Okuqukethwe
Kuyini ukuguqulwaKuyini ukuguqulwa
Ukwehliswa kwekhanda elimangcwaba lesibeletho kufakwa njengesenzo sokususa izitho zangasese zomzimba wesibeletho nomsele womlomo wesibeletho. Ukwehla ekusebenzeni kwezokwelapha kusetshenziselwa kokubili izinjongo zokuxilonga nezokwelapha. Isibonelo, ngokuphuma kwegazi, ama-polyps of the cavity kanye nomlomo wesibeletho, njll Futhi, ukukhipha kwenziwa ngenhloso yokukhipha ukukhulelwa ngamasonto angama-12. Ukwehliswa kwenzelwe emva kokuqeda ukuphoqeleka kokukhulelwa ngasekupheleni kwesikhathi kanye nesikhathi sokuhamba kwesikhathi, ngokuphelelwa yisisu okungaphelele. Lapho i-placenta iphuze emgodini we-uterine, okuyimbangela yokuphuma kwamagciwane.
Ngokwesichazamazwi sezokwelapha, lesi sizalo singumzimba wesisu ofana ne "pear" esesimweni. Imvelo esibelethweni inikezwa ngendwangu, okuyinto ngokusebenzisa umbelevuza wesibeletho ixhumana nemvelo yangaphandle. Umgodla we-uterine uhlanganiswe ne-endometrial mucosa. Phakathi nomjikelezo wokuya esikhathini, i-endometrium iyaqina. Uma kungekho ukukhulelwa, igobolondo inqatshwa ngumzimba. Kukhona ama-mens. Ngemuva kokuya esikhathini, i-endometrium iqala ukukhula futhi.
Phakathi nenqubo yokweqa i-membrane yamangqamuzana kuphela, i-endometrium kuphela isusiwe ngendlela. Iqiniso akuwona wonke ama-mucous asusiwe, kodwa kuphela isendlalelo sokusebenza esingaphezulu. Ngemuva kokukhishwa kwendwangu yesibindi, izakhi zokukhula ze-endometrili zihlala, okuvela kuyo lapho i-membrane entsha ikhula khona.
Ukuhlinzwa ngaphambi nangemva kwalokho
Njengomthetho, ukusebenza kokukhipha kwenziwa ngaphambi nje kokuya esikhathini, ezinsukwini ezimbalwa ngaphambi kokuqala okulindelekile. Lokhu kwenziwa ukuze inqubo yokwelapha i-mucosa ye-uterine ngokuhamba kwesikhathi ihambelane nezikhathi zokuphila zokulahlwa kwe-endometrium. Ngemuva kokuhlinzwa, lo wesifazane uhlolwe yi-anesthesiologist. Ngosuku lokuhlinza - isazi sokusebenza kwengqondo-isazi sokusebenza kwengqondo. Ukuhlolwa okujwayelekile, isifundo se-vagin and cervix ngosizo lwezibuko kanye nesifundo sezincwadi ukucacisa isimo nesimo sesisu. Ukukhipha izinkinga futhi ubone ukuphikisana nokukhishwa.
Ukuhlinzwa kuvame ukuqhutshwa ngaphansi kwe-anesthesia jikelele (kodwa ngezinye izikhathi ngaphansi kwendawo) esihlalweni somzimba. Umsele womlomo wesibeletho ukwandiswa ngokusebenzisa i-dilator ehlanganisiwe yama diameter ehlukene. Umsebenzi wonke uhlala cishe imizuzu engu-15. Ngemuva kokukhulelwa kwesibeletho sesiguli, iziguli zichitha amahora amaningana noma izinsuku esibhedlela. Kungakapheli inyanga eyodwa emva kokuhlinzwa, umuntu kufanele ahluke emsebenzini wezocansi. Kubalulekile ukugcina udokotela ukuze ugweme izinkinga. Lokhu kufaka:
- ukukhwabanisa (ukwephula ubuqotho bodonga) kwesibeletho, ukutheleleka, ukuthuthukiswa kwesibindi;
- ukuthuthukiswa kokunamathela kwe-intrauterine, okungabangela ukwephulwa komjikelezo wokuya esikhathini nokusebenza kokuzala.
Ngakapheli izinsuku ezingu-3-10 emva kokuhlinzwa, ngezinye izikhathi ukubona izindawo zibonakala. Kufanele uqaphele uma ukuphuma kumile ngokushesha futhi ngesikhathi esifanayo kube nobuhlungu esiswini. Kukhona ukwesaba ukuthi umsele womlomo wesibeletho kanye ne-hematoma yenziwa (igazi lihlanganisa emgodini wesibindi). Kuyadingeka ngesikhathi esisodwa ukukhuluma nodokotela futhi kudlule noma kwenzeke US. Ukuvimbela ukuthuthukiswa kwama-hematomas, njenge-prophylaxis ezinsukwini zokuqala zokulandela, ungathatha izikhathi ezingu-2 ngosuku (ithebhulethi elilodwa). Kanti futhi esikhathini sokusebenza emva kwesikhathi, inkambo encane yemithi elwa namagciwane ishiwo - ukuvimbela ukuvuvukala nezinye izinkinga.
Ukuhlonza
Ukwelashwa kokutholakala kwe-uterine mucosa ngokuhlolisiswa kwalokhu kuyenzeka ngokusola nge-dysplasia nomdlavuza wesibeletho, isifo sofuba. Ukuhlunga okufanayo kwendwangu yesisu kuyenziwa ukuze kuhlolwe lapho kutholakala idatha ye-ultrasound engavumelani nokuxilongwa okunembile:
- Ngokuphuma kwamagciwane, okuvela ngaphandle kwempawu yokukhulelwa, ukungabi nabantwana kanye nezinye izimo.
- Uma owesifazane enesisindo eside futhi esiningi ngokukhululwa kwezindwangu zegazi.
- Uma kunemfihlo yokuvimbela igazi.
- Uma owesifazane engakwazi ukukhulelwa isikhathi eside.
- Ngezinye, izifo ezingavamile kakhulu.
- Ukwelapha ukwelashwa kwenziwa lapho kutholakala ukuhlolwa kwe-pathological.
Udokotela angase abone izinguquko embukheni we-ultrasound, kodwa akunakwenzeka ukuxilonga ngokunembile i-ultrasound kuzo zonke izimo. Ngezinye izikhathi, i-ultrasound kufanele yenziwe izikhathi eziningana ngaphambi nangemva kokuya esikhathini. Lokhu kuyadingeka ukucacisa ukubunjwa kwe-pathological. Uma ukubunjwa kuhlala ngemuva kokuya esikhathini - kunquma ukukhishwa kwe-mucosa ye-uterine.
Futhi ukukhishwa kunqunyelwe ukususa izinsalela zezinambuzane ngemuva kokubeletha, ukukhulelwa kwesisu, ukukhipha isisu okungaphumeleli.
Ukungafani
Ukukhipha i-mucosa ye-uterine kuyaphikisana lapho:
- izifo ezithathelwanayo eziyingozi, ukuqhuma kwezifo ezingapheli zezitho zangaphakathi;
- izifo ezivuthayo nokuzibulala izifo zobulili;
- ukusola kwe-perforation (ukuphazanyiswa kobuqotho bodonga) kwesibeletho.
Ezimweni eziphuthumayo (isibonelo, ngokuphaphazeka okukhulu esikhathini sokuhamba kwesikhathi), ukuphikisana kungase kungacatshangelwa.
Ukukhipha ulwelwesi lwamaqabunga esibelethweni lungakwazi ukuthola izifo ezinzima, ukuphazamisa ukukhulelwa okungadingeki. Kodwa-ke, lokhu kungukusebenza okuphephile nezinkinga ezingenzeka.