Iziqulatho
Yintoni ukukhutshwaYintoni ukukhutshwa
Ukutsalwa kwimbumba yamathambo ye-uterus kubalwa njengento yokusebenza ukuze kususwe iimbumba zomzimba zomzimba wesibeleko kunye nomngcingo wesibeleko. Ukuqhwala kwindlela yokwelapha kusetyenziswa kokubili ukwenzela ukuxilonga nokunyanga. Ngokomzekelo, ngokuphuma kwintsholongwane yegazi, iipolisi zesigxina kunye nomlomo wesibeleko, njl. Njalo, ukutshitshiswa kuqhutyelwa ngenjongo yokuchithwa kokukhulelwa ngokwemizuzu eyi-12. Ukuqhawulwa kwemimiselo kuyimiselwe emva kokupheliswa kokunyanzeliswa kokukhulelwa ekupheleni kwexesha kunye nexesha lokugqibela, emva kokuphelelwa kwesisu okungaphelelanga. Xa i-placenta ilibazisekile emgodini we-uterine, leyo yimbangela yokuphuma kwegazi.
Ngokutsho kwenkcazo yezokwelapha, isibeleko sisitho somzimba esisifana ne "pear" esimo. Ubume kwindawo yokubeletha kunikezelwa ngesigxina, esivela kwintsholongwane yesibeleko sithetha nommandla wangaphandle. Umtya we-uterine uhlanganiswe ne-endometrial mucosa. Ngexesha lomjikelezo wesini, i-endometrium iyaqina. Ukuba akukho khulelwa, igobolondo inqatshelwe ngumzimba. Kukho amaxesha. Emva kokuya esikhathini, i-endometrium iqala ukukhula kwakhona.
Ngethuba lenkqubo yokwenza i-membrane ye-mucous, kuphela i-endometrium isuswa ngokusesikweni. Inyaniso akuyiyo yonke into enqamlekileyo isuswe, kodwa kuphela uluhlu olusebenzayo. Emva kokuhluthwa kwesibindi se-uterine, iindawo zokukhula kwe-endometrili zihlala, apho iimbumba ezintsha ze-mucous zikhula khona.
Ngaphambi nangemva kokuhlinzwa
Njengomthetho, usebenziso lwe-scraping lwenziwa nje ngaphambi kokuya esikhathini, nje iintsuku ezimbalwa ngaphambi kokuqala kwayo. Oku kwenziwa ukwenzela ukuba inkqubo yokuphulukiswa kwe-uterine mucosa ngexesha ihambelana namaxesha omzimba wokulahlwa kwe-endometrium. Ngomhla wobusuku bokuhlinzwa, lo mfazi uhlolwe ngu-anesthesiologist. Ngomhla wokuhlinzwa - isithinteli somsebenzi wesigqirha-gynecologist. Uviwo oluqhelekileyo, isifundo se-vagina kunye nomlomo wesibeleko ngoncedo lwezibuko kunye nesifundo sobungqina bokucacisa isikhundla nesimo sesisu. Ukukhuphela iingxaki kunye nokuchonga iingqinisiso zokunyanga.
Umsebenzi udlalwa phantsi kwe-anesthesia jikelele (kodwa ngamanye amaxesha ngaphantsi kwendawo) kwisihlalo somzimba. Umsele wentsholongwane ukhuliswa ngeendlela zokufakelwa kweeramitha ezahlukeneyo. Umsebenzi wonke uhlala malunga nemizuzu eyi-15. Emva kokuguqulwa kwesisu somguli, izigulane zichitha iiyure eziliqela okanye iintsuku esibhedlele. Ngenyanga eyi-1 emva kokusebenza, umntu makabeke kwizenzo zesondo. Kubalulekile ukugcina ugqirha ukuze ugweme iingxaki. Ezi ziquka:
- ukugqithiswa (ukuphulwa komgangatho wodonga) wesisu, isifo, ukuphuhliswa kwesibindi;
- ukuphuhliswa kokubambisana kwamanye amazwe, okungabangela ukuphulwa komjikelezo wesini kunye nomsebenzi wokuzala.
Kwiintsuku ezi-3 ukuya kwe-10 emva kokusebenza, ngamanye amaxesha kubonakala ukubonakala kwimibala. Kufuneka uqaphele ukuba ukukhutshwa kokuma kumile ngokukhawuleza kwaye kwakukho intlungu esiswini. Kukho ukwesaba ukuba i-canal spasms kunye ne-hematoma yenziwa (igazi liqokelela kwi-uterine cavity). Kufuneka ngokukhawuleza ukulungisa ugqirha uze udlule okanye kwenzeke i-US. Ukuthintela ukuphuhliswa kwama-hematomas, njengeprophylaxis kwiintsuku zokuqala emva kokusebenza, ungathatha i-no-shpa amaxesha amathathu ngosuku (i-tablet 1). Kwakhona kwithuba lokugqibela emva kokusebenza, ikhosi encinane ye-antibiotics imiselwe - ukukhusela ukuvutha kunye nezinye iingxaki.
Diagnostics
Ukuhluthwa kwe-diagnostic ye-uterine mucosa kunye nokuhlolwa kwezinto eziphathekayo kwenziwa ngokukrokra kwe-dysplasia kunye nomhlaza wesibeleko, isifo sofuba. Ukwahlula okufanayo kwimbumba yesibindi kuyenziwa ukuxilongwa kwiimeko apho idatha ye-ultrasound ingavumeli ukuxilongwa ngokuchanekileyo:
- Ngokuphuma kwintsholongwane, kuvela ngaphandle kwempawu yokukhulelwa, ukungabi nantoni na kwezinye iimeko.
- Ukuba ibhinqa inemizuzu emide kwaye ininzi kunye nokukhutshwa kwamacwecwe egazi.
- Ukuba kukho iimfihlo zokungena emzimbeni.
- Xa umfazi engakwazi ukukhulelwa ixesha elide.
- Ngezinye, izifo ezingaqhelekanga.
- Ukuqhwala unyango kwenziwa xa ukufunyanwa kweengxaki kubonakala.
Ugqirha unokubona utshintsho kwi-mucosa kwi-ultrasound, kodwa akunakwenzeka ukuba uhlolisise ngokuchanekileyo i-ultrasound kuzo zonke iimeko. Ngamanye amaxesha, i-ultrasound kufuneka iqhutywe maxesha amaninzi ngaphambi nangemva kokuya esikhathini. Oku kuyimfuneko ukucacisa ukubunjwa kwempilo. Ukuba ukubunjwa kusele emva kokuya esikhathini - kunika umgudu we-uterine mucosa.
Kwakhona ukutyalwa kumiselwe ukuba kususwe izisele zeembrane emva kokubeleka, ukukhulelwa kwesisu, ukungaphumeleli isisu.
Ukungqinelana
Ukutywa kwe-uterine mucosa kunqatshelwe xa:
- Izifo ezithintekayo, ukunyuka kwezifo ezingapheliyo zamalungu angaphakathi;
- izigulana ezinzima kunye nezifo zokuvuvukala izifo zomzimba;
- ukukrokrelwa kwe-perforation (ukuphazamiseka kwengqibelelo kodonga) yesisu.
Kwiimeko eziphuthumayo (umzekelo, ngokuphuma kwegazi ngokukhawuleza kwithuba lokugqibela emva kokusuka), inqununu ingasayi kuthathwa ingqalelo.
Ukuqhawula umlenze womlenze wesibeleko unokufumanisa izifo ezinzulu, ukuphazamisa ukukhulelwa okungafunekiyo. Nangona kunjalo, oku kukusebenza okungaphephile kunye neengxaki ezinokwenzeka.