He aha te Endettervical Curettage, he aha te aha, me pehea te mahi

Toka Te Manawa

• Pehea te mahi i te whakamātautau
• Te tiaki tika i muri o te whakamātautau

Ko te kohinga Endocervical he whakamatautau whaawhao, e mohiotia whanuitia ana te kohanga o te kopu, e mahia ana ma te whakauru i tetahi taputapu-a-koko iti ki roto i te tenetini (curette) kia tae ra ano ki te kohanga ki te wiri me te tango i tetahi tauira iti o te kiko mai i tenei waahi.

Ka tukuna nga kiko kua ngatata ki te whare taiwhanga ka tirotirohia i raro i te miihini e tetahi kairangahau mate, ka maataki mena he pukupuku pukupuku kei roto i tenei tauira kaore ranei, ka whakarerekehia ranei penei i nga polyps uterine, hyperplasia endometrial, kiritona taihemahema HPV ranei.

Ko te whakamātautau curettage endocervical me mahi ki nga waahine katoa i pa ki te papa panui me te hua o te whakarōpūtanga III, IV, V NIC 3 ranei, engari he tino uaua te mahi i te wa e hapu ana, na te raru o te wa hapu.

Pehea te mahi i te whakamātautau

Ko te whakamātautau curettage endocervical ka taea te whakahaere i roto i te whare hauora, i te hohipera ranei, i raro i te whakarokiroki, e te tohunga o te mate wahine.

Ma tenei whakamatautau e mamae ai, e kore ai e mamae, engari kaore he tino tohu hei whakahaere i te rongoa rongoa, i te rongoa ranei, na te mea he waahanga iti noa iho o te kiko ka tangohia, he tere tonu te whakahaere, 30 meneti pea te roa. Kaore he take mo te hohipera, kia hoki ai te wahine ki te kainga i te ra kotahi, ana ko te tohutohu kia kaua e kaha ki te karo i te ra kotahi.

Mo te whakamatau ka tono te taakuta ki te wahine kia takoto ki tona tuara ka tuu i ona waewae ki runga i te awhi, kia puare tonu ona waewae. Na ka horoia e ia, ka mate hoki i te takotoranga o te takiwa, ka whakauruhia te speculum ka puta ki te curette hei taputapu mo te tango i tetahi tauira iti o te kiko uterine.

I mua i te whakahaere i tenei tikanga, ka taunaki te taakuta kia kaua te wahine e puremu i roto i nga ra e 3 kua hipa, kaua hoki e mahi horoi i te tara me te ua taapiri, kaua hoki e tango i nga raau rongoa anticoagulant na te mea ka kaha ake te mate toto.

Te tiaki tika i muri o te whakamātautau

Whai muri i te whakamaaramatanga, ka kii pea te taakuta kia okioki te wahine, kia kore e kaha ki te whakapau kaha. E taunaki ana kia inu atu i te wai hei aukati i nga paitini me te noho pai tonu, hei taapiri ki te tango i te kaiwhakawhiwhi mamae mamae i nga haora 4, 6 ranei, e ai ki nga tohutohu a te hauora, me te whakarereke i te papa piri i nga wa katoa e poke ana.

Ko etahi o nga waahine ka pa ki te toto rewharewha ka ea mo etahi ra, engari he tino rereke te rahinga. Heoi, ki te piro te kakara o tenei toto, me hoki koe ki te taakuta mo te arotake. Ko te noho kirika hei take hoki mo te hoki ki te whare haumanu ki te hohipera ranei na te mea ka tohu pea he mate. Ka taea te tohu paturopi hei whakakore i nga momo mate ka pa mai.