Kodi inunso mukukumana ndi zovuta pa chiberekero chanu? Tiyeni tiphunzire zambiri za Cone Biopsy?

Mungakhale ndi mantha pang'ono mukamva kuchokera kwa dokotala kuti muchita "Cone Biopsy." Tikamva mawu oti "biopsy," nthawi yomweyo timaganiza za chinthu chachikulu. Koma, kwenikweni, iyi ndi mayeso ofunikira kwambiri komanso chithandizo chomwe nthawi zambiri chimachitidwa kuti mupindule. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane. Mwanjira yomwe mungamvetse, mosavuta.

Kodi Cone Biopsy ndi chiyani?

Mwachidule, cone biopsy ndi njira yaying'ono yomwe chidutswa chaching'ono cha minofu chimachotsedwa pa chiberekero chanu mwanjira yofanana ndi cone. Izi nthawi zina zimatchedwa conization. Taganizirani ngati kuphika keke ndikudula chidutswa chaching'ono kuchokera mkati kuti muwone momwe chikuonekera. Umu ndi momwe zimagwirira ntchito.

Chiberekero chanu ndi gawo la thupi lanu komwe gawo lapamwamba la nyini yanu limakumana ndi gawo lapansi la chiberekero chanu. Kufufuza kumeneku kumatha kuwona osati pamwamba pa chiberekero chanu chokha, komanso maselo omwe ali pansi pang'ono. Minofu yochotsedwa mwanjira iyi imatumizidwa ku labu kuti ikawunikidwe kuti ione ngati pali maselo osazolowereka, maselo a khansa, kapena kusintha kwa maselo komwe kungayambitse khansa (cervical dysplasia).

Iyi ndi njira yochizira odwala osapita kuchipatala, nthawi zambiri imachitikira kuchipatala kapena m'chipinda chochitira opaleshoni.

Nchifukwa chiyani biopsy ya koni imachitika?

Nthawi zambiri, dokotala amalangiza kuchita biopsy ya cone pazifukwa zotsatirazi:

• Ngati zotsatira za mayeso a Pap smear zikusonyeza kuti pali kusintha kulikonse kosazolowereka m'maselo a chiberekero chanu , kusintha kumeneku kungakhale chiyambi cha khansa.
• Ngati mukufuna kuchotsa maselo osazolowereka, a khansa, kapena omwe asanafike khansa pachibelekero.
• Ngati muli ndi khansa ya pachibelekero msanga (gawo 0 kapena IA1), kuchotsa dera ili la maselo ndi chithandizo .

Nthawi zina, ngati ``(Colposcopy)`` (kuyesa chiberekero ndi kamera) kapena ``(Punch Biopsy)`` (kutenga chidutswa chaching'ono cha minofu) sikungathe kuzindikira chomwe chimayambitsa kusintha kwa maselowa, cone biopsy ikhoza kuchitidwa ngati gawo lotsatira.

Chofunika: Izi sizimangochotsa maselo osazolowereka, komanso zimazindikira bwino lomwe maselowo ndi mtundu wawo. Izi zikutanthauza kuti ndizofunikira pozindikira matenda komanso ngati chithandizo .

Ndani amachita biopsy iyi ya koni?

Opaleshoni iyi imachitidwa ndi Obstetrician-Gynecologist (Ob/Gyn) yemwe ali ndi luso lalikulu pankhaniyi.

Kodi timakonzekera bwanji izi?

Dokotala wanu adzakupatsani malangizo a momwe mungakonzekerere izi. Izi nthawi zambiri zimachitika pansi pa anesthesia wamba.(Izi zikutanthauza kuti mudzagonedwa mokwanira) ndipo mudzapemphedwa kuti musiye kudya kapena kumwa kwa maola angapo opaleshoni isanachitike. Mungalangizidwenso kuti mupewe kugonana ndipo musalowetse chilichonse m'chikazi chanu masiku otsogolera opaleshoni.

Kodi timadzuka pamene tikuchitidwa opaleshoni ya cone biopsy?

Kawirikawiri sizichitika. Nthawi zambiri, mudzapatsidwa mankhwala oletsa ululu pa opaleshoniyi. Komabe, nthawi zina dokotala wanu angakulangizeni mankhwala oletsa ululu ( monga kutsekeka kwa mitsempha) omwe amangopangitsa kuti malo omwe ali pansi pa chiuno asamveke bwino. Komabe, simudzamva kupweteka kulikonse panthawiyi.

Kodi chimachitika ndi chiyani pa opaleshoni? Musadandaule, izi ndi zomwe zimachitika!

Kufufuza za kondomu kumaphatikizapo kugwiritsa ntchito scalpel kudula chidutswa cha minofu yolakwika yooneka ngati kondomu kuchokera pachibelekero. Kenako minofuyo imatumizidwa ku labotale, komwe katswiri wa matenda (dokotala yemwe ndi katswiri wofufuza minofu) amaiyang'ana pansi pa maikulosikopu kuti aone ngati ili ndi khansa kapena maselo omwe angayambitse khansa.

Opaleshoni yokha imatenga pafupifupi mphindi 15, koma kukonzekera musanachite opaleshoni komanso kuchira pambuyo pake kungatenge maola angapo.

Izi ndi zomwe zimachitika motsatira dongosolo:

1. Mankhwala oletsa ululu: Choyamba, mudzapatsidwa mankhwala oletsa ululu.

2. Malo Oyikira: Kenako, mudzayikidwa pamalo omwe mungakhale kuti mukayezetsedwe ndi Pap smear, ndi miyendo yanu pa zothandizira zoyenera.

3. Kuyika Speculum: Kenako, dokotala adzayika chipangizo chotchedwa speculum mu nyini yanu. Izi zidzagawa makoma a nyini yanu ndikukuthandizani kuwona bwino chiberekero chanu.

4. Colposcope: Kenako, chipangizo chotchedwa colposcope, chomwe chili ndi lenzi yowunikira komanso yokulitsa, chimayikidwa mu nyini kuti chione chiberekero. Ichi chimagwiritsidwa ntchito pofufuza malo enieni oti achotsedwe.

5. Kuchotsa gawo la minofu: Kenako, dokotala wa opaleshoni amachotsa gawo la minofu losazolowereka, pamodzi ndi minofu ina yozungulira, yokhala ngati kononi.

6. Kuletsa kutuluka magazi: Kenako, njira zosiyanasiyana zimagwiritsidwa ntchito poletsa kutuluka magazi. Nthawi zina kusoka kungapangidwe, kapena "Cauterization" (kutentha mtsempha wamagazi ndi magetsi kapena kutentha) . Nthawi zina mungayikenso chinthu chonga gauze mkati mwa nyini kuti muletse kutuluka magazi.

Katswiri wa matenda amafufuza minofu yochotsedwa kuti aone ngati dokotala wa opaleshoni wachotsa minofu yonse yosazolowereka kapena ngati minofu yabwinobwino yatsala.

Monga tanenera kale, opaleshoni imeneyi imachitika tsiku lomwelo. Mukachira mokwanira, mudzatumizidwa kunyumba kuchokera kuchipatala kapena kuchipatala.

Kodi mungayembekezere chiyani mutachita biopsy ya koni?

Mudzayang'aniridwa kuchipatala kapena m'chipinda chochitira opaleshoni kwa maola angapo mutachita opaleshoni. Kuthamanga kwa magazi, kugunda kwa mtima, kutuluka magazi, ndi ululu zidzayezedwa, ndipo mudzatulutsidwa kunyumba mukadzakhala bwino mokwanira kuti mupite kunyumba. Ngati muli ndi gauze mu nyini yanu, idzachotsedwa musanapite kunyumba.

• Ululu: Mutha kumva kupweteka m'mimba mwanu kwa masiku angapo, mofanana ndi kupweteka kwa msambo. Mutha kumwa mankhwala ochepetsa ululu pa izi. Dokotala wanu angakulembereni mankhwala ochepetsa ululu, kapena nthawi zambiri mutha kuchepetsa ululuwu ndi mankhwala ochepetsa ululu ochokera ku pharmacy omwe amagulitsidwa kunja kwa kampani.
• Ntchito za tsiku ndi tsiku: Muyenera kuyambiranso ntchito zanu za tsiku ndi tsiku patatha pafupifupi sabata imodzi. Komabe, ndi bwino kupempha anzanu ndi abale anu kuti akuthandizeni ndi ntchito zovuta zapakhomo (monga kutsuka ndi kuchapa zovala) mkati mwa sabata yoyamba.
• Magazi ndi kutuluka magazi: Panthawiyi, ndi zachilendo kumva kutuluka magazi m'mimba ndi kutuluka magazi pamodzi ndi kupweteka m'mimba. Gwiritsani ntchito mapepala oyeretsera pa izi. Ndi zachilendonso kuti kutuluka magazi kumeneku kukhale kofiira kapena pinki poyamba, kenako n'kukhala bulauni pang'ono.

Dokotala wanu adzakupatsani mndandanda wa zinthu zomwe simuyenera kuchita mpaka nthawi yanu yotsatira yokumana ndi dokotala. Izi zingaphatikizepo:

• Musalowetse chilichonse mu nyini kwa milungu pafupifupi inayi. Izi zikutanthauza kuti musagone, kugwiritsa ntchito ma tampons, kulowetsa zala, kapena kupukuta.
• Pewani kunyamula zolemera kapena kuchita masewera olimbitsa thupi otopetsa.
• Musasambe m'madzi (kusambira, kusamba m'bafa).

Dokotala wanu adzakonza nthawi yokumananso ndi dokotala milungu inayi kapena isanu ndi umodzi pambuyo pa opaleshoni kuti atsimikizire ngati zonse zayenda bwino komanso kuti mabala akuchira bwino.

Mukamaliza kuchitidwa opaleshoni ya cone biopsy, mungapemphedwe kuti muyesedwenso ndi Pap test miyezi isanu ndi umodzi iliyonse. Mukamaliza mayeso angapo a Pap tests kubwerera mwakale, mudzabwezedwa ku ndandanda yokhazikika ya Pap test (monga kamodzi pachaka). Ndondomekoyi ingasiyane malinga ndi zaka zanu komanso mbiri yanu ya thanzi.

Kodi pali zosokera pambuyo pa biopsy ya koni?

Nthawi zina. Dokotala wanu angagwiritse ntchito kusoka, koma nthawi zambiri amagwiritsa ntchito chomangira cha m'mimba. Ichi ndi chinthu chonga tampon kapena chidutswa chachikulu chokulungidwa cha gauze.

Kodi ndingabwerere kuntchito nditamaliza kuchitidwa opaleshoni ya cone biopsy?

Mungathe kubwerera kuntchito pakatha masiku ochepa, mukadzamva bwino. Komabe, ngati ntchito yanu ikufuna kunyamula zinthu zolemera kapena kuyimirira kwa maola ambiri, mungafunike kukhala panyumba kwa milungu iwiri.

Kodi zoopsa za biopsy iyi ya koni ndi ziti?

Kujambula kwa cone biopsy nthawi zambiri ndi njira yotetezeka , koma monga opaleshoni iliyonse, ikhoza kukhala ndi zoopsa zina. Lankhulani ndi dokotala wanu za zoopsa ndi ubwino wa njirayi kuti mumvetse bwino zomwe mungayembekezere.

Zina mwa zoopsa zomwe zingachitike ndi izi:

• Kutuluka magazi
• Magazi Oundana
• Matenda
• Kutupa kwa Chiberekero
• Kuwonjezeka kwa chiopsezo cha kubereka mwana asanakwane nthawi ya mimba mtsogolo
• Kuwonongeka kwa ziwalo zapafupi monga chikhodzodzo kapena rectum

Kujambula kolona kungayambitse zipsera pa khomo lachiberekero, zomwe zingapangitse kuti zikhale zovuta kwa dokotala kuzindikira maselo osazolowereka pa mayeso a Pap mtsogolo.

Kodi zotsatirapo zoyipa za Cone Biopsy ndi ziti?

Zotsatira zoyipa zomwe zimawonedwa kwambiri ndi izi:

• Kupweteka kwa msambo
• Kusasangalala kapena kupweteka pang'ono
• Kutuluka magazi m'mimba kapena kuoneka ngati mawanga

Zotsatirapo izi zitha kukhala zoopsa kwambiri sabata yoyamba mutachita opaleshoni, koma pang'onopang'ono zimachepa pakapita nthawi. Ngati mukumvabe kupweteka pang'ono mpaka kwakukulu komanso kutuluka magazi pakatha milungu iwiri, pitani kwa dokotala nthawi yomweyo.

Kodi biopsy ya koni ingachotse khansa?

Inde, cone biopsy iyi imatha kuchotsa maselo a khansa kumayambiriro kwenikweni kwa khansa ya pachibelekero.

Kodi ndingapeze liti zotsatira za kafukufuku wa cone biopsy?

Dokotala wanu ayenera kulandira zotsatira za biopsy mkati mwa sabata imodzi. Komabe, nthawi imeneyi imatha kusiyana malinga ndi labu. Ndi bwino kufunsa dokotala wanu nthawi yomwe zingatenge kuti mupeze zotsatira.

Kodi zotsatira za kafukufuku wa cone biopsy zikutiuza chiyani?

Chitsanzo cha minofu yomwe yatengedwa kuchokera ku chiberekero chanu chimawunikidwa pogwiritsa ntchito maikulosikopu mu labotale. Zotsatira za mayeso anu zithandiza dokotala wanu kudziwa ngati maselowo ndi abwinobwino, osakhala ndi khansa, kapena osakhala ndi khansa.

• Zotsatira zabwinobwino zikutanthauza kuti palibe maselo omwe analipo kale khansa kapena khansa omwe adapezeka m'chiberekero chanu.
• Zotsatira zosazolowereka zimatanthauza kuti maselo omwe angayambitse khansa kapena khansa apezeka pa chiberekero chanu. Maselo amenewa amatchedwa Cervical Intraepithelial Neoplasia (CIN) . CIN imayikidwa mu giredi 1 mpaka 3, kutengera kuchuluka kwa minofu ya chiberekero yomwe ili ndi maselo osazolowereka awa.

• CIN I: Kusagwira bwino ntchito kwa cervical dysplasia. Pali vuto pang'ono m'maselo.
• CIN II: Matenda a cervical dysplasia apakati mpaka odziwika bwino. Maselo ake ndi osazolowereka.
• CIN III:Matenda aakulu a cervical dysplasia kapena carcinoma in situ (gawo loyambirira la khansa). Maselowa ndi osazolowereka kwambiri ndipo ali ndi mwayi waukulu wokhala ndi khansa.

CIN I nthawi zambiri imakhala khansa. CIN II ndi CIN III nthawi zambiri zimafunika chithandizo kuti zipewe khansa.

Ndiyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi , pitani kwa dokotala nthawi yomweyo :

• Malungo (101°F kapena kupitirira apo)
• Kumva kuzizira ndi kunjenjemera, kuvutika kupuma, kumva chizungulire
• Kutupa kwa miyendo kapena kupweteka kwa miyendo (izi zitha kukhala chizindikiro cha magazi kuundana)
• Kutuluka magazi okwanira kusintha pedi ya zaukhondo maola awiri aliwonse
• Ngati ululu suchepa mutamwa mankhwala
• Kutuluka kwa madzi m'mimba ndi fungo loipa

Kodi pali kusiyana kotani pakati pa Cone Biopsy ndi LEEP?

Njira zochotsera minofu yolakwika m'chiberekero pogwiritsa ntchito njira ya Conization / Cone Biopsy ndi LEEP (Loop Electrosurgical Excision Procedure) ndi njira zonse ziwiri zomwe zimagwiritsidwa ntchito pochotsa minofu yolakwika m'chiberekero.

• LEEP imagwiritsa ntchito waya wopyapyala wopangidwa ndi magetsi kudula ndikuchotsa minofu yolakwika.
• Kufufuza za cone biopsy kumaphatikizapo kugwiritsa ntchito mpeni wochita opaleshoni kudula chidutswa cha minofu yooneka ngati cone kuchokera pachibelekero, chomwe ndi chachikulu kuposa laparotomy. Kufufuza za cone biopsy ndi njira yovuta pang'ono kuposa laparotomy, ndipo imachitika pansi pa mankhwala oletsa ululu. Nthawi yochira ndi yayitali ndipo zoopsa zake zimakhala zazikulu pang'ono kuposa laparotomy.

Kodi biopsy ya koni ingachitike kangati?

Nthawi zina, ngati maselo osazolowereka akhalabe m'mphepete mwa minofu yochotsedwa, kapena ngati maselo atsopano osazolowereka ayamba, biopsy ina ya koni kapena chithandizo china chingafunike. Kutengera zotsatira za mayeso anu, dokotala wanu adzakambirana nanu za zoopsa ndi ubwino wokhala ndi biopsy ina ya koni.

Uthenga Womaliza Wopita Nawo Kunyumba

Kuyeza magazi m'thupi (cone biopsy) ndi njira yofunika kwambiri yomwe ingathandize kuzindikira ndi kuchiza maselo osazolowereka omwe angayambitse khansa ya pachibelekero. Ndizachibadwa kukhala ndi mantha komanso mantha musanachite izi. Pezani thandizo kuchokera kwa achibale anu, anzanu, ndi gulu lanu lachipatala. Musazengereze kufunsa mafunso aliwonse omwe muli nawo okhudza njira imeneyi kapena zotsatira zanu.

Nthawi zambiri, cone biopsy imapambana, ndipo palibe zotsatirapo zoyipa zomwe zimachitika kwa nthawi yayitali. Njira yabwino yodziwira maselo osazolowereka pa chiberekero chanu msanga ndikupitilizabe kutenga Pap smears. Choncho onetsetsani kuti mwachitapo kanthu.

'Chiberekero, biopsy ya khosi, mayeso a pap, thanzi la amayi, khansa ya pachibelekero, CIN, matenda a akazi