Ukulinganisa iiNzuzo kunye neengozi ezinokwenzeka
Ukuxilwa kunye nokuhluthwa , eyaziwa nje ngokuba yi-D & C, yindlela eyenziwa ngophaphulo xa isetyenziselwa ukukhulelwa kwesisu okanye ukukhipha isisu ukususa naziphi na izicubu eziseleyo kwi-uterus. Iquka ukusetyenziswa kwefowuni enefowuni ebizwa ngokuba yi-curette eyenza ngokukhawuleza i-lining wall wall.
Kwezinye iimeko, i-D & C ingaqwalaselwa njengonyango lwezempilo, ingakumbi kubasetyhini abafumana ukuphuma kwegazi elikhulu emva kokuphuphuma komzimba.
Yindlela esheshayo yokumisa ukuphuma kwegazi kwaye ugweme ukuphuhliswa kwe-hypovolemia (ukulahleka kwegazi ngokugqithiseleyo) kunye ne-anemia.
Xa kuthethwa oko, i-D & C ingasayi kuthatyathwa njengento ebalulekileyo kwiimeko ezithile ezingezoxakeka, kubandakanywa nokuphuphuma komzimba okungaphelelanga . Kwiimeko ezinjengezi, unako ukhetho lokuba ne-D & C okanye ukuvumela i-nature ithathe ikhosi yayo ngokuvumela ukuphuphuma kwesisu kukuqhubele phambili.
Ukulinganisa iiNzuzo
Kukho inzuzo kunye neqholo kwindlela nganye. Ukwenza ukhetho olulungileyo, kuya kufuneka uqwalasele ingcebiso yezobugqirha ugqirha wakho ukuqinisekisa ukuba isigqibo sakho siyaboniswa kwaye sikhuselekile.
Ngokumalunga ne-D & C, kukho inani leenzuzo zokuqwalasela, oko kukuthi:
- Kuya kugqitywa inkqubo yokwenza isisu ngokukhawuleza. Ngokwahlukileyo, ukungahambi kakuhle komzimba kungathatyathwa ngaphezu kweentsuku kunye neveki. I-D & C ngumcimbi owodwa, ocwangcisiweyo oza kuwugqiba inkqubo kwaye unokukunceda ukunciphisa ukuphuma kwegazi kunye nokunyanzelisa. Abanye abafazi baya kukhetha i-D & C njengeendlela zokunqoba ukutshatyalaliswa ngokukhawuleza kokusweleka komzimba. Nangona kungenako ukunika ukuvalwa okupheleleyo, kunokubanika iindlela zokusebenza ngokuthe ngcembe kwiimvakalelo ngaphandle kwesikhumbuzo esihlala sisisigxina somcimbi.
- Akubuhlungu kakhulu. I-D & C iqhutshwa phantsi kwe-anesthesia. Ngaphezu koko, intlungu esalandela iyancipha kuba amaninzi abafazi banokubuyela kwiindlela zabo eziqhelekileyo ngosuku okanye ezimbini.
- Iyanciphisa umngcipheko weengxaki ezithile. Njengoko nayiphi na inkqubo yokucubungula, a I-D & C ayinayo isabelo sayo soxinzelelo kodwa ngokuqhelekileyo ibonwa njengekhuselekile, ngakumbi xa iqhutywe nge-ultrasound. Ngokwahlukileyo, ngokuphuphuma kwesisu esingaphelelanga, nayiphi na iindleko zokukhulelwa zingabangela ukuphuma kwexesha elide kunye nokwanda komngcipheko wokusuleleka.
- Awuboni ukukhulelwa kuhlala. Njengoko kuphazamisekile njengoko ukuphuphuma kwesisu kungabikho, ingozi eyongezelelweyo yokubona ukukhulelwa ihlala ngexesha leselelo sokukhulelwa kwesisu kungaxhatshazwa ngokufanayo. Ezi zibandakanya iimali zesigxobo somzimba kunye neendawo ezibonakalayo ze-fetus ngokwayo.
- Iyanciphisa umngcipheko wakho wokubuyela. Ukuba ukhetha ukuhamba ngokusweleka komzimba, kukho ithuba lokuba uya kubuyela emva kweD & C kamva ukuba ukuphuma kwegazi kuqhubeka, izicubu zokuzalwa azizange zichithe ngokupheleleyo, okanye ukusuleleka.
- Akukho bubungqina obuya kuthintela ukukhulelwa kwangaphambili. Izifundo ziye zafumanisa ukuba i-D & C ayihambelananga nayiphi na ingozi enkulu yokukhulelwa kwengxaki xa kuthelekiswa nabasetyhini abangazange bafumane inkqubo. Oku kubandakanya umngcipheko wokunikezelwa kwangaphambili, i- preeclampsia , ukuphazamiseka kwamaplanga , ukungabonakali, ukuphuma kwekota yokuqala, okanye ukukhulelwa komzimba.
Ukulinganisa iingozi
Abasetyhini abafumana ukuphuphuma kwesisu baya kuba buhlungu ngokuhlukileyo kunye nabanye abanokuba nempembelelo engaphantsi kwabanye. Nangona kungekho mpendulo engalunganga okanye engalungile, iimvakalelo zenza ukuba yeyiphi indlela yokwelashwa inokufaneleka kwiimeko ezingezoxakeka.
Phakathi kweengozi ezikhoyo kunye neengxaki ze-D & C:
- Inkqubo iyangena. Ngenxa yoko, abanye abafazi baya kukhetha ukuvumela i-nature ithathe ikhosi yayo kunokuba iqhutywe kwinkqubo enokuvakalelwa kukuba "yinklinikhi" okanye iyalawula kwi-anesthesia engafunekiyo.
- Inkqubo inokukhawuleza kubafazi abathile. Kuya kubakho abo bangakuthandi ukuyeka ukulahleka kwabo ngokukhawuleza baze bazive ukuba i-D & C iyaphula ngokucacileyo bonke ubungqina bokuba umntwana wayesekho. Baya kukhetha ukhetho lokusilela komzimba, nangona kunjalo, kuthatha ixesha elide ukuyeka ukulahleka kwintsimi kunye nokuchithwa kwezicubu zokuzalwa.
- Kukho umngcipheko weengxaki ezinzulu. Ngamanye amaxesha i-D & C ingakhokelela ekuphumeni kwegazi, ukusuleleka, uterine okanye ibilini, okanye imeko engavumelekanga ebizwa ngokuba yi- Asherman syndrome apho kubanjelwa khona izibilini (iinqununu zesikhumba). Ngelixa lingaqhelekanga, iingxaki ezifana nalezi zimele ziqwalaselwe.
- Kukho umngcipheko omncinci kodwa ongasenokuba yinto engapheliyo yomlomo wesibeleko. Ukungafezeki komlomo wesibeleko, owaziwa ngokuba ngumlomo wesibeleko, ungasetyenziselwa ukuchaza ukunyanzeliswa kwezihlunu kunye nezicubu zomlomo wesibeleko. Ingabangela ukutshatyalaliswa kwangaphambi komntwana wesibeleko ekukhulelweni kwangaphambili, ukwandisa ingozi yokuzalwa ngaphambi kokuzalwa okanye ukuphuphuma kwesisu. Xa kuthethwa oko, yimeko ehambelana neenkqubo zeD & C eziphindaphindiweyo. Uninzi lwezifundo, enyanisweni, ziyathandabuzo malunga nolwalamano malunga nokusetyenziswa kweD & C emva kokusweleka kwesisu.
Igama elivela kwi-Verywell
Ukutshatyalaliswa kokungahambi kakuhle kungabangela ixesha elibhubhisa abantu besetyhini abaninzi, ngoko ukwenza isigqibo esicacileyo kungabi lula ngaso sonke isikhathi. Ngaloo ndlela, kufuneka ugxininise ekukhuselekeni kokuqala xa uvavanya i-pros and dis we-D & C ngokubhekiselele ekuphumuleni komzimba.
Ukuba ukuphepha i-D & C inokubangela ukulimala, unokufuna ukubeka buchule bakho bemvelo kunye nokujongana neemfuno zakho zomzimba kuqala. Akunakuba lula, kodwa, ngexesha kunye nenkxaso, uza kuyifumana.
> Imithombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists. Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukuxuba kunye neCurettage (iD & C). " EWashington, DC; hlaziywa ngoFebruwari 2016.
> ULohmann-Bigelow, A .; Longo, S .; Jiang, Z. et al. "Ngaba ukuxilwa kunye neCurettage kuthinte iziphumo zokuzalelwa kwexesha elizayo?" Ochsner J. 2007; 7 (4): 173-76. PMCID: PMC3096409.