Kodi Endocervical Curettage ndi chiyani, ndi chiyani komanso zimachitika bwanji

Zamkati

• Momwe mayeso amachitikira
• Chisamaliro chofunikira pambuyo pa mayeso

Mankhwala opatsirana pogonana ndimayeso a azimayi, omwe amadziwika kuti kupukuta chiberekero, omwe amachitika poyika kachipangizo kakang'ono kokhala ndi supuni kumaliseche (curette) mpaka kukafika pachibelekeropo kuti kachotse ndikuchotsa kanyama kena pano.

Minofu yolowayo imatumizidwa ku labotale komwe imakaunikiridwa ndi microscope ndi katswiri wamatenda, yemwe angawone ngati pali maselo a khansa pachitsanzo ichi kapena ayi, kapena kusintha monga ma uterine polyps, endometrial hyperplasia, maliseche kapena matenda a HPV.

Kuyezetsa magazi kumapeto kwa khomo lachiberekero kuyenera kuchitidwa kwa amayi onse omwe adapanga pap smear chifukwa chazigawo zitatu, IV, V kapena NIC 3, koma sizimachitika kawirikawiri panthawi yapakati, chifukwa chowopsa chotaya padera.

Momwe mayeso amachitikira

Kuyezetsa kumapeto kwa khomo lachiberekero kumatha kuchitidwa kuchipatala kapena kuchipatala, pansi pa sedation, ndi azimayi azachipatala.

Kuyesaku kumatha kupweteketsa kapena kukhumudwitsa, koma palibe chisonyezero chokwanira chogwiritsa ntchito mankhwala oletsa kupweteka kapena kusungunuka, chifukwa chidutswa chaching'ono chokha chimachotsedwa, kukhala njira yofulumira kwambiri, yomwe imatenga mphindi 30. Palibe chifukwa cholowera kuchipatala, motero mayiyu amatha kubwerera kwawo tsiku lomwelo, ndipo tikulimbikitsidwa kuti tipewe kuyesetsa tsiku lomwelo.

Pakuyezetsa adotolo amafunsa mayiyo kuti agone chagada ndikuyika miyendo yawo pothinana, kuti miyendo yake ikhale yotseguka. Kenako amatsuka ndikuchotsa tizilomboti m'dera loyandikana ndi kuyambitsa speculum kenako kuchiritsa komwe kudzakhala chida chothandizira kuchotsa pang'ono khungu la chiberekero.

Asanadutse ndondomekoyi, adotolo amalimbikitsa kuti mayiyo asagonane masiku atatu apitawa ndipo asamatsuke ukazi ndi shawa yapamtima, komanso kuti asamwe mankhwala oletsa matendawa chifukwa amachulukitsa magazi.

Chisamaliro chofunikira pambuyo pa mayeso

Pambuyo pochita kafukufukuyu, adotolo amalimbikitsa kuti mayiyo apumule, kupewa kuyesetsa kwakuthupi. Tikulimbikitsidwa kumwa madzi ochulukirapo kuti tithandizire kutulutsa poizoni ndikukhala ndi madzi okwanira, kuwonjezera pakumwa mankhwala ochepetsa ululu pakadutsa maola 4 kapena 6, malinga ndi upangiri wa zamankhwala, ndikusintha pedi wapamtima nthawi iliyonse ikakhala yakuda.

Amayi ena amatha kutuluka magazi kumaliseche komwe kumatha kukhala masiku ochepa, koma kuchuluka kwake kumasiyanasiyana. Komabe, ngati pali fungo loipa m'magaziwa, muyenera kubwerera kwa dokotala kuti akawunike. Kutentha kwa thupi kuyeneranso kukhala chifukwa chobwerera kuchipatala kapena kuchipatala chifukwa kumatha kuwonetsa matenda. Maantibayotiki amatha kuwonetsedwa kuti athetse matenda amtundu uliwonse omwe angachitike.