He aha te Whānuitanga me te Curettage (D&C)? Te Whāinga, te Hātepe & te Whakaora

Ko te whānuitanga me te curettage, e mōhiotia ana ko D&C, he hātepe pokanga iti e whakatuwhera ana tō tākuta i tō kōpū (whānuitanga) me te tango i te kiko mai i roto i tō kōpū mā te whakamahi i tētahi taputapu motuhake e kīia ana he curette. Whakaarohia he horoi āta i te uhi o te kōpū, pērā i te mea ka waru koe i te huka mai i te matapihi. Ko tēnei hātepe tūroro waho tētahi o ngā maimoatanga gynecological tino noa, e āwhina ana i ngā tākuta ki te tātai i ngā raruraru me te whakarato i te whakamaimoa mō ngā momo āhuatanga.

He aha te Whānuitanga me te Curettage (D&C)?

E rua ngā mahi nui e whai pānga ana ki te D&C e mahi ngātahi ana ki te uru atu me te rongoā i tō kōpū. I te wā o te whānuitanga, ka whakatuwhera haere tō tākuta i tō kōpū (te whakatuwheratanga ki tō kōpū) mā te whakamahi i ngā taputapu motuhake, i ngā rongoā rānei. Ka waihanga tēnei i tētahi ara mō te mahi tuarua, te curettage, e waru ana te kiko, e ngote ana rānei i te uhi o tō kōpū.

Ko te katoa o te hātepe e 15 ki te 30 meneti te roa, ā, ka mahia i roto i te hōhipera, i te pokapū pokanga tūroro waho rānei. Ka whiwhi koe i te rongoā whakamoe kia pai ai koe i te wā o te hātepe. Ka hoki te nuinga o ngā wāhine ki te kāinga i te rā kotahi, e waihanga ana i tētahi kōwhiringa maimoatanga tika.

Ka whakamahi pea tō tākuta i ngā tikanga rerekē i runga i tō āhuatanga. Ko ētahi hātepe e whakakotahi ana i te D&C me te ngote (e kīia ana ko te curettage ngote), i ētahi atu rānei ka whakamahi anake i te tikanga waru. He haumaru me te whai hua ngā huarahi e rua ina mahia e ngā gynecologists mōhio.

He aha i mahia ai te Whānuitanga me te Curettage (D&C)?

E rua ngā whāinga nui o te D&C: te tātai me te rongoā i ngā momo āhuatanga o te kōpū. Ka tūtohu pea tō tākuta i tēnei hātepe i te wā kāore anō ngā whakamātautau kē atu i te whakautu mārama mō te mea e pā ana ki roto i tō kōpū. He rite ki te whai i tētahi kaitātai mōhio e āta tirotiro ana i ngā tohu e kore e kitea mai i waho.

Hei mō ngā take tātaritanga, ka āwhina te D&C ki te tūhura i ētahi tohumate e pā ana. Kei roto i ēnei ko te nui, te koretake rānei o te toto i te wā o te paheketanga, te toto i waenga i ngā wā paheketanga, te toto rānei i muri i te menopause. Ka taea hoki e tō tākuta te whakamahi i tēnei tikanga ki te tirotiro mō ngā mate, te kore taurite o te homoni, ngā tipu rānei pēnei i te polyps, i te fibroids rānei.

Ko ngā painga rongoā o te D&C e whakatika ana i ngā āhuatanga rongoā rerekē e hiahia ana kia aro tonu:

• Te tango i te kiko i muri i te whāwhā ki te ārai i te mate me te nui o te toto
• Te rongoā i te whāwhā kāore i oti i te wā e toe ana ētahi kiko hapū
• Te tango i ngā polyps, i ngā fibroids iti rānei e pā ana ki te nui o te toto
• Te whakawātea i te uhi o te kōpū kua matotoru (endometrial hyperplasia)
• Te tango i te kiko mō te biopsy ki te whakakore i te mate pukupuku
• Te rongoā i ētahi momo toto koretake

I ētahi wā ka whai mana te D&C i ngā āhuatanga ohorere, pēnei i te nui o te toto e kore e mutu ki ētahi atu rongoā. I ēnei wā, ka taea e te tikanga te whakaora i te ora mā te tango tere i te puna o te toto me te ārai i ngā raruraru.

He aha te tikanga mō te D&C?

Ka whai te tikanga D&C i tētahi tukanga tūpato, taahiraa-i-taahiraa i hangaia hei pupuri i a koe kia haumaru, kia pai. I mua i te tīmatanga o tētahi mea, ka tūtaki koe ki tō tākuta rongoā hei kōrero mō te momo rongoā e pai ana mōu. Ko te nuinga o ngā wāhine ka whiwhi i te rongoā whānui, ko te tikanga ka moe koe i te wā o te tikanga.

Kia pai koe, ka whakatakoto tō tākuta i a koe pērā i te whakamātautau pelvic. Ka horoi rātou i te wāhi kia tino mā, ā, ka whakauru pea i tētahi speculum kia kite mārama i tō kaki kōpū. Ko tēnei whakarite ka whakarite kia noho ma, kia haumaru ngā mea katoa i te wā o te tikanga.

Ka whai mai te wāhanga whānui, ka whakatuwherahia e tō tākuta tō pūwaha. Ka whakamahi pea rātou i ngā rākau whānui motuhake e piki haere ana te rahi, i hoatu rānei e rātou he rongoā ki a koe i mua kia whakamāene ai tō pūwaha i te āhua. E hiahia ana tēnei mahi i te manawanui me te tika, nā te mea ka whara pea te kiko tairongo ki te tere.

I te wāhanga curettage, ka whakaurua e tō tākuta he curette (he taputapu āhua koko) he taputapu momi rānei mā te pūwaha kua whānui. Ka waru mārire rātou, ka momi rānei i te uwhi o te kōpū, ka kohikohi i ngā tauira kiko mēnā e hiahiatia ana mō te whakamātautau. E rite ana te ahua o te mahi katoa ki te tikanga me te whakahaere, me te tūpato a tō tākuta ki te aroturuki i tō urupare.

I muri i te tango i te kiko e tika ana, ka tirohia e tō tākuta kia mōhio kua mutu te toto, me te hoki mai o tō pūwaha ki tōna tūnga noa. Ka nekehia koe ki tētahi wāhi whakaora i reira ka aroturukihia e ngā nēhi ō tohu nui me te taumata whakamarie i te wa e ngaro ana te rongoā.

Me pēhea te whakarite mō tō D&C?

Ko te whakarite mō tō D&C e whai ana i ētahi mahi nui hei āwhina i te haere mārire me te haumaru o te mahi. Ka hoatu e tō tākuta ngā tohutohu motuhake i runga i tō āhuatanga takitahi, engari he tika, he ngāwari hoki te whai i te nuinga o ngā whakaritenga.

I te pō i mua i tō mahi, me karo koe i te kai, i te inu rānei i tētahi mea i muri i te pō waenga pō. Ko tēnei wāhanga nohopuku, e kiia nei ko NPO (kore mea i te waha), e ārai ana i ngā raruraru ki te rongoā. Mēnā kei te tango koe i ngā rongoā auau, pātai ki tō tākuta ko ēhea me haere tonu koe, ko ēhea hoki me karo.

Me whakauru tō rārangi whakarite i ēnei mahi nui:

• Whakaritea kia haria koe e tētahi tangata ki te kāinga i muri i te tikanga
• Tangohia ngā rongoā kua whakaritea kia rite ki ngā tohutohu
• Kaua e tango i te aspirin, i ngā rongoā whakaheke toto rānei mō te wā kua tohua
• Tangohia te peita whao, ngā whakapaipai, me ngā arotahi i mua i te taenga mai
• Mau kākahu hāneanea, whānui
• Mau mai he rārangi o ngā rongoā katoa me ngā tāpiringa e tango ana koe

Tera pea ka tohua e tō tākuta he rongoā hei whakamāro i tō pūkahukahu i mua i te tikanga. Tangohia ēnei rongoā kia rite ki ngā tohutohu, ahakoa ka pā mai he mamae iti, he toto rānei. Mā tēnei whakarite ka māmā ake, ka hāneanea ake te mahi whānui mōu.

I te kīnga i tērā, kaua e whakaroa ki te whakapā atu ki tō tākuta mēnā ka pā mai te kirika, te mamae nui, te nui rānei o te toto i ngā rā e tata ana ki tō tikanga. Mā ēnei tohumate e tohu he mate, he raruraru rānei e hiahia ana kia arohia i mua i te haere tonu.

Me pēhea te pānui i ngā hua o tō D&C?

Ko te māramatanga ki ngā hua o tō D&C ka tīmata mā te mōhio ko ngā tauira kiko i kohia i te wā o te tikanga ka tukuna ki te taiwhanga pathology mō te whakamātau taipitopito. Ko te pathologist, he tākuta e tohunga ana ki te tātari i ngā kiko, ka ako i ō tauira i raro i te karu whakanui, ka whakarite i tētahi pūrongo whānui mō tō tākuta wahine.

Ko te pūrongo pathology te tikanga ka tae mai i roto i te 5 ki te 10 rā pakihi i muri i tō tikanga. Ka arotake tō tākuta i ēnei kitenga, ka whakarite i tētahi hui whai muri hei kōrero mō te tikanga o ēnei kitenga mō tō āhuatanga motuhake. Ko tēnei wā tatari, ahakoa i ētahi wā ka pōhēhē, ka whai wāhi mō te tātari whānui me te whakamārama tika.

Ko ngā hua noa e whakaatu ana i te kiko endometrial hauora e tika ana mō tō tau me te wāhanga o te huringa paheketanga. Ka tuhia e te tohunga patu mate te āhua o te kiko, te matotoru, me te hanganga pūtau. Mēnā kei mua tonu koe i te paheketanga, ka whakaatu pea ngā hua noa i ngā huringa e rite ana ki tō huringa homoni, i te wā e whai ana ngā wāhine i muri i te paheketanga i te kiko angiangi, iti ake te kaha.

Ko ngā hua rerekē e hiahia ana kia tino mātai, ā, ka tohu pea i ētahi āhuatanga rerekē. Kei roto i ēnei ko ngā taurite homoni, ngā mate, ngā pōipoipo, ngā fibroids, i ētahi wā onge, ngā huringa i mua i te mate pukupuku, i te mate pukupuku rānei. Ka whakamāramahia e tō tākuta te tikanga o ngā kitenga rerekē, ā, ka kōrero mō ngā mahi e tika ana i muri mai i runga i ō āhuatanga takitahi.

Kia mahara kāore ngā hua rerekē e kī ana he mea nui kei te he. He maha ngā āhuatanga i kitea mā te D&C he māmā te rongoā, ā, ko te kitenga wawe ka arahi i ngā hua pai ake. Ka mahi tō tākuta ki a koe ki te whakawhanake i tētahi mahere rongoā e aro ana ki ō hiahia me ō āwangawanga.

Me pēhea te whakahaere i tō whakaora i muri i te D&C?

Ko te whakaora i te D&C te tikanga he tika tonu, ā, ka hoki te nuinga o ngā wāhine ki te noa i roto i ngā rā torutoru ki te wiki. E hiahia ana tō tinana ki te wā ki te whakaora i te tikanga, ā, ko te whai i ngā tohutohu whakaora a tō tākuta ka āwhina i te whakaora mārie me te kore raruraru.

I muri tonu i te tikanga, ka pā pea ki a koe te mamae ngawari e rite ana ki te mamae o te paheketanga. He mea noa tēnei mamae, ā, e whakaatu ana kei te hoki tō kōpū ki tōna rahi me tōna tūnga noa. Ko ngā rongoā mamae i runga i te kaute pēnei i te ibuprofen, te acetaminophen rānei, te tikanga ka whakarato i te āwhina tika.

Ka kite hoki koe i tētahi toto i roto i te tara, i te tāwhai rānei mō ētahi rā i muri i te tikanga. He māmā ake tēnei toto i te wā paheketanga noa, ā, ka heke haere i te wā. Whakamahia ngā papa, kaua ko ngā tampon i tēnei wā, nā te mea ka taea e ngā tampon te whakauru i ngā huakita me te whakanui i tō tūponotanga ki te mate.

Kei roto i ō aratohu whakaora ētahi here nui hei tiaki i ō kiko e ora ana:

• Kaua e hiki i ngā mea taumaha (nui atu i te 10 pauna) mō te wiki pea
• Kaua e whai pānga tāngata mō te 1-2 wiki, kia whakaaetia rānei e tō tākuta
• Kaua e kaukau i te kaukau, te kauhoe, me ngā kaukau wera kia mutu rawa te toto
• Whakamahia te wā ki te okioki i te mahi mēnā e tika ana, ina koa kei roto i tō mahi te mahi tinana
• Kaua e mahi i ngā mahi whakangungu kaha mō te wiki pea
• Kaua e whakamahi i ngā tampon, i ngā douches rānei kia kī mai tō tākuta e haumaru ana

Ka taea e te nuinga o ngā wāhine te hoki ki ngā mahi noa i roto i te 2-3 rā, engari me whakarongo koe ki tō tinana me te okioki ina hiahiatia. Mēnā ka pā mai te mamae nui, te nui o te toto, te kirika, ngā tohu rānei o te mate, whakapā atu ki tō tākuta tonu nā te mea me aro wawe ēnei tohu.

He aha ngā āhuatanga tūpono mō ngā raruraru D&C?

Ahakoa te nuinga o te wā he tino haumaru te D&C, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakatau mō tō maimoatanga me te whai i ngā whakatūpato tika i te wā o te mahi me muri iho.

He mea nui ngā āhuatanga e pā ana ki te pakeke i roto i tō kōtaha tūpono. Ko ngā wāhine pakeke, ina koa ko ngā wāhine kua mutu te pānga, tērā pea he kiko ngoikore ake ō rātou e ngāwari ana ki te whara i te wā o te mahi. Heoi, ka whakatika ngā tohunga tātai wahine i ā rātou tikanga kia rite, ā, ko te pakeke anake e kore e ārai i a koe ki te whai D&C haumaru.

Ko ngā mahi o mua i te kōpū, i ngā pokanga rānei, ka taea te hanga kiko kōpiko e uaua ai te mahi. Mēnā i whai koe i ngā D&C maha, i ngā wāhanga cesarean, i ētahi atu pokanga kōpū rānei, ka tino āta tiaki tō tākuta i te wā o te mahi. Kāore tēnei hītori e kore e taea te D&C, engari e hiahia ana kia nui ake te mōhiotanga me ngā whakatūpato.

He maha ngā āhuatanga hauora ka whakanui i tō tūponotanga ki ngā raruraru i te wā o te D&C:

• Ngā mate e pā ana ki te whakaheke toto e pā ana ki tō kaha ki te aukati i te whakaheke toto
• Te mate ngākau, ētahi atu āhuatanga rānei e piki ake ai te tūponotanga o te anahēhia
• Ngā mate puku e kaha ana, ka horapa pea i te wā o te mahi
• Te anemia nui e kaha ake ai te tūponotanga o te ngaro toto
• Ngā rongoā e pā ana ki te whakaheke toto, pēnei i te warfarin, te aspirin rānei
• Te momomo, ka uaua ake pea te mahi

Ka āta arotake tō tākuta i tō hītori hauora me tō āhua hauora i tēnei wā i mua i te tūtohu i te D&C. Ka tono pea rātou i ētahi atu whakamātautau, i ngā kōrero rānei ki ētahi atu tohunga mēnā he nui ō āhuatanga tūpono. Mā tēnei whakarite whānui e āwhina ai te whakarite i te putanga haumaru mō tō mahi.

He aha ngā raruraru ka puta mai i te D&C?

He iti noa ngā raruraru mai i te D&C, ka puta i roto i te iti iho i te 1% o ngā mahi ka mahia e ngā tākuta wahine mō te wheako. Heoi, he mea nui kia mōhio ki ngā tūponotanga ka puta, kia taea ai e koe te whakatau whakatau mō tō atawhai, me te mōhio ki ngā tohu whakatūpato e hiahia ana kia aro tonu.

Ko ngā raruraru tino noa he ngawari noa iho, ka whakatikahia me te rongoā tika. Ka puta te whakaheke toto nui i roto i te 1 i roto i te 1000 ngā mahi, ā, te nuinga ka pai te urupare ki ngā rongoā, ki ngā mahi iti rānei. Ko te mate tētahi atu mea ka puta, e pā ana ki te 1 i roto i te 100 ngā wahine, engari ka horoi noa ngā paturopi i te wa e kitea ana i te wā wawe.

Ko ngā raruraru nui ake, ahakoa he tino onge, e hiahia ana kia aro tonu te rongoā. Kei roto i tēnei ko te poka o te kōpū, ka puta i roto i te iti iho i te 1 i roto i te 500 ngā mahi. Ko te tikanga tēnei ka hangaia e te curette tētahi poka iti i roto i te pakitara o te kōpū. Ko te nuinga o ngā poka iti ka ora noa iho, engari ko ngā mea nui ake ka hiahia pea kia whakatikahia mā te pokanga.

Ngā raruraru onge e hiahia ana kia atawhai motuhake kei roto:

• Te haehae o te pūkahukahu (te haehae i roto i te pūkahukahu) i te wā o te whānuitanga
• Te mate a Asherman (te hanga o te kiko kiko i roto i te kōpū)
• Ngā raruraru e pā ana ki te rongoā whakamoe
• Ngā pūpū toto, inā koa i roto i ngā wāhine e pā ana ki ngā mate pūpū toto
• Te tango kāore i oti o te kiko e hiahia ana i te tukanga tukurua
• Te kino ki ngā okana e tata ana (te pūpū, te whekau rānei)

E whakawhirinaki ana tō tūponotanga ki ngā raruraru ki te maha o ngā mea, tae atu ki tō hauora whānui, te take mō te tukanga, me te wheako o tō tākuta. Mā te kōrero i ēnei tūponotanga ki tō tākuta e āwhina ana i a koe ki te mārama ki ngā mea e tūmanakohia ana me te wā hei rapu āwhina mēnā ka puta mai ngā raruraru.

Ka ora katoa te nuinga o ngā wāhine i te D&C kāore he pānga pumau. Ko ngā painga o te tukanga te nuinga ka nui ake i ōna tūponotanga, inā koa ka hiahiatia hei tātai, hei rongoā rānei i tētahi āhuatanga nui. Ka āta aroturukihia koe e tō tākuta, ā, ka hoatu ngā tohutohu taipitopito mō te mōhio me te whakahaere i ngā raruraru ka puta mai.

Āhea au e kite ai i te tākuta i muri i te D&C?

Mā te mōhio ki te wā hei whakapā atu ki tō tākuta i muri i te D&C e āwhina ana kia whiwhi koe i te rongoā wawe mēnā ka puta mai ngā raruraru. Ahakoa ka ora pai te nuinga o ngā wāhine, me whai whakaaro tonu ki ētahi tohu, kaua e whakawātea, e whakaroa rānei.

Whakapā atu ki tō tākuta tonu mēnā ka pā koe ki te nui o te toto e mākū ana i ngā papa e rua i te hāora mō ngā hāora e rua. He nui ake tēnei taumata o te toto i te wāhi noa i muri i te tukanga, ā, ka tohu pea i tētahi raruraru nui e hiahia ana i te rongoā ohorere.

Ko te kirika o te 100.4°F (38°C) neke atu rānei, inā koa ka haere tahi me te makariri, ngā tohu rite ki te rewharewha rānei, ka tohu pea i te mate. Ka nui pea ngā mate i te pūkahukahu i muri i te D&C mēnā kāore i rongoātia, engari ka pai te urupare ki ngā paturopi i te wā i mau ai. Kaua e tatari kia ngaro noa te kirika.

He maha atu ngā tohu e tika ana kia whiwhi i te āwhina hauora tonu:

• Te mamae nui i te puku, i te puku ranei, kāore e pai ake i ngā rongoā mamae kua whakaritea
• Te rerenga mai i te tara he kakara kino, he tohu pea tēnei i te mate
• Te whakapairuaki me te ruaki e kore ai e taea e koe te pupuri wai
• Te whanoke, te ngaro rānei o te mahara, he tohu pea tēnei i te ngaronga toto
• Te uaua ki te mimi, te toto rānei i roto i tō mimi
• Te mamae o te uma, te uaua rānei ki te hā

Me waea atu anō koe ki tō tākuta mō ngā tohumate kāore i te tino ohorere, engari e pā ana, pēnei i te toto e haere tonu ana mō te roa atu i te rua wiki, te kōpiko tonu e hāere ana te kino, te tohumate rānei e māharahara ana koe, ahakoa he iti noa iho te ahua.

Kia mahara kei reira te tari o tō tākuta hei āwhina i a koe i tō whakaoranga. Kaua e whakaroa ki te waea atu mō ngā pātai, ngā āwangawanga rānei, he pai ake ki a rātou te whakatika i ngā āwangawanga iti i te wā wawe, i te tuku rānei i a koe kia mamae kore take, kia whanake rānei ngā raruraru ka taea te ārai ki te wā tika.

Ngā pātai e pātai pinepine ana mō te Whānuitanga me te Curettage (D&C)

Q.1 He pai te whakamātautau D&C mō te tātaritanga o te mate pukupuku endometrial?

Ko te D&C te paerewa koura mō te tātaritanga o te mate pukupuku endometrial me ētahi atu āhuatanga o te kōpū. Ka taea e te tikanga te kohi tauira kiko mai i te katoa o tō uhi kōpū, e whakarato ana i te tirohanga whānui ka ngaro pea i ētahi atu whakamātautau. Nō te mea he tino whānui tēnei tauira, he nui ake te tika o te D&C i ngā koiora endometrial i te tari, e tauira ana i ngā wāhi iti anake.

Ki te whakapaehia te mate pukupuku endometrial, ka taea e te D&C te whakatau ehara i te mea kei te noho te mate pukupuku, engari ko te momo hoki me te pēhea te kaha. He mea nui tēnei mō te whakawhanake i tētahi mahere maimoatanga whai hua. Ka taea e te tikanga te kite i te mate pukupuku i ōna wāhanga tuatahi i te wā e tino angitu ana te maimoatanga.

Q.2 Me D&C tonu te toto rere ke?

Kāore e hiahiatia ana e te whakaheke toto koretake he D&C i ngā wā katoa, engari me tātari hauora hei whakatau i te take i raro. Ka whakamātau tō tākuta i ngā huarahi iti ake te whakaeke pēnei i ngā rongoā homoni, ngā rongoā, ngā tikanga i te tari. Ko te tikanga ka tūtohutia te D&C i te wā kāore e whai hua ana ēnei rongoā māmā, i te wā rānei e pā ana ki ngā āhuatanga kino i raro.

Ngā āhuatanga e kaha ake ai te D&C ko te whakaheke toto i muri i te menopause, te whakaheke toto nui kāore e whai hua ana ki te rongoā, te whakaheke toto i waenga i ngā wā e mau tonu ana, ngā hua koretake rānei i runga i ētahi atu whakamātautau pēnei i te ultrasound, te koiora endometrial rānei. Ko tō tau, te hītori hauora, me ngā tohu motuhake katoa e pā ana ki te whiriwhiri tika o te D&C mō tō āhuatanga.

Q.3 Ka pā te D&C ki tō kaha ki te hapū?

Ko te tikanga kāore te D&C e pā ki tō kaha ki te hapū, ā, ko te nuinga o ngā wāhine e hiahia ana ki te hapū ka taea te mahi i te tikanga i muri i te tikanga. Ko te tikanga ka hoki mai tō huringa paheketanga ki te tikanga i roto i ngā wiki 4-6, ā, ko tō kaha ki te whakatipu tamariki e noho tonu ana. Heoi, he mea nui kia tatari koe kia whakawātea tō tākuta i a koe mō te mahi tūāhua me ngā ngana hapū.

I ngā wā tino onge, ka pā ngā raruraru pēnei i te mate a Asherman (te hanganga kiko kiko) ki te kaha ki te whakatipu tamariki, engari ka puta tēnei i roto i te iti iho i te 1.5% o ngā tikanga D&C. Ki te whakamahere koe ki te hapū, kōrerohia ō whāinga whakatipu tamariki ki tō tākuta i mua i te tikanga kia taea e rātou te whai i ngā whakatūpato anō hei tiaki i tō hauora whakatipu.

Q.4 Kia pēhea te roa ki te ora mai i te D&C?

Ka ora te nuinga o ngā wāhine i te D&C i roto i te kotahi ki te rua wiki, ahakoa ka ora te katoa i tō rātou ake tere. Ka pōturi koe ki te hoki ki te tikanga i roto i ngā rā torutoru mō ngā mahi māmā, engari ka roa te whakaora katoa o te rārangi uterine e pā ana ki te rua wiki. I tēnei wā, ka pā pea ki a koe te mamae māmā me te whakaheke toto māmā e heke haere ana.

Ko tō wāhanga paheketanga tuatahi i muri i te D&C ka hoki mai i roto i te 4-6 wiki, ahakoa he rerekē pea i tō huringa noa. Ko te whakaora katoa ko te kore toto, te kore pānga, te kore mamae, me te whakaaetanga mai i tō tākuta ki te hoki ki ngā mahi noa katoa tae atu ki te whakakori tinana me te moe tahi.

Q.5 He rite te D&C ki te tikanga whakatahe?

Ka whakamahia te D&C hei wāhanga o ngā tikanga whakatahe, engari ehara i te tikanga whakatahe anake. Ka whakamahia te tikanga kotahi mō ngā take rongoā maha, tae atu ki te rongoā i ngā whāwhā, te tango i ngā polyps, te tātai mate pukupuku, me te whakatika i te nui o te toto. Ki te whakamahia mō te whakatahe, ka kiia ko te "whakatahe pokanga" rānei "D&C whakatahe."

He ōrite te tikanga rongoā ahakoa te take mō te tikanga. Ko te rerekē ko te tohu (he aha te take e mahia ana) me te wā i ētahi wā. Ahakoa ka whakamahia mō te tātai, te rongoā, ngā take e pā ana ki te hapū rānei, ka uru te D&C ki te tukanga tūpato kotahi o te whānuitanga me te curettage e mahia ana e ngā tohunga gynecologists i roto i ngā wāhi rongoā haumaru.