D thiab C

D thiab C (kev tso tshuaj thiab kho tau) yog txheej txheem los kho thiab sib sau cov nqaij (endometrium) los ntawm sab hauv lub tsev menyuam.

• Dilation (D) yog kev nthuav dav ntawm lub ncauj tsev menyuam kom tso cai rau hauv lub tsev menyuam.
• Curettage (C) yog qhov scraping ntawm nqaij los ntawm phab ntsa ntawm lub tsev menyuam.

D thiab C, tseem hu ua uterine scraping, tuaj yeem ua nyob rau hauv tsev kho mob lossis hauv chaw kho mob thaum koj tseem nyob ib leeg lossis ib qho tshuaj loog hauv zos.

Tus kws saib xyuas kev noj qab haus huv yuav ntxig ib qho cuab yeej hu ua speculum rau hauv lub paum. Qhov no tuav qhib lub paum ntawm lub paum. Siv tshuaj loog yuav siv rau qhov qhib mus rau lub tsev menyuam (ncauj tsev menyuam).

Lub ncauj tsev menyuam tau dav dav, thiab rab phom me me (lub voj hlau ntawm qhov kawg ntawm qhov ntev, nyias kov) tau dhau los ntawm qhov qhib mus rau hauv lub tsev menyuam kab noj hniav. Tus kws kho mob maj mam muab cov ntawv pov tseg sab hauv txheej, hu ua endometrium. Daim ntaub yog khaws tseg rau kev tshuaj xyuas.

Tus txheej txheem no yuav ua tau rau:

• Kev kuaj mob lossis txiav txim tawm cov mob xws li mob cancer uterine
• Tshem cov ntaub so ntswg tom qab nchuav menyuam
• Kho cov ntshav tawm los ntshav ntau, tsis xwm yeem, los ntshav thaum ntawd
• Ua kev kho mob lossis xaiv rho menyuam tawm

Koj tus kws kho mob tseem yuav hais kom muab D thiab C yog tias koj muaj:

• Los ntshav txawv txav thaum koj tab tom hloov kho hormone
• Kev ruaj khov ntawm cov khoom siv (IUD)
• Los ntshav tom qab lub cev ntas ntshav
• Endometrial polyps (cov leeg me ntawm cov nqaij ntawm endometrium)
• Thickening ntawm lub tsev menyuam

Daim ntawv teev npe no yuav tsis suav tag nrho cov laj thawj rau D thiab C.

Kev phom sij ntsig txog D thiab C suav nrog:

• Pluag ntawm lub tsev menyuam
• Caws pliav ntawm txoj hlab menyuam (Asherman syndrome, tej zaum yuav ua rau ntxiv lawm tshob)
• Dua ntawm lub ncauj tsev menyuam

Kev phom sij vim qhov tshuaj loog muaj xws li:

• Kev tshuaj tiv thaiv
• Teeb meem ua pa

Kev phom sij ntawm kev phais muaj xws li:

• Ntshav
• Kab mob

Cov txheej txheem D thiab C muaj qee qhov kev pheej hmoo. Nws tuaj yeem muab kev pab los ntawm kev los ntshav thiab tuaj yeem pab kuaj mob qog noj ntshav thiab lwm yam kab mob.

Koj tuaj yeem rov ua koj li kev ua ub ua no sai li sai tau thaum koj xis nyob, tej zaum txawm tias tib hnub.

Tej zaum koj yuav muaj qhov chaw mos los ntshav, mob plab thiab, thiab mob nraub qaum li ob peb hnub tom qab ua kev kuaj mob no. Koj tuaj yeem tswj hwm qhov mob kom zoo mob nrog tshuaj. Zam txhob siv tampons thiab muaj kev sib deev rau 1 txog 2 lub lis piam tom qab ua haujlwm.

Nqis thiab curettage; Uterus scraping; Vaginal los ntshav - dilation; Txoj hlab ntaws hauv plab - tso zis; Lub cev ntas - dilation

• D thiab C
• D thiab C - series

Bulun SE. Muaj sia thiab pathology ntawm poj niam kev muaj me nyuam axis. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 17.

Ryntz T, Lobo RA. Kev lim ntshav hauv lub cev tsis zoo: etiology thiab tswj kev mob hnyav thiab mob ntev los ntshav. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 26.

Williams VL, Thomas S. Dilation thiab kho kom zoo. Hauv: Fowler GC, ed. Pfenninger thiab Fowler Cov Txheej Txheem rau Thawj Tus Saib XyuasCov. 4 tug ed. Philadelphia, PA: Elsevier; 2020: chap 162.