D no-C

I-D ne-C (i-dilation ne-curettage) inqubo yokuhlikihla nokuqoqa izicubu (i-endometrium) ngaphakathi kwesibeletho.

• I-Dilation (D) ukunwetshwa komlomo wesibeletho ukuvumela izinsimbi zingene esibelethweni.
• I-Curettage (C) ukususwa kwezicubu ezindongeni zesibeletho.

U-D no-C, obizwa nangokuthi ukusikwa kwesibeletho, kungenziwa esibhedlela noma emtholampilo ngenkathi ungaphansi kwe-anesthesia ejwayelekile noma yendawo.

Umhlinzeki wezokunakekelwa kwempilo uzofaka into ebizwa nge-speculum esithweni sangasese. Lokhu kuvula umsele wesitho sangasese sowesifazane. Umuthi we-numbing ungasetshenziswa ekuvulekeni kwesibeletho (umlomo wesibeletho).

Umsele wesibeletho uyanwetshwa, futhi i-curette (iluphu yensimbi ekugcineni kwesibambo eside, nomzimba omncane) idluliselwa embotsheni yomgodi wesibeletho. Umhlinzeki usula ngobumnene ungqimba lwangaphakathi lwezicubu, olubizwa nge-endometrium. Izicubu ziqoqelwa ukuhlolwa.

Le nqubo ingenziwa ku:

• Xilonga noma ukhiphe imibandela efana nomdlavuza wesibeletho
• Susa izicubu ngemuva kokukhulelwa kwesisu
• Phatha ukopha okunzima kokuya esikhathini, izikhathi ezingajwayelekile, noma ukopha phakathi kwezikhathi
• Yenza isisu eselaphayo noma esikhethiwe

Umhlinzeki wakho futhi angancoma u-D no-C uma une:

• Ukopha okungajwayelekile ngenkathi ukwelashwa okubuyisela ama-hormone
• Idivayisi efakiwe ye-intrauterine (IUD)
• Ukopha ngemuva kokunqamuka kokuya esikhathini
• Ama-polyps endometrial (izigaxa ezincane zezicubu ku-endometrium)
• Ukuqina kwesibeletho

Lolu hlu kungenzeka lungafaki zonke izizathu ezingaba khona zika-D no-C.

Izingozi ezihlobene no-D no-C zifaka:

• Ukubhoboza isibeletho
• Ukugqashuka kolwelwesi lwesibeletho (i-Asherman syndrome, kungaholela ekungazali kamuva)
• Izinyembezi zomlomo wesibeletho

Izingozi ngenxa ye-anesthesia zifaka:

• Ukusabela emithini
• Izinkinga ukuphefumula

Izingozi zanoma yikuphi ukuhlinzwa zifaka:

• Ukopha
• Ukutheleleka

Inqubo ye-D no-C inezingozi ezimbalwa. Inganikeza ukukhululeka ekopha futhi ingasiza ekutholeni umdlavuza nezinye izifo.

Ungabuyela emisebenzini yakho ejwayelekile ngokushesha lapho uzizwa ungcono, mhlawumbe nangosuku olufanayo.

Ungaba nokuphuma kwegazi esithweni sangasese, amajaqamba okhalo, nobuhlungu beqolo izinsuku ezimbalwa ngemuva kwenqubo. Imvamisa uyakwazi ukuphatha izinhlungu kahle ngemithi. Gwema ukusebenzisa amathamponi nokuya ocansini amasonto ayi-1 kuya kwangu-2 ngemuva kwenqubo.

Ukuqothuka nokwelashwa; Ukuqothuka kwesibeletho; Ukopha kwesitho sangasese sowesifazane - ukwanda; Ukuphuma kwesibeletho - ukuvuleka; Ukunqamuka kokuya esikhathini - ukuvuleka

• D no-C
• D no-C - uchungechunge

I-Bulun SE. I-Physiology kanye ne-pathology ye-eksisi yokuzala yabesifazane. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

URyntz T, uLobo RA. Ukopha okungavamile kwesibeletho: i-etiology kanye nokuphathwa kokopha ngokweqile nokungapheli. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 26.

UWilliam VL, uThomas S. Dilation nokwelashwa. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 162.