Zolemba za Endometrial

Endometrial biopsy ndikuchotsa kachingwe kakang'ono kuchokera pachiberekero cha chiberekero (endometrium) kuti chifufuzidwe.

Njirayi itha kuchitidwa popanda kapena anesthesia. Awa ndi mankhwala omwe amakulolani kugona munthawiyi.

• Mumagona kumbuyo kwanu ndi mapazi anu mukuyenda, mofanana ndi kukhala ndi mayeso m'chiuno.
• Wothandizira zaumoyo wanu amalowetsa modekha chida (speculum) kumaliseche kuti chikatsegulidwe kuti khomo lanu lachiberekero liwoneke. Khomo lachiberekero limatsukidwa ndi madzi apadera. Mankhwala ogwiritsira ntchito mankwala angagwiritsidwe ntchito pachibelekeropo.
• Khomo lachiberekero limatha kugwiridwa bwino ndi chida chogwirizira chiberekero. Chida china chingafunike kuti mutambasule pang'onopang'ono kutsegula kwa khomo lachiberekero ngati pali kulimba.
• Chida chimadutsa modutsa m'chiberekero ndikulowa m'chiberekero kuti atenge zotengera.
• Zoyeserera ndi zida zimachotsedwa.
• Minofu imatumizidwa ku labu. Kumeneko, imayesedwa ndi microscope.
• Ngati munali ndi anesthesia pochita izi, mumapita nanu kuchipatala. Nurses adzaonetsetsa kuti muli omasuka.Mukadzuka ndipo mulibe mavuto kuchokera ku anesthesia ndi njira, mumaloledwa kupita kunyumba.

Asanayesedwe:

• Uzani wothandizira wanu za mankhwala onse omwe mumamwa. Izi zimaphatikizapo zoonda magazi monga warfarin, clopidogrel, ndi aspirin.
• Mutha kufunsidwa kukayezetsa kuti muone ngati mulibe pakati.
• M'masiku 2 njira isanakwane, musagwiritse ntchito mafuta kapena mankhwala ena kumaliseche.
• Osachimitsa douche. (Simuyenera kusambira moyera. Kudyetsa matumbo kumatha kuyambitsa matenda amthupi kapena chiberekero.)
• Funsani omwe akukuthandizani ngati mukuyenera kumwa mankhwala opweteka, monga ibuprofen kapena acetaminophen, musanachitike.

Zida zimatha kuzizira. Mutha kumva kupweteka mukamayamwa khomo pachibelekeropo. Mutha kukhala ndi zovuta pang'ono pamene zida zimalowa m'chiberekero ndipo nyemba zimasonkhanitsidwa. Kusapeza pang'ono ndikofatsa, ngakhale kwa azimayi ena kumatha kukhala koopsa. Komabe, nthawi yoyeserera komanso ululu ndi yochepa.

Kuyesaku kwachitika kuti mupeze chifukwa cha:

• Nthawi yoleza kusamba (kutulutsa magazi mwamphamvu, kwanthawi yayitali, kapena mosasamba)
• Magazi pambuyo kusamba
• Kutaya magazi ndikumwa mankhwala a mahomoni
• Zolimba za chiberekero chowoneka pa ultrasound
• Khansa ya Endometrial

Chidziwitso chimakhala chachilendo ngati maselo omwe ali mchitsanzocho sali achilendo.

Kusamba kwachilendo kumatha kuyambitsidwa ndi:

• Chiberekero cha fibroids
• Kukula kofanana ndi zala m'chiberekero (uterine polyps)
• Matenda
• Kusamvana kwa Hormone
• Khansa ya Endometrial kapena precancer (hyperplasia)

Zina zomwe mayeso angayesedwe:

• Kutuluka magazi kosazolowereka ngati mayi amamwa khansa ya m'mawere tamoxifen
• Kutuluka magazi mosazolowereka chifukwa cha kusintha kwa mahomoni (kutulutsa magazi kotsatsira)

Zowopsa za biopsy ya endometriya ndi izi:

• Matenda
• Kuyambitsa una mu (perforating) chiberekero kapena kung'amba khomo pachibelekeropo (kumachitika kawirikawiri)
• Kutaya magazi nthawi yayitali
• Kuwona pang'ono ndi kuponda pang'ono masiku angapo

Chiwopsezo - endometrium

• Ziphuphu zam'mimba
• Matupi achikazi oberekera
• Zolemba za Endometrial
• Chiberekero
• Zolemba za Endometrial

Ndevu JM, Osborn J. Njira zofananira zaofesi. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 28.

Soliman PT, Lu KH. Matenda opatsirana a chiberekero: endometrial hyperplasia, endometrial carcinoma, sarcoma: kuzindikira ndi kasamalidwe. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 32.