Tiyeni tiphunzire za 'Cryosurgery of the Cervix'?

Kodi dokotala wanu wanena kuti pali vuto ndi mayeso anu a Pap? Kapena nthawi zina mumakhala ndi madontho ang'onoang'ono a magazi omwe amatuluka m'chiberekero mwanu? Zinthuzi zingakupangitseni mantha komanso kuda nkhawa pang'ono. Koma musadandaule. Nthawi zambiri, zinthuzi sizovuta. Chithandizo chimodzi chosavuta chomwe madokotala amalangiza pazochitikazi chimatchedwa 'cryosurgery.' Ngakhale dzinalo lingamveke ngati nkhani yayikulu, kwenikweni ndi losavuta. Kunena zoona, zimaphatikizapo kugwiritsa ntchito kuzizira kwambiri, ngati ayezi, kuwononga maselo osazolowereka. Tiyeni tikambirane izi momveka bwino komanso mosavuta.

Mwachidule, kodi opaleshoni yotsegula maso (cryosurgery) ndi chiyani?

Chabwino, tiyeni timvetse izi ndi chitsanzo chosavuta. Tangoganizirani kuti muli ndi chiphuphu chaching'ono padzanja lanu. Nthawi zina madokotala amagwiritsa ntchito madzi ozizira kwambiri kuchotsa chiphuphucho. Chifuwacho chimapha maselo omwe ali mu chiphuphucho. Zomwezo zimachitikanso mu opaleshoni ya cryosurgery ya chiberekero.

Chomwe chimachitika apa ndi chakuti dokotalayo amagwiritsa ntchito mankhwala ozizira kwambiri, monga nayitrogeni wamadzimadzi, kuti 'azimitse' kapena kuziziritsa maselo osazolowereka pamwamba pa chiberekero chanu. Kuzizira kwambiri kumapangitsa kuti maselowo afe. ​​Kenako, njira yachilengedwe yochiritsira thupi lathu imalola maselo atsopano, athanzi kukula m'derali. Chithandizochi chimatchedwanso cryotherapy.

Kale, njira imeneyi inali yotchuka kwambiri pochotsa maselo osazolowereka m'chiberekero. Koma tsopano, ku Sri Lanka ndi malo ambiri padziko lonse lapansi, njira zatsopano komanso zothandiza kwambiri monga LEEP (Loop Electrosurgical Excision Procedure) zimagwiritsidwa ntchito. Komabe, nthawi zina zapadera, zipatala zina zimachitabe chithandizo cha cryosurgery ichi.

Ndani akufunikira chithandizo ichi?

Pali zochitika zingapo zomwe dokotala angakupatseni chithandizo ichi. Tiyeni tiwone zomwe zili.

• Maselo osazolowereka m'chiberekero: Ngati mayeso anu a Pap akuwonetsa kuti maselo anu achiberekero ndi osazolowereka, kapena ali pachiwopsezo chachikulu chosanduka khansa (cervical dysplasia), njirayi ingalimbikitsidwe kuti muchotse maselo amenewo.
• Cervicitis: Nthawi zina chiberekero chimatha kukhala ndi matenda, kutupa, komanso kufiira. Njirayi imagwiritsidwa ntchito nthawi zina zomwe sizimayankha mankhwala.
• Zilonda Zam'mimba: Mankhwalawa angagwiritsidwenso ntchito kuchotsa zilonda zomwe zimapangika pamwamba pa chiberekero chifukwa cha kachilombo ka HPV.
• Kutuluka magazi m'chiberekero mosadziwika: Nthawi zina, kutuluka magazi pang'ono kungachitike chifukwa cha mitsempha yamagazi yopyapyala pamwamba pa chiberekero. Nthawi zina chithandizochi chimachitikanso.

Kodi chimachitika ndi chiyani musanalandire chithandizo?

Iyi si opaleshoni yaikulu. Simudzafunika kukhala m'chipatala. Itha kuchitikira m'chipinda cha dokotala (OPD). Imachitika muli maso. Palibe chifukwa chochitira opaleshoni yonse.

• Kusanza: Nthawi zina dokotala angapatse jekeseni pang'ono mankhwala oletsa ululu m'chiberekero. Koma nthawi zambiri, sikofunikira chifukwa chiberekero sichimva bwino kwambiri ndi mitsempha.
• Kukhazika mtima pansi: Ngati muli ndi mantha komanso nkhawa kwambiri, mungapatsidwe mankhwala ochepa kuti akukhazikeni mtima pansi.
• Kukonzekera kwanu: Dokotala wanu adzakuuzani kuti mupewe kugonana ndipo musaike chilichonse m'maliseche anu kwa maola 24 mpaka 48 musanalandire chithandizo.

Kodi chimachitika ndi chiyani panthawi ya chithandizo? Gawo ndi Gawo

Ntchito yonseyi imatenga mphindi zosakwana 10 , kotero palibe chifukwa chodera nkhawa. Zimakhala ngati wachitidwa opaleshoni ya Pap smear.

1. Malo: Choyamba, mudzapemphedwa kugona pabedi, lomwe nthawi zambiri limagwiritsidwa ntchito poyezetsa matenda a akazi, ndi miyendo yanu itatambasulidwa m'mbali.

2. Kuyika Speculum: Kenako, kodi mukukumbukira chida chomwe mumagwiritsa ntchito mukalandira Pap smear? Chida chofanana (speculum) chimayikidwa mu nyini ndikukankhira pang'onopang'ono makoma a nyini kuti khomo lachiberekero liwonekere bwino.

3. Cryoprobe: Kenako, dokotala amaika chida chachitsulo chachitali, chopyapyala, chofanana ndi pensulo (chotchedwa cryoprobe) mu nyini. Madzi ozizira kwambiri amatuluka mu chida ichi, zomwe zimapangitsa kuti nsonga ya chida ichi ikhale yozizira ngati ayezi.

4. Kuziziritsa maselo: Tsopano dokotala amaika nsonga ya chipangizo chozizira kwambiri pamalo pomwe maselo osazolowereka ali pa chiberekero chanu ndipo amaigwira pamenepo kwa masekondi kapena mphindi zingapo. Kuzizira kwambiri kumeneku (monga -20 mpaka -50 digiri Celsius) kumaziziritsa maselowo.

5. Sungunulani ndi kubwereza: Kenako chotsani chipangizocho ndipo mulole malowo asungunuke pang'ono. Ngati kuli kofunikira, muziziritsenso maselowo mofanana. Ndicho chimene chachitika.

Kodi mungayembekezere chiyani mutalandira chithandizo?

Mukhoza kupita kunyumba chithandizo chikangotha. Palibe chifukwa chokhalira kuchipatala.

• Kutuluka madzi m'mimba: Mukalandira chithandizo, mungayambe kutuluka madzi m'mimba mwanu kwa milungu ingapo . Izi ndi zachilendo, choncho musadandaule.Izi zimachitika chifukwa maselo oundana amafa, amasungunuka, ndikutuluka m'thupi. Mutha kugwiritsa ntchito mapepala a ukhondo pa izi. Musagwiritse ntchito ma tampons pazifukwa zilizonse .
• Ululu: Ngati muli ndi ululu wochepa m'mimba, mutha kumwa mankhwala ochepetsa ululu monga paracetamol.
• Zinthu zoti mupewe: Pewani kugonana mpaka chiberekero chanu chitachira kwathunthu, zomwe zingatenge milungu iwiri kapena itatu . Komanso, pewani kulowetsa chilichonse mu nyini yanu (monga ma tampons, ma douches). Izi zingathandize kupewa matenda.
• Kutsatira: Izi ndizofunikira kwambiri . Dokotala adzakupatsani tsiku loti mubwererenso. Panthawiyo, adzafufuza ngati maselo osazolowereka atha kwathunthu komanso ngati chiberekero chachira bwino. Panthawiyo, mutha kuyesedwanso kwa Pap kapena, ngati pakufunika, biopsy.

Kodi ubwino ndi kuipa kwa chithandizochi ndi kotani?

Monga chithandizo china chilichonse chamankhwala, chithandizo cha cryosurgery ichi chili ndi ubwino ndi kuipa kwake. Tiyeni tiwone bwinobwino.

Kodi chithandizochi chili ndi mphamvu yotani?

Mankhwalawa ndi othandiza pafupifupi 90% . Izi zikutanthauza kuti mwa anthu 90 mwa anthu 100 omwe adalandira chithandizo, maselo osachiritsika sadzabweranso. Komabe, anthu ochepa kwambiri akhoza kukhalanso ndi maselo osachiritsika. Ngati zimenezo zitachitika, adzayenera kugwiritsa ntchito mankhwala ena, monga LEEP.

Kodi muyenera kulankhula ndi dokotala nthawi yanji?

Ngakhale kuti ndi zachilendo kumva kusasangalala ndi kutuluka madzi mutatha kulandira chithandizo, zizindikiro zina zingakhale chizindikiro cha matenda kapena mavuto ena. Ngati muli ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo. Kapena pitani ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU).

Pomaliza, opaleshoni yochotsa mabala a m'chiberekero ndi njira yakale kwambiri, koma ndi njira yosavuta, yotetezeka, komanso yothandiza yomwe imagwiritsidwabe ntchito nthawi zina. Ngati dokotala wanu akupereka chithandizochi, musaope kuchita izi. Kumbukirani zomwe zili munkhaniyi, ndipo kambiranani momasuka ndi dokotala wanu ngati muli ndi mafunso. Inu ndi dokotala wanu ndi omwe mumasankha limodzi za thanzi lanu.