Kua kī atu tō tākuta kia pokanga koe ki te D&C? Kua pokangahia rānei tēnei e tētahi e mōhio ana koe? He maha ngā tāngata e mataku ana, e manukanuka ana hoki ina rongo rātou i te ingoa "D&C." Engari i roto i te ao tūturu, he tikanga tino māmā, tere, me te haumaru. Nō reira, i tēnei rā, kia kōrero mārama, kia māmā hoki mō te tikanga o te D&C, te take e mahia ai, ngā mea e tupu ana i te wā e pokanga ana, me ngā mea hei tūpato i muri mai.
He aha rawa te D&C?
He ngāwari noa iho te kī, he pokanga iti te D&C e tango ana i te kiko o roto i tō kōpū. E rua ngā mahi matua o te ingoa nei.
1. Whakawhanui: Ko te tikanga o tēnei ko te whakawhanui mārire i tō kaki. Ko te kaki te whakatuwheratanga ki tō kōpū. I te nuinga o te wā ka tuwhera katoa ina tata koe ki te whānau pēpi. I te wā o te D&C, ka whakawhanui mārire kia taea ai te whakauru i ngā taputapu.
2. Te Whakatōtō: Muri iho, ka whakamahia e te tākuta tētahi taputapu motuhake he rite ki te pūnu e kiia nei ko te "whakatōtō" hei waru mārire i te pakitara o roto o te kōpū, hei tango me te horoi i ngā kiko kāore e hiahiatia.
Ko te tikanga, ka mahia tēnei e te tākuta wahine i roto i te hōhipera, i te rūma pokanga rānei. I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua rā anō.
He aha ngā take o te D&C?
He maha ngā take ka tūtohu ai ngā tākuta i te D&C. Koinei ngā take matua.
| Take | Whakaahuatanga |
|---|---|
| I muri i te materoto, i te whānautanga rānei | Mena kei te toe tonu ētahi wahi o te whenua i roto i te kōpū i muri i te materoto, te whakatahe, te whānautanga rānei, me tango katoa. Ki te kore e pena, ka nui ake te tūponotanga o te toto nui, te mate pāwera rānei. |
| Hei tirotiro, hei rongoā rānei mō te toto rerekē | I ētahi wā, ki te puta he toto rerekē i a koe i te wā o tō paheketanga, i muri rānei i tō paheketanga, ka mahia he D&C hei kimi i te pūtake. Ka taea e tēnei te tango i te kiko mai i te kōpū e puta ai ngā āhuatanga pēnei i te fibroids, te polyps, te mate pukupuku, te mate pukupuku kōpū rānei, ā, ka tukuna atu mō te koiora. |
I ētahi wā, ka whakahaerehia e te tākuta he hysteroscopy me te D&C. Ko te whakauru i tētahi ngongo angiangi me te kāmera mā roto i te cervix, ka tirohia te roto o te kōpū i runga i te mata. Mā tēnei ka taea e te tākuta te kite mārama i te roto o te kōpū.
He aha ngā whakaritenga me mahi i mua i te pokanga?
I mua i tō mahi D&C, ka pātai atu tō tākuta mō tō hītori hauora katoa. Kia mahara ki te kōrero ki a rātou mō ngā rongoā katoa e tangohia ana e koe, ngā mate pāwera katoa kei a koe, me te whakaaro kei te hapu koe . Ka tohutohuhia hoki koe kia mutu te kai me te inu i te pō i mua i te pokanga.
I ētahi wā, ka tūtohu pea te tākuta kia hoatu he rongoā e kīia nei ko te misoprostol, kia mau rānei i tētahi taputapu motuhake e kīia nei ko te rākau laminaria hei whakangawari me te whakawhānui i te kaki o te kōpū i mua i te pokanga.
Te āhua o te mahi pokanga
I mua i te tīmatanga o te D&C, ka matapakihia e tō tākuta te momo rongoā whakamoe ka hoatu ki a koe. Māna e whiriwhiri te tikanga e pai ana mōu i runga i tō āhua hauora me te take o te D&C.
Ngā tikanga whakangote
He maha ngā tikanga matua mō te rongoā whakamoe mō tēnei.
| Momo rongoā whakamoe | He aha te mea e tupu ana? |
|---|---|
| Whakamamae Whānui | I roto i tēnei, ka whakamoea rawatia koe. Kāore koe e rongo i tetahi mea kia mutu rā anō te pokanga. |
| Te Whakamamae ā-Rohe | Hei tauira, he werohanga epidural. Ka whakangoikore noa iho tēnei i te wāhi i raro i tō hope. Kei te mōhio koe, engari kāore koe e rongo i te mamae. |
| Te Whakangote ā-Rohe | I tēnei, ko te rohe anake i te taha o tō kaki ka whakangā. Kei te tino mārama koe. |
Ngā taahiraa o te pokanga
I muri i te hoatutanga o te rongoā whakamoe, ka tīmata te pokanga. He poto noa te wā ka oti ai tēnei, tata ki te 5 ki te 10 meneti.
- Ka meinga koe kia takoto ki runga i tētahi moenga motuhake, me te mea kei te tirotirohia koe e te tākuta wahine.
- Ka whakaurua e te tākuta tētahi taputapu e kīia ana he speculum ki roto i te tenetene, ā, ka whakatikatikaina kia kitea mārama ai te kaki o te kōpū.
- Muri iho, ka tino whakawhanuitia te kaki o te kaki mā te whakamahi i ngā tokotoko whakarewa angiangi e piki haere ana (ngā whakawhanui).
- Kia whānui te kaki o te kōpū ki te rahi e hiahiatia ana, ka whakamahia he curette hei waru i te kiko mai i te pakitara kōpū. I ētahi wā ka whakamahia he taputapu momi hei tango i ngā kiko e toe ana.
- Mena e tika ana, ka tukuna he tauira o te kiko kua tangohia ki te taiwhanga hei whakamātautau.
Kia maumahara, ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e mamae i te wā e pokangahia ana, nō reira kaua e wehi.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me okioki koe mō ētahi haora. Me tino hiahia koe ki tētahi hei taraiwa i a koe ki te kāinga.
He mea noa te pāngia e te mamae ngawari, pērā i te paheketanga, me te ira iti mō ētahi rā i muri i te D&C. Ka taea te whakamamae i tēnei mamae mā te whakamahi i tētahi rongoā mamae māmā pērā i te paracetamol.
Ngā mea tino nui:
- Whakamahia ngā tauera horoi anake mō te toto. Kaua e whakamahia ngā tampon.
- Kaua e moe tāne kia kī mai rā anō tō tākuta he haumaru te mahi anō (he wiki, he wiki rānei e rua), nā te mea kia ora rā anō tō kaki o te kōpū, tera pea ka uru mai ngā huakita ki roto i tō tenetene, ka pā mai he mate.
- Ka taea e koe te hoki ki ngā mahi o ia rā i roto i ētahi rā.
Mena i tukuna he tauira kiko hei whakamātautau, ka puta ngā hua i roto i te wiki pea. Pātai atu ki tō tākuta mō tēnei.
He aha ngā mōrearea me ngā painga?
Pērā i ngā pokanga katoa, he iti noa ngā mōrearea o te D&C. Heoi, he tikanga tino haumaru.
Ngā Tūponotanga
- Te pokanga o te kōpū: He tino onge te puta o tētahi taputapu pokanga mā te pakitara o te kōpū, ka puta he kōhao iti.
- Te mate urutā.
- Te toto nui rawa.
- Te mate a Asherman: Kāore e maha te puta o te kiko koha i roto i te kōpū i muri i te D&C. Ka taea e tēnei te whakarerekē i ngā huringa paheketanga, te pāngia rānei te momonatanga. Heoi, ka taea hoki te rongoā i tēnei mate mā te pokanga māmā.
Ngā Painga
- Ka āwhina ki te tautuhi tika i te pūtake o te toto rerekē.
- Ka taea te kite wawe i ngā mate kino pēnei i te mate pukupuku kōpū.
- I muri i te whakatahe, ka tino horoia te kōpū, ka tiaki i a koe mai i te mate me te toto nui.
Āhea te waea atu ki te tākuta
Ka taea te rongoā wawe i ngā raruraru i muri i te D&C mēnā ka kitea wawetia. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| Kirika | Mena he nui te mamae o tō puku, he mamae rānei tō puku ina pāngia koe |
| Te toto nui (te mākū i te neke atu i te kotahi tauera horoi i ia hāora) | Te rere o ngā toto toto nui |
| Te rerenga o te tara rerekē, kakara kino rānei | Ngā mamae puku nui |
Karere Tangohia ki te Kāinga
- He tikanga pokanga noa, haumaru hoki te D&C e tango ana i te kiko mai i te kōpū.
- Ka mahia tēnei hei horoi i te kōpū i muri i te materoto, hei kimi rānei i te pūtake o te toto rerekē.
- He tere tonu te whakaoranga i muri i te pokanga, engari he mea nui kia whai i ngā tohutohu a tō tākuta mō te whakamahi i ngā tampon me te moe tāne.
- Ki te pāngia koe e te kirika, te mamae nui, te toto nui rānei i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta.
- Kaua rawa e wehi ki te pātai atu ki tō tākuta mō ngā pātai, ngā wehi, ngā ruarua rānei e pā ana ki tēnei mea. Nāu te tika.
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