Ngaba nawe uneengxaki ezifana nemijikelo yokuya exesheni engacwangciswanga kunye nokopha kakhulu kangangeentsuku ezininzi? Okanye usaphuma igazi emva kokuya exesheni? Kuqhelekile ukuba uzive usoyika kwaye uxhalabile ngenxa yezinto ezinje. Xa usiya kugqirha ngexesha elinje, aze akuxelele ukuba kufuneka wenze i-"Endometrial Biopsy", unemibuzo emininzi efika engqondweni yakho, akunjalo? "Yintoni? Ngaba iza kuba buhlungu? Ngaba lutyando olukhulu?" Izinto ezininzi ezinje ziyafika engqondweni. Ngoko ke namhlanje sithetha ngebali lokwenyani elingasemva kweli gama elikuthusayo.
Ngamafutshane, yintoni i-endometrial biopsy?
Oku akuyonto inkulu njengoko unokucinga. Ngamafutshane, kubandakanya ukuthatha iqhekeza elincinci kakhulu lesicwili kulwelo lwesibeleko sakho (esibizwa ngokuba yi-endometrium ngokwezonyango) size silihlole phantsi kwe-microscope. Njengaxa sithatha iqhekeza lempahla, ugqirha uhlola ezinye zeeseli ezingaphakathi kwesibeleko.
Olu vavanyo lunokukunceda ufumanise ukuba yintoni kanye kanye ebangela iimpawu zakho. Lunokukhangela neeseli ezingaqhelekanga, iiseli ezinokuba ngumhlaza, okanye usulelo. Eyona nto ingcono kukuba yonke le nkqubo ithatha ngaphantsi kwemizuzu eli-15 kwaye ingenziwa eofisini kagqirha (kwisibhedlele esingalaliswanga). Ewe, usenokuva intlungu encinci, njengokuya exesheni. Kodwa oko kungokwexeshana.
Ziziphi izizathu ezinokucetyiswa ngugqirha ngolu vavanyo?
Ugqirha wakho uhlala ecebisa olu vavanyo ukuze ahlolisise ngakumbi iimpawu ezithile. Lungenziwa ukuqinisekisa into oyibonileyo kwi-ultrasound scan okanye kwi-Pap smear.
Nazi iimeko apho i-biopsy ye-endometrial inokwenzeka kakhulu ukuba yenziwe:
| Uphawu okanye imeko | Ingcaciso elula |
|---|---|
| Ukuya exesheni okungaqhelekanga | Oku kuquka izinto ezifana nokopha kakhulu iintsuku ezininzi, ukungabi nenyanga kangangeenyanga, nokopha phakathi kokuya exesheni. |
| Ukopha emva kokuya exesheni | Ukuba ufumana ukopha kwakhona emva kokuba ixesha lakho liphelile ngokupheleleyo (ukuya exesheni), ngokuqinisekileyo yinto ekufuneka uyiqwalasele. |
| Ukopha ngexesha lonyango lwehomoni | Ukuba ufumana ukopha okungaqhelekanga ngelixa usela amayeza eehomoni afana neTamoxifen , unyango lomhlaza. |
| Ukuqina kodonga lwesibeleko | Ukuba iskeni ibonisa ukuba ulwelo lwangaphakathi lwesibeleko sakho (i-endometrium) lutyebile kunesiqhelo. |
| Ingxelo yovavanyo lwePap olungaqhelekanga | Ukuba uvavanyo lwakho lwePap lubonisa iiseli ezingaqhelekanga kwisibeleko sakho. |
Olu lolona vavanyo luchanekileyo nolwenziwa rhoqo lokufumanisa umhlaza we-endometrial, ingakumbi kubasetyhini abaneminyaka engaphezu kwama-35 ubudala.
Olu vavanyo ngamanye amaxesha lusetyenziselwa ukujonga iingxaki kwi-membrane yesibeleko kumntu onengxaki yokukhulelwa. Kodwa khumbula, olu vavanyo alunakwenziwa ukuba ukhulelwe.
Kulungile, ngoko ke ukwenza njani oku? Ngaba ufanele woyike?
Musa ukoyika konke konke. Masithethe ngendlela oku kwenzeka ngayo inyathelo ngenyathelo. Emva koko uya kuyiqonda ngcono le nto.
Ngaba kufuneka uzilungiselele ngaphambi kovavanyo?
Akukho nto ingako ekufuneka uyilungiselele. Kodwa qaphela ezi zinto:
- Xelela ugqirha wakho ngazo zonke iimithi ozisebenzisayo (kuquka iivithamini kunye nezongezo). Usenokucelwa ukuba uyeke ukusebenzisa ezinye iimithi (ingakumbi ezo zinciphisa igazi) kwiintsuku ezimbalwa ngaphambi kovavanyo.
- Qiniseka ukuba usazisa ngazo naziphi na izinto ezibangela ukuba ungabi namdla.
- Ukuze unciphise iintlungu, ugqirha wakho unokucebisa ukuba uthathe isithomalalisi sentlungu (NSAID) njenge- ibuprofen malunga neyure ngaphambi kovavanyo.
- Ngamanye amaxesha, unganikwa iyeza lokuthambisa umlomo wesibeleko kwiintsuku ezimbini ngaphambi kwenkqubo.
Buza ugqirha wakho nayiphi na imibuzo onayo malunga noku kwangaphambili. Kuya kukunceda kakhulu ukoyisa uloyiko lwakho.
Kwenzeka ntoni ngexesha lovavanyo?
Oku kudla ngokwenzeka eofisini kagqirha wakho, ngaphandle kokusebenzisa i-anesthesia.
1. Okokuqala, uza kucelwa ukuba ukhulule impahla yakho ukusuka esinqeni ukuya ezantsi uze uzigqume ngengubo.
2. Emva koko, njenge-Pap smear, uya kulala etafileni yovavanyo iinyawo zakho zifakwe i-stirrups ekhethekileyo.
3. Ugqirha uza kufaka isixhobo esibizwa ngokuba yi-speculum kwisini sakho aze asibambe sivuleke ukuze ukwazi ukubona umlomo wesibeleko sakho. Oku kwenziwa ngexesha le-Pap smear.
4. Emva koko, umlomo wesibeleko ucocwa ngolwelo olukhethekileyo.
5. Ngamanye amaxesha esinye isixhobo esincinci esibizwa ngokuba yi-tenaculum singasetyenziswa ukubamba umlomo wesibeleko. Abanye abantu baziva iintlungu ezininzi ngeli nyathelo.
6. Okokugqibela, ugqirha uza kufaka ityhubhu encinci kakhulu, eguquguqukayo edlula emlonyeni wesibeleko aze asebenzise indlela yokufunxa ukususa isampuli encinci yezicubu ze-endometrial. Usenokuziva utsalwa kancinci esiswini sakho ngeli xesha.
7. Isampuli yethishu ithunyelwa kwilebhu, apho ingcali yezifo iyihlola phantsi kwe-microscope ize ibhale ingxelo.
Lonke eli xesha lithatha imizuzu emi-5 ukuya kweli-15 kuphela.
Yintoni onokuyilindela emva kovavanyo?
Emva kokuba izixhobo zisusiwe, unganxiba ngendlela eqhelekileyo. Emva kokuphumla okwethutyana, ungaqhuba imoto ugoduke wedwa.
Zikhathalele ezi zinto emva kokuba ubuyele ekhaya:
Kuqhelekile ukuba nentlungu yesisu kunye nokopha igazi kwisini kangangeentsuku ezimbalwa emva kovavanyo. Musa ukukhathazeka ngayo loo nto.
| Izinto onokuzenza (Okufanele uzenze) | Musa ukwenza |
|---|---|
| Sebenzisa ii-sanitary pads xa ukhupha igazi. | Musa ukusebenzisa ii-tampons ubuncinane iveki. |
| Ukuba unesisu esibuhlungu, thatha amayeza okubulala iintlungu anjengeparacetamol okanye iibuprofen. | Musa ukulala nomntu de ugqirha wakho akuxelele ukuba wenze njalo (ngesiqhelo iintsuku ezisi-7). |
| Phumla kakuhle. | Kuphephe ukuphakamisa izinto ezinzima, ukwenza umthambo onzima, ukudada, nokuntywila kwibhafu eshushu kangangeentsuku ezimbalwa. |
| Landela imiyalelo kagqirha wakho ngokuchanekileyo. | Kuphephe ukuhlambulula isini ngokupheleleyo (le yinto ongafanele uyenze). |
Ngokwesiqhelo uza kuziva ungcono kakhulu kwiintsuku ezimbini ukuya kwezintathu.
Ngaba kukho iziphumo ebezingalindelekanga kunye neengozi?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu. Kodwa ezi azixhaphakanga kakhulu.
- Usulelo.
- Ukopha kakhulu.
- Intlungu yesisu kunye nokopha kancinci kangangeentsuku ezimbalwa.
- Ukugqobhoka okanye ukukrazuka kwesibeleko okanye umlomo wesibeleko ( oku kunqabile kakhulu ).
Ufanele ufowunele ugqirha nini ngoko nangoko
Ukuba ufumana ezi mpawu, fowunela ugqirha wakho ngokukhawuleza.
- Intlungu ebuhlungu yesisu ehlala iintsuku ezingaphezu kwembini okanye ezintathu .
- Ukuba ukopha kuqhubeka ixesha elingaphezu kweentsuku ezintathu okanye ukuba ukopha kukhulu kangangokuba kumanzisa i-sanitary pad rhoqo emva kweeyure ezimbini.
- Iimpawu ezinje ngomkhuhlane kunye nokubanda.
- Ukuphuma kolwelo olungcolileyo oluphuma kwilungu lobufazi.
Ingxelo yophando ithini?
Ngokwesiqhelo uza kufumana ingxelo kwisithuba seveki.
- Ukuba iziphumo ziqhelekile: Oku kuthetha ukuba akukho ziseli zingaqhelekanga ezifunyenweyo kwizicubu zesibeleko sakho.
- Ukuba iziphumo aziqhelekanga: Oku kuthetha ukuba kufunyenwe uhlobo oluthile lweseli olungaqhelekanga. Kunokubakho izizathu ezahlukeneyo zoku. Ukuba nje "aluqhelekanga" akuthethi ukuba ngumhlaza.
Izinto ezinokubangela isiphumo esingaqhelekanga:
- Ukukhula okuncinci kwisibeleko (iipolyps zesibeleko okanye iifibroids).
- Usulelo lodonga lwangaphakathi lwesibeleko.
- Ukungalingani kwamahomoni.
- Umhlaza we-endometrial.
Ngamanye amaxesha, ukuba isampuli yethishu ayinkulu ngokwaneleyo, isiphumo sinokuba "singenasiphelo." Kwimeko ezinjalo, ugqirha wakho unokwenza i-D&C (Dilation and Curettage), equka ukuthatha iqhekeza elikhulu lethishu aze alihlole.Kucetyiswa ukuba wenze le nkqubo ilandelayo.
Eyona nto ibalulekileyo kukuba, nokuba yintoni na isiphumo sengxelo yakho, uxoxe ngayo ngokucacileyo nogqirha wakho uze wenze isigqibo sokuba uza kwenza ntoni emva koko.
Umyalezo Wokuya Ekhaya
- I-Endometrial Biopsy luvavanyo olubaluleke kakhulu, olukhuselekileyo, nolukhawulezayo lokufumana unobangela weengxaki ezifana nokopha okungaqhelekanga kwesibeleko.
- Iintlungu ozivayo ngeli xesha zihlala zizezexeshana, njengokuqaqamba kwesisu ngexesha lokuya esikhathini. Musa ukoyika.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva kovavanyo.
- Ukuba iziphumo zovavanyo "aziqhelekanga," akuthethi ukuba unomhlaza rhoqo. Ugqirha wakho uza kukubonisa amanyathelo alandelayo omawuwathathe.
- Zive ukhululekile ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo. Lilungelo lakho.
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