IColposcopy-eyalele i-biopsy

I-colposcopy yindlela ekhethekileyo yokujonga umlomo wesibeleko. Isebenzisa ukukhanya kunye nemicroscope enamandla asezantsi ukwenza umlomo wesibeleko ubonakale umkhulu kakhulu. Oku kunceda umboneleli wakho wokhathalelo lwempilo afumane kwaye emva koko iindawo ezingavumelaniyo nomlomo wesibeleko.

Uya kulala etafileni kwaye ubeke iinyawo zakho xa ushukuma, ukubeka i-pelvis yakho kuvavanyo. Umboneleli uya kubeka isixhobo (esibizwa ngokuba yi-speculum) kwilungu lakho lobufazi ukuze ubone umlomo wesibeleko ngokucacileyo.

Umlomo wesibeleko kunye nelungu lobufazi licocwe kakuhle ngeviniga okanye isisombululo se-iodine. Oku kususa i-mucus egubungele umphezulu kwaye ibalaselisa iindawo ezingaqhelekanga.

Umboneleli uya kubeka ikholposcope ekuvuleni kwelungu lobufazi kwaye ajonge indawo. Iifoto zinokuthathwa. Icolposcope ayikuchukumisi.

Ukuba nayiphi na indawo ijongeka ingaqhelekanga, isampulu encinci yethishu iya kususwa kusetyenziswa izixhobo ezincinci ze-biopsy. Iisampulu ezininzi zinokuthathwa. Ngamanye amaxesha isampuli yethishu ngaphakathi komlomo wesibeleko iyasuswa. Oku kubizwa ngokuba yi-endocervical curettage (ECC).

Akukho lungiselelo lukhethekileyo. Unokukhululeka ngakumbi xa ukhupha isinyi sakho kunye namathumbu ngaphambi kwenkqubo.

Phambi koviwo:

• Sukudlala (oku akukaze kucetyiswe).
• Musa ukubeka nayiphi na imveliso kwilungu lobufazi.
• Musa ukulala ngesondo iiyure ezingama-24 phambi koviwo.
• Xelela umboneleli wakho ukuba ukhulelwe okanye unokukhulelwa.

Olu vavanyo akufuneki lwenziwe ngexesha elinzima, ngaphandle kokuba aluqhelekanga. Gcina idinga lakho ukuba:

• Ekupheleni okanye ekuqaleni kwexesha lakho eliqhelekileyo
• Ukopha ngokungaqhelekanga

Unokwazi ukuthatha ibuprofen okanye i-acetaminophen (iTylenol) ngaphambi kwecolposcopy. Buza umboneleli wakho ukuba ngaba kulungile, kwaye nini kwaye ungakanani na ekufuneka uyithathile.

Unokuba ungonwabi xa i-speculum ibekwe ngaphakathi kwilungu lobufazi. Kungangonwabi ngakumbi kunovavanyo oluqhelekileyo lwePap.

• Abanye abantu basetyhini baziva belunywa kancinci kwisisombululo sokucoca.
• Unokuziva uthintela okanye utyumke ngalo lonke ixesha kuthathwa isampulu yethishu.
• Unokuba ne-cramping okanye ukuphuma kancinci emva kwe-biopsy.
• Sukusebenzisa iitampon okanye ubeke nantoni na kwilungu lobufazi kangangeentsuku ezininzi emva kokuvavanywa.

Abanye abantu basetyhini banokubamba umphefumlo wabo ngexesha leenkqubo ze-pelvic kuba balindele iintlungu. Ukucothisa, ukuphefumla rhoqo kuya kukunceda uphumle kwaye unciphise iintlungu. Buza umboneleli wakho ngokuzisa umntu oxhasayo kunye nawe ukuba oko kuya kunceda.

Unokuba nokuphuma kwegazi emva kwe-biopsy, malunga neentsuku ezimbini.

• Akufuneki ubeke idouche, ubeke iitampon okanye iikhrim kwilungu lobufazi, okanye ubelane ngesondo ukuya kuthi ga kwiveki emva koko. Buza umboneleli wakho ukuba ulinde ixesha elingakanani.
• Ungasebenzisa iiphedi zangasese.

IColposcopy yenziwa ukufumanisa umhlaza womlomo wesibeleko kunye notshintsho olukhokelela kumhlaza womlomo wesibeleko.

Idla ngokwenziwa xa ubunesifo esingaqhelekanga sePap smear okanye sovavanyo lwe-HPV. Inokucetyiswa kwakhona ukuba wopha emva kokwabelana ngesondo.

I-Colposcopy inokwenziwa kwakhona xa umboneleli wakho ebona iindawo ezingaqhelekanga kumlomo wesibeleko ngexesha lovavanyo lwe-pelvic. Oku kunokubandakanya:

• Nakuphi na ukukhula okungaqhelekanga kumlomo wesibeleko, okanye kwenye indawo kwilungu lobufazi
• Iimfazwe zangasese okanye i-HPV
• Ukucaphuka okanye ukudumba komlomo wesibeleko (cervicitis)

I-colposcopy inokusetyenziselwa ukugcina umkhondo we-HPV, kunye nokujonga utshintsho olungaqhelekanga olunokubuya emva konyango.

Indawo egudileyo, epinki yomlomo wesibeleko iqhelekile.

Ingcali ebizwa ngokuba yi-pathologist iya kuvavanya isampulu yethishu kwi-biopsy yomlomo wesibeleko kwaye ithumele ingxelo kugqirha wakho. Iziphumo ze-Biopsy zihlala zithatha iiveki ezi-1 ukuya kwezi-2. Iziphumo eziqhelekileyo zithetha ukuba akukho mhlaza kwaye akukho lutshintsho lungaqhelekanga lubonwe.

Umboneleli wakho kuya kufuneka akwazi ukukuxelela ukuba kukho nantoni na engaqhelekanga ebonwe ngexesha lovavanyo, kubandakanya:

• Iipateni ezingaqhelekanga kwimithambo yegazi
• Iindawo ezidumbileyo, ezigugileyo, okanye ezilahliweyo (atrophic)
• Iipolyps zomlomo wesibeleko
• Iimfazwe zangasese
• Amabala amhlophe kumlomo wesibeleko

Iziphumo ezingaqhelekanga ze-biopsy zinokubangelwa lutshintsho olukhokelela kumhlaza womlomo wesibeleko. Olu tshintsho lubizwa ngokuba yi-dysplasia, okanye i-cervical intraepithelial neoplasia (CIN).

• I-CIN I-dysplasia emnene
• I-CIN II yi-dysplasia ephakathi
• I-CIN III i-dysplasia enzima okanye umhlaza wokuqala wesibeleko obizwa ngokuba yi-carcinoma in situ

Iziphumo ezingaqhelekanga ze-biopsy zinokubangelwa:

• Umhlaza womlomo wesibeleko
• Isibeleko se-intraepithelial neoplasia (utshintsho olwenzekileyo kwizicubu ezibizwa ngokuba ngumlomo wesibeleko)
• Iintsumpa zomlomo wesibeleko (usulelo kwintsholongwane yabantu, okanye i-HPV)

Ukuba i-biopsy ayichazi unobangela weziphumo ezingaqhelekanga, unokufuna inkqubo ebizwa ngokuba yi-cold knife cone biopsy.

Emva kwe-biopsy, unokuba nokuphuma kwegazi ukuya kuthi ga kwiveki. Unokuba ne-cramping encinci, ubufazi bakho bunokuziva buhlungu, kwaye unokufumana ukukhutshwa okumnyama kangangeentsuku ezi-1 ukuya kwezi-3.

I-colposcopy kunye ne-biopsy ayizukukwenza kube nzima kuwe ukuba ukhulelwe, okanye kubangele iingxaki ngexesha lokukhulelwa.

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Ukopha kuyasinda okanye kuhlala ixesha elingaphezulu kweeveki ezi-2.
• Unentlungu esiswini sakho okanye kwindawo ye-pelvic.
• Uqaphela naziphi na iimpawu zosulelo (umkhuhlane, ivumba elibi, okanye ukukhupha).

Biopsy - colposcopy-eyalelweyo; Biopsy - wesibeleko - colposcopy; Unyango lwesibeleko; I-ECC; I-biopsy yomlomo wesibeleko; I-Biopsy - inqindi yomlomo wesibeleko; Umlomo wesibeleko; Isibeleko se-intraepithelial neoplasia - i-colposcopy; I-CIN - icolposcopy; Utshintsho olwenziwe kwangaphambili lomlomo wesibeleko - icolposcopy; Umhlaza womlomo wesibeleko - icolposcopy; I-squamous intraepithelial lesion - icolposcopy; LSIL - icolposcopy; I-HSIL - icolposcopy; I-colposcopy ekumgangatho ophantsi; I-colposcopy ekumgangatho ophezulu; ICarcinoma in situ - icolposcopy; CIS - colposcopy; I-ASCUS - icolposcopy; Iiseli glandular amadlala - colposcopy; I-AGUS - icolposcopy; Iiseli squamous atypical - colposcopy; Pap smear - colposcopy; I-HPV - icolposcopy; Papilloma virus yabantu - colposcopy; Umlomo wesibeleko - icolposcopy; IColposcopy

• I-anatomy yokuzala yabasetyhini
• IColposcopy ejolise ngqo kwi-biopsy
• Isibeleko

UCohn DE, uRamaswamy B, uChristian B, uBixel K. Malignancy kunye nokukhulelwa. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 56.

UKhan MJ, uWerner CL, uDarragh TM, okqhubekayo. Imigangatho ye-ASCCP colposcopy: indima yecolposcopy, izibonelelo, ukwenzakala okunokubakho kunye nesigama sokuziqhelanisa ne-colposcopic. Ijenali yeZifo eziSezantsi zoThwala. Ngo-2017; 21 (4): 223-229. IINKCUKACHA: 28953110 pubmed.ncbi.nlm.nih.gov/28953110/.

INewkirk GR. Uvavanyo lweColposcopic. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 124.

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.

USmith RP. ICarcinoma in situ (umlomo wesibeleko). Ku: Smith RP, ed. I-Netter's Obstetrics kunye neGynecology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2018: isahl. 115.