D ndi C

D ndi C (kutambasula ndi kuchiritsa) ndi njira yokhotakhota ndi kusonkhanitsa minofu (endometrium) kuchokera mkati mwa chiberekero.

• Kutulutsa (D) ndikukulitsa khomo pachibelekeropo kulola zida kulowa m'chiberekero.
• Curettage (C) ndikutulutsa minofu pamakoma a chiberekero.

D ndi C, yotchedwanso uterine scraping, itha kuchitidwa mchipatala kapena kuchipatala mukadwala mankhwala osokoneza bongo.

Wothandizira zaumoyo amalowetsa chida chotchedwa speculum kumaliseche. Izi zimatsegula ngalande ya amayi. Mankhwala ogwiritsira ntchito mankwala angagwiritsidwe ntchito potsegulira chiberekero (khomo pachibelekeropo).

Ngalande ya khomo lachiberekero imakulitsidwa, ndipo chiphaso (chitsulo cholumikizira kumapeto kwa chingwe chachitali chofiyira) chimadutsa potsegulira pachiberekero. Wothandizira amakoka mosamala mkatikati mwa minofu, yotchedwa endometrium. Minofu imasonkhanitsidwa kuti ipimidwe.

Izi zitha kuchitika ku:

• Dziwani kapena sankhani zinthu monga khansa ya m'mimba
• Chotsani minofu mutapita padera
• Chititsani kutaya magazi kwambiri msambo, kusakhazikika, kapena kutuluka magazi pakati pa msambo
• Chitani mimba yothandizira kapena yosankha

Wothandizira anu angalimbikitsenso D ndi C ngati muli:

• Kutuluka magazi mosazolowereka mukamamwa mankhwala obwezeretsa mahomoni
• Chida chophatikizira cha intrauterine (IUD)
• Magazi pambuyo kusamba
• Mapuloteni a Endometrial (mitsempha yaing'ono pa endometrium)
• Kulemera kwa chiberekero

Mndandandawu sungakhale ndi zifukwa zonse za D ndi C.

Zowopsa zokhudzana ndi D ndi C ndizo:

• Kuboola kwa chiberekero
• Kukula kwa chiberekero (Asherman syndrome, kumatha kubweretsa kusabereka pambuyo pake)
• Misozi ya khomo pachibelekeropo

Zowopsa chifukwa cha anesthesia ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto kupuma

Zowopsa za opaleshoni iliyonse ndi monga:

• Magazi
• Matenda

Njira ya D ndi C ili ndi zoopsa zochepa. Itha kupereka mpumulo pakukha magazi ndipo ingathandize kuzindikira khansa ndi matenda ena.

Mutha kubwerera ku zomwe mumachita mukangomva bwino, mwina tsiku lomwelo.

Mutha kukhala ndi magazi kumaliseche, kupweteka kwa m'chiuno, ndi kupweteka kwa msana kwa masiku angapo mutachitika. Mutha kusamalira bwino ululu ndimankhwala. Pewani kugwiritsa ntchito tampons ndikugonana kwa 1 mpaka 2 masabata mutatha kuchita.

Kuchepetsa ndi kuchiritsa; Kutupa chiberekero; Ukazi magazi - dilation; Uterine magazi - dilation; Kusamba - dilation

• D ndi C
• D ndi C - mndandanda

Bulun SE. Physiology ndi matenda amtundu woberekera wamkazi. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 17.

[Adasankhidwa] Ryntz T, Lobo RA. Kutuluka magazi mwachilendo uterine: etiology ndi kasamalidwe ka kutuluka magazi kochuluka komanso kosalekeza. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 26.

Williams VL, Thomas S. Kuchulukitsa komanso kuchiritsa. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 162.