IColposcopy - i-biopsy eqondisiwe

I-colposcopy yindlela ekhethekile yokubuka umlomo wesibeletho. Isebenzisa imakhroskophu ekhanyayo kanye namandla aphansi ukwenza umlomo wesibeletho ubonakale umkhulu kakhulu. Lokhu kusiza umhlinzeki wakho wokunakekelwa kwezempilo ukuthi athole bese uthola izindawo ezingavamile ze-biopsy kumlomo wesibeletho sakho.

Uzolala etafuleni bese ubeka izinyawo zakho kuma-stirrup, ukubeka i-pelvis yakho ukuze ihlolwe. Umhlinzeki uzofaka ithuluzi (elibizwa ngokuthi i-speculum) esithweni sakho sangasese ukuze ubone umlomo wesibeletho kahle.

Umlomo wesibeletho nowesifazane ugezwa kahle ngesisombululo seviniga noma se-iodine. Lokhu kususa isikhwehlela esigubuzele ingaphezulu bese kugqamisa izindawo ezingejwayelekile.

Umhlinzeki uzobeka i-colposcope ekuvuleni kwesitho sangasese bese ehlola indawo. Izithombe zingathathwa. I-colposcope ayikuthinti.

Uma noma yiziphi izindawo zibukeka zingavamile, isampula elincane lezicubu lizosuswa kusetshenziswa amathuluzi amancane we-biopsy. Amasampula amaningi angathathwa. Kwesinye isikhathi kususwa isampula lezicubu ngaphakathi komlomo wesibeletho. Lokhu kubizwa ngokuthi yi-endocervical curettage (ECC).

Akukho ukulungiselela okukhethekile. Ungakhululeka ngokwengeziwe uma ukhipha isinye sakho namathumbu ngaphambi kwenqubo.

Ngaphambi kokuhlolwa:

• Ungadlali idouche (lokhu akukaze kunconywe).
• Ungafaki noma imiphi imikhiqizo esithweni sangasese.
• Musa ukuya ocansini amahora angama-24 ngaphambi kokuhlolwa.
• Tshela umhlinzeki wakho uma ukhulelwe noma ungakhulelwa.

Lokhu kuhlolwa akufanele kwenziwe ngesikhathi esinzima, ngaphandle kwalapho kungavamile. Gcina i-aphoyintimenti yakho uma:

• Ekupheleni noma ekuqaleni kwesikhathi sakho esivamile
• Ukuba nokopha okungavamile

Ungakwazi ukuthatha ibuprofen noma i-acetaminophen (iTylenol) ngaphambi kwe-colposcopy. Buza umhlinzeki wakho ukuthi ngabe lokhu kulungile, nokuthi kufanele uthathe nini futhi kanjani.

Ungaba nokungaphatheki kahle lapho i-speculum ibekwa ngaphakathi esithweni sangasese. Kungangakhululeki kakhulu kunokuhlolwa okuvamile kwePap.

• Abanye besifazane bazizwa belunywa kancane yisixazululo sokuhlanza.
• Ungase uzwe ingcosana noma i-cramp isikhathi ngasinye lapho kuthathwa isampula lesicubu.
• Ungase ube nokukhwabanisa noma ukuphuma kancane ngemuva kwe-biopsy.
• Ungasebenzisi amathamponi noma ufake noma yini esithweni sangasese izinsuku ezimbalwa ngemuva kokuhlolwa komzimba.

Abanye besifazane bangabamba umoya wabo ngesikhathi senqubo ye-pelvic ngoba balindele ubuhlungu. Ukuphefumula kancane, njalo kuzokusiza uphumule futhi uqede izinhlungu. Buza umhlinzeki wakho mayelana nokuletha umuntu osekelayo uma lokho kuzosiza.

Ungaba nokuphuma kwegazi ngemuva kwe-biopsy, cishe izinsuku ezimbili.

• Akufanele udeke, ubeke amathamponi noma okhilimu esithweni sangasese, noma uye ocansini kuze kube yisonto emva kwalokho. Buza umhlinzeki wakho ukuthi kufanele ulinde isikhathi esingakanani.
• Ungasebenzisa ama-sanitary pads.

IColposcopy yenziwa ukuthola umdlavuza womlomo wesibeletho kanye nezinguquko ezingaholela kumdlavuza womlomo wesibeletho.

Kuvame ukwenziwa uma uhlolwe ngokungajwayelekile nge-Pap smear noma nge-HPV. Kunganconywa futhi uma wopha ngemuva kocansi.

I-Colposcopy nayo ingenziwa lapho umhlinzeki wakho ebona izindawo ezingavamile kumlomo wesibeletho sakho ngesikhathi sokuhlolwa kwe-pelvic. Lokhu kungafaka:

• Noma yikuphi ukukhula okungajwayelekile emlomo wesibeletho, noma kwenye indawo esithweni sowesifazane
• Izinsumpa zangasese noma i-HPV
• Ukucasula noma ukuvuvukala komlomo wesibeletho (cervicitis)

I-colposcopy ingasetshenziselwa ukulandela umkhondo we-HPV, kanye nokubheka izinguquko ezingajwayelekile ezingabuya emuva kokwelashwa.

Indawo ebushelelezi nebomvana yomlomo wesibeletho ijwayelekile.

Uchwepheshe obizwa nge-pathologist uzohlola isampula lezicubu kusuka ku-biopsy yomlomo wesibeletho bese ethumela umbiko kudokotela wakho. Imiphumela ye-Biopsy imvamisa ithatha amaviki awu-1 kuya kwangu-2. Umphumela ojwayelekile usho ukuthi awukho umdlavuza futhi akukho zinguquko ezingajwayelekile ezibonwe.

Umhlinzeki wakho kufanele akwazi ukukutshela uma ngabe kukhona okungajwayelekile okubonwe ngesikhathi sokuhlolwa, kufaka phakathi:

• Amaphethini angajwayelekile emithanjeni yegazi
• Izindawo ezivuvukile, ezigugile, noma ezilahlekile (i-atrophic)
• Ama-polyp wesibeletho
• Izinsumpa zangasese
• Izimagqabhagqabha ezimhlophe emlomo wesibeletho

Imiphumela engajwayelekile ye-biopsy ingahle ibangelwe yizinguquko ezingaholela kumdlavuza womlomo wesibeletho. Lezi zinguquko zibizwa nge-dysplasia, noma i-cervical intraepithelial neoplasia (CIN).

• I-CIN I-dysplasia emnene
• I-CIN II iyi-dysplasia elinganiselayo
• I-CIN III i-dysplasia enamandla noma umdlavuza wokuqala wesibeletho obizwa ngokuthi i-carcinoma in situ

Imiphumela engajwayelekile ye-biopsy ingabangelwa:

• Umdlavuza wesibeletho
• I-neoplasia yomlomo wesibeletho (izinguquko ezicubu zomzimba ezibizwa nangokuthi i-cervical dysplasia)
• Izinsumpa zomlomo wesibeletho (ukutheleleka ngegciwane le-papilloma lomuntu, noma i-HPV)

Uma i-biopsy inganqumi imbangela yemiphumela engavamile, ungadinga inqubo ebizwa ngokuthi i-cold knife cone biopsy.

Ngemuva kwe-biopsy, ungahle ube nokopha kuze kube yisonto. Ungahle ube ne-cramping encane, isitho sakho sangasese singazizwa sibuhlungu, futhi ungathola ukuphuma okumnyama izinsuku ezi-1 ukuya kwezi-3.

I-colposcopy ne-biopsy ngeke kwenze kube nzima kuwe ukuthi ukhulelwe, noma kubangele izinkinga ngesikhathi sokukhulelwa.

Shayela umhlinzeki wakho ngokushesha uma:

• Ukopha kusinda kakhulu noma kuhlala isikhathi eside kunamasonto ama-2.
• Unobuhlungu esiswini sakho noma endaweni ye-pelvic.
• Ubona noma yiziphi izimpawu zokutheleleka (umkhuhlane, iphunga elibi, noma ukuphuma).

I-Biopsy - i-colposcopy - iqondisiwe; I-Biopsy - umlomo wesibeletho - i-colposcopy; Ukwelashwa kwe-endocervical; ECC; I-punch yomlomo wesibeletho; I-Biopsy - isibhakela somlomo wesibeletho; I-biopsy yomlomo wesibeletho; I-neoplasia yomlomo wesibeletho ye-intraepithelial - colposcopy; I-CIN - i-colposcopy; Izinguquko ezibangelwa umdlavuza wesibeletho - i-colposcopy; Umdlavuza wesibeletho - i-colposcopy; Isilonda se-squamous intraepithelial lesion - colposcopy; I-LSIL - i-colposcopy; I-HSIL - i-colposcopy; I-colposcopy esezingeni eliphansi; I-colposcopy esezingeni eliphakeme; I-Carcinoma in situ - i-colposcopy; I-CIS - i-colposcopy; I-ASCUS - i-colposcopy; Amaseli we-Atypical glandular - colposcopy; I-AGUS - i-colposcopy; Amaseli we-atypical squamous - colposcopy; I-Pap smear - i-colposcopy; I-HPV - i-colposcopy; Igciwane le-papilloma lomuntu - i-colposcopy; Umlomo wesibeletho - colposcopy; Colposcopy

• I-anatomy yokuzala yabesifazane
• I-biopsy eqondiswe kuColposcopy
• Isibeletho

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