Kodi mulinso ndi mavuto monga kusamba kosakhazikika komanso kutuluka magazi ambiri kwa masiku angapo? Kapena mumatulukabe magazi mukatha kusamba? Ndizachilendo kuti mumve mantha pang'ono komanso nkhawa chifukwa cha zinthu ngati izi. Mukapita kukaonana ndi dokotala nthawi ngati iyi, ndipo akukuuzani kuti muyenera kuchitidwa "Endometrial Biopsy", mumakhala ndi mafunso ambiri omwe amabwera m'maganizo mwanu, sichoncho? "Ndi chiyani? Kodi chidzapweteka? Kodi ndi opaleshoni yayikulu?" Zinthu zambiri ngati izi zimabwera m'maganizo mwanu. Lero tikulankhula za nkhani yeniyeni yomwe ili kumbuyo kwa liwu ili yomwe imakuopsezani.
Mwachidule, kodi biopsy ya endometrial ndi chiyani?
Izi si nkhani yaikulu monga momwe mungaganizire. Mwachidule, zimaphatikizapo kutenga chidutswa chaching'ono kwambiri cha minofu kuchokera mu chiberekero chanu (chomwe madokotala amati endometrium) ndikuchiyang'ana pogwiritsa ntchito maikulosikopu. Monga momwe timachitira tikatenga chovala, dokotala amafufuza maselo ena mkati mwa chiberekero.
Kuyezetsa kumeneku kungakuthandizeni kudziwa chomwe chikuyambitsa zizindikiro zanu. Kungayang'anenso maselo osazolowereka, maselo omwe angakhale a khansa, kapena matenda. Gawo labwino kwambiri ndilakuti njira yonseyi imatenga mphindi zosakwana 15 ndipo ingachitike ku ofesi ya dokotala (kunja kwa chipatala). Inde, mungamve kupweteka pang'ono, ngati msambo. Koma zimenezo ndi zakanthawi.
Kodi dokotala angalimbikitse mayeso awa pazifukwa ziti?
Dokotala wanu nthawi zambiri amalangiza mayesowa kuti afufuze bwino zizindikiro zina. Zingachitikenso kuti zitsimikizire zomwe mudawona pa ultrasound scan kapena Pap smear.
Nazi zochitika zomwe biopsy ya endometrial imachitika nthawi zambiri:
| Chizindikiro kapena vuto | Kufotokozera kosavuta |
|---|---|
| Kusamba kosakhazikika | Izi zikuphatikizapo zinthu monga kutuluka magazi ambiri kwa masiku ambiri, kusakhala ndi msambo kwa miyezi ingapo, komanso kutuluka magazi pakati pa msambo. |
| Kutuluka magazi pambuyo pa kusamba | Ngati mukumvanso kutuluka magazi mutatha kusamba (menopause), ndi chinthu choyenera kuchiganizira. |
| Kutuluka magazi panthawi ya chithandizo cha mahomoni | Ngati mukumva kutuluka magazi kosazolowereka mukumwa mankhwala a mahomoni monga Tamoxifen , mankhwala a khansa. |
| Kukhuthala kwa khoma la uterine | Ngati scan ikuwonetsa kuti mkati mwa chiberekero chanu (endometrium) ndi wokhuthala kuposa mwachizolowezi. |
| Lipoti la mayeso a Pap osazolowereka | Ngati mayeso anu a Pap akuwonetsa maselo osazolowereka m'chiberekero chanu. |
Iyi ndi njira yolondola kwambiri komanso yodziwika bwino yodziwira khansa ya endometrial, makamaka kwa akazi azaka zopitilira 35.
Mayeso amenewa nthawi zina amagwiritsidwanso ntchito pofufuza mavuto omwe ali m'kati mwa chiberekero mwa munthu amene akuvutika kutenga pakati. Koma kumbukirani kuti mayesowa sangachitike ngati muli ndi pakati.
Chabwino, kodi mungachite bwanji izi? Kodi muyenera kuchita mantha?
Musachite mantha konse. Tiyeni tikambirane za momwe izi zimachitikira pang'onopang'ono. Mukatero mudzamvetsa bwino izi.
Kodi muyenera kukonzekera mayeso asanayambe?
Palibe zambiri zoti mukonzekere. Koma dziwani izi:
- Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi zowonjezera). Mungapemphedwe kuti musiye kumwa mankhwala ena (makamaka ochepetsa magazi) masiku angapo mayeso asanachitike.
- Onetsetsani kuti mwatiuza za ziwengo zilizonse zomwe mungakhale nazo.
- Kuti muchepetse ululu, dokotala wanu angakulangizeni kuti mumwe mankhwala ochepetsa ululu (NSAID) monga ibuprofen pafupifupi ola limodzi musanayesedwe.
- Nthawi zina, mungapatsidwe mankhwala ofewetsa chiberekero masiku awiri musanayambe opaleshoni.
Funsani dokotala wanu mafunso aliwonse omwe muli nawo pankhaniyi pasadakhale. Zidzakuthandizani kwambiri kuthetsa mantha anu.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Izi nthawi zambiri zimachitika mu ofesi ya dokotala wanu, popanda mankhwala oletsa ululu.
1. Choyamba, mudzafunsidwa kuti muchotse zovala zanu kuyambira m'chiuno mpaka pansi ndikudziphimba ndi bulangeti.
2. Kenako, monga momwe zimakhalira ndi Pap smear, mudzagona patebulo loyezetsera ndi mapazi anu okhala ndi ma stirrups apadera.
3. Dokotala adzaika chipangizo chotchedwa speculum mu nyini yanu ndikuchitsegula kuti muwone chiberekero chanu. Izi zimachitikanso panthawi ya opaleshoni ya Pap smear.
4. Pambuyo pake, khomo lachiberekero limatsukidwa ndi madzi apadera.
5. Nthawi zina chipangizo china chaching'ono chotchedwa tenaculum chingagwiritsidwe ntchito kugwirizira chiberekero. Anthu ena amamva kupweteka kwambiri panthawiyi.
6. Pomaliza, dokotala adzaika chubu chopyapyala kwambiri komanso chosinthasintha kudzera m'chiberekero kupita ku chiberekero ndikugwiritsa ntchito njira yoyamwa kuti achotse tinthu tating'onoting'ono ta endometrial. Mutha kumva kukukoka pang'ono m'mimba mwanu panthawiyi.
7. Chitsanzo cha minofu chimatumizidwa ku labotale, komwe katswiri wa matenda amachiyang'ana pansi pa maikulosikopu ndikulemba lipoti.
Njira yonseyi imatenga mphindi 5 mpaka 15 zokha.
Kodi mungayembekezere chiyani pambuyo pa mayeso?
Zipangizo zikachotsedwa, mutha kuvala zovala wamba. Mukapuma kwakanthawi, mutha kuyendetsa nokha galimoto kupita kunyumba.
Samalirani zinthu izi mukapita kunyumba:
Ndi zachilendo kukhala ndi ululu m'mimba komanso kutuluka magazi m'mimba kwa masiku angapo mutatenga mayeso. Musadandaule nazo.
| Zinthu Zoyenera Kuchita (Zochita) | Zosayenera kuchita |
|---|---|
| Gwiritsani ntchito mapepala a ukhondo kuti muchotse magazi. | Musagwiritse ntchito ma tampons kwa sabata imodzi kapena kuposerapo. |
| Ngati muli ndi m'mimba, tengani mankhwala ochepetsa ululu monga paracetamol kapena ibuprofen. | Musagone mpaka dokotala wanu atakuuzani kuti muchite zimenezo (nthawi zambiri masiku 7). |
| Pumulani bwino. | Pewani kunyamula zinthu zolemera, kuchita masewera olimbitsa thupi otopetsa, kusambira, ndi kuviika m'bafa lotentha kwa masiku angapo. |
| Tsatirani malangizo a dokotala wanu molondola. | Pewani kutsuka nyini kwathunthu (izi ndi zinthu zomwe simuyenera kuchita). |
Nthawi zambiri mumadzimva bwino mkati mwa masiku awiri kapena atatu.
Kodi pali zotsatirapo zake ndi zoopsa zake?
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono kwambiri. Koma izi sizichitika kawirikawiri.
- Matenda.
- Kutuluka magazi ambiri.
- Kupweteka m'mimba ndi kutuluka magazi pang'ono kwa masiku angapo.
- Kuboola kapena kung'ambika kwa chiberekero kapena chiberekero ( izi zimachitika kawirikawiri ).
Nthawi yoti muyimbire dokotala nthawi yomweyo
Ngati mukukumana ndi zizindikiro izi, imbani dokotala mwamsanga.
- Kupweteka kwambiri m'mimba komwe kumatenga masiku opitilira awiri kapena atatu .
- Ngati magazi atuluka kwa masiku opitilira atatu kapena ngati magaziwo ndi ochuluka kwambiri moti amanyowetsa chidebe chaukhondo maola awiri aliwonse.
- Zizindikiro monga malungo ndi kuzizira.
- Kutuluka kwa madzi onunkhira moyipa kuchokera kumaliseche.
Kodi lipoti la kafukufuku likuti chiyani?
Nthawi zambiri mudzalandira lipotilo mkati mwa sabata imodzi.
- Ngati zotsatira zake zili bwino: Izi zikutanthauza kuti palibe maselo olakwika omwe adapezeka mu minofu ya chiberekero chanu.
- Ngati zotsatira zake sizili bwino: Izi zikutanthauza kuti mtundu wina wa selo wosadziwika bwino wapezeka. Pakhoza kukhala zifukwa zingapo za izi. Kungoti "si zachilendo" sikutanthauza kuti ndi khansa.
Zinthu zomwe zingayambitse zotsatira zosazolowereka:
- Kukula pang'ono m'chiberekero (uterine polyps kapena fibroids).
- Matenda a mkati mwa chiberekero.
- Kusalinganika kwa mahomoni.
- Khansa ya endometrial.
Nthawi zina, ngati chitsanzo cha minofu sichikwanira, zotsatira zake zingakhale "zosatsimikizika." Pazochitika zotere, dokotala wanu angachite D&C (Dilation and Curettage), yomwe imaphatikizapo kutenga chidutswa chachikulu cha minofu ndikuchiyang'ana.Ndikofunikira kuchita izi.
Chofunika kwambiri ndichakuti, kaya zotsatira za lipoti lanu zifike pati, mukambirane momveka bwino ndi dokotala wanu ndikusankha choti muchite kenako.
Uthenga Wopita Nawo Kunyumba
- Kuyeza kwa Endometrial Biopsy ndi njira yofunika kwambiri, yotetezeka, komanso yachangu yodziwira chomwe chimayambitsa mavuto monga kutuluka magazi mosakhazikika mu uterine.
- Ululu umene mumamva panthawiyi nthawi zambiri umakhala wakanthawi, monga kupweteka m'mimba panthawi ya msambo. Musachite mantha.
- Tsatirani malangizo a dokotala wanu mosamala musanayesedwe komanso mutatha kuyezetsa.
- Ngati zotsatira za mayeso ndi "zachilendo," sizitanthauza khansa nthawi zonse. Dokotala wanu adzakutsogolerani pa njira zotsatirazi zoti muchite.
- Khalani omasuka kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo. Ndi ufulu wanu.
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