So wopɛ sɛ wuhu Colposcopy sɔhwɛ no nso ho asɛm? Momma yɛnkasa!

Sɛ wo duruyɛfo anaa mmea ho ɔyaresafo ka kyerɛ wo sɛ yɛ colposcopy a, ebia wobɛte ehu kakra nka na mpo wopɛ sɛ wuhu, ɛnte saa? "Dɛn ne sɔhwɛ yi? Dɛn nti na wɔreka akyerɛ me sɛ menyɛ eyi? Dɛn na ɛbɛba?" Ebia nsɛmmisa pii retu mmirika wɔ wo tirim. Enti ɛnnɛ, yɛbɛka eyinom nyinaa ho asɛm wɔ Sinhala kasa mu, wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so. Biribiara nni hɔ a ɛsɛ sɛ wusuro, eyi taa yɛ mmerɛw sen sɛnea wususuw.

Dɛn ne Colposcopy?

Sɛ yɛbɛka no tiawa a, colposcopy yɛ sɔhwɛ titiriw a wɔde hwɛ wo awotwaa (awotwaa no fã a ɛwɔ fam) ne wo awotwaa no afasu mu sɛ ebia ntini biara a ɛnyɛ ne kwan so anaa. Wo duruyɛfo de hann ne ahwehwɛ soronko bi a wɔfrɛ no colposcope bedi dwuma. Ɛte sɛ afiri ketewaa bi a wɔde hwɛ nneɛma nketenkete. Ebetumi ama ntini a ɛwɔ wo awotwaa ne wo awotwaa mu no ayɛ kɛse.

Afei fa no sɛ, sɛ wohwɛ biribi a ɛyɛ soronko, sɛ wuhu ntini bi a ɛte sɛ nea ɛsono , oduruyɛfo no betumi afa ntini ketewaa bi afi hɔ de akɔma aduruyɛdan. Eyi ne nea yɛfrɛ no biopsy . Wɔhwehwɛ saa ntini no mu hwɛ sɛ ebia kokoram nkwammoaa anaa nkwammoaa a edi kokoram anim a ebetumi abɛyɛ kokoram bi wɔ hɔ anaa.

Dɛn bio na sɔhwɛ yi behu?

Colposcopy yɛ nhwehwɛmu a wɔyɛ titiriw de hwɛ awotwaa, awotwaa, ne awotwaa mu sɛ ebia kokoram nkwammoaa anaa nkwammoaa a sɛ wɔansa a, ebetumi abɛyɛ kokoram te sɛ awotwaa mu yare a ɛnyɛ yiye .

Bio,

• Hwɛ sɛ ɔbarima ne ɔbea nna mu akisikuru anaa.
• Saa sɔhwɛ yi nso boa ma wɔhwɛ sɛ ebia nyini a ɛnyɛ kokoram te sɛ polyps anaa.

Ɛtɔ da bi a, sɛ mogya tu wo wɔ wo awotwaa mu a ɛnyɛ ne kwan so anaasɛ sɛnkyerɛnne ahorow te sɛ ɛyɛ wo yaw wɔ akyi berɛmo no mu a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ na ama woahu nea ɛde ba.

Dɛn nti na ɛsɛ sɛ woyɛ colposcopy?

Mpɛn pii no, wɔde ɔbea bi kɔma wɔnyɛ colposcopy sɛ nea efi nhwehwɛmu foforo mu ba kyerɛ sɛ ɔwɔ biribi a ɛnteɛ a. Nhwɛsoɔ:

• Sɛ nea efi wo Pap nhwehwɛmu (Pap smear) mu ba no nyɛ nea ɛfata a.
• Sɛ oduruyɛfo no hu biribi a ɛyɛ soronko wɔ wo pelvic nhwehwɛmu no mu a.
• Sɛ wogye tom sɛ woanya HPV `(Human Papillomavirus)` mmoawa no a .

Ɛyɛ tebea horow a ɛte sɛɛ mu na oduruyɛfo no ka sɛ, "So ɛsɛ sɛ yɛyɛ colposcopy na yɛhwɛ mu yiye?"

So ɛsɛ sɛ misuro sɔhwɛ yi?

Ɛnyɛ saa koraa! Esiane sɛ wɔka kyerɛɛ wo sɛ yɛ colposcopy nti, ɛnkyerɛ sɛ wowɔ kokoram. Nokorɔ mu,Mpɛn pii no, hokwan a ɛwɔ hɔ sɛ kokoram bɛyera no yɛ kɛse.

Fa no sɛ, sɛ wowɔ nkwammoaa a edi kokoram anim mpo a, hokwan a ɛwɔ hɔ sɛ ɛbɛdan kokoram wɔ bere tiaa a egye ansa na wɔayɛ wo nhwehwɛmu no sua koraa.

Saa sɔhwɛ yi ma wutumi hu kokoram nkwammoaa biara na wosa no yare ntɛm ara . Afei ɛho renhia sɛ wohaw wo ho wɔ kokoram ho a ɛho nhia. Ɛno nti na eyi yɛ sɔhwɛ a ɛho hia yiye no.

Hena na ɔyɛ colposcopy nhwehwɛmu yi?

Wo ɔyaresafo titiriw anaa mmea ho ɔyaresafo betumi ayɛ nhwehwɛmu yi. Ɛtɔ da bi a nnuruyɛfo bi wɔ hɔ a wɔatete wɔn titiriw ama saa atirimpɔw yi (colposcopists). Nhwehwɛmu ada no adi sɛ sɛ oduruyɛfo a ne ho akokwaw yɛ nhwehwɛmu yi a, hokwan a ɛwɔ hɔ sɛ obehu nkwammoaa a edi kokoram anim no yɛ kɛse .

So colposcopy yɛ oprehyɛn?

Colposcopy nyɛ oprehyɛn a wɔyɛ. Nanso sɛ wɔfa biopsy, kyerɛ sɛ, ntini mu nhwɛsode, bere a wɔreyɛ oprehyɛn no a, wobu no sɛ oprehyɛn ketewaa bi .

Fa no sɛ, sɛ oduruyɛfo no hu biribi a ɛyɛ adwenem naayɛ bere a wɔreyɛ nhwehwɛmu no a, wobegye ntini ketewaa bi afi hɔ. Mpɛn pii no eyi nyɛ yaw na egye nnu simma 30 . Ɛho nhia sɛ wobɛtra ayaresabea hɔ.

Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?

Akwan pii wɔ hɔ a wubetumi afa so asiesie wo ho ama colposcopy. Sɛ wudi anammɔn yi akyi yiye a, ɛbɛyɛ mmerɛw sɛ wubenya nea efi mu ba no pɛpɛɛpɛ.

• Sɛ woanyinsɛn a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Wobetumi ayɛ colposcopy bere a wɔyem no. Nanso, sɛ wɔyɛ nipadua mu nhwehwɛmu a, ebetumi aba sɛ mogya bɛtɔ no kakra asen sɛnea ɛtaa ba. Enti wo ne wo duruyɛfo nka eyi ho asɛm na nya afotu.
• Bɔ mmɔden sɛ wobɛyɛ sɔhwɛ no da a worenkɔ nna mu. Worentumi nyɛ nhwehwɛmu no wɔ wo nna mu, nanso ɛbɛyɛ mmerɛw ama oduruyɛfo no sɛ obehu w’awotwaa no yiye sɛ mogya ntu wo a.
• Mfa biribiara nhyɛ ɔbea no awotwaa mu nnɔnhwerew 48 ansa na wɔayɛ nhwehwɛmu no. Eyi kyerɛ sɛ wɔbɛkwati nna mu nna, nsateaa anaa nna ho agode a wɔde bɛhyɛ ɔbea no awotwaa mu.
• Afei nso , mfa tampon anaa nnuru a wɔde hyɛ ɔbea no awotwaa mu (te sɛ aduru a wɔde yɛ aduru anaa nnuru a wɔde sa yare) nni dwuma. Eyinom nyinaa betumi aka sɔhwɛ no mu aba.
• Sɛ wote nka sɛ wo ho nyɛ wo dɛ kakra da a wɔbɛyɛ nhwehwɛmu no a, di kan fa aduru a ɛma ɛyaw ano brɛ ase te sɛ paracetamol (e.g. Tylenol©) anaa ibuprofen (e.g. Advil©, Motrin©) ansa na woayɛ. Eyi bɛboa wo ma wo ho atɔ wo wɔ sɔhwɛ no mu.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no? Osuahu bɛn na ɛyɛ?

Wɔtaa yɛ colposcopy wɔ oduruyɛfo adwumayɛbea anaa ayaresabea. Egye bɛyɛ simma 10 kosi 20 . Wubetumi akɔ fie ntɛm ara wɔ sɔhwɛ no akyi.

Sɛnea wɔyɛ sɔhwɛ no

Mpɛn pii no, colposcopy nyɛ nea ɛnyɛ dɛ sen Pap smear. Worenhia nnuru a wɔde kum nipadua no anaasɛ nnuru pii a wɔde sa ɛyaw. Nea ɛba ni:

• Wɔbɛka akyerɛ wo sɛ da sɔhwɛ pon so na fa wo nan si nneɛma abien a wɔde gyina so a ɛyɛ mmerɛw sɛ wubekura mu.
• Afei oduruyɛfo no de nkakrankakra de speculum (ebia woahu eyi bere a wɔreyɛ Pap smear, a wɔde trɛw awotwaa no mu kakra na wɔhwɛ awotwaa no) bɛhyɛ ɔbea no awotwaa no mu na wasiesie no sɛnea ɛbɛyɛ a awotwaa no bɛda adi.
• Seesei, wɔde colposcope na edi dwuma. Eyi yɛ adwinnade a ɛte sɛ afiri a wɔde hwɛ akyirikyiri a ɛwɔ hann ne ahwehwɛ a ɛma nneɛma yɛ kɛse. Oduruyɛfo no kura mu wɔ awotwaa no akyi na ɔhwɛ wo awotwaa ne wo awotwaa no.
• Afei, oduruyɛfo no de acetic acid (a ɛte sɛ vinegar) aduru bi bɛpete w’awotwaa mu denam cotton swab so. Ebia wobɛte nka sɛ wo ho hyehye wo kakra wɔ saa bere yi mu. Saa ano aduru yi bɛboa ma wɔasi nkwammoaa biara a ɛnyɛ ne kwan so a ɛyɛ adwenem naayɛ so dua.

Sɛ wɔhwehwɛ mu a, ɛte sɛ nea ntini a ɛnteɛ wɔ baabi biako anaa nea ɛboro saa a, oduruyɛfo no betumi ayɛ biopsy na ɔde saa ntini no akɔma wɔakɔyɛ nhwehwɛmu.

Sɛ wɔyɛ obi a wɔayɛ no biopsy a, ɛte nka dɛn?

Sɛ́ anka oduruyɛfo no bɛpopa awotwaa no nyinaa na wafa nkwammoaa te sɛ Pap nhwehwɛmu no, colposcopy ma oduruyɛfo no tumi yi ntini nketenkete fi mmeae a ɛte sɛ nea ɛnyɛ ne kwan so no nkutoo . Wɔde saa ntini nketenkete yi kɔ aduruyɛdan mu kɔhwɛ sɛ ebia kokoram anaa nkwammoaa a edi kokoram renya no anaa.

Sɛ wɔyɛ biopsy a, ebia wobɛte nka sɛ wo ho ayɛ wo den kakra anaasɛ wo ho ayɛ wo hyew kakra . Ebinom fam no, ebia ɛbɛyɛ te sɛ brayɛ mu akisikuru.

Eyi yɛ yaw dɛn?

Colposcopy nyɛ yaw koraa . Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wɔde speculum no ahyɛ ɔbea no awotwaa mu no. Ebia wobɛte nka sɛ wo ho hyehye wo kakra anaasɛ wo ho ayɛ wo hyew bere a wɔde acetic acid aduru no gu so no. Sɛ wɔyɛ biopsy a, ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra anaasɛ wobɛte ɛyaw a ɛte sɛ brayɛ. Sɛ wɔnom aduru a wɔde kum ɛyaw ansa na wɔayɛ nhwehwɛmu a, ebetumi atew saa ɔhaw yi so kɛse.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ sɔhwɛ no ba awiei pɛ a, wubetumi akɔ so ayɛ w’adwuma sɛnea wotaa yɛ no.

• Sɛ woannyɛ biopsy , ebia wobɛnya spotting bi ama da a edi hɔ anaa nnanu.
• Sɛ wɔayɛ wo biopsy a, nneɛma bi a wubetumi ahwɛ kwan ni:
• Ebia mogya bi bɛtɔ ɔbea no awotwaa mu nna kakraa bi.
• Ebia ɛyaw bi bɛba awotwaa mu nna kakraa bi.
• Nsu a efi ɔbea no awotwaa mu no betumi ayɛ tuntum anaa bruu (eyi fi acetic acid aduru no).

Wubetumi de pads adi dwuma wɔ saa bere yi mu. Afei nso, kwati sɛ wode biribiara bɛhyɛ wo awotwaa mu . Kwati sɛ wo ne obi bɛda, wode tampon bedi dwuma, anaasɛ wode wo ho bɛhyɛ nsu mu nna kakraa bi. Ma wo awotwaa no bere ma ɛsa. Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wokwati saa nneɛma yi.

Dɛn na nea afi me colposcopy mu aba no kyerɛ?

Nea ebefi wo colposcopy ne (sɛ wɔyɛ a) biopsy mu aba no na ɛbɛkyerɛ sɛ ebia wuhia ayaresa foforo anaa.

• Nnipa bɛyɛ 40% bɔ amanneɛ sɛ nkwammoaa a ɛnteɛ biara nni wɔn aba no mu. Ɛno kyerɛ sɛ biribiara ye!
• Afei nso, nnipa bɛyɛ 60% hia ayaresa bi wɔ biribi a ɛnteɛ ho. Saa nneɛma a ɛnteɛ yi betumi ayɛ nneɛma te sɛ akisikuru a ɛwɔ awotwaa ano, awotwaa, anaa akyi awotwaa so.

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

Afei ebia woresusuw sɛ, "Oh, sɛ nea efi mu ba no nyɛ nea ɛfata nso ɛ?" Mma ɛnhaw wo, ɛno nso ano aduru wɔ hɔ.

Sɛ nea efi colposcopy anaa biopsy mu ba no da biribi ketewaa bi a ɛnteɛ te sɛ awotwaa mu yare a emu nyɛ den adi a, wo duruyɛfo bɛka akyerɛ wo sɛ yɛ Pap nhwehwɛmu bio bere ne bere mu . Eyi te saa efisɛ ɛtɔ mmere bi a saa dysplasias a emu nyɛ den yi kɔ ankasa (a ɛkyerɛ sɛ ntini no san kɔ sɛnea na ɛte kan) a wɔmfa ayaresa biara nka ho .

Nanso, sɛ nkwammoaa a ɛkɔ anim kɛse wɔ hɔ ansa na kokoram aba , ɛsɛ sɛ wɔsa wɔn yare. Ayaresa ahorow a ɛwɔ hɔ no bi ni:

• Loop Electrosurgical Excision Procedure (LEEP): Saa adeyɛ yi de waya loop a anyinam ahoɔden na ɛyɛ adwuma di dwuma de yi baabi a nkwammoaa a ɛnyɛ ne kwan so wɔ no fi hɔ.
• Cone Biopsy: Wɔ eyi mu no, wotwa ntini bi a ɛte sɛ cone a nkwammoaa a ɛnyɛ ne kwan so no wom fi awotwaa no mu na woyi fi hɔ.
• Cryotherapy: Wɔde nnuru a ɛyɛ nwini kɛse (te sɛ nitrogen a ɛyɛ nsu) di dwuma de sɛe nkwammoaa a ɛnyɛ ne kwan so.
• Laser Oprehyɛn: Wɔde laser hann a ɛyɛ hyew di dwuma de sɛe nkwammoaa a ɛnyɛ ne kwan so.

Wɔ nsɛm a emu yɛ den yiye mu (a ɛntaa nsi koraa) no, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi awotwaa no nyinaa. Wo ne wo duruyɛfo nkasa mfa nhwehwɛmu foforo biara a ebia wubehia wɔ oprehyɛn akyi no ho.

Bere tenten ahe na egye ansa na wɔahu nea efi sɔhwɛ no mu ba?

Mpɛn pii no, nea efi nipadua mu nhwehwɛmu mu ba no gye nna abien kosi du ansa na asan aba. Bisa wo duruyɛfo bere a wubetumi ahwɛ nea ebefi mu aba ne sɛnea wɔbɛma woahu nsɛm a ɛho hia.

Mmere titiriw bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn? (Wɔayɛ nhwehwɛmu akyi) .

Mpɛn pii no, colposcopy yɛ adeyɛ a ahobammɔ wom yiye a nsunsuanso bɔne kakraa bi na ɛwom. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ oprehyɛn no akyi a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ntɛm ara :

• Sɛ wote ɛyaw a emu yɛ den wɔ wo yafunu ase anaa wo hwene mu a .
• Sɛ mogya retu wo sen sɛnea ɛtaa ba wɔ wo nna mu a.
• Sɛ woreda ɔyare mmoawa ho sɛnkyerɛnne adi a : Ɛne sɛ, sɛ wowɔ awotwaa mu nsu a ɛyɛ den na ɛyɛ huam sen sɛnea wotaa yɛ a, sɛ wowɔ atiridiinini na wote nka sɛ wo ho ayɛ wo hyew a.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu sɛ wo nhwehwɛmu no mu biako nyɛ nea ɛfata na wɔka kyerɛ wo sɛ ɛsɛ sɛ woyɛ nhwehwɛmu pii no. Nanso kae sɛ, colposcopy yɛ nhwehwɛmu a ɛnyɛ den a ɛnyɛ yaw . Eyi betumi aboa ma wo suro no ano abrɛ ase na ama woanya asomdwoe.

Colposcopy ma wo duruyɛfo tumi hu nkwammoaa a kokoram anaa kokoram ansa na aba ntɛm na ama woanya ayaresa a ɛho hia . Sɛ wohu na wɔsa ntɛm a, wobetumi asa awotwaa mu kokoram mpo koraa.

Afei nso, nhwehwɛmu yi betumi akyerɛ sɛ wunni kokoram. Enti, bere a woresiesie wo ho ama nhwehwɛmu no, wo ne wo duruyɛfo nkasa pefee wɔ ehu, adwenem naayɛ, kokoram ho asiane, ne nea efi mu ba biara a wubenya ho. Ɛbɛma woanya ahotɔ pii.

` Colposcopy, Awotwaa mu Nhwehwɛmu, Pap Test, HPV, Biopsy, Mmea Akwahosan, Awotwaa mu Kokoram