Kuyini Ukunwetshwa kanye ne-Curettage (D&C)? Inhloso, Inqubo & Ukululama

Ukunwetshwa kanye ne-curettage, okuvame ukubizwa ngokuthi i-D&C, kuyinqubo encane yokuhlinzwa lapho udokotela wakho evula ngobumnene (anwebe) umlomo wakho wesibeletho futhi asuse izicubu ngaphakathi kwesibeletho sakho esebenzisa ithuluzi elikhethekile elibizwa nge-curette. Cabanga ngakho njengokuhlanza ngokucophelela umugqa wesibeletho, okufana nendlela ongase ukhiphe ngayo iqhwa efasiteleni ngobumnene. Le nqubo yeziguli eziphuthumayo ingenye yezindlela ezivamile zokwelapha izifo zabesifazane, isiza odokotela ukuthi bathole izinkinga futhi banikeze ukukhululeka kokwelapha ezimweni ezihlukahlukazi.

Kuyini Ukunwetshwa kanye ne-Curettage (D&C)?

I-D&C ihlanganisa izinyathelo ezimbili eziyinhloko ezisebenza ndawonye ukuze zifinyelele futhi zelaphe isibeletho sakho. Ngesikhathi sokunwetshwa, udokotela wakho uvula kancane umlomo wakho wesibeletho (ukuvuleka kwesibeletho sakho) esebenzisa amathuluzi akhethekile noma imithi. Lokhu kudala indlela yesinyathelo sesibili, i-curettage, lapho izicubu zikhiphwa ngobumnene noma zifakwe ngaphakathi emgqeni wakho wesibeletho.

Yonke inqubo ngokuvamile ithatha imizuzu engu-15 kuya kwengama-30 futhi yenziwa esibhedlela noma esikhungweni sokuhlinzwa esingaphandle. Uzothola i-anesthesia ukuze uqinisekise ukuthi uzizwa ukhululekile kuyo yonke inqubo. Abesifazane abaningi baya ekhaya ngosuku olufanayo, okwenza kube yindlela yokwelapha eqondile.

Udokotela wakho angase asebenzise izindlela ezihlukene kuye ngesimo sakho esithile. Ezinye izinqubo zihlanganisa i-D&C nokumunca (okubizwa ngokuthi i-suction curettage), kanti ezinye zingase zisebenzise indlela yokukhipha kuphela. Zombili lezi zindlela ziphephile futhi ziyasebenza uma zenziwa ngongoti bezifo zabesifazane abanolwazi.

Kungani kwenziwa Ukunwetshwa kanye ne-Curettage (D&C)?

I-D&C isebenza ngezinhloso ezimbili eziyinhloko: ukuxilongwa nokwelashwa kwezimo ezihlukahlukene zesibeletho. Udokotela wakho angase ancome le nqubo uma ezinye izivivinyo zingazange zinikeze izimpendulo ezicacile mayelana nokwenzekayo ngaphakathi kwesibeletho sakho. Kufana nokuba nomphenyi onekhono ohlola ngokucophelela ubufakazi obungenakubonakala ngaphandle.

Ngenjongo yokuxilonga, i-D&C isiza ukuhlola izimpawu eziningana ezikhathazayo. Lokhu kuhlanganisa ukuphuma kwegazi eliningi noma elingajwayelekile ngesikhathi sokuya esikhathini, ukuphuma kwegazi phakathi nezikhathi, noma ukuphuma kwegazi ngemva kokuya esikhathini. Udokotela wakho angasebenzisa le nqubo ukuhlola izifo, ukungalingani kwamahomoni, noma ukukhula okufana nama-polyps noma ama-fibroids.

Izinzuzo zokwelapha ze-D&C zibhekana nezimo ezihlukahlukene zezokwelapha ezidinga ukunakwa ngokushesha:

• Ukususa izicubu ngemva kokukhulelwa ukuvimbela ukutheleleka nokuphuma kwegazi eliningi
• Ukwelapha ukukhipha isisu okungaphelele lapho ezinye izicubu zokukhulelwa zihlala khona
• Ukususa ama-polyps noma ama-fibroids amancane abangela ukuphuma kwegazi eliningi
• Ukususa ukugqama komugqa wesibeletho (i-endometrial hyperplasia)
• Ukususa izicubu ze-biopsy ukuze kuvalwe umdlavuza
• Ukwelapha izinhlobo ezithile zokuphuma kwegazi okungajwayelekile

Ngezinye izikhathi i-D&C iba yimpoqo ezimweni eziphuthumayo, njengokuphuma kwegazi okukhulu okungami ngamanye amakhambi. Ezimweni ezinjalo, le nqubo ingasindisa impilo ngokususa ngokushesha umthombo wokuphuma kwegazi nokuvimbela izinkinga.

Yini inqubo ye-D&C?

Inqubo ye-D&C ilandela inqubo eqaphelekayo, yesinyathelo ngesinyathelo eyenzelwe ukukugcina uphephile futhi ukhululekile. Ngaphambi kokuba kuqale noma yini, uzohlangana nodokotela wakho we-anesthesiologist ukuze nixoxe ngohlobo lwe-anesthesia olungcono kakhulu kuwe. Abesifazane abaningi bathola i-anesthesia ejwayelekile, okusho ukuthi uzobe ulele ngokuphelele ngesikhathi senqubo.

Uma usukhululekile, udokotela wakho uzokubeka ngendlela efana nokuhlolwa okuvamile kwe-pelvic. Bazohlanza indawo kahle futhi bangase bafake i-speculum ukuze bathole umbono ocacile wentamo yakho yesibeletho. Lokhu kulungiselela kuqinisekisa ukuthi konke kuhlala kungenazo izifo futhi kuphephile kuyo yonke inqubo.

Isigaba sokuvula silandelayo, lapho udokotela wakho evula kancane kancane umlomo wakho wesibeletho. Bangasebenzisa izinduku ezikhethekile zokuvula ezinobukhulu obandayo, noma bangase bakunikeze imithi ngaphambili ukuze uthambise umlomo wakho wesibeletho ngokwemvelo. Lesi sinyathelo sidinga ukubekezela nokunemba, ngoba ukushesha kungabangela ukulimala ezicutshini ezibucayi.

Ngesikhathi sesigaba sokuhlanza, udokotela wakho ufaka i-curette (ithuluzi elinjengesipuni) noma idivayisi yokumunca ngomlomo wesibeletho ovuliwe. Bazoklwebha ngobumnene noma bamunce umugqa wesibeletho, beqoqa amasampula ezicubu uma kudingeka ukuze kuhlolwe. Yonke inqubo izizwa inendlela futhi ilawulwa, udokotela wakho eqapha ngokucophelela impendulo yakho.

Ngemva kokususa izicubu ezidingekayo, udokotela wakho uzohlola ukuqinisekisa ukuthi konke ukopha kumile nokuthi umlomo wakho wesibeletho ubuyela endaweni yawo evamile. Ngemuva kwalokho uzothuthwa endaweni yokululama lapho abahlengikazi bezoqapha izimpawu zakho ezibalulekile kanye nezinga lokunethezeka njengoba i-anesthesia iphela.

Ungalungiselela kanjani i-D&C yakho?

Ukulungiselela i-D&C yakho kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa ukuthi inqubo ihamba kahle futhi iphephile. Udokotela wakho uzonikeza imiyalelo ethile ngokusekelwe esimweni sakho, kodwa amalungiselelo amaningi aqondile futhi kulula ukuwalandela.

Ebusuku ngaphambi kwenqubo yakho, uzodinga ukugwema ukudla noma ukuphuza noma yini ngemuva kwamabili. Lesi sikhathi sokuzila ukudla, esibizwa ngokuthi i-NPO (akukho ngomlomo), sivimbela izinkinga nge-anesthesia. Uma uthatha imithi ejwayelekile, buza udokotela wakho ukuthi yiziphi okufanele uziqhubeke nokuthi yiziphi okufanele uzeqe.

Uhlu lwakho lokulungiselela kufanele luhlanganise lezi zinyathelo ezibalulekile:

• Lungiselele othile ukuthi akuqhubele ekhaya ngemva kwale nqubo
• Thatha imithi oyinikiwe ngqo njengoba uqondisiwe
• Gwema i-aspirin noma imithi eqeda igazi isikhathi esibekiwe
• Susa i-nail polish, ubucwebe, kanye nama-contact lenses ngaphambi kokufika
• Gqoka izingubo ezikhululekile, ezingaqinile
• Letha uhlu lwazo zonke izidakamizwa kanye nezithasiselo ozithathayo

Udkt wakho angase futhi anikeze imithi ukusiza ukuthambisa isitho sakho sangasese ngaphambi kwale nqubo. Thatha le mithi ngqo njengoba uqondisiwe, ngisho noma ibangela ukuqaqamba okuncane noma ukopha. Lokhu kulungiselela kwenza inqubo yokunweba ibe lula futhi ikhululeke kuwe.

Ngemva kokusho lokho, unganqikazi ukuxhumana nodokotela wakho uma uba nomkhuhlane, ubuhlungu obukhulu, noma ukuphuma kwegazi eliningi ezinsukwini eziholela enqubweni yakho. Lezi zimpawu zingase zibonise ukutheleleka noma enye inkinga edinga ukunakekelwa ngaphambi kokuqhubeka.

Ungawafunda kanjani imiphumela yakho ye-D&C?

Ukuqonda imiphumela yakho ye-D&C kuqala ngokwazi ukuthi amasampula ezicubu aqoqwe ngesikhathi senqubo athunyelwa elabhorethri ye-pathology ukuze ihlolwe ngokuningiliziwe. I-pathologist, udokotela onguchwepheshe ekuhlaziyeni izicubu, uzofunda amasampula akho ngaphansi kwe-microscope futhi alungiselele umbiko ophelele we-gynecologist yakho.

Umbiko we-pathology uvame ukufika phakathi kwezinsuku zebhizinisi eziyi-5 kuya kweziyi-10 ngemva kwenqubo yakho. Udokotela wakho uzobuyekeza lezi zitholakalo ngokucophelela futhi ahlele i-aphoyintimenti yokulandela ukuze axoxe ngalokho okushiwo yikho esimweni sakho esithile. Lesi sikhathi sokulinda, ngenkathi ngezinye izikhathi sibangela ukukhathazeka, sivumela ukuhlaziywa okuphelele nokuhumushwa okunembile.

Imiphumela ejwayelekile ngokuvamile ikhombisa izicubu ze-endometrial ezinempilo ezifanele iminyaka yakho kanye nesigaba somjikelezo wokuya esikhathini. I-pathologist izoqaphela ukubukeka kwezicubu, ukushuba, kanye nesakhiwo samaselula. Uma usengaphambi kokuya esikhathini, imiphumela ejwayelekile ingase ikhombise izinguquko ezihambisana nomjikelezo wakho wamahomoni, kuyilapho abesifazane abasele ngemva kokuya esikhathini ngokuvamile banazo izicubu ezincane, ezingasebenzi kakhulu.

Imiphumela engajwayelekile idinga ukuhunyushwa ngokucophelela futhi ingase ikhombe izimo eziningana ezihlukene. Lokhu kungabandakanya ukungalingani kwamahomoni, izifo, ama-polyps, ama-fibroids, noma ezimweni ezingavamile, izinguquko ezingaphambi komdlavuza noma ezinomdlavuza. Udokotela wakho uzochaza kahle ukuthi yini okutholwe okungajwayelekile okusho ukuthini futhi axoxe ngezinyathelo ezifanele ezilandelayo ngokusekelwe ezimweni zakho.

Khumbula ukuthi imiphumela engajwayelekile ayisho ngokuzenzakalelayo ukuthi kukhona okungahambi kahle. Izimo eziningi ezitholakala nge-D&C kulula ukuzelapha, futhi ukutholwa kwasekuqaleni kuvame ukuholela emiphumeleni engcono. Udokotela wakho uzosebenza nawe ukuthuthukisa uhlelo lokwelapha olubhekana nezidingo zakho ezithile kanye nezinkathazo zakho.

Ungayiphatha kanjani ukululama kwakho ngemva kwe-D&C?

Ukwelulama ku-D&C ngokuvamile kuqondile, nabesifazane abaningi bezizwa bebuyele kwesijwayelekile phakathi nezinsuku ezimbalwa kuya evikini. Umzimba wakho udinga isikhathi sokuphola kule nqubo, futhi ukulandela imiyalelo yokululama kadokotela wakho kusiza ekuqinisekiseni ukuphola okubushelelezi ngaphandle kwezinkinga.

Ngemva nje kwale nqubo, cishe uzozwa ukuqaqamba okuncane okufana nokuqaqamba kokuya esikhathini. Lokhu kungakhululeki kujwayelekile ngokuphelele futhi kubonisa ukuthi isibeletho sakho sibuyela osayizini waso ovamile nendawo yaso. Izidambisi zokuhlunguphala ezingaphezu kwe-counter njenge-ibuprofen noma i-acetaminophen ngokuvamile zinikeza ukukhululeka okwanele.

Uzophinda uqaphele ukopha okuthile kwesitho sangasese noma ukubona izinsuku eziningana ngemva kwale nqubo. Lokhu kuphuma kwegazi ngokuvamile kulula kunesikhathi esijwayelekile futhi kancane kancane kuyancipha ngokuhamba kwesikhathi. Sebenzisa amaphedi kunama-tampon ngalesi sikhathi, njengoba ama-tampon angenza amagciwane futhi andise ingozi yakho yokutheleleka.

Iziqondiso zakho zokululama zizohlanganisa imikhawulo eminingi ebalulekile eyenzelwe ukuvikela izicubu zakho ezilulama:

• Gwema ukuphakamisa izinto ezisindayo (ezingaphezu kwamakhilogremu angu-4.5) okungenani isonto elilodwa
• Akukho ukuhlangana ngokocansi amasonto angu-1-2 noma kuze kube yilapho uvunyelwe ngudokotela wakho
• Gwema ukugeza, ukubhukuda, kanye nama-hot tubs kuze kube yilapho ukopha kuyeka ngokuphelele
• Thatha ikhefu emsebenzini uma kudingeka, ikakhulukazi uma umsebenzi wakho uhilela umsebenzi ongokomzimba
• Gwema ukuzivocavoca okukhulu cishe isonto elilodwa
• Ungasebenzisi ama-tampon noma ama-douches kuze kube yilapho udokotela wakho ethi kuphephile

Abesifazane abaningi bangabuyela emisebenzini ejwayelekile phakathi kwezinsuku ezingu-2-3, nakuba kufanele ulalele umzimba wakho futhi uphumule uma kudingeka. Uma uhlangabezana nobuhlungu obukhulu, ukuphuma kwegazi okuningi, umkhuhlane, noma izimpawu zokutheleleka, xhumana nodokotela wakho ngokushesha njengoba lezi zimpawu zidinga ukunakekelwa ngokushesha.

Ziyini izici eziyingozi zezinkinga ze-D&C?

Ngenkathi i-D&C ngokuvamile iphephile kakhulu, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi nenze izinqumo ezinolwazi mayelana nokwelashwa kwakho futhi nithathe izinyathelo zokuphepha ezifanele ngesikhathi nangemva kwenqubo.

Izici ezihlobene nobudala zidlala indima kuphrofayili yakho yengozi yonke. Abesifazane asebekhulile, ikakhulukazi labo asebedlulile ekuya esikhathini, bangase babe nezicubu ezibuthakathaka eziqhelelene nokulimala ngesikhathi senqubo. Nokho, odokotela besifazane abanolwazi balungisa amasu abo ngokufanele, futhi iminyaka yobudala yodwa ayikuvimbeli ukuthi ube ne-D&C ephephile.

Izinqubo zangaphambilini zesibeletho noma ukuhlinzwa kungadala izicubu ezinamanxeba ezenza inqubo ibe yinselele enkulu. Uma uke waba nama-D&C amaningi, ukuhlinzwa kwe-cesarean, noma okunye ukuhlinzwa kwesibeletho, udokotela wakho uzothatha ukuqapha okwengeziwe ngesikhathi senqubo. Lomlando awenzi i-D&C ingenzeki, kodwa idinga ubuchwepheshe obengeziwe kanye nezinyathelo zokuphepha.

Izimo eziningana zezokwelapha zingakhuphula ingozi yakho yezinkinga ngesikhathi se-D&C:

• Izinkinga zokujiya kwegazi eziphazamisa ikhono lakho lokumisa ukopha
• Isifo senhliziyo noma ezinye izimo ezenza i-anesthesia ibe yingozi
• Izifo eziqhubekayo ze-pelvic ezingase zisakazeke ngesikhathi senqubo
• I-anemia eqinile eyenza ukulahlekelwa igazi kube yingozi kakhulu
• Imithi ethinta ukujiya kwegazi, njenge-warfarin noma i-aspirin
• Ukukhuluphala ngokweqile, okungenza inqubo ibe nzima ngokwengeziwe

Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho sempilo yamanje ngaphambi kokuncoma i-D&C. Bangase ba-ode izivivinyo ezengeziwe noma ukubonisana nochwepheshe abanye uma unezici eziyingozi ezinkulu. Lokhu kulungiselela okucophelelayo kusiza ekuqinisekiseni umphumela ophephe kakhulu wenqubo yakho.

Ziyini izinkinga ezingaba khona ze-D&C?

Izinkinga ezivela ku-D&C azivamile, zenzeka ngaphansi kuka-1% wezinqubo uma zenziwa ngongoti bezifo zabesifazane abanolwazi. Kodwa-ke, kubalulekile ukuqonda izingozi ezingaba khona ukuze ukwazi ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwakho futhi uqaphele izimpawu zokuxwayisa ezidinga ukunakwa ngokushesha.

Izinkinga ezivamile ngokuvamile zithambile futhi zixazululwa ngokwelashwa okufanele. Ukuphuma kwegazi ngokweqile kwenzeka cishe ku-1 kwizinqubo eziyi-1000 futhi ngokuvamile kuphendula kahle emithini noma ezinqubweni ezincane ezengeziwe. Ukutheleleka kungenye into engenzeka, ethinta cishe owesifazane oyedwa kwabayi-100, kodwa ama-antibiotics ngokuvamile ayayisusa ngokushesha uma ibanjwe kusenesikhathi.

Izinkinga ezingathi sína, nakuba zingavamile kakhulu, zidinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kuhlanganisa ukugwazwa kwesibeletho, okwenzeka ngaphansi kuka-1 kwizinqubo eziyi-500. Lokhu kusho ukuthi i-curette ngengozi idala imbobo encane odongeni lwesibeletho. Ukugwazwa okuncane kakhulu kuphola ngokwawo, kodwa okukhulu kungase kudingeke ukulungiswa kokuhlinzwa.

Izinkinga ezingavamile ezidinga ukunakekelwa okukhethekile zihlanganisa:

• Ukuqhekeka kwesitho somlomo wesibeletho (inyembezi esithweni somlomo wesibeletho) ngesikhathi sokuvuleka
• I-Asherman's syndrome (ukwakheka kwezicubu ezinamanxeba ngaphakathi esibelethweni)
• Izinkinga ezihlobene ne-anesthesia
• Amaqhubu egazi, ikakhulukazi kwabesifazane abanezinkinga zokujiya kwegazi
• Ukususwa okungaphelele kwezicubu okudinga inqubo ephindwayo
• Umonakalo wezitho ezizungezile (isitho somchamo noma amathumbu)

Ingozi yakho yezinkinga incike ezintweni eziningi, okuhlanganisa impilo yakho yonke, isizathu senqubo, kanye nolwazi lukahlinzayo wakho. Ukuxoxa ngalezi zingozi nodokotela wakho kukusiza ukuthi uqonde okulindelekile nokuthi ungasiza nini uma kuvela izinkinga.

Abesifazane abaningi balulama ngokuphelele ku-D&C ngaphandle kwemiphumela ehlala njalo. Izinzuzo zenqubo ngokuvamile zidlula kakhulu izingozi zayo, ikakhulukazi uma idingeka ukuxilonga noma ukwelapha isimo esibi. Udokotela wakho uzokuqapha ngokucophelela futhi anikeze imiyalelo enemininingwane yokubona nokuphatha noma yiziphi izinkinga ezingase zenzeke.

Kufanele ngibone nini udokotela ngemva kwe-D&C?

Ukwazi ukuthi ungaxhumana nini nodokotela wakho ngemva kwe-D&C kusiza ukuqinisekisa ukuthi uthola ukwelashwa okusheshayo uma kuvela izinkinga. Ngenkathi abesifazane abaningi belulama kahle, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha futhi akufanele zinganakwa noma zihlehliswe.

Xhumana nodokotela wakho ngokushesha uma uba nokopha okukhulu okumanzisa amaphedi angaphezu kwamabili ngehora amahora amabili alandelanayo. Leli zinga lokopha lingaphezu kakhulu kokubona okujwayelekile ngemva kwenqubo futhi kungase kubonise inkinga enkulu edinga ukwelashwa okuphuthumayo.

Umkhuhlane ongu-100.4°F (38°C) noma ngaphezulu, ikakhulukazi uma ehambisana nokubanda noma izimpawu ezinjenge-flu, kungase kubonise ukutheleleka. Ukutheleleka ngamathambo ngemva kwe-D&C kungaba kubi uma kungelashwa, kodwa kuphendula kahle kuma-antibiotics uma kubanjwe kusenesikhathi. Ungalindi ukubona ukuthi umkhuhlane uyanyamalala yini ngokwawo.

Ezinye izimpawu eziningi zidinga ukunakekelwa kwezokwelapha ngokushesha:

• Ubuhlungu obukhulu besinqe noma besisu obungathuthuki ngemithi ebhalwe ngudokotela yokudambisa ubuhlungu
• Ukuphuma kwegazi okungcolile kwesitho sangasese sowesifazane okungase kubonise ukutheleleka
• Isicanucanu nokuhlanza okukuvimbela ukuthi ungagcini uketshezi emzimbeni wakho
• Isiyezi noma ukuquleka, okungase kubonise ukulahlekelwa igazi
• Ukuhluleka ukuchama noma igazi emchamweni wakho
• Ubuhlungu besifuba noma ubunzima bokuphefumula

Kufanele futhi ushayele udokotela wakho ngezimpawu ezingaphuthumi kakhulu kodwa ezikhathazayo njengokuphuma kwegazi okuqhubeka isikhathi esingaphezu kwamasonto amabili, ukuqaqamba okuqhubekayo okubonakala kuya ngokuya kuba kubi kunokuba ngcono, noma yiziphi izimpawu ezikukhathazayo, ngisho noma zibonakala zincane.

Khumbula ukuthi ihhovisi likadokotela wakho likhona ukukusiza ekululameni kwakho. Unganqikazi ukushayela ngemibuzo noma izinkathazo, ngoba bangathanda ukubhekana nezinkathazo ezincane ekuqaleni kunokuthi uhlupheke ngokungadingekile noma ube nezinkinga ezingavinjelwa ngokusheshisa.

Imibuzo evame ukubuzwa mayelana ne-Dilation and Curettage (D&C)

Q.1 Ingabe ukuhlolwa kwe-D&C kulungile ekuxilongeni umdlavuza we-endometrial?

I-D&C ithathwa njengezinga legolide lokuxilonga umdlavuza we-endometrial nezinye izimo zesibeletho. Le nqubo ivumela udokotela wakho ukuthi aqoqe amasampula ezicubu kuyo yonke indawo yokuvikela isibeletho sakho, enikeza umbono obanzi ukuthi ezinye izivivinyo zingase ziwushaye. Lokhu kuthatha amasampula okuphelele kwenza i-D&C inembe kakhulu kune-endometrial biopsies esekelwe ehhovisi, ezithatha amasampula ezindaweni ezincane kuphela.

Lapho kusolwa umdlavuza we-endometrial, i-D&C inganquma hhayi kuphela ukuthi umdlavuza ukhona yini kodwa nokuthi hlobo luni nokuthi ubonakala unolaka kangakanani. Lolu lwazi lubalulekile ekuthuthukiseni uhlelo lokwelapha olusebenzayo. Le nqubo ingathola umdlavuza ezigabeni zawo zokuqala lapho ukwelashwa kuphumelela kakhulu.

Q.2 Ingabe ukuphuma kwegazi okungavamile kudinga njalo i-D&C?

Ukuphuma kwegazi okungajwayelekile akudingi ngaso sonke isikhathi i-D&C, kodwa kudinga ukuhlolwa kwezokwelapha ukuze kutholwe imbangela ekhona. Udokotela wakho uzoqala azame izindlela ezingahlaseli kakhulu njengokwelashwa ngamahomoni, imithi, noma izinqubo ezenziwa ehhovisi. I-D&C ivame ukunconywa lapho lezi zindlela zokwelapha ezilula zingasebenzi noma lapho kukhona ukukhathazeka ngezimo ezingaphansi ezingathi sína.

Izici ezenza ukuthi i-D&C ibe maningi amathuba okuthi yenzeke zihlanganisa ukuphuma kwegazi ngemva kokuya esikhathini, ukuphuma kwegazi okuningi kakhulu okungaphenduli emithini, ukuphuma kwegazi phakathi kwemijikelezo okuhlala njalo, noma imiphumela engajwayelekile kwezinye izivivinyo njenge-ultrasound noma i-endometrial biopsy. Iminyaka yakho, umlando wakho wezokwelapha, nezimpawu ezithile konke kunomthelela ekutheni i-D&C iyona ndlela efanele yini isimo sakho.

Q.3 Ingabe i-D&C ingawuthinta umthamo wami wokukhulelwa?

I-D&C ngokuvamile ayiwuthinti umthamo wakho wokukhulelwa, futhi abesifazane abaningi abafuna ukukhulelwa bangakwenza lokho ngokujwayelekile ngemva kwale nqubo. Umjikelezo wakho wokuya esikhathini uvame ukubuyela kokujwayelekile phakathi kwamasonto angu-4-6, futhi inzalo yakho ngokuvamile ihlala ingashintshi. Nokho, kubalulekile ukulinda kuze kube yilapho udokotela wakho ekukhulula emisebenzini yocansi kanye nemizamo yokukhulelwa.

Ezimweni ezingavamile kakhulu, izinkinga ezinjenge-Asherman's syndrome (ukwakheka kwezicubu ezinamanxeba) zingathinta inzalo, kodwa lokhu kwenzeka ngaphansi kuka-1.5% wezinqubo ze-D&C. Uma uhlela ukukhulelwa, xoxa ngezinhloso zakho zenzalo nodokotela wakho ngaphambi kwale nqubo ukuze bakwazi ukuthatha izinyathelo ezengeziwe zokuvikela impilo yakho yokuzala.

Q.4 Kuthatha isikhathi esingakanani ukululama ku-D&C?

Abesifazane abaningi balulama ku-D&C phakathi nesonto elilodwa kuya kwamabili, nakuba wonke umuntu ephola ngejubane lakhe. Cishe uzobuyela kokujwayelekile phakathi nezinsuku ezimbalwa zemisebenzi elula, kodwa ukuphola okuphelele kwesembozo sesibeletho kuthatha cishe amasonto amabili. Ngesikhathi lesi, ungase uhlangabezane nokugcwala okuncane kanye nokuphuma kwegazi okuncane okuncipha kancane kancane.

Isikhathi sakho sokuqala sokuya esikhathini ngemva kwe-D&C ngokuvamile sibuya phakathi kwamasonto angu-4-6, nakuba singase sihluke kancane emjikelezweni wakho ovamile. Ukululama okuphelele kusho ukuthi akusekho ukuphuma kwegazi noma ukubona, akusekho ukuqaqamba, nokuvunyelwa ngudokotela wakho ukuthi uqhubeke nayo yonke imisebenzi ejwayelekile ehlanganisa ukuzivocavoca nokuhlangana ngokocansi.

Q.5 Ingabe i-D&C iyafana nenqubo yokukhipha isisu?

I-D&C ingasetshenziswa njengengxenye yezinqubo zokukhipha isisu, kodwa akuyona inqubo yokukhipha isisu kuphela. Le ndlela efanayo isetshenziselwa izizathu eziningi zezokwelapha, okuhlanganisa ukwelapha ukuphuphuma kwesisu, ukususa ama-polyps, ukuxilonga umdlavuza, nokubhekana nokuphuma kwegazi okukhulu. Uma isetshenziselwa ukukhipha isisu, ngokuvamile ibizwa ngokuthi “ukukhipha isisu ngokuhlinzwa” noma “ukukhipha isisu nge-D&C.”

Indlela yezokwelapha iyafana kungakhathaliseki ukuthi yini okwenziwa ngayo. Okuhluka yisibonakaliso (ukuthi kungani kwenziwa) futhi ngezinye izikhathi isikhathi. Noma ngabe isetshenziselwa izizathu zokuxilonga, zokwelapha, noma ezihlobene nokukhulelwa, i-D&C ihlanganisa inqubo efanayo eqaphelayo yokunweba nokuhlanza eyenziwa ngongoti bezifo zabesifazane ezindaweni zezokwelapha eziphephile.