He aha ka Endocervical Curettage, he aha ia a pehea e hana ai
Anter
ʻO ka endettervical curettage kahi hoʻokolohua gynecological, ʻike nui ʻia e ka ʻānai ʻana i ka uterus, i hana ʻia e ka hoʻokomo ʻana i kahi mea hana kīʻaha liʻiliʻi i loko o ka ʻōpala (curette) a hiki i ka cervix e ʻānai a hemo i kahi liʻiliʻi o nā mea mai kēia wahi.
Hoʻouna ʻia nā mea i ʻānai ʻia i kahi keʻena hoʻokolohua kahi e kālailai ʻia ai ma lalo o kahi microscope e kahi pathologist, nāna e nānā inā aia he mau maʻi ʻaʻai i loko o kēia hāpana ʻaʻole paha, a i ʻole nā hoʻololi ʻana e like me nā polyps uterine, hypertrasia endometrial, warts genital a maʻi HPV paha.
Pono e hoʻokō ʻia ka endocervical curettage exam ma luna o nā wahine āpau i loaʻa ka pap smear me ka hopena o ka hoʻohālikelike ʻana iā III, IV, V a i ʻole NIC 3, akā hana pinepine ʻole ʻia i ka wā hāpai, ma muli o ka pilikia o ka hānau hānau ʻole.
Pehea e pau ai ka hōʻike
Hiki ke hana i ka hoʻokolohua curettage endocervical i kahi keʻena lapaʻau a i ʻole ka haukapila, ma lalo o ka sedation, e ke kauka wahine.
Hiki i kēia hoʻāʻo ke kumu i kekahi ʻeha a ʻoluʻolu ʻole paha, akā ʻaʻohe mea hōʻike piha e hana ai i ka anesthesia a i ʻole ka hoʻohiamoe, no ka mea he ʻāpana liʻiliʻi wale nō ke wehe ʻia, kahi hana wikiwiki loa ia, a ʻoi aku ka lōʻihi o 30 mau minuke. ʻAʻohe pono no ka haukapila, no laila hiki i ka wahine ke hoʻi i ka home i ka lā like, a koi wale ʻia e hōʻalo i nā hoʻoikaika kino i ka lā like.
No ka hoʻokolohua ua noi ke kauka i ka wahine e moe ma kona kua a kau i kona mau wāwae ma kahi ʻūlū, e hāmama ai kona mau wāwae. A laila hoʻomaʻemaʻe ʻo ia a disinfects i ka ʻāina pili a hoʻolauna i ka speculum a laila ka curette e lilo i mea pono hana e hemo i kahi mea liʻiliʻi o kaʻiʻo uterine.
Ma mua o ka hele ʻana i kēia kaʻina hana, paipai ke kauka i ka wahine ʻole i ka moekolohe i nā lā 3 i hala a mai hana i ka holoi ʻauʻau ʻana me ka ʻauʻau pili, a mai lawe i nā lāʻau anticoagulant no ka mea hoʻonui lākou i ke kahe o ke kahe.
Mālama pono ma hope o ka hōʻike
Ma hope o ka hana ʻana i kēia hoʻokolohua, hiki i ke kauka ke koi aku i ka wahine e hoʻomaha, e pale ana i nā hoʻoikaika kino nui. Paipai ʻia e inu i ka wai hou aku e kōkua i ka hoʻopau ʻana i nā mea make a noho pono i ka wai, a ʻoi aku ka lawe ʻana i ka mea hōʻemi ʻeha i ʻōlelo ʻia i kēlā me kēia 4 a 6 mau hola, e like me ka ʻōlelo aʻoaʻo a ka lāʻau lapaʻau, a me ka hoʻololi ʻana i ka pale pili i kēlā me kēia manawa he lepo.
Hiki paha i kekahi mau wahine ke ʻike i ke kahe ʻana o ka pūhaka i hiki ke mau no kekahi mau lā, akā he loli ka nui. Eia nō naʻe, inā he pilau i kēia kahe ʻana o ke koko, pono ʻoe e hoʻi i ke kauka no ka loiloi. ʻO ke kū ʻana o ke kuni ke kumu o ka hoʻi ʻana i ka haukapila a i ʻole ka haukapila no ka mea he hōʻike ia i ka maʻi. Hiki ke kuhikuhi ʻia nā lāʻau antibiotic e kāpae i nā ʻano maʻi āpau e kū mai.