Ngaba kufuneka sithathe iqhekeza elincinci lesicwili esibelekweni sakho? Masifunde nge-endometrial biopsy!

Usenokuba uxelelwe ngolu vavanyo ngugqirha olubizwa ngokuba yi-endometrial biopsy. Okanye usenokuba uvile ngalo ndaweni ithile kwaye unomdla wokufunda okungakumbi. Nokuba kunjalo, ndilapha ukuze ndithethe ngalo ngokulula, ngendlela onokuyiqonda. Ungakhathazeki, siza kuthetha ngayo yonke into ngokucacileyo.

Ngoko ke yintoni le biopsy ye-endometrial?

Ngamafutshane, i-endometrial biopsy kuxa uthatha iqhekeza elincinci kakhulu lesicwili kwi-inside membrane yesibeleko sakho (esiyibiza ngokuba yi-endometrium) uze ulihlolisise nge-microscope. Cinga ngayo njengokuthatha iqhekeza elincinci lentambo kwilaphu uze ubone ukuba yintoni ngaphakathi kulo.

Xa ugqirha ehlola le sampuli yezicubu phantsi kwe-microscope, unokubona ukuba kukho iiseli ezingaqhelekanga okanye ukuba kukho naziphi na ezinokuba ngumhlaza . Lonke uvavanyo luthatha ngaphantsi kwemizuzu eli-15 . Kwaye lwenziwa eofisini kagqirha wakho. Usenokuziva urhawuzelelwa okanye uziva uxinezelekile ngexesha lenkqubo. Abanye abantu banokuziva iintlungu ezincinci.

Kutheni ugqirha angakucebisa oku?

Ugqirha angacebisa olu vavanyo ukuze afumanise ukuba yintoni kanye kanye ebangela ezinye zeempawu zakho. Kwakhona, ukuba ugqirha urhanela into ethile emva kokuhlolwa nge-ultrasound okanye nge-Pap smear , olu vavanyo lwe-biopsy lunokunceda ekuqinisekiseni ngakumbi.

Nazi ezinye zezizathu zokuba kutheni ungacelwa ukuba wenze i-endometrial biopsy:

• Ukuya exesheni okungacwangciswanga: Oku kuquka ukopha kakhulu, ukopha okuhlala iintsuku ezininzi, ukopha okungaqhelekanga, okanye ukuyeka ngokupheleleyo ukuya exesheni.
• Ukopha emva kokuya exesheni: Oku kuthetha ukopha emva kokuba ixesha lakho lenyanga liphelile ngokupheleleyo.
• Ukopha okungaqhelekanga xa usebenzisa unyango lweehomoni olufana neTamoxifen.
• Ukuba udonga lwangaphakathi lwesibeleko lubonakala lujiyile.
• Ukuba iziphumo zovavanyo lwePap zibonisa ukuba kukho iiseli ezingaqhelekanga kwisibeleko.

Ngubani onokwenza (kwaye akanakwenza) i-endometrial biopsy?

Olu lolona vavanyo lubalulekileyo noluchanekileyo lokufumanisa umhlaza we-endometrial kwiimeko ezininzi. Ukuba uneminyaka engaphezu kwama-35 ubudala, unamathuba amaninzi okwenza olu vavanyo.

Nangona kunjalo, olu vavanyo alunakwenziwa ukuba ukhulelwe. Nangona kunjalo, abanye abantu abanengxaki yokukhulelwa (ukungazali) banokwenza olu vavanyo ukuze kufunyaniswe ukuba kukho ingxaki na kwingqimba yesibeleko sabo ebangela ukungazali.

Yenziwa njani kanye kanye le biopsy?

Kule meko, ugqirha ufaka ityhubhu encinci kakhulu ngesibeleko sakho aze ayifake kwisibeleko sakho. Emva koko, esebenzisa ityhubhu, kuthathwa isampuli encinci yezicubu kwi-endometrium yakho ngokusebenzisa ukufunxa. Oku kuthatha ngaphantsi kwemizuzu eli-15.

Ufanele ulungiselele njani oku?

Akukho mfuneko yokulungiselela oku. Nangona kunjalo, kufuneka uxelele ugqirha wakho kwangaphambili malunga namayeza owasebenzisayo, izongezo zokutya ozisebenzisayo, kunye nazo naziphi na ii-allergies onazo. Ugqirha wakho uya kukuxelela ukuba kufuneka uyeke ukuthatha nawaphi na amayeza ngaphambi kokuba kwenziwe i-biopsy.

Abanye oogqirha baya kukuxelela ukuba uthathe i-NSAID (iyeza elichasene nokuvuvukala elingeyo-steroidal ) ngaphambi kokuba wenze i-biopsy ukunciphisa iintlungu. Ugqirha wakho unokucebisa nokuba uthathe iyeza eliza kukunceda ukulungiselela isibeleko sakho kwi-biopsy usuku okanye ezimbini ngaphambi kovavanyo.

Eyona nto ibalulekileyo kukubuza ugqirha wakho nayiphi na imibuzo onayo ngaphambi kovavanyo kwaye uqiniseke ukuba uyazi kakuhle into eza kwenzeka. I-endometrial biopsy ngokubanzi luvavanyo olungenamngcipheko kwaye olukhuselekileyo.

Yintoni onokuyilindela ngexesha le-biopsy?

I-biopsy ye-endometrial idla ngokwenziwa eofisini kagqirha okanye kwenye ikliniki yezigulane ezingalaliswanga. Ayenziwa phantsi kwe-anesthesia.

Uvavanyo lwenziwa ngolu hlobo:

• Ufanele ukhulule iimpahla ukusuka esinqeni ukuya ezantsi uze uzigqume ngeshiti.
• Ufanele ubeke imilenze yakho kwizixhaso ezimbini ezibizwa ngokuba yi-stirrups uze ugobe phambili ngokungathi uvavanywa isinqe okanye i-Pap smear.
• Ugqirha uza kufaka isixhobo esibizwa ngokuba yi-speculum kwisini sakho ukuze asibambe sivuleke. Kulapho anokubona khona umlomo wesibeleko sakho (oku kufana noko kwenziwa ngexesha le-Pap smear).
• Okulandelayo, ugqirha uza kucoca umlomo wesibeleko sakho ngesisombululo esikhethekileyo.
• Ngamanye amaxesha, isixhobo esikhethekileyo esibizwa ngokuba yi-tenaculum singasetyenziswa ukubamba umlomo wesibeleko kwaye kube lula ukufaka ityhubhu yokufunxa esibelekweni. Kwabanye abantu, eli nyathelo lelona libuhlungu kakhulu .
• Okokugqibela, ugqirha ufaka i-catheter encinci kakhulu ngesibeleko sakho ukuze aqokelele isampuli yezicubu. Ungaziva ugqirha eshukumisa isixhobo njengoko kuthathwa isampuli yezicubu.
• Emva koko ugqirha uthumela le sampuli yezicubu kwingcali yezifo , ugqirha ogxile kwiiseli, ukuze ayihlole.

Le nkqubo yonke idla ngokuthatha malunga nemizuzu emihlanu ukuya kwelishumi, ubuninzi bemizuzu elishumi elinesihlanu .

Kwenzeka ntoni emva kwe-biopsy?

Emva kokuba ugqirha ekhuphe izixhobo kwilungu lakho lobufazi, unganxiba. Kungcono uphumle okwethutyana ngaphambi kokuba uphume egumbini. Ufanele ukwazi ukuqhuba imoto ugoduke wedwa emva nje kovavanyo.

Kuya kufuneka usebenzise i-sanitary pad ngoko nangoko emva kovavanyo lwe-biopsy. Ukopha kunye nokuqaqamba kwesisu esingaphantsi komfazi kuqhelekile kwaye kulindelekile. Nangona kunjalo, akufuneki kudlule iintsuku ezimbalwa. Ungathatha isithomalalisi sentlungu esithengiswa ngaphandle kwemvume kagqirha (umz. i-ibuprofen, i-paracetamol) kuyo nayiphi na i-cramping.

Ugqirha wakho uza kukuxelela ngqo into omawuyenze nento ongamele uyenze ude uphile. Nazi ezinye zezinto onokuxelelwa ukuba ungazenzi:

• Musa ukusebenzisa ii-tampons kangangeentsuku ezisixhenxe. Kwakhona, musa ukufaka nantoni na ngaphakathi kwilungu lobufazi. Ukuhlamba i-douching akuyonto ilungileyo.
• Musa ukulala nomntu ubuncinane iintsuku ezisixhenxe, okanye ude ugqirha wakho akuxelele ukuba ungalali.
• Ziphephe imisebenzi enzima, ukuphakamisa izinto ezisindayo, ukudada, ukusebenzisa i-hot tub, okanye ukuhlamba iintsuku ezimbalwa.

Kuthatha ixesha elingakanani ukuphiliswa?

Kuqhelekile ukuba uzive ungonwabanga kwaye uxinezelekile kangangeeyure ezingama-48. Kungcono ukuba ungadluli kwiintsuku ezimbalwa ukuze uphile ngokupheleleyo emva kokuhlolwa kwe-endometrial biopsy.

Nangona kunjalo, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ukuba unayo nayiphi na kwezi mpawu:

• Ukuba wopha ngaphezu kweentsuku ezimbini okanye ezintathu.
• Ukuba kukho ulwelo olunuka kakubi oluphuma kwilungu lobufazi.
• Ukuba uneempawu ezifana nomkhuhlane ezifana nomkhuhlane kunye nokugodola.
• Ukuba, emva kweentsuku ezimbini okanye ezintathu, intlungu isaqhubeka nokuba mandundu kunangexesha lokuya exesheni.

Zithini iingozi zoku?

Iingozi ezinokubakho ze-endometrial biopsy zezi:

• Usulelo.
• Ukopha.
• Ukubonakala kancinci nokuqaqamba kwemisipha kangangeentsuku ezimbalwa.
• Ukugqobhoka okanye ukukrazuka kwesibeleko okanye umlomo wesibeleko (oku kwenzeka rhoqo).

Ngaba i-endometrial biopsy ibuhlungu?

Kuqhelekile ukuba uzive uneentlungu ezincinci, ezifana nokuya kwakho exesheni, ngexesha nasemva kovavanyo. Ukunyamezela iintlungu komntu ngamnye kwahlukile, ngoko ke usenokuziva iintlungu ezingaphezulu okanye ezincinci kunabanye. Oogqirha ngokubanzi abawuthathi umsebenzi wokwenza i-endometrial biopsy njengenkqubo ebuhlungu kakhulu.

Kodwa ukuba usenentlungu esezantsi kwesisu kangangeentsuku ezimbalwa emva kokwenziwa kwe-biopsy, thetha nogqirha wakho.

Zithini iziphumo ze-biopsy?

Ukuba iziphumo zakho zibuya zilungile , oko kuthetha ukuba ugqirha akafumananga ziseli ezingaqhelekanga.

Ukuba iziphumo zakho aziqhelekanga , oko kuthetha ukuba ugqirha ufumene iiseli ezingaqhelekanga. Iziphumo ezingaqhelekanga zinokubangelwa zezi:

• Umhlaza we-endometrial.
• Ukuba neepolyps zesibeleko okanye iifibroids.
• Usulelo lodonga lwangaphakathi lwesibeleko.
• Ukungalingani kwamahomoni.

Ngamanye amaxesha iziphumo zisenokungacaci . Ukuba kunjalo, ugqirha wakho unokucebisa i-D&C (Dilation and Curettage) ukuze kususwe isiqwenga esikhulu sethishu ukuze kubonwe ukuba kukho iiseli ezingaqhelekanga na.

Yintoni omawuyenze ukuba iziphumo aziqhelekanga?

Ugqirha wakho uza kuxoxa nawe ngeziphumo aze agqibe kwelokuba wenze ntoni ngokulandelayo. Unyango alusoloko luyimfuneko. Ayizizo zonke iziphumo ezingaqhelekanga ezithetha ukuba unomhlaza. Ngoko ke, thetha nogqirha wakho ngononophelo ukuqinisekisa ukuba uyaziqonda iziphumo zovavanyo lwakho kunye nokuba zithetha ukuthini.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Kungathatha malunga neveki ukuva iziphumo zovavanyo lwe-biopsy kugqirha wakho.

Ndifanele ndibize ugqirha wam nini?

Thetha nogqirha wakho kule meko:

• Ukuba unentlungu esiswini okanye iintlungu iintsuku ezimbalwa emva kovavanyo.
• Ukuba ukopha kuyaqhubeka ixesha elingaphezu kweeyure ezingama-72 emva kovavanyo, okanye ukuba ukopha kukhulu (oko kuthetha ukuba iphedi imanziswa ngokupheleleyo rhoqo emva kweeyure ezimbini).
• Nangona iziphumo zakho ze-biopsy ziqhelekile, usenazo iimpawu ezifana nokopha okungaqhelekanga.

Ngoko ke, nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule kwizinto esithethe ngazo:

I-endometrial biopsy luvavanyo ugqirha wakho anokulusebenzisa ukujonga umhlaza wesibeleko (ingakumbi umhlaza we-endometrial) okanye ukufumana unobangela wokopha okungaqhelekanga. Kuthatha malunga nemizuzu eli-15 kwaye luvavanyo olungenamngcipheko uphantsi. Lubandakanya ugqirha wakho ukuthatha isampuli yezicubu ze-endometrial kwisibeleko sakho aze azithumele kwilebhu ukuze zivavanywe ngakumbi. Ungalindela ukuqaqamba kunye nokopha okuncinci, okufana nokuya kwakho exesheni, kwiintsuku ezimbalwa emva kovavanyo.

Musa ukoyika ukuthetha nogqirha wakho ngalo vavanyo nangaliphi na ixesha. Ngale ndlela, uya kwazi kakuhle ukuba ulindele ntoni ngexesha nasemva kovavanyo. Ugqirha wakho uya kuxoxa nawe ngeziphumo aze agqibe ukuba ufuna olunye uvavanyo okanye unyango.

I - biopsy ye-endometrial, i-biopsy yesibeleko, impilo yabasetyhini, ukopha okungaqhelekanga, umhlaza wesibeleko, i-gynecology, i-pap smear