Colposcopy - yolamula biopsy

Colposcopy ndi njira yapadera yowonera khomo pachibelekeropo. Imagwiritsa ntchito microscope yopepuka komanso yopanda mphamvu kuti khomo lachiberekero liziwoneka lokulirapo. Izi zimathandizira omwe amakuthandizani kupeza zaumoyo ndikubowola malo omwe ali ndi khomo pachibelekeropo.

Mudzagona patebulo ndikuyikapo mapazi anu mozungulira, kuti muike mapaipi anu kuti muyesedwe. Woperekayo adzaika chida (chotchedwa speculum) kumaliseche kwanu kuti muwone bwino khomo lachiberekero.

Khomo lachiberekero ndi nyini zimatsukidwa pang'ono ndi viniga kapena yankho la ayodini. Izi zimachotsa mamina omwe amaphimba pamwamba ndikuwonetsa madera achilendo.

Woperekayo adzaika colposcope potsegulira nyini ndikuyang'ana malowa. Zithunzi zitha kutengedwa. Colposcope sichimakukhudzani.

Ngati madera ena akuwoneka osazolowereka, khungu laling'ono limachotsedwa pogwiritsa ntchito zida zazing'ono. Zitsanzo zambiri zitha kutengedwa. Nthawi zina nyemba zamkati mwa khomo pachibelekeropo zimachotsedwa. Izi zimatchedwa endocervical curettage (ECC).

Palibe kukonzekera kwapadera. Mutha kukhala omasuka ngati mutulutsa chikhodzodzo ndi matumbo musanachitike.

Asanayese mayeso:

• Osadyerera (izi sizoyenera konse).
• Osayika chilichonse munyini.
• Osamagonana kwa maola 24 mayeso asanachitike.
• Uzani wothandizira wanu ngati muli ndi pakati kapena mutha kutenga pakati.

Mayesowa sayenera kuchitidwa panthawi yolemetsa, pokhapokha ngati ili yachilendo. Sungani nthawi yanu yokumana ngati muli:

• Pamapeto pake kapena kumayambiriro kwa nthawi yanu yanthawi zonse
• Kutuluka magazi mosazolowereka

Mutha kutenga ibuprofen kapena acetaminophen (Tylenol) pamaso pa colposcopy. Funsani omwe akukuthandizani ngati izi zili bwino, komanso nthawi yanji komanso kuchuluka kwake.

Mutha kukhala osasangalala pamene speculum imayikidwa mkati mwa chikazi. Kungakhale kosasangalatsa kuposa kuyesa Pap nthawi zonse.

• Amayi ena amamva kuluma pang'ono kuchokera kumayankho oyeretsera.
• Mutha kumva kutsina kapena kupsinjika nthawi iliyonse akatenga minofu.
• Mutha kukhala ndi magazi pang'ono kapena magazi pang'ono pambuyo pa biopsy.
• Musagwiritse ntchito tampons kapena kuyika chilichonse kumaliseche kwamasiku angapo pambuyo polemba.

Amayi ena amatha kupuma m'mimba chifukwa amayembekezera kuwawa. Pang'onopang'ono, kupuma pafupipafupi kumakuthandizani kupumula ndikuchepetsa ululu. Funsani omwe akukuthandizani kuti mubweretse munthu wothandizira ngati zingakuthandizeni.

Mutha kukhala ndi magazi pambuyo pa biopsy, pafupifupi masiku awiri.

• Simuyenera kusambira, kuyika tamponi kapena mafuta mumaliseche, kapena kugonana mpaka sabata limodzi pambuyo pake. Funsani omwe akukuthandizani kuti mudikire nthawi yayitali bwanji.
• Mutha kugwiritsa ntchito mapepala aukhondo.

Colposcopy yachitika kuti mupeze khansa ya pachibelekero komanso zosintha zomwe zingayambitse khansa ya pachibelekero.

Nthawi zambiri zimachitika mukakhala ndi vuto la Pap smear kapena HPV. Zingathenso kulimbikitsidwa ngati mutaya magazi mutagonana.

Colposcopy itha kuchitidwanso pamene omwe amakupatsirani mwayi akuwona malo achilendo pachibelekero chanu poyesa m'chiuno. Izi zingaphatikizepo:

• Kukula kwachilendo kulikonse pachibelekero, kapena kwina kulikonse kumaliseche
• Maliseche kapena HPV
• Kukwiya kapena kutupa kwa khomo pachibelekeropo (cervicitis)

Colposcopy itha kugwiritsidwa ntchito kutsata HPV, ndikuyang'ana zosintha zina zomwe zingabwererenso pambuyo pa chithandizo.

Khola lachibaliro losalala, pinki ndilabwino.

Katswiri wotchedwa pathologist adzawunika mtundu wa minofu kuchokera pachikopa cha khomo lachiberekero ndikutumiza lipoti kwa dokotala wanu. Zotsatira za biopsy nthawi zambiri zimatenga milungu 1 mpaka 2. Zotsatira zabwinobwino zikutanthauza kuti palibe khansa ndipo palibe zosintha zachilendo zomwe zidawoneka.

Wothandizira anu ayenera kukuwuzani ngati china chilichonse chachilendo chimawoneka poyesa, kuphatikiza:

• Njira zachilendo m'mitsempha yamagazi
• Madera omwe atupa, otopa, kapena owonongeka (atrophic)
• Tizilombo toyambitsa matenda
• Maliseche maliseche
• Magamba oyera pa khomo pachibelekeropo

Zotsatira zachilendo za biopsy zitha kukhala chifukwa cha kusintha komwe kungayambitse khansa ya pachibelekero. Kusintha kumeneku kumatchedwa dysplasia, kapena khomo lachiberekero la intraepithelial neoplasia (CIN).

• CIN Ndine dysplasia wofatsa
• CIN II ndi dysplasia yochepa
• CIN III ndi dysplasia yoopsa kapena khansa yoyambirira ya khomo lachiberekero yotchedwa carcinoma in situ

Zotsatira zachilendo zimatha kukhala chifukwa cha:

• Khansara ya chiberekero
• Cervical intraepithelial neoplasia (kusintha kwa minofu komwe kumatchedwanso khomo lachiberekero dysplasia)
• Cervical warts (matenda a kachilombo ka papilloma, kapena HPV)

Ngati biopsy sichimayambitsa chifukwa chazotsatira zosayembekezereka, mungafunike njira yotchedwa ozizira mpeni cone biopsy.

Pambuyo pa biopsy, mutha kukhala ndi magazi mpaka sabata. Mutha kukhala ndikumenyedwa pang'ono, nyini yanu imatha kumva kuwawa, ndipo mutha kukhala ndi zotuluka zakuda kwa masiku 1 kapena 3.

Colposcopy ndi biopsy sizingapangitse kuti zikhale zovuta kuti mukhale ndi pakati, kapena kuyambitsa mavuto mukakhala ndi pakati.

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Kutuluka magazi ndikolemera kwambiri kapena kumatenga nthawi yayitali kuposa milungu iwiri.
• Muli ndi ululu m'mimba mwanu kapena m'chiuno.
• Mukuwona zizindikiro zilizonse za matenda (malungo, fungo loipa, kapena kutuluka).

Biopsy - colposcopy - yolunjika; Chiwopsezo - khomo pachibelekeropo - colposcopy; Kuchiza kwam'mimba; ECC; Chiberekero nkhonya biopsy; Chiwopsezo - nkhonya ya khomo lachiberekero; Chiberekero biopsy; Khomo lachiberekero intraepithelial neoplasia - colposcopy; CIN - colposcopy; Khansa pachibelekeropo - colposcopy; Khansa ya pachibelekero - colposcopy; Squamous intraepithelial lesion - colposcopy; LSIL - colposcopy; HSIL - colposcopy; Colposcopy yotsika; Mkulu amasankha colposcopy; Carcinoma in situ - colposcopy; CIS - colposcopy; ASCUS - colposcopy; Maselo amtundu wa atypical - colposcopy; AGUS - colposcopy; Maselo osokoneza bongo - colposcopy; Pap smear - colposcopy; HPV - colposcopy; Kachilombo ka papilloma - colposcopy; Chiberekero - colposcopy; Colposcopy

• Matupi achikazi oberekera
• Chidziwitso chowongoleredwa ndi Colposcopy
• Chiberekero

Cohn DE, Ramaswamy B, Christian B, Bixel K. Malignancy ndi mimba. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 56.

Khan MJ, Werner CL, Darragh TM, ndi al. Miyezo ya ASCCP colposcopy: gawo la colposcopy, maubwino, zovulaza zomwe zingachitike ndi terminology yochitira kolposcopic. Zolemba Za Matenda Otsikira Amaliseche. 2017; 21 (4): 223-229. PMID: 28953110 pubed.ncbi.nlm.nih.gov/28953110/.

Newkirk GR. Kufufuza kwapopopayi. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 124.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia ya m'munsi maliseche (chiberekero, nyini, maliseche): etiology, kuwunika, kuzindikira, kuwongolera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 28.

Smith RP. Carcinoma in situ (chiberekero). Mu: Smith RP, Mkonzi. Netter's Obstetrics & Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 115.