Indima ye-D & C kwi-Scarring of the Uterus
Ukubambisana kwe-intrauterine yimihlaba yesikhumba esibuhlungu kwiindonga zesisu esivame ukukhula emva kokuba ibhinqa linokuhluthwa kunye nokuhluthwa (iD & C) -yinkqubo yokucima isibeleko sokukhulelwa kwezicubu ezingazange zichithwe ngexesha lokukhulelwa komzimba. Uphononongo luka-2014 lufumene ukuba malunga neyodwa kwabahlanu kwabasetyhini bahlakulela ukutshatyalaliswa kwesisu. Ngaphantsi kwexesha, ukuxhaswa kwe-intrauterine kubangelwa sisifo, njengesifo sofuba sesisu (esivame kakhulu kumazwe asathuthuka kunase-United States).
Kungakhathaliseki ukuba yintoni imbangela, ukuxhaswa kwamanye amaxesha kunxulumene neempawu ezithile, ezifana:
- ukungabikho
- Iingxaki zesishenko ziquka i-amenorrhea (engenakho ixesha)
- ubuhlungu bepilvic
- ukulahleka okuqhelekileyo kokukhulelwa
Xa ukuxhamla kwamanye amazwe kubangele iimpawu ezifana nalezi, kuthiwa umfazi u- Asherman syndrome . Kukho iindlela ezininzi zokufumanisa izicubu ezibomvu kwiindonga zesisu, kubandakanya i-hysteroscopy, hysterosonography, hysterosalpingogram , i -ultrasound yangaphakathi , okanye intlangano. Ngalunye lwale mvavanyo vumela ugqirha ukuba abone ukuxhaswa. Eyona nto ichanekileyo i-hysteroscopy.
Ukunyanga i-Intrauterine Adhesions
Ukuba ukhula unqabile unyango luya kuxhomekeka kwiimeko. Ngokomzekelo, ukuba unentlungu okanye ezinye iimpawu, akukho mfuneko yokuba uphathwe. Kuyafana ukuba awuyi kucwangcisa ukuba nezingane.
Unyango oluqhelekileyo unyango lwe-intrauterine yi-hysteroscopic resection, apho izicatshulwa zisuswa khona.
Emva koko, ugqirha wakho unokuncoma ukufakwa kwexesha elifutshane kwekholethi yaseFoley ukunciphisa umngcipheko wokubambisana okuya kubuyela. Kananjalo unokwenzelwa unyango lwe-estrogen ukukhuthaza i-regrowth ye-tissue ye-uterine. Ukuba uzama ukuphumelela ukukhulelwa kwaye ukhunjulwa ukuba isweleko sizathu, unokukwazi ukukhulelwa emva kwenkqubo.
Ngaba Umfazi kufuneka Aphephe iD & C Emva kokutshatyalaliswa?
Ukuba ulahlekelwa ukukhulelwa kwaye ugqirha wakho kukucebisa ukuba ube ne-D & C, unokhathazeka ukuba le nkqubo iya kushiya izibazi kwaye ikukhusele ukuba ungakhulelwa kwakhona. Fumana ukuba kutheni ugqirha wakho evakalelwa ukuba kubalulekile ukuba ube ne-D & C, qaphela ukuba abaninzi abafazi abakwazi ukubambelela ngokubambisana emva kokuba kunye, kwaye bavale ingozi kunye neenzuzo kumnakekeli wakho.
Kuthekani ngeD & C ezininzi? Ukuba le nkqubo ingaphezu kweyodwa ibonakala inokunyusa umngcipheko wokuphuhlisa umlenze we-uterine, ngoko unokufuna ukukhusela ngaphezu kweD & C enye ukuba ayimfuneko impilo. Ngakolunye uhlangothi, ukuba ugqirha wakho ekucebisa ukuba ube ne-D kwaye kwaye icacile impilo yakho kuxhomekeke kuyo, mhlawumbi kufuneka uqikelele, okanye ubuncinane ube nesigqibo sesibini.
Imithombo:
I-AAGL eya phambili kwi-Gynecology emfutshane emhlabeni wonke. I-AAGL Ingxelo yokuSebenza: Yenza izikhokelo zoLawulo lwe-Syntraaine yama-synkeyae. I-J Minim i-Gynecol. 2010 ngo-Jan-Feb; 17 (1): 1-7.
Imisedare, MI. (2016). Intrauterine Adhesions. Ku: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Hooker AB et al. Uhlolo lokuHlola kunye nohlalutyo lwe-Meta ye-Intrauterine Adhesions emva kokutshatyalaliswa: Ukukhawuleza, Izinto ezijongene nobungozi kunye neziphumo zexesha elide lokuzalisa. Ukuhlaziywa kohlaziyo. 2014 ngoMatshi-Apr; 20 (2): 262-78.