I doctor chuan D&C nei turin a ti che em? A nih loh leh i hriat mi pakhatin he surgery hi a nei tawh em? Mi tam tak chuan "D&C" tih hming an hriat hian an hlauthawng deuh a, an hlauthawng deuh bawk. Mahse a takah chuan kalphung awlsam tak, rang tak leh him tak a ni fo thin. Chuvangin vawiin hian D&C chu eng nge a nih, engvangin nge tih a nih, a chhunga thil thleng, leh a hnua fimkhur tur chungchang hi chiang tak leh awlsam takin sawi ila.
D&C hi eng nge ni tak tak?
A awlsam zawngin sawi ila, D&C hi surgical procedure tenau tak a ni a, i uterus chhunga tissue te chu a paih chhuak thin. A hming hi step lian pahnih atanga lo chhuak a ni.
1. Dilation: Hei hian i serh (cervix) chu tlem a tizau a ni. Cervix hi i uterus hawnna a ni. Naute i neih dawn chauhvin a inhawng kim tlangpui. D&C neih lai hian instrument dah theihna turin a dilated deuh a ni.
2. Curettage: A dawtah chuan doctor chuan spoon ang chi hmanraw bik ``curette'' an tih hmangin nausen pum chhung bang chu zawi zawiin a hrual a, tissue duh loh zawng zawng chu a paih chhuak a, a tifai vek a ni.
Hei hi damdawi in emaw, operation room emaw-ah gynecologist-in a ti tlangpui. A tam zawkah chuan chu ni vek chuan i haw thei bawk.
Eng thilin nge D&C a thlen?
Doctor-te chuan chhan hrang hrang avangin D&C hi an rawt mai thei. Hengte hi a chhan ber a ni.
| Chhan | Hrilhfiahna |
|---|---|
| Nau pai emaw, nau neih emaw hnuah | Nau pai emaw, nau pai emaw, nau neih emaw hnua nausen pum chhungah nausen chi hrang hrang a awm chuan a chhuak vek tur a ni. Chutianga tih loh chuan thisen chhuahna nasa tak emaw, natna hrik kai theihna a tipung a ni. |
| Thisen chhuah dan pangngai lo enfiah emaw enkawl emaw | A châng chuan, i period lai emaw, i period hnu emawa thisen chhuak pangngai lo i neih chuan a chhan zawng turin D&C an ti ṭhin. Hei hian fibroids, polyps, infection, emaw uterine cancer ang chi natna thlen thei uterus atanga tissue te chu a paih chhuak thei a, biopsy atan a thawn thei a ni. |
A chang chuan, doctor chuan D&C nen hian hysteroscopy a ti bawk ang. Hei hian camera hmanga tube te tak te chu cervix kaltlangin dahin, nausen chhungril chu screen-ah en a ni. Hei hian doctor chuan nausen pum chhung chu chiang takin a hmu thei a ni.
Surgery hmain eng inbuatsaihna nge neih tur?
D&C i neih hmain i doctor chuan i medical history kimchang a zawt ang. Damdawi i ei lai te, allergy i neih te, leh naupai i rinhlelh leh neih loh te chu hrilh ngei ang che . Tin, operation hma zan khan ei leh in kha bansan turin hriattir i ni bawk ang.
A châng chuan, doctor chuan misoprostol tih damdawi emaw, operation hmaa serh ti nem leh tizau tûra hmanraw bik laminaria stick an tih bun emaw a rawt thei che a ni.
Surgery tih dan tur
D&C tan hmain i doctor chuan anesthesia chi hrang hrang i pek tur chu a sawipui ang che. I hriselna dinhmun leh D&C neih chhan a zirin i tana tha ber tur a thlang ang.
Anesthesia hman dan tur
Hei atan hian anesthesia hmanraw pawimawh tak tak engemaw zat a awm.
| Anesthesia chi hrang hrang | Eng thil nge thleng? |
|---|---|
| General Anesthesia hmanga tihdam a ni | Hemiah hian i muhil vek ang. Surgery a zawh hma chuan engmah i hre lovang. |
| Regional Anesthesia hmanga enkawl a ni | Entirnan, epidural tih hi a ni. Hei hian i kawr hnuai lam chauh a ti na lo. I conscious a, mahse engmah hrehawm i nei lo. |
| Local Anesthesia hmanga enkawl a ni | Hei hian i serh vel chauh chu a numb a ni. I hriatna famkim i ni. |
Surgery tih dan tur step hrang hrang
Anesthesia an pek hnuah operation an tan leh thin. Hei hi hun rei lote chhung, minute 5 atanga 10 vel chhunga tihfel a ni tlangpui.
- Khum bik chungah i mu ang a, gynecological examination atan ang maiin i mu ang.
- Doctor chuan speculum an tih hmanrua chu vagina chhungah a dah a, serh chu chiang taka hmuh theih turin a siamrem a ni.
- A dawtah chuan cervix chu zawi zawiin a tizau zauh zauh thin thin metal rods (dilators) hmangin an tizau a.
- Cervix chu duh ang size-a a dilated hnuah curette hmangin uterine wall atanga tissue chu scrape chhuakin an scrape chhuak thin. A châng chuan suction device hmangin tissue la awm zawng zawng chu paih chhuah a ni.
- A tul chuan tissue lakchhuah sample chu laboratory-ah test turin an thawn thin.
I zai lai hian natna engmah i hriat loh nan anesthesia pek i ni dawn tih hre reng la, chuvangin hlau suh.
Operation hnuah eng nge thleng?
Surgery zawhah darkar engemaw zat chawlh hahdam a ngai dawn a ni. In lama khalhtu tur che i mamawh ngei ang.
D&C hnuah ni engemaw zat chhung chu thlasik ang chi cramping na lo tak tak leh light spotting engemaw zat neih hi thil pangngai a ni. He natna hi paracetamol ang chi natna tidamtu awlsam tak hmangin a reh thei a ni.
A pawimawh ber chu:
- Thisen chhuah nan sanitary pad chauh hmang ang che. Tampons hmang suh.
- I doctor-in sex hman leh a him a tih hma loh chuan (a tlangpuiin kar khat emaw kar hnih emaw) sex hman loh tur a ni, a chhan chu i sex a dam hma chuan i vagina-ah bacteria lut a, infection a thlen theihna a awm a ni.
- Ni engemaw zat hnuah thil pangngaiah i kir leh thei ang.
Tissue sample test tura thawn a nih chuan kar khat vel hnuah result hmuh theih a ni ang. Hemi chungchang hi doctor zawt rawh.
Eng nge a hlauhawmna leh a hlawkna?
Surgery dang ang bawkin D&C hian risk tlemte chauh a keng tel a ni. Mahse, kalphung him tak a ni.
Risk a awm thei
- Uterine perforation: A tlem hle a, surgical instrument hian uterine wall a paltlang thei a, chu chuan khur te tak te a siam thei a ni.
- Kaichhawng.
- Thisen chhuah tam lutuk.
- Asherman’s syndrome: D&C hnuah uterus-ah hian scar tissue a lo awm tam lo hle. Hei hian thlasik hun a tidanglam thei a, nau neih theihna a tichhe thei bawk. Mahse, he natna hi operation awlsam tak hmanga enkawl theih a ni bawk.
A thatna te
- Thisen chhuah dan pangngai lo awm chhan dik taka hriat theih nan a pui.
- Uterine cancer ang chi natna khirh tak tak chu a hmain hriat theih a ni.
- Nau pai hnuah nausen pum chu a thianghlim vek a, natna hrik leh thisen chhuah nasa lakah a venghim che a ni.
Engtikah nge doctor koh tur
D&C hnua harsatna awmte chu a hmaa hriatchhuah a nih chuan enkawl thuai theih a ni. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| Khawsik | Pum natna nasa tak i neih emaw, khawih chuan i pum a na emaw a nih chuan |
| Thisen chhuak nasa (darkar khatah sanitary napkin pakhat aia tam hnim) . | Thisen zam lian tak tak pass |
| Vaginal discharge danglam emaw rimchhia emaw | Pum natna nasa tak |
Take-Home Thuchah a ni
- D&C hi surgery hman tlanglawn tak, him tak a ni a, nausen pum atanga tissue lakchhuahna a ni.
- Hei hi nau pai hnua nausen (uterus) tihfai nan emaw, thisen chhuah dan pangngai lo awm chhan zawn nan emaw tih a ni.
- Surgery hnua dam lehna hi a rang tlangpui a, mahse tampon hman dan tur leh sex hman dan tur chungchangah doctor-in a pek dan zawm a pawimawh.
- Operation hnua khawsik, natna nasa tak, thisen chhuak tam lutuk i neih chuan doctor hnenah hriattir nghal tur a ni.
- Hemi chungchanga zawhna, hlauhthawnna leh rinhlelhna i neih apiang i doctor zawt hlau ngai suh. I dikna a ni.
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