Ngaba nawe unengxaki kwi-cervical smear yakho? Masifunde ngakumbi ngeCone Biopsy?

Usenokuba novalo kancinci xa usiva kugqirha ukuba uza kwenziwa i-"Cone Biopsy." Xa sisiva igama elithi "biopsy," sicinga kwangoko ngento enzulu. Kodwa, eneneni, olu luvavanyo olubaluleke kakhulu kunye nonyango oluhlala lwenziwa ukuze kulungelwe wena. Ngoko ke, masithethe ngalo ngeenkcukacha ezimbalwa. Ngendlela onokuyiqonda, ngokulula.

Yintoni iCone Biopsy?

Ngamafutshane, i-cone biopsy yinkqubo encinci apho iqhekeza elincinci lesicubu lisuswa kwisibeleko sakho ngendlela efana ne-cone. Oku ngamanye amaxesha kubizwa ngokuba yi-conization. Cinga ngayo njengokubhaka ikhekhe uze usike iqhekeza elincinci ngaphakathi ukuze ubone ukuba libukeka njani. Yindlela esebenza ngayo.

Umlomo wesibeleko wakho yinxalenye yomzimba wakho apho inxalenye ephezulu yesini sakho idibana nenxalenye esezantsi yesibeleko sakho. Olu vavanyo lwe-cone biopsy lunokuhlola kungekuphela nje umphezulu wesibeleko sakho, kodwa neeseli ezinzulu kancinci ezantsi. Izicubu ezisusiweyo ngale ndlela zithunyelwa kwilebhu ukuze zihlolwe ukuze kubonwe ukuba kukho iiseli ezingaqhelekanga, iiseli zomhlaza, okanye utshintsho kwiiseli olunokubangela umhlaza (cervical dysplasia).

Le yinkqubo yokulaliswa ngaphandle, edla ngokwenziwa esibhedlele okanye kwigumbi lotyando.

Kutheni kwenziwa i-cone biopsy?

Amaxesha amaninzi, ugqirha uya kucebisa ukuba enze i-cone biopsy ngezi zizathu zilandelayo:

• Ukuba iziphumo zakho ze-Pap smear zibonisa ukuba kukho naluphi na utshintsho olungaqhelekanga kwiiseli zomlomo wesibeleko sakho , olu tshintsho lusenokuba sisiseko somhlaza.
• Ukuba ufuna ukususa iiseli ezingaqhelekanga, ezinomhlaza, okanye ezingaphambi komhlaza emlonyeni wesibeleko.
• Ukuba unomhlaza womlomo wesibeleko kwangethuba (inqanaba 0 okanye i-IA1), ukususa le ndawo yeeseli lunyango .

Ngamanye amaxesha, ukuba i-``(Colposcopy)`` yangaphambili (uvavanyo lomlomo wesibeleko ngekhamera) okanye ``(Punch Biopsy)`` (ukuthatha iqhekeza elincinci lesicubu) ayikwazi ukubona unobangela wolu tshintsho lweseli, i-cone biopsy inokwenziwa njengenyathelo elilandelayo.

Kubalulekile: Oku akususi nje kuphela iiseli ezingaqhelekanga, kodwa kukwachonga ngqo ukuba zeziphi ezo seli kunye nokuba zinjani na. Oku kuthetha ukuba kubalulekile njengoxilongo kunye nonyango .

Ngubani owenza le cone biopsy?

Olu tyando lwenziwa yi-Obstetrician-Gynecologist (Ob/Gyn) onamava amaninzi kweli candelo.

Silungiselela njani oku?

Ugqirha wakho uza kukucebisa ngendlela yokulungiselela oku. Oku kudla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo.(Oku kuthetha ukuba uza kulaliswa ngokupheleleyo) kwaye uza kucelwa ukuba uyeke ukutya okanye ukusela iiyure ezimbalwa ngaphambi kotyando. Ungacetyiswa nokuba uphephe ukulala ngesondo kwaye ungafaki nantoni na kwisini sakho kwiintsuku ezikhokelela kutyando.

Ngaba sivukile ngexesha le-cone biopsy?

Ngokwesiqhelo akunjalo. Uninzi lwexesha, uya kunikwa i-anesthesia eqhelekileyo kule nkqubo. Nangona kunjalo, kunqabile kakhulu, ugqirha wakho unokucebisa i-anesthetic yendawo ( efana ne-nerve block) evala kuphela indawo engaphantsi kwesinqe. Nangona kunjalo, awuyi kuva ntlungu ngexesha le nkqubo.

Kwenzeka ntoni ngexesha lotyando? Ungakhathazeki, nantsi into eyenzekayo!

I-cone biopsy ibandakanya ukusebenzisa i-scalpel ukusika isiqwenga sezicubu ezingaqhelekanga esimile okwekhowuni kumlomo wesibeleko. Emva koko esi zicubu sithunyelwa kwilebhu, apho ingcali yezifo (ugqirha ochwephesha ekuhloleni izicubu) isijonga phantsi kwe-microscope ukuze abone ukuba sinazo na iiseli zomhlaza okanye ezingaphambi komhlaza.

Utyando ngokwalo luthatha malunga nemizuzu eli-15, kodwa ukulungiselela ngaphambi kunye nokuchacha emva kotyando kungathatha iiyure ezininzi.

Nantsi into eyenzekayo ngokulandelelana kwayo:

1. I-Anesthesia: Okokuqala, uza kufakwa i-anesthesia.

2. Indawo oza kubekwa kuyo: Emva koko, uza kubekwa kwindawo oza kube ukuyo xa usenza i-Pap smear, imilenze yakho ikwizixhaso ezifanelekileyo.

3. Ukufaka iSpeculum: Emva koko, ugqirha uza kufaka isixhobo esibizwa ngokuba yi-speculum kwisini sakho. Oku kuza kusasazeka iindonga zesini sakho kwaye kukuvumele ukuba ubone umlomo wesibeleko sakho ngokucacileyo.

4. I-Colposcope: Okulandelayo, isixhobo esibizwa ngokuba yi-colposcope, esinelensi yokukhanya nekhulisayo, sifakwa kwisini ukuze kuhlolwe umlomo wesibeleko. Esi sixhobo sisetyenziselwa ukujonga indawo echanekileyo eza kususwa.

5. Ukususa icandelo lezicubu: Okulandelayo, ugqirha ususa icandelo lezicubu ezingaqhelekanga, kunye nezinye zezicubu eziqhelekileyo ezijikelezileyo, ngendlela yekhowuni.

6. Ukuthintela ukopha: Emva koko, kusetyenziswa iindlela ezahlukeneyo ukunqanda ukopha. Ngamanye amaxesha kunokufakwa izititshi, okanye "ukubulala umthambo wegazi ngombane okanye ngobushushu" . Ngamanye amaxesha unokubeka into efana ne-gauze ngaphakathi kwilungu lobufazi ukuze kuthintelwe ukopha.

Ingcali yezifo ihlola izicwili ezisusiweyo ukuze ibone ukuba ugqirha wotyando uzisusile zonke izicwili ezingaqhelekanga okanye ukuba kusele izicwili eziqhelekileyo kuphela.

Njengoko bekutshiwo ngaphambili, olu lutyando lwemini enye. Wakuba uphilile ngokwaneleyo ukuba ungaphila, uza kuthunyelwa ekhaya usuka esibhedlele okanye kwiziko lotyando.

Yintoni onokuyilindela emva kokwenziwa i-cone biopsy?

Uza kuhlolwa esibhedlele okanye kwigumbi lotyando kangangeeyure ezimbalwa emva kotyando. Uxinzelelo lwakho lwegazi, ukubetha kwentliziyo, ukopha, kunye nentlungu ziya kuhlolwa, kwaye uza kukhululwa ekhaya xa sele uphilile ngokwaneleyo ukuba uye ekhaya. Ukuba unegauze kwisini sakho, iya kususwa ngaphambi kokuba uye ekhaya.

• Intlungu: Usenokuva ukurhawuzelelwa esiswini sakho kangangeentsuku ezimbalwa, okufana nokurhawuzelelwa kokuya exesheni. Ungathatha amayeza okuthomalalisa iintlungu. Ugqirha wakho unokukunika amayeza okuthomalalisa iintlungu, okanye unokuhlala ulawula le ntlungu ngamayeza okuphelisa iintlungu afumaneka ngaphandle kwemvume kagqirha avela kwikhemesti.
• Imisebenzi yemihla ngemihla: Ufanele ukwazi ukuqalisa imisebenzi yesiqhelo kwisithuba seveki. Nangona kunjalo, kungcono ukucela uncedo kubahlobo nakusapho ngemisebenzi enzima yasekhaya (njengokucoca nge-vacuum nokuhlamba impahla) kwiveki yokuqala.
• Igazi kunye nokuphuma kwegazi: Ngeli xesha, kuyinto eqhelekileyo ukuba nokopha igazi kwilungu lobufazi kunye nokuphuma kwegazi kunye nentlungu esezantsi kwesisu. Sebenzisa ii-sanitary pads koku. Kuqhelekile ukuba oku kuphuma kwegazi kube bomvu okanye kube pinki ekuqaleni, kuze kube mdaka okhanyayo.

Ugqirha wakho uza kukunika uluhlu lwezinto ongafanele uzenze de kube yintlanganiso yakho elandelayo. Ezi zingabandakanya:

• Musa ukufaka nantoni na kwisini kangangeeveki ezine. Oku kuthetha ukuba akufuneki ulale ngesondo, usebenzise ii-tampons, ufake iminwe, okanye ucoce i-douching.
• Kuphephe ukuphakamisa iintsimbi okanye ukwenza umthambo onzima.
• Musa ukuhlamba ngamanzi (ukudada, ukuhlamba ebhafini).

Ugqirha wakho uza kucwangcisa idinga lokulandelela emva kweeveki ezine ukuya kwezintandathu emva kotyando lwakho ukuqinisekisa ukuba yonke into ihambe kakuhle kwaye amanxeba aphola kakuhle.

Emva kokuhlolwa kwe-cone biopsy, ungacelwa ukuba wenze uvavanyo lwe-Pap rhoqo emva kweenyanga ezintandathu. Emva kokuba uvavanyo lwe-Pap oluninzi lubuyele esiqhelweni, uya kubuyiselwa kwishedyuli eqhelekileyo yovavanyo lwe-Pap (umz., kanye ngonyaka). Le shedyuli inokwahluka ngokuxhomekeke kwiminyaka yakho kunye nembali yempilo.

Ngaba kukho izititshi emva kwe-cone biopsy?

Ngamanye amaxesha. Ugqirha wakho angasebenzisa izititshi, kodwa amaxesha amaninzi asebenzisa isitampu sokubopha isinqe. Oku kufana ne-tampon okanye iqhekeza elikhulu le-gauze eligoqiweyo.

Ndingabuyela emsebenzini emva kokuhlolwa kwe-cone biopsy?

Ungabuyela emsebenzini kwiintsuku ezimbalwa, xa uzive ukhululekile. Nangona kunjalo, ukuba umsebenzi wakho ufuna ukuphakamisa izinto ezinzima okanye iiyure zokuma, kunokufuneka uhlale ekhaya kangangeeveki ezimbini.

Zithini iingozi zale cone biopsy?

I-cone biopsy yinkqubo ekhuselekileyo , kodwa njengalo naluphi na utyando, inokuba neengozi ezithile. Thetha nogqirha wakho malunga neengozi kunye neenzuzo zale nkqubo ukuze ube nokuqonda okucacileyo ngento omawuyilindele.

Ezinye zeemeko zomngcipheko zezi:

• Ukopha
• Amahlwili egazi
• Usulelo
• I-Stenosis yoMlomo
• Umngcipheko ophezulu wokubeletha ngaphambi kwexesha ekukhulelweni kwixesha elizayo
• Ukonakala kwamalungu akufutshane anje ngesinyi okanye i-rectum

I-cone biopsy inokubangela amanxeba emlonyeni wesibeleko, nto leyo enokwenza kube nzima ngakumbi kugqirha ukubona iiseli ezingaqhelekanga kwiimvavanyo zePap ezizayo.

Zithini iziphumo ebezingalindelekanga zeCone Biopsy?

Iziphumo ebezingalindelekanga ezibonakala rhoqo zezi:

• Ukuqaqamba okufana nokuya exesheni
• Ukungonwabi okanye intlungu encinci
• Ukopha okanye ukubona amabala kwi-vaginal

Ezi ziphumo ebezingalindelekanga zinokuba qatha ngakumbi kwiveki yokuqala emva kotyando, kodwa ziya kuncipha kancinci kancinci ngokuhamba kwexesha. Ukuba usenentlungu ephakathi ukuya kweqatha kunye nokopha emva kweeveki ezimbini, bonana nogqirha wakho ngoko nangoko.

Ngaba i-cone biopsy ingawususa umhlaza?

Ewe, le cone biopsy inokususa iiseli zomhlaza kwisigaba sokuqala somhlaza womlomo wesibeleko.

Ndizifumana nini iziphumo ze-cone biopsy?

Ugqirha wakho kufuneka afumane iziphumo ze-biopsy kwisithuba esingangeveki. Nangona kunjalo, eli xesha linokwahluka ngokuxhomekeke kwilabhoratri. Kungcono ukubuza ugqirha wakho ukuba kuza kuthatha ixesha elingakanani ukufumana iziphumo.

Zisixelela ntoni iziphumo ze-cone biopsy?

Isampuli yezicubu ezithathwe kwisibeleko sakho ihlalutywa ngemakroskopu kwilebhu. Iziphumo zovavanyo lwakho ziya kunceda ugqirha wakho ukuba aqinisekise ukuba iiseli ziqhelekile, azinamhlaza, okanye zinomhlaza.

• Isiphumo esiqhelekileyo sithetha ukuba akukho ziseli zangaphambi komhlaza okanye zomhlaza ezifunyenweyo kwisibeleko sakho.
• Iziphumo ezingaqhelekanga zithetha ukuba kufunyenwe iiseli ezingaphambi komhlaza okanye ezinomhlaza kwisibeleko sakho. Ezi seli zibizwa ngokuba yiCervical Intraepithelial Neoplasia (CIN) . I-CIN ihlelwa ukusuka ku-1 ukuya ku-3, kuxhomekeke ekubeni ingakanani izicubu zomlomo wesibeleko eziqulathe ezi seli ezingaqhelekanga.

• I-CIN I: I-dysplasia yomlomo wesibeleko engephi. Kukho ukungaqheleki okuncinci kwiiseli.
• I-CIN II: I-dysplasia yomlomo wesibeleko ephakathi ukuya kwephawulweyo. Iiseli aziqhelekanga.
• I-CIN III:I-dysplasia yomlomo wesibeleko okanye i-carcinoma in situ (inqanaba lokuqala lomhlaza). Iiseli aziqhelekanga kwaye zinethuba eliphezulu lokuba nomhlaza.

I-CIN I ayifane ibe ngumhlaza. I-CIN II kunye ne-CIN III zifuna unyango lokuthintela umhlaza.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ufumana naziphi na kwezi mpawu zilandelayo , bona ugqirha wakho ngoko nangoko :

• Umkhuhlane (101°F nangaphezulu)
• Ukuziva ubanda kwaye uqhaqhazela, kunzima ukuphefumla, uzive unesizungu
• Ukudumba emilenzeni okanye ukuqaqamba kwemilenze okubuhlungu (oku kungaba luphawu lokuqhekeka kwegazi)
• Ukopha ngokwaneleyo ukutshintsha i-sanitary pad rhoqo emva kweeyure ezimbini
• Ukuba intlungu ayipheli emva kokuthatha amayeza
• Ukukhupha amanzi kwi-vaginal okunevumba elibi

Yintoni umahluko phakathi kweCone Biopsy kunye neLEEP?

I-Conization / Cone Biopsy kunye ne -LEEP (iLoop Electrosurgical Excision Procedure) zombini ezi ndlela zisetyenziselwa ukususa izicubu ezingaqhelekanga kumlomo wesibeleko.

• I-LEEP isebenzisa iluphu encinci yentambo etshajiweyo ngombane ukusika nokususa izicubu ezingaqhelekanga.
• I-cone biopsy ibandakanya ukusebenzisa imela yotyando ukusika isiqwenga sesicwili esimile okwekhowuni kumlomo wesibeleko, esikhulu kune-laparotomy. I-cone biopsy yinkqubo enzima ngakumbi kune-laparotomy, kwaye yenziwa phantsi kwe-anesthesia jikelele. Ixesha lokuchacha lide kwaye iingozi ziphezulu kancinci kune-laparotomy.

Zingaphi izihlandlo apho i-cone biopsy inokwenziwa khona?

Ngamanye amaxesha, ukuba iiseli ezingaqhelekanga zihlala emaphethelweni ezicubu ezisusiweyo, okanye ukuba kuvela iiseli ezintsha ezingaqhelekanga, kunokufuneka olunye unyango lwe-cone biopsy okanye olunye unyango. Ngokuxhomekeke kwiziphumo zovavanyo lwakho, ugqirha wakho uza kuxoxa ngemingcipheko kunye neenzuzo zokuba ne-cone biopsy nawe.

Umyalezo Wokugqibela Wokuya Ekhaya

I-cone biopsy yinkqubo ebalulekileyo enokunceda ekuchongeni nasekunyangeni iiseli ezingaqhelekanga ezinokukhokelela kumhlaza womlomo wesibeleko. Kuqhelekile ukuba novalo kwaye woyike ngaphambi kwale nkqubo. Fumana inkxaso kusapho lwakho, kubahlobo, nakwiqela lakho lezonyango. Ungathandabuzi ukubuza nayiphi na imibuzo onayo malunga nale nkqubo okanye iziphumo zakho.

Uninzi lwexesha, i-cone biopsy iyaphumelela, kwaye akukho miphumo emibi yexesha elide. Eyona ndlela ilungileyo yokufumanisa iiseli ezingaqhelekanga kwisibeleko sakho kwangethuba kukuqhuba ufumana i-Pap smears. Ngoko ke qiniseka ukuba uyayinyamekela loo nto.

"I-Cervix, i-cone biopsy, uvavanyo lwe-pap, impilo yabasetyhini, umhlaza wesibeleko, i-CIN, i-gynecology