Okukebera nnabaana kye ki?

Okukebera nnabaana nkola ya abakyala etali ya kuyingirira nnyo era esobozesa abasawo okulaba munda mu nnabaana nga bakozesa ekintu eky’enjawulo ekiyitibwa hysteroscope. Kikozesebwa okuzuula obulwadde n’okulongoosa hysteroscopy okujjanjaba embeera z’omu nnabaana ng’okuvaamu omusaayi mu ngeri etaali ya bulijjo, fibroids, adhesions, ne polyps, nga tewali kutema mu lubuto era mu bujjuvu awona mangu.

Okukebera nnabaana kye ki?

Hysteroscopy kwe kukebera ekituli kya nnabaana mu ngeri ya endoscopic nga bayingiza ekyuma ekikebera nnabaana nga bayita mu nnabaana. Kisobozesa okulaba obutereevu endometrium okuzuula era bwe kiba kyetaagisa, okujjanjaba obuzibu mu nnabaana obuyinza obutamanyiddwa mu bujjuvu mu ultrasound oba MRI.

• Diagnostic hysteroscopy: Okukebera n’amaaso okunoonyereza ku kuvaamu omusaayi mu nnabaana mu ngeri etaali ya bulijjo, obutazaala, oba okuteeberezebwa okuba n’obulwadde.

• Surgical hysteroscopy (operative hysteroscopy): Okulaba okulaba nga kwogasse n’okujjanjaba nga tukozesa ebikozesebwa ebitonotono okuggyamu ebiwuziwuzi, ebiwuziwuzi oba ebikwatagana, oba okutereeza ekisenge kya nnabaana.

Olw’okuba enkola eno ya trans-cervical, hysteroscopy yeewala okutema olubuto, ekendeeza ku budde bw’okuwona, era esobola okukuuma obusobozi bw’okuzaala bw’ogeraageranya n’enkola eziggule.

Hysteroscope Kiki?

Hysteroscope kye kyuma ekigonvu ekiringa ttanka nga kiriko kkamera ey’amaaso oba eya digito n’ensibuko y’ekitangaala ekitambuza ebifaananyi ku monitor okusobola okulungamizibwa mu kiseera ekituufu.

Ebitundu Ebikulu mu Hysteroscope

• Optical lens oba digital camera okulaba obutereevu

• Ensibuko y’ekitangaala eky’amaanyi amangi okusobola okutaasa

• Emikutu gy’emirimu gy’ebivuga (ebisero, ebikwata, ebiwujjo) .

• Enkola ya distension nga ekozesa CO2 oba saline okugaziya ekituli kya nnabaana

Ebika bya Hysteroscopes

• Rigid hysteroscopes: Okukuba ebifaananyi mu ngeri ey’amaanyi; etera okukozesebwa mu kulongoosa/okulongoosa hysteroscopy.

• Flexible hysteroscopes: Okubudaabudibwa okusingawo; mu ngeri entuufu ku kukebera nnabaana okuzuula obulwadde.

• Mini-hysteroscopes: Small diameter scopes ezisaanira enkola ezikolebwa mu ofiisi nga tezirina nnyo kubudamya.

Ddi Okukebera Hysteroscopy Kukozesebwa?

• Okuvaamu omusaayi mu nnabaana mu ngeri etaali ya bulijjo (AUB): Okukebera omusaayi omungi oba ogutali gwa bulijjo; okuzuula ebizimba ebiyitibwa polyps, fibroids, oba hyperplasia.

• Okukebera obutazaala: Okuzuula ebirungo ebiyitibwa polyps, adhesions, oba septa ebiyinza okulemesa olubuto.

• Okufiirwa embuto enfunda eziwera: Okuzuula obuzibu obuzaaliranwa oba enkovu.

• Fibroids z’omu nnabaana ne endometrial polyps: Okuteekateeka okusala hysteroscopy polypectomy oba myomectomy.

• Okunywerera mu nnabaana (Asherman’s syndrome): Okulongoosa mu nnabaana (hysteroscopic adhesiolysis) okuzzaawo ekituli.

• Okuggyawo omubiri ogw’ebweru: Okuggya IUD ezikuumiddwa oba ebintu ebirala ebiyingira mu nnabaana nga bilungamizibwa.
  
  

Enkola y’okukebera nnabaana

Omutendera gwawukana katono ku misango egy’okuzuula okusinziira ku misango egy’okulongoosebwa, naye emitendera emikulu gikwatagana okukuuma obukuumi n’obutuufu.

Okwekenenya nga tekunnabaawo nkola

• Ebyafaayo n’okukeberebwa: engeri gy’agenda mu nsonga, okulongoosebwa nga tekunnabaawo, ensonga eziyinza okuvaako akabi

• Okukuba ebifaananyi: ultrasound oba MRI nga kiragiddwa

• Okukkiriza okutegeerekese n‟okukubaganya ebirowoozo ku ngeri endala

Okubudamya n’okuziyiza obulumi

• Diagnostic hysteroscopy: emirundi mingi nga basinziira mu ofiisi nga tebalina bujjanjabi butono oba nga tewali

• Operative hysteroscopy: okubudamya mu kitundu, mu kitundu oba okwa bulijjo okusinziira ku buzibu

Okulaba Omutendera ku Mutendera

• Okuteekateeka omumwa gwa nnabaana oba okugaziya nga bwe kyetaagisa

• Okuyingiza CO2 oba saline okugaziya ekituli kya nnabaana

• Okuyingiza n’obwegendereza ekyuma ekikebera nnabaana ng’oyita mu nnabaana

• Okulaba mu nkola entegeke y’ekisenge ky’omu lubuto ku monitor

• Obujjanjabi bw’obulwadde obuzuuliddwa nga tukozesa ebikozesebwa ebiyise mu kifo

Enkola Eyitibwa Ki?

Okukebera nnabaana bwe kugattibwa ne Dilation ne Curettage (D&C), kiyitibwa okukebera nnabaana D&C. Omumwa gwa nnabaana gugaziwa era ebitundu by’omu lubuto ne biggyibwamu wansi w’okulaba obutereevu, ekirongoosa obutuufu bw’ogeraageranya n’okusalako (blind curettage).

Singa endometrial polyps ziggyibwawo mu kiseera kye kimu, enkola eno eyitibwa hysteroscopy D&C polypectomy. Enkola eno esobozesa okutwala sampuli ezigendereddwamu n’okujjanjaba mu kukyala omulundi gumu.

Okukebera nnabaana si nkola emu wabula nkola esobozesa enkola eziwerako ezigendereddwamu. Okusinziira ku mbeera y’omulwadde, abasawo basobola okulonda mu bujjanjabi obw’enjawulo obw’okukebera nnabaana. Ebisinga okumanyibwa mulimu:

Enkola eza bulijjo ez’okukebera nnabaana

Okukebera nnabaana D&C

Enkola eno egatta okulaba mu ngeri ya hysteroscopic visualization ne dilation ne curettage. Kitera okukolebwa ku bakyala abafuna omusaayi ogutali gwa bulijjo mu nnabaana oba nga kyetaagisa okutwala sampuli z’ebitundu by’omubiri okugaana obulwadde obubi. Obulagirizi obuweebwa ekyuma ekikebera omusaayi (hysteroscope) bufuula enkola eno okuba ey’obukuumi era entuufu okusinga enkola ey’ekinnansi ey’okusala eddagala erizibe b’amaaso.

Okukebera nnabaana Okuggyamu ebitundu by’omubiri ebiyitibwa Polypectomy

Endometrial polyps zikula nnyo mu nnabaana mu ngeri etali ya bulabe ekiyinza okuvaako omusaayi omungi oba obutazaala. Hysteroscopic polypectomy kizingiramu okulaba butereevu polyp mu birowoozo n’okugiggyamu nga bakozesa scissors ezilongoosa, electrosurgical loops oba tissue morcellators. Olw’okuba enkola eno tekola nnyo, abalwadde abasinga bawona mangu era obubonero buno butereera mangu.

Okukebera nnabaana D&C Polypectomy

Mu mbeera ezimu, okutwala sampuli z’ebitundu by’omubiri n’okuggyawo ebiwuka ebiyitibwa polyp byombi bikolebwa wamu. Enkola eno ey’okugatta ekakasa okwekenneenya okujjuvu okw’ekisenge kya nnabaana nga bwe bajjanjaba obulwadde obusirikitu.

Okulongoosa mu nnabaana (Hsteroscopic Myomectomy).

Submucosal fibroids bikula ebitali bya kookolo ebifuluma mu nnabaana. Hysteroscopic myomectomy esobozesa okuziggyamu awatali kutemebwa mu lubuto. Specialized resectoscopes oba morcellators zikozesebwa okusenya oba okusala ebitundu by’omubiri ebiyitibwa fibroid tissue, okukuuma nnabaana n’okukuuma obusobozi bw’okuzaala.

Okusalako Septum

Ekisenge kya nnabaana (uterine septum) bulwadde bwa congenital anomaly nga ekisenge ekirimu obuwuzi kyawulamu ekituli kya nnabaana, ekitera okukwatagana n’obutazaala n’okuvaamu embuto enfunda eziwera. Hysteroscopic septum resection kizingiramu okusala septum nga tulaba butereevu, okuzzaawo enkula y’ekituli ekya bulijjo n’okulongoosa ebiva mu lubuto.

Obulwadde bwa adhesiolysis

Ebizimba mu nnabaana ebimanyiddwa nga Asherman’s syndrome bisobola okutondebwawo oluvannyuma lw’okukwatibwa yinfekisoni oba okulongoosebwa nnabaana. Hysteroscopic adhesiolysis ekozesa scissors ennungi oba ebikozesebwa ebikozesa amaanyi okwawula n’obwegendereza ebitundu by’enkovu, okuzzaawo ekituli kya nnabaana n’okulongoosa entambula y’omu nsonga n’okuzaala.

Okuggyamu olubuto mu lubuto

Ku bakyala abavaamu omusaayi omungi mu nsonga nga tebaagala kuzaala mu biseera eby’omu maaso, okuggyamu nnabaana mu ngeri ya hysteroscopic endometrial ablation kusaanyaawo oba kuggyawo lining ya nnabaana. Obukodyo obuwerako buliwo, omuli amaanyi g’ebbugumu, radiofrequency, n’okusalako.

Emigaso gy’Okulongoosa Hysteroscopy

Obutonde Obuyingirira Obutono

Obutafaananako kulongoosa mu lubuto, okukebera nnabaana kwewala okutema olubuto. Ekyuma ekikebera nnabaana kiyita mu butonde mu nnabaana, ekikendeeza ku buvune n’obwetaavu bw’okuwona ennyo.

Ebiseera Ebimpi eby’okuwona

Abalwadde abasinga obungi abalongoosebwa mu nnabaana (diagnostic hysteroscopy) basobola okudda mu mirimu gyabwe egya bulijjo mu ssaawa ntono. N’okulongoosa nnabaana mu bujjuvu kyetaagisa ekiseera kitono kyokka eky’okuwona bw’ogeraageranya n’okulongoosa okw’ekinnansi.

Okukendeeza ku bulabe obw’oluvannyuma lw’okulongoosebwa

Olw’okuba nnabaana ayisibwa nga tewali bitundu binene, emikisa emitono egy’okukwatibwa yinfekisoni, enkovu n’obulumi oluvannyuma lw’okulongoosebwa. Okubeera mu ddwaaliro emirundi mingi tekikwetaagisa, ne kyongera okukendeeza ku bulabe n’ebisale.

Okukuuma Obuzaale

Ekimu ku birungi ebinene ebiri mu kulongoosa nnabaana kwe kusobola okutereeza ebizibu ebiri mu nnabaana ate nga bikuuma oba n’okulongoosa obusobozi bw’okuzaala. Ku bakyala abaagala okufuna embuto, kino kye kisalawo bw’ogeraageranya n’okulongoosa okusinga okuyingira mu mubiri.

Obutuufu bw’okuzuula obulwadde obw’amaanyi

Enkola z’abazibe b’amaaso nga curettage ez’ekinnansi zitera okusubwa ebiwundu ebisangibwa mu kitundu. Hysteroscopy etuwa okulaba mu kiseera ekituufu, okukakasa nti ebitali bya bulijjo nga polyps, fibroids, ne adhesions bizuulibwa bulungi era ne bijjanjabwa.

Okusobola okukola ebintu bingi mu mbeera zonna

Okuva ku kuggyawo polyp ennyangu okutuuka ku complex myomectomy oba septum resection, hysteroscopy esobola okukyusibwa okusinziira ku bubonero obw’enjawulo obw’obujjanjabi. Okukyukakyuka kuno kugifuula ekimu ku bikozesebwa eby’omuwendo mu nkola y’abakyala.

Obulabe n’ebizibu ebiyinza okubaawo

Okukutuka mu nnabaana

Okukutuka mu butanwa mu bbugwe wa nnabaana kuyinza okubaawo nga bamuyingiza oba nga balongoosa. Wadde ng’emisango egisinga giwona awatali bikulu ebivaamu, ebituli eby’amaanyi biyinza okwetaagisa okulongoosebwa okuddaabiriza.

Ekirwadde

Endometritis oba pelvic infection oluusi ziyinza okugoberera hysteroscopy. Eddagala eritta obuwuka eriziyiza obuwuka teryetaagisa bulijjo naye liyinza okulowoozebwako mu balwadde abali mu bulabe obw’amaanyi.

Okuvaamu omusaayi

Okuvaamu omusaayi omutonotono n’okubeera n’amabala bitera okufuluma oluvannyuma lw’okulongoosebwa. Okuvaamu omusaayi omungi, wadde nga tekutera kubaawo, kuyinza okubaawo singa fibroids ennene oba ebiwundu by’emisuwa bijjanjabwa.

Okuyitirira kw’amazzi n’obutakwatagana mu masanyalaze

Bwe bakozesa ebyuma ebigaziya amazzi, wabaawo akabi k’okuyingira kw’amazzi mu musaayi. Okulondoola n’obwegendereza amazzi agayingira n’agafuluma kikendeeza ku bizibu nga hyponatremia.

Obutabeera bulungi oluvannyuma lw’okulongoosebwa

Okuzimba, okuvaamu omusaayi omutono, n’obutabeera bulungi mu lubuto bitera okubaawo naye nga bivaako kaseera buseera. Bino bitera okuggwaawo mu nnaku ntono.

Nga tugoberera ebiragiro by’ensi yonna ebikwata ku by’okwerinda, nga tukozesa ebyuma eby’omulembe, n’okukakasa nti otendekebwa bulungi, akabi akali mu kukebera nnabaana kasobola okukendeezebwa.

Ebisale n’okutuuka ku nkola z’okukebera nnabaana

Ensimbi ezisaasaanyizibwa mu kukebera nnabaana zaawukana okusinziira ku kitundu, ekika ky’enkola, n’embeera y’okulabirira. Ku balwadde n’abaguzi b’amalwaliro, emiwendo gikwatibwako oba empeereza eno ya kukebera nnabaana oba ya kulongoosa nnabaana (okugeza, hysteroscopy D&C oba hysteroscopy polypectomy), awamu n’okubudamya, ssente z’ekifo, n’obwetaavu bw’okudda engulu.

Ensimbi z’Ensimbi eza wakati

• Amerika: Okukebera nnabaana mu ngeri y’okuzuula obulwadde kitera okuva ku doola 1,000–3,000; enkola z’okulongoosa nga hysteroscopy D&C oba hysteroscopy polypectomy zitera okuva ku $3,000–$5,000.

• Bulaaya: Enkola za gavumenti zitera okukwata ku nkola ezeetaagisa mu by’obujjanjabi; ebisale by’obwannannyini bitera okugwa ku €800–€2,500.

• Asia-Pacific: Diagnostic hysteroscopy etera okufunibwa around $500–$1,500 okusinziira ku kibuga n’omutindo gw’ekifo.

• Ebitundu ebikyakula: Okutuuka ku bantu kuyinza okuba okutono; enteekateeka z’okubunyisa amawulire n’obulwaliro obutambula ku ssimu bigaziya ku bungi.

Okubikka ku Yinsuwa

• Bwe kikolebwa olw’okuvaamu omusaayi mu nnabaana mu ngeri etaali ya bulijjo (AUB), okwekenneenya obutazaala, oba okuteeberezebwa okuba n’obulwadde mu nnabaana, okukebera nnabaana kutera okutwalibwa ng’okwetaagisa mu by’obujjanjabi era kuyinza okubikkibwako.

• Ebiraga okulonda oba eby’okwewunda biyinza okuzingiramu ssente ennyingi eziva mu nsawo eri abalwadde.

Enkola z’abalwadde abatali balwadde vs. Enkola ezesigamiziddwa ku ddwaaliro

• Okukebera nnabaana mu ofiisi: Kukozesa ebyuma ebikebera nnabaana ebitonotono; mu bujjuvu ssente ntono, okukyusakyusa amangu, n’okubudamya okutono oba tewali ku balwadde abazuula oba emirimu emitonotono egy’okulongoosa.

• Okukebera nnabaana mu ddwaaliro: Kirungi nnyo mu kukebera nnabaana mu kulongoosa okuzibu (okugeza, fibroids ennene, okunywerera okunene) nga kyetaagisa okubudamya abantu bonna, OBA obudde, n’okuwona okulondoolebwa.

Ebirina okulowoozebwako mu by’enfuna mu malwaliro

• Okukyusa emisango egisaanira okuva mu bifo eby‟abalwadde abajjanjabirwa mu ddwaaliro okudda mu bifo eby‟omu ofiisi kikendeeza ku ssente zonna ez‟okulabirira era kyongera ku bungi bw‟abalwadde.

• Okussa ssente mu byuma ebikebera nnabaana ebiddamu okukozesebwa, okuddukanya amazzi, n’okukuba ebifaananyi bisobola okukendeeza ku miwendo gy’ebizibu n’okuddamu okuyingizibwa.

Okusoomoozebwa kw’okutuuka ku bantu

• Ebisale by’ebikozesebwa: Ebikebera nnabaana eby’omutindo ogwa waggulu, resectoscopes, n’enkola z’okulaba byetaaga kapito asooka; ebikozesebwa omulundi gumu n’okubiddaabiriza byongera ku nsaasaanya eddirira.

• Okutendekebwa: Okulongoosa nnabaana mu ngeri etali ya bulabe era ennungi kyetaagisa obukugu obw’enjawulo; okutendekebwa okutono mu bifo ebirimu eby’obugagga ebitono kiziyiza okwettanira.

• Ebikozesebwa: OBA okubeerawo, obuyambi bw’okubudamya, n’okwesigamizibwa kw’omukutu gw’okugaba bikosa obusobozi bw’obuweereza.

• Okumanyisa abalwadde: Abalwadde bangi tebamanyi hysteroscopy kye ki oba emigaso gyayo; ebyenjigiriza bitereeza enkola y’okutwalibwa.

Enjawulo mu nsi yonna mu kuzaala abaana

• North America: Okuzaala ennyo; okukebera nnabaana okubunye mu ofiisi n’okukuba ebifaananyi eby’omulembe.

• Bulaaya: Okwegatta okugazi mu nkola za gavumenti; okutwala okw’amaanyi okw’okukebera nnabaana mu ofiisi mu Bungereza, Girimaani, Yitale, n’amalala.

• Asia-Pacific: Okukula okw’amangu nga kuvudde ku bifo ebizaala n’amalwaliro ag’obwannannyini mu China, Buyindi, South Korea, ne Southeast Asia.

• Africa & Latin America: Okutuuka ku bintu ebitali bimu; enteekateeka za gavumenti n’enkolagana y’ebibiina by’obwannakyewa zigaziya empeereza.

Enkulaakulana mu Tekinologiya wa Hysteroscopic

Ebiyiiya ebikoleddwa gye buvuddeko bigenderera okufuula okukebera nnabaana okuzuula obulwadde n’okulongoosa nnabaana okuba okw’obukuumi, okw’amangu, era okunyuma ate nga bilongoosa okulaba n’okukola obulungi.

Ebikozesebwa mu “Laba-n’Okujjanjaba” Ebikozesebwa mu Ofiisi

• Mini-hysteroscopes zisobozesa diagnostic hysteroscopy n’okulonda interventions awatali general anesthesia, okukendeeza ku ssente n’obudde bw’okuwona.

Okukuba ebifaananyi mu ngeri ya digito n’okulaba mu ngeri ey’amaanyi

• HD ne digital hysteroscopes ziwa ebifaananyi ebitangaavu ebitumbula okuzuula n’okulungamya ku hysteroscopy polypectomy ne adhesiolysis.

Enkola z’okuddukanya amazzi

• Okulondoola okuyingira/okufuluma mu ngeri ey’obwengula kulongoosa obukuumi nga kukendeeza ku bulabe bw’amazzi okuyitirira mu kiseera ky’okukebera nnabaana.

Okulaba mu ngeri ya 3D ne Robotics

• Emerging platforms ziwa okulongoosa mu kutegeera obuziba n’okufuga ebikozesebwa ku complex intrauterine resections.

Obugezi obukozesebwa (AI) .

• Okwekenenya ebifaananyi nga tuyambibwako AI kunoonyerezebwako okuwagira okutegeera mu kiseera ekituufu okw’ebiwuka ebiyitibwa endometrial polyps, submucosal fibroids, n’ebikwatagana.

Enkola y’obujjanjabi n’omutindo gw’ekikugu

Obulung’amu n’obukuumi bw’enkola z’okukebera nnabaana bisinziira ku kugoberera ennyo ebiragiro by’ensi yonna n’ebisaanyizo by’abakugu ababikola.

• Okutendekebwa mu by’ekikugu
  Okukebera nnabaana kulina okukolebwa abakugu mu by’abakyala abafunye okutendekebwa mu butongole mu bukodyo bw’okukebera endoscopic. Okusomesa obutasalako n‟enkola eyesigamiziddwa ku kusiiga bikendeeza ku bulabe bw‟ebizibu n‟okulongoosa ebivaamu.

• Enkola Ezesigamiziddwa ku Bujulizi
  Ebibiina nga American College of Obstetricians and Gynecologists (ACOG) ne European Society for Gynecological Endoscopy (ESGE) bifulumya ebiteeso ebikwata ku kukebera nnabaana okuzuula n’okulongoosa. Enkola zino zilungamya okusalawo ku kulonda omulwadde, okuddukanya amazzi, n’obukuumi bw’okulongoosebwa.

• Okukakasa omutindo
  Amalwaliro agassa mu nkola omutindo omukakali ogw’okuzaala, okuddaabiriza ebyuma, n’okulondoola gatuuka ku mitendera egy’obukuumi egy’oku ntikko. Enkola ez’omulembe ez’okuddukanya amazzi n’okukola lipoota ku mutindo birongoosa enkola y’okukwatagana.

• Obulabirizi Obutunuuliddwa Omulwadde
  Okukkiriza okutegeerekeka, empuliziganya entangaavu ku kabi n‟engeri endala, n‟okuteekateeka obujjanjabi obw‟omuntu kinnoomu binyweza obwesige wakati w‟abalwadde n‟abakola ku by‟obulamu.

Nga tugoberera ebiragiro ebimanyiddwa n’okukuuma omutindo gw’ekikugu, okukebera nnabaana kukyagenda mu maaso n’okutwalibwa ng’omutindo gwa zaabu ogw’okuzuula n’okujjanjaba embeera z’omu nnabaana okwetoloola ensi yonna.

Okukebera nnabaana kukyusizza enkola y’abakyala nga kuwa enkola etali ya kuyingirira nnyo, entuufu ennyo ey’okwekenneenya n’okujjanjaba embeera z’omu nnabaana. Okuva ku diagnostic hysteroscopy okutuuka ku nkola ez’omulembe ez’okulongoosa hysteroscopy nga D&C, polypectomy, ne myomectomy, enkola eno erongoosa ebiva mu mulwadde ate nga ekendeeza ku budde bw’okuwona n’okukuuma obuzaale.

Ku malwaliro n’obulwaliro, okuteeka ssente mu byuma ebikebera nnabaana n’okutendeka abakozi si kyetaagisa mu bujjanjabi kyokka wabula era kusalawo mu ngeri ey’obukodyo okutumbula okulabirira abalwadde, okulongoosa eby’obugagga, n’okunyweza erinnya ly’ebitongole. Ku balwadde, okukebera nnabaana kuwa okukakasa —okuwa enkola etali ya bulabe, entuufu, era ey’omulembe ku bulamu bwa nnabaana.

Nga tekinologiya agenda mu maaso n’ebyuma ebikebera nnabaana ebitonotono, okukuba ebifaananyi mu ngeri ya digito, n’okukebera nnabaana nga bikulemberwa AI, okukebera nnabaana kujja kwongera okukulaakulana ng’ejjinja ery’oku nsonda mu by’obulamu bw’abakyala mu nsi yonna, okuziba ekituli wakati w’okuzuula obulwadde mu butuufu n’obujjanjabi obulungi.

Ebibuuzo ebibuuzibwa

1. Okukebera nnabaana kukozesebwa ki?

   Hysteroscopy ekozesebwa okuzuula n’okujjanjaba embeera eziri munda mu nnabaana, gamba ng’okuvaamu omusaayi mu ngeri etaali ya bulijjo, ebizimba mu nnabaana, ebiwuziwuzi, okunywerera, n’obutabeera bulungi mu nnabaana. Era kye kimu ku bikozesebwa mu kwekenneenya obutazaala n’okuddukanya okufiirwa embuto enfunda eziwera.

2. Njawulo ki eriwo wakati w’okukebera nnabaana okuzuula n’okulongoosa?

   Diagnostic hysteroscopy ekolebwa okwekenneenya ekituli kya nnabaana n’okuzuula ebitali bya bulijjo, ate surgical hysteroscopy (operative hysteroscopy) esobozesa omusawo okujjanjaba obuzibu buno, gamba ng’okuggyawo fibroids oba okukola hysteroscopy polypectomy.

3. Ekyuma ekikebera nnabaana kye ki?

   Ekyuma ekikebera nnabaana (hysteroscope) kye kimu ku bikozesebwa mu nnabaana ebigonvu nga bitangaala nga biyingizibwa okuyita mu nnabaana mu nnabaana. Eriko kkamera n’ensibuko y’ekitangaala, ekisobozesa okulaba obutereevu ekituli kya nnabaana n’okulungamya ebikozesebwa mu kulongoosa nga kyetaagisa.

4. Okukebera nnabaana kye ki D&C

   D&C ey’okukebera nnabaana egatta okulaba mu nnabaana n’okugaziya n’okusala. Ekyuma ekikebera nnabaana kiyamba okulungamya okuggyamu ebitundu by’omu lubuto, ekifuula enkola eno okuba entuufu era ey’obukuumi okusinga okusala omusaayi mu maaso.

5. Okukebera nnabaana kuluma?

   Abakyala abasinga bafuna obuzibu obutono bwokka mu kiseera ky’okukebera nnabaana okuzuula obulwadde. Enkola z’okulongoosa ziyinza okwetaagisa okubudamya mu kitundu, mu kitundu, oba okubudamya abantu bonna okukakasa obuweerero n’obukuumi.