Kodi nthawi yakwana yoti muchite D&C? Musachite mantha, tiyeni tikambirane za izi (Dilation and Curettage)

Kodi dokotala wanu wakuuzani kuti muchite D&C? Kapena pali munthu amene mumamudziwa amene wachita opaleshoniyi? Anthu ambiri amachita mantha pang'ono akamva dzina lakuti "D&C." Koma zoona zake n'zakuti nthawi zambiri ndi njira yosavuta, yachangu, komanso yotetezeka. Choncho lero, tiyeni tikambirane momveka bwino za D&C, chifukwa chake imachitidwa, zomwe zimachitika panthawi yake, komanso zomwe muyenera kusamala nazo pambuyo pake.

Kodi D&C ndi chiyani kwenikweni?

Mwachidule, D&C ndi opaleshoni yaying'ono yomwe imachotsa minofu mkati mwa chiberekero chanu. Dzinali limachokera ku magawo awiri akuluakulu.

1. Kutambasula: Izi zimaphatikizapo kutambasula pang'ono chiberekero chanu. Chiberekero ndi khomo lolowera ku chiberekero chanu. Nthawi zambiri chimatseguka bwino mukatsala pang'ono kukhala ndi mwana. Pa nthawi ya D&C, chimatambasulidwa pang'ono kuti zipangizo zilowemo.

2. Kuchotsa chilonda: Kenako, dokotalayo amagwiritsa ntchito chida chapadera chooneka ngati supuni chotchedwa ``curette'' kuti akweze pang'onopang'ono khoma lamkati la chiberekero, kuchotsa ndi kuyeretsa minofu iliyonse yosafunikira.

Izi nthawi zambiri zimachitika ndi dokotala wa matenda a akazi kuchipatala kapena m'chipinda chochitira opaleshoni. Nthawi zambiri, mutha kupita kunyumba tsiku lomwelo.

Kodi n’chiyani chimayambitsa D&C?

Madokotala angakulangizeni kuti mulandire D&C pazifukwa zosiyanasiyana. Izi ndi zifukwa zazikulu.

Nthawi zina, dokotala amachita hysteroscopy pamodzi ndi D&C. Izi zimaphatikizapo kuyika chubu chopyapyala chokhala ndi kamera kudzera m'chiberekero ndikuwona mkati mwa chiberekero pa sikirini. Izi zimathandiza dokotalayo kuwona bwino mkati mwa chiberekero.

Kodi ndi kukonzekera kotani komwe kuyenera kupangidwa musanachite opaleshoni?

Musanachite D&C, dokotala wanu adzakufunsani za mbiri yanu yonse ya matenda. Onetsetsani kuti mwawauza za mankhwala aliwonse omwe mukumwa, ziwengo zilizonse zomwe muli nazo, komanso ngati mukuganiza kuti muli ndi pakati . Mudzalangizidwanso kuti musiye kudya ndi kumwa usiku wotsatira opaleshoni.

Nthawi zina, dokotala angakulangizeni kukupatsani mankhwala otchedwa misoprostol kapena kuvala chipangizo chapadera chotchedwa laminaria stick kuti chifewetse ndikukulitsa chiberekero musanachite opaleshoni.

Momwe opaleshoni imachitikira

Dokotala wanu asanayambe kulandira mankhwala oletsa ululu (D&C), adzakambirana za mtundu wa mankhwala oletsa ululu omwe mudzapatsidwe. Iye adzasankha njira yoyenera kwa inu kutengera thanzi lanu komanso chifukwa chake mwalandira mankhwala oletsa ululu (D&C).

Njira zoletsa ululu

Pali njira zingapo zazikulu zothandizira kupweteka kwa mutu.

Masitepe a opaleshoni

Pambuyo popatsidwa mankhwala oletsa ululu, opaleshoni imayamba. Izi nthawi zambiri zimachitika pakapita nthawi yochepa kwambiri, pafupifupi mphindi 5 mpaka 10.

• Mudzalamulidwa kugona pabedi lapadera, ngati kuti mukuyesedwa ndi dokotala wa matenda a akazi.
• Dokotala amaika chipangizo chotchedwa speculum mu nyini ndikuchikonza kuti khomo lachiberekero liwonekere bwino.
• Kenako, khomo lachiberekero limakulitsidwa pang'onopang'ono pogwiritsa ntchito ndodo zopyapyala zachitsulo (dilators).
• Chiberekero chikakula kufika pa kukula komwe mukufuna, curette imagwiritsidwa ntchito kukanda minofu ya khoma la chiberekero. Nthawi zina chipangizo choyamwa chimagwiritsidwa ntchito kuchotsa minofu yotsala.
• Ngati pakufunika, chitsanzo cha minofu yochotsedwayo chimatumizidwa ku labotale kuti chikayesedwe.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Mukamaliza opaleshoni, muyenera kupuma kwa maola angapo. Mudzafunikadi munthu woti akutengereni kunyumba.

Ndi zachilendo kumva kupweteka pang'ono ngati kusamba komanso kumva mawanga kwa masiku angapo mutatha kuchita D&C. Ululuwu ukhoza kuchepetsedwa ndi mankhwala ochepetsa ululu monga paracetamol.

Zinthu zofunika kwambiri:

• Gwiritsani ntchito ma sanitary pad okha ngati magazi akutuluka. Musagwiritse ntchito ma tampons.
• Pewani kugonana mpaka dokotala wanu atakuuzani kuti n'kotetezeka kutero kachiwiri (nthawi zambiri sabata imodzi kapena ziwiri), chifukwa mpaka chiberekero chanu chitachira, pali chiopsezo cha mabakiteriya kulowa mu nyini mwanu ndikuyambitsa matenda.
• Mungathe kubwerera ku zochita zanu zachizolowezi patatha masiku ochepa.

Ngati chithunzi cha minofu chinatumizidwa kuti chikayesedwe, zotsatira zake zidzapezeka patatha pafupifupi sabata imodzi. Funsani dokotala wanu za izi.

Kodi zoopsa ndi ubwino wake ndi ziti?

Monga opaleshoni iliyonse, D&C ili ndi zoopsa zazing'ono kwambiri. Komabe, ndi njira yotetezeka kwambiri.

Zoopsa

• Kuboola kwa chiberekero: Nthawi zambiri, chipangizo chopangira opaleshoni chimatha kudutsa khoma la chiberekero, zomwe zimapangitsa kuti pakhale dzenje laling'ono.
• Matenda.
• Kutuluka magazi kwambiri.
• Matenda a Asherman: Zilonda sizingapangidwe kawirikawiri m'chiberekero pambuyo pa D&C. Izi zingayambitse kusintha kwa nthawi ya msambo kapena kusokoneza kubereka. Komabe, vutoli lingathenso kuchiritsidwa ndi opaleshoni yosavuta.

Ubwino

• Zimathandiza kuzindikira molondola chomwe chimayambitsa kutuluka magazi kosazolowereka.
• Matenda aakulu monga khansa ya m'chiberekero amatha kuzindikirika msanga.
• Pambuyo pochotsa mimba, chiberekero chimatsukidwa bwino, zomwe zimakutetezani ku matenda ndi kutuluka magazi ambiri.

Nthawi yoti muyimbire dokotala

Mavuto omwe amabwera chifukwa cha D&C amatha kuchiritsidwa mwachangu ngati atapezeka msanga. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo.