Chiberekero cha Chiberekero

Zamkati

• Mitundu yamatenda achiberekero
• Momwe mungakonzekerere kachilombo ka khomo lachiberekero
• Zomwe mungayembekezere panthawi yopanga khomo lachiberekero
• Kuchokera kuchipatala cha chiberekero
• Zotsatira za kachilombo ka chiberekero

Kodi kachilombo ka chiberekero ndi chiyani?

Chiberekero cha khomo lachiberekero ndi njira yochitira opaleshoni momwe minofu yaying'ono imachotsedwa pachibelekeropo. Khomo lachiberekero ndilo kumapeto, kopapatiza kwa chiberekero komwe kumakhala kumapeto kwa nyini.

Chiwopsezo cha khomo lachiberekero nthawi zambiri chimachitika pambuyo poti zachilendo zapezeka pakuyesa kwapakhosi kapena Pap smear. Zovuta zimatha kuphatikizira kupezeka kwa kachilombo ka papillomavirus (HPV), kapena maselo omwe ali ndi vuto. Mitundu ina ya HPV ikhoza kukuikani pachiwopsezo chokhala ndi khansa ya pachibelekero.

Chiberekero cha khomo lachiberekero chimatha kupeza maselo osakhazikika komanso khansa ya pachibelekero. Dokotala wanu kapena mayi wazachipatala amathanso kupanga kachilombo ka khomo lachiberekero kuti azindikire kapena kuthana ndi zovuta zina, kuphatikiza maliseche kapena ma polyps (zoperewera zopanda khansa) pachibelekero.

Mitundu yamatenda achiberekero

Njira zitatu zosiyanasiyana zimagwiritsidwa ntchito kuchotsa minofu pachibelekero chanu:

• Punch biopsy: Mwa njirayi, tiziduswa ting'onoting'ono timachotsedwa pachibelekeropo ndi chida chotchedwa "biopsy forceps." Khomo lanu lachiberekero limatha kudetsedwa ndi utoto kuti dokotala wanu athe kuwona zovuta zina.
• Cone biopsy: Opaleshoni iyi imagwiritsa ntchito scalpel kapena laser kuchotsa zidutswa zazikulu, zoboola pakati pa khomo pachibelekeropo. Mudzapatsidwa mankhwala oletsa kumva kuwawa omwe angakugonetseni.
• Endocervical curettage (ECC): Munjira imeneyi, maselo amachotsedwa mu ngalande ya endocervical (yomwe ili pakati pa chiberekero ndi nyini). Izi zimachitika ndi chida chogwiridwa ndi dzanja chotchedwa "curette." Ili ndi nsonga yooneka ngati kanyumba kakang'ono kapena ndowe.

Mtundu wa njira zomwe mumagwiritsa ntchito zimatengera chifukwa cha biopsy yanu komanso mbiri yanu yazachipatala.

Momwe mungakonzekerere kachilombo ka khomo lachiberekero

Sungani zojambula zanu zachiberekero sabata yomwe mwatha. Izi zidzapangitsa kuti dokotala wanu asavutike kupeza zitsanzo zoyera. Muyeneranso kuwonetsetsa kuti mukambirana za mankhwala omwe mumamwa ndi dokotala wanu.

Mutha kufunsidwa kuti musiye kumwa mankhwala omwe angapangitse chiopsezo chanu chotaya magazi, monga:

• aspirin
• ibuprofen
• naproxen
• warfarin

Pewani kugwiritsa ntchito tampons, douches, kapena mankhwala azitsamba azitsamba kwa maola 24 musanabadwe. Muyeneranso kupewa kugonana nthawi imeneyi.

Ngati mukufufuza za kondomu kapena mtundu wina wamatenda a khomo lachiberekero omwe amafunikira mankhwala oletsa kupweteka, muyenera kusiya kudya osachepera maola asanu ndi atatu musanachitike.

Patsiku lomwe mwasankhidwa, adokotala angakuuzeni kuti mutenge acetaminophen (monga Tylenol) kapena othandizira ena opweteka musanabwere kuofesi yawo. Mutha kukhala ndi magazi pang'ono pambuyo pa njirayi, chifukwa chake muyenera kunyamula ma pads achikazi. Ndibwinonso kubweretsa wachibale kapena mnzanu kuti adzakutengereni kunyumba, makamaka mukapatsidwa mankhwala oletsa ululu. Anesthesia yanthawi zonse imatha kukupangitsani kuti mugone mutatha kuchita izi, chifukwa chake simuyenera kuyendetsa mpaka zotsatira zake zitatha.

Zomwe mungayembekezere panthawi yopanga khomo lachiberekero

Kusankhidwa kudzayamba ngati mayeso wamba m'chiuno. Mudzagona pansi pa tebulo la mayeso ndikupondaponda m'miyendo. Kenako dokotala wanu adzakupatsani mankhwala oletsa ululu m'deralo kuti muchepetse malowo. Ngati mukufufuza za kondomu, mupatsidwa mankhwala oletsa kupweteka omwe angakupangitseni kugona.

Dokotala wanu adzaika speculum (chida chachipatala) kumaliseche kuti ngalande ikhale yotseguka panthawiyi. Khomo lachiberekero limatsukidwa koyamba ndi yankho la viniga ndi madzi. Njira yoyeretsayi ikhoza kuwotcha pang'ono, koma sikuyenera kukhala yopweteka. Khomo lachiberekero amathanso kusosedwa ndi ayodini. Izi zimatchedwa mayeso a Schiller, ndipo amagwiritsidwa ntchito kuthandiza dokotala kudziwa ziwalo zilizonse zosazolowereka.

Dotolo amachotsa minofu yachilendo ndi forceps, scalpel, kapena curette. Mutha kumverera pang'ono pang'ono ngati minofu itachotsedwa pogwiritsa ntchito forceps.

Biopsy ikamalizidwa, adotolo atha kunyamula chiberekero chanu ndi zinthu zoyamwa kuti muchepetse magazi omwe mumakumana nawo. Sizolemba zonse zomwe zimafuna izi.

Kuchokera kuchipatala cha chiberekero

Nkhonya za biopsies ndi njira zochiritsira odwala, zomwe zikutanthauza kuti mutha kupita kunyumba mukangomaliza kumene opaleshoni. Njira zina zingafune kuti mukhale mchipatala usiku wonse.

Yembekezerani kuphulika pang'ono ndikuwonetsetsa mukamachira kuchipatala chanu. Mutha kukhala ndi cramping ndi magazi kwa nthawi yayitali ngati sabata. Kutengera mtundu wa biopsy womwe mwakumana nawo, zochitika zina zitha kukhala zoletsedwa. Kukweza kwambiri, kugonana, komanso kugwiritsa ntchito ma tampon ndi mipando sikuloledwa kwa milungu ingapo chithunzithunzi chaziphuphu. Muyenera kutsatira zoletsa zomwezo mutangomaliza kuponya nkhonya ndi ECC, koma kwa sabata limodzi lokha.

Lolani dokotala wanu kudziwa ngati:

• kumva kupweteka
• kukhala ndi malungo
• kumva magazi ochuluka
• khala ndi fungo lamaliseche lonunkha

Zizindikiro izi zimatha kukhala zizindikilo za matenda.

Zotsatira za kachilombo ka chiberekero

Dokotala wanu adzakulankhulani za zotsatira za biopsy ndikukambirana njira zotsatirazi. Kuyesedwa koyipa kumatanthauza kuti zonse ndi zabwinobwino, ndipo kuchitapo kanthu nthawi zambiri sikofunikira. Kuyesedwa koyenera kumatanthauza kuti khansa kapena ma cell omwe ali ndi khansa apezeka ndipo chithandizo chitha kufunikira.