I-Endometrial Biopsy

-Delile

• Kungani kwenziwa i-endometrial biopsy?
• Ngilungiselela kanjani i-biopsy ye-endometrial?
• Kwenzekani ngesikhathi se-endometrial biopsy?
• Ziyini izingozi ezihambisana ne-biopsy ye-endometrium?
• Isho ukuthini imiphumela?

Iyini i-biopsy ye-endometrial?

I-endometrial biopsy ukukhishwa kocezu oluncane lwethishu ku-endometrium, okuwulwelwesi lwesibeletho. Lesi sampuli sezicubu singakhombisa ushintsho lweseli ngenxa yezicubu ezingafani noma ukwehluka kwamazinga ama-hormone.

Ukuthatha isampula elincane lezicubu ze-endometrial kusiza udokotela wakho ukuthola izimo ezithile zezokwelapha. I-biopsy futhi ingahlola ukutheleleka kwesibeletho njenge-endometritis.

I-endometrial biopsy ingenziwa ehhovisi likadokotela ngaphandle kokusebenzisa i-anesthesia. Imvamisa, inqubo ithatha cishe imizuzu eyi-10 ukuqeda.

Kungani kwenziwa i-endometrial biopsy?

I-endometrial biopsy ingenziwa ukusiza ukuxilonga ukungajwayelekile kwesibeletho. Kungakhipha nezinye izifo.

Udokotela wakho angafuna ukwenza i-endometrial biopsy ku:

• thola imbangela yokopha ngemuva kokuya esikhathini noma ukopha kwesibeletho okungavamile
• isikrini somdlavuza we-endometrium
• hlola ukuzala
• hlola impendulo yakho ekwelashweni kwehomoni

Awukwazi ukuba ne-endometrial biopsy ngesikhathi sokukhulelwa, futhi akufanele ube nayo uma unanoma iyiphi yalezi zimo ezilandelayo:

• ukuphazamiseka kokuvala igazi
• isifo esibuhlungu sokuvuvukala okhalo
• ukutheleleka okunamandla komlomo wesibeletho noma kwesitho sangasese sowesifazane
• umdlavuza wesibeletho
• stenosis yomlomo wesibeletho, noma ukuncipha okunzima komlomo wesibeletho

Ngilungiselela kanjani i-biopsy ye-endometrial?

I-endometrial biopsy ngesikhathi sokukhulelwa ingaholela ekukhulelweni kwesisu. Tshela udokotela wakho uma ukhulelwe noma uma kukhona ithuba lokuthi ungakhulelwa. Udokotela wakho angafuna ukuthi uthathe isivivinyo sokukhulelwa ngaphambi kwe-biopsy ukuqinisekisa ukuthi awukhulelwe.

Udokotela wakho angafuna futhi ukuthi ugcine irekhodi lemijikelezo yakho yokuya esikhathini ngaphambi kokuhlolwa. Lokhu kuvame ukucelwa uma isivivinyo sidinga ukwenziwa ngesikhathi esithile phakathi komjikelezo wakho.

Tshela udokotela wakho nganoma yimiphi imithi kadokotela oyisebenzisayo. Kungase kudingeke uyeke ukuthatha izinciphisi zegazi ngaphambi kwe-biopsy ye-endometrium. Le mithi ingaphazamisa ikhono legazi lokugcwala kahle.

Udokotela wakho mhlawumbe uzofuna ukwazi ukuthi unezinkinga zokopha noma unenkinga yokungezwani ne-latex noma iodine.

I-biopsy ye-endometrium ingase ingakhululeki. Udokotela wakho angancoma ukuthi uthathe ibuprofen (Advil, Motrin) noma esinye isidambisi sezinhlungu imizuzu engama-30 kuya kwengu-60 ngaphambi kwenqubo.

Udokotela wakho angakunikeza nokuthambisa okulula ngaphambi kwe-biopsy. I-sedative ingakwenza ukozele, ngakho-ke akufanele ushayele ize imiphumela isiphele ngokuphelele. Ungahle ufune ukucela umngani noma ilunga lomndeni ukuthi likuhambise ngemoto ngemuva kwenqubo.

Kwenzekani ngesikhathi se-endometrial biopsy?

Ngaphambi kwe-biopsy, unikezwa ingubo noma ingubo yezokwelapha ozoyifaka. Ekamelweni lokuhlola, udokotela wakho uzokubeka etafuleni ngezinyawo zakho ngokuxokozela. Bese benza ukuhlolwa okusheshayo kwe-pelvic. Ziphinde zihlanze isitho sakho sangasese kanye nomlomo wesibeletho.

Udokotela wakho angafaka isibopho emlomo wesibeletho sakho ukuze sihlale sizinzile ngesikhathi senqubo. Ungase uzwe ingcindezi noma ukungakhululeki okuncane okuvela ku-clamp.

Udokotela wakho ube esefaka ishubhu elincanyana, eliguquguqukayo elibizwa ngokuthi i-pipelle ngokuvula umlomo wesibeletho sakho, linwebeka ngamasentimitha ambalwa esibelethweni. Ngokulandelayo bahambisa ipayipi emuva naphambili ukuze bathole isampula lezicubu emgqeni wesibeletho. Yonke inqubo ngokuvamile ithatha cishe imizuzu eyi-10.

Isampula lezicubu lifakwa kuketshezi bese lithunyelwa elabhorethri ukuze liyohlaziywa. Udokotela wakho kufanele abe nemiphumela cishe ezinsukwini ezingu-7 kuya kwezingu-10 ngemuva kwe-biopsy.

Ungahle ubone ukubonwa okukhanyayo noma ukopha ngemuva kwenqubo, ngakho-ke uzonikezwa iphedi yokuya esikhathini yokugqoka. Ukukhwabanisa okuncane nakho kujwayelekile. Ungakwazi ukuthatha isiqabu sobuhlungu ukuze usize nge-cramping, kepha qiniseka ukuthi ubuza udokotela wakho.

Ungasebenzisi ama-tamponi noma ukuya ocansini izinsuku ezimbalwa ngemuva kwe-endometrial biopsy.Ngokuya ngomlando wakho wezokwelapha owedlule, udokotela wakho angakunika eminye imiyalelo ngemuva kwenqubo.

Ziyini izingozi ezihambisana ne-biopsy ye-endometrium?

Njengezinye izinqubo ezihlaselayo, kunengozi encane yokutheleleka. Kukhona nengozi yokubhoboza udonga lwesibeletho, kodwa lokhu akuvamile kakhulu.

Okunye ukopha nokungakhululeki kuyinto ejwayelekile. Shayela udokotela wakho uma unalezi zimpawu ezilandelayo:

• ukopha isikhathi esingaphezu kwezinsuku ezimbili ngemuva kokuhlolwa komzimba
• ukopha kakhulu
• umkhuhlane noma amakhaza
• ubuhlungu obukhulu esiswini esingezansi
• ukukhishwa kwesitho sangasese okungavamile noma okunephunga elibi

Isho ukuthini imiphumela?

I-endometrial biopsy ijwayelekile lapho kungatholakali amaseli angajwayelekile noma umdlavuza. Imiphumela ibhekwa njengokungajwayelekile lapho:

• ukukhula okunobungozi, noma okunganomdlavuza
• ukuqina kwe-endometrium, okubizwa nge-endometrial hyperplasia, kukhona
• kukhona amangqamuzana anomdlavuza