Pono anei mākou e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kou ʻōpū? E aʻo kākou e pili ana i ka biopsy endometrial!

Ua haʻi ʻia paha iā ʻoe e pili ana i kēia hoʻāʻo e ke kauka i kapa ʻia he biopsy endometrial. A i ʻole ua lohe paha ʻoe e pili ana i ia mea ma kekahi wahi a makemake ʻoe e aʻo hou aku. I kēlā me kēia hihia, eia wau e kamaʻilio maʻalahi e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. Mai hopohopo, e kamaʻilio maopopo mākou e pili ana i nā mea āpau.

No laila he aha kēia biopsy endometrial?

I ka ʻōlelo maʻalahi, ʻo ka biopsy endometrial ke lawe ʻoe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai loko mai o ka ʻili o loko o kou uterus (ka mea a mākou e kapa nei ʻo ka endometrium) a nānā iā ia ma lalo o kahi microscope. E noʻonoʻo e like me ka lawe ʻana i kahi ʻāpana kaula liʻiliʻi mai kahi ʻāpana lole a ʻike i nā mea i loko.

Ke nānā ke kauka i kēia hāpana ʻiʻo ma lalo o kahi microscope, hiki iā ia ke ʻike inā he mau cell ʻano ʻē a i ʻole inā he mau mea hiki ke lilo i maʻi kanesa . ʻAʻole iʻoi aku ma mua o 15 mau minuke ka lōʻihi o ka hoʻāʻo holoʻokoʻa. A hana ʻia ia ma ke keʻena o kāu kauka. Hiki iā ʻoe ke manaʻo i kahi ʻano ʻūlū iki a ʻūlū paha i ka wā o ke kaʻina hana. Hiki i kekahi poʻe ke manaʻo i kahi ʻeha iki.

No ke aha e ʻōlelo aku ai ke kauka i kēia iā ʻoe?

Hiki i ke kauka ke ʻōlelo aku i kēia hoʻāʻo e ʻike pono i ke kumu o kekahi o kāu mau hōʻailona. Eia kekahi, inā kānalua ke kauka i kekahi mea ma hope o ka ultrasound a i ʻole Pap smear , hiki i kēia biopsy ke kōkua hou aku e hōʻoia iā ia.

Eia kekahi mau kumu e noi ʻia ai ʻoe e hana i kahi biopsy endometrial:

• Nā wā menstrual kūpono ʻole: ʻO kēia ke kahe koko nui, ke kahe koko e mau ana no kekahi mau lā, ke kahe koko maʻamau ʻole, a i ʻole ka pau ʻana o ka menstruation.
• Ke kahe koko ma hope o ka menopause: ʻO ke ʻano kēia o ke kahe koko ma hope o ka pau ʻana o kou mau wā mahina.
• Ke kahe koko ʻana i ke koko i ka wā e lawe ai i ka lāʻau lapaʻau hormone e like me Tamoxifen.
• Inā ʻike ʻia ua mānoanoa ka paia o loko o ka ʻōpū.
• Inā hōʻike nā hopena o ka hoʻāʻo Pap he mau pūnaewele ʻano ʻē i loko o ka cervix.

ʻO wai ka mea hiki (a ʻaʻole hiki) ke hana i kahi biopsy endometrial?

ʻO kēia ka hoʻāʻo koʻikoʻi a pololei hoʻi e ʻike ai i ka maʻi ʻaʻai endometrial i ka hapa nui o nā hihia. Inā ʻoe ma luna o 35 mau makahiki, ʻoi aku ka nui o ka loaʻa ʻana o kēia hoʻāʻo iā ʻoe.

Eia nō naʻe, ʻaʻole hiki ke hana ʻia kēia hoʻāʻo inā hāpai ʻoe. Eia nō naʻe, hiki i kekahi poʻe e pilikia ana i ka hāpai ʻana (infertility) ke loaʻa i kēia biopsy e ʻike ai inā he pilikia me ka uhi o ko lākou uterus e hoʻoulu ai i ka infertility.

Pehea e hana ʻia ai kēia biopsy?

Ma kēia, hoʻokomo ke kauka i kahi ʻōmole lahilahi loa ma o kou cervix a i loko o kou uterus. A laila, me ka hoʻohana ʻana i ka ʻōmole, lawe ʻia kahi hāpana ʻiʻo liʻiliʻi mai kou endometrium me ka hoʻohana ʻana i ka omo. ʻAʻole i hala kēia ma mua o 15 mau minuke.

Pehea ʻoe e hoʻomākaukau ai no kēia?

ʻAʻohe pono maoli e hoʻomākaukau no kēia. Eia nō naʻe, pono ʻoe e haʻi mua i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, nā mea hoʻohui āu e lawe nei, a me nā maʻi āpau āu e loaʻa ai. A laila e haʻi aku kāu kauka iā ʻoe inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau ma mua o ka biopsy.

E haʻi aku kekahi mau kauka iā ʻoe e lawe i kahi NSAID (nonsteroidal anti-inflammatory drug ) ma mua o ka biopsy e hōʻemi i ka ʻeha. Hiki i kāu kauka ke ʻōlelo aku e lawe i kahi lāʻau lapaʻau e kōkua i ka hoʻomākaukau ʻana i kou cervix no ka biopsy i hoʻokahi a ʻelua paha lā ma mua o ka hoʻāʻo.

ʻO ka mea nui loa, ʻo ia ke nīnau i kāu kauka i nā nīnau āu e loaʻa ai ma mua o ka hoʻāʻo ʻana a e hōʻoia ua ʻike pono ʻoe i ka mea e hana ʻia ana. ʻO ka biopsy endometrial ma ke ʻano laulā he hoʻāʻo haʻahaʻa loa ka pilikia a palekana hoʻi.

He aha ka mea e manaʻo ai i ka wā o kahi biopsy?

Hana pinepine ʻia kahi biopsy endometrial ma ke keʻena o ke kauka a i ʻole kekahi keʻena lapaʻau outpatient ʻē aʻe. ʻAʻole hana ʻia ma lalo o ka anesthesia.

Hana ʻia ka hoʻāʻo penei:

• Pono ʻoe e wehe i kou mau lole mai ka pūhaka a i lalo a uhi iā ʻoe iho me kahi pepa moe.
• Pono ʻoe e kau i kou mau wāwae ma luna o ʻelua mau kākoʻo i kapa ʻia he stirrups a kūlou i mua me he mea lā e hana ana ʻoe i kahi hoʻokolokolo pelvic a i ʻole he Pap smear.
• E hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum i loko o kou vagina e paʻa ai. ʻO kēia ka manawa e hiki ai iā ia ke ʻike i kou cervix (ua like kēia me ka mea i hana ʻia i ka wā o ka Pap smear).
• ʻO ka mea aʻe, e hoʻomaʻemaʻe ke kauka i kou cervix me kahi hopena kūikawā.
• I kekahi manawa, hiki ke hoʻohana ʻia kahi mea hana kūikawā i kapa ʻia he tenaculum e hoʻopaʻa i ka cervix ma kahi a maʻalahi hoʻi ke hoʻokomo i ka ʻōmole omo i loko o ka ʻōpū. No kekahi poʻe, ʻo kēia kaʻina hana ka mea ʻeha loa .
• ʻO ka mea hope loa, hoʻokomo ke kauka i kahi catheter lahilahi loa ma o kou cervix i loko o kou uterus e hōʻiliʻili i kahi hāpana ʻiʻo. Hiki paha iā ʻoe ke manaʻo i ke kauka e neʻe ana i ka mea kani a puni i ka wā e lawe ʻia ai ka hāpana ʻiʻo.
• A laila hoʻouna ke kauka i kēia hāpana ʻiʻo i kahi pathologist , he kauka loea i nā cell, no ka hoʻokolokolo ʻana.

ʻO ka maʻamau , ʻelima a ʻumi mau minuke ka lōʻihi o kēia kaʻina hana holoʻokoʻa, ʻaʻole i ʻoi aku ma mua o ʻumikūmālima mau minuke .

He aha ka mea e hana ma hope o ka biopsy?

Ma hope o ka wehe ʻana o ke kauka i nā mea kani mai kou ʻōpū, hiki iā ʻoe ke ʻaʻahu. He manaʻo maikaʻi e hoʻomaha no kekahi manawa ma mua o ka haʻalele ʻana i ka lumi. Pono ʻoe e hiki ke hoʻokele i ka home ma kāu iho ma hope koke iho o ka hoʻāʻo ʻana.

Pono ʻoe e hoʻohana i kahi ʻūpā hoʻomaʻemaʻe ma hope koke iho o ka biopsy. He mea maʻamau kekahi kahe koko a me ka ʻūmiʻi o ka ʻōpū a he mea ia e manaʻo ʻia. Eia nō naʻe, ʻaʻole pono lākou e mau ma mua o kekahi mau lā. Hiki iā ʻoe ke lawe i kahi lāʻau hoʻomaha ʻeha ma luna o ke kauka (e.g. ibuprofen, paracetamol) no kekahi ʻūmiʻi.

E haʻi pololei aku kāu kauka iā ʻoe i ka mea e hana ai a me ka mea ʻaʻole e hana a hiki i kou ho'ōla ʻana. Eia kekahi mau mea e haʻi ʻia aku paha iā ʻoe ʻaʻole e hana:

• Mai hoʻohana i nā tampons no ʻehiku lā. Eia kekahi, mai hoʻokomo i kekahi mea i loko o ka vagina. ʻAʻole maikaʻi ka douching.
• Mai moe kolohe no ʻehiku lā ma ka liʻiliʻi, a hiki i ka wā e ʻōlelo aku ai kāu kauka ʻaʻole ʻoe e hana pēlā.
• E hōʻalo i nā hana kaumaha, ka hāpai ʻana i nā mea kaumaha, ka ʻauʻau ʻana, ka hoʻohana ʻana i ka ʻauʻau wela, a i ʻole ka ʻauʻau ʻana no kekahi mau lā.

ʻEhia ka lōʻihi e ho'ōla ai?

He mea maʻamau ke manaʻo i kahi ʻoluʻolu ʻole a me ka ʻūmiʻi no kahi o 48 mau hola. ʻOi aku ka maikaʻi ʻaʻole e lawe i nā lā he nui e hoʻōla piha ai mai kahi biopsy endometrial.

Eia nō naʻe, pono ʻoe e kamaʻilio me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Inā ʻoe e kahe ana ke koko no nā lā ʻelua a ʻekolu paha.
• Inā he kahe ʻala pilau e puka mai ana mai loko mai o ka vagina.
• Inā he mau hōʻailona like me ka maʻi flū e like me ke kuni a me ka ʻūlū.
• Inā, ma hope o ʻelua a ʻekolu paha mau lā, ʻoi aku ka ʻino o ka ʻeha ma mua o ka wā o ka menstruation.

He aha nā pilikia o kēia?

ʻO nā pilikia kūpono o kahi biopsy endometrial:

• Ka maʻi ʻana.
• Ke kahe ʻana o ke koko.
• ʻUmi māmā a me ka ʻūlū no kekahi mau lā.
• Ka puka ʻana a i ʻole ka haehae ʻana o ka ʻōpū a i ʻole ka cervix (he mea kākaʻikahi loa kēia).

He mea ʻeha ka biopsy endometrial?

He mea maʻamau ka manaʻo ʻana i kekahi ʻūlū iki, e like me kou wā, i ka wā a ma hope o ka hoʻāʻo ʻana. He ʻokoʻa ka hoʻomanawanui ʻana i ka ʻeha o kēlā me kēia kanaka, no laila hiki iā ʻoe ke ʻike i ka ʻeha nui a emi mai paha ma mua o nā poʻe ʻē aʻe. ʻAʻole manaʻo nā kauka he hana ʻeha loa ka biopsy endometrial.

Akā inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū haʻahaʻa no kekahi mau lā ma hope o ka biopsy, e kamaʻilio me kāu kauka .

He aha ka ʻōlelo a nā hopena biopsy?

Inā hoʻi mai kāu mau hopena i ka maʻamau , ʻo ia hoʻi, ʻaʻole i loaʻa i ke kauka kekahi mau hunaola ʻē.

Inā ʻano ʻē kāu mau hopena, ʻo ia hoʻi ua loaʻa i ke kauka nā ʻano ʻē. Hiki ke hana ʻia nā hopena ʻē e:

• Ka maʻi ʻaʻai endometrial.
• ʻO ka loaʻa ʻana o nā polyps uterine a i ʻole fibroids.
• Nā maʻi o ka paia o loko o ka ʻōpū.
• Ke kaulike ʻole o ka hormonal.

I kekahi manawa hiki ʻole ke hoʻoholo ʻia nā hopena. Inā ʻo ia ka hihia, hiki i kāu kauka ke ʻōlelo aku i kahi D&C (Dilation and Curettage) e wehe i kahi ʻāpana nui o ka ʻiʻo e ʻike inā he mau cell ʻē.

He aha ka mea e hana ai inā he ʻano ʻē nā hopena?

E kūkākūkā kāu kauka i nā hopena me ʻoe a hoʻoholo i ka mea e hana ai ma hope. ʻAʻole pono mau ka lāʻau lapaʻau. ʻAʻole nā ​​hopena maʻamau ʻole a pau ke ʻano he maʻi kanesa kou. No laila, e kamaʻilio pono me kāu kauka e hōʻoia ua maopopo iā ʻoe nā hopena o kāu hoʻāʻo a me ko lākou manaʻo.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

Hiki ke hala ma kahi o hoʻokahi pule e lohe ai i nā hopena o ka biopsy mai kāu kauka.

Āhea wau e kāhea aku ai i kaʻu kauka ?

E kamaʻilio me kāu kauka ma kēia kūlana:

• Inā loaʻa iā ʻoe nā ʻeha ʻōpū a ʻeha paha no kekahi mau lā ma hope o ka hoʻāʻo ʻana.
• Inā hoʻomau ke kahe ʻana o ke koko no nā hola he 72 ma hope o ka hoʻāʻo ʻana, a inā he nui ke kahe ʻana o ke koko (ʻo ia hoʻi, ua hoʻomaʻū piha ʻia kahi pad i kēlā me kēia ʻelua hola).
• ʻOiai ke maʻamau o kāu mau hopena biopsy, loaʻa nō iā ʻoe nā hōʻailona e like me ke kahe koko kūpono ʻole.

No laila, eia kekahi o nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

ʻO ka biopsy endometrial kahi hoʻāʻo e hiki i kāu kauka ke hoʻohana e nānā i ka maʻi ʻaʻai uterine (ʻoi aku ka maʻi ʻaʻai endometrial) a i ʻole e ʻike i ke kumu o ke kahe koko ʻole. He 15 mau minuke ka lōʻihi a he hoʻāʻo haʻahaʻa ka pilikia. Pili ia i kāu kauka e lawe ana i kahi laʻana o ka ʻiʻo endometrial mai kou uterus a hoʻouna iā ia i kahi lab no ka hoʻāʻo hou aku. Hiki iā ʻoe ke manaʻo i kekahi mau ʻūlū a me ke kahe koko māmā, e like me kou wā, no kekahi mau lā ma hope o ka hoʻāʻo.

Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kēia hoʻokolohua i kēlā me kēia manawa. Ma kēlā ala, e ʻike pono ʻoe i ka mea e manaʻo ai i ka wā a ma hope o ka hoʻokolohua. E kūkākūkā kāu kauka i nā hopena me ʻoe a hoʻoholo inā pono ʻoe i ka hoʻāʻo hou a i ʻole ka lāʻau lapaʻau.

ʻO ka biopsy endometrial, biopsy uterine, olakino wahine, kahe koko kūpono ʻole, maʻi ʻōpū, gynecology, pap smear