Yintoni i-Endocervical Curettage, yenzelwe ntoni kwaye yenziwa njani

Umxholo

• Luqhutywa njani uviwo
• Unonophelo oluyimfuneko emva koviwo

Unyango lwesibeleko luvavanyo lwe-gynecological, eyaziwa ngokuba kukukhuhla isibeleko, esenziwa ngokufaka isixhobo esincinci esenziwe ngecephe kwilungu lobufazi (i-curette) de ifike kumlomo wesibeleko ukukrwela nokususa isampulu encinci yethishu kule ndawo.

Izicwili ezikhuhliweyo emva koko zithunyelwa elebhu apho ivavanywa khona ngemicroscope ngugqirha wezifo, oya kuthi abone ukuba ngaba kukho iiseli zomhlaza kule sampulu okanye akunjalo, okanye utshintsho olunje ngee-polyps zesibeleko, i-endometrial hyperplasia, iintsumpa zangasese okanye usulelo lwe-HPV.

Uvavanyo lwe-endocervical curettage kufuneka lwenziwe kubo bonke abantu basetyhini abaye benza i-pap smear ngenxa yokuhlelwa kwe-III, IV, V okanye i-NIC 3, kodwa kunqabile ukuba kwenziwe ngexesha lokukhulelwa, ngenxa yomngcipheko wokuphuma kwesisu.

Luqhutywa njani uviwo

Uvavanyo lwe-endocervical curettage lunokwenziwa kwiklinikhi yonyango okanye esibhedlele, phantsi kokuthomalalisa, ngugqirha wezifo zabasetyhini.

Olu vavanyo lunokubangela iintlungu okanye ukungonwabi, kodwa akukho sibonisi sigqibeleleyo sokwenza i-anesthesia okanye i-sedation, kuba kususwa nje isiqwenga somzimba, yinkqubo ekhawulezayo kakhulu, ethatha ubuninzi bemizuzu engama-30. Akukho sidingo sokulaliswa esibhedlele, ke le ntokazi inokubuyela ekhaya kwangolo suku lunye, kwaye kuyacetyiswa kuphela ukuthintela iinzame zomzimba kwangolo suku lunye.

Uvavanyo ugqirha ucela umfazi ukuba alale ngomqolo kwaye abeke imilenze yakhe kwisirhorho, ukugcina imilenze ivulekile. Emva koko uyacoca kwaye abulale iintsholongwane kummandla osondeleyo kwaye azise i-speculum kunye neyeza lokunyanga eliza kuba sisixhobo esisetyenziselwa ukususa isampulu encinci yethishu yesibeleko.

Phambi kokuba uyenze le nkqubo, ugqirha ucebisa ukuba owasetyhini angabelani ngesondo kwiintsuku ezi-3 ezidlulileyo kwaye angazihlambisi kwilungu lobufazi ngeshawa esondeleyo, kwaye angathathi iziyobisi ze-anticoagulant kuba zonyusa umngcipheko wokopha.

Unonophelo oluyimfuneko emva koviwo

Emva kokwenza olu vavanyo, ugqirha unokucebisa ukuba owasetyhini aphumle, kuthintelwe iinzame ezinkulu zomzimba. Kuyacetyiswa ukuba usele amanzi amaninzi ukunceda ukuphelisa ityhefu kwaye uhlale uhlanjululwe kakuhle, ukongeza ekuthatheni isiqabu sentlungu esinconywayo qho kwiiyure ezi-4 okanye ezi-6, ngokweengcebiso zonyango, kwaye utshintshe iphedi yokusondelelana nanini na xa kungcolile.

Abanye abantu basetyhini banokufumana ukopha kwilungu lobufazi elinokuhlala iintsuku ezimbalwa, kodwa inani liyahluka kakhulu. Nangona kunjalo, ukuba kukho ivumba elibi kolu gazi, kuya kufuneka ubuyele kugqirha ukuze kuvavanywe. Ubukho befiva kufanele ukuba ibe sisizathu sokubuyela eklinikhi okanye esibhedlele kuba oko kunokubonisa usulelo. Amayeza okubulala iintsholongwane angabonakaliswa ukuba aphelise naluphi na uhlobo losulelo olunokwenzeka.