<\/p>\n\n\n\n
<\/p>\n\n\n
PERLUKAH LAKUKAN D&C (CUCI RAHEM) BILA KEGUGURAN<\/b><\/p>\n
“Salam doktor. Saya sedang hamil buat kali ke2 sekarang. Semsa kehamilan pertama, saya keguguran kerana kantung janin saya tidak menjadi. Untuk kehamilan ke-2, pada minggu ke 6, doctor melakukan pemeriksaan ultrasound dan mendapati jantung janinsudah kelihatan. Sebulan kemudian saya ke klinik semula untuk pemeriksaan susulan, malangnya apbila scan melalui faraj doktor memberitahu kantung saya sudah membesar namun janin saya tetap kecil dan menunjukkan saiz\u00a0 8 minggu padahal saya hamil 12minggu. Degupan jantung juga tidak kelihatan. Doktor menasihatan saya untuk cuci pada keesokkan harinya. Apa perlu saya lakukan, adakah saya perlu saya cuci rahem? Mohon pencerahan”<\/i><\/p>\n
\u00a0<\/i><\/p>\n
WA ALAIKUM MUS SALAM<\/p>\n
Saya bersimpati dengan masalah puan. Saya doakan agar ALLAH permudahkan usaha puan untuk hamil semula.<\/p>\n
Apabila puan keguguran, melalui ujian UPT yang negatif dan doctor akan melakukan pemeriksaan ultrasound bagi melihat sama ada janin yang telah meninggal dunia itu masih berada dalam rahem, atau rahem puan telah kosong.<\/p>\n
Jika rahem puan telah kosong doctor tidak perlu mengosongkan rahem puan dengan melakukan prosedur ERPC (Evacuation of Products of Conception) atau D&C (Dilation & Curettage).<\/p>\n
Jika pemeriksaan ultrasound masih menunjukkan terdapat janin dalam rahem, maka doctor mungkin menasihatkan puan melakukan prosedur itu.<\/p>\n
Adakah prosedur D&C\u00a0 diwajibkan ke atas semua wanita yang keguguran apabila pemeriksaan ultrasound menunjukkan janin yang telah meninggal dunia masih berada dalam rahem?<\/p>\n
1. Jika keguguran itu berlaku pada usia kehamilan 10 minggu, kira-kira 50% dari mereka tidak memerlukan prosedur D&C. Ini kerana janin masih lagi dalam bentuk darah beku dan\u00a0 kebanyakan proses keguguran berlaku pada waktu ini, berlaku secara lengkap. Ini bermakna keseluruhan janin akan dikeluarkan dengan sendiri.<\/p>\n
Jika pemeriksaan ultrasound masih menunjukkan janin (darah beku) dalam rahem, puan boleh biarkan, \u2018tunggu dan lihat\u2019, dan berdoa agar proses keguguran ini dipermudahkan ALLAH.<\/p>\n
Selepas dua minggu puan boleh memeriksa semula bagi memastikan janin (darah beku) itu telah keluar dari rahem dan rahem menjadi kosong. Dengan itu puan tidak perlu melakukan prosedur D&C.<\/p>\n
Jika pemeriksaan ultrasound menunjukkan masih terdapat janin (darah beku), maka puan bolehlah menjalani prosedur D&C.<\/p>\n
Jika keguguran itu berlaku selepas usia kehamilan 10 minggu, selalunya janin telah mula membentuk anggota tubuh. Proses keguguran yang berlaku selalunya tidak lengkap dan memerlukan prosedur D&C.<\/p>\n
Selalunya doctor akan terus melakukan prosedur ini, namun puan boleh berbincang dengan doctor untuk membuat pilihan untuk menunggu sehingga proses keguguran berlaku secara lengkap dengan sendiri.<\/p>\n
Doktor yang baik dan memahami akan menimbangkan pilihan puan dan meminta puan dating semula setelah dua minggu untuk melakukan semula pemeriksaan ultrasound.<\/p>\n
Ada wanita merasa lebih selesa apabila membuat keputusan untuk menunggu proses keguguraan yang dialami berjalan dengan sempurna, tanpa terburu-buku melakukan prosedur D&C.<\/p>\n
Mereka percaya kepada keupayaan tubuh sendiri menjalankan proses keguguran ini dengan semurna. Ramai juga wanita yang mempunyai masalah kesihatan dan tidak mahu menanggung risiko komplikasi keguguran yang lebih teruk dengan segera melakukan prosedur D&C.<\/span><\/p>\n Jadi terpulanglah kepada pilihan masing-masing setalah berbincang dengan doctor yang merawat.<\/span><\/p>\n Oleh kerana keguguran dianggarkan berlaku pada 10 hingga 15 peratus kehamilan, maka doctor selalunya menganggap keguguran kali pertama sebagai keguguran yang biasa dan tidak menyarankan sebarang ujian khas untuk mengetahui punca keguguran kali pertama.<\/span><\/p>\n Jika keguguran untuk kali kedua atau ketiga, selalunya doktor akan melakukan beberapa ujian untuk mengenal pasti sebab keguguran tersebut. Ini bertujuan untuk memastikan kehamilan selanjutnya tidak berakhir dengan keguguran juga.<\/span><\/p>\n Keguguran tidak menandakan seorang wanita mempunyai masalah kesuburan. Malah keguguran ini bermakna wanita dan lelaki itu subur kerana boleh hamil, Cuma harus dikenalpasti mengapa janin yang berada dalam rahem tidak mampu kekal lama.<\/span><\/p>\n Kajian menunjukkan bahawa tiga perempat daripada wanita yang mengalami keguguran sebanyak tiga kali atau lebih akhirnya melahirkan bayi yang sihat tanpa memerlukan sebarang rawatan yang khusus.<\/span><\/p>\n Namun harus disedari bahawa selepas keguguran kali pertama, risiko keguguran untuk kali kedua sama sahaja dengan sebelumnya. Dan risiko keguguran seterusnya hanya meningkat sedikit sahaja.<\/span><\/p>\n Kebanyakan doktor akan mengesyorkan anda tunggu sehingga mendapat sekurang-kurangnya tiga kali haid yang normal sebelum mencuba lagi. Ini bagi memberi peluang kepada rahem kembali normal.<\/span><\/p>\n Oleh itu perlu amalkan pemakanan yang sihat di samping memastikan nutrisi yang dimakan mengandungi vitamin yang lengkap.<\/span><\/p>\n Saya juga mencadangkan untuk mengamalkan Ekstrak kacip Fatimah sebagai suplemen untuk merawat rahem dan faraj yang cedera semasa keguguran dan prosedur D&C.<\/span><\/p>\n Wallahu a\u2019lam.<\/p>\n PERLUKAH LAKUKAN D&C (CUCI RAHEM) BILA KEGUGURAN “Salam doktor. Saya sedang hamil buat kali ke2 sekarang. Semsa kehamilan pertama, saya keguguran kerana kantung janin saya tidak menjadi. Untuk kehamilan ke-2, pada minggu ke 6, doctor melakukan pemeriksaan ultrasound dan mendapati jantung janinsudah kelihatan. Sebulan kemudian saya ke klinik semula untuk pemeriksaan susulan, malangnya apbila scan 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penahan sakit dan keguguran","author":"drzubaidi","date":"25\/10\/2012","format":false,"excerpt":"\u201cDoktor saya sering mengalami sakit kepala dan telah didiagnosakan oleh doctor sebagai migraine. Kadang kala saya tidak tahan menanggung sakit kepala saya, seolah-olah ada batu berat yang berada pada kepala saya. Adakalanya saya rasa mahu menghantukkan kepala saya bagi mendapatkan kelegaan. Sakit kepala sangat mengganggu kerja saya sehingga saya terpaksa\u2026","rel":"","context":"In "Farmasi"","block_context":{"text":"Farmasi","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/farmasi\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6217,"url":"https:\/\/drzubaidi.com\/blog\/wanita-yang-pernah-keguguran-boleh-mendapat-sakit-jantung\/","url_meta":{"origin":7085,"position":1},"title":"Wanita yang pernah keguguran boleh mendapat sakit jantung","author":"drzubaidi","date":"20\/07\/2014","format":false,"excerpt":"KEMATIAN BAYI DALAM RAHEM DAN KEGUGURAN BERKAITAN DENGAN PENYAKIT JANTUNG PADA MASA HADAPAN \u00a0 \u00a0 Wanita yang pernah mengalami beberapa kali keguguran (miscarriage) dan kematian bayi dalam rahem (stillbirth) adalah penanda bagi wanita itu mempunyai risiko yang tinggi untuk mendapat penyakit jantung pada masa hadapan. \u00a0 Kajian ini telah diterbitkan\u2026","rel":"","context":"In "Kehamilan"","block_context":{"text":"Kehamilan","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/pregnancy\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6908,"url":"https:\/\/drzubaidi.com\/blog\/punca-keguguran-di-awal-kehamilan\/","url_meta":{"origin":7085,"position":2},"title":"PUNCA KEGUGURAN DI AWAL KEHAMILAN","author":"drzubaidi","date":"30\/12\/2014","format":false,"excerpt":"\u201cSalam doctor. Saya hamil pada usia kehamilan 12 minggu, saya menyedari terdapat tompokan darah yang keluar dari faraj saya. Ia berlaku selama 2 hari, kemudian suami membawa saya ke klinik. Doktor memberitahu bahawa saya telah keguguran. Saya ingin bertanya, apakah punca keguguran yang saya alami. Mohon pencerahan, terima kasih\u201d WA\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6302,"url":"https:\/\/drzubaidi.com\/blog\/keguguran-tanpa-disedari-dan-kehamilan-kimia\/","url_meta":{"origin":7085,"position":3},"title":"KEGUGURAN TANPA DISEDARI AKIBAT KEHAMILAN KIMIA","author":"drzubaidi","date":"18\/08\/2014","format":false,"excerpt":"\u201cSalam doctor, saya baru berkahwin. Beberapa minggu yang lepas, saya tidak datang haid seperti biasa. Saya beli alat UPT dan hasilnya positif. Tidak lama kemudian, saya buat semula pemeriksaan UPT dan saya mendapati negative pula. Kemudian saya mengalami darah haid seperti biasa. Apakah saya keguguran kerana saya tidak perasaan ada\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6349,"url":"https:\/\/drzubaidi.com\/blog\/bolehkah-pesakit-jantung-gugur-dua-kali-hamil-semula\/","url_meta":{"origin":7085,"position":4},"title":"BOLEHKAH BAGI PESAKIT JANTUNG GUGUR DUA KALI, HAMIL SEMULA?","author":"drzubaidi","date":"23\/08\/2014","format":false,"excerpt":"\u00a0 \u201cSalam doktor. Saya berumur 23 tahun, telah berkahwin selama 3 tahun. Masalah saya ialah saya adalah pesakit jantung berlubang, malangnya saya telah keguguran sebanyak dua kali sepanjang perkahwinan itu. Menurut doctor, keguguran kali pertama keguguran disebabkan saya terlalu lemah untuk meneruskan kehamilan, sementara keguguran kedua berlaku dengan sendiri kerana\u2026","rel":"","context":"In "Wanita"","block_context":{"text":"Wanita","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/wanita\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":5686,"url":"https:\/\/drzubaidi.com\/blog\/wanita-hamil-dan-kehamilan\/","url_meta":{"origin":7085,"position":5},"title":"Wanita Hamil dan Kafeine","author":"drzubaidi","date":"15\/04\/2014","format":false,"excerpt":"\u201cSalam doktor. Saya hendak bertanya. Bolehkah wanita hamil minum kopi kerana saya amat meminati kopi. Terima kasih atas pencerahan\u201d. \u00a0 WA ALAIKUM MUS SALAM Semua wanita\u00a0 yang hamil tidak digalakkan meminum kopi ketika hamil. Namun ia dibenarkan dalam kuantiti yang sederhana. Ini kerana kafein yang terdapat dalam air kopi yang\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/7085","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/comments?post=7085"}],"version-history":[{"count":5,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/7085\/revisions"}],"predecessor-version":[{"id":18057,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/7085\/revisions\/18057"}],"wp:attachment":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/media?parent=7085"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/categories?post=7085"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/tags?post=7085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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