Yu gɛt prɔblɛm bak lɛk we yu nɔ de gɛt mɔnt ɛn we yu de blɔd bad bad wan fɔ sɔm dez? Ɔ yu stil de blɔd afta yu dɔn lɛf fɔ gɛt bɛlɛ? Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri bikɔs ɔf tin dɛn lɛk dis. We yu go si dɔktɔ di tɛm lɛk dis, ɛn i tɛl yu se yu nid fɔ du "Endometrial Biopsy", yu gɛt bɔku kwɛstyɔn dɛn we kin kam na yu maynd, nɔto so? "Wetin bi? I go at? Na big opareshon?" Bɔku tin dɛn lɛk dis kin kam na wi maynd. So tide wi de tok abaut di rial tori bihain dis wod we de mek yu fred.
Fɔ tɔk am simpul wan, wetin na ɛndometrial bayɔpsi?
Dis nɔto big tin lɛk aw yu go tink. Fɔ tɔk am simpul wan, i min fɔ tek wan rili smɔl tisu frɔm di layn na yu uterus (we wi kin kɔl di ɛndometrium pan mɛrɛsin) ɛn chɛk am ɔnda maykroskɔp. Jɔs lɛk we wi pik wan klos, di dɔktɔ kin chɛk sɔm pan di sɛl dɛn we de insay di uterus.
Dis tɛst kin ɛp yu fɔ no ustɛm de kɔz yu sik. I kin luk bak fɔ sɛl dɛn we nɔmal, sɛl dɛn we pɔsin kin gɛt kansa, ɔ infɛkshɔn. Di bɛst pat na dat di ɔl di tin we dɛn kin du nɔ kin tek 15 minit ɛn dɛn kin du am na di dɔktɔ in ɔfis (ɔtpeshɛnt). Yɛs, yu kin fil smɔl pen, lɛk we yu de gɛt prɛgnɛshɔn. Bɔt dat na fɔ shɔt tɛm nɔmɔ.
Fɔ us rizin dɛn dɔktɔ go tɛl yu fɔ du dis tɛst?
Yu dɔktɔ go ɔltɛm tɛl yu fɔ du dis tɛst fɔ no mɔ bɔt sɔm sayn dɛm. Dɛn kin du am bak fɔ kɔnfɔm sɔntin we yu si pan ɔltra saund skan ɔ Pap smear.
dis na di situeshכn dεm we dεn kin du εndometrial bayopsi mכst:
| Simptom ɔ kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Menstrueshɔn we nɔ de ɔltɛm | Dis kin inklud tin dɛm lɛk we yu de blɔd pasmak fɔ bɔku dez, we yu nɔ de gɛt prɛgnɛshɔn fɔ sɔm mɔnt, ɛn we yu de blɔd bitwin di tɛm we yu de bɔn. |
| Blɔd we de kɔmɔt afta yu dɔn lɛf fɔ blɔd | If yu gɛt blɔd bak afta yu prɛgnɛshɔn dɔn stɔp kpatakpata (menopause), na sɔntin we yu fɔ luk insay fɔ tru. |
| Blɔd we de kɔmɔt we dɛn de yuz ɔmon tritmɛnt | If yu gɛt abnɔmal blɔd we yu de tek ɔmon mɛrɛsin lɛk Tamoxifen , we na kansa tritmɛnt. |
| di uterin wכl de tik | if skan sho se di insay layn na yu uterus (endometrium) tik pas aw i nכmal. |
| Wan abnɔmal Pap tɛst ripɔt | If yu Pap test sho abnכmal sεl dεm na yu sεviks. |
dis na di tεst we kכrekt εn we dεn kin du fכ no di εndometrial kεnsar, spεshal wan pan uman dεm we pas 35 ia.
sכmtεm dεn kin yus dis tεst bak fכ chεk fכ prכblεm wit di layn na di uterus pan pכsin we de gεt difrεnt fכ bεlε. Bɔt mɛmba se dɛn nɔ go ebul fɔ du dis tɛst if yu gɛt bɛlɛ.
Okay, so aw yu de du dis? Yu tink se yu fɔ fred?
Nɔ fred atɔl. Lɛ wi tɔk bɔt aw dis kin apin stɛp bay stɛp. Dɔn yu go ɔndastand dis mɔ.
Yu nid fɔ rɛdi bifo di tɛst?
Natin nɔ de fɔ pripia fɔ. Bɔt una fɔ no bɔt dɛn tin ya:
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn). Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin (especially blood thinners) sɔm dez bifo di tɛst.
- Mek shɔ se yu tɛl wi bɔt ɛni alɛji we yu go gɛt.
- Fɔ mek yu nɔ fil pen, yu dɔktɔ kin tɛl yu fɔ tek wan mɛrɛsin we de mek yu nɔ fil pen (NSAID) lɛk ibuprofen lɛk wan awa bifo di tɛst.
- Sɔntɛnde, dɛn kin gi yu mɛrɛsin fɔ mek di sɛviks sof tu dez bifo di prɔsidyu.
Aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt dis bifo tɛm. I go ɛp yu bɔku fɔ lɛ yu nɔ fred.
Wetin kin apin we dɛn de du di tɛst?
Dis kin apin na yu dɔktɔ in ɔfis, we yu nɔ gɛt anestezi.
1. Fɔs, dɛn go aks yu fɔ pul yu klos frɔm yu wes dɔŋ ɛn kɔba yusɛf wit blankit.
2. Dɔn, jɔs lɛk Pap smear, yu go gɛt fɔ ledɔm na di ɛgzam tebul wit yu fut insay spɛshal stɛp.
3. Di dכkta go put wan tin we dεn kכl spεkulam insay yu vagina εn ol am opin so dat yu go si yu sεviks. Dɛn kin du dis bak we dɛn de du Pap smear.
4. Afta dat, dεn kin klin di sεviks wit spεshal wata.
5. Sɔntɛnde dɛn kin yuz ɔda smɔl tin we dɛn kɔl tenaculum fɔ ol di sɛviks insay in ples. Sɔm pipul dɛn kin fil pen pasmak we dɛn de du dis step.
. Yu kin fil smɔl we yu de pul na yu bɛlɛ dis tɛm.
7. Dɛn kin sɛn di tisu sɛmpul to lɛbɔraytri, usay wan dɔktɔ we de mɛn sik dɛn kin chɛk am ɔnda maykroskɔp ɛn rayt ripɔt.
Dis ɔl dis kin tek bitwin 5 ɛn 15 minit nɔmɔ .
Wetin fɔ ɛkspɛkt afta di tɛst?
Afta dɛn dɔn pul di ikwipmɛnt, yu kin drɛs nɔmal wan. Afta yu dɔn rɛst fɔ sɔm tɛm, yu kin drayv go na os yu wan.
Tek kia ɔf dɛn tin ya afta yu dɔn go na os:
I nɔmal fɔ gɛt sɔm bɛlɛ pen ɛn sɔm vagina blɔd fɔ sɔm dez afta di tɛst. Nɔ wɔri bɔt am.
| Tin dɛn fɔ du (Do’s) . | Nɔto fɔ du dat |
|---|---|
| Yuz sanitayz pad fɔ mek yu blɔd kɔmɔt. | Nɔ yuz tampon fɔ at le wan wik. |
| If yu gɛt bɛlɛ we de at, tek wan mɛrɛsin we de mek yu fil pen lɛk paracetamol ɔ ibuprofen. | Nɔ du mami ɛn dadi biznɛs te yu dɔktɔ tɛl yu fɔ du am (bɔku tɛm na 7 dez). |
| Rɛst fayn fayn wan. | Nɔ es ebi ebi tin, fɔ du ɛksɛsayz tranga wan, swim, ɛn sok insay ɔt tub fɔ sɔm dez. |
| Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. | Nɔ duch di vagina kɔmplit wan (dis na sɔntin we yu nɔ fɔ ɛva du). |
Bɔku tɛm, yu go fil fayn ɔlsay insay tu to tri dez.
Yu tink se bad tin dɛn de we kin apin to pɔsin ɛn we kin mek i sɔfa?
Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
- Sik we de prɛd.
- Ebi ebi blɔd we de kɔmɔt.
- Bɛlɛ pen ɛn smɔl blɔd fɔ sɔm dez.
- di uterus כ di sεviks pכrכshכn כ tear ( dis nכ kin rili apin ).
Ustɛm fɔ kɔl di dɔktɔ wantɛm wantɛm
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ we yu nɔ go te.
- Bɛlɛ pen bad bad wan we kin las pas tu ɔ tri dez .
- If di blɔd de pas tri dez ɔ if di blɔd so ebi dat i de wet wan sanitayz pad ɛvri tu awa.
- Di sayn dɛm lɛk fiva ɛn kol.
- Wan wata we de kɔmɔt na di vagina we de smɛl fayn .
Wetin di invɛstishɔn ripɔt se?
Bɔku tɛm, yu go gɛt di ripɔt insay wan wik.
- if di rizulεt nכmal: Dis min se dεn nכ fכn nכ abnכmal sεl dεm na yu uterin tisu.
- If di rizulεt dεm nכ nכmal: Dis min se dεn dכn fכn wan abnכmal tכp sεl. Bɔku rizin dɛn kin de fɔ dis. Jɔs bikɔs i "abnormal" nɔ min se na kansa.
Tin dɛm wae kin mek yu gɛt abnɔmal rizɔlt:
- sכm sכm tin dεm we de gro na di uterus (uterin polyps כ fibroids).
- Infεkshכn dεm na di insay wכl na di uterus.
- Di ɔmon dɛn we nɔ balans.
- Kansa we de na di ɛndometrial.
sכmtεm, if di tisu sεmpl nכ big inof, di rizulεt kin bi "inconclusive." If na so i bi, yu dɔktɔ kin du D&C (Dilation and Curettage), we na fɔ tek wan big pat pan di tisu ɛn chɛk am.I fayn fɔ du di tin dɛn we de dɔŋ ya.
Di tin we impɔtant pas ɔl na, ilɛk wetin go apin to yu ripɔt, fɔ tɔk bɔt am klia wan wit yu dɔktɔ ɛn disayd wetin fɔ du nɛks.
Mɛsej we dɛn kin kɛr go na os
- εndometrial Bayopsi na wan tεst we rili imכtant, sef, εn kwik fכ fכnshכn di kכz fכ prכblεm lεk di uterin bכdi we nכ de bכku.
- Di pen we yu kin fil insay dis tɛm kin bi fɔ sɔm tɛm, lɛk we yu bɛlɛ kin kramp we yu de du yu prɛgnɛshɔn. Nɔ fred am.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di tɛst.
- If di tɛst rizɔlt "abnormal," i nɔ kin min kansa ɔltɛm. Yu dɔktɔ go gayd yu fɔ di nɛks tin dɛn we yu fɔ du.
- Fil fri fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Na yu rayt.
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