Colposcopy

-Delile

• Yini i-colposcopy?
• Kusetshenziselwa ini?
• Kungani ngidinga i-colposcopy?
• Kwenzekani ngesikhathi se-colposcopy?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi nge-colposcopy?
• Izinkomba

Yini i-colposcopy?

I-colposcopy inqubo evumela umhlinzeki wezokunakekelwa kwezempilo ukuba ahlole kahle umlomo wesibeletho sowesifazane, isitho sangasese sowesifazane kanye nesitho sangasese sowesifazane. Isebenzisa ithuluzi elikhanyisiwe nelikhulisayo elibizwa ngokuthi i-colposcope. Idivayisi ibekwe lapho kuvulwa khona isitho sangasese sowesifazane. Kukhulisa umbono ojwayelekile, kuvumela umhlinzeki wakho ukuthi abone izinkinga ezingabonakali ngamehlo kuphela.

Uma umhlinzeki wakho ebona inkinga, angathatha isampula lezicubu ukulihlola (i-biopsy). Isampula livame ukuthathwa emlonyeni wesibeletho. Le nqubo yaziwa njenge-biopsy yomlomo wesibeletho. Ama-Biopsies nawo angathathwa esithweni sangasese noma sangasese. I-biopsy yomlomo wesibeletho, yowesifazane, noma ye-vulvar ingakhombisa uma unamaseli asengozini yokuba ngumdlavuza. Lawa abizwa ngokuthi amaseli angaphambi kwesikhathi. Ukuthola nokwelapha amangqamuzana angaphambi kwesikhathi kungavimbela umdlavuza ekwakheni.

Amanye amagama: i-colposcopy ene-biopsy eqondisiwe

Kusetshenziselwa ini?

I-colposcopy ivame ukusetshenziselwa ukuthola amaseli angajwayelekile emlomo wesibeletho, isitho sangasese sowesifazane, noma isitho sangasese sangasese. Ingasetshenziswa futhi uku:

• Bheka izinsumpa ezithweni zobulili, okungaba wuphawu lokutheleleka nge-HPV (human papillomavirus). Ukuba ne-HPV kungakubeka engcupheni enkulu yokuthola umdlavuza womlomo wesibeletho, sowesifazane noma wesitho sangasese sowesifazane.
• Bheka iziqu ezingezona ezomdlavuza ezibizwa ngokuthi ama-polyps
• Bheka ukucasuka noma ukuvuvukala komlomo wesibeletho

Uma usuvele utholakele futhi welashelwa i-HPV, ukuhlolwa kungasetshenziswa ukuqapha izinguquko zeseli emlomo wesibeletho. Kwesinye isikhathi amaseli angajwayelekile abuya ngemuva kokwelashwa.

Kungani ngidinga i-colposcopy?

Ungasidinga lesi sivivinyo uma unemiphumela engajwayelekile ku-Pap smear yakho. I-Pap smear isivivinyo esifaka phakathi ukuthola isampula lamaseli emlonyeni wesibeletho. Ingakhombisa uma kunamaseli angajwayelekile, kepha ayikwazi ukunikeza ukuxilongwa. I-colposcopy inikeza ukubukeka okuningiliziwe kumaseli, okungasiza umhlinzeki wakho aqinisekise ukuxilongwa kanye / noma ukuthola ezinye izinkinga ezingaba khona.

Ungadinga futhi lolu vivinyo uma:

• Utholwe ukuthi une-HPV
• Umhlinzeki wakho ubona izindawo ezingajwayelekile kumlomo wesibeletho sakho ngesikhathi sokuhlolwa okwejwayelekile kwezitho zangasese
• Unegazi ngemuva kocansi

Kwenzekani ngesikhathi se-colposcopy?

I-colposcopy ingenziwa ngumhlinzeki wakho wokunakekela oyinhloko noma ngudokotela wezifo zabesifazane, udokotela ogxile ekuhloleni nasekwelapheni izifo zohlelo lwabesifazane lokuzala. Ukuhlolwa kuvame ukwenziwa ehhovisi lomhlinzeki. Uma kutholakala izicubu ezingavamile, ungathola futhi i-biopsy.

Ngesikhathi se-colposcopy:

• Uzokhipha izingubo zakho ugqoke ingubo yasesibhedlela.
• Uzolala ngomhlane etafuleni lezivivinyo izinyawo zakho zibe nemibhikisho.
• Umhlinzeki wakho uzofaka ithuluzi elibizwa ngokuthi i-speculum esithweni sakho sangasese. Isetshenziselwa ukusabalalisa ukuvula izindonga zakho zangasese.
• Umhlinzeki wakho uzobamba umlomo wesibeletho kanye nobulili ngobumnene ngeviniga noma isisombululo se-iodine. Lokhu kwenza izicubu ezingavamile zibonakale kalula.
• Umhlinzeki wakho uzobeka i-colposcope eduze kwesitho sakho sangasese. Kepha le divayisi ngeke iwuthinte umzimba wakho.
• Umhlinzeki wakho uzobheka nge-colposcope, enikeza umbono okhulisiwe womlomo wesibeletho, isitho sangasese sowesifazane kanye nesitho sangasese sowesifazane. Uma noma yiziphi izindawo zezicubu zibukeka zingavamile, umhlinzeki wakho angenza i-biopsy yomlomo wesibeletho, wesitho sangasese sowesifazane noma se-vulvar.

Ngesikhathi se-biopsy:

• I-biopsy yesitho sangasese sowesifazane ingaba buhlungu, ngakho-ke umhlinzeki wakho angaqala ukukunika umuthi wokuqeda indawo.
• Lapho indawo isikindiki, umhlinzeki wakho uzosebenzisa ithuluzi elincane ukususa isampula lezicubu zokuhlolwa. Kwesinye isikhathi amasampuli amaningi ayathathwa.
• Umhlinzeki wakho angenza futhi inqubo ebizwa nge-endocervical curettage (ECC) ukuthatha isampula ngaphakathi kokuvulwa komlomo wesibeletho. Le ndawo ayikwazi ukubonwa ngesikhathi se-colposcopy. I-ECC yenziwa ngethuluzi elikhethekile elibizwa ngokuthi yi-curette. Ungase uzwe ukucinana okuncane noma isigaxa njengoba izicubu zisuswa.
• Umhlinzeki wakho angafaka umuthi wama-topical kusayithi le-biopsy ukwelapha noma yikuphi ukopha ongaba nakho.

Ngemuva kwe-biopsy, akufanele usebenzise i-douche, usebenzise ama-tampon, noma uye ocansini isonto lonke ngemuva kwenqubo yakho, noma inqobo nje uma umhlinzeki wakho wezempilo ekululeka.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Ungadaki, usebenzise ama-tampon noma imithi yesitho sangasese sowesifazane, noma wenze ucansi okungenani amahora angama-24 ngaphambi kokuhlolwa. Futhi, kungcono ukuhlela i-colposcopy yakho lapho ukhona hhayi ukuba nesikhathi sakho sokuya esikhathini.Futhi qiniseka ukuthi utshela umhlinzeki wakho uma ukhulelwe noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe. IColposcopy ivame ukuphepha ngesikhathi sokukhulelwa, kepha uma kudingeka i-biopsy, ingadala ukopha okwengeziwe.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuba ne-colposcopy. Ungaba nokungaphatheki kahle lapho i-speculum ifakwa esithweni sangasese, futhi isixazululo seviniga noma se-iodine singaluma.

I-biopsy nayo inqubo ephephile. Ungase uzwe ingcosana lapho kuthathwa isampula lezicubu. Ngemuva kwenqubo, isitho sakho sangasese singase sibe buhlungu usuku noma ezimbili. Ungase ube nokuchotshozwa okuthile nokopha okuncane. Kuyinto evamile ukopha kancane nokukhipha kuze kube yisonto ngemuva kokuhlolwa komzimba.

Izinkinga ezinkulu ezivela ku-biopsy azivamile, kodwa shayela umhlinzeki wakho uma unezinye zalezi zimpawu ezilandelayo:

• Ukopha kakhulu
• Ubuhlungu besisu
• Izimpawu zokutheleleka, ezifana nomkhuhlane, amakhaza kanye / noma ukuphuma okubi kwesitho sangasese sowesifazane

Isho ukuthini imiphumela?

Ngesikhathi se-colposcopy yakho, umhlinzeki wakho angathola eyodwa noma ngaphezulu kwezimo ezilandelayo:

• Izinsumpa zangasese
• Ama-polyps
• Ukuvuvukala noma ukucasuka komlomo wesibeletho
• Izicubu ezingavamile

Uma umhlinzeki wakho futhi enze i-biopsy, imiphumela yakho ingakhombisa ukuthi une:

• Amaseli angaphambi komdlavuza wesibeletho, isitho sangasese sowesifazane, noma isitho sangasese
• Ukutheleleka nge-HPV
• Umdlavuza womlomo wesibeletho, wesitho sangasese sowesifazane noma wesitho sangasese sangasese

Uma imiphumela yakho ye-biopsy ibivamile, akunakwenzeka ukuthi ube namaseli emlomo wesibeletho, isitho sangasese sowesifazane, noma isitho sangasese esisengcupheni yokuphenduka umdlavuza. Kepha lokho kungashintsha. Ngakho-ke umhlinzeki wakho angafuna ukukuqapha ngokushintshwa kwamaseli ngama-Pap smear ajwayelekile kanye / noma ama-colposcopy angeziwe.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Ngabe kukhona okunye engidinga ukukwazi nge-colposcopy?

Uma imiphumela yakho ikhombise ukuthi unamaseli angaphambi kwesikhathi, umhlinzeki wakho angahlela enye inqubo yokuwasusa. Lokhu kungavimbela umdlavuza ekukhuleni. Uma umdlavuza utholakele, ungathunyelwa kudokotela wezifo zomdlavuza we-gynecologic, umhlinzeki ogxile ekwelapheni umdlavuza wohlelo lokuzala lwabesifazane.

Izinkomba

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