I-WFD, noma ukuhlukunyezwa okuhlukile kokuxilonga, ku-gynecology isetshenziselwa ukuhlola izifo, futhi ingasetshenziswa njengendlela yokwelapha. Lokhu kukhwabanisa kubhekwa njengenye yezinto ezivame ukusetshenziswa futhi ezivame ukusetshenziswa emithonjeni yokubeletha.
I-WFD - izinkomba zokusetshenziswa
Ukuhlolwa kwe-WFD kwenza kube lula ukucacisa isimo se-uterine mucosa ezinkambisweni ezinobungozi nezimbi. Njengokuphathwa kabi kwezokwelapha, i- WFD yenziwa ngaphansi kwezimo ezilandelayo:
- ukumisa ukuphuma kwegazi;
- nge- endometrial hyperplasia ;
- ukuze kususwe i-fibroids ne-polyps, ekhulayo emgodini we-uterine;
- ngokukhulelwa okuphazanyisayo, uma kukhona ukusola kokususwa okuphelele kweqanda lomntwana.
Phakathi nokusebenza kwe-WFD, ukubunjwa kwe-pathological kususwa emgodini wesibeletho nasemgodini wesibeletho somlomo wesibeletho.
Amasu okudweba
Sizohlukanisa ngokuningiliziwe, njengokwenza i-MFD yebhubhiso elingenalutho lesibeletho nomsele womlomo wesibeletho. Lokhu kukhwabanisa kwenziwa ngaphansi kwe-anesthhesia e-intravenous. Ukunconywa kwe-RVD Kunconywa ukuthi kwenziwe ngezinsuku ezimbalwa ngaphambi kokuqala kokuya esikhathini. Ngaphambi kokukhipha kumele kuhlolwe. Ukuhlaziywa okudingekayo ekufezeni i-WFD kubhalwe ngezansi:
- ukuhlolwa kwegazi;
- i-coagulogram;
- Ukuhlolwa kwe-hepatitis B no-C, ukutheleleka nge-HIV, ukuphilisa;
- i-smear kusuka kwesifazane ukuze kube khona inqubo yokuvuvukala;
- ECG;
- I-Ultrasound yezitho zomzimba.
Ngemuva kokuhlolwa futhi uma kungabikho ukuphikisana kuya kwesiteji esikhulu:
- Okokuqala, i-CDW yomsele womlomo wesibeletho uyenziwa, indaba eqoqwe iqoqwa ukuze iphinde iqhutshwe uphenyo.
- Umgodla we-uterine uphuthukiswa futhi i-dilator iqala kancane kancane.
- Emgodini we-uterine i-curette yensimbi ifakwe futhi ukukhishwa kwebhubhiso eliyindilinga kwenziwa.
- Yonke into eyamukelwe (ngokwehlukana nesibindi nesisu somlomo wesibeletho) ithunyelwa esikhungweni sokuhlola izicubu. I-Histology ku-RVD iyisigaba esibalulekile salolu cwaningo. Njengoba ibonisa zonke izinqubo ze-pathological ezenzeka ku-mucosa elikude.
Ukuze kube lula, i-WFD isibeletho ihlangene ne-hysteroscopy noma i-ultrasound. I-WFD ene-hysteroscopy ivumela lokhu kukhwabanisa
Isikhathi se-Postoperative
Lokhu kukhwabanisa kuphephile, ngakho-ke akukho ukwelashwa okuqondile esikhathini esilandelayo. Njengomphumela we-WFD, ukuphuma ngokwemvelo kungahle kubonwe isikhathi esingangesonto.
Ukwelashwa ngemuva kwe-RDV kuthatha ama-antibiotics ukuze kuvinjelwe ukuthuthukiswa kwezinkinga ezithathelwanayo nezivuzayo. Ukuqapha imiphumela yokwelashwa ezinsukwini ezimbalwa (ngokuvamile ngesonto kamuva), i-ultrasound yesibili inqunywe.