I-biopsy ye-Endometrium

I-endometrial biopsy kukususwa kwesiqwengana seethishu kwimbombo yesibeleko (endometrium) yoviwo.

Le nkqubo inokwenziwa nge-anesthesia okanye ngaphandle kwayo. Eli liyeza elikuvumela ukuba ulale ngexesha lenkqubo.

• Ulala ngomqolo iinyawo zakho zishukuma, kufana nokuba kuvavanyo lwe-pelvic.
• Umboneleli wakho wezempilo ufaka ngobunono isixhobo (i-speculum) kwilungu lobufazi ukuze usibambe sivuleke ukuze kubonwe umlomo wesibeleko sakho. Umlomo wesibeleko ucoceka ngolwelo olukhethekileyo. Iyeza lokufaka amanani linokusetyenziswa kumlomo wesibeleko.
• Umlomo wesibeleko unokubanjwa ngobunono ngesixhobo sokubamba isibeleko sizinzile. Esinye isixhobo sinokufuneka ukuze wolule ngobunono ukuvulwa komlomo wesibeleko ukuba kukho ukuqina.
• Isixhobo sidluliswa kakuhle kumlomo wesibeleko kwisibeleko ukuqokelela isampulu yethishu.
• Isampulu yethishu kunye nezixhobo ziyasuswa.
• Izicubu zithunyelwa elebhu. Kulapho ihlolwa khona ngemicroscope.
• Ukuba une-anesthesia yenkqubo, usiwa kwindawo yokubuyisela kwimeko yesiqhelo. Abongikazi baya kuqinisekisa ukuba ukhululekile.Emva kokuba uvukile kwaye ungabinangxaki kwi-anesthesia kunye nenkqubo, uvunyelwe ukuba uye ekhaya.

Phambi kovavanyo:

• Xelela umboneleli wakho ngawo onke amayeza owathathayo. Oku kubandakanya ukucocwa kwegazi njenge-warfarin, i-clopidogrel, kunye ne-aspirin.
• Unokucelwa ukuba wenze uvavanyo ukuqinisekisa ukuba awukhulelwe.
• Kwiintsuku ezi-2 ngaphambi kwenkqubo, musa ukusebenzisa iikhrim okanye amanye amayeza kwilungu lobufazi.
• SUKUYA ngentloko. (Akufanelekanga ukuba usebenzise idouche. Ukucofa i-douching kunokubangela usulelo kwilungu lobufazi okanye lesibeleko.)
• Buza umboneleli wakho ukuba ngaba ufanele ukuthatha iyeza lentlungu, njenge-ibuprofen okanye i-acetaminophen, ngaphambi nje kwenkqubo.

Izixhobo zisenokuziva zibanda. Unokuziva utyumkile xa umlomo wesibeleko ubanjiwe. Unokuba ne-cramping encinci njengoko izixhobo zingena esibelekweni kwaye isampulu iyaqokelelwa. Ukungahambi kakuhle kubumnene, nangona kunjalo kubafazi abathile kunokuba nzima. Nangona kunjalo, ubude bovavanyo kunye neentlungu zimfutshane.

Uvavanyo lwenziwe ukufumana unobangela woku:

• Ixesha lokuya esikhathini (elinzima, elide, okanye ukuphuma ngokungaqhelekanga)
• Ukopha emva kokuyeka ukuya exesheni
• Ukopha ekuthatheni amayeza onyango lwehomoni
• Ubungqingqwa obuncinci besibeleko obonwe kwi-ultrasound
• Umhlaza we-Endometrial

I-biopsy yinto eqhelekileyo ukuba iiseli kwisampulu aziqhelekanga.

Ukuya exesheni ngokungaqhelekanga kunokubangelwa ngu:

• Zesibeleko fibroids
• Ukukhula okufana neminwe esibelekweni (iipolyps zesibeleko)
• Usulelo
• Ukungalingani kweHormone
• Umhlaza we-Endometrial okanye i-precancer (hyperplasia)

Ezinye iimeko apho uvavanyo lunokwenziwa khona:

• Ukopha ngokungaqhelekanga ukuba owasetyhini uthatha iyeza lomhlaza webele i-tamoxifen
• Ukopha ngokungaqhelekanga ngenxa yotshintsho kumanqanaba ehomoni (ukopha okungafunekiyo)

Umngcipheko we-endometrial biopsy ubandakanya:

• Usulelo
• Ukubangela umngxunya kwi (ukubola) kwesibeleko okanye ukukrazula umlomo wesibeleko (kunqabile ukwenzeka)
• Ukopha ixesha elide
• Ukubona kancinci kunye nokuthamba kancinci iintsuku ezimbalwa

I-Biopsy - i-endometrium

• Iiparvic laparoscopy
• I-anatomy yokuzala yabasetyhini
• I-biopsy ye-Endometrium
• Isibeleko
• I-biopsy ye-Endometrium

Iindevu JM, u-Osborn J. Iinkqubo eziqhelekileyo zeofisi. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 28.

ISoliman PT, uLu KH. Izifo ze-Neoplastic zesibeleko: i-endometrial hyperplasia, i-endometrial carcinoma, i-sarcoma: 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 32.