Dokotala wanu kapena dokotala wa matenda a akazi akakuuzani kuti muchite colposcopy, mungamve mantha pang'ono komanso kukhala ndi chidwi, sichoncho? "Kodi mayeso awa ndi otani? N’chifukwa chiyani ndikupemphedwa kuti ndichite izi? N’chiyani chidzachitike?" Mutha kukhala ndi mafunso ambiri m’mutu mwanu. Kotero lero, tikambirana zonsezi mu Chisinhala, m’njira yosavuta yomwe mungamvetse. Palibe choopa, nthawi zambiri izi zimakhala zosavuta kuposa momwe mukuganizira.
Kodi Colposcopy ndi chiyani?
Mwachidule, colposcopy ndi mayeso apadera owunikira chiberekero chanu (gawo la pansi la chiberekero) ndi makoma a nyini yanu kuti muwone ngati pali minofu ina iliyonse yolakwika. Dokotala wanu adzagwiritsa ntchito lenzi yapadera yowunikira ndi kukula yotchedwa colposcope. Ili ngati maikulosikopu yaying'ono. Imatha kukulitsa minofu yomwe ili m'chiberekero chanu ndi nyini.
Tangoganizirani, ngati muyang'ana chinthu chachilendo, ngati muwona minofu yowoneka mosiyana , dokotala angatenge chidutswa chaching'ono cha minofu kuchokera pamenepo ndikuchitumiza ku labu. Ichi ndi chomwe timachitcha biopsy . Chidutswa cha minofucho chimawunikidwa kuti chione ngati pali maselo a khansa kapena maselo omwe asanakhale khansa omwe angakhale khansa.
Kodi mayesowa apezanso chiyani china?
Colposcopy ndi mayeso omwe amachitidwa makamaka kuti aone ngati pali maselo a khansa m'chiberekero, m'chiberekero, ndi m'chiberekero omwe angakhale khansa ngati sanalandire chithandizo, monga cervical dysplasia .
Kuphatikiza apo,
- Yang'anani ngati pali ziphuphu zoberekera.
- Kuyezetsa kumeneku kumathandizanso kuwona ngati pali zotupa zomwe sizili ndi khansa monga ma polyps.
Nthawi zina, ngati muli ndi magazi osadziwika bwino m'mimba mwanu kapena zizindikiro monga kuyabwa m'dera lakunja la maliseche, dokotala wanu angakulangizeni mayesowa kuti apeze chomwe chikuyambitsa.
Nchifukwa chiyani muyenera kuchitidwa colposcopy?
Mkazi nthawi zambiri amatumizidwa ku colposcopy ngati zotsatira za mayeso ena zikusonyeza kuti ali ndi vuto linalake. Mwachitsanzo:
- Ngati zotsatira za mayeso anu a Pap (Pap smear) sizili bwino.
- Ngati dokotala akuona chinthu chachilendo panthawi yoyezetsa m'chiuno mwanu.
- Ngati mwatsimikizika kuti mwatenga kachilombo ka HPV `(Human Papillomavirus)` .
Ndi m'mikhalidwe ngati iyi pamene dokotala akunena kuti, "Kodi tiyenera kuchita colposcopy ndikuyang'anitsitsa?"
Kodi ndiyenera kuopa mayeso awa?
Ayi ndithu! Kungoti mwapemphedwa kuti muyezedwe ndi colposcopy sizitanthauza kuti muli ndi khansa. Ndipotu,Nthawi zambiri, mwayi woti khansa ithe ndi waukulu.
Tangoganizirani, ngakhale mutakhala ndi maselo omwe asanakhale ndi khansa, mwayi woti angasanduke khansa pakapita nthawi yochepa kuti muyesedwe ndi wochepa kwambiri.
Kuyezetsa kumeneku kumakupatsani mwayi wozindikira ndikuchiza maselo aliwonse a khansa msanga . Mukatero simudzadandaula kwambiri za khansa. Ichi ndichifukwa chake mayesowa ndi ofunikira kwambiri.
Ndani amachita mayeso a colposcopy awa?
Dokotala wanu wamkulu kapena dokotala wa matenda a akazi akhoza kuchita mayesowa. Nthawi zina pamakhala madokotala omwe aphunzitsidwa mwapadera pa izi (colposcopists). Kafukufuku wasonyeza kuti katswiri wodziwa bwino ntchito akachita mayesowa, mwayi wopeza maselo omwe angayambitse khansa umakhala wokwera .
Kodi colposcopy ndi opaleshoni?
Colposcopy si opaleshoni. Komabe, ngati biopsy, kapena kuti chitsanzo cha minofu, yatengedwa panthawi ya opaleshoni, imaonedwa ngati opaleshoni yaying'ono .
Tangoganizirani, ngati dokotala awona chinthu chokayikitsa panthawi yomuyeza, adzatenga chidutswa chaching'ono cha minofu kuchokera pamenepo. Izi nthawi zambiri sizimapweteka ndipo zimatenga mphindi zosakwana 30. Palibe chifukwa chokhala m'chipatala.
Kodi mumakonzekera bwanji mayeso asanayambe?
Pali njira zingapo zomwe mungakonzekerere colposcopy. Ngati mutsatira njira izi mosamala, zidzakhala zosavuta kupeza zotsatira zolondola.
- Ngati muli ndi pakati, muyenera kuuza dokotala wanu. Colposcopy ikhoza kuchitika panthawi ya mimba. Komabe, ngati biopsy yatengedwa, pali mwayi woti magazi atuluke pang'ono kuposa masiku onse. Choncho lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.
- Yesani kuchita mayeso tsiku lomwe simukuchita msambo. Simungathe kuchita mayesowa panthawi ya msambo, koma zidzakhala zosavuta kwa dokotala kuwona bwino chiberekero chanu ngati simukutuluka magazi.
- Musalowetse chilichonse mu nyini kwa maola 48 musanayesedwe. Izi zikutanthauza kupewa kugonana, kulowetsa zala kapena zoseweretsa zogonana mu nyini.
- Komanso , musagwiritse ntchito ma tampons kapena mankhwala oletsa kumaliseche (monga mafuta kapena mapiritsi). Zonsezi zingakhudze zotsatira za mayeso.
- Ngati simukumva bwino pang'ono patsiku loyesa, tengani mankhwala ochepetsa ululu monga paracetamol (monga Tylenol©) kapena ibuprofen (monga Advil©, Motrin©) musanayese. Izi zidzakuthandizani kukhala omasuka panthawi yoyesa.
Kodi chimachitika ndi chiyani panthawi ya mayeso? Kodi ndi mtundu wanji wa chidziwitso?
Colposcopy nthawi zambiri imachitika ku ofesi ya dokotala kapena ku chipatala. Imatenga mphindi 10 mpaka 20. Mutha kupita kunyumba nthawi yomweyo mukamaliza mayeso.
Momwe mungachitire mayeso
Kujambula kwa colposcopy nthawi zambiri sikovuta kuposa kujambulidwa kwa Pap smear. Simudzafunika mankhwala oletsa ululu kapena mankhwala ambiri opweteka. Izi ndi zomwe zimachitika:
- Mudzapemphedwa kugona patebulo loyezera ndikuyika miyendo yanu m'zipilala ziwiri zomwe zingakuthandizeni kugwira bwino.
- Dokotalayo adzaika pang'onopang'ono speculum (mwina munawona izi panthawi ya Pap smear, yomwe imagwiritsidwa ntchito kufutukula pang'ono nyini ndikuwona chiberekero) mu nyini ndikuyisintha kuti chiberekero chiwonekere.
- Tsopano, colposcope ikugwiritsidwa ntchito. Ichi ndi chida chofanana ndi telesikopu chokhala ndi magalasi owala komanso okulitsira. Dokotala amachigwira kunja kwa nyini ndikuyang'ana chiberekero chanu ndi nyini yanu.
- Kenako, dokotala adzapaka mankhwala a acetic acid (omwe ali ngati viniga) pa khomo la chiberekero chanu pogwiritsa ntchito thonje. Mungamve kutentha pang'ono panthawiyi. Mankhwalawa adzakuthandizani kuwonetsa maselo aliwonse okayikitsa omwe ali ndi vuto lachilendo.
Ngati, pofufuza, zikuoneka kuti pali minofu yosazolowereka pamalo amodzi kapena angapo, dokotala akhoza kuchita biopsy ndikutumiza minofuyo kuti ikayesedwe.
Kodi mumamva bwanji mukachita biopsy?
M'malo mokanda chiberekero chonse ndikutenga maselo monga mayeso a Pap, colposcopy imalola dokotala kutenga tinthu tating'onoting'ono ta minofu kuchokera kumadera omwe akuwoneka osazolowereka . Tinthu tating'onoting'onoti timatumizidwa ku labu kuti tikayesedwe ngati tili ndi khansa kapena maselo omwe asanakhale ndi khansa.
Mukatenga biopsy, mungamve kulimba pang'ono kapena kumva kuwawa pang'ono . Kwa ena, zingamveke ngati kupweteka kwa msambo.
Kodi izi ndi zopweteka bwanji?
Colposcopy siipweteka kwambiri . Mungamve kupweteka pang'ono pamene speculum yalowetsedwa mu nyini. Mungamve kutentha pang'ono kapena kumva kuwawa pang'ono mukagwiritsa ntchito yankho la acetic acid. Ngati biopsy yatengedwa, mungamve kuwawa pang'ono kapena kupweteka ngati kusamba. Kutenga mankhwala ochepetsa ululu musanayesedwe kungathandize kuchepetsa ululuwu.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mayeso akangotha, mutha kupitiriza ndi ntchito yanu monga mwachizolowezi.
- Ngati mulibe biopsy , mutha kuwona kuti mwapeza madontho tsiku lotsatira kapena awiri.
- Ngati mwachita biopsy, nazi zinthu zina zomwe mungayembekezere:
- Pakhoza kukhala kutuluka magazi m'mimba kwa masiku angapo.
- Pakhoza kukhala kupweteka kwina kwa masiku angapo.
- Kutuluka kwa madzi m'mimba kungakhale kwakuda kapena kofiirira (izi zimachitika chifukwa cha yankho la acetic acid).
Mungagwiritse ntchito mapepala panthawiyi. Komanso, pewani kulowetsa chilichonse mu nyini mwanu . Pewani kugonana, kugwiritsa ntchito ma tampons, kapena kutsuka khosi kwa masiku angapo. Patsani chiberekero chanu nthawi yoti chichiritse. Funsani dokotala wanu nthawi yomwe muyenera kupewa zinthuzi.
Kodi zotsatira za colposcopy yanga zikutanthauza chiyani?
Zotsatira za colposcopy yanu ndi (ngati zitachitika) biopsy zidzatsimikizira ngati mukufunikira chithandizo china.
- Pafupifupi 40% ya anthu amanena kuti palibe maselo olakwika mu zotsatira zawo. Izi zikutanthauza kuti zonse zili bwino!
- Komanso, pafupifupi 60% ya anthu amafunika chithandizo chamankhwala chifukwa cha vuto linalake. Matendawa amatha kukhala ngati ziphuphu pa chiberekero, nyini, kapena ziwalo zoberekera zakunja.
Kodi mungachite chiyani ngati zotsatira zake sizili bwino?
Tsopano mwina mukuganiza kuti, "Nanga bwanji ngati zotsatira zanga sizili bwino?" Musadandaule, palinso njira zothetsera vutoli.
Ngati zotsatira za colposcopy kapena biopsy zikusonyeza vuto laling'ono, monga dysplasia yofatsa ya cervical , dokotala wanu adzakuuzani kuti muyesenso Pap test kachiwiri nthawi ndi nthawi . Izi zili choncho chifukwa nthawi zina dysplasia yofatsa iyi imatha yokha (kutanthauza kuti minofu imabwerera mwakale) popanda chithandizo chilichonse .
Komabe, ngati pali maselo apamwamba kwambiri omwe asanafike khansa , ayenera kuchiritsidwa. Nazi zina mwa mankhwala omwe alipo:
- Njira Yochotsera Magazi Opangidwa ndi Ma Electrosurgical Excision (LEEP): Njirayi imagwiritsa ntchito waya wozungulira pogwiritsa ntchito magetsi kuti ichotse malo a maselo olakwika.
- Kufufuza za Cone Biopsy: Pa izi, chidutswa cha minofu chooneka ngati cone chokhala ndi maselo osazolowereka chimadulidwa ndikuchotsedwa pa khomo lachiberekero.
- Cryotherapy: Imagwiritsa ntchito mankhwala ozizira kwambiri (monga nayitrogeni yamadzimadzi) kuti iwononge maselo osazolowereka.
- Opaleshoni ya Laser: Kuwala kwa laser kotentha kumagwiritsidwa ntchito kuwononga maselo osazolowereka.
Pa milandu yoopsa kwambiri (yomwe siichitika kawirikawiri), opaleshoni yochotsa chiberekero chonse ingafunike. Lankhulani ndi dokotala wanu za mayeso ena omwe mungafunike mutachita opaleshoni.
Kodi zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira za mayeso?
Zotsatira za biopsy nthawi zambiri zimatenga masiku awiri kapena khumi kuti zibwerenso. Funsani dokotala wanu nthawi yomwe mungayembekezere zotsatira zanu komanso momwe mungadziwitsire zambiri zofunika.
Kodi ndi nthawi ziti zapadera zomwe muyenera kupita kwa dokotala? (Mukatha kuyezetsa)
Colposcopy nthawi zambiri ndi njira yotetezeka kwambiri yokhala ndi zotsatirapo zochepa. Komabe, ngati muwona zizindikiro zotsatirazi mutachita opaleshoni, muyenera kuwona dokotala nthawi yomweyo :
- Ngati mukumva kupweteka kwambiri m'mimba mwanu kapena m'chiuno .
- Ngati mukutuluka magazi ambiri kuposa nthawi zonse mu nthawi yanu ya msambo.
- Ngati mukuwonetsa zizindikiro za matenda : Ndiko kuti, ngati muli ndi kutuluka magazi kochuluka komanso konunkha kuposa masiku onse, ngati muli ndi malungo ndipo mukumva ngati mukuzizira.
Pomaliza, chinthu chofunikira kwambiri (Uthenga Wopita Nawo Kunyumba)
Ndizachilendo kuchita mantha mukazindikira kuti chimodzi mwa zotsatira zanu sichili bwino ndipo mwauzidwa kuti muyenera kuchita mayeso ambiri. Koma kumbukirani, colposcopy ndi mayeso osavuta komanso osapweteka . Izi zingathandize kuchepetsa mantha anu ndikukupatsani mtendere wamumtima.
Colposcopy imalola dokotala wanu kuzindikira maselo a khansa kapena omwe asanafike khansa msanga ndikukupatsani chithandizo chofunikira . Ngakhale khansa ya pachibelekero imatha kuchiritsidwa kwathunthu ngati yapezeka ndikuchiritsidwa msanga.
Komanso, mayesowa angatsimikizire kuti mulibe khansa. Choncho, pamene mukukonzekera mayesowa, lankhulani momasuka ndi dokotala wanu za mantha aliwonse, kukayikira, zoopsa za khansa, ndi zotsatira zomwe muli nazo. Zidzakupatsani mpumulo waukulu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 N’chifukwa chiyani colposcopy imachitidwa kwa akazi?
Iyi ndi njira yoyesera yomwe imagwiritsidwa ntchito kudziwa ngati smear ya Pap ya mkazi ikuwonetsa kusintha kokayikitsa komanso ngati ndi khansa ya pachibelekero. Mu njira yoyeserayi, dokotalayo amagwiritsa ntchito maikulosikopu yapadera yokulitsa yotchedwa colposcope kuti ayang'ane khomo lachiberekero ndi nyini pansi pa kuwala kowala.
💬 Kodi izi zimazindikira bwanji maselo a khansa?
Dokotala amapaka madzi apadera (acetic acid, monga viniga) pachibelekero. Madziwo akagunda, ngati pali maselo a khansa, malo okhawo ndi omwe amaonekera bwino (acetowhite lesions) pansi pa maikulosikopu. Kenako zimakhala zosavuta kutenga chidutswa cha minofu (biopsy) kuchokera pamenepo.
💬 Kodi mayesowa amapweteka kwambiri?
Pachifukwa ichi, kamera siyikidwa mu nyini, imayikidwa panja. Speculum wamba (mlomo wa bakha) umayikidwa mkati. Chifukwa chake, palibe ululu wapadera. Komabe, pakhoza kukhala kumverera kowawa pang'ono pamene asidi agwiritsidwa ntchito, ndipo ngati biopsy yatengedwa, pakhoza kukhala kupweteka pang'ono.
Colposcopy , Kuyezetsa Khomo la M'chiberekero, Kuyezetsa Khomo la M'chiberekero, HPV, Biopsy, Thanzi la Akazi, Khansa ya Khomo la M'chiberekero











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