Biopsy yento

I-cone biopsy (conization) utyando ukususa isampulu yethishu engaqhelekanga kumlomo wesibeleko. Umlomo wesibeleko yinxalenye engezantsi yesibeleko (isibeleko) evuleka phezulu kwilungu lobufazi. Utshintsho olungaqhelekanga kwiiseli kumphezulu wesibeleko kuthiwa yidysplasia yomlomo wesibeleko.

Le nkqubo yenziwa esibhedlele okanye kwiziko lotyando. Ngexesha lenkqubo:

• Uya kunikwa i-anesthesia ngokubanzi (ilele kwaye ayinazintlungu), okanye amayeza okukunceda uphumle kwaye ulale.
• Uya kulala etafileni kwaye ubeke iinyawo zakho xa unyusa ukubeka i-pelvis yakho kuvavanyo. Umboneleli wezempilo uya kubeka isixhobo (i-speculum) kwilungu lakho lobufazi ukuze abone ngcono umlomo wesibeleko.
• Isampulu encinci yohlobo lweethishu iyasuswa kumlomo wesibeleko. Inkqubo inokwenziwa kusetyenziswa i-wire loop eshushu ngombane wombane (inkqubo ye-LEEP), iscalpel (i-biopsy ebandayo ebandayo), okanye umqadi we-laser.
• Umjelo womlomo wesibeleko ongaphezulu kwecone biopsy unokuphinda ususe ukususa iiseli zokuvavanya. Oku kubiza unyango lwe-endocervical (ECC).
• Isampulu ihlolwa phantsi kwemicroscope ngeempawu zomhlaza. Le biopsy inokuba lunyango ukuba umboneleli ususa zonke izicwili ezinesifo.

Uninzi lwexesha, uya kuba nakho ukugoduka kwangolo suku lwenkqubo.

Unokucelwa ukuba ungatyi okanye usele iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo.

Emva kwenkqubo, unokuba ne-cramping okanye ungakhululeki malunga neveki. Malunga neeveki ezi-4 ukuya kwezi-6 phepha:

• I-Douching (douching akufuneki yenziwe)
• Isondo
• Sebenzisa iitampon

Kwiiveki ezi-2 ukuya kwezi-3 emva kwenkqubo, unokukhutshwa oko kukuthi:

• Igazi
• Inzima
• Umbala otyheli

I-biopsy yethowuni yenziwa ukufumanisa umhlaza womlomo wesibeleko okanye utshintsho olwenzeka kwangoko olukhokelela kumhlaza. I-cone biopsy yenziwa ukuba uvavanyo olubizwa ngokuba yi-colposcopy alunakufumana unobangela wePap smear engaqhelekanga.

I-biopsy yeCone ingasetyenziselwa ukunyanga:

• Ukumodareyitha ukuya kwiindidi ezinobuzaza zotshintsho lweeseli ezingaqhelekanga (ezibizwa ngokuba yiCIN II okanye iCIN III)
• Inqanaba lokuqala lomhlaza womlomo wesibeleko (inqanaba le-0 okanye i-IA1)

Iziphumo eziqhelekileyo zithetha ukuba akukho iiseli zangaphambi komhlaza okanye zomhlaza kumlomo wesibeleko.

Rhoqo, iziphumo ezingaqhelekanga zithetha ukuba kukho iiseli ezinomhlaza okanye zomhlaza kumlomo wesibeleko. Olu tshintsho lubizwa ngokuba ngumlomo wesibeleko we-neoplasia (CIN). Utshintsho lwahlulwe lwangamaqela ama-3:

• I-CIN I-dysplasia emnene
• I-CIN II-yokumodareyitha ukuya kwi-dysplasia ephawulweyo
• I-CIN III -i-dysplasia eqatha kwi-carcinoma in situ

Iziphumo ezingaqhelekanga zinokubangelwa ngumhlaza womlomo wesibeleko.

Umngcipheko we-cone biopsy ubandakanya:

• Ukopha
• Umlomo wesibeleko ongenamandla (onokubangela ukuhanjiswa kwangaphambi kwexesha)
• Usulelo
• Ukuqhekeka komlomo wesibeleko (esinokubangela amaxesha abuhlungu, ukuhanjiswa kwangoko, kunye nobunzima bokukhulelwa)
• Umonakalo kwisinyi okanye kwi-rectum

Icone biopsy nayo inokwenza kube nzima kumboneleli wakho ukutolika iziphumo ezingaqhelekanga zePap smear kwixesha elizayo.

Biopsy - ikhowuni; Ukudityaniswa komlomo wesibeleko; I-CKC; Isibeleko se-intraepithelial neoplasia - i-cone biopsy; I-CIN - i-cone biopsy; Utshintsho olwenziwe kwangaphambili lomlomo wesibeleko - i-cone biopsy; Umhlaza womlomo wesibeleko - i-cone biopsy; I-squamous intraepithelial lesion - i-cone biopsy; I-LSIL - i-cone biopsy; I-HSIL - i-cone biopsy; I-biopsy yeklasi ephantsi; I-high-grade cone biopsy; I-Carcinoma kwi-situ-cone biopsy; I-CIS - i-cone biopsy; I-ASCUS - ikhowuni ye-biopsy; Iiseli glandular atypical - cone biopsy; I-AGUS - i-cone biopsy; Iiseli ze-atypical squamous - i-cone biopsy; I-pap smear-i-cone biopsy; I-HPV - i-cone biopsy; Papilloma virus yabantu - cone biopsy; Umlomo wesibeleko - i-cone biopsy; IColposcopy-ikona biopsy

• I-anatomy yokuzala yabasetyhini
• Ingqele ebandayo
• Ukususwa kwekhowuni ebandayo

UCohen PA, uJhingran A, u-Oaknin A, uDenny L. Umhlaza wesibeleko. ILancet. Ngo-2019; 393 (10167): 169-182. IINKCUKACHA: 30638582 pubmed.ncbi.nlm.nih.gov/30638582/.

Ilungu lePalamente, iBaker ES, iSchmeler KM. I-neoplasia ye-Intraepithelial neoplasia yendlela esezantsi yesibeleko (umlomo wesibeleko, ubufazi, ubufazi): i-etiology, ukuhlolwa, ukuxilongwa, kunye nolawulo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 28.

UWatson LA. Ukudityaniswa komlomo wesibeleko. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 128.