Ingabe udokotela wakho ukutshelile ukuthi wenze i-D&C? Noma ingabe kukhona umuntu omaziyo oye wahlinzwa? Abantu abaningi bazizwa besaba futhi besaba kancane uma bezwa igama elithi "D&C." Kodwa empeleni, ngokuvamile kuyinqubo elula kakhulu, esheshayo, nephephile. Ngakho-ke namuhla, ake sixoxe ngokucacile nangokulula ngokuthi iyini i-D&C, ukuthi kungani yenziwa, kwenzekani phakathi nayo, nokuthi yini okufanele uyiqaphele ngemva kwalokho.
Kuyini ngempela i-D&C?
Kalula nje, i-D&C inqubo encane yokuhlinzwa esusa izicubu ngaphakathi kwesibeletho sakho. Igama livela ezinyathelweni ezimbili eziyinhloko.
1. Ukwanda: Lokhu kuhilela ukukhulisa kancane umlomo wesibeletho sakho. Umlomo wesibeletho uyisikhala esiholela esibelethweni sakho. Ngokuvamile uvuleka ngokugcwele kuphela uma usuzoba nomntwana. Ngesikhathi se-D&C, uyanda kancane ukuze kuvunyelwe ukufakwa kwezinsimbi.
2. Ukuhlanza: Okulandelayo, udokotela usebenzisa ithuluzi elikhethekile elimise okwesipuni elibizwa ngokuthi "i-curette" ukuze akhuhle kancane udonga lwangaphakathi lwesibeletho, asuse futhi ahlanze noma yiziphi izicubu ezingafuneki.
Lokhu kuvame ukwenziwa udokotela wezifo zabesifazane esibhedlela noma egumbini lokuhlinza. Ezimweni eziningi, ungaya ekhaya ngalolo suku.
Yini ebangela i-D&C?
Odokotela bangase batuse i-D&C ngezizathu ezahlukahlukene. Lezi yizizathu eziyinhloko.
| Isizathu | Incazelo |
|---|---|
| Ngemva kokukhipha isisu noma ukubeletha | Uma kukhona izingcezu ze-placenta ezisele esibelethweni ngemva kokuphuphuma kwesisu, ukukhipha isisu, noma ukubeletha, kumele zisuswe ngokuphelele. Ukwehluleka ukwenza kanjalo kwandisa ingozi yokopha okukhulu noma ukutheleleka. |
| Ukuhlola noma ukwelapha ukopha okungajwayelekile | Ngezinye izikhathi, uma uphuma igazi ngendlela engavamile ngesikhathi noma ngemva kokuya esikhathini, kwenziwa uhlolo lwe-D&C ukuthola imbangela. Lokhu kungasusa izicubu esibelethweni ezingase zibangele izimo ezifana ne-fibroids, ama-polyps, izifo, noma umdlavuza wesibeletho, bese kuthunyelwa ku-biopsy. |
Ngezinye izikhathi, udokotela uzokwenza i-hysteroscopy kanye ne-D&C. Lokhu kuhilela ukufaka ithubhu elincane elinekhamera edlula emlonyeni wesibeletho bese ubuka ingaphakathi lesibeletho esikrinini. Lokhu kuvumela udokotela ukuthi abone ingaphakathi lesibeletho ngokucacile.
Yimaphi amalungiselelo okufanele enziwe ngaphambi kokuhlinzwa?
Ngaphambi kokuba wenze i-D&C, udokotela wakho uzobuza ngomlando wakho wezokwelapha ophelele. Qiniseka ukuthi ubatshela nganoma yimiphi imithi oyithathayo, noma yikuphi ukungezwani komzimba okunakho, nokuthi usola ukuthi ukhulelwe yini . Uzokwaziswa futhi ukuthi uyeke ukudla nokuphuza ngobusuku obandulela ukuhlinzwa.
Ngezinye izikhathi, udokotela angase akuncome ukuthi akunike umuthi obizwa ngokuthi i-misoprostol noma ugqoke ithuluzi elikhethekile elibizwa ngokuthi i-laminaria stick ukuze uthambise futhi wandise umlomo wesibeletho ngaphambi kokuhlinzwa.
Indlela ukuhlinzwa okwenziwa ngayo
Ngaphambi kokuba i-D&C iqale, udokotela wakho uzoxoxa ngohlobo lwe-anesthesia ozolunikwa. Uzokhetha indlela engcono kakhulu kuwe ngokusekelwe esimweni sakho sempilo kanye nesizathu se-D&C.
Izindlela zokubulala izinzwa
Kunezindlela eziningana eziyinhloko zokubulala izinzwa zalokhu.
| Uhlobo lwe-anesthesia | Kwenzekani? |
|---|---|
| I-Anesthesia Ejwayelekile | Kulokhu, uzolaliswa ngokuphelele. Ngeke uzwe lutho kuze kube yilapho ukuhlinzwa sekuphelile. |
| I-Anesthesia Yesifunda | Isibonelo, i-epidural. Lokhu kwenza indawo engaphansi kwesinqe sakho ibe buhlungu kuphela. Uyaqaphela, kodwa awuzizwa ubuhlungu. |
| I-Anesthesia Yendawo | Kulokhu, indawo ezungeze umlomo wesibeletho sakho kuphela evalekile. Usuke uqaphile ngokuphelele. |
Izinyathelo zokuhlinzwa
Ngemva kokunikezwa i-anesthesia, ukuhlinzwa kuyaqala. Lokhu kuvame ukuqedwa ngesikhathi esifushane kakhulu, cishe imizuzu emi-5 kuya kweyi-10.
- Uzolaliswa embhedeni okhethekile, njengokungathi uyohlolwa udokotela wabesifazane.
- Udokotela ufaka idivayisi ebizwa ngokuthi i-speculum esithweni sangasese sowesifazane bese eyilungisa ukuze umlomo wesibeletho ubonakale kahle.
- Okulandelayo, umlomo wesibeletho unwetshwa kancane kancane kusetshenziswa izinduku zensimbi ezincane ezikhula kancane kancane (ama-dilator).
- Uma umlomo wesibeletho usuvuleke waba usayizi ofunekayo, kusetshenziswa i-curette ukususa izicubu odongeni lwesibeletho. Ngezinye izikhathi kusetshenziswa umshini wokumunca ukususa noma yiziphi izicubu ezisele.
- Uma kudingeka, isampula yezicubu ezisusiwe ithunyelwa elabhorethri ukuze ihlolwe.
Khumbula, uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu ngesikhathi sokuhlinzwa, ngakho ungesabi.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uphumule amahora ambalwa. Ngokuqinisekile uzodinga umuntu ozokuhambisa ekhaya ngemoto.
Kujwayelekile ukuzwa ubuhlungu obuncane njengokuya esikhathini kanye nokubona ukukhanya izinsuku ezimbalwa ngemva kokwelashwa kwe-D&C. Ungathatha umuthi olula wokuqeda ubuhlungu njenge-paracetamol ngenxa yalolu buhlungu.
Izinto ezibaluleke kakhulu:
- Sebenzisa ama-sanitary pad kuphela lapho ukhipha igazi. Ungasebenzisi ama-tampons.
- Gwema ukuya ocansini kuze kube yilapho udokotela wakho ethi kuphephile ukwenza kanjalo futhi (ngokuvamile isonto noma amabili), ngoba kuze kube yilapho umlomo wesibeletho sakho uphola, kunengozi yokuthi amagciwane angene esithweni sakho sangasese sowesifazane futhi abangele ukutheleleka.
- Ungabuyela emisebenzini evamile ezinsukwini ezimbalwa.
Uma kuthunyelwe isampula yezicubu ukuze ihlolwe, imiphumela izotholakala cishe ngesonto. Buza udokotela wakho ngalokhu.
Ziyini izingozi nezinzuzo?
Njenganoma yikuphi ukuhlinzwa, i-D&C inezingozi ezincane kakhulu. Kodwa-ke, inqubo ephephile kakhulu.
Izingozi
- Ukubhoboka kwesibeletho: Akuvamile kakhulu ukuthi ithuluzi lokuhlinza lingadlula odongeni lwesibeletho, okubangela imbobo encane.
- Ukutheleleka.
- Ukopha ngokweqile.
- I-Asherman's syndrome: Izicubu zezibazi azivamile ukwakheka esibelethweni ngemva kokuhlolwa kwe-D&C. Lokhu kungabangela izinguquko emijikelezweni yokuya esikhathini noma kuthinte ukuzala. Kodwa-ke, lesi simo singelashwa nangokuhlinzwa okulula.
Izinzuzo
- Kusiza ekutholeni ngokunembile imbangela yokopha okungavamile.
- Izimo ezimbi njengomdlavuza wesibeletho zingatholakala kusenesikhathi.
- Ngemva kokukhipha isisu, isibeletho sihlanzwa ngokuphelele, okukuvikela ekuthelelekeni nasekuphumeni kwegazi okukhulu.
Ukushayela nini udokotela ucingo
Izinkinga ngemuva kwe-D&C zingelashwa ngokushesha uma zitholakala kusenesikhathi. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Imfiva | Uma unezinhlungu zesisu ezinzima noma isisu sakho sibuhlungu uma usithintwa |
| Ukopha kakhulu (ukumanzisa indwangu yokuhlanza engaphezu kweyodwa ngehora) | Ukudlula amahlule egazi amakhulu |
| Uketshezi olungavamile noma olunuka kabi lwesitho sangasese sowesifazane | Ubuhlungu obukhulu esiswini |
Umlayezo Wokuya Nawe Ekhaya
- I-D&C inqubo evamile yokuhlinzwa ephephile nejwayelekile esusa izicubu esibelethweni.
- Lokhu kwenzelwa ukuhlanza isibeletho ngemva kokukhipha isisu noma ukuthola imbangela yokopha okungavamile.
- Ukululama ngemva kokuhlinzwa kuvame ukushesha, kodwa kubalulekile ukulandela imiyalelo kadokotela wakho mayelana nokusebenzisa ama-tampon kanye nokwenza ucansi.
- Uma uba nomkhuhlane, ubuhlungu obukhulu, noma ukopha ngokweqile ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
- Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo, ukwesaba, noma ukungabaza ongase ube nakho ngalokhu. Kuyilungelo lakho.
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