Ngaba ugqirha wakho ukuxelele ukuba wenze i-D&C? Okanye ngaba kukho umntu omaziyo oye wenza olu tyando? Abantu abaninzi baziva besoyika kwaye bexhalabile xa besiva igama elithi "D&C." Kodwa eneneni, idla ngokuba yinkqubo elula kakhulu, ekhawulezayo, nekhuselekileyo. Ngoko ke namhlanje, masithethe ngokucacileyo nangokulula malunga nokuba yintoni i-D&C, isizathu sokuba yenziwe, kwenzeka ntoni ngexesha layo, kunye nento ekufuneka uyilumkele emva koko.
Yintoni kanye kanye i-D&C?
Ngamafutshane, i-D&C yinkqubo encinci yotyando esusa izicwili ngaphakathi kwesibeleko sakho. Eli gama livela kumanyathelo amabini aphambili.
1. Ukwandisa: Oku kuquka ukwandisa kancinci umlomo wesibeleko sakho. Umlomo wesibeleko ngumthombo ovuleka kwisibeleko sakho. Uhlala uvuleka ngokupheleleyo kuphela xa uza kuba nomntwana. Ngexesha le-D&C, ivuleka kancinci ukuze kufakwe izixhobo.
2. I-Curettage: Emva koko, ugqirha usebenzisa isixhobo esikhethekileyo esimile okwecephe esibizwa ngokuba yi-"curette" ukuze akrwele kancinci udonga lwangaphakathi lwesibeleko, asuse aze acoce naziphi na izicwili ezingafunekiyo.
Oku kudla ngokwenziwa ngugqirha wezifo zabesifazane esibhedlele okanye kwigumbi lotyando. Kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye.
Yintoni ebangela i-D&C?
Oogqirha banokucebisa i-D&C ngezizathu ezahlukeneyo. Ezi zezona zizathu ziphambili.
| Isizathu | Inkcazo |
|---|---|
| Emva kokuphuma kwesisu okanye ukuzala | Ukuba kukho naliphi na iqhekeza le-placenta elishiyekileyo esibelekweni emva kokuphuma kwesisu, ukukhupha isisu, okanye ukuzala, kufuneka lisuswe ngokupheleleyo. Ukungaphumeleli ukwenza njalo kwandisa umngcipheko wokopha kakhulu okanye usulelo. |
| Ukujonga okanye ukunyanga ukopha okungaqhelekanga | Ngamanye amaxesha, ukuba uphuma igazi ngendlela engaqhelekanga ngexesha okanye emva kokuba usexesheni, kwenziwa uhlolo lwe-D&C ukuze kufunyanwe unobangela. Oku kunokususa izicwili esibelekweni ezinokubangela iimeko ezifana ne-fibroids, ii-polyps, usulelo, okanye umhlaza wesibeleko, kwaye kuthunyelwe kwi-biopsy. |
Ngamanye amaxesha, ugqirha uya kwenza i-hysteroscopy kunye ne-D&C. Oku kuquka ukufaka ityhubhu encinci enekhamera edlula emlonyeni wesibeleko kwaye ujonge ingaphakathi lesibeleko kwiscreen. Oku kuvumela ugqirha ukuba abone ingaphakathi lesibeleko ngokucacileyo.
Ngawaphi amalungiselelo ekufuneka enziwe ngaphambi kotyando?
Ngaphambi kokuba wenze i-D&C, ugqirha wakho uza kukubuza ngembali yakho epheleleyo yezonyango. Qiniseka ukuba ubaxelela ngayo nayiphi na imithi oyithathayo, naziphi na ii-allergies onazo, kunye nokuba ukrokrela ukuba ukhulelwe na . Uya kucetyiswa nokuba uyeke ukutya nokusela ngobusuku bangaphambi kotyando.
Ngamanye amaxesha, ugqirha unokucebisa ukuba akunike iyeza elibizwa ngokuba yi-misoprostol okanye unxibe isixhobo esikhethekileyo esibizwa ngokuba yi-laminaria stick ukuze uthambise kwaye wandise umlomo wesibeleko ngaphambi kotyando.
Indlela oluqhutywa ngayo utyando
Ngaphambi kokuba i-D&C iqale, ugqirha wakho uza kuxoxa ngohlobo lwe-anesthesia oza kunikwa. Uza kukhetha indlela efanelekileyo kuwe ngokusekelwe kwimeko yakho yempilo kunye nesizathu se-D&C.
Iindlela zokubulala iintlungu
Kukho iindlela ezininzi eziphambili zokubulala iintlungu zoku.
| Uhlobo lwe-anesthesia | Kwenzekani? |
|---|---|
| I-Anesthesia Jikelele | Kule meko, uza kulaliswa ngokupheleleyo. Awuyi kuva nto de utyando luphele. |
| I-Anesthesia yeSithili | Umzekelo, i-epidural. Oku kwenza indawo engaphantsi kwesinqe sakho ibe nentlungu kuphela. Usengqondweni, kodwa awuziva ntlungu. |
| I-Anesthesia Yengingqi | Kule meko, yindawo ejikeleze umlomo wesibeleko kuphela engasebenzi kakuhle. Usezingqondweni ngokupheleleyo. |
Amanyathelo otyando
Emva kokuba kwenziwe i-anesthesia, utyando luqala. Oku kudla ngokugqitywa ngexesha elifutshane kakhulu, malunga nemizuzu emi-5 ukuya kweli-10.
- Uza kuphoswa ebhedini ekhethekileyo, ngokungathi uya kuxilongwa ngugqirha wabasetyhini.
- Ugqirha ufaka isixhobo esibizwa ngokuba yi-speculum kwisini aze asilungise ukuze umlomo wesibeleko ubonakale ngokucacileyo.
- Okulandelayo, umlomo wesibeleko ukhuliswa kancinci kusetyenziswa iintonga zesinyithi ezibhityileyo ezikhula kancinci kancinci (ii-dilators).
- Xa umlomo wesibeleko uvulekile ukuya kubukhulu obufunekayo, kusetyenziswa i-curette ukukhuhla izicubu eludongeni lwesibeleko. Ngamanye amaxesha kusetyenziswa isixhobo sokufunxa ukususa naziphi na izicubu eziseleyo.
- Ukuba kuyimfuneko, isampuli yezicubu ezisusiweyo ithunyelwa kwilabhoratri ukuze ivavanywe.
Khumbula, uza kunikwa i-anesthesia ukuze ungeva ntlungu ngexesha lotyando, ngoko ke ungoyiki loo nto.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uphumle iiyure ezimbalwa. Ngokuqinisekileyo uya kufuna umntu oza kukuyisa ekhaya ngemoto.
Kuqhelekile ukuba nentlungu efana nokuya exesheni kunye nokuqaqamba kancinci kangangeentsuku ezimbalwa emva kokwenza i-D&C. Ungathatha iyeza lokunciphisa iintlungu elifana ne-paracetamol ukuze uncede le ntlungu.
Izinto ezibaluleke kakhulu:
- Sebenzisa ii-sanitary pads kuphela xa ukhupha igazi. Musa ukusebenzisa ii-tampons.
- Kuphephe ukulala nomntu de ugqirha wakho akuxelele ukuba kukhuselekile ukuphinda wenze njalo (ngesiqhelo iveki okanye ezimbini), kuba de umlomo wakho wesibeleko uphole, kukho umngcipheko wokuba iintsholongwane zingene kwisini sakho zize zibangele usulelo.
- Ungabuyela kwimisebenzi yesiqhelo kwiintsuku ezimbalwa.
Ukuba isampuli yethishu ithunyelwe ukuze ivavanywe, iziphumo ziya kufumaneka kwisithuba seveki. Buza ugqirha wakho ngale nto.
Zithini iingozi kunye neenzuzo?
Njengalo naluphi na utyando, i-D&C ineengozi ezincinci kakhulu. Nangona kunjalo, yinkqubo ekhuselekileyo kakhulu.
Iingozi
- Ukugqobhoka kwesibeleko: Kunqabile kakhulu ukuba isixhobo sotyando sidlule eludongeni lwesibeleko, nto leyo ebangela umngxuma omncinci.
- Usulelo.
- Ukopha kakhulu.
- Isifo sika-Asherman: Izicubu ezikrwelekileyo azinakwenzeka rhoqo esibelekweni emva kokwenza i-D&C. Oku kunokubangela utshintsho kwimijikelo yokuya exesheni okanye kuchaphazele ukuzala. Nangona kunjalo, le meko inokunyangeka ngotyando olulula.
Iingenelo
- Inceda ekuchongeni ngokuchanekileyo unobangela wokopha okungaqhelekanga.
- Iimeko ezinzulu ezifana nomhlaza wesibeleko zinokubonwa kwangethuba.
- Emva kokukhipha isisu, isibeleko sicocekile ngokupheleleyo, nto leyo ekukhusela kwizifo ezibangelwa kukwasulelwa zizifo kunye nokopha kakhulu.
Uzakufowunela nini ugqirha
Iingxaki emva kwe-D&C zinokunyangwa ngokukhawuleza ukuba zifunyenwe kwangethuba. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Ifiva | Ukuba unentlungu ebuhlungu esiswini okanye isisu sakho sibuhlungu xa usichukumisa |
| Ukopha kakhulu (ukumanzisa ngaphezu kwelaphu elinye lokuhlamba ngeyure) | Ukuphuma kwamahlwili egazi amakhulu |
| Ukuphuma kwamanzi kwilungu lobufazi okungaqhelekanga okanye okunuka kakubi | Iintlungu zesisu eziqatha |
Umyalezo Wokuya Ekhaya
- I-D&C yindlela eqhelekileyo nekhuselekileyo yotyando esusa izicwili esibelekweni.
- Oku kwenziwa ukuze kucocwe isibeleko emva kokuphuma kwesisu okanye kufunyanwe unobangela wokopha okungaqhelekanga.
- Ukuchacha emva kotyando kudla ngokukhawuleza, kodwa kubalulekile ukulandela imiyalelo kagqirha wakho malunga nokusebenzisa ii-tampons kunye nokwenza isondo.
- Ukuba uqalisa ukuba nomkhuhlane, intlungu eqatha, okanye ukopha kakhulu emva kotyando, yazisa ugqirha wakho ngoko nangoko.
- Ungaze woyike ukubuza ugqirha wakho nayiphi na imibuzo, uloyiko, okanye amathandabuzo onokuba nawo ngale nto. Lilungelo lakho.
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