Yu dɔktɔ dɔn tɛl yu fɔ gɛt D&C? Ɔ pɔsin we yu sabi dɔn du dis ɔpreshɔn? Bɔku pipul dɛn kin fil smɔl fred ɛn fred we dɛn yɛri di nem "D&C." Bɔt fɔ tru, bɔku tɛm na rili simpul, kwik, ɛn sef tin fɔ du. So tide, lɛ wi tɔk klia wan ɛn simpul wan bɔt wetin na D&C, wetin mek dɛn kin du am, wetin kin apin di tɛm we dɛn de du am, ɛn wetin fɔ wach afta dat.
Wetin rili na D&C?
Fɔ tɔk am simpul wan, D&C na smɔl ɔpreshɔn we de pul di tisu dɛn we de insay yu uterus. Di nem kɔmɔt frɔm tu men tin dɛn.
1. Dilayshכn: Dis min fכ dilayt yu sεviks sכmtεm. di sεviks na di say we de opin to yu uterus. Bɔku tɛm, i kin jɔs opin ful wan we yu want fɔ bɔn pikin. We dɛn de du D&C, dɛn kin dilayt am smɔl fɔ alaw fɔ put inschrumɛnt dɛn insay.
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Bɔku tɛm, na dɔktɔ we de mɛn uman dɛn kin du dis na ɔspitul ɔ ɔpreshɔn rum. Bɔku tɛm, yu kin go na os di sem de.
Wetin kin mek pɔsin gɛt D&C?
Dɔktɔ dɛn kin tɛl yu fɔ du D&C fɔ difrɛn rizin dɛn. Dis na di men rizin dɛn.
| Rizin | Tɔk bɔt |
|---|---|
| Afta we di bɛlɛ dɔn pwɛl ɔ we i bɔn pikin | If ɛni pat pan di pikin we de na di bɛlɛ we lɛf na di uterus afta we di bɛlɛ dɔn pwɛl, we i dɔn pwɛl bɛlɛ, ɔ we i bɔn, dɛn fɔ pul am kpatakpata. If yu nɔ du dat, i kin mek yu gɛt bɔku blɔd ɔ yu gɛt infɛkshɔn. |
| Fɔ chɛk ɔ fɔ trit abnɔmal blɔd | Sɔntɛnde, if yu gɛt abnɔmal blɔd we yu de gɛt ɔ afta yu prɛgnɛshɔn, dɛn kin du D&C fɔ no di kɔz. dis kin pul di tisu frכm di uterus we kin de mek kכndyushכn lεk fibroid, polyp, infεkshכn, כ uterin kεnsar, εn sεnd am fכ bayopsi. |
Sɔntɛnde, di dɔktɔ go du wan hysteroscopy wit di D&C. dis min fכ put wan tin tכb wit kεmεra tru di sεviks εn fכ si di insay pat pan di uterus pan skrin. dis kin mek di dכkta si di insay pat pan di uterus klia wan.
Us tin dɛn fɔ pripia bifo dɛn du di ɔpreshɔn?
Bifo yu gɛt D&C, yu dɔktɔ go aks yu bɔt yu kɔmplit mɛdikal istri. Mek shɔ se yu tɛl dɛn bɔt ɛni mɛrɛsin we yu de tek, ɛni alɛji we yu gɛt, ɛn if yu tink se yu gɛt bɛlɛ . Dɛn go advays yu bak fɔ stɔp fɔ it ɛn drink di nɛt bifo di ɔpreshɔn.
Sɔntɛnde, di dɔktɔ kin tɛl yu fɔ gi yu wan mɛrɛsin we dɛn kɔl misoprostol ɔ fɔ wɛr spɛshal tin we dɛn kɔl laminaria stik fɔ mek di sɛviks sof ɛn big bifo yu du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn
Bifo di D&C bigin, yu dɔktɔ go tɔk bɔt di kayn anestezi we dɛn go gi yu. I go pik di we we go fayn fɔ yu bay aw yu gɛt wɛlbɔdi ɛn di rizin fɔ di D&C.
Di we aw dɛn kin yuz anestezi
Bɔku men we dɛn de fɔ anestez fɔ dis.
| Tayp fɔ anestezi | Wetin de apin? |
|---|---|
| Jɛnɛral Anɛstɛsia | Insay dis, dɛn go put yu fɔ slip kpatakpata. Yu nɔ go fil ɛnitin te di ɔpreshɔn dɔn. |
| Rijinal Anɛstɛsia | Fɔ ɛgzampul, wan epidural. Dis kin mek di say we de dɔŋ yu wes nɔmɔ nɔ gɛt natin. Yu de kɔnshɛns, bɔt yu nɔ de fil ɛni pen. |
| Lokal Anestesia we dɛn kin yuz | insay dis, na di εria we de rawnd yu sεviks nכmכ de nכm. Yu dɔn ful-ɔp wit ɔl yu at. |
Step dɛn fɔ ɔpreshɔn
Afta dɛn dɔn gi di anestezi, dɛn kin bigin fɔ du di ɔpreshɔn. Bɔku tɛm, dɛn kin dɔn dis insay shɔt tɛm, lɛk 5 to 10 minit.
- Dɛn go mek yu ledɔm pan spɛshal bed, lɛk se dɛn de du uman ɛgzam.
- di dכkta kin put wan tin we dεn kכl spεkulam insay di vagina εn ajɔst am so dat dεn go si di sεviks klia wan.
- nεks, dεn de mek di sεviks big sכmtεm we dεn de yuz tin mεtal rod dεm (dilators) we de inkrεs sכmtεm sכmtεm.
- we di sεviks dכn dilay to di sayz we dεn want, dεn de yuz kכret fכ skrap di tisu frכm di uterin wכl. Sɔntɛnde, dɛn kin yuz sɔkshɔn fɔ pul ɛni tisu we lɛf.
- If nid de, dɛn kin sɛn wan sɛmpul pan di tisu we dɛn pul na di lɛbɔtri fɔ mek dɛn tɛst am.
Mɛmba se dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn, so nɔ fred am.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ rɛst fɔ sɔm awa. Yu go mɔs nid pɔsin fɔ drayv yu go na os.
I nɔmal fɔ gɛt sɔm smɔl smɔl kramp we tan lɛk we yu de gɛt mɔnt ɛn layt spat fɔ sɔm dez afta yu dɔn du D&C. Dis pen kin kɔmɔt wit wan simpul pen kil lɛk paracetamol.
Di tin dɛn we impɔtant pas ɔl:
- Yuz sanitayz pad nɔmɔ fɔ mek yu blɔd kɔmɔt. Nɔ yuz tampon.
- Nɔ du mami ɛn dadi biznɛs te yu dɔktɔ se i sef fɔ du am bak (bɔku tɛm wan ɔ tu wik), bikɔs te yu sɛviks wɛl, risk de fɔ mek baktri kam insay yu vagina ɛn mek yu gɛt infekshɔn.
- Yu kin go bak to di nɔmal tin dɛn we yu kin du insay sɔm dez.
If dɛn sɛn tisu sɛmpul fɔ tɛst, di rizɔlt go de insay lɛk wan wik so. Aks yu dɔktɔ bɔt dis.
Wetin na di bad tin dɛn we kin apin ɛn di bɛnifit dɛn we pɔsin kin gɛt?
Lɛk ɛni ɔpreshɔn, D&C kin gɛt smɔl smɔl prɔblɛm dɛn. Bɔt, na tin we rili sef fɔ du am.
Risk dɛn we kin apin
- di uterin perforation: Na sכm tεm we di sכjεkshכn instrכmεnt kin pas tru di uterin wכl, we kin mek sכm ol.
- Sik we de prɛd.
- Blɔd we de kɔmɔt pasmak.
- Asherman’s syndrome: Ska tisu nɔ kin bɔku na di uterus afta D&C. dis kin mek di mεnstral saykl chenj כ afekt di fεtiliti. Bɔt dɛn kin trit dis sik bak wit simpul ɔpreshɔn.
Di bɛnifit dɛn we pɔsin kin gɛt
- I de ɛp fɔ no kɔrɛkt wan wetin de mek pɔsin blɔd nɔ de kɔmɔt fayn.
- siriכs kכndyushכn lεk uterin kεnsar kin bi fכ no kwik.
- Afta yu dɔn pwɛl bɛlɛ, di uterus kin klin klin, ɛn dis kin protɛkt yu frɔm infekshɔn ɛn bɔku blɔd.
Ustɛm fɔ kɔl di dɔktɔ
Dɛn kin trit di kɔmplikeshɔn dɛn afta D&C kwik if dɛn no dɛn kwik kwik wan. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| Fiva | If yu gɛt bad bad bɛlɛ pen ɔ yu bɛlɛ de at we yu tɔch yu |
| Ebi blɔd (we de wet mɔ pas wan sanitayz napkin fɔ wan awa) . | Pas big big blɔd klɔt |
| Dischaj we nɔ kɔmɔn ɔ we de smɛl fayn na di vagina | Bɛlɛ kramp bad bad wan |
Mɛsej we dɛn kin kɛr go na os
- D&C na wan kɔmɔn, sef ɔpreshɔn we de pul di tisu dɛn na di uterus.
- Dɛn kin du dis fɔ klin di uterus afta we di bɛlɛ dɔn kɔmɔt ɔ fɔ fɛn di tin we mek di blɔd nɔ de kɔmɔt fayn.
- Bɔku tɛm, pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn kwik kwik wan, bɔt i impɔtant fɔ fala wetin yu dɔktɔ tɛl yu bɔt aw fɔ yuz tampon ɛn fɔ du mami ɛn dadi biznɛs.
- If yu gɛt fiva, yu de fil bad bad wan, ɔ yu de blɔd pasmak afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ ɛva fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn, fred, ɔ dawt we yu go gɛt bɔt dis. Na yu rayt.
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