ʻO D lāua ʻo C

ʻO D a me C (dilation a me curettage) kahi hana e ʻānai a ʻohiʻohi i ke kiko (endometrium) mai loko o ka kōpū.

• ʻO Dilation (D) kahi ākea o ka cervix e ʻae i nā mea kani i loko o ka kōpū.
• ʻO Curettage (C) ka ʻoki ʻana o nā mea mai nā paia o ka kōpū.

ʻO D a me C, i kapa ʻia hoʻi ka ʻoki ʻana i nā uterine, hiki ke hana ʻia ma ka haukapila a i ʻole kahi haukapila ʻoiai ʻoe ma lalo o ka anesthesia ākea a kūloko paha.

E hoʻokomo ka mea mālama ola i kahi mea hana i kapa ʻia he speculum i loko o ka lua. Mālama kēia i ka aʻa vaginal. Hoʻopili ʻia ka lāʻau numbing i ka wehe i ka kōpū (cervix).

Hoʻonui ʻia ke aʻa o ka cervix, a hāʻawi ʻia kahi curette (kahi keleawe hao ma ka hopena o kahi lōʻihi lōʻihi lahilahi) ma o ka puka i loko o ka lua o ka kōpū. Hoʻopili mālie ka mea hāʻawi i ka papa o loko o ka pā, i kapa ʻia ka endometrium. Hōʻiliʻili ʻia ke kiko no ka hoʻokolokolo ʻana.

Hana ʻia kēia kaʻina hana i:

• Kuhi a hōʻalo paha i nā kūlana e like me ka maʻi ʻaʻai uterine
• Wehe i ke kino ma hope o ka hāpai ʻole ʻana
• E mālama i ke kahe menstrual kaumaha, nā wā kūpono ʻole, a i ʻole ke kahe ʻana o ke koko ma waena o nā wā
• Hana i kahi abortion therapeutic a i ʻole elective

Koi paha kāu mea hāʻawi iā D a me C inā loaʻa iā ʻoe:

• ʻO ke kahe kūpono ʻole ʻoiai ʻoe e hoʻōla i ka hormone
• Kahi mea intrauterine i hoʻokomo ʻia (IUD)
• Kahe ma hope o ka menopause
• ʻO nā polyp endometrial (nā puʻupuʻu liʻiliʻi o nā kiko ma ka endometrium)
• Mānoanoa o ka uterus

ʻAʻole pili paha kēia papa inoa i nā kumu kūpono āpau no D a me C.

Nā pilikia e pili ana iā D a me C me:

• ʻO ke kuʻi o ka kōpū
• ʻO ka scarring o ka uhi ʻana o ka uterine (Asherman syndrome, hiki i ka infertility ma hope)
• Haehae o ka cervix

Nā pilikia ma muli o ka anesthesia:

• Nā hopena i nā lāʻau
• Pilikia i ka hanu ʻana

ʻO nā pōʻino o nā ʻoki kino pū kekahi:

• Kahena
• Maʻi kīnā

He pilikia iki kā ka D a me ke kaʻina hana C. Hiki iā ia ke hāʻawi i ke kōkua mai ke kahe ʻana a hiki ke kōkua i ke kuhi ʻana i ka maʻi ʻaʻai a me nā maʻi ʻē aʻe.

Hiki paha iā ʻoe ke hoʻi i kāu mau hana maʻamau ke maikaʻi ʻoe, ʻo ia paha i ka lā like.

Loaʻa paha iā ʻoe ke kahe ʻana o ka pūhū, nā pelvic cramp, a me ka ʻeha o ke kua no kekahi mau lā ma hope o ke kaʻina hana. Hiki iā ʻoe ke mālama maʻamau i ka ʻeha me nā lāʻau. Hōʻalo i ka hoʻohana ʻana i nā tampons a me ka moekolohe ʻana no 1 a 2 mau pule ma hope o ke kaʻina hana.

Hoʻonui a me curettage; ʻOki palaoa ʻo Kahe koko - hoʻōla; ʻO ke kahe ʻana o ka uterus - dilation; Menopause - hoʻonui

• D a me C
• D a me C - moʻo

Bulun SE Physiology a me nā pathology o ka wahine hānau axis. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 17.

ʻO Ryntz T, ʻo Lobo RA. ʻO ke kahe ʻana o ka uterine kūlohelohe: etiology a me ka mālama ʻana i ke kahe nui a koʻikoʻi. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 26.

ʻO Williams VL, ʻo Thomas S. Dilation a me curettage. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 162.