Ukubopha nokukhuhla (D&C)

Ukukhangisa nokuhlanza (D&C) yindlela yokususa insimbi ngaphakathi kwesisu sakho. Abachwepheshe bezempilo benza ukukhangisa nokuhlanza ukuthola nokunakekela izimo ezithile zesisu — njengokuphuza kakhulu kwegazi — noma ukuhlanza ukugqoka kwesisu ngemuva kokukhulelwa okungaphumelelanga noma ukuphuma.

Ukuqandisa nokuhlanza kuyasetshenziswa ukuthola noma ukwelapha isimo sezitho ezibelethayo.

Izingozi ezivela ekwandiseni nasekuhlanzweni kwesisu zimbalwa. Kodwa-ke, kunezingozi, ezihlanganisa: Ukubhoboza kwesisu. Lokhu kwenzeka lapho ithuluzi lokuhlinzwa liqhuma ibhugwini esiswini. Lokhu kwenzeka kakhulu kwabesifazane abakhulelwe muva nje nakwabesifazane abasekupheleni kwesikhathi sabo sokubeletha. Ukubhoboza okuningi kuyaphola ngokwalo. Kodwa-ke, uma isikhuthulu segazi noma elinye ilungu lomzimba lilimale, inqubo yesibili ingase idingeke ukuyilungisa. Ukonakala komphimbo. Uma umphimbo uqhekekile phakathi ne-D&C, udokotela wakho angase asebenzise uxinzelelo noma imithi ukuyeka ukuphuza igazi noma angavala isiqephu ngezinti (izintambo). Lokhu kungavikeleka uma umphimbo uthambile ngemithi ngaphambi kwe-D&C. I-scar tissue odongeni lwesisu. Ngokuvamile, i-D&C iholela ekukhuleni kwe-scar tissue esiswini, isimo esaziwa ngokuthi i-Asherman's syndrome. I-Asherman's syndrome kwenzeka kakhulu lapho i-D&C yenziwa ngemva kokukhulelwa okuphelelwe yikho noma ukulethwa. Lokhu kungabangela izikhathi zenyanga ezingavamile, ezingapheli noma ezibuhlungu, ukulahlekelwa kokukhulelwa kwesikhathi esizayo nokungakhulelwa. Kungavame ukwelashwa ngokuhlinzwa. Ukutheleleka. Ukutheleleka ngemva kwe-D&C kuncane. Xhumana neqembu lakho lokunakekelwa kwezempilo uma ngemva kwe-D&C une: Ukuphuza igazi okukhulu kangangokuthi udinga ukushintsha amapedi njalo ngehora. Ukudideka noma ukukhanya okuphilayo. Ukuvuvukala. Ukubamba okuphilayo okungaphezu kwamahora angu-48. Ubuhlungu obukhulu kunokuba buhle. Ukukhishwa okunuka kabi ekuphumeni kwesikhumba.

Ukukhulisa nokuhlanza kungenziwa esibhedlela, ezikhungweni zezempilo noma ehhovisi lomhlinzeki wezempilo, ngokuvamile njengesiqondiso sokungena esibhedlela. Ngaphambi kwesiqondiso: Landela imiyalo yeqembu lakho lokunakekelwa ngokuphathelene nokuvimbela ukudla nokuphuza. Hlela ukuthi othile akuthathe ekhaya ngoba ungase ube buthakathaka ngemuva kokuba i-anesthesia iphelile. Nikeza isikhathi sesiqondiso namahora ambalwa okuphulukisa ngemuva kwalokho. Ezimweni ezithile, ungase uqale ukukhulisa isinyo lakho amahora ambalwa noma ngisho nsuku ngaphambi kwesiqondiso. Lokhu kusiza isinyo lakho ukuthi livulwe kancane kancane futhi ngokuvamile kwenziwa lapho isinyo lakho sidinga ukukhuliswa kakhulu kunaku-D&C ejwayelekile, njengasesikhathini sokuqeda ukukhulelwa noma ngezinhlobo ezithile ze-hysteroscopy. Ukuze uthuthukise ukukhula, udokotela wakho angase asebenzise imithi ebizwa nge-misoprostol (Cytotec) - enikezwa ngomlomo noma ngesikhumba - ukuthambisa isinyo. Enye indlela yokukhula iwukufaka induku encane eyenziwe nge-laminaria esinyweni sakho. I-laminaria ikhula kancane kancane ngokumunca amanzi esinyweni sakho, okubangela isinyo sakho ukuthi sivuleke.