Yenziwa kanjani i-curettage, lapho ikhonjisiwe nezingozi ezingaba khona

-Delile

• Kwenziwa kanjani i-curettage
• Kungenzeka yini ukuthi ukhulelwe ngemuva kokwelapha?
• Uma kukhonjisiwe
• Izingozi ezingaba khona

I-curettage inqubo eyenziwa ngudokotela wezifo zabesifazane ukuze ahlanze isizalo ngokususa izinsalela zokukhipha isisu okungaphelele noma i-placenta ngemuva kokubeletha okujwayelekile, noma kusetshenziswe njengokuhlolwa kokuhlola, ukuthola igama le-semiotic endocervical curettage.

Ukwelashwa njengendlela yokwelashwa kuyinqubo ebuhlungu kakhulu ngakho-ke, kuyo yonke inqubo, owesifazane kumele athanjiswe noma abulawe ukuze angazizwa izinhlungu noma ukungaphatheki kahle. Kodwa-ke, ubuhlungu besisu noma ukungakhululeki kungavela ngemuva kwenqubo futhi kuhlale cishe izinsuku ezingama-5 kuye kwezi-7, ngakho-ke kunconywa ukuthatha amaphilisi ezinhlungu, njengeDipyrone noma i-Ibuprofen, ukukhulula izimpawu.

Kwenziwa kanjani i-curettage

Ukwelashwa kwesibeletho kufanele kwenziwe ngudokotela wezifo zabesifazane emtholampilo noma esibhedlela, ngaphansi kwe-anesthesia, ngokufaka i-curette, okuyithuluzi lokuhlinza, ngokusebenzisa isitho sangasese sangasese ukuze kususwe izindonga zesibeletho. Enye indlela yokwelapha ukwethulwa kwe-aspiration cannula okuyi-vacuum mechanism, emunca konke okuqukethwe yisibeletho.

Imvamisa udokotela ukhetha ukusebenzisa zombili izindlela kunqubo efanayo, aqale nge-vacuum ekuqaleni bese eklwebha izindonga zesibeletho, ukuze asuse okuqukethwe ngokushesha nangokuphepha. Le nqubo ingenziwa ngaphansi kwe-spinal anesthesia noma i-sedation lapho isetshenziselwa ukuhlanza izinsalela zokukhipha isisu, isibonelo.

Lokhu kukhuhlwa kwezindonga zesibeletho kungenziwa noma ngaphandle kokunwetshwa kwangaphambilini komsele wesibeletho ngokuya ngosayizi wokuqukethwe okuzosuswa. Ngokuvamile, izinduku ezinobukhulu obukhulayo zivame ukusetshenziswa kuze kube yilapho i-curette ingena futhi iphume ngaphandle kokulimaza umlomo wesibeletho nezindonga zesibeletho.

Owesifazane kufanele agadiwe amahora ambalwa, kepha asikho njalo isidingo sokulaliswa esibhedlela, ngaphandle uma kunenkinga. Ngemuva kwenqubo, owesifazane angaya ekhaya, kepha akufanele ashayele ngoba kumele azele noma aphathwe yikhanda ngenxa yokuthamba.

Kungenzeka yini ukuthi ukhulelwe ngemuva kokwelapha?

Ngemuva kokwenza i-curettage, owesifazane angakhulelwa, noma ngabe i-ovulation yenzeka ngendlela ejwayelekile, kepha kunconywa ukuthi ukukhulelwa kwenzeka kuphela ngemuva kwemijikelezo yokuya esikhathini emi-3 kuye kwayi-4, okuyisikhathi esithathwa yisibeletho ukululama futhi, uma kunjalo efanelekile ukufakwa kweqanda odongeni lwayo nasekuthuthukisweni kombungu.

Bona okuningi mayelana nokukhulelwa ngemuva kokwelapha.

Uma kukhonjisiwe

Ukwelashwa kwesibeletho inqubo yenqubo yabesifazane engakhonjiswa kwezinye izimo, okuyiyona eyinhloko:

• Ukususwa kwezinsalela ze-ovular uma kwenzeka kukhishwa isisu;
• Ukususwa kwezinsalela ze-placenta ngemuva kokubeletha okujwayelekile;
• Ukususa iqanda ngaphandle kombungu;
• Ukususa ama-polyps wesibeletho;
• Ukukhipha isisu kugciniwe noma kuthelelekile, lapho izinsalela zikhona isikhathi esingaphezu kwamasonto ayisishiyagalombili;
• Lapho umbungu ungakhuli kahle, njengakwimvukuzane ye-hydatidiform.

Ngaphambi kokuqala ukwelashwa, udokotela angancoma ukusetshenziswa komuthi obizwa ngeMisoprostol odala ukusikwa kwesibeletho, okwenza kube lula ukususwa kokuqukethwe. Lokhu kunakekelwa kukhonjiswa ikakhulukazi lapho kunesidingo sokususa izinsalela zokukhipha isisu ngombungu ongaphezu kwamasonto ayi-12 noma ngaphezulu kuka-16 cm. Ukusetshenziswa kwalo muthi kufanele kwenziwe kuphela emtholampilo noma esibhedlela, kusasele amahora ngaphambi kokuqala ukwelashwa.

Thola ukuthi ukwelashwa kwe-curettage kunjani nokunakekelwa okudingekayo okufanele kulandelwe.

Izingozi ezingaba khona

Yize kuyinqubo esebenzayo, ukwelashwa kwesibeletho kuhlotshaniswa nobungozi obuthile, njengokwanda kwamathuba okutheleleka, ukugcwala komgogodla wesibeletho, ukulimala komzimba, ukopha kwesibeletho okunzima, i-endometritis nokwakheka kokunamathela esibelethweni, okungadala ukungabi nenzalo.

Ngakho-ke, ngenxa yezingozi ezihambisana nenqubo, ukwelashwa kwesibeletho kufanele kwenziwe kuphela ngudokotela ngemuva kokuthi owesifazane ezazi izingozi ezihambisana nenqubo futhi usayine igama eligunyaza ukusebenza kwalo.