Kuqhelekile ukuba uzive usoyika kwaye unexhala xa ugqirha wakho ekuxelela ukuba iziphumo zakho ze-Pap smear zahlukile kancinci. Emva koko, xa ekuxelela ukuba kufuneka wenze inkqubo ye-LEEP, olo loyiko lunokuba lukhulu ngakumbi. Kungokwemvelo ukuzibuza, "Oku kuza kwenza ntoni?" Kodwa yintoni kanye kanye i-LEEP? Ingaba iyingozi? Masithethe ngayo ngokucacileyo, ngendlela onokuyiqonda, ngokungathi uthetha nomhlobo.
Iyintoni i-LEEP ngokulula?
Ngamafutshane, i-LEEP (iLoop Electrosurgical Excision Procedure) yinkqubo engaphantsi kakhulu esusa umaleko weeseli ezingaqhelekanga kumphezulu wesibeleko sakho. Njengokususa ulusu kancinci kwimifuno, olu maleko weeseli ezingaqhelekanga lususwa ngentambo encinci esebenzisa umbane.
Ngoku usenokuba uzibuza, "Kutheni ezi seli zisuswa?" Ukuba i-Pap smear okanye i-colposcopy yakho ityhila iiseli ezingaqhelekanga kwisibeleko sakho, ugqirha wakho unokucebisa le nkqubo ye-LEEP. Le meko yeseli engaqhelekanga ibizwa ngokuba yi-cervical dysplasia .
Into ebalulekileyo kukuba le `(i-Cervical Dysplasia)` ayingomhlaza. Nangona kunjalo, ukuba ayinyangwa ixesha elide, ipesenti encinci yezi seli ingaguquka ibe ngumhlaza womlomo wesibeleko. Ngoko ke unyango lwe-LEEP luyindlela ebaluleke kakhulu nesebenzayo yokuphelisa amathuba okuba nomhlaza ngaphambi kokuba ukhule . Ikwasetyenziselwa ukususa ezinye ii-polyps zomlomo wesibeleko kunye neentsumpa zesini.
Ulungiselela njani ngaphambi konyango?
Ngaphambi kokuba wenze le nkqubo, ugqirha wakho uza kujonga ukuqinisekisa ukuba yonke into ilungile. Umzekelo, ukuba unesifo sokudumba kwesisu (PID) okanye i-cervicitis, ezi zinto kuya kufuneka zinyangwe ngaphambi kokuba wenze i-LEEP.
Ungavavanywa ukuze kubonwe ukuba ukhulelwe na. Ukuba ukhulelwe, ugqirha wakho uya kukhetha ixesha elifanelekileyo kuwe lokwenza olu nyango. Ngokwesiqhelo, oku kwenziwa ngosuku ongekho exesheni ngalo.
Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngqo ngaphambi kokuba unyango luqale.
- Kuphephe ukwabelana ngesondo nokusebenzisa naziphi na iikhrimu zesini iiyure ezingama-24 ngaphambi konyango.
- Zisa iphedi yokuhlamba ukuze uyisebenzise emva konyango.
- Ukuba usela amayeza athintela ukujiya kwegazi (njenge-aspirin), ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngaloo nto kwaye ucele icebiso lakhe.
- Ukuba ugqirha wakho uyayicebisa, thatha isithomalalisi sentlungu (njengePanadol) malunga nemizuzu engama-30 ngaphambi konyango.
- Xa unxiba, nxiba impahla ekhululekileyo nekhululekileyo enokususwa lula.
Kwenzeka ntoni ngexesha lonyango lwe-LEEP?
Oku kunokwenziwa rhoqo eofisini kagqirha okanye kwicandelo lezigulane ezingalaliswanga esibhedlele. Unyango lonke luthatha malunga nemizuzu eli-10 ukuya kwengama-20 kuphela. Uvukile ngeli xesha, kodwa awuyi kuva ntlungu ingako.
1. Ukulungiselela: Okokuqala, uza kucelwa ukuba ulale etafileni yovavanyo, njengoko ubuya kwenza xa uvavanywa rhoqo ngabasetyhini, imilenze yakho ikwii-stirrups. Emva koko, kuya kubekwa i-grounding pad emathangeni akho. Oku kuya kukukhusela kumbane osetyenziswa ngexesha lonyango. Emva koko, ugqirha uza kufaka isixhobo esibizwa ngokuba yi-speculum aze andise ubufazi bakho kancinci ukuze umlomo wakho wesibeleko ubonakale ngokucacileyo.
2. Ukuchonga iiseli ezingaqhelekanga: Okulandelayo, kufakwa ulwelo olukhethekileyo (i-acetic acid okanye isisombululo se-iodine) emlonyeni wesibeleko ukuze iiseli ezingaqhelekanga zibonakale ngakumbi. Isixhobo esifana nekhamera esikhulisiweyo esibizwa ngokuba yi-colposcope sifakwa kufutshane nelungu lobufazi size sihlolwe. Esi sisixhobo esibekwa ngaphandle komzimba.
3. Ukwanda Kwesibeleko: Le yindawo abantu abaninzi abayoyikayo. Kodwa akukho nto yokoyika. Ugqirha uza kufaka inaliti ebangela ukuba umntu angakwazi ukuzibamba (`(Lidocaine)` enenaliti encinci kakhulu kwisibeleko sakho . Iya kuvakala ngathi kukurhawuzelela kwiintsini zakho xa utsalwa izinyo, njengenaliti encinci efakwayo, uze emva koko uzive utshile kancinci imizuzwana embalwa . I-`(Epinephrine)` ekufakweni ingenza intliziyo yakho ibethe ngokukhawuleza kwaye ungaziva unesizungu . Iya kuphela ngokupheleleyo kwimizuzu embalwa, ngoko ungakhathazeki ngayo.
4. Ukususwa kwezicubu ezingaqhelekanga: Emva kokuba umlomo wesibeleko uphelelwe ngamandla, ugqirha uza kusebenzisa iluphu yocingo lombane ukusika izicubu ezingaqhelekanga. Kubalulekile ukuba uhlale ungashukumi ngeli xesha. Usenokuziva urhawuzelelwa kancinci, kodwa ungaziva iintlungu. Ngamanye amaxesha oku kungenziwa okwesibini ukususa naziphi na iiseli ezisezantsi komlomo wesibeleko. Isampuli yezicubu iya kuthunyelwa kwilabhoratri ukuze ivavanywe iiseli zomhlaza.
5. Yekisa ukopha: Okokugqibela, kufakwa intlama ekhethekileyo yonyango (intlama kaMonsel) enxebeni ukuze kumiswe ukopha nokuthintela usulelo.
Yintoni onokuyilindela emva konyango?
Emva kokuba unyango luphelile, uza kuthunyelwa ekhaya emva kokuphumla ude uphile ngokupheleleyo (malunga nemizuzu engama-30-60). Ngeli xesha, ungabuza ugqirha wakho ukuba unemibuzo. Emva kokuba ubuyele ekhaya, kukho izinto ekufuneka uzilandele, kunye notshintsho emzimbeni wakho ngelixa uphila.
| Oko uza kukubona | Oko kufuneka ukwenze noko ungafanele ukwenze |
|---|---|
| Ukuqaqamba Usenokuziva iintlungu ezincinci, njengaxa usexesheni, kangangeentsuku ezimbalwa. | Sela amayeza okudambisa iintlungu (umz. iPanadol) njengoko ugqirha wakho ekuyalele. |
| Ukukhupha ulwelo kwi-Vaginal Ukuphuma kolwelo oluluhlaza-mthubi okanye olumdaka-mnyama, ngamanye amaxesha olunevumba elibi, kunokubakho kangangeeveki ezi-1-3. Oku kungenxa yokuba intlama yonyango esetyenzisiweyo yokugqibela iyanyibilika kwaye iyaphuma. | Sebenzisa ii-sanitary pads. Musa ukusebenzisa ii-tampons okanye nantoni na efakwe kwilungu lobufazi nangasiphi na isizathu. |
| Imisebenzi kunye nokuzilolonga Udinga ukunika umzimba wakho ixesha lokuphola. | Kuphephe ukwenza umthambo onzima kwiiyure zokuqala ezingama-48. Kuphephe ukwenza umthambo ubuncinane iveki. |
| Ubudlelwane besondo Umlomo wesibeleko kufuneka uphiliswe ngokupheleleyo. | Kuphephe ukulala ngesondo ngokupheleleyo ubuncinane iiveki ezi-4 . |
| Ibhafu | Ungahlamba njengesiqhelo, kodwa kuphephe ukungena emanzini (kwisinki, ebhafini, elwandle/emlanjeni) de ugqirha wakho akuxelele ukuba wenze njalo. |
Ngaba umlomo wesibeleko uza kuphinda ukhule?
Ewe. Izicubu ezisusiweyo zithathelwa indawo ziiseli ezintsha neziphilileyo kwaye umlomo wesibeleko ubuyela esiqhelweni. Oku kuthatha malunga neeveki ezi-4-6.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, oko kungaba luphawu losulelo. Ngoko ke tsalela umnxeba ugqirha wakho okanye uye esibhedlele ngoko nangoko.
- Ukopha kakhulu okungaphaya kokuhamba kwexesha eliqhelekileyo lokuya exesheni (ukumanzisa ngaphezu kwephedi enye ngeyure)
- Ukuphuma kwamahlwili egazi amakhulu
- Ukuphuma kwamanzi kwilungu lobufazi elinuka kamnandi okuya kusiba mandundu imihla ngemihla
- Ifiva
- Intlungu yesisu enzima enganyamezelekiyo
Kwenzeka ntoni emva kokuba iziphumo zifikile?
I-LEEP yinkqubo yokuxilonga neyonyango. Kwiimeko ezininzi, xa iiseli ezingaqhelekanga zisusiwe, imeko iyaphela ngokupheleleyo.
Nangona kunjalo, ngamanye amaxesha ukuba ingxelo ibonisa ukuba kukho iiseli ezingaqhelekanga emaphethelweni ezicubu ezisusiweyo, kunokufuneka kwenziwe olunye unyango lwe-LEEP ukususa naziphi na iiseli eziseleyo.
Enye into ekufuneka uyikhumbule kukuba eyona nto ibangela ezi seli zingaqhelekanga kwisibeleko yintsholongwane ebizwa ngokuba yiHPV (Human Papillomavirus) . Unyango lwe-LEEP lususa kuphela iiseli ezingaqhelekanga ezibangelwa yintsholongwane, hayi intsholongwane ngokwayo . Ke ngoko, nokuba emva konyango, kubalulekile ukuba wenze i-Pap smears rhoqo njengoko kucetyisiwe ngugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-LEEP lunyango olukhuselekileyo, olukhawulezayo, nolusebenzayo olususa iiseli ezingaqhelekanga ezinokukhokelela kumhlaza womlomo wesibeleko ngaphambi kokuba ukhule.
- Oku kwenziwa ngokufaka isibeleko kwiintlungu, ukuze ungabi nantlungu ingako. Ungaziva ungakhululekanga xa unikwa inaliti yokufunxa iintlungu.
- Kuqhelekile ukuba nentlungu esezantsi kwesisu kunye nokukhupha ulwelo kwilungu lobufazi kangangeeveki ezimbalwa emva konyango.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo, ingakumbi leyo iphathelele ukuphepha ukulala ngesondo kunye nokuzilolonga.
- Ukuba ufumana iimpawu ezinje ngokopha kakhulu, umkhuhlane, okanye iintlungu eziqatha, bonana nogqirha ngokukhawuleza.
- Nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nolu nyango kufuneka zixoxwe nogqirha wakho. Lilungelo lakho.
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