Mwina munachita mantha pang'ono komanso mantha pamene dokotala wanu anakuuzani kuti panali vuto linalake pa zotsatira za mayeso a Pap smear. Kenako, dokotalayo anakuuzani kuti muyenera kuchita opaleshoni yotchedwa LEEP. Chifukwa chake, mutamva dzinali, mwina munaganiza kuti, "O, izi zikuchita chiyani?" Musachite mantha. Lero, tikambirana za njira ya LEEP iyi m'njira yosavuta yomwe mungamvetse.
Kodi LEEP ndi chiyani kwenikweni?
Mwachidule, LEEP ndi opaleshoni yaying'ono yomwe imachotsa mzere wa maselo osazolowereka pamwamba pa chiberekero chanu. LEEP imayimira Loop Electrosurgical Excision Procedure . Tiyeni tikambirane pang'ono.
- Chizunguliro: chimatanthauza chizunguliro chaching'ono cha waya.
- Kuchiza ndi Magetsi: Izi zikutanthauza kuti mphamvu yamagetsi yocheperako imatumizidwa kudzera mu waya wozungulira.
- Njira Yochotsera Chilonda: Njira yodula ndi kuchotsa chinthu.
Kodi mukumvetsa tsopano? LEEP ndi njira yomwe imagwiritsa ntchito waya wozungulira womwe umagwiritsa ntchito magetsi kudula ndikuchotsa malo omwe ali ndi maselo olakwika.
Minofu yochotsedwayo imatumizidwa ku labu kuti ikayang'ane maselo a khansa kapena maselo oyambitsa khansa. Vutoli limatchedwa cervical dysplasia . Si khansa. Komabe , ngati silinachiritsidwe , limatha kukhala khansa ya khomo lachiberekero pakapita nthawi . Ichi ndichifukwa chake madokotala amalimbikitsa kuchotsa maselo osazolowerekawa msanga.
Dokotala wanu nthawi zambiri amalangiza kuti mupite ku LEEP mutatha kuyezetsa magazi kapena colposcopy. Imagwiritsidwanso ntchito pochiza matenda monga cervical polyps ndi genital warts.
Kodi mumakonzekera bwanji LEEP?
Pali zinthu zina zomwe muyenera kudziwa musanalandire chithandizochi. Dokotala adzakupatsani malangizo omveka bwino pankhaniyi.
Choyamba, dokotala adzafufuza ngati muli ndi matenda aliwonse omwe angakulepheretseni kulandira chithandizochi. Mwachitsanzo:
- Ngati muli ndi vuto ngati Pelvic Inflammatory Disease (PID).
- Ngati muli ndi vuto monga cervicitis.
Pazochitikazi, LEEP siichitidwa. Muthanso kuyesedwa kuti muwone ngati muli ndi pakati. Ngati muli ndi pakati, dokotala wanu adzasankha nthawi yabwino yochitira LEEP. Chithandizocho chidzakonzedwa tsiku lomwe simukuchita msambo .
Tiyeni tiwone tebulo ili m'munsimu kuti tiwone momwe mungakonzekere musanalandire chithandizo.
| Zokonzekera | Kufotokozera ndi zinthu zoti mukumbukire |
|---|---|
| Kugonana ndi mafuta odzola | Pewani kugonana kwa maola 24 musanayambe kulandira chithandizo. Komanso, musagwiritse ntchito mafuta aliwonse odzola m'mimba. |
| Mapepala aukhondo | Mukamaliza chithandizo, mutha kumva kutuluka kwa madzi m'mimba. Bweretsani chotsukira kuti mugwiritse ntchito. |
| Mankhwala ochepetsa magazi | Ngati mukumwa mankhwala ochepetsa magazi monga aspirin, onetsetsani kuti mwauza dokotala wanu za vutoli. Angakupempheni kuti musiye kumwa mankhwalawo kwa masiku angapo. |
| Mankhwala opha ululu | Dokotala wanu angakulangizeni kuti mumwe mankhwala ochepetsa ululu (monga Ibuprofen, Panadol) mphindi 30 musanalandire chithandizo. Izi zithandiza kuchepetsa kusasangalala panthawi ya chithandizo. |
| Zovala | Valani zovala zomasuka zomwe n'zosavuta kuchotsa. Mudzapatsidwa diresi lina loti muvale kuchipatala. |
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Chithandizochi chimatenga pafupifupi mphindi 10-20 kuti chichitike. Chingachitike mu ofesi ya dokotala wa matenda a akazi, kuchipatala, kapena ku dipatimenti yopereka chithandizo chamankhwala. Muli maso panthawiyi. Simudzamva ululu uliwonse, kupatulapo kusasangalala pang'ono.
1. Kukonzekera
Zimayamba ngati mayeso a m'chiuno nthawi zonse. Mudzapemphedwa kugona patebulo lofufuzira ndi miyendo yanu ikugwedezeka. Popeza LEEP imagwiritsa ntchito magetsi, chotsukira pansi chidzayikidwa pa ntchafu yanu kuti chikutetezeni. Kenako, dokotala adzayika chipangizo chotchedwa speculum kuti chikulitse nyini yanu ndikuwonetsetsa kuti chiberekero chanu chikuwoneka bwino.
2. Kupangitsa maselo osazolowereka kuonekera
Kenako, madzi, monga acetic acid, amaikidwa pa chiberekero kuti zikhale zosavuta kuwona maselo aliwonse osazolowereka. Kenako, chipangizo chotchedwa colposcope chimayikidwa pafupi ndi nyini. Izi zimakulitsa chiberekero. Chili ngati galasi lokulitsa. Chipangizochi sichimayikidwa m'thupi.
3. Kutambasuka kwa chiberekero
Tsopano dokotala adzagwira chiberekero chanu ndi dzanzi. Izi zimachitika poika jakisoni kakang'ono ka mankhwala oletsa dzanzi, monga lidocaine . Izi zingayambitse kumverera kowawa komanso kotentha, mofanana ndi jakisoni yomwe mumalandira m'kamwa mwanu musanachotse dzino. Epinephrine yomwe ili mu mankhwalawa ingapangitse mtima wanu kugunda mofulumira ndikukupangitsani kumva chizungulire. Koma musadandaule, idzatha kwathunthu pakapita mphindi zochepa.
4. Kuchotsa minofu yolakwika
Pambuyo poti chiberekero chatsegulidwa, dokotala adzadula mosamala minofu yosazolowereka ndi chingwe cha waya chomwe chalumikizidwa ndi magetsi. Ndikofunikira kwambiri kuti musasunthe konse panthawiyi. Nthawi zina chingwe china chingagwiritsidwe ntchito kuchotsa maselo pamwamba pa chiberekero. Mungamve kutentha kapena kugwedezeka pang'ono panthawiyi.
5. Siyani kutuluka magazi
Pomaliza, kuti aletse kutuluka magazi ndikuletsa kutuluka magazi kwina, dokotalayo amapaka phala lapadera (phala la Monsel) pabala.
Ngati mukumva kupweteka kulikonse panthawi yonse ya opaleshoniyi, musaope kuuza dokotala kapena namwino za ululuwo.
Kodi ubwino ndi zoopsa zake ndi ziti?
LEEP ndi njira yotetezeka kwambiri. Mavuto ndi osowa. Ubwino wina waukulu ndi wakuti ingathe kuchitika popanda mankhwala oletsa ululu.
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo chochepa cha matenda ndi kutuluka magazi. Komanso, popeza khomo lachiberekero lingakhale lofooka pang'ono mutalandira chithandizo cha LEEP, pali chiopsezo chochepa cha kubadwa msanga ngati mutakhala ndi pakati mtsogolo. Ngati muli ndi nkhawa kapena mafunso okhudza izi, lankhulani ndi dokotala wanu musanalandire chithandizo.
Koma zoopsazi kwenikweni ndi zazing'ono kwambiri poyerekeza ndi zabwino zake. Phindu lalikulu komanso lofunika kwambiri apa ndilakuti limachotsa maselo omwe angayambitse khansa ya pachibelekero ndikukutetezani ku khansa.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukamaliza kulandira chithandizo, mutha kupita kunyumba. Mwina mudzapemphedwa kuti mupumule kwa mphindi 30-60. Panthawiyo, dokotala ndi anamwino adzakufotokozerani malangizo omwe muyenera kutsatira kunyumba. Funsani mafunso aliwonse omwe mungakhale nawo panthawiyo.
Mukhoza kuyembekezera zotsatirazi panthawi yochira.
| Zoyenera kuyembekezera | Kufotokozera |
|---|---|
| Kupweteka m'mimba (Kupweteka m'mimba) | M'masiku oyamba, mungamve kupweteka pang'ono m'mimba, kofanana ndi komwe kumachitika panthawi ya msambo. Izi zitha kuthetsedwa pomwa mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani. |
| Kutuluka/kutuluka kwa madontho kumaliseche | Kutuluka kwa nyini kumatha kuchitika kwa sabata imodzi mpaka itatu. Poyamba, kutuluka kwa nyini kumatha kukhala kobiriwira-chikasu ndipo kumakhala ndi fungo loipa pang'ono. Pambuyo pake, kutuluka kwa nyini wakuda-bulauni kumatha kuwoneka. Izi ndizabwinobwino . Gwiritsani ntchito mapepala pa izi. Musagwiritse ntchito ma tampons. |
| Kusakhazikika | Mungamve kupweteka kapena kusasangalala mkati mwa nyini kapena m'mimba. Mungamve kumva kuwawa m'dera la chiberekero, mofanana ndi kupsinjika kwa mitsempha. Izi zidzatha patatha masiku angapo. |
| Msambo wa mwezi uliwonse | Mankhwalawa sadzakhudza kwambiri nthawi yanu ya mwezi uliwonse. Adzapitirira monga mwachizolowezi. |
Zinthu zoti mupewe mukachira
Zimatenga pafupifupi milungu 4-6 kuti chiberekero chichiritse bwino. Panthawiyi, muyenera kupewa zinthu zina.
- Kuchita Masewera Olimbitsa Thupi ndi Ntchito Yotopetsa: Pewani kugwira ntchito yotopetsa kwa maola 48 mutalandira chithandizo. Musachite masewera olimbitsa thupi kwa sabata imodzi kapena kuposerapo. Ngati mwayamba kuchita masewera olimbitsa thupi patatha sabata imodzi ndipo mukutuluka magazi (osati msambo wanu), siyani kuchita masewera olimbitsa thupi ndipo patsani thupi lanu nthawi yochulukirapo kuti lichiritse.
- Kugonana: Pewani kugonana kwa milungu yosachepera 4. Komanso, musalowetse chilichonse m'chikazi, monga ma tampons kapena zoseweretsa zogonana.
- Kusamba: Palibe vuto kusamba nthawi zonse. Komabe, pewani kuviika m'bafa kapena dziwe losambira mpaka dokotala atakupatsani chilolezo.
Kodi chimachitika ndi chiyani pambuyo poti zotsatira za LEEP zalandiridwa?
Monga tafotokozera kale, LEEP ndi njira yodziwira matenda komanso yochiritsira. Nthawi zambiri, kuchotsa maselo osazolowereka kudzathetsa vutoli.
Koma nthawi zina, ngati maselo osazolowereka sanachotsedwe kwathunthu, LEEP ina ingafunike. Komanso, ngati muli ndi kachilombo ka Human Papillomavirus (HPV) komwe kali pachiwopsezo chachikulu, pali mwayi wochepa woti maselo osazolowereka adzakulanso mtsogolo.
Chofunika kwambiri ndichakuti LEEP ichotse maselo osayenera omwe amayamba chifukwa cha kachilombo ka HPV. Komabe, sikuchotsa kachilombo ka HPV kokha m'thupi.
Choncho, ngakhale mutalandira chithandizo, ndikofunikira kwambiri kuchita mayeso a Pap ndi HPV panthawi yomwe yakonzedwa monga momwe dokotala wanenera.
Kodi muyenera kukaonana ndi dokotala liti?
Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu kapena pitani kuchipatala nthawi yomweyo . Izi zitha kukhala zizindikiro za matenda.
- Kutaya magazi ambiri (kuposa nthawi yanu yachizolowezi ya mwezi uliwonse)
- Magazi amaundana
- Fungo lamphamvu lochokera kumaliseche
- Malungo
- Kupweteka kwambiri m'mimba
Ndizachibadwa kuchita mantha mukamva za LEEP. Koma kumbukirani, izi zimachitika popanda kupweteka kwakukulu chifukwa chiberekero chanu chikulephera kugwira ntchito. Kuthekera kwa khansa mtsogolo ndi kwakukulu kwambiri kuposa kusasangalala kwa mphindi 10-20 izi. Musazengereze kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo pankhani ya njirayi.
Uthenga Wopita Nawo Kunyumba
- LEEP ndi mankhwala otetezeka komanso ogwira mtima omwe amachotsa maselo olakwika omwe angasanduke khansa ya pachibelekero.
- Izi zimachitika mwa kukulitsa khomo lachiberekero, kotero ululu ndi kusapeza bwino zimakhala zochepa.
- Ndi zachilendo kumva kutuluka magazi m'mimba komanso kupweteka pang'ono m'mimba kwa milungu ingapo mutalandira chithandizo. Musadandaule ndi zimenezo.
- Tsatirani malangizo a dokotala wanu mosamala pamene mukuchira, makamaka pankhani yopewa kugonana ndi kuchita masewera olimbitsa thupi.
- Ngati mukuona zizindikiro zochenjeza monga kutuluka magazi kwambiri, kutentha thupi, kapena kupweteka kwambiri, funsani upangiri wa dokotala nthawi yomweyo.
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