Chiberekero cha Chiberekero

Kachilombo ka khomo lachiberekero ndi njira yomwe kachidutswa kakang'ono ka khomo lachiberekero kamapezeka kuti kafufuze za labotale. Khomo la chiberekero, lomwe lili kumapeto kwenikweni kwa chiberekero, limagwira ntchito yofunika kwambiri pa ubereki wabwino. Zolakwika m'maselo a khomo lachiberekero, zomwe nthawi zambiri zimayambitsidwa ndi matenda a papillomavirus (HPV), zimatha kuyambitsa kusintha kwa khansa kapena khansa.

Mitundu ya khomo lachiberekero biopsies

Pali mitundu yosiyanasiyana ya ma biopsies a khomo lachiberekero, kutengera kuchuluka kwa minofu yomwe iyenera kuyesedwa:

1. Chotsani biopsy: Chida chaching’ono chimagwiritsidwa ntchito pochotsa kachidutswa kakang’ono ku khomo lachiberekero. Uwu ndiye mtundu wodziwika bwino wa khomo lachiberekero ndipo umachitikira ku ofesi ya dokotala. Zimayambitsa kusapeza bwino.

2. Chinthu chosagwirizana: Gawo lalikulu la khomo pachibelekerolo, looneka ngati koni limachotsedwa kuti likayesedwe. Izi zimachitika pansi pa anesthesia ndipo zimagwiritsidwa ntchito pamene minofu yambiri ikufunika, makamaka ngati mayesero am'mbuyomu amasonyeza maselo osadziwika bwino.

3. Endocervical curettage (ECC): Njira imeneyi imakolopa khosi la khomo lachiberekero kuti titole minofu. Izi zimachitika pamene maselo osadziwika amapezeka mkati mwa khomo lachiberekero.

Ngozi & Zovuta za Cervical biopsies

Ma cervical biopsies, ngakhale nthawi zambiri amakhala otetezeka, amakhala ndi zoopsa zina komanso zotsatirapo zake. Izi zimasiyana malinga ndi mtundu wa biopsy yomwe imachitika komanso thanzi la munthu. Nayi kuyang'ana mwatsatanetsatane kuopsa kwake:

1. Kutaya magazi:

• Punch Biopsy: Kutaya magazi pang'ono kumachitika kawirikawiri pambuyo pa njirayi, nthawi zambiri kumatenga masiku angapo.
• Cone Biopsy: Izi zimaphatikizapo kuchotsa minyewa yokulirapo, kotero kuti magazi ambiri atha kuchitika. Nthawi zina, wodwala amatha kutaya magazi kwa nthawi yayitali, zomwe zimafunikira chithandizo chamankhwala.

2. Matenda: Pali chiwopsezo chochepa chotenga matenda mukatsatira khomo lachiberekero. Zizindikiro zake ndi kutentha thupi, kutulutsa fungo loipa, kapena kupweteka kwambiri m'mimba. Matenda amatha kuchiritsidwa ndi maantibayotiki.

3. Kuwawa kapena Kusapeza bwino: Kutsekula pang'ono kapena kusamva bwino kumakhala kofala pambuyo pa khomo lachiberekero, makamaka ndi nkhonya biopsy. Kwa cone biopsies, cramping imatha nthawi yayitali chifukwa chazovuta kwambiri za njirayi.

4. Mabala: Pambuyo pa cone biopsy, pamakhala chiopsezo chochepa chokhala ndi zipsera pa khomo pachibelekeropo. Izi zimatchedwa cervical stenosis, zomwe zingayambitse zovuta monga kuvutika kutenga pakati kapena mavuto panthawi yobereka.

5. Chiwopsezo chobadwa msanga: Nthawi zina, kukhala ndi cone biopsy kumatha kuonjezera chiopsezo cha kubadwa msanga m'tsogolomu chifukwa cha kufooka kwa khomo lachiberekero.

6. Kukomoka: Odwala ena amamva kuwawa kapena kukomoka panthawi kapena pambuyo pake, makamaka ngati akumva kupweteka kapena kuda nkhawa ndi njirayi.

Kusamalira Pambuyo pa Ndondomeko:

• Pambuyo pa biopsy, odwala amalangizidwa kuti apewe kuchita zinthu zolemetsa, kugonana, komanso kugwiritsa ntchito tampon kwa masiku angapo kuti achepetse zovuta.
• Ndikofunikiranso kutsatizana ndi dokotala kuti mupeze zotsatira ndi chithandizo chinanso ngati mwapezeka kuti muli ndi vuto lililonse.

Ndani amapanga colposcopy?

Colposcopy imachitidwa ndi katswiri wazachipatala yemwe amadziwika kuti gynecologist. Akatswiri azachikazi amakhazikika pa uchembere wa amayi ndipo amaphunzitsidwa kuchita izi. Nthawi zina, namwino wodziwa bwino ntchito kapena dokotala wophunzitsidwa za thanzi la amayi amathanso kuchita colposcopy. Njirayi imalimbikitsidwa pambuyo pa zotsatira za mayeso a Pap, kuti muwunikire khomo pachibelekero, nyini, ndi maliseche kuti muwone ngati pali zizindikiro za matenda. Pogwiritsa ntchito njirayi, wothandizira zaumoyo amagwiritsa ntchito chida chapadera chokulitsa chotchedwa colposcope kuti adziwe zambiri za minofu ndikuwona zolakwika.

Kodi chimachitika ndi chiyani pambuyo pa colposcopy?

Njira yopangira cervical biopsy nthawi zambiri imakhala ndi izi:

1. Kukonzekera: Pamaso pa ndondomeko, wodwala akhoza kulangizidwa kukhuthula awo chikhodzodzo. Ndikofunikira kudziwitsa achipatala za ziwengo zilizonse kapena mankhwala omwe akumwedwa.

2. Kuyika: Wodwalayo amaikidwa pa tebulo lachikazi, lofanana ndi mayeso a m'chiuno. Mapazi amaikidwa m'mitsempha, zomwe zimalola wopereka chithandizo kuti apite ku khomo lachiberekero.

3. Kuyika kwa Speculum: A speculum amalowetsedwa pang'onopang'ono mu nyini kuti muwone ndikulowa khomo lachiberekero. Izi zingayambitse kupanikizika koma siziyenera kukhala zopweteka kwambiri.

4. Anesthesia Yam'deralo (ngati mukufuna): Kutengera ndi zomwe dokotala akufuna komanso chitonthozo cha wodwalayo, mankhwala ogonetsa a m'deralo angagwiritsidwe ntchito pa khomo pachibelekeropo kuti dzanzi malowo. Izi zimachitika kawirikawiri pogwiritsa ntchito kupopera kapena jekeseni.

5. Zosonkhanitsira Zitsanzo za Minofu: Njira zosiyanasiyana zingagwiritsidwe ntchito kupeza chitsanzo cha minofu kuchokera pachibelekero:
   a. Punch Biopsy: Chida chaching'ono chotchedwa biopsy punch kapena forceps chimagwiritsidwa ntchito kuchotsa kachidutswa kakang'ono ka khomo lachiberekero. Izi zingayambitse kutsina kwachidule kapena kumva ngati cramp.
   b. Endocervical Curettage (ECC): Chida chopapatiza chotchedwa curette chimalowetsedwa pang'onopang'ono mu ngalande ya khomo la khomo la khomo lachiberekero kuti akakolole ndi kusonkhanitsa ma cell kuchokera kudera la endocervical.

6. Hemostasis ndi chisamaliro: Pambuyo pa chitsanzo cha minofu, kutaya magazi kulikonse kumayendetsedwa pogwiritsa ntchito njira yapadera kapena kafukufuku wamagetsi. Kenako speculum imachotsedwa, ndipo wodwalayo amapatsidwa malangizo a chisamaliro cha post-biopsy.

7. Kusanthula kwa Laboratory: Mphunoyi imatumizidwa ku labotale kuti ikaunikidwe ndi ma pathologist. Zotsatira zimapezeka pakadutsa masiku angapo mpaka sabata.