ibe nezinzuzo lapho iphela ingxenye engokwenyama yokukhulelwa kwesisu ngokushesha. I-D & C ingenza kube lula ukuqoqa isampula esisetshenziselwa isisindo emibhangqwaneni efuna ukuphishekela ukuhlolwa kwe-chromosomal ebusweni .

Izingozi / h3>

I-D & C ithatha ingozi encane yezinkinga ezinjenge-puncturing uterus, ukwehlisa umlomo wesibeletho (ukwandisa ingozi yokuntuleka komlomo wesibeletho kamva), nokunqanda isisu . Lezi zinkinga azivamile kodwa zingenzeka ngezikhathi ezithile. Ukubhekana nemithi ye-anesthesia kungenye ingozi encane.

Izintandokazi zomuntu siqu

Izintandokazi zomuntu ziyahlukahluka kakhulu. Kwezinye izimo, abesifazane bacela i-D & C ngoba bakhetha ukuthola ukukhulelwa komzimba ngaphandle kokulinda ukuba baqede ngokwemvelo. Abanye besifazane bangase babe nomuzwa wokuthi i-D & C iyingozi kakhulu ngokomzwelo kunokwehla kwesisu; bangase bakhethe ukuvumela imvelo ithathe inkambo yayo futhi igweme izinqubo ezingenayo. Odokotela abaningi bayakuhlonipha izifiso zabesifazane lapho izimo zokuphutha ukukhulelwa komzimba okungenayo ingozi engozini empilweni yowesifazane.

Ukulungiselela

I-D & C ingenziwa esikhungweni noma ehhovisi likadokotela. Uma i-D & C yakho yenzeke esibhedlela, kuzodingeka uhlole futhi uvame ukubhekana nokuhlolwa okuncane okujwayelekile. Ungacelwa ukuba ugweme ukudla nokuphuza okwesikhathi esithile ngaphambi kwenqubo.

Okufanele Ukulindele

Okuhlangenwe nakho kweD & C kuxhomeke kohlobo lwe-anesthesia. Nge-anesthesia yendawo, inqubo engokomzimba ingase ivele ibonakale njengokuhlolwa kwe-pelvic. I-speculum ingeniswa emzimbeni, i-anesthesia yendawo inikezwa, kanti umlomo wesibeletho uhlanjululwa ngenqubo. Ungase ube nokulinganisela ukuze uqede kakhulu ngesikhathi senqubo. Uma udokotela wakho esebenzisa i-anesthesia ejwayelekile noma i-anesthesia yendawo nge-sedation, ungase uvele uvuke endaweni yokutakula ngemva kwalokho ngaphandle kwenkumbulo yenqubo.

Abesifazane abaningi bakhetha lolu khetho.

Ukubuyiswa Kwemvelo

Ukuphulukiswa ngokomzimba kufanele kube okusheshayo. Abaningi besifazane bangabuyela emsebenzini emva kosuku noma ezimbili. Udokotela wakho angase anikeze imishanguzo ebuhlungu njengoba kudingeka ukuze alulame. Ungase uphethwe ngegazi lomzimba futhi uchithe izinsuku ezimbalwa, kodwa akufanele kube nzima noma kunzima. Xhumana nodokotela uma unesifo esindayo noma ukonakala okukhulu, noma uma unempawu zokutheleleka . Udokotela wakho cishe uzokweluleka ekugwemeni amathoni nokulala ngokobulili amasonto amabili kuya kwamabili.

Iningi labesifazane lizoqala isikhathi sokuya esikhathini esijwayelekile phakathi kwamasonto ayisithupha kuya kweziyisishiyagalombili emva kweD & C, kuye ngokuthi ukude nokukhulelwa kwaze kwaba nini.

Udokotela wakho angase anikeze iseluleko sokulinda imijikelezo emibili ukuya esikhathini ukuze aqale ukuzama ukukhulelwa futhi.

Umthombo