Ukukhishwa kwe-Endometrial

Ukukhishwa kwe-Endometrial ukuhlinzwa noma inqubo eyenziwe ukulimaza ulwelwesi lwesibeletho ukuze kunciphise ukugeleza kokuya esikhathini okunzima noma okude. Lololwelwesi lubizwa nge-endometrium. Ukuhlinzwa kungenziwa esibhedlela, esikhungweni sokuhlinza abagulayo, noma ehhovisi lomhlinzeki.

Ukuqedwa kwe-Endometrial inqubo esetshenziselwa ukwelapha ukopha okungavamile ngokubhubhisa izicubu kulwelwesi lwesibeletho. Izicubu zingasuswa kusetshenziswa:

• Amagagasi omsakazo wemvamisa ephezulu
• Amandla e-Laser
• Uketshezi olufudumele
• Ukwelapha ibhaluni
• Kuyabanda
• Okwamanje kagesi

Ezinye izinhlobo zezinqubo zenziwa kusetshenziswa ithubhu elincane, elikhanyisiwe elibizwa ngokuthi i-hysteroscope elithumela izithombe zengaphakathi lesibeletho kumqapha-vidiyo. Isikhathi esiningi kusetshenziswa i-anesthesia ejwayelekile ngakho uzobe ulele futhi ungezwa zhlungu.

Kodwa-ke, amasu amasha angenziwa ngaphandle kokusebenzisa i-hysteroscope. Kulaba, kudutshulwa umuthi oyindikimba emithanjeni ezungeze umlomo wesibeletho ukuvimba ubuhlungu.

Le nqubo ingaphatha izikhathi ezinzima noma ezingajwayelekile. Umhlinzeki wakho wokunakekelwa kwezempilo kungenzeka ukuthi uzame ezinye izindlela zokwelashwa kuqala, njengemithi yehomoni noma i-IUD.

Ukukhishwa kwe-endometrium ngeke kusetshenziswe uma ungafuna ukukhulelwa ngokuzayo. Yize le nqubo ingakuvimbeli ekukhulelweni, inganciphisa amathuba akho okukhulelwa. Ukuvimbela inzalo okuthembekile kubalulekile kubo bonke abesifazane abathola inqubo.

Uma owesifazane ekhulelwa ngemuva kwenqubo yokukhipha isisu, ukukhulelwa kuvame ukuphuphuma noma kube yingozi enkulu ngokweqile ngenxa yezicubu ezibomvu esibelethweni.

Izingozi ze-hysteroscopy zifaka:

• Imbobo (ukubhoboza) odongeni lwesizalo
• Ukugqashuka kolwelwesi lwesibeletho
• Ukutheleleka kwesibeletho
• Ukulimala komlomo wesibeletho
• Isidingo sokuhlinzwa ukulungisa umonakalo
• Ukopha kakhulu
• Ukulimala kwamathumbu

Izingozi zezinqubo zokukhishwa kwezidakamizwa ziyahlukahluka kuye ngendlela esetshenzisiwe. Izingozi zingafaka:

• Ukuncela uketshezi oluningi
• Ukusabela okweqile
• Ubuhlungu noma ukuqunjelwa kulandela inqubo
• Ukushisa noma ukulimala kwezicubu kusuka kuzinqubo ezisebenzisa ukushisa

Izingozi zanoma yikuphi ukuhlinzwa kwe-pelvic zifaka:

• 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

I-biopsy ye-endometrium noma ulwelwesi lwesibeletho izokwenziwa emasontweni angaphambi kwenqubo. Abesifazane abancane bangalashwa nge-hormone evimba i-estrogen ekubeni yenziwe ngumzimba izinyanga ezi-1 kuye kwezi-3 ngaphambi kwenqubo.

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 kokuhlinzwa:

• Hlala utshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo. Lokhu kufaka amavithamini, amakhambi, nezithako.
• Tshela umhlinzeki wakho uma unesifo sikashukela, isifo senhliziyo, isifo sezinso, noma ezinye izinkinga zempilo.

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.

• Ungaba nezinsika ezinjengokuya esikhathini kanye nokopha okuphuma esithweni sangasese sowesifazane izinsuku ezi-1 kuya kwezi-2. Buza umhlinzeki wakho ukuthi ungathatha yini umuthi wezinhlungu we-counter for the cramping.
• Ungaba nokukhishwa 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.
• Noma yimiphi imiphumela ye-biopsy ivame ukutholakala namaviki angu-1 kuya kwangu-2.

Umhlinzeki wakho uzokutshela imiphumela yenqubo yakho.

Ulwelwesi lwesibeletho sakho luyelapheka ngokusikeka. Abesifazane bavame ukuphuma kancane esikhathini emva kwale nqubo. Kuze kufike ku-30% kuya ku-50% wabesifazane bazoyeka ngokuphelele ukuba nezikhathi. Lo mphumela kungenzeka kakhulu kwabesifazane asebekhulile.

I-Hysteroscopy - ukukhishwa kwe-endometrial; Ukukhishwa kwe-laser okushisayo; Ukukhishwa kwe-Endometrial - radiofrequency; Ukwehliswa kwe-Endometrial - ukwehliswa kwamabhaluni ashisayo; Ukukhishwa kwe-Rollerball; Ukukhishwa kwe-Hydrothermal; Ukukhishwa kwe-Novasure

I-Baggish MS. Ukwehliswa okuncane kwe-nonhysteroscopic endometrial. Ku: Baggish MS, Karram MM, ama-eds. Ama-Atlas we-pelvic anatomy nokuhlinzwa kwabesifazane. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 110.

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.