Curettage ndi mimba pambuyo curettage: zomwe muyenera kudziwa

Kodi curettage ndi chiyani?

M'zachipatala, curettage imatanthawuza opaleshoni yomwe imaphatikizapo kuchotsa (pogwiritsa ntchito chida chofanana ndi supuni, chomwe chimatchedwa "curette") zonse kapena gawo la chiwalo kuchokera pamphuno yachilengedwe. Mawuwa amagwiritsidwa ntchito ponena za chiberekero. Curettage ndiye imaphatikizapo kuchotsa minofu yomwe imakwirira mkati mwa chiberekero, kapena endometrium.

Kodi uterine curettage iyenera kuchitidwa liti?

Curettage ikhoza kuchitidwa pofuna kufufuza, mwachitsanzo kupanga endometrial biopsy, komanso, ndipo koposa zonse, pofuna kuchiza, kuchotsa zotsalira za endometrium zomwe sizikanatha kuchotsedwa mwachibadwa. Izi zimakhala choncho makamaka pamene kupititsa padera kodzidzimutsa kapena kochititsidwa sikunalole kutulutsidwa kwathunthu kwa mwana wosabadwayo (kapena mwana wosabadwayo), kutulutsidwa kwa placenta ndi endometrium. Chinthu chomwecho pa nkhani ya kuchotsa mimba mwaufulu (kuchotsa mimba) mankhwala kapena chilakolako.

Kuonjezera apo, mawu oti curettage amagwiritsidwa ntchito ponena za njira yoyamwa, yomwe imakhala yochepa kwambiri, yopweteka kwambiri komanso yowopsa kwa amayi kusiyana ndi "classic" curettage. Nthawi zina timalankhula za suction curettage.

N'chifukwa chiyani uterine curettage?

Ngati curettage ikufunika kuchotsa zotsalira za placenta kapena endometrium, ndichifukwa chakuti minofuyi imatha kubweretsa zovuta, monga.kutuluka magazi, matenda, kapena kusabereka. Choncho ndi bwino kuwachotsa mosamala, mutasiya nthawi yochepa kuti muthe kuthamangitsidwa mwachibadwa, kapena mothandizidwa ndi mankhwala. Choyenera mwachiwonekere ndichoti kuthamangitsidwa kumachitika mwachisawawa komanso popanda mankhwala, mkati mwa nthawi yokwanira kupewa chiopsezo cha matenda.

Kodi curettage imagwira ntchito bwanji? Ndani amachita izo?

Kuchiritsa kwa chiberekero kumachitika m'chipinda cha opaleshoni, pansi pa anesthesia wamba kapena wamba. Amachitidwa ndi dokotala wa opaleshoni ya amayi, omwe nthawi zina amatha kupereka mankhwala kuti asungunuke chiberekero chisanayambe opaleshoni kuti athe kupeza chiberekero mosavuta. Mwachidule, kulowererapo kumachitika nthawi zambiri amapita kuchipatala, ndikuyenda tsiku lomwelo. Ma analgesics nthawi zambiri amaperekedwa kuti achepetse ululu womwe ungachitike m'masiku otsatira.

Ndi ziti zodzitetezera mukatha kuchiritsa?

Pakapita padera kapena kuchotsa mimba, khomo lachiberekero limatseguka. Monga momwe zimatengera maola angapo kapena masiku angapo kuti zitseguke, khomo lachiberekero limatha kutenga nthawi yayitali kuti litseke. Chibelekero chikakhala chotseguka, chiberekero chimatha kukhudzidwa ndi majeremusi, omwe angayambitse matenda. Monga pambuyo mimba, Ndi bwino pambuyo curettage wapewani kusamba, dziwe losambira, sauna, hammam, tampons, makapu osamba ndi kugonana kwa masabata awiri osachepera, kuchepetsa zoopsa.

Kupanda kutero, ngati ululu waukulu, kutentha thupi kapena kutaya magazi kwambiri kumachitika patatha masiku angapo mutachira, ndibwino kuti mudziwitse gynecologist wanu. Kenako adzayang'ananso kuti awone ngati zotsalira zonse zapita, kuwonetsetsa kuti palibe zizindikiro za matenda, ndi zina.

Curettage: zoopsa ndi zovuta za mimba yatsopano ndi chiyani?

Curettage yopangidwa ndi "curette" ndi njira yowononga yomwe, monga njira iliyonse m'chiberekero, imatha kupanga zomatira mu chiberekero. Izi zimachitika, nthawi zina, kuti kuvulala kumeneku ndi zomatira zimapangitsa kuti zikhale zovuta kuti mimba yatsopano ichitike, kapena kuti amalepheretsa kuchotsedwa kwa malamulo. Timayitana Asherman's syndrome, kapena uterine synechia, uterine matenda yodziwika ndi kukhalapo kwa adhesions mu chiberekero, ndi amene angayambe kutsatira bwino anachita curettage. Kuzindikira kwa synechia kuyenera kupangidwa kale:

• kusakhazikika kozungulira,
• nthawi yochepa kwambiri (kapena ngakhale kusowa kwa msambo),
• kukhalapo kwa ululu wa cyclic m'chiuno,
• osabereka.

A chisokonezo, ndiko kunena kuti kuyezetsa kwa endoscopic kwa chiberekero cha uterine, kungathe kuchitidwa kuti mudziwe kapena kusapezeka kwa post-curettage kapena post-aspiration adhesions, ndikusankha mankhwala moyenerera.

Dziwani kuti njira ya aspiration, yomwe nthawi zambiri imakonda kuchitidwa opaleshoni, imayimira chiopsezo chochepa.

Kodi mungachoke nthawi yayitali bwanji musanatenge mimba pambuyo pa curettage?

Titaonetsetsa kudzera mu ultrasound kuti palibe chotsalira cha chiberekero (kapena endometrium) kapena placenta chomwe chapulumuka, komanso kuti chiberekero cha chiberekero chimakhala chathanzi, m'malingaliro mwake palibe chotsutsana ndi kuyamba kwa mimba yatsopano. Ngati ovulation ikuchitika pakapita padera kapena kuchotsa mimba, mimba ikhoza kuchitika.

Zachipatala, zikukhulupiriridwa lero, kupatulapo zina, kuti zilipo palibe contraindication kuyesa kutenga mimba pambuyo curettage, monga ngati wapita padera modzidzimutsa popanda kuchitapo kanthu.

Mzochita zake, ndi kwa mkazi aliyense ndi banja lililonse kudziwa ngati ali okonzeka kuyesanso kutenga pakati. Mwakuthupi, kutuluka magazi ndi kupweteka kwa nthawi ngati kupweteka kungachitike m'masiku otsatirawa. Ndipo m'maganizo, zingakhale zofunikira kutenga nthawi. Chifukwa kupita padera kapena kuchotsa mimba kungakhale kukumana ndi mavuto aakulu. Mimba ikafunidwa, ikani mawu pakutayika uku, zindikirani kukhalapo kwa kanyama kakang'ono kamene tidafuna ndikutsazikana ... Kulira n’kofunika. Kwa kuchotsa mimba, mbali yamaganizo ndiyonso yofunikira. Kuchotsa mimba kapena kupititsa padera, mkazi aliyense ndi banja lililonse amakumana ndi chochitikachi mwanjira yawoyawo. Chinthu chofunika kwambiri ndikudzizungulira bwino, kuvomereza chisoni chanu, kuti muyambenso bwino, ndipo mwinamwake, kulingalira za mimba yatsopano ndi mtendere wochuluka momwe mungathere.

Medically, mimba pambuyo bwino anachita curettage si kupereka palibe chiopsezo choposa mimba wamba. Palibe palibenso chiopsezo chopita padera pambuyo pa curettage. Mukachita bwino, kuchiritsa sikumapangitsa kukhala wosabereka kapena kukhala wosabala.