Ni iki cyitwa Dilation na Curettage (D&C)? Impamvu, Uburyo & Gukira

Dilation na curettage, akenshi yitwa D&C, ni uburyo bwo kubaga buto aho muganga wawe afungura buhoro (dilates) umura wawe akavana urugingo ruri imbere mu mura wawe akoresheje igikoresho cyihariye cyitwa curette. Tekereza nk'isuku yitondewe y'umurongo w'umura, bisa nk'uko washobora gukora buhoro frost ku idirishya. Ubu buryo bukorerwa hanze ni bumwe mu buvuzi busanzwe bwa gynecologique, bufasha abaganga gusuzuma ibibazo no gutanga imiti ivura ibibazo bitandukanye.

Ni iki cyitwa Dilation na Curettage (D&C)?

D&C ikubiyemo intambwe ebyiri zikora hamwe kugirango zigere ku mura wawe zikawuvura. Mugihe cya dilation, muganga wawe afungura buhoro umura wawe (urufunguzo rwo mu mura wawe) akoresheje ibikoresho byihariye cyangwa imiti. Ibi bitanga inzira yo mu ntambwe ya kabiri, curettage, aho urugingo rukorwa buhoro cyangwa rukavurwa mu murongo w'umura wawe.

Ubu buryo bwose busanzwe bufata iminota 15 kugeza kuri 30 kandi bukorerwa mu bitaro cyangwa mu kigo cyo kubagisha hanze. Uzahabwa anesthesia kugirango wumve neza muri ubu buryo. Abagore benshi bataha umunsi umwe, bikaba ari uburyo bwo kuvura bworoshye.

Muganga wawe ashobora gukoresha uburyo butandukanye bitewe n'icyo ukeneye. Uburyo bumwe buhuza D&C no kuvura (byitwa suction curettage), mugihe abandi bashobora gukoresha uburyo bwo gukorora gusa. Uburyo bwombi ni bwo bwizewe kandi bufite akamaro iyo bukoreshejwe na gynecologues bafite uburambe.

Kuki Dilation na Curettage (D&C) bikorwa?

D&C ifite impamvu ebyiri zikomeye: gusuzuma no kuvura ibibazo bitandukanye byo mu mura. Muganga wawe ashobora gushishikariza ubu buryo iyo izindi igeragezwa zitatanze ibisubizo bisobanutse neza kubyabaye imbere mu mura wawe. Ni nko kugira umuntu w'umuhanga usuzuma witonze ibimenyetso bitagaragara hanze.

Mu rwego rwo gupima indwara, D&C ifasha gukora iperereza ku bimenyetso bitera impungenge. Ibi birimo kuva cyane cyangwa kutajya mu mihango neza, kuva hagati y'imihango, cyangwa kuva nyuma yo gucura. Muganga wawe ashobora kandi gukoresha iyi nzira kugira ngo arebe niba hari indwara zanduye, imikorere mibi y'imisemburo, cyangwa ibikura nk'ibibyimba cyangwa fibroids.

Inyungu z'ubuvuzi za D&C zikemura ibibazo bitandukanye by'ubuvuzi bisaba kwitabwaho byihuse:

• Gukuraho urugingo nyuma yo gukuramo inda kugira ngo birinde indwara no kuva cyane
• Gufata mu buryo bwiza gukuramo inda ituzuye aho hari urugingo rwo gutwita rukiriho
• Gukuraho ibibyimba cyangwa fibroids ntoya bitera kuva cyane
• Gusukura urugingo rw'umura rwakomeje (endometrial hyperplasia)
• Gukuraho urugingo kugira ngo rukorweho biopsy kugira ngo hakurweho kanseri
• Gufata mu buryo bwiza ubwoko bumwe na bumwe bwo kuva bidasanzwe

Rimwe na rimwe D&C iba ngombwa mu bihe by'ubutabazi, nk'ukuva cyane kudahagarara n'ubundi buvuzi. Muri ibi bihe, iyi nzira ishobora kurokora ubuzima mu gukuraho vuba isoko yo kuva no gukumira ingorane.

Ni iyihe nzira ya D&C?

Inzira ya D&C ikurikiza inzira yitondewe, intambwe ku yindi igamije kugufasha kugira umutekano n'umunezero. Mbere yo gutangira icyo aricyo cyose, uzahura n'umuganga wawe w'indwara z'ibihaha kugira ngo muganire ku bwoko bwa anesthesia bukugirira akamaro. Abagore benshi bahabwa anesthesia rusange, bivuze ko uzaba uryamye rwose mu gihe cy'iyi nzira.

Umaze kumva ko umeze neza, muganga wawe azagushyira mu mwanya usa n'uw'ibizamini bisanzwe by'igice cy'umubiri cy'imbere. Bazahanagura ahantu hose neza kandi bashobora gushyiramo speculum kugira ngo babone neza umura wawe. Iyi myiteguro ituma ibintu byose biguma bisukuye kandi bifite umutekano muri iyi nzira.

Icyiciro cyo kwagura gikurikira, aho muganga wawe azagenda afungura umura wawe. Bashobora gukoresha ibikoresho byihariye byo kwagura bifite ubunini butandukanye, cyangwa bashobora kuba baraguhaye imiti mbere yo koroshya umura wawe mu buryo busanzwe. Iyi ntambwe isaba kwihangana no gushishoza, kuko kwihutisha bishobora guteza imvune ku bice byoroshye.

Mugihe cyo gukuramo, muganga wawe ashyiraho curette (igikoresho gisa na spoon) cyangwa igikoresho cyo gukuramo binyuze mu mura wagutse. Bazakora gusa cyangwa bakureho umurongo w'inda, bakusanya ibyemezo by'imyenda niba bikenewe kugirango bipimwe. Uburyo bwose bumeze nkaho buteguye kandi bugenzurwa, muganga wawe akurikiranira hafi ibisubizo byawe.

Nyuma yo gukuraho imyenda ikenewe, muganga wawe azagenzura kugirango yemeze ko amaraso yose yahagaze kandi ko umura wawe usubira mu mwanya wawo usanzwe. Noneho uzajyanwa ahantu ho koroherwa aho abaganga bazakurikirana ibimenyetso byawe byingenzi n'urwego rwo guhumurizwa mugihe anesthesia igenda.

Ni gute wakitegura D&C yawe?

Kutegura D&C yawe bikubiyemo intambwe nyinshi zingenzi zifasha kumenya ko uburyo bugenda neza kandi neza. Muganga wawe azatanga amabwiriza yihariye ashingiye ku miterere yawe bwite, ariko imyiteguro myinshi iroroshye kandi byoroshye gukurikiza.

Mugihe cyo gukora, uzakenera kwirinda kurya cyangwa kunywa ikintu icyo aricyo cyose nyuma ya saa sita z'ijoro. Iki gihe cyo kwiyiriza, cyitwa NPO (ntakintu mu kanwa), kirinda ingorane hamwe na anesthesia. Niba ufata imiti isanzwe, baza muganga wawe iyo ukwiye gukomeza n'izo ugomba kureka.

Urutonde rwawe rw'imyiteguro rugomba kuba rukubiyemo izi ntambwe zingenzi:

• Utegure umuntu uzagutwara nyuma yo kuvurwa
• Fata imiti yose wahawe neza nk'uko byategetswe
• Irinda gukoresha aspirine cyangwa imiti ituma amaraso ataguma mu mubiri mu gihe cyagenwe
• Kura polish ku nzara, imitako, na contact lenses mbere yo kugera
• Wambare imyenda yoroshye kandi itagufashe cyane
• Zana urutonde rw'imiti yose n'ibiyobyabwenge ufata

Muganga wawe ashobora no kugutera imiti yo koroshya umura wawe mbere yo kuvurwa. Fata iyi miti neza nk'uko byategetswe, n'iyo byakubabaza cyangwa bikagutera amaraso make. Iyi myiteguro ituma inzira yo kwagura iba yoroshye kandi ikagufasha.

Ibyo uvuzwe byose, ntuzuyaze kuvugana na muganga wawe niba ugize umuriro, ububabare bukomeye, cyangwa kuva amaraso menshi mu minsi iri imbere yo kuvurwa. Ibi bimenyetso bishobora kwerekana indwara cyangwa ikindi kibazo gikeneye kwitabwaho mbere yo gukomeza.

Ni gute usoma ibisubizo byawe bya D&C?

Kumenya ibisubizo byawe bya D&C bitangirana no kumenya ko ibice by'umubiri byakusanyirijwe mu gihe cyo kuvurwa byoherezwa muri laboratwari y'ubuvuzi kugira ngo bisuzumwe neza. Umuganga w'indwara, umuganga wihariye mu gusesengura ibice by'umubiri, aziga ibice byawe akoresheje mikorosikopi kandi ategure raporo irambuye kuri muganga wawe w'abagore.

Raporo y'indwara ikunze kuza mu minsi 5 kugeza ku 10 y'akazi nyuma yo kuvurwa. Muganga wawe azasuzuma ibi bisubizo neza kandi ategure gahunda yo gusubiramo kugira ngo aganire icyo bisobanuye ku miterere yawe. Iki gihe cyo gutegereza, nubwo rimwe na rimwe giteza impungenge, gituma habaho isesengura ryimbitse n'ubusesenguzi nyabwo.

Ibisubizo bisanzwe muri rusange byerekana imitsi ya endometriale ifite ubuzima bwiza ikwiriye imyaka yawe n'igihe cy'imihango. Umuganga w'indwara azavuga uko imitsi isa, uburebure bwayo, n'imiterere y'uturemangingo. Niba utarageramo imihango, ibisubizo bisanzwe bishobora kwerekana impinduka zihuye n'inzego zawe z'imisemburo, mu gihe abagore bamaze guca imbyaro mubisanzwe bagira imitsi yoroheje kandi idakora cyane.

Ibisubizo bidasanzwe bisaba gusobanurwa neza kandi bishobora kwerekana ibintu bitandukanye. Ibi bishobora kuba harimo imiterere mibi y'imisemburo, indwara zandura, polyps, fibroids, cyangwa mu bihe bidasanzwe, impinduka ziteye kanseri cyangwa kanseri. Muganga wawe azasobanura neza icyo ibintu bidasanzwe bisobanura kandi aganire ku ntambwe zikurikira zikwiye zishingiye ku miterere yawe bwite.

Wibuke ko ibisubizo bidasanzwe bitavuga mu buryo bwikora ko hari ikintu gikomeye kitagenda neza. Ibintu byinshi biboneka binyuze muri D&C biravurwa byoroshye, kandi kumenya hakiri kare akenshi bituma habaho ibisubizo byiza. Muganga wawe azakorana nawe kugirango ateze imbere gahunda yo kuvura ikemura ibyifuzo byawe byihariye n'impungenge zawe.

Ni gute wakwitwara nyuma yo gukira D&C?

Gukira D&C mubisanzwe biroroshye, abagore benshi bumva basubiye mu buryo busanzwe mu minsi mike kugeza ku cyumweru. Umubiri wawe ukeneye umwanya wo gukira nyuma y'iki gikorwa, kandi gukurikiza amabwiriza yo gukira ya muganga wawe bifasha kugaruza neza nta ngorane.

Nyuma y'igikorwa ako kanya, birashoboka ko uzagira ububabare buke busa n'ububabare bw'imihango. Ibi bibazo ni ibisanzwe rwose kandi byerekana ko igituntu cyawe kigaruka ku bunini n'umwanya bisanzwe. Imiti igabanya ububabare nk'ibuprofen cyangwa acetaminophen mubisanzwe itanga ubufasha buhagije.

Uzabona kandi amaraso make cyangwa amabara mu gitsina mu minsi mike nyuma y'igikorwa. Aya maraso mubisanzwe aroroshye kuruta imihango isanzwe kandi bigenda bigabanuka uko igihe gihita. Koresha utwenda tw'isuku aho gukoresha tampon muri iki gihe, kuko tampon ishobora kuzana mikorobe kandi ikongera ibyago byo kwandura.

Amabwiriza yo koroherwa azaba arimo ibintu byinshi byingenzi bigamije kurengera imitsi yawe ikira:

• Irinda kuzamura ibintu biremereye (birenze ibiro 4.5) byibuze icyumweru
• Ntugakorane imibonano mpuzabitsina mu byumweru 1-2 cyangwa kugeza muganga abikwemereye
• Irinda kwiyuhagira mu bwogero, koga, no koga mu mazi ashyushye kugeza igihe amaraso ahagaze burundu
• Fata ikiruhuko ku kazi niba bikenewe, cyane cyane niba akazi kawe karimo imirimo ikomeye
• Irinda imyitozo ikomeye mu gihe cy'icyumweru
• Ntukoreshe tampon cyangwa douches kugeza muganga avuze ko byemewe

Abagore benshi bashobora gusubira mu bikorwa bisanzwe mu minsi 2-3, nubwo ugomba kumva umubiri wawe ukiruhuka igihe bibaye ngombwa. Niba wumva ububabare bukomeye, kuva amaraso menshi, umuriro, cyangwa ibimenyetso byo kwandura, vugana na muganga wawe ako kanya kuko ibi bimenyetso bikenera kwitabwaho vuba.

Ni ibihe bintu byongera ibyago byo kugira ibibazo bya D&C?

Nubwo D&C muri rusange ari nziza cyane, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo. Kumva ibi bintu byongera ibyago bifasha wowe na muganga wawe gufata ibyemezo bifitiye akamaro ku bijyanye n'imivurire yawe no gufata ingamba zikwiye mu gihe cy'igikorwa no nyuma yacyo.

Impamvu zishingiye ku myaka zigira uruhare mu rwego rwawe rw'ibyago. Abagore bakuze, cyane cyane abamaze guca imbyaro, bashobora kugira imitsi yoroshye cyane ikunda gukomereka mu gihe cy'igikorwa. Ariko, abaganga b'inzobere mu by'ubuganga bw'abagore bahindura uburyo bakoresha, kandi imyaka yonyine ntibibuza kugira D&C nziza.

Ibyakoranywe ku gitsina cy'umugore cyangwa kubagwa mbere bishobora guteza imitsi y'ibikomere bituma igikorwa kigora. Niba waragize D&C nyinshi, kubagwa kwa cesarean, cyangwa izindi operasiyo zo mu gitsina cy'umugore, muganga wawe azitaho cyane mu gihe cy'igikorwa. Iyi mateka ntibituma D&C idashoboka, ariko bisaba ubuhanga bwihariye n'ingamba.

Indwara nyinshi zirashobora kongera ibyago byo kugira ibibazo mu gihe cya D&C:

• Uburwayi bwo gupfuka kw'amaraso bugira ingaruka ku bushobozi bwawe bwo guhagarika kuva amaraso
• Uburwayi bw'umutima cyangwa ubundi burwayi butuma kubagwa bikomerera
• Indwara z'impyiko zikomeye zishobora gukwirakwira mugihe cyo kubagwa
• Anemiya ikabije ituma gutakaza amaraso bigira akaga gakomeye
• Imiti igira ingaruka ku gupfuka kw'amaraso, nka warfarin cyangwa aspirine
• Umubyibuho ukabije, ushobora gutuma kubagwa bigorana

Muganga wawe azasuzuma neza amateka yawe y'ubuzima n'ubuzima bwawe bw'ubu mbere yo kugusaba D&C. Ashobora gutuma ukora ibizamini byinshi cyangwa akagisha inama abandi bahanga mu by'ubuvuzi niba ufite ibintu bikomeye byongera ibyago. Ibi byitegura neza bifasha kumenya neza umusaruro mwiza ushoboka ku buryo bwawe.

Ni izihe ngaruka zishobora guterwa na D&C?

Ingaruka ziterwa na D&C ni gake, zibaho muri 1% gusa y'inzira iyo zikorwa n'abaganga b'inzobere mu by'abagore. Ariko, ni ngombwa kumva ibyago bishoboka kugirango ushobore gufata ibyemezo bifitiye akamaro ku kwitabwaho kwawe no kumenya ibimenyetso byo kwitondera bikeneye kwitabwaho ako kanya.

Ingaruka zisanzwe ni zoroshye kandi zikemurwa no kuvurwa neza. Kuva amaraso birenze urugero bibaho mu buryo bugera kuri 1 kuri 1000 kandi mubisanzwe byitabira neza imiti cyangwa uburyo buto bwongereweho. Infesiyo ni indi shobora kubaho, igira ingaruka ku bagore bagera kuri 1 kuri 100, ariko imiti yica mikorobi mubisanzwe irayikiza vuba iyo ifashwe hakiri kare.

Ingaruka zikomeye, nubwo ari gake cyane, zisaba kwitabwaho ako kanya. Ibi birimo gucumita kwa nyababyeyi, bibaho muri 1 kuri 500. Ibi bivuze ko curette itunguranye ikora urwobo ruto mu rukuta rwa nyababyeyi. Gucumita guto gukira ku giti cyabyo, ariko ibikomeye bishobora gusaba gusanwa mu kubaga.

Ingaruka zidasanzwe zisaba ubuvuzi bwihariye zirimo:

• Urugero rw'umuhogo (kuribuka mu muhogo) mugihe cyo kwagura
• Indwara ya Asherman (gukora inyama zifite ibikomere imbere mu mura)
• Ingorane zifitanye isano no kubagwa
• Amabuye y'amaraso, cyane cyane kubagore bafite indwara zo gupfuka amaraso
• Gukuraho ibice bituzuye bisaba kongera kubikora
• Kwangiza ibice by'umubiri bikikije (urugingo rw'inkari cyangwa urwungano rw'igifu)

Ibyago byawe byo kugira ingorane biterwa n'ibintu byinshi, harimo ubuzima bwawe muri rusange, impamvu yo gukora uwo murimo, n'uburambe bw'umuganga ukubaga. Kuganira kuri ibyo byago n'umuganga wawe bifasha gusobanukirwa icyo witegura n'igihe cyo gushaka ubufasha niba hari ibibazo bivutse.

Abagore benshi bakira neza nyuma ya D&C nta ngaruka zirambye. Inyungu z'uwo murimo zikunda kurenga ibyago byawo, cyane cyane iyo bikenewe kugirango hamenyekane cyangwa havurwe indwara ikomeye. Umuganga wawe azakugenzura neza kandi aguhe amabwiriza arambuye yo kumenya no gukemura ingorane zishobora kuvuka.

Ni ryari nkwiriye kubona umuganga nyuma ya D&C?

Kumenya igihe cyo kuvugana n'umuganga wawe nyuma ya D&C bifasha kumenya ko uvurwa vuba niba ingorane zivutse. Nubwo abagore benshi bakira neza, ibimenyetso bimwe na bimwe bisaba ubufasha bwihuse kandi ntibikwiriye kwirengagizwa cyangwa gutinda.

Vugana n'umuganga wawe ako kanya niba ubona amaraso menshi yuzura pad ebyiri mu isaha imwe mu masaha abiri akurikirana. Urwego rwo kuva amaraso rurenze cyane uko bisanzwe nyuma yo gukora uwo murimo kandi rushobora kugaragaza ingorane ikomeye ikeneye kuvurwa byihutirwa.

Urubavu rwa 100.4°F (38°C) cyangwa hejuru, cyane cyane iyo iherekejwe n'ubukonje cyangwa ibimenyetso bisa n'ibicurane, bishobora kugaragaza icyorezo. Indwara zo mu gatuza nyuma ya D&C zirashobora kuba zikomeye niba zitavuwe, ariko zikira neza niba zivuwe hakiri kare. Ntukegere ngo urebe niba umuriro ugenda wenyine.

Ibindi bimenyetso byinshi bisaba ubufasha bwihuse:

• Urubabare rukabije mu gatuza cyangwa mu nda rutavurwa n'imiti yagenewe kuvura ububabare
• Amavangingo mabi ashobora kwerekana ko wanduye indwara
• Isesemi no kuruka bikubuza kunywa amazi
• Kuribwa umutwe cyangwa kugwa igihumure, bishobora kwerekana ko uvusha amaraso
• Kugorana kunyara cyangwa amaraso mu nkari zawe
• Urubabare mu gituza cyangwa guhumeka bigoye

Ugomba kandi guhamagara muganga wawe kubera ibimenyetso bitihutirwa ariko biteye impungenge nk'amaraso akomeza kurenza ibyumweru bibiri, kuribwa gukomeza kugaragara ko kurushaho kuba bibi aho kuba byiza, cyangwa ikindi kimenyetso icyo aricyo cyose kikugora, nubwo cyaba gisa nk'igito.

Wibuke ko ibiro bya muganga wawe bihari kugirango bagufashe mu gukira kwawe. Ntukazuyaze guhamagara ufite ibibazo cyangwa impungenge, kuko bashaka kuvura impungenge nto hakiri kare kuruta ko wakwababara bitari ngombwa cyangwa ukagira ibibazo byakwirindwa hakiri kare.

Ibikunze kubazwa ku bijyanye no Kwagura no Gukorora (D&C)

Q.1 Ese ikizamini cya D&C ni cyiza mu gusuzuma kanseri y'uruhu rw'inda y'umugore?

D&C ifatwa nk'urugero rwiza rwo gusuzuma kanseri y'uruhu rw'inda y'umugore n'izindi ndwara z'inkondo y'umura. Iyi nzira yemerera muganga wawe gukusanya ibice by'umubiri biva mu gice cyose cy'uruhu rw'inda y'umugore, bitanga ishusho yuzuye ibindi bizamini bishobora kutabona. Iki gikorwa cyo gufata ibyiciro bituma D&C ikora neza cyane kurusha ibizamini byo mu biro byo gusuzuma uruhu rw'inda y'umugore, bikora ibyiciro bito gusa.

Iyo hakekwa kanseri y'uruhu rw'inda y'umugore, D&C irashobora kumenya niba kanseri ihari gusa ahubwo n'ubwoko bwayo n'uburyo igaragara ko yibasira. Iyi makuru ni ingenzi mu guteza imbere gahunda yo kuvura neza. Iyi nzira irashobora kumenya kanseri mu ntangiriro zayo igihe kuvurwa bigenda neza cyane.

Q.2 Ese kuva amaraso bidasanzwe buri gihe bisaba D&C?

Ukuva amaraso bidasanzwe ntibisaba buri gihe D&C, ariko bisaba isuzuma rya muganga kugirango hamenyekane icyateye. Muganga wawe azagerageza mbere na mbere uburyo butavuna nk'imiti ikoresha imisemburo, imiti, cyangwa uburyo bukorerwa mu biro. D&C ikunze gukoreshwa iyo ubu buvuzi bworoshye butagize icyo bugeraho cyangwa iyo hari impungenge z'indwara zikomeye zibitera.

Ibintu bituma D&C ikoreshwa cyane harimo kuva amaraso nyuma yo gucura, kuva amaraso menshi cyane atavurwa n'imiti, kuva amaraso hagati y'imihango bikomeza, cyangwa ibisubizo bidasanzwe ku zindi tests nka ultrasound cyangwa endometrial biopsy. Imyaka yawe, amateka yawe y'ubuvuzi, n'ibimenyetso byawe byihariye byose bigira uruhare mu guhitamo niba D&C ariyo nziza kuri wowe.

Q.3 Ese D&C ishobora kugira ingaruka ku bushobozi bwanjye bwo gutwita?

D&C mubisanzwe ntigira ingaruka ku bushobozi bwawe bwo gutwita, kandi abagore benshi bifuza gutwita barashobora kubikora bisanzwe nyuma y'ubwo buryo. Iminsi yawe yo mu mihango isanzwe isubira mu buryo busanzwe mu byumweru 4-6, kandi ubushobozi bwawe bwo kubyara mubisanzwe ntibuhinduka. Ariko, ni ngombwa gutegereza kugeza muganga wawe akwemereye gukora imibonano mpuzabitsina no kugerageza gutwita.

Mu bihe bidasanzwe cyane, ingorane nka syndrome ya Asherman (imitsi y'ibikomere) ishobora kugira ingaruka ku kubyara, ariko ibi bibaho muri 1.5% gusa bya D&C. Niba uteganya gutwita, ganira ku ntego zawe zo kubyara na muganga wawe mbere y'ubwo buryo kugirango bashobore gufata ingamba zidasanzwe zo kurengera ubuzima bwawe bw'imyororokere.

Q.4 Bifata igihe kingana iki kugirango ukire nyuma ya D&C?

Abagore benshi bakira nyuma ya D&C mu cyumweru kimwe cyangwa bibiri, nubwo buri wese akira ku buryo bwe. Ushobora kumva umeze neza mu minsi mike gukora imirimo yoroheje, ariko gukira neza kw'umurongo w'inkondo y'umura bifata hafi ibyumweru bibiri. Muri iki gihe, ushobora guhura no kuribwa gake no kuva amaraso make bigenda bigabanuka.

Imvura ya mbere yo mu gihe cy'imihango nyuma ya D&C isanzwe igaruka mu byumweru 4-6, nubwo bishobora gutandukana gato n'imihango yawe isanzwe. Gukira neza bisobanura ko nta kuva amaraso cyangwa ibimenyetso byayo, nta kubabara, kandi umuganga wawe akaba yaraguhaye uburenganzira bwo gukora ibikorwa byose bisanzwe birimo imyitozo ngororamubiri no gutera akabariro.

Q.5 Ese D&C ni kimwe na gahunda yo gukuramo inda?

D&C irashobora gukoreshwa nk'igice cy'inzira yo gukuramo inda, ariko ntabwo ari gahunda yo gukuramo inda gusa. Ubu buryo bukoreshwa ku mpamvu nyinshi z'ubuvuzi, harimo kuvura inda zavuyemo, gukuraho polyps, gupima kanseri, no kuvura kuva amaraso menshi. Iyo ikoreshejwe mu gukuramo inda, akenshi yitwa