সংজ্ঞা

This procedure involves the surgical removal of the lining of the uterus (womb). It may involve using heat, cold temperatures, microwave energy, or other methods.

পদ্ধতির কারণ

Endometrial ablation will likely make menstrual flow lighter. In some cases, it stops menstrual flow completely. The procedure is used to treat menorrhagia (recurrent heavy periods not controlled by medicine).

Talk to your doctor about your plans for having a baby. This procedure decreases your chance of pregnancy.

সম্ভাব্য জটিলতা

Complications are rare, but no procedure is completely free of risk. If you are planning to have endometrial ablation, your doctor will review a list of possible complications, which may include:

  • সংক্রমণ
  • রক্তপাত
  • Complications related to anesthesia
  • Uterine perforation or organ injury
  • Edema (swelling) due to fluid leakage and absorption
  • Thermal (heat) injury to the vagina, vulva, or bowel

জটিলতার ঝুঁকি বাড়াতে পারে এমন কিছু কারণের মধ্যে রয়েছে:

  • Pregnancy or possible pregnancy—procedure should not be done if there is a chance that you are pregnant
  • History of pelvic inflammatory disease (PID)—may trigger a recurrence of PID
  • Inflammation of the cervix
  • Being overweight or obese
  • ধূমপান

পদ্ধতির আগে আপনার ডাক্তারের সাথে এই ঝুঁকিগুলি নিয়ে আলোচনা করতে ভুলবেন না।

কি আশা করছ

পদ্ধতির আগে

Prior to the procedure, your doctor will likely:

  • Do an endometrial biopsy, ultrasound, or hysteroscopy of your uterus to check for abnormalities and understand the shape and size of your uterus.
  • Ask about:
    • আপনার চিকিৎসা ইতিহাস
    • Medicines or herbs and supplements you take
    • Any allergies you have
    • আপনি গর্ভবতী বা গর্ভবতী হওয়ার চেষ্টা করছেন কিনা
    • If you have an intrauterine device (IUD)

Before the procedure, you may need to:

  • Ask your doctor about your options. There are many types of endometrial ablation.
  • আপনার ওষুধ সম্পর্কে আপনার ডাক্তারের সঙ্গে কথা বলুন। পদ্ধতির এক সপ্তাহ আগে আপনাকে কিছু ওষুধ খাওয়া বন্ধ করতে বলা হতে পারে, যেমন:
    • প্রদাহ বিরোধী ওষুধ (যেমন, অ্যাসপিরিন)
    • রক্ত পাতলাকারী, যেমন ক্লোপিডোগ্রেল (প্লাভিক্স) বা ওয়ারফারিন (কুমাদিন)
  • Take medicine to thin the lining of the uterus.
  • Arrange for someone to drive you home from the care center. You may also need help at home.
  • Try to quit smoking.

The day before the procedure:

  • Have a light dinner.
  • আগের রাতে, মধ্যরাতের পরে কিছু খাওয়া বা পান করবেন না।

এনেস্থেশিয়া

There are three anesthesia options for ablation:

  • General anesthesia —blocks pain and keeps you asleep through the procedure
  • Regional anesthesia —blocks pain in an area of the body but you stay awake through the procedure, given as an injection
  • Local anesthesia—just the area that is being operated on is numbed, given as an injection

Your doctor will help you decide which one is right for you.

পদ্ধতির বর্ণনা

There are many different ways for the doctor to do this procedure. A simple ablation procedure is short. It can often be done in a care center. Other procedures take longer and need to be done in a hospital.

During the procedure, the doctor will not make any incisions to access the uterus. A tiny probe will be inserted through the vagina and into the uterine cavity through the cervix. Depending on the method, the tip of the probe will expand to deliver:

  • Radiofrequency (heat and energy)
  • Cryoablation (freezing temperature)
  • Heated fluid
  • Heated balloon
  • Microwave energy
  • Electrosurgery (uses electrical current and a heated rollerball or spiked ball)—may require general anesthesia

These methods will destroy the cells lining the uterine cavity. You will not feel pain. Often, ultrasound is used to help guide the doctor. Suction will be used to remove the tissue that has been destroyed.

এতে কতক্ষণ সময় লাগবে?

This depends on the type of method. It can take 15-45 minutes or longer.

এটা কতটা আঘাত করবে?

You may feel cramping and discomfort. Your doctor will give you pain medicine.

গড় হাসপাতালে থাকার

This is usually done on an outpatient basis. You may need to stay there for 1-2 hours. Some methods may require an overnight hospital stay.

পোস্ট-প্রক্রিয়া যত্ন

At the Care Center or Hospital

While recovering, you may receive the following care:

  • Check blood pressure, heart rate, and breathing
  • Check on your fluid status and the electrolytes in your blood

Your doctor will ask you how you feel and make sure you are well enough to go home.

ঘরে

After the procedure, you may:

  • Feel cramping for 1-2 days
  • Have a heavy discharge for 2-3 days
  • Have a watery, bloody discharge for a few weeks
  • Need to go to the bathroom a lot for the first day and have some nausea

When you return home, do the following to help ensure a smooth recovery:

  • Make sure you have a supply of sanitary pads at home.
  • You should be able to return to normal activities within a day or two. Ask your doctor when you can:
    • ব্যায়াম
    • Resume sexual activity
    • Use tampons
    • Shower, bathe, or soak in water
  • Since you still have your sexual organs, you will need to:
    • Use birth control to prevent pregnancy
    • Have routine Pap tests
    • Have pelvic exams

আপনার ডাক্তারকে কল করুন

আপনি হাসপাতাল ছেড়ে যাওয়ার পরে, নিম্নলিখিতগুলির মধ্যে যেকোন একটি ঘটলে আপনার ডাক্তারকে কল করুন:

  • Heavy vaginal bleeding
  • Severe abdominal cramping and pelvic pain
  • Severe pain during যৌনতা
  • Severe low পিঠে ব্যাথা
  • Pain during bowel movements or urination
  • জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
  • বমি বমি ভাব এবং বমি
  • Cough, chest pain, or shortness of breath
  • মাথা ঘোরা বা হালকা মাথাব্যথা
  • Pain or tenderness in the calf or leg
  • Menstruation does not get lighter after 2-3 periods

জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।

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