Yini i-Endocervical Curettage, yenzelwe ini nokuthi yenziwa kanjani

-Delile

• Kwenziwa kanjani ukuhlolwa
• Ukunakekelwa okudingekayo ngemuva kokuhlolwa

I-endocervical curettage wukuhlolwa kwabesifazane, okwaziwa kakhulu njengokukhuhla isibeletho, okwenziwa ngokufaka ithuluzi elincane elimise okwezipuni esithweni sangasese (i-curette) lize lifike emlomo wesibeletho ukuze likhuhle futhi lisuse isampula elincane lezicubu kule ndawo.

Izicubu ezisikiwe bese zithunyelwa elabhorethri lapho zihlaziywa ngaphansi kwesibonakhulu ngudokotela wezifo, ozobheka ukuthi akhona yini amangqamuzana omdlavuza kulesi sampula noma cha, noma ushintsho olufana ne-uterine polyps, endometrial hyperplasia, war genital or HPV infection.

Ukuhlolwa kwe-endocervical curettage kufanele kwenziwe kubo bonke abesifazane abenze i-pap smear ngomphumela wokuhlukaniswa III, IV, V noma NIC 3, kepha akuvamile ukwenziwa ngesikhathi sokukhulelwa, ngenxa yengozi yokuphuphunyelwa yisisu.

Kwenziwa kanjani ukuhlolwa

Ukuhlolwa kwe-endocervical curettage kungenziwa emtholampilo wezokwelapha noma esibhedlela, ngaphansi kwesilaliso, ngudokotela wezifo zabesifazane.

Lokhu kuhlolwa kungadala ubuhlungu noma ukungaphatheki kahle, kepha akukho okubonisa ngokuphelele ukwenza i-anesthesia noma i-sedation, ngoba kususwa ucezu oluncane lwethishu, inqubo esheshayo, ehlala imizuzu engama-30. Asikho isidingo sokulaliswa esibhedlela, ngakho-ke owesifazane angabuyela ekhaya ngosuku olufanayo, futhi kunconywa kuphela ukugwema imizamo yomzimba ngosuku olufanayo.

Okokuhlolwa udokotela ucela owesifazane ukuthi alale ngomhlane abeke imilenze yakhe ku-stirrup, ukugcina imilenze yakhe ivulekile. Ngemuva kwalokho uhlanza futhi abulale amagciwane esifundeni esisondelene bese ethula i-speculum bese kuthi i-curette ezoba ithuluzi elisetshenzisiwe ukususa isampula elincane lezicubu zesibeletho.

Ngaphambi kokwenza le nqubo, udokotela uncoma ukuthi owesifazane angayi ocansini ezinsukwini ezi-3 ezedlule futhi angazihlambi izitho zangasese ngesihlambi esiseduze, futhi angaphuzi imishanguzo yokulwa negciwane ngoba yandisa ingozi yokopha.

Ukunakekelwa okudingekayo ngemuva kokuhlolwa

Ngemuva kokwenza lokhu kuhlolwa, udokotela angancoma ukuthi owesifazane aphumule, agweme imizamo emikhulu yomzimba. Kunconywa ukuthi uphuze amanzi amaningi ukusiza ukuqeda ubuthi futhi uhlale unamanzi amaningi, ngaphezu kokuthatha isidambisi sezinhlungu esinconywayo njalo emahoreni amane noma ayisithupha, ngokweseluleko sezokwelapha, nokuguqula iphedi esondelene noma yinini lapho kungcolile khona.

Abanye besifazane bangathola ukopha esithweni sangasese esingahlala izinsuku ezimbalwa, kepha inani liyahluka kakhulu. Kodwa-ke, uma kunephunga elibi kulokhu kuphuma kwegazi, kufanele ubuyele kudokotela ukuyohlola. Ukuba khona komkhuhlane nakho kufanele kube yisizathu sokubuyela emtholampilo noma esibhedlela ngoba kungakhombisa ukutheleleka. Ama-antibiotic angakhonjiswa ukuqeda noma yiluphi uhlobo lokutheleleka okungenzeka.