Aia kekahi mau mea ʻē aʻe i loko o kāu smear cervical? E aʻo hou kākou e pili ana i ka Cone Biopsy.

E hopohopo iki paha ʻoe ke lohe ʻoe mai ke kauka e loaʻa ana iā ʻoe kahi "Cone Biopsy." Ke lohe mākou i ka huaʻōlelo "biopsy," manaʻo koke mākou i kahi mea koʻikoʻi. Akā, ʻo ka ʻoiaʻiʻo, he hoʻāʻo koʻikoʻi loa kēia a me ka lāʻau lapaʻau i hana pinepine ʻia no kou pono ponoʻī. No laila, e kamaʻilio kākou e pili ana i ia mea me kekahi mau kikoʻī. Ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, maʻalahi.

He aha ka Biopsy Cone?

I ka ʻōlelo maʻalahi, he hana liʻiliʻi ka biopsy cone kahi e wehe ʻia ai kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kou cervix ma ke ʻano cone. I kekahi manawa ua kapa ʻia kēia he conization. E noʻonoʻo e like me ka hoʻomoʻa ʻana i kahi keke a ʻokiʻoki i kahi ʻāpana liʻiliʻi mai loko e ʻike i kona ʻano. Pēlā ka hana.

ʻO kou cervix ka ʻāpana o kou kino kahi e hui ai ka ʻaoʻao o luna o kou vagina me ka ʻaoʻao haʻahaʻa o kou uterus. Hiki i kēia biopsy cone ke nānā ʻaʻole wale i ka ʻili o kou cervix, akā, i nā pūnaewele hoʻi i lalo iki. Hoʻouna ʻia ka ʻiʻo i lawe ʻia ma kēia ʻano i kahi lab e nānā ʻia e ʻike inā he mau pūnaewele ʻē, nā pūnaewele maʻi kanesa, a i ʻole nā ​​​​loli i nā pūnaewele e hiki ke alakaʻi i ka maʻi kanesa (cervical dysplasia).

He hana outpatient kēia, hana pinepine ʻia ma ka haukapila a i ʻole ka lumi hana.

No ke aha e hana ʻia ai kahi biopsy cone?

ʻO ka pinepine, e ʻōlelo ke kauka e hana i kahi biopsy cone no nā kumu penei:

• Inā hōʻike kāu mau hopena Pap smear aia kekahi mau loli maʻamau ʻole i nā pūnaewele o kou cervix , hiki i kēia mau loli ke lilo i mea mua i ka maʻi kanesa.
• Inā pono ʻoe e wehe i nā pūnaewele maʻamau ʻole, maʻi ʻaʻai, a i ʻole nā ​​​​pūnaewele precancerous mai ka cervix.
• Inā loaʻa iā ʻoe ka maʻi ʻaʻai cervical i ka wā mua loa (kahua 0 a i ʻole IA1), ʻo ka wehe ʻana i kēia wahi o nā cell he lāʻau lapaʻau ia .

I kekahi manawa, inā ʻaʻole hiki i kahi "(Colposcopy)" ma mua (ka nānā ʻana i ka cervix me kahi kāmela) a i ʻole "(Punch Biopsy)" (ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo) ke kuhikuhi i ke kumu o kēia mau loli o nā cell, hiki ke hana ʻia kahi biopsy cone ma ke ʻano he hana aʻe.

He mea nui: ʻAʻole kēia e wehe wale i nā cell ʻano ʻē, akā ʻike pū kekahi i ke ʻano o kēlā mau cell a me ko lākou ʻano. ʻO ke ʻano kēia he mea nui ia ma ke ʻano he hōʻailona a me ka lāʻau lapaʻau .

ʻO wai ka mea e hana i kēia biopsy cone?

Hana ʻia kēia ʻoki kino e kahi Obstetrician-Gynecologist (Ob/Gyn) nona ka ʻike nui ma kēia ʻāpana.

Pehea mākou e hoʻomākaukau ai no kēia?

E aʻo aku kāu kauka iā ʻoe pehea e hoʻomākaukau ai no kēia. Hana pinepine ʻia kēia ma lalo o ka anesthesia laulā.(ʻO ke ʻano kēia e hoʻohiamoe loa ʻia ʻoe) a e noi ʻia ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ke ʻoki kino. Hiki ke aʻo ʻia ʻoe e pale i ka moekolohe a mai hoʻokomo i kekahi mea i loko o kou ʻōpū i nā lā ma mua o ke ʻoki kino.

Ke ala nei mākou i ka wā o kahi biopsy cone?

ʻAʻole maʻamau. I ka hapa nui o ka manawa, e hāʻawi ʻia ʻoe i ka anesthesia laulā no kēia kaʻina hana. Eia nō naʻe, he mea kākaʻikahi loa, hiki i kāu kauka ke kuhikuhi i kahi anesthetic kūloko ( e like me ka poloka nerve) e hoʻomānoʻo wale i ka ʻāpana ma lalo o ka pūhaka. Eia naʻe, ʻaʻole ʻoe e ʻike i kekahi ʻeha i ka wā o kēia kaʻina hana.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino? Mai hopohopo, ʻo kēia ka mea e hana ʻia!

ʻO ka biopsy cone e pili ana i ka hoʻohana ʻana i kahi scalpel e ʻoki ai i kahi ʻāpana ʻano cone o nā ʻiʻo ʻē mai ka cervix. A laila hoʻouna ʻia ka ʻiʻo i kahi keʻena hoʻokolohua, kahi e nānā ai kahi pathologist (he kauka loea i ka nānā ʻana i nā ʻiʻo) ma lalo o kahi microscope e ʻike ai inā he maʻi kanesa a i ʻole nā ​​​​pūnaewele precancerous.

Ma kahi o 15 mau minuke ka lōʻihi o ke ʻoki kino ponoʻī, akā ʻo ka hoʻomākaukau ma mua a me ka hoʻōla ʻana ma hope o ke ʻoki kino hiki ke lōʻihi i kekahi mau hola.

Eia ka mea e hana ʻia ma ke kaʻina:

1. Anesthesia: ʻO ka mea mua, e anesthetized ʻia ʻoe.

2. Ke kūlana: A laila, e kau ʻia ʻoe ma ke kūlana āu e kū ai no ka Pap smear, me kou mau wāwae ma nā kākoʻo kūpono.

3. Ke hoʻokomo ʻana i ka Speculum: A laila, e hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum i loko o kou vagina. E hohola kēia i nā paia o kou vagina a hiki iā ʻoe ke ʻike maopopo i kou cervix.

4. Colposcope: ʻO ka mea aʻe, ua hoʻokomo ʻia kahi mea i kapa ʻia he colposcope, nona ka aniani kukui a me ka hoʻonui, i loko o ka vagina e nānā i ka cervix. Hoʻohana ʻia kēia e nānā i ka wahi kikoʻī e wehe ʻia.

5. Ke wehe ʻana i ka ʻāpana ʻiʻo: ʻO ka mea aʻe, wehe ke kauka lapaʻau i ka ʻāpana ʻiʻo ʻē, me kekahi o nā ʻiʻo maʻamau a puni ia, ma ke ʻano he cone.

6. Ke hoʻōki ʻana i ke kahe ʻana o ke koko: A laila, hoʻohana ʻia nā ʻano hana like ʻole e hoʻōki ai i ke kahe ʻana o ke koko. I kekahi manawa hiki ke kau ʻia nā humuhumu, a i ʻole "Cauterization" (cauterizing i ke kīʻaha koko me ka uila a i ʻole ka wela) . I kekahi manawa hiki iā ʻoe ke kau i kahi mea e like me ka gauze i loko o ka vagina e hoʻōki ai i ke kahe ʻana o ke koko.

Nānā ke kauka maʻi i ka ʻiʻo i wehe ʻia e ʻike inā ua wehe ke kauka ʻoki i nā ʻiʻo ʻē a pau a i ʻole nā ​​ʻiʻo maʻamau wale nō i koe.

E like me ka mea i ʻōlelo ʻia ma mua, he hana ʻoki kino kēia i ka lā hoʻokahi. Ke olakino maikaʻi ʻoe e hoʻōla, e hoʻouna ʻia ʻoe i ka home mai ka haukapila a i ʻole ke kikowaena hana ʻoki kino.

He aha kāu e manaʻo ai ma hope o kahi biopsy cone?

E nānā ʻia ʻoe ma ka haukapila a i ʻole ka lumi hana no kekahi mau hola ma hope o ke ʻoki kino. E nānā ʻia kou koko, ka pulse, ke kahe ʻana o ke koko, a me ka ʻeha, a e hoʻokuʻu ʻia ʻoe i ka home ke olakino maikaʻi ʻoe e hoʻi i ka home. Inā he gauze kou i loko o kou vagina, e wehe ʻia ia ma mua o kou hoʻi ʻana i ka home.

• ʻEha: Hiki iā ʻoe ke ʻeha i kou ʻōpū haʻahaʻa no kekahi mau lā, e like me nā ʻeha o ka menstruation. Hiki iā ʻoe ke lawe i nā lāʻau hōʻeha no kēia. Hiki i kāu kauka ke kuhikuhi i nā lāʻau hōʻeha, a i ʻole hiki iā ʻoe ke kāohi pinepine i kēia ʻeha me nā lāʻau hōʻeha ma luna o ke kūʻai aku mai ka hale kūʻai lāʻau.
• Nā hana o kēlā me kēia lā: Pono ʻoe e hoʻi hou i nā hana maʻamau i loko o hoʻokahi pule. Eia nō naʻe, he manaʻo maikaʻi ke noi aku i nā hoaaloha a me ka ʻohana no ke kōkua me nā hana kaumaha o ka hale (e like me ka hoʻomaʻemaʻe ʻana i ka lepo a me ka holoi lole) i ka pule mua.
• Koko a me ka hoʻokahe ʻana: I loko o kēia manawa, he mea maʻamau ka ʻike ʻana i ke kahe ʻana o ke koko a me ka hoʻokahe ʻana o ka ʻōpū me ka ʻeha o ka ʻōpū lalo. E hoʻohana i nā pale sanitary no kēia. He mea maʻamau nō hoʻi no kēia kahe ʻana ke ʻulaʻula a poni paha i ka wā mua, a laila e lilo i ʻeleʻele māmā.

E hāʻawi aku kāu kauka iā ʻoe i kahi papa inoa o nā mea āu e pono ʻole ai e hana a hiki i kāu hālāwai hoʻomaʻamaʻa hou aʻe. Hiki i kēia mau mea ke komo pū me:

• Mai hoʻokomo i kekahi mea i loko o ka vagina no ʻehā pule. ʻO ke ʻano kēia, ʻaʻohe moekolohe, me ka hoʻohana ʻana i nā tampons, ke hoʻokomo ʻana i nā manamana lima, a i ʻole ka douching.
• E pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i nā hoʻoikaika kino ikaika.
• Mai ʻauʻau i ka wai (ʻauʻau, ʻauʻau i loko o ka ʻauʻau).

E hoʻonohonoho kāu kauka i kahi manawa hoʻomākaukau ma hope o ʻehā a ʻeono pule ma hope o ke ʻoki ʻana e nānā ai ua holo pono nā mea āpau a ke ho'ōla maikaʻi nei nā ʻeha.

Ma hope o kahi biopsy cone, e noi ʻia paha ʻoe e hana i kahi hoʻāʻo Pap i kēlā me kēia ʻeono mahina. Ma hope o ka hoʻi ʻana mai o kekahi mau hoʻāʻo Pap ma ke ʻano maʻamau, e hoʻihoʻi ʻia ʻoe i kahi papa hana hoʻāʻo Pap maʻamau (e.g., hoʻokahi manawa i ka makahiki). Hiki ke loli kēia papa hana ma muli o kou makahiki a me kou mōʻaukala olakino.

Aia kekahi mau humuhumu ma hope o ka biopsy cone?

I kekahi manawa. Hiki i kāu kauka lapaʻau ke hoʻohana i nā humuhumu, akā ʻo ka hapa nui e hoʻohana lākou i kahi ʻūpā vaginal. He mea kēia e like me ka tampon a i ʻole kahi ʻāpana gauze nui i ʻōwili ʻia.

Hiki iaʻu ke hoʻi i ka hana ma hope o ka biopsy cone?

Hiki iā ʻoe ke hoʻi i ka hana i loko o kekahi mau lā, ke ʻoluʻolu ʻoe. Eia nō naʻe, inā koi kāu hana i ka hāpai kaumaha a i ʻole nā ​​hola o ke kū ʻana, pono paha ʻoe e noho ma ka home no ʻelua pule.

He aha nā pilikia o kēia biopsy cone?

He hana palekana ka biopsy cone ma ke ʻano laulā, akā e like me nā ʻoki kino āpau, hiki ke loaʻa kekahi mau pilikia. E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o kēia kaʻina hana i loaʻa iā ʻoe kahi ʻike maopopo i ka mea e manaʻo ai.

ʻO kekahi o nā kūlana pilikia:

• Ke kahe ʻana o ke koko
• Nā ʻūpā koko
• Maʻi
• ʻO ka Stenosis Cervical
• ʻO ka hoʻonui ʻia o ka pilikia o ka hānau mua ʻana i nā hāpai ʻana e hiki mai ana
• Ka hōʻino ʻana i nā ʻōpū kokoke e like me ka ʻōpū mimi a i ʻole ka rectum

Hiki i kahi biopsy cone ke hana i ka ʻeha o ka cervix, kahi e paʻakikī ai i ke kauka ke ʻike i nā cell ʻē i nā hoʻokolohua Pap e hiki mai ana.

He aha nā hopena ʻaoʻao o ka Cone Biopsy?

ʻO nā hopena ʻaoʻao i ʻike pinepine ʻia:

• ʻO ka ʻeha e like me ka menstrual
• ʻO ka ʻoluʻolu ʻole a i ʻole ka ʻeha iki
• Ke kahe koko ʻana o ka wahine a i ʻole ka ʻike ʻana i nā kiko

Hiki ke ʻoi aku ka koʻikoʻi o kēia mau hopena ʻaoʻao i ka pule mua ma hope o ke ʻoki ʻana, akā e emi mālie lākou i ka hala ʻana o ka manawa. Inā loaʻa mau iā ʻoe ka ʻeha waena a koʻikoʻi a me ke kahe koko ma hope o ʻelua pule, e ʻike koke i kāu kauka.

Hiki i kahi biopsy cone ke wehe i ka maʻi kanesa?

ʻAe, hiki i kēia biopsy cone ke wehe i nā hunaola kanesa i nā pae mua loa o ke kanesa cervical.

Āhea e loaʻa ai iaʻu nā hopena o kahi biopsy cone?

Pono e loaʻa i kāu kauka nā hopena biopsy i loko o hoʻokahi pule. Eia nō naʻe, hiki ke loli kēia manawa ma muli o ka lab. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i ka lōʻihi o ka loaʻa ʻana o nā hopena.

He aha nā mea a nā hualoaʻa o kahi biopsy cone e haʻi mai ai iā mākou?

Hoʻopili ʻia ka hāpana ʻiʻo i lawe ʻia mai kou cervix ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua. E kōkua nā hopena o kāu hoʻāʻo i kāu kauka e hoʻoholo inā he maʻamau, precancerous, a cancerous paha nā cell.

• ʻO ka hopena maʻamau , ʻo ia hoʻi, ʻaʻohe pūnaewele pre-cancerous a cancerous paha i loaʻa i loko o kou cervix.
• ʻO kahi hopena maʻamau ʻole , ʻo ia hoʻi ua loaʻa nā pūnaewele precancerous a cancerous paha ma kou cervix. Ua kapa ʻia kēia mau pūnaewele ʻo Cervical Intraepithelial Neoplasia (CIN) . Ua helu ʻia ʻo CIN mai 1 a 3, ma muli o ka nui o nā ʻiʻo cervical i loaʻa kēia mau pūnaewele maʻamau.

• CIN I: Dysplasia cervical iki. Aia kahi ʻano ʻē iki i loko o nā cell.
• CIN II: Dysplasia cervical waena a ʻike nui ʻia. He ʻano ʻē nā cell.
• CIN III:ʻO ka dysplasia cervical koʻikoʻi a i ʻole ka carcinoma in situ (ke kahua mua loa o ka maʻi kanesa). He ʻano ʻē loa nā cell a he kiʻekiʻe ka manawa e lilo ai i maʻi kanesa.

ʻAʻole pinepine ka lilo ʻana o CIN I i maʻi kanesa. ʻOi aku ka nui o ka pono o ka lāʻau lapaʻau no CIN II a me CIN III e pale aku i ka maʻi kanesa.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei , e ʻike koke i kāu kauka :

• Kuni (101°F a ʻoi aku paha)
• Ke anu nei a me ka haʻalulu, ka paʻakikī o ka hanu ʻana, ke poniuniu nei
• ʻO ka pehu ʻana i nā wāwae a i ʻole nā ​​ʻeha wāwae ʻeha (hiki i kēia ke hōʻailona o kahi ʻūpā koko)
• Ke kahe koko nei e lawa ai e hoʻololi i kahi ʻūpā hoʻomaʻemaʻe i kēlā me kēia ʻelua hola
• Inā ʻaʻole e emi ka ʻeha ma hope o ka lawe ʻana i ka lāʻau lapaʻau
• Ka hoʻokuʻu ʻana o ka vaginal me kahi ʻala pilau

He aha ka ʻokoʻa ma waena o ka Cone Biopsy a me LEEP?

ʻO Conization / Cone Biopsy a me LEEP (Loop Electrosurgical Excision Procedure) nā hana ʻelua i hoʻohana ʻia e wehe i nā ʻiʻo ʻē mai ka cervix.

• Hoʻohana ʻo LEEP i kahi kaula uea liʻiliʻi i hoʻopiʻi ʻia i ka uila e ʻoki a wehe i nā ʻiʻo ʻē.
• ʻO ka biopsy cone e pili ana i ka hoʻohana ʻana i kahi pahi ʻokiʻoki e ʻoki i kahi ʻāpana ʻiʻo i like me ke ʻano cone mai ka cervix, ʻoi aku ka nui ma mua o ka laparotomy. He hana paʻakikī iki ka biopsy cone ma mua o ka laparotomy, a hana ʻia ma lalo o ka anesthesia laulā. ʻOi aku ka lōʻihi o ka manawa hoʻōla a ʻoi aku ka kiʻekiʻe o nā pilikia ma mua o ka laparotomy.

ʻEhia mau manawa e hiki ai ke hana i kahi biopsy cone?

I kekahi manawa, inā noho nā pūnaewele ʻē ma nā kihi o ka ʻiʻo i wehe ʻia, a inā paha e ulu ana nā pūnaewele ʻē hou, pono paha kekahi biopsy cone ʻē aʻe a i ʻole kekahi lāʻau lapaʻau ʻē aʻe. Ma muli o kāu mau hopena hoʻāʻo, e kūkākūkā kāu kauka i nā pilikia a me nā pono o ka loaʻa ʻana o kahi biopsy cone ʻē aʻe me ʻoe.

Leka Hoʻihoʻi Hope Loa

He hana koʻikoʻi ka biopsy cone e hiki ke kōkua i ka ʻike a me ka mālama ʻana i nā cell ʻano ʻē e hiki ke alakaʻi i ka maʻi ʻaʻai cervical. He mea maʻamau ka hopohopo a me ka makaʻu ma mua o kēia hana. E kiʻi i ke kākoʻo mai kou ʻohana, nā hoaaloha, a me kāu hui lapaʻau. Mai kānalua e nīnau i kāu mau nīnau e pili ana i ke kaʻina hana a i ʻole kāu mau hopena.

I ka hapa nui o ka manawa, ua holomua ka biopsy cone, a ʻaʻohe hopena ʻaoʻao lōʻihi. ʻO ke ala maikaʻi loa e ʻike ai i nā cell ʻano ʻē ma kou cervix i ka wā mua, ʻo ia ka hoʻomau ʻana i ka loaʻa ʻana o nā Pap smears. No laila e mālama pono i kēlā.

`Cervix, biopsy cone, hoʻāʻo pap, olakino wahine, maʻi ʻaʻai cervical, CIN, gynecology