Amaphesenti abesifazane abhekana nezinkathi ezinzima noma eside zikhula njalo. Futhi, abesifazane abaningi baphoqeleka ukuba baphathwe nge-polyposis kanye nezinye izifo zokusakazeka kwe-mucosa - endometriosis yebele . Izimbangela zokugula kwabesifazane zingaba izifo ze-hormonal, i-coagulability engafanele yegazi, izifo ezithathelwanayo kanye nama-neoplasms. Ukwelapha-ukuhlonza ukwelashwa, okuboniswa ngezifo ezinjalo, akuhlali njalo unikeza umphumela omuhle futhi ohlala njalo. Enye indlela yokuqeda ukuphuma kwegazi okukhulu ukuphela kwe-endometrium.
Kuyini ukuphumula kwesibeletho?
Ukuphumula kwe-endometrium kuyinkqubo ehlose ukubhubhisa konke ukuqina kwe-mucosa ye-uterine. Inqubo yenziwa njengendlela ehlukile yokukhipha uterine (hysterectomy noma uterine exterction ) nge-fibroids encane noma i-endometriosis yesibeletho.
I-mucosa yangaphakathi yomzimba we-uterine - i-endometrium - ibhekisela ezinhlakeni ezixhomeke ngqo kuma-hormone emzimbeni wesifazane. Kuwo wonke umjikelezo wokuya esikhathini, i-endometrium ihamba inguquko. Isibonelo, esigabeni sesibili sokujikeleza kokuya esikhathini, sifinyelela ubukhulu bayo obukhulu ngenxa yokuthi igazi elihlinzekwa ngendwangu yamangqamuzana yenyumba landa futhi izinga le progesterone landa. Zonke lezi zinguquko zenzeka ukuze umgodla we-uterine ulungele ukucabanga okucatshangwayo, uma kungenakuqala kokukhulelwa, i-endometrium iqala ukwenqatshwa, okubizwa ngokuthi ukuya esikhathini. Uma izinkathi zowesifazane zikhulu kakhulu futhi zibandakanya ama-clots egazi, ukuphuma kwe-endometrium kwesibeletho kungasusa unomphela owesifazane walesi sibonakaliso esingathandeki.
Yiziphi izinkomba zokwehliswa kwe-endometrium?
Akuzona zonke iziguli ezinconywa udokotela ngokuqeda i-endometrium, izilinganiso ezinembile ziyadingeka ukuze zenzeke. Iziguli ezineminyaka engaphezu kwengu-35 ubudala abahlushwa isikhathi eside futhi bephuza igazi, futhi abangatholi ngcono ngemuva kokwelashwa okulindelekile, ukuncishwa kunconywa. Futhi, abesifazane base-postmenopausal, abangakwazi ukwelashwa nge-hormone therapy, bangaphakathi kweziguli ezitholwa yi-endometrium.
Ngaphambi kwenqubo, udokotela kumele achaze lowo wesifazane ukuthi ngemuva kokuhlinzwa ulahlekelwa ukuzala kwakhe, ngakho-ke ukuvame ukuphumula kuyanconywa kwabesifazane eminyakeni yobudala engaphambi komama.
Le nqubo ayenzelwe abesifazane ababhekene nesisindo esinzima (ngaphezu kuka 150 ml), okuwumphumela womdlavuza.
Ukusebenza kwe-endometrial kusebenza kanjani?
Le nqubo yenziwa ngaphansi kwe-anesthhesia engumuthi noma i-epestural anesthesia. I-probe encane ifakwe emgodini we-uterine, onombukiso okhethekile wokuhlola izindonga zesisu kanye nomlomo wamathebhu. Ukwehluleka kwe-endometrial kungenziwa ngezindlela eziningana ngu:
- imisebe ye-laser;
- uketshezi olushisayo;
- ibhuloho le-microwave;
- indlela yemisakazo yomsakazo;
- ukuhlelwa kwemininingwane;
- i-electrosurgery.
I-ablation ye-endometrium eyenziwa kaningi kakhulu e-hyperoscopic, lapho i-mucosa yangaphakathi yesibeletho i-cauterized
Izinzuzo zokuphumula kwe-endometrium, uma kuqhathaniswa ne-scraping kanye ne-hormone therapy, zibandakanya ukusebenza kahle okukhulu, ukubekezela okuhle, imiphumela embalwa, ukutakula ngokushesha.
Ngokuvamile, kodwa ngezinye izikhathi imiphumela ye-endometrial ablation ingafaka ukuphuma kwegazi, ukuvuvukala, ukulimala kokushisa emkhathini noma kwesikhumba, nokulimala kwesibeletho. Ubuhlungu ngemuva kokuhlinzwa kungabhekisana ngokuqondile nezinkinga zokuhlukunyezwa ezibalulwe ngenhla.