I-Curettage nokukhulelwa ngemuva kokwelashwa: okudingeka ukwazi

Iyini i-curettage?

Emkhakheni wezokwelapha, i-curettage ibhekisela esenzweni sokuhlinzwa esihlanganisa ukususa (kusetshenziswa insimbi efana nesipuni, ngokuvamile esibizwa ngokuthi “i-curette”) konke noma ingxenye yesitho somgodi wemvelo. Leli gama livame ukusetshenziswa uma kuhlotshaniswa nesibeletho. I-Curettage ibe-ke ihlanganisa ukukhipha izicubu ezimboze umgodi ongaphakathi wesibeletho, noma i-endometrium.

I-uterine curettage kufanele yenziwe nini?

I-Curettage ingenziwa ngezinjongo zokuxilonga, isibonelo ukwenza i-endometrial biopsy, kodwa futhi, futhi ngaphezu kwakho konke, ngezinhloso zokwelapha, ukuqeda izinsalela ze-endometrial ebezingeke zikhishwe ngokwemvelo. Lokhu kwenzeka ikakhulukazi lapho ukuphuphuma kwesisu okuzenzakalelayo noma okubangelwa kungavumelanga ukuxoshwa okuphelele kombungu (noma umbungu), ukukhishwa kwe-placenta kanye ne-endometrium. Into efanayo kumongo wokunqanyulwa kokukhulelwa ngokuzithandela (ukukhipha isisu) izidakamizwa noma isifiso.

Ngokwengeziwe, igama elithi curettage lisetshenziselwa ukubhekisela kundlela yokumunca, engahlaseli kangako, engaba buhlungu futhi engeyona ingozi encane kowesifazane kunendlela yokwelapha “yakudala”. Kwesinye isikhathi size sikhulume nge-suction curettage.

Kungani kufanele wenze i-uterine curettage?

Uma i-curettage iyadingeka ukuze kukhishwe izinsalela ze-placenta noma i-endometrium, kungenxa yokuthi lezi zicubu ekugcineni zingaholela ezinkingeni, njengeukopha, ukutheleleka, noma ukungazali. Ngakho-ke kungcono ukuwasusa ngokucophelela, ngemva kokushiya isikhathi esincane sokuxoshwa kwemvelo okungenzeka, noma ngosizo lwemithi. Okuhle kusobala ukuthi ukuxoshwa kwenzeka ngokuzenzakalelayo futhi ngaphandle kwemithi, ngesikhathi esifanele ukugwema noma iyiphi ingozi yokutheleleka.

Isebenza kanjani i-curettage? Obani abakwenzayo?

I-Curettage yesibeletho yenziwa egumbini lokuhlinza, ngaphansi kwe-anesthesia yendawo noma evamile. Iqhutshwa udokotela ohlinzayo wezifo zabesifazane, ngezinye izikhathi ongakwazi ukunikeza umkhiqizo wokunweba umlomo wesibeletho ngaphambi kokuhlinzwa ukuze ukwazi ukufinyelela emgodini wesibeletho kalula. Kafushane, ukungenelela kuyenziwa ezikhathini eziningi ezigulini ezilaliswayo, ngokuzikhipha ngosuku olufanayo. Ama-analgesics ngokuvamile anqunyelwe ukudambisa izinhlungu ezingase zenzeke ezinsukwini ezilandelayo.

Yiziphi izinyathelo zokuqapha ngemuva kokwelapha?

Uma kuphuphunyelwe isisu noma kukhishwe isisu, umlomo wesibeletho uyavuleka. Njengoba nje kungathatha amahora ambalwa noma izinsuku ukuvula, umlomo wesibeletho ungathatha isikhathi eside ukuvala. Lapho umlomo wesibeletho uvulekile, isibeletho singavezwa amagciwane, okungaholela ekuthelelekeni. Njengoba ngemva kokukhulelwa, Kunconywa emva curettage ofgwema ukugeza, idamu lokubhukuda, i-sauna, i-hammam, ama-tampon, izinkomishi zokuya esikhathini nocansi okungenani amasonto amabili, ukunciphisa izingozi.

Ngaphandle kwalokho, uma ubuhlungu obukhulu, ukushisa noma ukopha okukhulu kwenzeka ezinsukwini ezimbalwa ngemva kokwelashwa, kungcono ukwazisa udokotela wakho wezifo zabesifazane. Uzobe esephinda ehlola ukuze abheke ukuthi zonke izinsalela azikho yini, aqinisekise ukuthi azikho izimpawu zokutheleleka, njll.

I-Curettage: yiziphi izingozi nezinkinga zokukhulelwa okusha?

I-Curettage eyenziwa nge-"curette" iyinqubo ehlaselayo, njenganoma iyiphi inqubo esibelethweni, engakwazi ukudala ukunamathela emgodini wesibeletho. Khona-ke kwenzeka, ezimweni ezingavamile, ukuthi lokhu kulimala nokunamathela kwenza kube nzima ukukhulelwa okusha, noma ukuthi kuvimbela ukukhishwa kwemithetho. Siyafona I-Asherman's syndrome, noma i-uterine synechia, isifo sesibeletho esibonakala ngokuba khona kokunamathela esibelethweni, futhi esingase senzeke ngemva kokwelashwa okungaqhutshwanga kahle. Ukuxilongwa kwe-synechia kufanele kwenziwe ngaphambi:

• imijikelezo engajwayelekile,
• izikhathi ezinzima kakhulu (noma ngisho nokungabikho kwenkathi),
• ukuba khona kobuhlungu be-cyclic pelvic,
• ukungazali.

A i-hysteroscopy, okusho ukuthi ukuhlolwa kwe-endoscopic yomgodi wesibeletho, kungenziwa-ke ukuze kutholakale noma cha ubukhona be-post-curettage noma i-post-aspiration adhesions, bese ukhetha ukwelashwa ngendlela efanele.

Qaphela ukuthi indlela yokulangazelela, okwamanje ethandwa kakhulu kunokuhlinzwa, imele ubungozi obuncane.

Isikhathi esingakanani sokuhamba ngaphambi kokukhulelwa ngemva kokuhlinzwa?

Uma sesiqinisekise nge-ultrasound ukuthi akukho nsali yolwelwesi lwesibeletho (noma i-endometrium) noma i-placenta eye yasinda ekuphulukisweni kwayo, nokuthi ngenxa yalokho imbobo yesibeletho inempilo, ngokombono akukho lutho oluphikisayo lapho kuqala ukukhulelwa okusha. Uma i-ovulation kwenzeka emjikelezweni ngemva kokuphuphuma kwesisu noma ukukhipha isisu, ukukhulelwa kungase kwenzeke.

Ngokwezokwelapha, kunenkolelo namuhla, ngaphandle kokunye, ukuthi kukhona akukho contraindication ukuzama ukukhulelwa ngemva curettage, njengasemuva kokuphuphunyelwa yisisu okuzenzakalelayo ngaphandle kokungenelela.

Empeleni, kungokwabesifazane ngamunye kanye nombhangqwana ngamunye ukwazi ukuthi bazizwa bekulungele yini ukuzama futhi ukukhulelwa. Ngokomzimba, ukopha kanye nobuhlungu obunjengobuhlungu besikhathi kungase kwenzeke ezinsukwini ezilandela ukwelashwa. Nangokwengqondo, kungase kube kubalulekile ukuthatha isikhathi. Ngoba ukuphuphunyelwa kwesisu noma ukukhipha isisu kungase kubonakale njengezinkinga ezinzima. Lapho ukukhulelwa kwakufiswa, beka amagama kulokhu kulahlekelwa, qaphela ukuba khona kwesilwane esincane esifisele ukufika futhi sikuvalelise ... Ukuba lusizi kubalulekile. Ngokukhipha isisu, isici esingokwengqondo sibalulekile. Ukukhipha isisu noma ukuphuphuma kwesisu, owesifazane ngamunye nombhangqwana ngamunye bahlangabezana nalesi senzakalo ngendlela yabo. Into ebalulekile ukuzungeza kahle, ukwamukela ukudabuka kwakho, ukuze uphinde uhambe ngesisekelo esihle, futhi mhlawumbe, ukucabangela ukukhulelwa okusha ngokuthula okukhulu ngangokunokwenzeka.

Ngokwezokwelapha, ukukhulelwa ngemva kokwelashwa okwenziwe kahle akuvezi ayisekho ingozi kunokukhulelwa okuvamile. Akekho ayisekho ingozi yokuphuphunyelwa yisisu ngemuva kokuhlinzwa. Kwenziwe kahle, i-curettage ayinikezi inyumba noma inyumba.