So ɛsɛ sɛ yeyi ntini ketewaa bi fi w’awotwaa mu? Momma yensua endometrial biopsy ho ade!

Ebia oduruyɛfo bi a wɔfrɛ no endometrial biopsy na ɔkaa nhwehwɛmu yi ho asɛm kyerɛɛ wo. Anaasɛ ebia woate ho asɛm wɔ baabi na w’ani gye ho sɛ wubesua pii. Sɛnea ɛte biara no, mewɔ ha sɛ merebɛka ho asɛm kɛkɛ, wɔ ɔkwan a wubetumi ate ase so. Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm pefee.

Enti dɛn ne saa endometrial biopsy yi?

Sɛ yɛbɛka no tiawa a, endometrial biopsy yɛ bere a wofa ntini ketewaa bi fi w’awotwaa no mu (a yɛfrɛ no endometrium) mu na wode afiri a wɔde hwɛ nneɛma nketenkete hwɛ mu. Fa no sɛ ɛte sɛ nea wobɛfa hama ketewaa bi afi ntama bi mu na woahu nea ɛwɔ mu.

Sɛ oduruyɛfo de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa ntini yi mu a, obetumi ahu sɛ nkwammoaa bi wɔ hɔ a ɛnyɛ ne kwan so anaasɛ ebi wɔ hɔ a ebetumi ayɛ kokoram . Sɔhwɛ no nyinaa gye nea ennu simma 15 . Na wɔyɛ no wɔ wo duruyɛfo adwumayɛbea. Ebia wobɛte nka sɛ wo ho ayɛ wo hyew anaasɛ wo ho ayɛ wo yaw kakra bere a woreyɛ oprehyɛn no. Ebia nnipa binom nso bɛte yaw kakra.

Dɛn nti na oduruyɛfo bi bɛkamfo eyi akyerɛ wo?

Ebia oduruyɛfo bi bɛkamfo nhwehwɛmu yi akyerɛ sɛnea ɛbɛyɛ a obehu nea ɛde wo sɛnkyerɛnne ahorow no bi ba ankasa. Afei nso, sɛ oduruyɛfo no susuw sɛ biribi wɔ hɔ bere a wɔayɛ no ultrasound anaa Pap smear , akyi a, saa nipadua mu nhwehwɛmu yi betumi aboa ma wɔasi so dua kɛse.

Nneɛma bi nti a ebia wɔbɛka akyerɛ wo sɛ wɔnyɛ endometrial biopsy ni:

• Brayɛbea a ɛnkɔ so daa: Nea ɛka eyi ho ne mogya a ɛtɔ kɛse, mogya a ɛtra hɔ nna pii, mogya a ɛba wɔ ɔkwan a ɛnteɛ so, anaa brayɛ a egyae koraa.
• Mogya a ɛba bere a woagyae brayɛ akyi: Eyi kyerɛ sɛ mogya tu bere a wo ɔsram biara nna agyae koraa no.
• Mogya a ɛtɔ a ɛnyɛ ne kwan so bere a wɔrenom hormone therapy te sɛ Tamoxifen.
• Sɛ ɛte sɛ nea awotwaa no mu ɔfasu no ayɛ den a.
• Sɛ nea efii Pap nhwehwɛmu no mu bae no kyerɛ sɛ nkwammoaa a ɛnyɛ ne kwan so wɔ awotwaa no mu a.

Hena na obetumi (na ontumi) ayɛ endometrial biopsy?

Eyi ne sɔhwɛ a ɛho hia na ɛyɛ pɛpɛɛpɛ sen biara a wɔde hu awotwaa mu kokoram wɔ nsɛm dodow no ara mu. Sɛ woadi boro mfe 35 a, ɛda adi sɛ wobɛyɛ sɔhwɛ yi.

Nanso, sɛ woanyinsɛn a, wontumi nyɛ nhwehwɛmu yi. Nanso, ebia nnipa binom a ɛyɛ den sɛ wobenyinsɛn (awo a wontumi nwo) no bɛyɛ saa biopsy yi de ahu sɛ ebia ɔhaw bi wɔ wɔn awotwaa no mu a ɛde awo a wontumi nwo no ba anaa.

Ɔkwan bɛn so ankasa na wɔyɛ biopsy yi?

Wɔ eyi mu no, oduruyɛfo de afiri a ɛyɛ tratraa paa fa w’awotwaa mu na ɛkɔ w’awotwaa mu. Afei, wɔde tube no di dwuma no, wɔde suction yi ntini ketewaa bi fi wo endometrium mu. Eyi gye nea ennu simma 15.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ma eyi?

Ɛho nhia ankasa sɛ wusiesie wo ho ma eyi. Nanso, ɛsɛ sɛ wudi kan ka nnuru biara a worenom, nnuru a wɔde ka aduan ho a worenom, ne nneɛma biara a ɛma wo ho yɛ wo hyew ho asɛm kyerɛ wo duruyɛfo . Afei wo duruyɛfo bɛka akyerɛ wo sɛ ɛsɛ sɛ wugyae nnuru biara a wobɛnom ansa na wɔayɛ biopsy no anaa.

Nnuruyɛfo binom bɛka akyerɛ wo sɛ nom NSAID (nonsteroidal anti-inflammatory drug ) ansa na wɔayɛ biopsy no na ama ɛyaw no so atew. Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ fa aduru bi a ɛbɛboa ma woasiesie wo awotwaa no ama biopsy no da koro anaa nnanu ansa na wɔayɛ nhwehwɛmu no.

Ade a ɛho hia sen biara ne sɛ wubebisa wo duruyɛfo nsɛm biara a wowɔ ansa na woayɛ nhwehwɛmu no na woahwɛ ahu sɛ wunim nea ɛbɛba ankasa. Mpɛn pii no, endometrial biopsy yɛ nhwehwɛmu a asiane nnim koraa, a ahobammɔ wom.

Dɛn na ɛsɛ sɛ wɔhwɛ kwan bere a wɔreyɛ biopsy no?

Wɔtaa yɛ endometrial biopsy wɔ oduruyɛfo adwumayɛbea anaa ayaresabea foforo a wɔhwɛ ayarefo a wɔda abɔnten. Wɔnyɛ no wɔ aduru a wɔde kum nipadua no mu.

Wɔyɛ sɔhwɛ no sɛnea ɛte yi:

• Ɛsɛ sɛ wuyi wo ho fi w’asen so kɔ fam na wode ntama kata wo ho.
• Ɛsɛ sɛ wode wo nan si nneɛma abien a wɔde gyina so a wɔfrɛ no stirrups so na wode wo ho to w’anim te sɛ nea wɔreyɛ wo akyi berɛmo mu nhwehwɛmu anaa Pap smear.
• Oduruyɛfo no de afiri bi a wɔfrɛ no speculum bɛhyɛ wo awotwaa mu de akura mu. Eyi ne bere a obetumi ahu wo awotwaa no (eyi te sɛ nea wɔyɛ bere a wɔreyɛ Pap smear no).
• Afei, oduruyɛfo no de aduru titiriw bi bɛhohoro w’awotwaa no ho.
• Ɛtɔ mmere bi a, wobetumi de afiri titiriw bi a wɔfrɛ no tenaculum adi dwuma de akura awotwaa no mu na ama ayɛ mmerɛw sɛ wɔde afiri a wɔde twe ade no bɛhyɛ awotwaa no mu. Wɔ nnipa binom fam no, anammɔn yi na ɛyɛ yaw sen biara .
• Awiei koraa no, oduruyɛfo no de afiri a ɛyɛ tratraa yiye fa w’awotwaa mu hyɛ w’awotwaa mu de gye ntini bi. Ebia wobɛte nka sɛ oduruyɛfo no de adwinnade no di akɔneaba bere a wɔrefa ntini no mu nhwɛsode no.
• Afei oduruyɛfo no de saa ntini mu nhwɛsode yi kɔma ɔyaresafo bi , oduruyɛfo a ne ho akokwaw wɔ nkwammoaa mu ma wɔhwehwɛ mu.

Saa adeyɛ yi nyinaa taa gye bɛyɛ simma anum kosi du, na sɛ ɛboro so a, egye simma dunum .

Dɛn na ɛba bere a wɔayɛ biopsy no akyi?

Sɛ oduruyɛfo no yi nnwinnade no fi wo awotwaa mu wie a, wubetumi asiesie wo ho. Ɛyɛ papa sɛ wobɛhome kakra ansa na woafi dan no mu. Ɛsɛ sɛ w’ankasa wutumi de kar kɔ fie wɔ sɔhwɛ no akyi bere tiaa bi.

Ɛho behia sɛ wode sanitary pad di dwuma ntɛm ara wɔ biopsy no akyi. Mogya a ɛtɔ wɔ ɔbea awotwaa mu ne akisikuru bi yɛ nea ɛfata na ɛsɛ sɛ wɔhwɛ kwan. Nanso, ɛnsɛ sɛ ɛtra hɔ boro nna kakraa bi. Wubetumi anom aduru a wɔde kum ɛyaw a wɔtɔn (e.g. ibuprofen, paracetamol) wɔ akisikuru biara ho.

Wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ woyɛ ne nea ɛnsɛ sɛ woyɛ no pɛpɛɛpɛ kosi sɛ wo ho bɛtɔ wo. Nneɛma bi a ebia wɔbɛka akyerɛ wo sɛ ɛnsɛ sɛ woyɛ ni:

• Mfa tampon nni dwuma bɛyɛ nnanson. Afei nso, mfa biribiara nhyɛ awotwaa no mu. Doucheng nyɛ adwene pa da.
• Anyɛ yiye koraa no, mma nnanson, anaa kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ ɛnsɛ sɛ woda.
• Kwati dwumadi ahorow a emu yɛ den, nneɛma a emu yɛ duru a wobɛma so, asuguare, nsu a ɛyɛ hyew a wode bedi dwuma, anaa aguare nna kakraa bi.

Bere tenten ahe na egye ansa na asa?

Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho yeraw wo kakra na wo ho ayɛ wo yaw bɛyɛ nnɔnhwerew 48. Ɛyɛ papa sɛ worennye ntra nna kakraa bi ansa na wo ho atɔ wo koraa wɔ endometrial biopsy mu.

Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a:

• Sɛ mogya tu wo bɛboro nnansa anaa nnansa a.
• Sɛ nsu a ɛyɛ huam bi fi ɔbea no awotwaa mu ba a.
• Sɛ wowɔ sɛnkyerɛnne ahorow a ɛte sɛ atiridii te sɛ atiridiinini ne atiridiinini a.
• Sɛ, nna abien anaa abiɛsa akyi no, ɛyaw no da so ara yɛ kɛse sen bere a ɔrekɔ brayɛ mu a.

Asiane bɛn na ɛwɔ eyi mu?

Asiane ahorow a ebetumi aba wɔ endometrial biopsy mu ne:

• Nsaneɛ.
• Mogya a ɛretu.
• Nsõ a ɛyɛ hare ne akisikuru nna kakraa bi.
• Awotwaa anaa awotwaa mu a ɛpaapae anaasɛ ɛtetew (eyi ntaa nsi).

So endometrial biopsy yɛ yaw?

Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho ayɛ wo yaw kakra, te sɛ wo bra, bere a woreyɛ sɔhwɛ no ne bere a woawie no. Ɛsono sɛnea obiara tumi gyina ɛyaw ano, enti ebia wobɛte ɛyaw kɛse anaa kakraa bi nka sen afoforo. Mpɛn pii no nnuruyɛfo mmu endometrial biopsy sɛ adeyɛ a ɛyɛ yaw kɛse.

Nanso sɛ woda so ara yɛ wo yafunu ase yaw nna kakraa bi wɔ biopsy no akyi a, wo ne wo duruyɛfo nkasa .

Dɛn na nea efii biopsy mu bae no ka?

Sɛ wo aba no san ba sɛnea ɛte daa a , ɛkyerɛ sɛ oduruyɛfo no anhu nkwammoaa biara a ɛnteɛ.

Sɛ nea efii mu bae no nyɛ nea ɛfata a , ɛkyerɛ sɛ oduruyɛfo no huu nkwammoaa a ɛnyɛ ne kwan so. Nea efi mu ba a ɛnteɛ betumi afi:

• Kokoram a ɛwɔ akyi berɛmo mu.
• Sɛ obi wɔ awotwaa mu polyps anaa fibroids.
• Nyarewa a ɛba awotwaa no mu ɔfasu no mu.
• Hormone ahorow a ɛnkari pɛ.

Ɛtɔ mmere bi a nea efi mu ba no betumi ayɛ nea wontumi nsi pi . Sɛ ɛte saa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa D&C (Dilation and Curettage) yi ntini kɛse bi na ama woahu sɛ nkwammoaa bi a ɛnyɛ ne kwan so wɔ hɔ anaa.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ yɛyɛ?

Wo duruyɛfo ne wo bɛbɔ nea ebefi mu aba no ho nkɔmmɔ na wasi nea ɛsɛ sɛ woyɛ akyi. Ɛnyɛ bere nyinaa na ɛho hia sɛ wɔsa yare. Ɛnyɛ nea efi mu ba a ɛnyɛ ne kwan so biara na ɛkyerɛ sɛ wowɔ kokoram. Enti, wo ne wo duruyɛfo nkasa yiye na ama woahwɛ ahu sɛ wote wo nhwehwɛmu no mu aba ne nea ɛkyerɛ ase.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Ebetumi agye bɛyɛ dapɛn biako ansa na woate nea ebefi nipadua mu nhwehwɛmu no mu aba afi wo duruyɛfo hɔ.

Bere bɛn na ɛsɛ sɛ mefrɛ me duruyɛfo ?

Wo ne wo duruyɛfo nkasa wɔ tebea yi mu:

• Sɛ wo yafunu mu yɛ wo yaw anaasɛ ɛyɛ wo yaw nna kakraa bi wɔ sɔhwɛ no akyi a.
• Sɛ mogya kɔ so bɛboro nnɔnhwerew 72 wɔ sɔhwɛ no akyi, anaasɛ mogya no mu yɛ duru (a ɛkyerɛ sɛ wɔde pad bi hyɛ nsu mu koraa nnɔnhwerew abien biara).
• Ɛwom mpo sɛ nea efi wo biopsy mu ba no yɛ nea ɛfata de, nanso woda so ara wɔ sɛnkyerɛnne ahorow te sɛ mogya a ɛnkɔ so daa.

Enti, nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu bi ni:

Endometrial biopsy yɛ sɔhwɛ a wo duruyɛfo betumi de ahwɛ sɛ awotwaa mu kokoram (titiriw endometrial kokoram) anaa de ahu nea ɛde mogya a ɛnkɔ so ba. Egye bɛyɛ simma 15 na ɛyɛ sɔhwɛ a asiane nnim koraa. Nea ɛka ho ne sɛ wo duruyɛfo no begye awotwaa mu ntini bi afi w’awotwaa mu na ɔde akɔma afiri a wɔde yɛ nhwehwɛmu akɔyɛ nhwehwɛmu foforo. Wubetumi ahwɛ kwan sɛ wobɛbɔ wo ho akisikuru kakra na mogya atɔ wo kakra, a ɛte sɛ wo brayɛ, nna kakraa bi wɔ sɔhwɛ no akyi.

Nsuro sɛ wo ne wo duruyɛfo bɛkasa afa nhwehwɛmu yi ho bere biara. Saa kwan no so no, wubehu nea wobɛhwɛ kwan wɔ sɔhwɛ no mu ne bere a woawie no ankasa. Wo duruyɛfo ne wo bɛbɔ nea ebefi mu aba no ho nkɔmmɔ na wasi gyinae sɛ ebia wuhia nhwehwɛmu foforo anaa ayaresa anaa.

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