D da C

D da C (dilation da curettage) hanya ce ta gogewa da tattara tsoka (endometrium) daga cikin mahaifa.

• Dilation (D) shine faɗaɗa mahaifar mahaifa don ba da damar kayan aiki cikin mahaifa.
• Curettage (C) shine goge nama daga bangon mahaifa.

D da C, wanda kuma ake kira scraping na mahaifa, ana iya yin su a asibiti ko a asibiti yayin da kuke ƙarƙashin rigakafin rigakafi na gari ko na gida.

Mai bada lafiyar zai saka kayan aikin da ake kira speculum a cikin farji. Wannan yana buɗewa ta hanyar buɗe bakin farji. Ana iya amfani da magani na jinƙai zuwa buɗewa zuwa mahaifa (cervix).

An fadada mashigar bakin mahaifa, kuma ana ba da maganin maganin (madafa na ƙarfe a ƙarshen dogon, bakin ciki) ta ƙofar cikin ramin mahaifa. Wanda yake samarwa a hankali yana goge abin da yake ciki, wanda ake kira endometrium. An tattara nama don gwaji.

Wannan hanya za a iya yi wa:

• Binciko ko hana yanayi kamar kansar mahaifa
• Cire nama bayan zubewar ciki
• Bi da yawan jinin haila, lokacin al'ada, ko zubar jini a tsakanin lokacin al'ada
• Yi aikin warkewa ko zubar da ciki na zaɓe

Mai ba ku sabis na iya ba da shawarar D da C idan kuna da:

• Zuban jini mara kyau yayin da kake kan maye gurbin hormone
• Wani kayan cikin mahaifa (IUD)
• Zubar jini bayan gama al'ada
• Endometrial polyps (ƙananan dunƙulen nama akan endometrium)
• Kaurin mahaifa

Wannan jerin bazai hada da dukkan dalilan D da C.

Hadarin da ke da alaƙa da D da C sun haɗa da:

• Hutun na cikin mahaifa
• Arƙasa abin da ke cikin mahaifa (Ciwan Asherman, na iya haifar da rashin haihuwa daga baya)
• Hawaye na mahaifar mahaifa

Haɗarin haɗari saboda maganin sa barci sun haɗa da:

• Amsawa ga magunguna
• Matsalar numfashi

Haɗarin kowane tiyata sun haɗa da:

• Zuban jini
• Kamuwa da cuta

Tsarin D da C yana da ƙananan haɗari. Zai iya ba da taimako daga zubar jini kuma zai iya taimakawa wajen gano kansar da sauran cututtuka.

Kuna iya komawa ayyukanku na yau da kullun da zarar kun sami sauƙi, ƙila ma a rana ɗaya.

Kuna iya samun zubar jini na farji, ciwon mara, da ciwon baya na foran kwanaki bayan aikin. Kullum zaka iya sarrafa ciwo da kyau tare da magunguna. Guji amfani da tambarin da yin jima'i na makonni 1 zuwa 2 bayan aikin.

Rushewa da magani; Sharar mahaifa; Zuban jini ta farji - fadadawa; Zuban jini na mahaifa - dilation; Ba da al'ada - kumbura

• D da C
• D da C - jerin

Bulun SE. Ilimin halittar jiki da ilimin yanayin ilimin haihuwa na mata. A cikin: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 17.

Ryntz T, Lobo RA. Rashin jinin mahaifa mara kyau: ilimin ilimin halittu da gudanar da zub da jini mai yawan gaske. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 26.

Williams VL, Thomas S. Rushewa da warkarwa. A cikin: Fowler GC, ed. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 162.