Doorka D & Cs ee caarada ilmo galeenka
Adhicidda intrauterine waa qaybo ka mid ah unugyada maqaarka ee derbiyada ilmo-galeenka kaas oo sida caadiga ah kobcaya ka dib markii ay haweeney leedahay dheelitir iyo curetage (D & C) -waxaan u nadiifineynaa ilmo-galeenka uur-ku-jirta ee aan la eryin intii lagu jiray dhicis. Daraasad 2014-ka ah ayaa lagu ogaaday in qiyaastii mid ka mid ah haweenku ay yeeshaan cillado ka dib markay dhicin. Marar dhif ah, adheecaanka intrauterine wuxuu ka yimaadaa infakshan, sida qaaxada xubnaha taranka (badanaa ku badan dalalka soo koraya marka loo eego Maraykanka).
Wax kasta oo ay sababaan, adareeska intrauterine mararka qaarkood waxay ku xiran yihiin calaamadaha qaarkood, sida:
- dhalmo la'aan
- Dhibaatooyinka caadada oo ay ku jiraan amenorrhea (aan lahayn muddooyin)
- xanuunka lafaha miskaha
- luminta soo noqoshada
Marka uurjiifka intrauterine uu keeno astaamo sidan oo kale ah, haweeney ayaa lagu sheegaa inay qabto cudurka Asherman . Waxaa jira dhowr siyaabood oo lagu ogaan karo unugyada maqaarka ee derbiyada ilmo-galeenka, oo ay ku jiraan hysteroscopy, hysterosonography, hysterosalpingogram , ultrasound transvaginal , ama isku-darka. Mid kasta oo ka mid ah tijaabooyinkan ayaa u oggolaanaya takhtar in uu dhab ahaantii arko adeytka. Xaqiiqda ugu saxsan ayaa ah xuubka.
Daaweynta Adeecooyinka Intrauterine
Haddii aad ku dhuumato daaweyntaada waxay ku xirnaan doontaa duruufaha. Tusaale ahaan, haddii aad qabto xanuun ama calaamado kale, uma baahna in lagu daaweeyo. Isla waa mid run ah haddii aadan qorsheyneynin inaad carruur leedahay.
Daaweynta ugu caansan ee adegyada intrauterine waa cirbadaha loo yaqaan 'hysteroscopic resection, kaas oo cilladaha laga saaro.
Dabadeed, dhakhtarkaagu wuxuu kugula talin karaa meeleynta mudada gaaban ee tuubada Foley si loo yareeyo khatarta ah in qaabsocodku soo noqonayo. Waxaa sidoo kale laga yaabaa in lagu siiyo daaweynta estrogen si loo dhiirrigeliyo ciribtirka unugyada uterineine. Haddii aad isku dayday inaad guulaysato oo aad ka shakiso in cagaarshadu ay tahay sababta, waxaad awoodi kartaa inaad uur yeelatid qaabsocodkan kadib.
Miyuu Dumarku Diido D & C Ka Dib Maqnaanshaha?
Haddii aad lumiso uur oo dhakhtarkaagu kugula taliyo in lagaa qaado D & C, waxaa laga yaabaa inaad ka walwasho in nidaamku ka tagi doono gadaashiisa oo uu kaa hor istaago inaad mar labaad uur yeelatid. Soo ogow sababta uu dhakhtarku u dareemayo in ay muhiim tahay in D & C la ogaado, in la ogaado in haweenka intooda badan aysan sameynin adheryo waaweyn ka dib markay yeeshaan hal, ka dibna miisaamaan khatarta iyo dheefaha daryeel bixiyahaaga.
Maxaa ku saabsan D & Cs badan? Qaadashada nidaamkan in ka badan hal mar waxay u muuqataa in ay kordhiso halista sameynta adegyada uterineine, sidaa darteed waxaad dooni kartaa in aad iska ilaaliso in ka badan hal D & C haddii aysan caafimaad ahaan lagama maarmaan ahayn. Dhinaca kale, haddii dhakhtarkaagu kugula taliyo in aad leedahay D-da dambe oo ay cadahay in caafimaadkaagu ku xiran yahay, waxaad u maleyneysaa inaad tixgelinayso, ama ugu yaraan inaad hesho aragti labaad.
Ilaha:
Horumarinta AAGL Horumarinta Duumo-darrada Ugu Yar ee Dumarka Caalamka. Warbixinta Tababarrada AAGL: Tilmaamaha Tababarka Hoggaanka La Xiriirta Intrauterine Synechiae. J Minim Ginecol. 2010 Jan-Feb; 17 (1): 1-7.
Kedar, MI. (2016). Qalabka Intrauterine. In: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Hooker AB et al. Dib-u-eegis nidaamsan iyo falanqayn metad-ku-ool ah ee ku-dhalashada Intrauterine kaddib marka la-ogaado: Dhiig-darrada, Ciladaha Khatarta ah, iyo Natiijooyinka Rabitaanka Waqti-dheer. Cusbooneysiinta riix maktabadda. 2014 Mar-Apr; 20 (2): 262-78.