I-Hysteroscopy

IHysteroscopy inqubo yokubheka ingaphakathi lesizalo (isibeletho). Umhlinzeki wakho wezokunakekelwa kwempilo angabheka okulandelayo:

• Ukuvula esibelethweni (umlomo wesibeletho)
• Ngaphakathi kwesibeletho
• Ukuvuleka kwamashubhu we-fallopian

Le nqubo isetshenziswa kakhulu ukuthola izinkinga zokopha kwabesifazane, ukususa ama-polyps noma ama-fibroids, noma ukwenza izinqubo zokuvala inzalo. Kungenziwa esibhedlela, esikhungweni sokuhlinza abagulayo, noma ehhovisi lomhlinzeki.

IHysteroscopy ithola igama layo kuthuluzi elincanyana, elikhanyisiwe elisetshenziselwa ukubuka isibeletho, esibizwa nge-hysteroscope. Leli thuluzi lithumela izithombe zangaphakathi kwesizalo kumqapha vidiyo.

Ngaphambi kwenqubo, uzonikezwa umuthi ozokusiza uphumule futhi uvimbele izinhlungu. Kwesinye isikhathi, umuthi unikezwa ukukusiza ukuthi ulale. Ngesikhathi senqubo:

• Umhlinzeki ubeka ububanzi ngesitho sangasese sowesifazane kanye nomlomo wesibeletho, esibelethweni.
• Igesi noma uketshezi kungafakwa esibelethweni ngakho kuyanda. Lokhu kusiza umhlinzeki ukuthi abone indawo kangcono.
• Izithombe zesibeletho zingabonakala kusikrini sevidiyo.

Amathuluzi amancane angabekwa esikalini ukuze kususwe ukukhula okungajwayelekile (ama-fibroids noma ama-polyps) noma izicubu zokuhlolwa.

• Ukwelashwa okuthile, njengokukhishwa kwe-ablation, nakho kungenziwa ngesilinganiso. I-Ablation isebenzisa ukushisa, amakhaza, ugesi, noma amagagasi omsakazo ukubhubhisa ulwelwesi lwesibeletho.

IHysteroscopy ingahlala kusuka emizuzwini engu-15 kuye ngaphezu kwehora eli-1, kuya ngokwenziwe.

Le nqubo ingenziwa ku:

• Phatha izikhathi ezinzima noma ezingajwayelekile
• Vimba amashubhu wokuvikela ukukhulelwa
• Khomba isakhiwo esingajwayelekile sesibeletho
• Thola ukujiya kolwelwesi lwesibeletho
• Thola bese ususa iziqu ezingejwayelekile ezifana nama-polyps noma ama-fibroids
• Thola imbangela yokuphuphuma kwesisu okuphindaphindiwe noma ususe izicubu ngemuva kokulahleka kokukhulelwa
• Susa i-intrauterine device (IUD)
• Susa izicubu ezibomvu esibelethweni
• Thatha isampula lezicubu (i-biopsy) emlonyeni wesibeletho noma esibelethweni

Le nqubo ingahle ibe nokunye ukusetshenziswa okungekho ohlwini lapha.

Izingozi ze-hysteroscopy zingafaka:

• Imbobo (ukubhoboza) odongeni lwesizalo
• Ukutheleleka kwesibeletho
  
• Ukugqashuka kolwelwesi lwesibeletho
• Ukulimala komlomo wesibeletho
• Isidingo sokuhlinzwa ukulungisa umonakalo
• Ukumunca uketshezi okungavamile ngesikhathi senqubo kuholela emazingeni aphansi e-sodium
• Ukopha kakhulu
• Ukulimala kwamathumbu

Izingozi zanoma yikuphi ukuhlinzwa kwe-pelvic zingafaka:

• Ukulimala kwezitho noma izicubu eziseduze
• Amahlule egazi, angahambela emaphashini futhi abulale (angavamile)

Izingozi ze-anesthesia zifaka:

• Isicanucanu nokuhlanza
• Isiyezi
• Ubuhlungu bekhanda
• Izinkinga zokuphefumula
• Ukutheleleka kwamaphaphu

Izingozi zanoma yikuphi ukuhlinzwa zifaka:

• Ukutheleleka
• Ukopha

Imiphumela ye-Biopsy ivame ukutholakala kungakapheli amasonto ayi-1 kuya kwangu-2.

Umhlinzeki wakho angakunikeza umuthi wokuvula umlomo wakho wesibeletho. Lokhu kwenza kube lula ukufaka ububanzi. Udinga ukuthatha lo muthi cishe amahora ayisishiyagalombili kuya kwayi-12 ngaphambi kwenqubo yakho.

Ngaphambi kwanoma yikuphi ukuhlinzwa, tshela umhlinzeki wakho:

• Mayelana nayo yonke imithi oyiphuzayo. Lokhu kufaka amavithamini, amakhambi, nezithako.
• Uma unesifo sikashukela, isifo senhliziyo, isifo sezinso, noma ezinye izinkinga zempilo.
• Uma ukhulelwe noma ungakhulelwa.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukululama kwesilonda.

Emasontweni amabili ngaphambi kwenqubo yakho:

• Kungase kudingeke uyeke ukuthatha izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), clopidogrel (Plavix), ne-warfarin (Coumadin). Umhlinzeki wakho uzokutshela ukuthi yini okufanele uyenze noma ongayithathi.
• Buza umhlinzeki wakho ukuthi imiphi imithi ongayiphuza ngosuku lwenqubo yakho.
• Tshela umhlinzeki wakho uma unomkhuhlane, umkhuhlane, umkhuhlane, ukuqubuka kwe-herpes, noma okunye ukugula.
• Uzotshelwa ukuthi ufika nini esibhedlela. Buza ukuthi ngabe udinga ukuhlela ukuthi othile akushayele imoto uye ekhaya.

Ngosuku lwenqubo:

• Ungacelwa ukuthi ungaphuzi noma ungadli noma yini amahora ayisithupha kuya kwangu-12 ngaphambi kwenqubo yakho.
• Thatha noma imiphi imishanguzo evunyelwe ngesiphuzo esincane samanzi.

Ungaya ekhaya ngalo lolo suku. Akuvamile, kungadingeka ukuthi uhlale ubusuku obubodwa. Ungahle ube:

• Amajaqamba afana nokuya esikhathini kanye nokopha okuphuma esithweni sangasese sowesifazane izinsuku ezi-1 ukuya kwezi-2. Buza ukuthi ungawuthatha yini umuthi wezinhlungu we-counter-the-counter for the cramping.
• Ukukhishwa kwamanzi kuze kube amasonto ambalwa.

Ungabuyela emisebenzini ejwayelekile yansuku zonke kungakapheli izinsuku ezi-1 kuye kwezi-2. UNGALENZI ucansi kuze kube yilapho umhlinzeki wakho ethi kulungile.

Umhlinzeki wakho uzokutshela imiphumela yenqubo yakho.

Ukuhlinzwa kwe-Hysteroscopic; I-hysteroscopy esebenzayo; I-endoscopy yesibeletho; I-Uteroscopy; Ukopha kwesitho sangasese sowesifazane - i-hysteroscopy; Ukuphuma kwesibeletho - i-hysteroscopy; Ukunamathela - i-hysteroscopy; Ukukhubazeka kokuzalwa - i-hysteroscopy

UCarlson SM, uGoldberg J, uLentz GM. I-Endoscopy: i-hysteroscopy ne-laparoscopy: izinkomba, ukuphikisana, nezinkinga. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 10.

I-Howitt BE, i-CM esheshayo, i-Nucci MR, i-Crum CP. I-Adenocarcinoma, i-carcinosarcoma, nezinye izicubu ze-epithelial ze-endometrium. Ku: ICrum CP, uNucci MR, Howitt BE, uGranter SR, et al. ama-eds. Ukuxilongwa kwe-Gynecologic ne-Obstetric Pathology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 19.