Ngaba nawe uyafuna ukwazi ngovavanyo lweColposcopy? Masithethe!

Xa ugqirha wakho okanye ugqirha wezifo zabesifazane ekuxelela ukuba wenze i-colposcopy, usenokuziva usoyika kancinci kwaye unomdla, akunjalo? "Luthini olu vavanyo? Kutheni ndicelwa ukuba ndenze oku? Kuza kwenzeka ntoni?" Usenokuba nemibuzo emininzi edlula entlokweni yakho. Ngoko ke namhlanje, siza kuthetha ngako konke oku ngesiSinhala, ngendlela elula kakhulu onokuyiqonda. Akukho nto yokoyika, oku kudla ngokuba lula kunokuba ucinga.

Yintoni iColposcopy?

Ngamafutshane, i-colposcopy luvavanyo olukhethekileyo lokujonga umlomo wesibeleko sakho (inxalenye esezantsi yesibeleko) kunye nodonga lwesibeleko sakho ukuze kujongwe naziphi na izicwili ezingaqhelekanga. Ugqirha wakho uza kusebenzisa ilensi ekhethekileyo yokukhanya nokukhulisa ebizwa ngokuba yi-colposcope. Ifana ne-microscope encinci. Ingakhulisa izicwili kwisibeleko sakho nakwisibeleko.

Khawucinge nje, ukuba ujonga into engaqhelekanga, ukuba ubona izicubu ezibonakala zahlukile , ugqirha angathatha iqhekeza elincinci lezicubu apho alithumele kwilebhu. Oku kubizwa ngokuba yi-biopsy . Elo qhekeza lezicubu liyahlolwa ukuze kubonwe ukuba kukho iiseli zomhlaza okanye iiseli ezingaphambi komhlaza ezinokuba ngumhlaza.

Yintoni enye eza kufunyanwa lolu vavanyo?

I-Colposcopy luvavanyo olwenziwa ikakhulu ukujonga umlomo wesibeleko, ibhinqa, kunye ne-vulva ukuze kujongwe iiseli okanye iiseli ezinomhlaza ukuba azinyangwa, ezifana ne -cervical dysplasia .

Ukwengeza,

• Jonga ukuba azikho iintsumpa zesini.
• Olu vavanyo lukwanceda ekujongeni ukukhula okungenamhlaza okufana neepolyps.

Ngamanye amaxesha, ukuba unesifo sokuphuma kwegazi esingaqhelekanga okanye iimpawu ezifana nokurhawuzelelwa kwindawo yesini yangaphandle, ugqirha wakho unokucebisa olu vavanyo ukuze afumane unobangela.

Kutheni ufuna i-colposcopy?

Ibhinqa lidla ngokuthunyelwa kwi-colposcopy ukuba iziphumo zovavanyo olunye zibonisa ukuba linengxaki ethile. Umzekelo:

• Ukuba iziphumo zovavanyo lwakho lwePap (iPap smear) aziqhelekanga.
• Ukuba ugqirha ubona into engaqhelekanga ngexesha lovavanyo lwakho lwe-pelvic.
• Ukuba kuqinisekisiwe ukuba wosulelwe yintsholongwane yeHPV `(Human Papillomavirus)` .

Kukwiimeko ezinje apho ugqirha athi, "Ngaba kufuneka senze i-colposcopy size sijonge ngokusondeleyo?"

Ngaba kufuneka ndiyoyike le vavanyo?

Hayi suka! Ukuba nje ucelwe ukuba wenze i-colposcopy akuthethi ukuba unomhlaza. Enyanisweni,Kwiimeko ezininzi, amathuba okuba umhlaza uphele ayanda.

Khawucinge nje, nokuba uneeseli ezingaphambi kokuba nomhlaza, ithuba lokuba zijike zibe ngumhlaza ngexesha elifutshane elithathayo ukuze uvavanywe lincinci kakhulu.

Olu vavanyo lukuvumela ukuba ubone kwaye unyange naziphi na iiseli zomhlaza kwangethuba . Emva koko akuyi kufuneka ukhathazeke ngokungeyomfuneko ngomhlaza. Yiyo loo nto olu vavanyo lubaluleke kakhulu.

Ngubani owenza olu vavanyo lwe-colposcopy?

Ugqirha wakho oyintloko okanye ugqirha wezifo zabesifazane angenza olu vavanyo. Ngamanye amaxesha kukho oogqirha abaqeqeshwe ngokukodwa ngale njongo (iingcali ze-colposcopists). Uphando lubonise ukuba xa ingcali enamava isenza olu vavanyo, amathuba okufumana iiseli ezingaphambi komhlaza aphezulu .

Ngaba i-colposcopy lutyando?

I-Colposcopy ayilonkqubo yotyando. Nangona kunjalo, ukuba kuthathwa i-biopsy, oko kukuthi, isampuli yethishu, ngexesha lenkqubo, ithathwa njengenkqubo yotyando oluncinci .

Khawucinge nje, ukuba ugqirha ubona into ekrokrisayo ngexesha lovavanyo, uza kuthatha iqhekeza elincinci lethishu apho. Oku kudla ngokungabi buhlungu kwaye kuthatha ngaphantsi kwemizuzu engama-30 . Akukho mfuneko yokuhlala esibhedlele.

Ulungiselela njani ngaphambi kovavanyo?

Kukho iindlela ezahlukeneyo onokuzilungiselela ngazo i-colposcopy. Ukuba ulandela la manyathelo ngononophelo, kuya kuba lula ukufumana iziphumo ezichanekileyo.

• Ukuba ukhulelwe, ngokuqinisekileyo kufuneka uxelele ugqirha wakho. I-Colposcopy ingenziwa ngexesha lokukhulelwa. Nangona kunjalo, ukuba kuthathwa i-biopsy, kunokwenzeka ukuba igazi liphume kancinci kunesiqhelo. Ngoko ke thetha nogqirha wakho ngale nto uze ufumane ingcebiso.
• Zama ukwenza uvavanyo ngosuku ongekho exesheni ngalo. Awunakwenza uvavanyo ngexesha lokuya exesheni, kodwa kuya kuba lula kugqirha ukubona umlomo wesibeleko sakho ngokucacileyo ukuba awuphumi igazi.
• Musa ukufaka nantoni na kwisini kangangeeyure ezingama-48 ngaphambi kovavanyo. Oku kuthetha ukuphepha ukulala ngesondo, ukufaka iminwe okanye izinto zokudlala zesondo kwisini.
• Kwakhona , musa ukusebenzisa ii-tampons okanye amayeza esitho sangasese sowesifazane (njengeekhrimu okanye iipilisi). Zonke ezi zinto zinokuchaphazela iziphumo zovavanyo.
• Ukuba uziva ungakhululekanga ngemini yovavanyo, thatha isithomalalisi sentlungu esifana neparacetamol (umz. iTylenol©) okanye iibuprofen (umz. iAdvil©, iMotrin©) kwangaphambili. Oku kuya kukunceda uhlale ukhululekile ngexesha lovavanyo.

Kwenzeka ntoni ngexesha lovavanyo? Luhlobo luni lwamava?

I-Colposcopy idla ngokwenziwa eofisini kagqirha okanye ekliniki. Ithatha malunga nemizuzu eli-10 ukuya kwengama-20 . Ungagoduka ngoko nangoko emva kovavanyo.

Indlela yokwenza uvavanyo

I-colposcopy ayisoloko ibuhlungu njenge-Pap smear. Awuyi kufuna i-anesthesia okanye amayeza amaninzi eentlungu. Nantsi into eyenzekayo:

• Uza kucelwa ukuba ulale etafileni yovavanyo uze ubeke imilenze yakho kwiinkxaso ezimbini ezikulungeleyo ukuba uzibambe.
• Ugqirha uza kungenisa kancinci i-speculum (mhlawumbi ukubonile oku ngexesha le-Pap smear, esetyenziselwa ukwandisa kancinci i-vagina kunye nokujonga i-cervix) kwi-vagina aze ayilungise ukuze i-cervix ibonakale.
• Ngoku, kusetyenziswa i-colposcope. Esi sisixhobo esifana neteleskopu esineelensi ezikhanyayo nezikhulisayo. Ugqirha usibamba ngaphandle kwelungu lobufazi aze ajonge umlomo wesibeleko sakho kunye nelungu lobufazi.
• Okulandelayo, ugqirha uza kusebenzisa isisombululo se-acetic acid (esifana neviniga) kwisibeleko sakho nge-cotton swab. Usenokuziva utshile kancinci ngeli xesha. Esi sisombululo siza kunceda ekuboniseni naziphi na iiseli ezingaqhelekanga ezikrokrisayo.

Ukuba, xa kuhlolwa, kubonakala ngathi kukho izicubu ezingaqhelekanga kwindawo enye okanye ezingaphezulu, ugqirha angenza i-biopsy aze athumele ezo zicubu ukuba zivavanywe.

Kuvakala njani ukuba ne-biopsy?

Endaweni yokukrwela umlomo wesibeleko wonke uze uthathe iiseli ezifana novavanyo lwePap, i-colposcopy ivumela ugqirha ukuba athathe iziqwenga ezincinci zezicubu kwiindawo ezibonakala zingaqhelekanga . Ezi ziqwenga zincinci zezicubu zithunyelwa kwilabhoratri ukuze zivavanyelwe umhlaza okanye iiseli ezingaphambi komhlaza.

Xa kuthathwa i-biopsy, usenokuziva uqina kancinci okanye uzive ngathi uyarhawuzelelwa . Kwabanye, oku kusenokuvakala ngathi kukuqaqamba kwexesha lokuya exesheni.

Kubuhlungu kangakanani oku?

I-Colposcopy ayinazintlungu kangako . Usenokuziva ukrakra kancinci xa i-speculum ifakwa kwilungu lobufazi. Usenokuziva ukutshisa okanye ukurhawuzelela kancinci xa kusetyenziswa isisombululo se-acetic acid. Ukuba kuthathwa i-biopsy, unokuziva ukrakra kancinci okanye intlungu efana neyexesha lokuya exesheni. Ukuthatha i-painkiller ngaphambi kovavanyo kunokunciphisa kakhulu oku kukhathazeka.

Kwenzeka ntoni emva kovavanyo?

Nje ukuba uvavanyo luphelile, ungaqhubeka nomsebenzi wakho njengesiqhelo.

• Ukuba awunayo i-biopsy , usenokuba ne-spotting ethile ngosuku olulandelayo okanye ezimbini.
• Ukuba une-biopsy, nazi ezinye izinto onokuzilindela:
• Kusenokubakho ukopha okuthile kwilungu lobufazi kangangeentsuku ezimbalwa.
• Kusenokuba kukho iintlungu ezithile kwisini kangangeentsuku ezimbalwa.
• Ukuphuma kwamanzi kwi-vaginal kungaba mnyama okanye kube mdaka (oku kungenxa yesisombululo se-acetic acid).

Ungasebenzisa ii-pads ngeli xesha. Kwakhona, kuphephe ukufaka nantoni na kwisini sakho . Kuphephe ukulala nomntu, ukusebenzisa ii-tampons, okanye ukuhlamba umlomo wakho iintsuku ezimbalwa. Nika umlomo wakho wesibeleko ixesha lokuba uphole. Buza ugqirha wakho ukuba kufuneka uziphephe ixesha elingakanani ezi zinto.

Zithetha ukuthini iziphumo ze-colposcopy yam?

Iziphumo ze-colposcopy yakho kunye (ukuba zenziwe) i-biopsy ziya kugqiba ukuba ufuna unyango olongezelelweyo na.

• Malunga nama-40% abantu baxela ukuba akukho ziseli zingaqhelekanga kwiziphumo zabo. Oko kuthetha ukuba yonke into ilungile!
• Kwakhona, malunga nama-60% abantu bafuna uhlobo oluthile lonyango ngenxa yento engaqhelekanga. Ezi zinto zingaqhelekanga zinokuba zizinto ezifana namaqhuma esibelekweni, kwisini, okanye kwisini sangaphandle.

Yintoni omawuyenze ukuba iziphumo aziqhelekanga?

Ngoku usenokuba ucinga, "Owu, kuthekani ukuba iziphumo zam aziqhelekanga?" Ungakhathazeki, zikho nezisombululo zaloo nto.

Ukuba iziphumo ze-colposcopy okanye i-biopsy zibonisa ukungaqheleki okuncinci, okufana ne-cervical dysplasia encinci , ugqirha wakho uya kukuxelela ukuba uphinde wenze uvavanyo lwe-Pap rhoqo . Oku kungenxa yokuba ngamanye amaxesha ezi dysplasia zincinci ziyaphela ngokwazo (oko kuthetha ukuba izicubu zibuyela kwisimo sazo) ngaphandle konyango .

Nangona kunjalo, ukuba kukho iiseli eziphucukileyo ngaphambi kokuba nomhlaza , kufuneka zinyangwe. Nazi ezinye zeendlela zonyango ezikhoyo:

• Inkqubo yokususa iiseli ezingasebenzi kakuhle nge-Loop Electrosurgical Excision (LEEP): Le nkqubo isebenzisa iluphu yentambo esebenza ngombane ukususa indawo yeeseli ezingaqhelekanga.
• I-Cone Biopsy: Kule nto, isiqwenga sesicwili esimile okwekhowuni esiqulethe iiseli ezingaqhelekanga siyanqunyulwa size sisuswe emlonyeni wesibeleko.
• I-Cryotherapy: Isebenzisa iikhemikhali ezibandayo kakhulu (ezifana ne-nitrogen engamanzi) ukutshabalalisa iiseli ezingaqhelekanga.
• Utyando lweLaser: Umqadi welaser oshushu usetyenziselwa ukutshabalalisa iiseli ezingaqhelekanga.

Kwiimeko ezinzima kakhulu (ezingaqhelekanga), utyando lokususa isibeleko sonke lunokufuneka. Thetha nogqirha wakho malunga nolunye uvavanyo olunokufuneka emva kotyando.

Kuthatha ixesha elingakanani ukwazi iziphumo zovavanyo?

Iziphumo ze-biopsy zihlala zithatha iintsuku ezimbini ukuya kwezilishumi ukubuya. Buza ugqirha wakho ukuba ungalindela nini iziphumo zakho kunye nendlela oza kwaziswa ngayo ngolwazi olubalulekileyo.

Ngawaphi amaxesha akhethekileyo ekufuneka uye kugqirha ngawo? (Emva kovavanyo)

I-Colposcopy yinkqubo ekhuselekileyo kakhulu eneziphumo ebezingalindelekanga ezimbalwa. Nangona kunjalo, ukuba ufumana naziphi na ezi mpawu zilandelayo emva kwenkqubo, kufuneka ubone ugqirha wakho ngoko nangoko :

• Ukuba ufumana iintlungu eziqatha kwisisu sakho esisezantsi okanye kwindawo ye-pelvic .
• Ukuba wopha kakhulu kunesiqhelo ngexesha lokuya exesheni.
• Ukuba ubonisa iimpawu zosulelo : Oko kukuthi, ukuba ukhupha ulwelo olujiyileyo nolunuka kakubi kunesiqhelo, ukuba unomkhuhlane kwaye uzive ngathi ubanda.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba noloyiko xa ufumanisa ukuba esinye seziphumo zovavanyo lwakho asiqhelekanga kwaye uxelelwa ukuba kufuneka wenze uvavanyo olongezelelekileyo. Kodwa khumbula, i-colposcopy luvavanyo olulula nolungenabuhlungu . Oku kunokukunceda unciphise uloyiko lwakho kwaye kukunike uxolo lwengqondo.

I-Colposcopy ivumela ugqirha wakho ukuba abone iiseli ezinomhlaza okanye ezingaphambi komhlaza kwangethuba aze akunike unyango olufunekayo . Nokuba umhlaza womlomo wesibeleko unokunyangeka ngokupheleleyo ukuba ufunyenwe kwaye unyangwa kwangethuba.

Kwakhona, olu vavanyo lunokuqinisekisa ukuba awunayo umhlaza. Ngoko ke, njengoko ulungiselela uvavanyo, thetha ngokukhululekileyo nogqirha wakho malunga naluphi na uloyiko, amathandabuzo, iingozi zomhlaza, kunye neziphumo onazo. Kuya kukunika isiqabu esikhulu.

I- Colposcopy, Uvavanyo lweSibeleko, Uvavanyo lwePap, i-HPV, iBiopsy, Impilo yabasetyhini, umhlaza weSibeleko