D kunye noC

D kunye no-C (ukwandiswa kunye nonyango) yinkqubo yokukhuhla kunye nokuqokelela izicwili (i-endometrium) ngaphakathi kwesibeleko.

• Ukuqaqanjelwa (D) kukwandiswa komlomo wesibeleko ukuvumela izixhobo kwisibeleko.
• I-Curettage (C) kukukhutshwa kwethishu kwiindonga zesibeleko.

D no-C, ekwabizwa ngokuba kukukhutshwa kwesibeleko, kunokwenziwa esibhedlele okanye kwiklinikhi ngelixa uphantsi kweanesthesia ngokubanzi okanye yendawo.

Umboneleli wezempilo uya kufaka isixhobo esibizwa ngokuba yi-speculum kwilungu lobufazi. Oku kubamba kuvuleke umjelo welungu lobufazi. Iyeza lokufaka amanqaku linokusetyenziselwa ukuvulwa kwesibeleko (umlomo wesibeleko).

Umjelo womlomo wesibeleko uyandiswa, kwaye iyeza lokunyanga (iluphu yentsimbi ekupheleni kwesiphatho esincinci, esibhityileyo) lidlula ekuvulekeni kwisibeleko. Umboneleli ukrwela ngobunono umaleko wangaphakathi wethishu, obizwa ngokuba yi-endometrium. Izicubu ziqokelelwa uviwo.

Le nkqubo inokwenziwa:

• Ukuchonga okanye ukhuphe iimeko ezinje ngomhlaza wesibeleko
• Susa izicwili emva kokuphuma kwesisu
• Phatha ukopha okunzima ukuya exesheni, amaxesha angaqhelekanga, okanye ukopha phakathi kwexesha
• Yenza isisu sokunyanga okanye ukukhetha isisu

Umboneleli wakho unokucebisa u-D no-C ukuba une:

• Ukopha ngokungaqhelekanga ngelixa unyango lwehomoni
• Isixhobo esifakwe ngaphakathi kwi-intrauterine (IUD)
• Ukopha emva kokuyeka ukuya exesheni
• Ii-polyps ze-Endometrial (amaqhuma amancinci amancinci kwi-endometrium)
• Ukuqina kwesibeleko

Olu luhlu alunakuzibandakanya zonke izizathu ezinokubangela u-D no-C.

Iingozi ezinxulumene no-D no-C zibandakanya:

• Ukuhlatywa kwesibeleko
• Ukuqhekeka kwesikhumba se-uterine (i-Asherman syndrome, kunokukhokelela ekungabikho komntwana kamva)
• Ukulila komlomo wesibeleko

Iingozi ngenxa ye-anesthesia zibandakanya:

• Impendulo kumayeza
• Iingxaki zokuphefumla

Iingozi zalo naluphi na utyando zibandakanya:

• Ukopha
• Usulelo

Inkqubo ye-D no-C inobungozi obuncinci. Inokubonelela ngoncedo lokopha kwaye inokunceda ukufumanisa umhlaza kunye nezinye izifo.

Unokubuyela kwimisebenzi yakho yesiqhelo ngokukhawuleza ukuba uzive ungcono, mhlawumbi kwangolo suku lunye.

Unokuba nokuphuma kwegazi kwilungu lobufazi, iintlungu zangasese, kunye nentlungu yomqolo kwiintsuku ezimbalwa emva kwenkqubo. Ngokwesiqhelo uyakwazi ukulawula iintlungu kakuhle ngamayeza. Kunqande ukusebenzisa ii-tampon kunye nokuba neentlobano zesini kwiiveki ezi-1 ukuya kwezi-2 emva kwenkqubo.

Ukuxinana kunye nonyango; Ukukhutshwa kwesibeleko; Ukopha kwilungu lobufazi - ukunciphisa; Ukuphuma kwesizalo - ukwanda; Ukuyeka ukuya exesheni

• D kunye noC
• D no-C - uthotho

IBulun SE. I-physiology kunye ne-pathology ye-axis yokuzala yabasetyhini. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

I-Ryntz T, iLobo RA. Ukopha okungaqhelekanga kwesibeleko: i-etiology kunye nolawulo lokopha okungapheliyo kunye nokugula okungapheliyo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 26.

UWilliam VL, uThomas S. Dilation kunye nonyango. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 162.