I-Hysteroscopy inikeza indlela odokotela bakho abheke ngaphakathi kwesibeletho sakho. I-hysteroscope iyinsimbi efana ne-telescope efana ne-telescope efakwe esibelethweni ngokusebenzisa ubulili nesisu somlomo wesibeletho. Leli thuluzi livame ukusiza udokotela ukuxilonga noma ukuphatha inkinga yozalo . I-hysteroscopy iyinkimbinkimbi encane eyenziwa ehhovisini lakho kadokotela noma esibhedlela.
Kungenziwa nge-anesthesia yendawo, yesifunda, noma ejwayelekile - ngezinye izikhathi akukho-anesthesia edingekayo. Kukhona ingozi encane ehilelekile kule nqubo kubesifazane abaningi.
Ngabe i-Hysteroscopy isetshenziswa nini?
I-hysteroscopy ingaba ukuxilongwa noma yokusebenza.
I-hysteroscopy yokuxilonga isetshenziselwa ukuxilonga ezinye izifo ezingavamile, futhi ingasetshenziswa ukuqinisekisa imiphumela yezinye izivivinyo ezifana ne-hysterosalpingography (HSG). Ezinye izinsimbi noma amasu, njenge-dilation nokukhishwa (D & C) ne-laparoscopy, ngezinye izikhathi zisetshenziselwa ngokuhlanganyela ne-hysteroscopy. I-hysteroscopy yokuxilonga ingasetshenziselwa ukuxilonga izimo ezithile ezifana nokuvinjelwa kwe-uterine okungavamile, ukungabi nabantwana, ukungaziphathi kahle okuphindaphindiwe, ukunamathela, izicubu ze-fibroid, ama-polyps, noma ukuthola amadivayisi we-intrauterine (ama-IUDs).
I- hysteroscopy yokusebenza ingasetshenziswa, esikhundleni sokuhlinzwa okuvulekile kwesisu, kokubili ukuxilonga nokuphatha izimo ezithile ezifana nokunamathela kwamantombazane, ama-septum, noma ama-fibroids angasuswa kaningi nge-hysteroscope.
Ngezinye izikhathi i-hysteroscope isetshenziselwa ezinye izinsimbi ezifana ne-resectoscope ukuphatha amanye amacala okugeleza okungavamile ; Kodwa-ke, emva kwalesi senzo, eyaziwa njenge- endometrial ablation , abesifazane abakwazi ukuba nezingane ngakho akuyona inketho yabesifazane abafisa ukukhulelwa esikhathini esizayo. Ukuphumula kwe-endometrial yinkqubo echitha ubuningi besisu.
I-resectoscope iyinsimbi ye-telescope efana ne-wire loop, i-rollerball, noma i-tip roll cylinder ekugcineni. Amandla kagesi ekupheleni kwephuzu asetshenziselwa ukubhubhisa i-uterine lining. Le nqubo ivame ukuqhutshwa kwesilungiselelo sesipiliyoni.
Kufanele Yenziwe Nini?
Isikhathi esihle kakhulu se-hysteroscopy ngesikhatsi seviki lokuqala noma ngemuva kwenkathi yakho. Ngalesi sikhathi udokotela wakho uyakwazi ukubuka ngaphakathi kwesibeletho.
Ngizozilungiselela Kanjani?
Uma une-anesthesia ejwayelekile esibhedlela, uzotshelwa ukuba ungadli noma uphuze noma yini isikhathi esithile (ngokuvamile emva kwamabili ebusuku ebusuku ngaphambi kwenkambiso. Izivivinyo zomsebenzi zamehlo njalo zingalawulwa futhi nabesifazane abanesifo se-hysteroscopy esibhedlela. Uzocelwa ukuba uchithe isisu sakho futhi indawo yakho yangasese izohlanzwa nge-antiseptic. Ngezinye izikhathi isidakamizwa ukukusiza uphumule siyalwe. Okulandelayo, uzobe ulungele ukubulawa kwezinzwa:
- I-anesthesia yasendaweni : Uzothola umjovo we-anesthetic emlonyeni wesibeletho ukuwuphazamisa, ngalolu hlobo lwe-anesthesia uhlale uphapheme futhi ungase uzizwe unesidumbu.
- I-anesthesia yesiFunda : Isidakamizwa sijojowe, ngokusebenzisa inaliti noma ithubhu e-back your back, okuvimbela izinzwa ezithola isisuka esifundeni sezintambo. Uphapheme ngaloluhlobo lwe-anesthetic kodwa uzizwa ungakhululekile. I-anesthesia yesiFunda ibizwa nangokuthi umgogodla noma i-epidural.
- I-anesthesia ejwayelekile: Ngeke ube nolwazi ngesikhathi se-hysteroscopy yakho lapho kusetshenziswa i-anesthesia jikelele. I-mask emlonyeni nasempumeni yakho ikuvumela ukuthi uphefumule ingxube yezimpawu. Uma usu-anesthesia, i-tube ingafakwa phansi emqaleni wakho ukukusiza ukuphefumula.
Udokotela wakho uyonquma ukuthi yiluhlobo luni lwe-anesthesia olungcono kuwe ngenxa yesisekelo se-hysteroscopy yakho. Khumbula ukubuza imibuzo uma ngabe kukhona okuphathelene nenqubo yakho noma i-anesthesia akucacile.
Kwenzekani Ngenkathi Inqubo?
- Ukuvulwa kwesibeletho sakho kungase kudingeke ukuba kuhlanjululwe noma kuhlanganiswe ngamathuluzi akhethekile.
- I-hysteroscope ifakwa phakathi kwesisu sakho nesisu somlomo wesibeletho, nasesibelethweni sakho.
- Okulandelayo, uketshezi noma igesi ngokuvamile kukhishwa nge-hysteroscope ukwandisa isibeletho sakho ukuze udokotela wakho abe nombono ongcono ngaphakathi.
- Umthombo okhanyayo okhanyayo nge-hysteroscope uvumela udokotela wakho ukuba abone ngaphakathi kwesibeletho kanye nokuvuleka kwama-tublopian tubes emgodini we-uterine.
- Uma kudingeka ukuhlinzwa, izinsimbi ezincane zifakwe nge-hysteroscope.
Ngezinye izikhathi i-laparoscope isetshenziswa ngesikhathi esifanayo ukubuka ngaphandle kwesibeletho. Uma lokhu kwenzeka okwenziwe igesi efana ne-carbon dioxide noma i-nitrous oxide evunyelwe ukugeleza esiswini. Igesi ikhulisa isisu ukuze udokotela abone izitho lula. Iningi legesi lisuswa ekupheleni kwenqubo. Inqubo ye-laparoscopic izokwenziwa endaweni yezibhedlela.
Ngiyokwazi nini ukubuyela ekhaya?
Iziguli ezathola ukuhlinzekwa kwezidakamizwa zendawo zingase zibuyele ekhaya ngokushesha ngemuva kwenqubo. Labo ababene-anesthesia yesifunda noma ejwayelekile badinga isikhathi eside sokubheka ngaphambi kokuba bakhululwe, kodwa ngokuvamile bangaya ekhaya ngosuku olufanayo.
Ngizomuzwa Kanjani?
Ezinye iziguli zingase zizwe ubuhlungu behlombe ngokulandela i-laparoscopy noma uma igesi isetshenziselwa ukwandisa isibeletho. Uma igesi selifake ukungahambi kahle kumele lihambe ngokushesha. Ungase uzizwe uphelile noma ugule, noma ungase ube nokuphuza okuncane kwesisu nangama-cramps ngezinsuku ezingu-1-2 emva kwenqubo.
Xhumana nodokotela wakho uma uthuthukisa noma yikuphi okulandelayo ngemuva kwe-hysteroscopy yakho:
- Fever
- Ubuhlungu obukhulu besisu
- Ukuphuma kwegazi okwesisindo noma ukuphuma
Ingabe i-Hysteroscopy Safe?
I-Hysteroscopy iyindlela ephephile. Izinkinga ezingenzeka zingenzeka ngaphansi kwezingu-1% zamacala, kodwa zifaka:
- Ukulimala komlomo wesibeletho noma isisu
- Ukutheleleka
- Ukuphuma kwegazi okukhulu
- Imiphumela emibi evela ku-anesthesia
Nakuba i-anesthesia ejwayelekile isetshenziswa ngezinye izikhathi, kuningi lamacala akudingekile. I-Hysteroscopy ivumela udokotela wakho ukuba abone ngaphakathi kwesibeletho sakho kanye nezinsiza ekuhloleni okuqondile kwezinkinga ezithile zezokwelapha. Inqubo kanye nesikhathi sokutakula ngokuvamile kufushane.
> Umthombo:
> I-Hysteroscopy.ACOG Pamphlet Yemfundo AP084.http: //www.acog.org/publications/patient_education/bp084.cfm. Ifinyelele ngo-08/24/09.