সংজ্ঞা
Dilation is a procedure to open and widen the cervix. The cervix is the entrance to the uterus. Curettage is the removal of the lining of the uterus by scraping. The lining is known as the endometrium. The two procedures are done together and are often referred to as a D&C.
পদ্ধতির কারণ
A D&C is usually done to determine what condition is causing abnormal bleeding. Some conditions that may cause abnormal bleeding are:
- গর্ভপাত
- Hormone imbalances
- Endometrial polyps
- Abnormal endometrial thickening
- এন্ডমেট্রিয়াল ক্যান্সার
Sometimes a D&C is done to stop the bleeding, rather than to diagnose why you are bleeding. For example, this procedure may be done to remove products of conception (eg, tissue from the fetus or placenta) or to treat bleeding that has not responded to other methods.
A D&C is not done if you have an infection (eg, affecting the uterus or fallopian tubes).
সম্ভাব্য জটিলতা
Complications are rare. But no procedure is completely free of risk. If you are planning to have a D&C, your ডাক্তার একটি তালিকা পর্যালোচনা করবে of possible complications, such as:
- Complications related to anesthesia
- Injury to the cervix
- Scarring of endometrium
- Infection of the uterus or fallopian tubes
- Uterine perforation (hole in the uterus)
- রক্তপাত
- Damage to other organs in the abdomen
- Need for additional surgery
- Possible need to remove the uterus (hysterectomy)
Factors that may increase the risk of complications include having a pre-existing infection or condition.
কি আশা করা যায়
পদ্ধতির আগে
Talk to your doctor about all the medicines you are taking. Up to one week before the surgery, you may be asked to stop taking some medicines, such as:
- অ্যাসপিরিন এবং অন্যান্য ননস্টেরয়েডাল অ্যান্টি-ইনফ্লেমেটরি ওষুধ (যেমন, আইবুপ্রোফেন, নেপ্রোক্সেন)
- রক্ত পাতলা করার ওষুধ, যেমন ওয়ারফারিন (কৌমাদিন)
- অ্যান্টি-প্ল্যাটলেট ওষুধ, যেমন ক্লোপিডোগ্রেল (প্লাভিক্স)
In addition, arrange for a ride home and for help at home.
এনেস্থেশিয়া
General or local anesthesia may be used.
- General anesthesia—keeps you asleep throughout the surgery
- Local anesthesia—numbs the area only
পদ্ধতির বর্ণনা
A pelvic exam will be done to find out the size and location of your uterus. The vagina and cervix will be cleaned with an antiseptic solution. A speculum will be placed in your vagina. An instrument called a cervical dilator will be placed into the cervical canal. Once the cervical canal is slightly open, a scoop-shaped instrument, called a curette, will be inserted into the uterus. It will be used to scrape the uterine lining and remove tissue through the vagina. After sampling the endometrium, the instrument will be removed from the cervix.
অবিলম্বে প্রক্রিয়া পরে
You will be taken to a recovery room, where the nurses will monitor you.
কতক্ষণ এটা লাগবে?
You may be able to go home in a few hours.
এটা আঘাত করবে?
If you have general anesthesia, you will have no pain during the procedure. With local anesthesia, you may have some cramping and পিঠে ব্যাথা.
After the procedure, pain may last up to 24 hours.
পোস্ট-প্রক্রিয়া যত্ন
কেয়ার সেন্টারে
You will be monitored in the recovery center.
ঘরে
যখন আপনি বাড়িতে ফিরে, একটি মসৃণ পুনরুদ্ধার নিশ্চিত করতে সাহায্য করার জন্য নিম্নলিখিতগুলি করুন:
- For uterine cramping, take pain medicine if recommended by your doctor.
- It is common to have some vaginal bleeding and discharge after a D&C. Use sanitary pads, not tampons.
- Refrain from placing anything inside your vagina until instructed by your doctor. The cervix has been opened. This may make it easier for you to get an infection in the uterus.
- Ask your doctor when you will be able to return to work. Also, do not drive until your doctor tells you that it is safe. You may be able to resume your normal activities in a few days.
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
Your next menstrual cycle may not be regular. It may be late or early.
আপনার ডাক্তারকে কল করুন
After arriving home, contact your doctor if any of the following occur:
- Signs of infection, including fever and chills, increasing pain, or foul-smelling vaginal discharge
- Nausea or vomiting that does not stop
- পেটে ব্যথা
- Vaginal bleeding that is saturating more than one sanitary pad per hour
- কাশি, শ্বাসকষ্ট বা বুকে ব্যথা
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।