Endometrial Biopsy

Endometrial biopsy ndi njira yachipatala yomwe imagwiritsidwa ntchito kusonkhanitsa kachidutswa kakang'ono ka minyewa kuchokera ku chiberekero cha chiberekero, chomwe chimatchedwa endometrium. Njirayi imachitidwa pofuna kuyesa ndikuzindikira matenda osiyanasiyana a chiberekero. M'nkhaniyi, tiwona tsatanetsatane wa endometrial biopsy, kuphatikiza cholinga chake, kachitidwe, ndi zomwe tingayembekezere panthawi ya biopsy komanso pambuyo pake.

Endometrium ndi gawo lamkati la chiberekero lomwe limakhuthala ndikutuluka panthawi ya msambo. Endometrial biopsy imaphatikizapo kuchotsedwa kwa kachidutswa kakang'ono kuchokera pamzerewu kuti awunike pansi pa maikulosikopu. Njirayi imathandizira othandizira azaumoyo kuwunika thanzi la endometrium ndikuzindikira zovuta zomwe zingachitike.

Sungitsani Misonkhano

Zokhudza Endometrial Biopsy

Cholinga chachikulu cha endometrial biopsy ndikuzindikira kapena kuletsa zinthu zina zomwe zimakhudza chiberekero. Izi zingaphatikizepo:

Kutaya magazi kwachilendo kwa chiberekero: Ma biopsies amathandiza kuzindikira chomwe chimayambitsa magazi osadziwika kapena ochuluka kwambiri.
Endometrial hyperplasia: Ma biopsies amatha kudziwa ngati endometrium yakula ndipo ili pachiwopsezo chokhala ndi khansa.
Uterine polyps kapena fibroids: Ma biopsies amathandiza kuzindikira kupezeka kwa zotupa zachilendo m'chiberekero.
Khansara ya endometrial yomwe ikuganiziridwa: Ma biopsies ndi ofunikira kuti azindikire kapena kuthetsa khansa ya endometrial.

Zizindikiro ndi Zomwe Zingafune Endometrial Biopsy

Endometrial biopsies ikhoza kulimbikitsidwa ngati munthu akukumana ndi zizindikiro kapena zinthu zotsatirazi:

Kutuluka kwa msambo kosakhazikika kapena kochuluka
Kutuluka magazi kwa Postmenopausal
Ululu wosadziwika bwino wa mchiuno
Zotsatira zoyipa za ultrasound
Mavuto am'mimba kapena kutaya padera mobwerezabwereza

Ngati chimodzi mwa zizindikiro kapena mikhalidweyi ilipo, wothandizira zaumoyo angalimbikitse endometrial biopsy kuti asonkhanitse zambiri kuti mudziwe zolondola komanso kukonzekera chithandizo.

Mitundu ya Endometrial Biopsies

Pali njira zingapo zopangira endometrial biopsy. Njira zodziwika kwambiri ndi izi:

Manual Endometrial Aspiration: Njira imeneyi imaphatikizapo kulowetsa chubu chopyapyala mu chiberekero kuti atenge chitsanzo cha endometrial pogwiritsa ntchito kuyamwa.
Dilation and Curettage (D & C): D & C ndi njira yowonongeka kwambiri pamene khomo lachiberekero limatambasulidwa, ndipo chida chapadera chotchedwa curette chimagwiritsidwa ntchito kukwapula chiberekero cha chiberekero cha chitsanzo cha biopsy.

Kusankha njira ya biopsy kumatengera zinthu monga momwe munthuyo alili, zomwe athandizi angakonde, komanso zinthu zomwe zilipo.

Kukonzekera kwa Endometrial Biopsy

Pamaso pa endometrial biopsy, wothandizira zaumoyo adzapereka malangizo enieni kuti atsimikizire kukonzekera bwino. Izi zingaphatikizepo:

Kudziwitsa dokotala za mankhwala aliwonse, zowawa, kapena matenda.
Kukambilana zodandaula zilizonse kapena mafunso okhudza ndondomekoyi.
Kukonzekera biopsy pa nthawi yoyenera pa nthawi ya msambo.
Kupewa kugwiritsa ntchito mankhwala akumaliseche, ma tamponi, kapena ma douches kwa nthawi yodziwika isanachitike.

Ndikofunikira kutsatira malangizo a dokotala mosamala kuti muwonetsetse kuti mulingo wolondola komanso wopambana wa biopsy.

Njira ya Endometrial Biopsy

Pa endometrial biopsy, wothandizira zaumoyo adzachita izi:

Kuyika: Munthuyo adzafunsidwa kuti agone patebulo loyesera, ndi mapazi ake atayikidwa m'mitsempha kuti apereke mwayi wopita kudera la chiuno.
Kuyeretsa Malo: Achipatala amatsuka nyini ndi khomo pachibelekeropo pogwiritsa ntchito mankhwala ophera tizilombo toyambitsa matenda.
Kuwerengera Cervix: Nthawi zina, mankhwala ochititsa dzanzi a m'deralo angagwiritsidwe ntchito kuchepetsa khomo lachiberekero ndikuchepetsa kusamva bwino panthawi ya biopsy.
Kupeza Chitsanzo: Wothandizira zaumoyo adzalowetsa speculum mu nyini kuti awonetse khomo lachiberekero. Adzagwiritsa ntchito chida chapadera, monga pipelle kapena curette, kuti atenge chitsanzo chaching'ono cha minofu ya endometrial.
Kumaliza Ndondomeko: Chitsanzocho chikapezeka, chidacho chidzachotsedwa, ndipo kutuluka kulikonse kudzayendetsedwa. Chitsanzocho chidzatumizidwa ku labotale kuti iunike.

Kusapeza Bwino Ndi Zowopsa

Endometrial biopsy ingayambitse kusapeza bwino kapena kupsinjika panthawi ya ndondomekoyi. Komabe, kusapezako nthawi zambiri kumakhala kochepa komanso kolekerera. Nthawi zina, mavuto angaphatikizepo matenda, kutuluka magazi, kapena kuvulala kwa chiberekero kapena chiberekero. Ndikofunika kukambirana zodetsa nkhawa zilizonse kapena mafunso okhudzana ndi zoopsa zomwe zingachitike ndi wothandizira zaumoyo musanapime.

Kusamalira Pambuyo ndi Kuchira

Pambuyo pa endometrial biopsy, zimakhala zachilendo kumva kupweteka pang'ono ndi kuwona kuwala kwa masiku angapo. Wopereka chithandizo chamankhwala atha kukupatsani malangizo othana ndi vuto lililonse komanso nthawi yoyenera kuyambiranso ntchito zanthawi zonse. Ndikofunikira kutsatira malangizo omwe aperekedwa pambuyo pa njira yoperekera chithandizo chamankhwala kuti muchiritse bwino.

Kupeza Zotsatira ndi Kutsatira

Chitsanzo cha endometrial biopsy chidzatumizidwa ku labotale kuti iunike. Zotsatira zake nthawi zambiri zimatenga masiku angapo mpaka sabata. Wothandizira zaumoyo adzakambirana zotsatira ndi munthuyo ndikulangiza chithandizo choyenera kapena njira zina zowunikira, ngati kuli kofunikira.