Umlomo wesibeletho

-Delile

• Izinhlobo zama-biopsies wesibeletho
• Ungayilungiselela kanjani i-biopsy yomlomo wesibeletho
• Yini ongayilindela ngesikhathi sokuhlolwa komlomo wesibeletho
• Ukubuyiselwa ku-biopsy yomlomo wesibeletho
• Imiphumela ye-biopsy yomlomo wesibeletho

Yini i-biopsy yomlomo wesibeletho?

I-biopsy yomlomo wesibeletho inqubo yokuhlinzwa lapho kukhishwa khona inani elincane lezicubu emlomo wesibeletho.Umlomo wesibeletho ungaphansi, umkhawulo omncane wesibeletho otholakala ekugcineni kwesitho sangasese sowesifazane.

I-biopsy yomlomo wesibeletho ivame ukwenziwa ngemuva kokutholakala okungajwayelekile ngesikhathi sokuhlolwa kwe-pelvic noma kwe-Pap smear. Ukungajwayelekile kungafaka ubukhona be-human papillomavirus (HPV), noma amaseli angaphambi kwesikhathi. Izinhlobo ezithile ze-HPV zingakubeka engcupheni yokuthola umdlavuza womlomo wesibeletho.

I-biopsy yomlomo wesibeletho ingathola amangqamuzana angaphambi komdlavuza nomdlavuza womlomo wesibeletho. Udokotela wakho noma udokotela wezifo zabesifazane angenza futhi i-biopsy yomlomo wesibeletho ukuxilonga noma ukwelapha izimo ezithile, kufaka phakathi izinsumpa zangasese noma ama-polyps (ukukhula okungenamdlavuza) emlomo wesibeletho.

Izinhlobo zama-biopsies wesibeletho

Izindlela ezintathu ezihlukene zisetshenziselwa ukususa izicubu emlomo wesibeletho sakho:

• I-Punch biopsy: Ngale ndlela, izicucu ezincane zithathwa emlonyeni wesibeletho ngensimbi ebizwa nge “biopsy forceps” Umlomo wakho wesibeletho ungahle udayiwe ukuze wenze kube lula kudokotela wakho ukubona noma ikuphi ukungajwayelekile.
• I-Cone biopsy: Lokhu kuhlinzwa kusebenzisa iscalpel noma i-laser ukususa izingcezu zezicubu ezinkulu, ezimise okwesigaxa emlonyeni wesibeletho. Uzonikezwa umuthi wokubulala izinzwa ojwayelekile ozokulala.
• I-Endocervical curettage (ECC): Ngesikhathi sale nqubo, amaseli ayasuswa emgodini we-endocervical (indawo ephakathi kwesibeletho nesitho sangasese sowesifazane). Lokhu kwenziwa ngethuluzi eliphethwe ngesandla elibizwa nge- “curette.” Inethiphu emise okwe-scoop encane noma i-hook.

Uhlobo lwenqubo esetshenzisiwe luzoya ngesizathu se-biopsy yakho nomlando wakho wezokwelapha.

Ungayilungiselela kanjani i-biopsy yomlomo wesibeletho

Hlela uhlelo lwakho lomlomo wesibeletho ngesonto elingemva kwesikhathi sakho. Lokhu kuzokwenza kube lula kudokotela wakho ukuthola isampula elihlanzekile. Kufanele futhi uqiniseke ukuthi uxoxa ngemithi oyiphuzayo nodokotela wakho.

Ungacelwa ukuthi uyeke ukuthatha imishanguzo engandisa ingozi yokuphuma kwegazi, njenge:

• i-aspirin
• ibuprofen
• umabhebhana
• warfarin

Gwema ukusebenzisa ama-tampon, ama-douches, noma okhilimu abanemithi yesitho sangasese sangasese okungenani amahora angama-24 ngaphambi kwe-biopsy yakho. Kufanele futhi ugweme ukuya ocansini ngalesi sikhathi.

Uma ubhekene ne-biopsy yesigaxa noma olunye uhlobo lwe-biopsy yomlomo wesibeletho edinga ukubulala izinzwa okuvamile, kuzodingeka uyeke ukudla okungenani amahora ayisishiyagalombili ngaphambi kwenqubo.

Ngosuku lokuqokwa kwakho, udokotela wakho angase asikisele ukuthi uthathe i-acetaminophen (efana neTylenol) noma omunye umuthi wokudambisa izinhlungu ngaphambi kokuba ufike ehhovisi labo. Ungahle uzwe ukuphuma kwegazi okukhanyayo ngemuva kwenqubo, ngakho-ke kufanele upake amaphakethe wesifazane. Kuwumqondo omuhle futhi ukuletha ilungu lomndeni noma umngane ukuze bakwazi ukukuhambisa ekhaya, ikakhulukazi uma unikezwa i-anesthesia ejwayelekile. I-anesthesia ejwayelekile ingakwenza ukozele ngemuva kwenqubo, ngakho-ke akufanele ushayele kuze kube yilapho imiphumela isiphelile.

Yini ongayilindela ngesikhathi sokuhlolwa komlomo wesibeletho

Ukuqokwa kuzoqala njengokuhlolwa okwejwayelekile kwezitho zangasese. Uzolala etafuleni lezivivinyo izinyawo zakho zibe nemibhikisho. Ngemuva kwalokho udokotela wakho uzokunika umuthi wokubulala izinzwa wendawo ukuze undikize indawo. Uma wenza i-biopsy yesigaxa, uzonikezwa i-anesthetic ejwayelekile ezokulala.

Udokotela wakho uzobe esefaka i-speculum (ithuluzi lezokwelapha) esithweni sangasese ukuze kugcinwe umsele uvulekile ngesikhathi senqubo. Umlomo wesibeletho uqala ugezwe ngesisombululo seviniga namanzi. Le nqubo yokuhlanza ingasha kancane, kepha akufanele kube buhlungu. Umlomo wesibeletho nawo ungashubiswa nge-iodine. Lokhu kubizwa ngokuthi ukuhlolwa kukaSchiller, futhi kusetshenziselwa ukusiza udokotela wakho ukuthi abone noma yiziphi izicubu ezingavamile.

Udokotela uzosusa izicubu ezingajwayelekile nge-forceps, iscalpel, noma i-curette. Ungase uzwe ukuzwa okucindezelayo uma izicubu zisuswa kusetshenziswa i-forceps.

Ngemuva kokuthi i-biopsy isiqediwe, udokotela wakho angafaka umlomo wakho wesibeletho ngezinto zokumunca ukuze unciphise ukuphuma kwegazi okwenzayo. Akuwona wonke ama-biopsy adinga lokhu.

Ukubuyiselwa ku-biopsy yomlomo wesibeletho

I-punch biopsies yizinqubo zokugula ngaphandle, okusho ukuthi ungaya ekhaya ngemuva nje kokuhlinzwa. Ezinye izinqubo zingadinga ukuthi uhlale esibhedlela ubusuku bonke.

Lindela ukuminyanisa okuncane nokubona njengoba uthola kusuka ku-biopsy yakho yomlomo wesibeletho. Ungahle uzwe ukuqunjelwa nokopha isikhathi esingangesonto. Ngokuya ngohlobo lwe-biopsy olwenziwe, imisebenzi ethile ingavinjelwa. Ukuphakamisa okunzima, ukuya ocansini, kanye nokusetshenziswa kwamathamponi nezindawo zokubeka izikhala zokudla okuvumelekile akuvumelekile amasonto ambalwa ngemuva kwe-biopsy yesigaxa. Kungadingeka ukuthi ulandele imikhawulo efanayo ngemuva kwenqubo ye-punch biopsy ne-ECC, kepha kube isonto elilodwa kuphela.

Yazisa udokotela wakho uma:

• ngizwe ubuhlungu
• iba nomkhuhlane
• uzwe ukopha kakhulu
• babe nokukhishwa kwesitho sangasese esinuka kabi

Lezi zimpawu zingaba yizimpawu zokutheleleka.

Imiphumela ye-biopsy yomlomo wesibeletho

Udokotela wakho uzokuthinta ngemiphumela yakho ye-biopsy futhi axoxe ngezinyathelo ezilandelayo nawe. Ukuhlolwa okungekuhle kusho ukuthi konke kujwayelekile, futhi kwesinye isikhathi isenzo esingejwayelekile asidingeki. Ukuhlolwa okuqondile kusho ukuthi umdlavuza noma amangqamuzana angaphambi kwesikhathi atholakele futhi kungadingeka ukwelashwa.