Ese muganga wawe yakubwiye gukora D&C? Cyangwa hari umuntu uzi wabazwe? Abantu benshi bumva bafite ubwoba kandi bafite ubwoba iyo bumvise izina "D&C." Ariko mu by'ukuri, akenshi ni uburyo bworoshye cyane, bwihuse kandi bufite umutekano. None rero uyu munsi, reka tuganire neza kandi mu buryo bworoheje ku cyo D&C ari cyo, impamvu ikorwa, ikiba muri ubwo buryo, n'icyo ugomba kwitondera nyuma yaho.
D&C ni iki mu by'ukuri?
Mu magambo make, D&C ni uburyo bwo kubaga buto bukuraho ingingo ziri mu mura wawe. Izina rikomoka ku ntambwe ebyiri z'ingenzi.
1. Kwagura: Ibi bisaba kwagura gato umura wawe w'inkondo y'umura. Umura w'inkondo y'umura ni wo mwanya ujyamo umura wawe. Akenshi ufungura neza gusa iyo ugiye kubyara. Mu gihe cyo gukora imibonano mpuzabitsina n'imibonano mpuzabitsina, urushaho kwagura gato kugira ngo ibikoresho bishyirwemo.
2. Curettage: Hanyuma, muganga akoresha igikoresho cyihariye gisa n'ikiyiko cyitwa "curette" kugira ngo akurure buhoro buhoro urukuta rw'imbere rw'umura, akureho kandi asukure ingingo zose zidakenewe.
Ibi bikunze gukorwa n'umuganga w'abagore mu bitaro cyangwa mu cyumba cyo kubaga. Akenshi, ushobora gutaha uwo munsi.
Ni iki gitera D&C?
Abaganga bashobora kukugira inama yo gufata D&C bitewe n'impamvu zitandukanye. Izi ni zo mpamvu nyamukuru.
| Impamvu | Ibisobanuro |
|---|---|
| Nyuma yo gukuramo inda cyangwa kubyara | Niba hari ibice bya placenta bisigaye mu mura nyuma yo gukuramo inda, gukuramo inda, cyangwa kubyara, bigomba gukurwaho burundu. Kutabikora byongera ibyago byo kuva amaraso menshi cyangwa kwandura indwara. |
| Gusuzuma cyangwa kuvura kuva amaraso kudasanzwe | Hari igihe, iyo uva amaraso mu buryo budasanzwe mu gihe cy'imihango yawe cyangwa nyuma yayo, hakorwa isuzuma rya D&C kugira ngo hamenyekane impamvu. Ibi bishobora gukuraho ingingo mu mura zishobora gutera indwara nka fibroids, polyps, infections, cyangwa kanseri y'umura, hanyuma bikakoherezwa gupimwa. |
Hari igihe muganga azakora hysteroscopy hamwe na D&C. Ibi bisaba gushyiramo umuyoboro muto ufite kamera unyuze mu mura hanyuma ukareba imbere mu mura kuri ecran. Ibi bituma muganga abona neza imbere mu mura.
Ni iyihe myiteguro ikwiye gukorwa mbere yo kubagwa?
Mbere yuko ukorerwa D&C, muganga wawe azabaza amateka yawe yose y’uburwayi. Menya neza ko umubwiye imiti yose ufata, aleriji ufite, ndetse niba ukeka ko utwite . Uzagirwa inama kandi yo kureka kurya no kunywa ijoro ribanziriza kubagwa.
Hari igihe, muganga ashobora kukugira inama yo kuguha umuti witwa misoprostol cyangwa kwambara igikoresho cyihariye cyitwa laminaria stick kugira ngo woroshye kandi wongere umunwa w'inkondo y'umura mbere yo kubagwa.
Uburyo bwo kubaga bikorwa
Mbere yuko D&C itangira, muganga wawe azakubwira ubwoko bw'ikinya uzahabwa. Azahitamo uburyo bukubereye bitewe n'uburwayi bwawe n'impamvu ya D&C.
Uburyo bwo gusinziriza
Hari uburyo bwinshi bw'ingenzi bwo gusinziriza ibi.
| Ubwoko bw'ikinya | Ni iki kiri kuba? |
|---|---|
| Anesthesia Rusange | Muri ibi, uzasinzira burundu. Nta kintu na kimwe uzumva kugeza igihe operation irangiye. |
| Anesthesia yo mu gace | Urugero, epidural. Ibi bigabanya gusa ubuso buri munsi y'ikibuno cyawe. Urabizi, ariko ntubabara. |
| Anesthesia yo mu gace | Muri ibi, agace gakikije umura wawe ni ko gusa kaba katameze neza. Uba ufite ubwenge busesuye. |
Intambwe zo kubaga
Nyuma yo guhabwa ikinya, kubagwa biratangira. Ibi bikunze kurangira mu gihe gito cyane, iminota 5 kugeza ku 10.
- Uzategekwa kuryama ku buriri bwihariye, nk'aho ari ugusuzumwa n'abaganga b'abagore.
- Muganga ashyira igikoresho cyitwa speculum mu gitsina cy'umugore maze akagitunganya kugira ngo umura w'intanga ugaragare neza.
- Hanyuma, umura w'inkondo y'umura waguka buhoro buhoro hakoreshejwe uduti tw'icyuma duto (dilators).
- Iyo umura umaze kwaguka kugera ku bunini wifuza, hakoreshwa icyuma gikurura imitsi yo mu rukuta rw'umura. Hari igihe igikoresho gikurura imitsi gikoreshwa mu gukuraho imitsi isigaye.
- Iyo bibaye ngombwa, urugero rw'ingingo yakuweho rwoherezwa muri laboratwari kugira ngo ikorerwe isuzuma.
Wibuke ko uzahabwa ikinya kugira ngo utazagira ububabare ubwo aribwo bwose mu gihe cyo kubagwa, bityo ntugatinye.
Bigenda bite nyuma yo kubagwa?
Nyuma yo kubagwa, uzakenera kuruhuka amasaha make. Nta gushidikanya ko uzakenera umuntu uzagutwara mu modoka akagutwara akagutwara.
Ni ibisanzwe kugira ububabare bworoheje nk'ubw'imihango no kugaragara nk'aho uri mu kanwa mu minsi mike nyuma yo guhabwa D&C. Ubu bubabare bushobora koroherwa n'imiti yoroshye yo kugabanya ububabare nka parasetamol.
Ibintu by'ingenzi cyane:
- Koresha udupira two mu isuku gusa mu gihe cyo kuva amaraso. Ntugakoreshe tampons.
- Irinde gukora imibonano mpuzabitsina kugeza igihe muganga akubwira ko nta kibazo cyo kongera kubikora (ubusanzwe icyumweru kimwe cyangwa bibiri), kuko kugeza igihe umura wawe ukize, hari ibyago byo kwandura bagiteri.
- Ushobora gusubira mu bikorwa bisanzwe mu minsi mike.
Niba hari icyitegererezo cy'inyama zoherejwe ngo zipimwe, ibisubizo bizaboneka mu cyumweru kimwe. Baza muganga wawe ibi.
Ni izihe ngaruka n'inyungu byatera?
Nk’uko bigenda mu kubaga kose, D&C ifite ingaruka nto cyane. Ariko, ni uburyo bwizewe cyane.
Ingaruka
- Gutobora nyababyeyi: Ni gake cyane, igikoresho cyo kubaga gishobora kunyura mu rukuta rw'inda, bigatera umwobo muto.
- Kwandura indwara.
- Kuva amaraso menshi cyane.
- Indwara ya Asherman: Inkovu zishobora kugaragara mu mura nyuma yo gupimwa no gupimwa. Ibi bishobora guteza impinduka mu mihango cyangwa bigatera ingaruka ku burumbuke. Ariko, iyi ndwara ishobora kuvurwa no kubagwa byoroshye.
Ibyiza
- Bifasha kumenya neza icyateye kuva amaraso ku buryo budasanzwe.
- Indwara zikomeye nka kanseri yo mu mura zishobora kumenyekana hakiri kare.
- Nyuma yo gukuramo inda, nyababyeyi iba isukuye neza, ikakurinda kwandura no kuva amaraso menshi.
Igihe cyo guhamagara muganga
Ingorane nyuma yo gupimwa indwara ya D&C zishobora kuvurwa vuba iyo zigaragaye hakiri kare. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya.
| Ibimenyetso byo kwitondera | |
|---|---|
| Umuriro | Niba ubabara mu gifu cyane cyangwa mu nda ukababara iyo ukozeho |
| Kuva amaraso menshi (kunywa ibitambaro birenga kimwe mu isaha) | Gukura amaraso menshi mu nda |
| Amavuta adasanzwe cyangwa anuka nabi mu gitsina | Kuribwa mu nda cyane |
Ubutumwa bwo kujyana mu rugo
- D&C ni uburyo busanzwe kandi bwizewe bwo kubaga bukuraho ingingo mu mura.
- Ibi bikorwa kugira ngo hasukurwe nyababyeyi nyuma yo gukuramo inda cyangwa hamenyekane icyateye kuva amaraso ku buryo budasanzwe.
- Gukira nyuma yo kubagwa akenshi biba byihuse, ariko ni ngombwa gukurikiza amabwiriza ya muganga wawe yerekeye gukoresha tampons no gukora imibonano mpuzabitsina.
- Niba ugize umuriro, ububabare bukabije, cyangwa uva amaraso menshi nyuma yo kubagwa, bimenyeshe muganga wawe ako kanya.
- Ntukigere utinya kubaza muganga wawe ikibazo icyo ari cyo cyose, ubwoba, cyangwa gushidikanya ushobora kuba ufite kuri ibi. Ni uburenganzira bwawe.
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