IHysteroscopy

IHysteroscopy yinkqubo yokujonga ngaphakathi kwisibeleko (isibeleko). Umboneleli wakho wezempilo unokujonga kwezi zinto zilandelayo:

• Ukuvula kwisibeleko (umlomo wesibeleko)
• Ngaphakathi esibelekweni
• Ukuvuleka kwemibhobho ye-fallopian

Le nkqubo ihlala isetyenziselwa ukuxilonga iingxaki zokopha kwabasetyhini, ukususa iipolyps okanye i-fibroids, okanye ukwenza iinkqubo zokubulala iintsholongwane. Inokwenziwa esibhedlele, kwiziko lotyando ngaphandle, okanye kwiofisi yomboneleli.

I-Hysteroscopy ifumana igama layo kwisixhobo esincinci, esikhanyisiweyo esisetyenziselwa ukujonga isibeleko, esibizwa ngokuba yi-hysteroscope. Esi sixhobo sithumela imifanekiso yangaphakathi yesibeleko kwividiyo.

Ngaphambi kwenkqubo, uya kunikwa iyeza lokukunceda uphumle kwaye uthinte iintlungu. Ngamanye amaxesha, amayeza anikezelwa ukukunceda ulale. Ngexesha lenkqubo:

• Umboneleli ubeka isithuba kwilungu lobufazi kunye nomlomo wesibeleko, esibelekweni.
• Irhasi okanye ulwelo lunokufakwa kwisibeleko ngoko ke luyanda. Oku kunceda umboneleli abone indawo ngcono.
• Imifanekiso yesibeleko inokubonwa kwiscreen sevidiyo.

Izixhobo ezincinci zinokubekwa kumda wokususa ukukhula okungaqhelekanga (i-fibroids okanye iipolyps) okanye izicwili zoviwo.

• Unyango oluthile, olufana nokususwa, lunokwenziwa kwinqanaba. I-Ablation isebenzisa ubushushu, ukubanda, umbane, okanye amaza erediyo ukutshabalalisa umgca wesibeleko.

I-Hysteroscopy inokuhlala ukusuka kwimizuzu eli-15 ukuya ngaphezulu kweyure e-1, kuxhomekeke kwinto eyenziweyo.

Le nkqubo inokwenziwa:

• Phatha amaxesha anzima okanye angaqhelekanga
• Vimba iityhubhu zokukhusela ukukhulelwa
• Chonga imeko engaqhelekanga yesibeleko
• Chonga ukuqina kwebala lesibeleko
• Fumana kwaye ususe ukukhula okungaqhelekanga njengee-polyps okanye i-fibroids
• Fumana unobangela wokulahleka kwesisu okuphindaphindiweyo okanye ususe izicubu emva kokuphulukana nokukhulelwa
• Susa isixhobo se-intrauterine (IUD)
• Susa izicwili ezibomvu esibelekweni
• Thatha isampuli yethishu (i-biopsy) yomlomo wesibeleko okanye isibeleko

Le nkqubo inokuba nokusetyenziswa okungadweliswanga apha.

Umngcipheko we-hysteroscopy ungabandakanya:

• Umngxunya (ukugqobhoza) eludongeni lwesibeleko
• Usulelo lwesibeleko
  
• Ukurhawuzelela umgca wesibeleko
• Ukonakala komlomo wesibeleko
• Isidingo sotyando ukulungisa umonakalo
• Ukufakwa okungafunekiyo kolwelo ngexesha lenkqubo ekhokelela kumanqanaba asezantsi esodium
• Ukopha kakhulu
• Umonakalo kumathumbu

Iingozi zalo naluphi na utyando lwe-pelvic lunokubandakanya:

• Ukonakala kwamalungu akufutshane okanye izicubu
• Amahlwili egazi, anokuhamba aye emiphungeni kwaye abulale (kunqabile)

Iingozi zeanesthesia zibandakanya:

• Isicaphucaphu nokugabha
• Ukuba nesiyezi
• Intloko ebuhlungu
• Iingxaki zokuphefumla
• Usulelo lwemiphunga

Iingozi zalo naluphi na utyando zibandakanya:

• Usulelo
• Ukopha

Iziphumo ze-Biopsy zihlala zifumaneka kwiiveki ezi-1 ukuya kwezi-2.

Umboneleli wakho unokukunika amayeza okuvula umlomo wakho wesibeleko. Oku kwenza ukuba kube lula ukufaka ubungakanani. Kuya kufuneka uthathe eli yeza malunga neeyure eziyi-8 ukuya kwezi-12 ngaphambi kwenkqubo yakho.

Ngaphambi kokuba kwenziwe naluphi na utyando, xelela umboneleli wakho:

• Malunga nawo onke amayeza owathathayo. Oku kubandakanya iivithamini, iiherbs, kunye nezongezo.
• Ukuba unesifo seswekile, isifo sentliziyo, isifo sezintso, okanye ezinye iingxaki zempilo.
• Ukuba ukhulelwe okanye unokukhulelwa.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho. Ukutshaya kunokuthoba ukuphola kwenxeba.

Kwiiveki ezi-2 ngaphambi kwenkqubo yakho:

• Kuya kufuneka uyeke ukuthatha iziyobisi ezenza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), clopidogrel (Plavix), kunye ne-warfarin (Coumadin). Umboneleli wakho uya kukuxelela into ekufuneka uyenze okanye ungayithathi.
• Buza umboneleli wakho ukuba ngawaphi amayeza onokuwathatha ngosuku lwenkqubo yakho.
• Xelela umboneleli wakho ukuba unokubanda, umkhuhlane, umkhuhlane, ukuvela kwe-herpes, okanye esinye isifo.
• Uzakuxelelwa ukuba ufike nini esibhedlele. Buza ukuba ngaba ufuna ukulungiselela ukuba umntu akugoduse.

Ngomhla wenkqubo:

• Unokucelwa ukuba ungaseli okanye ungatyi nantoni na kwiiyure ezi-6 ukuya kwezi-12 ngaphambi kwenkqubo yakho.
• Thatha naziphi na iziyobisi ezivunyiweyo ngokusela kancinci kwamanzi.

Ungagoduka kwangolo suku. Rhoqo, kusenokufuneka uhlale ubusuku bonke. Unokuba:

• Ukuthamba kokuya exesheni kunye nokuphuma kwegazi kwilungu lobufazi kangangeentsuku eziyi-1 ukuya kwezi-2 Buza ukuba ngaba ungathatha iyeza lokunyanga iintlungu ngaphezulu kwekhawuntareni.
• Ukukhutshwa kwamanzi ukuya kuthi ga kwiiveki ezininzi.

Unokubuyela kwimisebenzi yesiqhelo yemihla ngemihla kwiintsuku ezi-1 ukuya kwezi-2. SUKWENZILE ngesondo de umboneleli wakho athi ulungile.

Umboneleli wakho uya kukuxelela iziphumo zenkqubo yakho.

Utyando lwe-Hysteroscopic; I-hysteroscopy esebenzayo; Endoscopy wesibeleko; Uteroscopy; Ukopha kwilungu lobufazi - hysteroscopy; Ukuphuma kwesizalo - i-hysteroscopy; Ukudibanisa - i-hysteroscopy; Iziphene zokuzalwa - i-hysteroscopy

UCarlson SM, uGoldberg J, uLentz GM. I-Endoscopy: i-hysteroscopy kunye ne-laparoscopy: izikhombisi, ukungqinelana, kunye neengxaki. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 10.

I-Howitt BE, i-CM ekhawulezayo, i-Nucci MR, iCrum CP. I-Adenocarcinoma, i-carcinosarcoma, kunye nezinye izicubu ze-epithelial ze-endometrium. Ku: ICrum CP, iNucci MR, Howitt BE, iGranter SR, et al. ii-eds. Ukuchonga isifo seGynecologic kunye nePathology yePathology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 19.