Ukugqithiselwa kwesibeleko kuyinkcenkceshe eyingozi yeendlela ezithile zokuziphatha, ezibandakanya umonakalo odongeni lwe-uterine oluwela ngqo. Isizathu sokuba ugqirha awuhambisani nolu cwangciso lokungenelela ngoncedo lwangaphakathi ngaphakathi kwesigxina se-uterine phantsi kwezi ndlela ezilandelayo:
- hysteroscopy ;
- ukukhipha isisu;
- ukutshitshiswa kwendawo yomzimba;
- ngexesha lokuqaliswa kwezilwanyana zokukhulelwa kwe-intrauterine.
Ukugqithwa kwesibindi ngexesha lokutshiza kuyingozi kakhulu kuba inkqubo yenziwa yicurette eneempembelo ezibukhali. Ngokubhekiselele kwinto ehlala iwonakele kunye nezitho zangaphakathi. Kule meko, imiphumo ye-uterine perforation ingaba yingozi.
Imiba nemingcipheko
Ukubonakala kwe-perforation ye-uterus akuyona nje iphutha lomsebenzi wezonyango. Indima ebalulekileyo idlalwe yimeko yempilo kunye neempawu zesakhiwo se-anatomical sezitho zangasese zangaphakathi. Ngokomzekelo, ezi zilandelayo zidweliswe kwiimeko ezijongene nobungozi obangelwa kukunyanzeliswa kwesisu:
- i-retroflexia ebukhali yesisu;
- inkqubo yokuvuvukala kwisibeletho;
- Ubunzima bokubakho kwisibeleko emva kokusebenza kwangaphambili;
- I-Hysteroscopy ekubonweni kakubi;
- Ukuguga - isakhiwo seengcuba zitshintsho, kukho ukulahleka kwe-elasticity;
- ukuhlinzwa rhoqo kwangoko kwisisu (ukuya kwiinyanga ezi-6).
Qinisekisa ukuba imiqondiso ye-uterine perforation ayisoloko ilula, kuba iimeko ezininzi ziqhutyelwa kwi-anesthesia. Kwaye ugqirha unokuqiqa malunga nenkcenkcesha evela kuphela ekubonakaleni kwesigulane kunye nokuziva kwakhe. Kodwa nangona kunjalo kwiimpawu ezisisiseko zokugqithwa kwesibindi kunokwenzeka ukuba kuthwale:
- Intlungu ebuhlungu ngokukhawuleza kwisisu esezantsi.
- Ukukhutshwa kwamanzi okuphuma kwindlela yomzimba.
- Ukwanda kweqondo lomzimba.
- Ubuthathaka.
- Utywala.
- Ngenxa yokulahlekelwa igazi okukhulu, kukho ukuhla kweengcinezelo, ukugqithisa kwesikhumba, ukuphaphaza ngokukhawuleza.
Ukugqitywa kwebele - unyango
Utyando lwe-uterine perforation lwenziwa kuphela ngophando nge-laparoscopic okanye i-laparotomic access. Ngethuba lokusebenza, iinjongo zesilonda zitshintshiwe, isigxina esiswini sisenziwa ukuba siwonakalise kwaye isanti esasiswini sageza. Ngokuxilongwa ngexesha kunye nokunyanga, imeko yezempilo ayifuni, akukho miphumo emibi.