Kulaba besifazane abaningi, udokotela angakhipha isifo se-uterine - ukwelashwa, ukuxilongwa noma ukwelashwa nokuxilonga.
Izinkomba zokukhishwa kwesigodlo sesisu
Ake sibhale izinkomba zokukhishwa:
- Ukuphuma kwamagciwane . Inqubo ayinayo kuphela umphumela wokwelashwa, njengoba ukususa konke okuqukethwe komgodla wesibindi kuyasiza ekusebenzelaneni, kodwa futhi nokuxilongwa, njengoba ukuhlolwa kwakhe ngokwemvelo kokuqukethwe kusiza ukudala imbangela yokuphuma kwegazi.
- I-hyperplasia ye-endometrium . Kuzo zonke izinqubo eziphathelene nokusetshenziswa kwe-hyperplastic, lezi zifo zivame ukuba ne-hormonal, futhi inqubo ngokwayo iyenziwa kokubili ukuvimbela ukuphuma kwegazi futhi ukuxilonga izinga le-hyperplasia.
- Izinsolo zokuntula okubi kakhulu ku-endometrium . Ngokuvamile, kungenzeka ukusola ukuzalwa kabusha ngokuphuma kwegazi, futhi kungenzeka ukuxilonga umdlavuza ngesikhathi sokuqala ngemva kokuhlolwa kwe-histological okuqukethwe komgudu wayo.
- Ukukhulelwa kwesisu okungaphelele . Lapho kukhona i-ultrasound engxenyeni ye-uterine yezinsalela zeqanda le-fetal, ukukhipha isisu ngesikhathi sokukhulelwa kwesisu kwenziwa ukuyeka ukuphuma kwegazi futhi ususe izinsalela ezingabangela ukuvuvukala emgodini wesibindi.
- I-popental polyp . Ngokuvamile, ukukhishwa kwesigqila sesisu emva kokubeletha noma ukukhipha isisu kwenziwa ukuze ususe i-placenta - i-policental polyp.
- Ukwakhiwa kabusha kwesiguli se-uterine kunqunyelwe injongo yezokwelapha, uma kwakungenakwenzeka ukufeza umphumela wenqubo eyodwa. Lokhu kukhishwa kuphindaphindiwe ngegazi, uma i-ultrasound emgodini we-uterine ithola okuqukethwe okuyibangela futhi engasusiwe ngenqubo yokuqala.
Ukungahambisani nokukhishwa kwemithi kuhlanganisa izinqubo ezivuthayo zokuvuvukala emgodini wesibindi, kepha uma ukuvuvukala kubangelwa izinsalela ze-placenta noma izibande zeqanda le-fetal, bese kuphela emva kokuqeda izimpawu zokuvuvukala kungase kuphele.
Ukukhishwa kwesigxobo se-uterine kwenziwa kanjani?
Ukudweba kwenziwa ngaphansi kwe-anesthesia engaphakathi noma ephakathi. Okokuqala, ama-genitalia angaphandle, ubulili kanye nomlomo wesibeletho baphathwa ngesisombululo se-antiseptic (isibonelo, isisombululo sika-Lugol). Yethula izibuko zangasese bese uveza umlomo wesibeletho, bese uyilungisa nge-forceps. Umsele womlomo wesibeletho ukhula kancane kancane ngezandiso zensimbi ukuze kutholakale i-curette. Ijova kancane kancane ngaphansi kwesibeletho, bese ubamba futhi uhlakaze i-endometrium kuqala eceleni kodonga lwangaphambili, bese uhamba eduze kokuthunyelwe okuphansi futhi kwe-lateral. Ngemuva kokukhipha, susa ama-forceps uphinde uphathe umuthi omuncu nge-antiseptic. Zonke okuqukethwe udokotela athola ngesikhathi sokuhlunga zifakwa kwisisombululo se-formalin 10% bese zithunyelwa ebhokisithri ukuze zihlolwe ngokuqhubekayo.
Ukuqothulwa kwesiguli - imiphumela
Ezinsukwini ezimbalwa emva kwenqubo owesifazane udinga ukuba anakekelwe udokotela. Ngokuvamile, ukutholakala kwamanzi okubulala noma okunamandla okubulala igazi kungenzeka, okuma ngokushesha, futhi isimo sowesifazane emva kokukhishwa kwesibindi sesisu sikhula masinyane. Kodwa uma ukukhishwa kwegazi kuphenduka i-purulent noma i-blood clots kanye negazi elisha libonakala likhulu kakhulu, kusho ukuthi emva kokukhishwa kwesibindi isifo esibelethweni sasivuka.
Phakathi kwezinkinga ezingase zivele zivame ukuphuma igazi, i-endometritis noma i-peritonitis, ukuhlukumezeka kwesibindi kanye nezitho ezingomakhelwane. Ukuze uvimbele ukucindezeleka okungenangqondo, ukwelashwa kwama-antibiotic emva kokukhishwa kwesiguli se-uterine kuvame ukushiwo.
Esikhathini sokuphumula ngemva kokukhulelwa kwesibeletho, owesifazane kufanele alandele izincomo ezinjalo: ukungabi ocansini inyanga, ungasebenzisi ama-swabs wesisu ukuze ukhululeke, ungathathi izidakamizwa ezihlanza igazi, ugweme ukuzikhandla ngokweqile, ungahambi, ungahambi, ungena e-sauna kanye nedamu lokubhukuda.