I-Hysteroscopy inikeza indlela yokuba ugqirha wakho abheke ngaphakathi kwesibeleko sakho. I-hysteroscope iyisitye esincinci, esinjenge-telescope esifakwa kwisisu ngenxa yesisu kunye nesibeleko. Esi sixhobo sisoloko sinceda ugqirha ukuxilonga okanye ukuphatha ingxaki yebele . I-Hysteroscopy yindlela yokuhlinzwa encinane eyenziwa kwiofisi yakho yonyango okanye kwisibhedlele.
Ingenziwa nge-anesthesia yengingqi, yesithili, okanye jikelele-ngamanye amaxesha akukho nto i-anesthesia iyadingeka. Kukho umngcipheko omncinci ochaphazelekayo kule nkqubo kubafazi abaninzi.
Xa i-Hysteroscopy isetyenziswa nini?
I-Hysteroscopy ingaba yinkqubo yokuxilonga okanye yokusebenza.
I-hysteroscopy yokuxilonga isetyenziselwa ukuxilonga i-uterine engaqhelekanga, kwaye ingasetyenziselwa ukuqinisekisa iziphumo zenye iimvavanyo ezifana ne-hysterosalpingography (HSG). Ezinye izixhobo okanye ubuchule, ezifana nokuhlengahlengiswa kunye ne-curettage (D & C) kunye ne-laparoscopy, ngamanye amaxesha kusetyenziswa ngokubambisana ne-hysteroscopy. I-hysteroscopy yokuxilonga ingasetyenziselwa ukuxilonga iimeko ezithile ezinjengegazi elingavamile, ukungazinzi, ukuphazamiseka okuphindaphindiweyo, ukuxhamla, izicubu ze-fibroid, ii-polyps, okanye ukufumana izixhobo ze-intrauterine (iUDs).
Ukusetyenziswa kwe- hysteroscopy ingasetyenziselwa, endaweni yokuvulelwa kwesisu, ukuxilonga kunye nokunyanga iimeko ezinjenge-uterine adhesions, i-septums, okanye i-fibroids ezinokuthi zisuswe kwi-hysteroscope.
Ngamanye amaxesha i-hysteroscope isetyenziswa kunye nezinye izixhobo ezifana ne-resectoscope ukunyanga ezinye iimeko zokuphuma kwegazi ngokungavamile ; Nangona kunjalo, emva kokuba le nkqubo, eyaziwa ngokuba yi- endometrial ablation , abasetyhini abanakho ukuza kuba nabantwana ngoko-ke akuyiyo inketho kubasetyhini abanqwenela ukukhulelwa kwangaphambili. Ukuphulwa kwe-Endometrial yinkqubo ebhubhisa isalathisi sesisu.
I-resectoscope yintsimbi ye-telescope efana ne-wire loop, i-rollerball, okanye i-roller cylinder tip ekupheleni. Umbane wamanzi ekupheleni kwesicatshulwa sisetyenziselwa ukutshabalalisa i-uterine bining. Le nqubo ivame ukuqhutyelwa kwisilungiselelo sokugula.
Xa Kufuneka Yenziwe?
Ixesha elona lihle kakhulu le-hysteroscopy ngethuba leveki yokuqala okanye emva kwexesha lakho. Ngeli xesha ixesha lakho ugqirha liyakwazi ukujonga ngaphakathi ngaphakathi kwesibeleko.
Ndingayilungisa Njani?
Ukuba unesi-general anesthesia esibhedlele, uya kuxelwa ukuba ungadli okanye ungaphuze nantoni na ixesha elithile (ngokuqhelekileyo emva kobusuku bobusuku ngaphambi kohlelo). Iimvavanyo zebhanki eziqhelekileyo ziyakunikwa kunye nabasetyhini abane-hysteroscopy esibhedlele. Uyakucelwa ukuba uchithe i-bladder yakho kwaye indawo yakho yesisu iya kucoca nge-antiseptic. Ngamanye amaxesha isicatshulwa kukunceda ukhululeke siyalwe. Emva koko, uya kulungelelwa i-anesthesia:
- I-aneshesia yendawo : Uya kufumana umjovo we-anesthetic emlonyeni wesibeleko ukuze unxweme, kunye nalo hlobo lwe-anesthesia uhlala uphapheme kwaye unokuziva utyhafile.
- I-anesthesia yesithili : Isiza esicatshulwayo, ngokusebenzisa inaliti okanye ityhubhu emqolo wakho osezantsi, ovimba iintsholongwane ezifumana uluntu oluvela kwingingqi ye-pelvic. Uvukile ngale ndlela yohlobo lwe-anesthetic kodwa uzive ukhululekile. I-anesthesia yesithili ikwabizwa ngokuba ngumqolo wesisu okanye i-epidural.
- Jikelele i-aneshesia: Awuyi kuba nolwazi ngexesha lakho le-hysteroscopy xa kusetyenziswa i-anesthesia jikelele. I-mask phezu komlomo wakho neempumlo ikuvumela ukuba uphefumle umxube we-gasses. Xa usuphantsi kwe-anesthesia, ityhubhu ingafakwa phantsi komqala wakho ukukunceda uphefumule.
Ugqirha wakho uza kugqiba uhlobo luni lwe-anesthesia elona lungcono kuwe ngokusekelwe kwisizathu sokwenza i-hysteroscopy. Khumbula ukubuza imibuzo ukuba kukho nayiphi na indlela malunga nenkqubo yakho okanye i-aneshesia ayicacanga.
Yintoni eyenzekayo ngexesha leNkqubo?
- Ukuvulwa komlomo wakho wesibeleko kungadinga ukuba kuhlanjululwe okanye kwenziwe ngokubanzi kunye nezixhobo ezikhethekileyo.
- I-hysteroscope ifakwe kwisisu sakho kunye nesisu sesibeleko, kunye nesisu sakho.
- Okulandelayo, i-liquid okanye igesi ikhutshwe nge-hysteroscope ukwandisa isisu sakho ukuze ugqirha wakho abe nombono ongcono ngaphakathi.
- Umthombo okhanyayo ukhanyayo kwi-hysteroscope ivumela ugqirha wakho ukuba abone ngaphakathi kwesibeleko kunye nokuvuleka kwamathambo e-fallopian kwisigxina se-uterine.
- Ukuba ukuhlinzwa kuyadingeka, izixhobo ezincinci zifakwe kwi-hysteroscope.
Maxa wambi i-laparoscope isetyenziswa ngexesha elifanayo ukujonga ngaphandle kwesibeleko. Xa kwenzeka le gesi efana ne-carbon dioxide okanye i-nitrous oxide ivumelekile ukuba iqhube kwisisu. Igesi iyakwandisa isisu ukuze ugqirha abone iziko zilula. Ininzi yegesi iyasuswa ekupheleni kwenkqubo. Inqubo ye-laparoscopic iya kwenziwa kwisikolo esibhedlele.
Ndiza Kufika nini I-Home?
Izigulane ezifumene i-anesthetic yendawo ingasaya ekhaya kungekudala emva kwenkqubo. Abo babenommandla wendawo okanye i-aneshesia jikelele bafuna ixesha elide lokujonga ngaphambi kokuba bakhululwe, kodwa banokubuyela ekhaya ngosuku olufanayo.
Ndingayiva njani emva koko?
Ezinye izigulane zinokuva ubunzima beentlungu emva kwe-laparoscopy okanye xa igesi isetyenziselwa ukwandisa isisu. Emva kokuba igesi ibandakanyeke ukuxakeka kufuneka ihlawule ngokukhawuleza. Unokuziva utyhafile okanye ugula, okanye unokuba negazi elincinci legazi kunye neenkampu ngeentsuku ezingama-1-2 emva kwenkqubo.
Qhagamshelana noDokotela wakho ukuba uhlakulele nayiphi na le ndelayo emva kwe-hysteroscopy yakho:
- Fever
- Ubuhlungu besisu esiswini
- Ukuphuma kwegazi okanye ukukhupha
Ngaba i-Hysteroscopy Safe?
I-Hysteroscopy yinkqubo ekhuselekileyo. Iingxaki ezinokuthi zenzeke zenzeke ngaphantsi kwe-1% yamatyala, kodwa zibandakanya:
- Ukulimala kumbele wesibeleko okanye isisu
- Sulelo
- Ukuphuma kwamanzi
- Imiphumo emibi evela kwi-anesthesia
Nangona ngamanye amaxesha i-anesthesia jikelele isetyenziswa, kwiimeko ezininzi kunyanzelwanga. I-Hysteroscopy ivumela ugqirha wakho ukuba abone ngaphakathi kwesibeleko sakho kunye neenkxaso kwi-diagnostic echanekileyo yeengxaki ezithile zezonyango. Inkqubo kunye nexesha lokubuyiselwa lihlala lifutshane.
> Umthombo:
> Hysteroscopy.ACOG Imfundo Pamphlet AP084.http: //www.acog.org/publications/patient_education/bp084.cfm. Kufike ngo-08/24/09.