Ukupheliswa kwe-Endometrial

Ukupheliswa kwe-Endometrium kuqhaqho okanye inkqubo eyenziweyo ukonakalisa ulusu lwesibeleko ukuze kuncitshiswe ukuhamba okanye ukuya exesheni okunzima. Olu lwazi lubizwa ngokuba yi-endometrium. Olu tyando lunokwenziwa esibhedlele, kwiziko lotyando ngaphandle, okanye kwiofisi yomboneleli.

Ukupheliswa kwe-Endometrial yinkqubo esetyenziselwa ukunyanga ukopha ngokungaqhelekanga ngokutshabalalisa izicwili kulusu lwesibeleko. Izicubu zinokususwa kusetyenziswa:

• Amaza kanomathotholo aphakamileyo
• Amandla e-Laser
• Ulwelo olushushu
• Unyango lweBhaluni
• Kuyabanda
• Umbane ngoku

Ezinye iintlobo zeenkqubo zenziwa kusetyenziswa ityhubhu ebhityileyo, ekhanyisiweyo ebizwa ngokuba yi-hysteroscope ethumela imifanekiso engaphakathi esibelekweni kwindawo yokujonga ividiyo. Uninzi lwexesha lokubulala iintlungu lisetyenziselwa ukuba ulale kwaye ungabinazintlungu.

Nangona kunjalo, ubuchule obutsha bunokwenziwa ngaphandle kokusebenzisa i-hysteroscope. Ngenxa yezi zinto, kudutyulwa iyeza elingenantsholongwane ngaphakathi kwimithambo-luvo ejikeleze umlomo wesibeleko ukuthintela iintlungu.

Le nkqubo inokunyanga amaxesha anzima okanye angaqhelekanga. Umboneleli wakho wezempilo uya kuzama ezinye iindlela zonyango kuqala, ezinje ngamayeza e-hormone okanye i-IUD.

Ukupheliswa kwe-Endometrium ngekhe kusetyenziswe ukuba unokufuna ukukhulelwa kwixa elizayo. Nangona le nkqubo ingakuthinteli ekukhulelweni, inokuwanciphisa amathuba akho okuba ukhulelwe. Ukuthintela inzala okuthembekileyo kubalulekile kubo bonke abantu basetyhini abafumana inkqubo.

Ukuba owasetyhini ukhulelwe emva kwenkqubo yokupheliswa, ukukhulelwa kuya kuhlala kuphulukana nesisu okanye kube semngciphekweni omkhulu ngenxa yezihlunu ezibomvu esibelekweni.

Iingozi ze-hysteroscopy zibandakanya:

• Umngxunya (ukugqobhoza) eludongeni lwesibeleko
• Ukurhawuzelela umgca wesibeleko
• Usulelo lwesibeleko
• Ukonakala komlomo wesibeleko
• Isidingo sotyando ukulungisa umonakalo
• Ukopha kakhulu
• Umonakalo kumathumbu

Umngcipheko weenkqubo zokupheliswa komthetho ziyahluka ngokuxhomekeka kwindlela esetyenzisiweyo. Iingozi zinokubandakanya:

• Ukufunxwa kolwelo olungaphezulu
• Ukuphendula ngokuchaseneyo
• Ubuhlungu okanye ukunyanzeliswa kulandela inkqubo
• Ukutshisa okanye ukonakala kwethishu kwiinkqubo ezisebenzisa ubushushu

Iingozi zalo naluphi na utyando lwe-pelvic lubandakanya:

• 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

I-biopsy ye-endometrium okanye ulwelwesi lwesibeleko luya kwenziwa kwiiveki eziphambi kwenkqubo. Abafazi abancinci banokunyangwa ngehomoni ethintela i-estrogen ekubeni yenziwe ngumzimba kangangeenyanga ezi-1 ukuya kwezi-3 ngaphambi kwenkqubo.

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.

Phambi kotyando:

• Soloko uxelela umboneleli wakho ngawo onke amayeza owathathayo. Oku kubandakanya iivithamini, iiherbs, kunye nezongezo.
• Xelela umboneleli wakho ukuba unesifo seswekile, isifo sentliziyo, isifo sezintso, okanye ezinye iingxaki zempilo.

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 neempawu ezinjengexesha lokuya esikhathini kunye nokuphuma kwegazi kwilungu lobufazi iintsuku ezi-1 ukuya kwezi-2. Buza umboneleli wakho ukuba ungathatha iyeza leentlungu elisecaleni lokuthamba.
• Unokuba nokukhutshwa kwamanzi ukuya kuthi ga kwiiveki ezininzi.
• Unokubuyela kwimisebenzi yesiqhelo yemihla ngemihla kwiintsuku ezi-1 ukuya kwezi-2. SUKWENZILE ngesondo de umboneleli wakho athi ulungile.
• Naziphi na iziphumo ze-biopsy zihlala zifumaneka nge-1 ukuya kwiiveki ezi-2.

Umboneleli wakho uya kukuxelela iziphumo zenkqubo yakho.

Umtya wesibeleko sakho uphilisa ngokuqhekeka. Abasetyhini bahlala befumana ukuphuma kwegazi okuncinci emva kwale nkqubo. Ukuya kuthi ga kwiipesenti ezingama-30 ukuya kuma-50% yabasetyhini abayeke ngokupheleleyo ukuba namaxesha. Esi siphumo kunokwenzeka ngakumbi kubafazi abadala.

IHysteroscopy-ablation ye-endometrium; Ukususwa kwe-laser thermal; Ukupheliswa kwe-Endometrial-radiofrequency; Ukupheliswa kwe-Endometrium - ukupheliswa kwebhaluni eshushu; Ukupheliswa kwebhola ekhatywayo; Ukurhoxiswa kwamanzi; Ukuhla kwexabiso

IBaggish MS. Ubuncinci be-nonhysteroscopic endometrial ablation. Ku: Baggish MS, Karram MM, ii-eds. I-Atlas ye-anatomy ye-pelvic kunye notyando lwe-gynecologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 110.

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.