Ua haʻi aku anei kāu kauka iā ʻoe e hana i kahi D&C? A i ʻole ua hana ʻia kēia ʻoki kino e kekahi āu i ʻike ai? Manaʻo ka poʻe he nui i ka makaʻu a me ka hopohopo ke lohe lākou i ka inoa "D&C." Akā ʻo ka ʻoiaʻiʻo, he hana maʻalahi loa ia, wikiwiki, a palekana hoʻi. No laila i kēia lā, e kamaʻilio maopopo a maʻalahi kākou e pili ana i ke ʻano o ka D&C, no ke aha e hana ʻia ai, nā mea e hana ʻia i ka wā, a me nā mea e makaʻala ai ma hope.
He aha maoli ka D&C?
I ka ʻōlelo maʻalahi, he hana ʻoki liʻiliʻi ka D&C e wehe ai i nā ʻiʻo mai loko mai o kou ʻōpū. Loaʻa ka inoa mai ʻelua mau ʻanuʻu nui.
1. Hoʻonui: Pili kēia i ka hoʻonui iki ʻana i kou cervix. ʻO ka cervix ka puka i kou uterus. ʻO ka maʻamau, wehe piha ia i ka wā e kokoke ana ʻoe e hānau i kahi pēpē. I ka wā o ka D&C, hoʻonui iki ʻia ia e ʻae i ka hoʻokomo ʻana o nā mea hana.
2. Curettage: ʻO ka mea aʻe, hoʻohana ke kauka i kahi mea hana kūikawā i kapa ʻia he "curette" e ʻeli mālie i ka paia o loko o ka ʻōpū, e wehe ana a hoʻomaʻemaʻe i nā ʻiʻo i makemake ʻole ʻia.
Hana pinepine ʻia kēia e ke kauka wahine ma ka haukapila a i ʻole ka lumi hana. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
He aha ke kumu o ka D&C?
Hiki i nā kauka ke ʻōlelo aku i kahi D&C no nā kumu like ʻole. ʻO kēia nā kumu nui.
| Kumu | Wehewehena |
|---|---|
| Ma hope o ka hāʻule ʻana a i ʻole ka hānau keiki ʻana | Inā he mau ʻāpana o ka placenta i koe i loko o ka ʻōpū ma hope o ka hāʻule ʻana o ka hāpai keiki, ka hoʻopau ʻana i ka hāpai keiki, a i ʻole ka hānau ʻana, pono e wehe loa ʻia. ʻO ka hana ʻole ʻana pēlā e hoʻonui ai i ka pilikia o ke kahe koko nui a i ʻole ka maʻi. |
| No ka nānā ʻana a i ʻole ka mālama ʻana i ke kahe koko kūpono ʻole | I kekahi manawa, inā he kahe koko kūpono ʻole kou i ka wā a ma hope paha o kou wā, hana ʻia kahi D&C e ʻike ai i ke kumu. Hiki i kēia ke wehe i nā ʻiʻo mai ka ʻōpū e hiki ke hoʻoulu i nā kūlana e like me fibroids, polyps, nā maʻi, a i ʻole ke kanesa ʻōpū, a hoʻouna aku no kahi biopsy. |
I kekahi manawa, e hana ke kauka i kahi hysteroscopy me ka D&C. Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela ma o ka cervix a me ka nānā ʻana i loko o ka uterus ma kahi pale. ʻAe kēia i ke kauka e ʻike maopopo i loko o ka uterus.
He aha nā hoʻomākaukau e pono e hana ʻia ma mua o ke ʻoki kino?
Ma mua o kou loaʻa ʻana o kahi D&C, e nīnau kāu kauka e pili ana i kāu mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i nā lāʻau lapaʻau āu e lawe nei, nā maʻi allergies āu, a inā paha ʻoe e manaʻo ua hāpai ʻoe . E aʻo ʻia hoʻi ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i ka pō ma mua o ke ʻoki kino.
I kekahi manawa, ʻōlelo paha ke kauka e hāʻawi iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo misoprostol a i ʻole ke komo ʻana i kahi mea kūikawā i kapa ʻia he lāʻau laminaria e palupalu a hoʻonui i ka cervix ma mua o ke ʻoki ʻana.
Pehea e hana ʻia ai ke ʻoki kino
Ma mua o ka hoʻomaka ʻana o ka D&C, e kūkākūkā kāu kauka i ke ʻano o ka anesthesia e hāʻawi ʻia iā ʻoe. E koho ʻo ia i ke ʻano hana kūpono loa iā ʻoe ma muli o kou kūlana olakino a me ke kumu o ka D&C.
Nā ʻano hana anesthesia
Aia kekahi mau ʻano anesthesia nui no kēia.
| ʻAno o ka anesthesia | He aha ka mea e hana nei? |
|---|---|
| Anesthesia Laulā | Ma kēia, e hoʻohiamoe loa ʻia ʻoe. ʻAʻole ʻoe e manaʻo i kekahi mea a hiki i ka pau ʻana o ke ʻoki ʻana. |
| Anesthesia ʻĀpana | Eia kekahi laʻana, he epidural. Hoʻomāno wale kēia i ka ʻāpana ma lalo o kou pūhaka. Ua ʻike ʻoe, akā ʻaʻole ʻoe e ʻeha. |
| Anesthesia kūloko | Ma kēia, ʻo ka ʻāpana a puni kou cervix wale nō ka mea i mae. Ua maopopo loa kou ʻike. |
Nā ʻanuʻu o ke ʻoki kino
Ma hope o ka hāʻawi ʻia ʻana o ka anesthesia, hoʻomaka ke ʻoki kino. Hoʻopau pinepine ʻia kēia i loko o kahi manawa pōkole loa, ma kahi o 5 a 10 mau minuke.
- E hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā, me he mea lā no ka hoʻokolokolo ʻana o ke kauka wahine.
- Hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum i loko o ka vagina a hoʻoponopono iā ia i ʻike maopopo ʻia ai ka cervix.
- ʻO ka mea aʻe, ua hoʻonui mālie ʻia ka cervix me ka hoʻohana ʻana i nā koʻokoʻo metala lahilahi e hoʻonui mālie ana (dilators).
- Ke hoʻonui ʻia ka cervix i ka nui i makemake ʻia, hoʻohana ʻia kahi curette e ʻoki i nā ʻiʻo mai ka paia o ka ʻōpū. I kekahi manawa hoʻohana ʻia kahi mea omo e wehe i nā ʻiʻo i koe.
- Inā pono, e hoʻouna ʻia kahi hāpana o ka ʻiʻo i wehe ʻia i ka hale hana no ka hoʻāʻo ʻana.
E hoʻomanaʻo, e hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana, no laila mai makaʻu.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, pono ʻoe e hoʻomaha no kekahi mau hola. Pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home.
He mea maʻamau ke loaʻa i kekahi mau ʻehaʻeha e like me ka menstrual a me nā kiko māmā no kekahi mau lā ma hope o ka D&C. Hiki ke hoʻomaha ʻia kēia ʻeha me kahi lāʻau ʻeha maʻalahi e like me ka paracetamol.
Nā mea nui loa:
- E hoʻohana wale i nā pale hoʻomaʻemaʻe no ke kahe ʻana o ke koko. Mai hoʻohana i nā tampons.
- Mai moe kolohe a hiki i ka ʻōlelo ʻana a kāu kauka he palekana ke hana hou pēlā (ʻo ka maʻamau he hoʻokahi a ʻelua paha pule), no ka mea, a hiki i ka wā e ho'ōla ai kou cervix, aia kahi pilikia o ka bacteria e komo i loko o kou vagina a hoʻoulu i kahi maʻi.
- Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o kekahi mau lā.
Inā ua hoʻouna ʻia kahi hāpana ʻiʻo no ka hoʻāʻo ʻana, e loaʻa nā hopena ma kahi o hoʻokahi pule. E nīnau i kāu kauka e pili ana i kēia.
He aha nā pilikia a me nā pono?
E like me nā ʻoki kino āpau, he liʻiliʻi loa nā pilikia o ka D&C. Eia nō naʻe, he kaʻina hana palekana loa ia.
Nā Pōʻino
- Ka puka ʻana o ka ʻōpū: He mea kākaʻikahi loa, hiki i kahi mea hana ʻoki ke hele ma waena o ka paia o ka ʻōpū, e hana ana i kahi lua liʻiliʻi.
- Ka maʻi ʻana.
- Ke kahe koko nui ʻana.
- ʻO ka maʻi Asherman: ʻAʻole hiki ke hana pinepine ʻia nā ʻiʻo ʻeha i loko o ka ʻōpū ma hope o ka D&C. Hiki i kēia ke hoʻololi i nā pōʻaiapuni menstrual a hoʻopilikia paha i ka hānau keiki. Eia nō naʻe, hiki ke mālama ʻia kēia ʻano me kahi ʻoki maʻalahi.
Nā Pōmaikaʻi
- Kōkua i ka ʻike pololei ʻana i ke kumu o ke kahe koko kūpono ʻole.
- Hiki ke ʻike mua ʻia nā maʻi koʻikoʻi e like me ke kanesa ʻōpū.
- Ma hope o ka hoʻopau ʻana i ka hāpai keiki, ua hoʻomaʻemaʻe loa ʻia ka ʻōpū, e pale ana iā ʻoe mai ka maʻi a me ke kahe nui ʻana o ke koko.
I ka manawa hea e kāhea aku ai i ke kauka
Hiki ke mālama koke ʻia nā pilikia ma hope o ka D&C inā ʻike koke ʻia. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| kuni | Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū a ʻeha paha kou ʻōpū i ka wā e hoʻopā ʻia ai |
| Ke kahe koko nui (ka pulu ʻana ma mua o hoʻokahi ʻūpā hoʻomaʻemaʻe i kēlā me kēia hola) | Ke hele nei i nā ʻōpū koko nui |
| Ka hoʻoheheʻe ʻana o ka vaginal ma ke ʻano ʻē a ʻala ʻole paha | ʻO nā ʻeha ʻōpū nui |
Leka Lawe-Home
- ʻO ka D&C kahi hana ʻoki maʻamau a palekana e wehe ai i nā ʻiʻo mai ka ʻōpū.
- Hana ʻia kēia no ka hoʻomaʻemaʻe ʻana i ka ʻōpū ma hope o ka hāʻule ʻana o ka naʻau a i ʻole e ʻike i ke kumu o ke kahe koko kūpono ʻole.
- He wikiwiki ka ho'ōla ʻana ma hope o ke ʻoki ʻana, akā he mea nui e hahai i nā ʻōlelo a kāu kauka e pili ana i ka hoʻohana ʻana i nā tampons a me ka moekolohe.
- Inā loaʻa iā ʻoe ke kuni, ʻeha nui, a i ʻole ke kahe nui ʻana o ke koko ma hope o ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka.
- Mai makaʻu e nīnau i kāu kauka i nā nīnau, nā makaʻu, a i ʻole nā kānalua āu e pili ana i kēia. ʻO kou kuleana ia.
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