Bere a wo duruyɛfo ka kyerɛɛ wo sɛ ɛsɛ sɛ woyɛ colposcopy no, ehu kaa wo kakra, ɛnte saa? "Dɛn ne sɔhwɛ yi? So ɛbɛyɛ yaw? Dɛn na ɛbɛba?" Ebia wususuwii wɔ wo tirim sɛ. Nanso nokwarem no, biribiara nni hɔ a enti ɛsɛ sɛ yesuro. Eyi yɛ sɔhwɛ a ɛnyɛ den a wɔka kyerɛ mmea dodow no ara sɛ wɔnyɛ, na ɛtaa gye bɛyɛ simma 10-20. Wɔ asɛm yi mu no, yɛbɛka ho asɛm pefee na ɛnyɛ den.
Sɛ yɛbɛka no tiawa a, dɛn ne colposcopy?
Colposcopy yɛ adeyɛ a wɔde hwɛ wo awotwaa, wo awotwaa, ne wo awotwaa mu sɛ ebia ntini biara a ɛnyɛ ne kwan so anaa.
Eyi nti, oduruyɛfo no de adwinnade titiriw bi a wɔfrɛ no colposcope di dwuma. Fa no sɛ afiri a wɔde hwɛ nneɛma nketenkete soronko bi a hann pa ne ahwehwɛ a ɛma nneɛma yɛ kɛse wom. Sɛ wohwɛ mu a, wutumi hu nkwammoaa a ɛwɔ saa beae no pefee na wɔama ayɛ kɛse.
Sɛ oduruyɛfo no hu biribi a ɛyɛ soronko anaa soronko a, wɔfa ntini ketewaa bi de yɛ nhwehwɛmu . Wɔfrɛ eyi biopsy . Afei wɔde ntini no kɔ aduruyɛdan bi mu kɔhwɛ sɛ ebia mfomso bi wɔ ho anaa.
Wɔyɛ sɔhwɛ yi titiriw de hu sɛ ebia nkwammoaa bi wɔ hɔ a edi kokoram anim a ebetumi adan kokoram daakye anaa. Yɛfrɛ tebea yi wɔ aduruyɛ mu sɛ cervical dysplasia . Nea ɛka ho no, sɔhwɛ yi nso boa ma wohu nneɛma te sɛ ɔbarima ne ɔbea nna mu nsensanee ne nnua nketenkete a enyin wɔ awotwaa no so (cervical polyps).
Dɛn nti na wɔreka akyerɛ wo sɛ yɛ sɔhwɛ yi?
Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ esiane nneɛma a edidi so yi mu biako anaa nea ɛboro saa nti:
- Sɛ nea efi wo Pap smear mu ba no nyɛ nea ɛfata a .
- Sɛ wo duruyɛfo hu biribi a ɛyɛ soronko wɔ wo awotwaa mu nhwehwɛmu a wɔyɛ no daa mu a.
- Sɛ wo HPV nhwehwɛmu no da adi sɛ .
- Sɛ mogya tu wo wɔ ɔkwan a ɛnteɛ so wɔ wo nna mu anaasɛ wo yare no ho sɛnkyerɛnne a ɛkɔ so te sɛ ɛyɛ wo ho a ɛyɛ wo yaw wɔ ɔbarima ne ɔbea nna mu (vulva) a.
Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi? Biopsy ahorow bɛn na wɔyɛ?
Oduruyɛfo no de afiri bi a wɔfrɛ no colposcope a wɔde si wo awotwaa akyi no hwehwɛ awotwaa no mu. Wɔmfa nhyɛ mu. Hann ne ade kɛse a ɛwɔ so no ma wuhu awotwaa no yiye.
Sɛ oduruyɛfo no susuw sɛ nkwammoaa bi a ɛnteɛ wɔ hɔ a, obesi gyinae sɛ ɔbɛyɛ nipadua mu nhwehwɛmu. Akwan titiriw abien na ɛwɔ hɔ a wɔfa so yɛ eyi.
| Biopsy Ɔkwan a Wɔfa so Yɛ | Sɛnea wɔyɛ no |
|---|---|
| Punch Biopsy a Wɔde Yɛ Adwuma | Wɔ eyi mu no, wɔde adwinnade titiriw bi yi ntini ketewaa bi a ɛyɛ kurukuruwa fi baabi a wobu no sɛ ɛnyɛ ne kwan so no. |
| Endocervical Curettage (ECC) a Wɔde Di Dwuma Wɔ Awotwaa no Mu . | Wɔ eyi mu no, wɔde adwinnade bi a ɛte sɛ nsenia di dwuma de twitwiw awotwaa no mu ɔfasu no brɛoo na wonya nkwammoaa nhwɛsode bi fi hɔ. |
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?
Wo duruyɛfo bɛma wo akwankyerɛ pɔtee a wuhia ansa na wɔayɛ nhwehwɛmu yi, nanso nneɛma kakraa bi wɔ hɔ a ɛfa nneɛma nyinaa ho a ɛsɛ sɛ wuhu.
| Nea ɛsɛ sɛ wɔyɛ | Dɛn nti na ɛte saa? |
|---|---|
| Sɛ woanyinsɛn a, ka kyerɛ oduruyɛfo no . | Wobetumi ayɛ nhwehwɛmu yi nso wɔ nyinsɛn mu, nanso ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ eyi ho efisɛ ebia asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no bɛkɔ soro kakra. |
| Yɛ sɔhwɛ no da a worenkɔ nna mu . | Sɛ mogya no gyae a, ɛyɛ mmerɛw sɛ oduruyɛfo no bɛhwɛ awotwaa no mu pefee. |
| Mfa biribiara nhyɛ ɔbea no awotwaa mu nnɔnhwerew 48 ansa na wɔayɛ nhwehwɛmu no. | Kwati nna mu nna, tampons, vaginal creams, suppositories, ne nea ɛkeka ho a wode bedi dwuma Eyinom betumi aka sɔhwɛ no mu aba. |
| Wo ne wo duruyɛfo nkasa mfa ɛyaw ano aduru ho . | Bisa nea wubetumi ayɛ ama ɛyaw no. Ebia wɔbɛka akyerɛ wo sɛ fa aduru a ɛma ɛyaw ano brɛ ase te sɛ acetaminophen anaa ibuprofen ansa na wɔayɛ nhwehwɛmu no. |
| Bra a woasiesie wo ho sɛ wobɛma wo nsu a wɔde yɛ nhwehwɛmu . | Sɛ woadi mfe a wobɛkɔ brayɛ mu a, ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ nyinsɛn mu nhwehwɛmu wɔ nsu mu de hwɛ sɛ woanyinsɛn ansa na wɔayɛ nhwehwɛmu no anaa. |
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Eyi yɛ sɔhwɛ a wɔtaa yɛ wɔ ayaresabea anaa ayaresabea. Nea ɛba ni:
1. Wɔbɛma woada sɔhwɛ pon so na wɔaka akyerɛ wo sɛ fa wo nan si stirrups so.
2. Afei oduruyɛfo no de adwinnade bi a wɔde srade ayɛ a wɔfrɛ no speculum bɛhyɛ wo awotwaa mu. Eyi bɛma awotwaa no atrɛw kakra na ama awotwaa no atumi ahu pefee.
3. Nea ɛbɛyɛ na ɛyaw no so atew no, oduruyɛfo no betumi ama wo aduru a wɔde kum wo yare wɔ mpɔtam hɔ anaasɛ ɔde lidocaine a wɔde petepete wo so.
4. Afei oduruyɛfo no de colposcope no bɛhwɛ w’awotwaa, wo awotwaa afasu, ne akyi fã no yiye.
5. Afei, wɔde acetic acid a wɔde afra mu de kotoku gu awotwaa no ano. Saa bere yi de, ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra . Saa ano aduru yi bɛma mmeae a nkwammoaa a ɛnyɛ ne kwan so wɔ no ayɛ fitaa na wɔahu no yiye.
6. Sɛ wohu baabi a ɛnyɛ ne kwan so a, oduruyɛfo no bɛfa ntini ketewaa bi afi hɔ akɔyɛ biopsy.
7. Sɛ ɛho hia a, wɔde aduru titiriw bi bɛpetepete so na ama mogya a ɛretu afi baabi a wɔyɛɛ nipadua no mu nhwehwɛmu no agyae.
Kae sɛ, adeyɛ no nyinaa gye simma 10 kosi 20 pɛ. Wubetumi akɔ fie da koro no ara bere a wɔawie sɔhwɛ no.
So eyi yɛ yaw ankasa?
Eyi yɛ ɔhaw a nnipa pii wɔ. Sɛ yɛbɛka nokware a, ɛsono sɛnea obiara te ɛyaw. Enti ɛrentumi nyɛ yiye sɛ wobɛka sɛnea ɛbɛhaw wo no pɛpɛɛpɛ. Nanso tebea kakraa bi wɔ hɔ a ɛtaa ba a ebia wobɛte nka sɛ wo ho nyɛ wo dɛ anaa wobɛte yaw:
- Ebia wobɛte nhyɛso anaasɛ wo ho nyɛ wo dɛ bi nka bere a wode speculum no hyɛ mu anaasɛ bere a wogyaw no wɔ nea ɛwɔ hɔ bere tiaa bi no.
- Ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra bere a worepetepete vinegar solution (acetic acid) no mu no .
- Sɛ wɔyɛ biopsy a , ebia wobɛte nka sɛ wo yafunu no ase ayɛ wo yaw anaasɛ wo ho ayɛ wo yaw. Ɛha na nnipa dodow no ara te yaw kɛse.
Enti, ansa na wobɛyɛ nhwehwɛmu no, wo ne wo duruyɛfo nkasa mfa ɛyaw ano aduru ho. Ɛbɛyɛ ahotɔ kɛse nso ama wo.
Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi? So asiane ahorow bi wɔ hɔ?
Colposcopy yɛ adeyɛ a ahobammɔ wom yiye, asiane biara nni ho . Nanso, wɔ tebea horow a ɛntaa nsi mu no, mogya mmoroso anaa ɔyare mmoawa betumi aba. Nanso, wobetumi asa eyinom.
Bere a wɔde bɛsan anya ahoɔden wɔ sɔhwɛ no akyi
Sɛ wɔyɛɛ wo biopsy a, ebia ebegye nna kakraa bi ansa na w’awotwaa no ayɛ yiye. Saa bere yi mu no, ebia wubehyia:
- Ebia mogya nketenkete bɛtena mu nna kakraa bi.
- Ebia ɛyaw bi bɛba awotwaa mu nna kakraa bi.
- Ebia wobɛnya nsuo tuntum anaa bruu (eyi fi aduru a wɔde siw mogya no ano, mma ɛnhaw wo).
Wubetumi de sanitary pads adi dwuma wɔ saa bere yi mu. Sɛnea ɛbɛyɛ na wo awotwaa no anya bere asa no, kwati sɛ wode tampons bedi dwuma na woada nna kakraa bi. Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wotwe wo ho fi wɔn ho.
Sɛ woannyɛ biopsy a, wubetumi ayɛ wo dwumadi ahorow a wotaa yɛ wɔ nhwehwɛmu no akyi. Ebia mogya bɛtɔ wo kakra da koro anaa nnanu.
Bere bɛn na nea ebefi mu aba no bɛba? Dɛn na wɔkyerɛ?
Mpɛn pii no, nea efi nipadua mu nhwehwɛmu mu ba no gye nna abien kosi du ansa na asan aba. Bisa wo duruyɛfo no bere a wubenya nea efi mu ba ne sɛnea wubetumi ahu. Nea ebefi mu aba no betumi aba wɔ akwan atitiriw abien so.
| Nea efi mu ba no su | Kyerɛ |
|---|---|
| Daa daa | Eyi kyerɛ sɛ na nkwammoaa a ɛnyɛ ne kwan so biara nni biopsy no mu. Worenhia ayaresa. Nanso ɛsɛ sɛ wokɔ so yɛ nhwehwɛmu daa, te sɛ Pap smears, sɛnea wo duruyɛfo kamfo kyerɛ no. |
| Ɛnyɛ ne kwan so | Eyi kyerɛ sɛ biopsy no huu nkwammoaa a ɛnyɛ ne kwan so. Eyi kyerɛ sɛ ebia wubehia ayaresa anaasɛ aduruyɛfo a wɔhwɛ wo so daa. Mpɛn pii no, eyinom nyɛ kokoram nkwammoaa, na mmom nkwammoaa a edi kokoram anim . Ɛntaa mma sɛ wobetumi ahu kokoram. |
Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?
Wo duruyɛfo no begyina nea ebefi mu aba so akyerɛkyerɛ nea ɛsɛ sɛ woyɛ akyi pefee. Egyina nkwammoaa a ɛnyɛ ne kwan so no su ne sɛnea emu yɛ den so.
- Ebia awotwaa mu yare a emu nyɛ den no befi hɔ a wonnya ayaresa, enti ɛda adi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ san nyɛ Pap nhwehwɛmu no bio bere ne bere mu .
- Sɛ nkwammoaa a ɛkɔ akyiri kɛse a edi kokoram anim wɔ hɔ a, wobetumi akamfo ayaresa te sɛ cone biopsy , loop electrosurgical excision procedure (LEEP) , anaa laser oprehyɛn akyerɛ.
- Sɛ wohu sɛ wowɔ kokoram a, nnuruyɛfo atitiriw kuw bi bɛbom ayɛ ayaresa nhyehyɛe a ɛfata wo sen biara.
Ɛsɛ sɛ wofrɛ oduruyɛfo no ntɛm ara!
Mpɛn pii no, ɔhaw akɛse biara nni sɔhwɛ no akyi. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ɛsɛ sɛ wo ne wo duruyɛfo di nkitaho ntɛm ara .
- Sɛ wunya ɛyaw a wuntumi nnyina ano wɔ yafunu ase anaa wo akyi berɛmo mu a .
- Sɛ mogya tu wo kɛse (sɛ mogya tu wo pii sen wo bere a wotaa tu no a).
- Sɛ woreda ɔyare mmoawa ho sɛnkyerɛnne adi (sɛ nhwɛso no, nsu a ɛyɛ huam, ɛyɛ den sen sɛnea ɛtaa ba a, atiridiinini, ne awɔw).
Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wɔka kyerɛ wo sɛ ɛsɛ sɛ woyɛ colposcopy no. Nanso kae sɛ wɔayɛ sɔhwɛ yi sɛnea ɛbɛyɛ a wobehu ɔhaw biara a ɛwɔ wo nipadua mu ntɛm, ansa na adan kokoram, na ama wɔanya ayaresa a ɛho hia . Dodow a wohu no ntɛm no, dodow no ara na ayaresa no di yiye. Enti, ka nsɛmmisa anaa dadwen biara a wowɔ wɔ eyi ho no ho asɛm kyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Colposcopy yɛ nhwehwɛmu a wɔtaa yɛ a wɔhwehwɛ awotwaa no mu na mpɛn pii no egye simma 10-20.
- Wɔyɛ eyi titiriw de hu nkwammoaa a ebetumi ayɛ kokoram ntɛm, te sɛ bere a nea efi Pap smear mu ba no nyɛ nea ɛfata no.
- Di oduruyɛfo no akwankyerɛ akyi yiye ansa na woayɛ nhwehwɛmu (te sɛ nna a wonnya, tampon a womfa nni dwuma).
- Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ anaa wote ɛyaw bi, nanso wubetumi ne wo duruyɛfo akasa afa akwan a wobɛfa so adi ho dwuma ho.
- Ɛyɛ ade a ɛfata sɛ mogya tu anaa nsu bi bɛtɔ wo mu bere a wɔayɛ nhwehwɛmu no awie no. Nanso, sɛ wuhu sɛnkyerɛnne ahorow te sɛ mogya a ɛretu wo kɛse, ɛyaw a emu yɛ den, anaa atiridiinini a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Nea efi mu ba a "ɛnyɛ ne kwan so" no nkyerɛ kokoram bere nyinaa. Ɛkyerɛ sɛ wubetumi afi ase ayɛ ayaresa anaa nhwehwɛmu a ɛfata ntɛm.
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