I-Endometrial biopsy

I-endometrial biopsy ukususwa kwesiqeshana sezicubu emgqeni wesibeletho (endometrium) ukuze kuhlolwe.

Le nqubo ingenziwa nge-anesthesia noma ngaphandle kwayo. Lo muthi okuvumela ukuthi ulale ngesikhathi senqubo.

• Ulala ngomhlane izinyawo zakho zisezintabeni, kufana nokuba nokuhlolwa kwe-pelvic.
• Umhlinzeki wakho wezokunakekelwa kwezempilo ufaka kahle insimbi (i-speculum) esithweni sangasese ukuyibamba ivuleke ukuze umlomo wesibeletho sakho ubhekwe. Umlomo wesibeletho uhlanzwa ngoketshezi olukhethekile. Umuthi wokufaka izinzwa ungasetshenziswa kumlomo wesibeletho.
• Umlomo wesibeletho ungabanjwa ngobumnene ngensimbi yokubamba isibeletho singanyakazi. Kungadingeka enye insimbi ukwelula ngobunono ukuvuleka komlomo wesibeletho uma kukhona ukuqina.
• Insimbi idluliswa ngomlomo wesibeletho iye esibelethweni ukuze ilande isampula lezicubu.
• Isampula lezicubu nezinsimbi kuyasuswa.
• Izicubu zithunyelwa ebhodini. Lapho, ihlolwa ngaphansi kwesibonakhulu.
• Uma ngabe une-anesthesia yenqubo, uyiswa endaweni yokutakula. Abahlengikazi bazoqinisekisa ukuthi unethezekile.Ngemuva kokuthi uvuke futhi ungabi nezinkinga kusuka ku-anesthesia kanye nenqubo, uvunyelwe ukuya ekhaya.

Ngaphambi kokuhlolwa:

• Tshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo. Lokhu kufaka phakathi izinciphisi zegazi ezifana ne-warfarin, i-clopidogrel ne-aspirin.
• Ungacelwa ukuthi uhlolwe ukuqinisekisa ukuthi awukhulelwe.
• Ezinsukwini ezi-2 ngaphambi kwenqubo, ungasebenzisi okhilimu noma eminye imithi esithweni sangasese.
• UNGAYENZI idouche. (Akufanele neze udle. Ukuchofoza kungadala ukutheleleka esithweni sangasese noma kwesibeletho.)
• Buza umhlinzeki wakho ukuthi kufanele yini uthathe umuthi wezinhlungu, njenge-ibuprofen noma i-acetaminophen, ngaphambi nje kwenqubo.

Izinsimbi zingazizwa zibanda. Ungazizwa uqobekile lapho umlomo wesibeletho ubanjiwe. Ungahle ube ne-cramping ethambile njengoba izinsimbi zingena esibelethweni futhi isampula liqoqwa. Ukungakhululeki kumnene, kepha kwabanye besifazane kungaba nzima. Kodwa-ke, isikhathi sokuhlolwa nobuhlungu sifushane.

Ukuhlolwa kwenziwa ukuthola imbangela yalokhu:

• Izinkathi ezingavamile zokuya esikhathini (ukuphuma okunzima, okude, noma okungavamile)
• Ukopha ngemuva kokunqamuka kokuya esikhathini
• Ukopha ekuthatheni imithi yokwelapha i-hormone
• Ulwelwesi lwesibeletho olujiyile olubonwa ku-ultrasound
• Umdlavuza we-Endometrial

I-biopsy ijwayelekile uma amaseli esampula engajwayelekile.

Izikhathi ezingavamile zokuya esikhathini zingabangelwa:

• Izindlala zesibeletho
• Ukukhula okufana nomunwe esibelethweni (ama-polyps wesibeletho)
• Ukutheleleka
• Ukungalingani kweHormone
• Umdlavuza we-Endometrial noma i-precancer (hyperplasia)

Ezinye izimo lapho ukuhlolwa kungenziwa khona:

• Ukopha okungavamile uma owesifazane ethatha umuthi womdlavuza webele i-tamoxifen
• Ukopha okungavamile ngenxa yezinguquko kumazinga e-hormone (ukopha okungavuleki)

Izingozi ze-biopsy ye-endometrial zifaka:

• Ukutheleleka
• Kubangela imbobo (ekubhobozeni) isibeletho noma ukudwengula umlomo wesibeletho (kuyaqabukela kwenzeka)
• Ukopha isikhathi eside
• Ukubona okuncane nokucinana okuncane izinsuku ezimbalwa

I-Biopsy - i-endometrium

• I-laparoscopy yomzimba
• I-anatomy yokuzala yabesifazane
• I-Endometrial biopsy
• Isibeletho
• I-Endometrial biopsy

UBeard JM, u-Osborn J. Izinqubo ezijwayelekile zehhovisi. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 28.

USoliman PT, uLu KH. Izifo ze-Neoplastic zesibeletho: i-endometrial hyperplasia, i-endometrial carcinoma, i-sarcoma: ukuxilongwa nokuphathwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 32.