Ukuguqulwa kwesibeletho kuyinkinga eyingozi yendlela ethile yokwelashwa, okubandakanya umonakalo odongeni lwe-uterine olungena ngqo. Isizathu sokungavumelani kukadokotela ngenqubo yokungenelela okuhlinzekwa ngaphakathi kwendawo yokubeletha ngaphansi kwezidakamizwa ezilandelayo:
- i-hysteroscopy ;
- ukukhipha isisu;
- ukukhwa kwesikhumba sesisu;
- ngesikhathi kuqaliswa ukukhulelwa kwe-intrauterine.
Ukuguqulwa kwesibeletho ngesikhathi sokuklaba kuyingozi kakhulu ngoba inqubo eyenziwa yi-curette enemiphetho ebukhali. Ngokuphathelene nalokho okuvame ukulimala kanye nezitho zangaphakathi. Kulesi simo, imiphumela ye-uterine perforation ingaba yingozi.
Izingozi kanye nezimpawu
Ukubonakala kwe-perforation kwesibeletho akuyona nje iphutha lesisebenzi sezokwelapha. Inendima ebalulekile idlalwe isimo sempilo kanye nezici zesakhiwo esenziwe ngendlela yesimo sangaphakathi sezitho zangasese. Isibonelo, lezi zilandelayo zibalulwe ngezingozi ezingezansi ezibeka phambili ekuhlosweni kwesibeletho:
- i-retroflexia ebukhali yesibindi;
- inqubo yokuvuvukala esibelethweni;
- Ukuba khona kwesibazi esibelethweni emva kokusebenza kwangaphambili;
- I-Hysteroscopy ekubonweni okungaboni kahle;
- ukuguga - isakhiwo sezingcuba izinguquko, kukhona ukulahlekelwa ukuqina kwabo;
- ukuhlinzwa okuvamile noma kwamuva kubeletho (izinyanga ezingu-6).
Ukuqaphela izimpawu ze-uterine perforation akulula ngaso sonke isikhathi, ngoba ukuvame ukungena embelethweni kwenziwa ngaphansi kwe-anesthesia. Futhi udokotela angaqagela mayelana nokuhlukumezeka okuvela kuphela ekubukeni kwesiguli nangokwezinzwa zakhe ezizithobayo. Kodwa noma kunjalo izimpawu eziyisisekelo ze-perforation yesibeletho kungenzeka ukuthi uthwale:
- Ubuhlungu obunzima ngokungazelelwe emathunjini aphansi.
- Ukukhishwa kwamanzi kusuka kumgogodla.
- Ukushisa komzimba okwandisiwe.
- Ukungabi namandla.
- Isizungu.
- Ngokulahlekelwa igazi okuningi, kunciphisa ukucindezeleka, ukugqama kwesikhumba, ukushaywa ngokushesha.
Ukuguqulwa kwesibeletho - ukwelashwa
Ukwelapha i-perforation ye-uterine kwenzeka kuphela ngokuhlinzwa ngokusebenzisa i-laparoscopic noma i-laparotomic. Ngesikhathi sokusebenza, izingxenyeni zesilonda ziyagxiliwe, isigxobo esiswini sesisu sibhekene nomonakalo okwenzekayo futhi igumbi lesisu lihlanzwa. Ngokuxilongwa nokuphulukiswa ngesikhathi esifanele, isimo sempilo asihlupheki, akukho miphumela emibi.