Curettage endometrial

Namuhla, esinye sezithunywa ngokuvamile labetibambile imisebenzi ezincane izifo zabesifazane is nokususa ama-endometrium. Lesi sinyathelo engenziwa noma ngezinhloso zokwelapha noma yokuhlola.

Ngenxa yalokhu msebenzi mucosa ekhishiwe kwesibeletho, kodwa hhayi wonke, kodwa kuphela ungqimba sokusebenza. Emumva curettage we endometrium kungenxa okuhluma kuwo ungqimba ukuthi uhlala emva curettage.

Kusukela ekuqaleni umjikelezo eshintsha endometrium futhi sikhula belungiselela kungenzeka yenzeka umbungu. Uma ukukhulelwa ingekho ke uyaliwa futhi kukhona esikhathini. Emjikelezweni olandelayo lonke futhi. Empeleni nokususa efanayo endometrium ukuba kokuya esikhathini, kodwa wenziwa instrumentally. manipulations Ngokuvamile kuhlelwe uzame ukuchitha izinsuku ezimbalwa ngaphambi ukopha. Uma kunjalo ukwenza ekuqaleni noma maphakathi umjikelezo, kungase kube lula isikhathi eside. Esesikhathini ahlinzwe liphinde kwenteke, ngobe nokususa wathola ngalesi sikhathi kuyoba uninformative ngenxa yezinguquko necrotic e ottorgsheysya lwamafinyila.

Qala ukusebenza njengoba umsele wesibeletho ukuze ihlumela ungqimba. Indaba etholwe emva curettage futhi endometrium ethunyelwe cwaningo histological ngokwehlukile. Waba yini umphumela walesi cwaningo usulungile emavikini amabili. Kufanele ngempela asuse futhi ibonise wezifo zabesifazane bayahlanganyela.

Namuhla, bayanda curettage endometrial wenziwa ngaphansi kokulawula hysteroscopy. Ngaphandle kwayo, manipulation wenziwa cishe eyimpumputhe. Ngokusebenzisa udokotela ofanayo hysteroscopic sokuqala sixoxa kwesibeletho ke uchitha nokukhuhla, futhi ngemva kwakhe ukulawula umsebenzi wakhe futhi. Ukusetshenziswa imishini yesimanje ukuze unciphise amathuba ukulimala kanye nezinkinga ezigulini.

Nokususa eyenziwa nezinjongo:

• ukuthola ukwaziswa okuzocatshangelwa Histology;

• ukususa polyp noma synechiae.

Ngaphambi zokukhwabanisa kuyadingeka ukuze kudlule izifundo ezilandelayo:

• umchamo jikelele futhi igazi;
• ECG;
• Umeluleki ezingxoxo;
• swabs ngoba Cytology nezimila;
• igazi noma yokuthakwa kwamakhemikhali;
• coagulation;
• * wandiza;
• ukunquma RH isici neqembu igazi;
• ukuthola ezingeni ushukela;
• ukwenza i-ultrasound;
• lwahlolwa ukuze isifo sokusha kwesibindi, ugcunsula kanye negciwane lesandulela ngculaza.

Namuhla, izibhedlela eziningi zomphakathi ngisho ukusebenza wenziwa ngaphansi emthanjeni izinzwa okuhle. Kodwa umphumela kuwufanele.

Isiguli uwela kalula ilele futhi evuka ngqo egumbini lokuhlinza. Ngaphezu kwalokho, kwathi zithutha kwi Gurney egumbini lapho yena ungabuyela ukulala. Ngemva kwehora, avunyelwe ukuba uqale ukuphuza futhi ahlale. Ababili, kungaba kakade vuka udle, kodwa ngemva ezintathu uya ekhaya.

Okuningi kuxhomeke ekutheni ukufunde izimfanelo zalabo obulala izinzwa. Nokho, ngemva kwalokhu akukho isicanucanu izinzwa, ikhanda elibuhlungu, umuntu cishe engqondweni. Sensations ezifana uma umuntu ephaphama ngemva ubuthongo obukhulu, angase abe lakho okuthile ungakhumbuli.

Nokususa - ukusebenza ulula, kuthatha imizuzu engu-20. Nokho, ngemva isese ezinye yezinkinga:

• perforation kwesibeletho;
• ukuvuvukala kwesibeletho;
• hemometra (spasm isiphundu sabo ekuqongeleleni igazi esibelethweni);
• nokususa ngokweqile.

Kodwa ziyivelakancane. Ukuze bagweme ukubanjwa, udokotela imithi ukuvuvukala, Yiqiniso cishe kwama-antibiotic. Ngokuvamile, ngemva kokuba ukungenela amahora ambalwa kungenziwa ukopha, ngakho-ke kuyadingeka ukuba alethe gasket. Ukuze esingangesonto kungenzeka ukubeka amabala.

Ngakho, nokususa we endometrium - ingenye ezivame kakhulu ukuhlinza izifo zabesifazane kanye ukhululekile, ikakhulukazi uma sihilela wezifo zabesifazane afanelekayo nodokotela obulala izinzwa. Kuyaphawuleka kuncishiswe ingozi yezinkinga ukulimala izosebenzisa hysteroscopy.