Ingabe kufanele sithathe ingxenye encane yezicubu esibelethweni sakho? Ake sifunde nge-endometrial biopsy!

Kungenzeka ukuthi utshelwe ngalokhu kuhlolwa ngudokotela okubizwa ngokuthi i-endometrial biopsy. Noma kungenzeka ukuthi uke wezwa ngakho ndawana thize futhi unesifiso sokufunda okwengeziwe. Kunoma ikuphi, ngilapha ukuze ngikhulume ngakho kalula, ngendlela ongayiqonda. Ungakhathazeki, sizoxoxa ngakho konke ngokucacile.

Ngakho-ke iyini le biopsy ye-endometrial?

Kalula nje, i-endometrial biopsy yilapho uthatha ingxenye encane kakhulu yezicubu olwelwesini lwangaphakathi lwesibeletho sakho (esilubiza ngokuthi i-endometrium) bese uyihlola ngaphansi kwe-microscope. Cabanga ngakho njengokuthatha ingxenye encane yentambo endwangu bese ubona ukuthi yini engaphakathi kuyo.

Uma udokotela ehlola lesi sampula sezicubu ngaphansi kwe-microscope, angabona ukuthi kukhona yini amangqamuzana angajwayelekile noma ukuthi kukhona yini angaba nomdlavuza . Ukuhlolwa konke kuthatha imizuzu engaphansi kwengu-15 . Futhi kwenziwa ehhovisi likadokotela wakho. Ungase uzizwe uthukuthele kancane noma uzizwa ucindezelekile ngesikhathi senqubo. Abanye abantu bangase bazizwe nobuhlungu obuncane.

Kungani udokotela angakuncoma lokhu?

Udokotela angase akuncome lokhu kuhlolwa ukuze athole ukuthi yini ngempela ebangela ezinye zezimpawu zakho. Futhi, uma udokotela esola okuthile ngemva kokuhlolwa kwe-ultrasound noma i-Pap smear , le biopsy ingasiza ekuqinisekiseni lokho.

Nazi ezinye zezizathu zokuthi kungani ungacelwa ukuba wenze i-endometrial biopsy:

• Ukuya esikhathini okungajwayelekile: Lokhu kuhlanganisa ukopha kakhulu, ukopha okuhlala izinsuku eziningana, ukopha okungavamile, noma ukuyeka ngokuphelele ukuya esikhathini.
• Ukopha ngemva kokunqamuka kokuya esikhathini: Lokhu kusho ukopha ngemva kokuba ukuya kwakho kwanyanga zonke sekuphelile ngokuphelele.
• Ukopha okungajwayelekile lapho usebenzisa ukwelashwa ngama-hormone njenge-Tamoxifen.
• Uma udonga lwangaphakathi lwesibeletho lubonakala lujiyile.
• Uma imiphumela yokuhlolwa kwe-Pap ikhombisa ukuthi kunamaseli angajwayelekile emlonyeni wesibeletho.

Ubani ongenza (futhi ongenakukwenza) i-endometrial biopsy?

Lolu uhlobo lokuhlola olubaluleke kakhulu nolunembile lokuthola umdlavuza we-endometrial ezimweni eziningi. Uma uneminyaka engaphezu kwengu-35 ubudala, kungenzeka kakhulu ukuthi ube nalolu vivinyo.

Kodwa-ke, lokhu kuhlolwa akunakwenziwa uma ukhulelwe. Kodwa-ke, abanye abantu abanenkinga yokukhulelwa (ukungazali) bangase benze lokhu kuhlolwa ukuze bathole ukuthi kukhona yini inkinga ngolwelwesi lwesibeletho sabo ebangela ukungazali.

Kwenziwa kanjani ngempela lokhu kuhlolwa kwegazi?

Kulokhu, udokotela ufaka ithubhu elincane kakhulu ngesibeletho sakho bese efaka esibelethweni sakho. Bese kuthi, kusetshenziswa ithubhu, kuthathwe isampula encane yezicubu ezivela ku-endometrium yakho kusetshenziswa ukumunca. Lokhu kuthatha imizuzu engaphansi kwengu-15.

Kufanele uzilungiselele kanjani lokhu?

Asikho ngempela isidingo sokulungiselela lokhu. Kodwa-ke, kufanele utshele udokotela wakho kusenesikhathi nganoma yimiphi imithi oyithathayo, izithasiselo ozithathayo, kanye nanoma yikuphi ukungezwani komzimba onakho. Udokotela wakho uzobe esekutshela uma udinga ukuyeka ukuthatha noma yimiphi imithi ngaphambi kokuhlolwa kwe-biopsy.

Abanye odokotela bazokutshela ukuthi uthathe i-NSAID (umuthi ongewona owe-steroidal wokulwa nokuvuvukala ) ngaphambi kokuhlolwa ukuze unciphise ubuhlungu. Udokotela wakho angase futhi ancome ukuthi uthathe umuthi ozosiza ekulungiseleleni umlomo wesibeletho sakho ukuze kwenziwe ukuhlolwa ngosuku noma ezimbili ngaphambi kokuhlolwa.

Into ebaluleke kakhulu ukubuza udokotela wakho noma yimiphi imibuzo onayo ngaphambi kokuhlolwa futhi uqiniseke ukuthi uyazi kahle ukuthi kuzokwenzekani. I-endometrial biopsy ngokuvamile iyisivivinyo esinobungozi obuphansi kakhulu nesiphephile.

Yini ongayilindela ngesikhathi se-biopsy?

I-biopsy ye-endometrial ivame ukwenziwa ehhovisi likadokotela noma kwenye ikliniki yeziguli ezingalaliswa esibhedlela. Ayenziwa ngaphansi kwe-anesthesia.

Ukuhlolwa kwenziwa kanje:

• Udinga ukukhumula kusukela okhalweni kuya phansi bese uzimboza ngeshidi.
• Udinga ukubeka imilenze yakho ezisekelweni ezimbili ezibizwa ngokuthi ama-stirrups bese ugoba phambili njengokungathi uhlolwa i-pelvic noma i-Pap smear.
• Udokotela uzofaka idivayisi ebizwa ngokuthi i-speculum esithweni sakho sangasese sowesifazane ukuze ayibambe ivulekile. Yilapho ekwazi ukubona khona umlomo wesibeletho sakho (lokhu kufana nalokho okwenziwa ngesikhathi sokuhlolwa kwe-Pap smear).
• Okulandelayo, udokotela uzohlanza umlomo wesibeletho sakho ngesisombululo esikhethekile.
• Ngezinye izikhathi, ithuluzi elikhethekile elibizwa ngokuthi i-tenaculum lingasetshenziswa ukubamba umlomo wesibeletho futhi lenze kube lula ukufaka ipayipi lokumunca esibelethweni. Kwabanye abantu, lesi sinyathelo sibuhlungu kakhulu .
• Ekugcineni, udokotela ufaka i-catheter encane kakhulu ngesibeletho sakho esibelethweni sakho ukuze aqoqe isampula yezicubu. Ungase uzizwe udokotela ehambisa ithuluzi njengoba kuthathwa isampula yezicubu.
• Udokotela ube esethumela lesi sampula sezicubu kudokotela wezifo , udokotela ogxile emaseli, ukuze ayohlolwa.

Le nqubo yonke ivame ukuthatha imizuzu emihlanu kuya kweyishumi, umkhawulo wemizuzu eyishumi nanhlanu .

Kwenzekani ngemva kokuhlolwa kwegazi?

Ngemva kokuba udokotela esekhiphe izinto zokusebenza esithweni sakho sangasese sowesifazane, ungagqoka. Kungumqondo omuhle ukuphumula isikhashana ngaphambi kokuphuma ekamelweni. Kufanele ukwazi ukushayela wedwa uye ekhaya ngokushesha ngemva kokuhlolwa.

Kuzodingeka usebenzise i-sanitary pad ngokushesha ngemva kokuhlolwa. Ukopha okuthile kwesitho sangasese sowesifazane kanye nokuqaqamba kwamalunga kuyinto evamile futhi kulindelekile. Kodwa-ke, akufanele kuhlale izinsuku ezingaphezu kwezimbalwa. Ungathatha umuthi wokunciphisa izinhlungu otholakala ngaphandle kwemithi kadokotela (isib. i-ibuprofen, i-paracetamol) nganoma yikuphi ukuqaqamba kwamalunga.

Udokotela wakho uzokutshela ngqo ukuthi yini okufanele uyenze nokuthi yini okungafanele uyenze uze ululame. Nazi ezinye zezinto ongase utshelwe ukuthi ungazenzi:

• Ungasebenzisi ama-tampon cishe izinsuku eziyisikhombisa. Futhi, ungafaki lutho ngaphakathi kwesitho sangasese sowesifazane. Ukuhlanza i-douching akuyona neze into enhle.
• Ungayi ocansini okungenani izinsuku eziyisikhombisa, noma kuze kube yilapho udokotela wakho ekutshela ukuthi ungayi.
• Gwema imisebenzi enzima, ukuphakamisa izinto ezisindayo, ukubhukuda, ukusebenzisa i-hot tub, noma ukugeza izinsuku ezimbalwa.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Kuvamile ukuzizwa ungakhululekile futhi uzizwa ucindezelekile cishe amahora angu-48. Kungcono ukungathathi izinsuku ezingaphezu kwezimbalwa ukuze ululame ngokugcwele ngemva kokuhlolwa kwe-endometrial biopsy.

Kodwa-ke, kufanele ukhulume nodokotela wakho uma unezinye zalezi zimpawu:

• Uma ukuphuma kwegazi kuthatha izinsuku ezingaphezu kwezimbili noma ezintathu.
• Uma kukhona uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi.
• Uma unezimpawu ezifana nomkhuhlane njengomkhuhlane kanye nokubanda.
• Uma, ngemva kwezinsuku ezimbili noma ezintathu, ubuhlungu busebubi kakhulu kunangesikhathi sokuya esikhathini.

Ziyini izingozi zalokhu?

Izingozi ezingaba khona ze-endometrial biopsy yilezi:

• Ukutheleleka.
• Ukopha.
• Ukubonakala okuncane kanye nokuqaqamba kwemisipha izinsuku ezimbalwa.
• Ukubhoboka noma ukudabuka kwesibeletho noma umlomo wesibeletho (lokhu kwenzeka kaningi kakhulu).

Ingabe ukuhlolwa kwe-endometrial biopsy kubuhlungu?

Kujwayelekile ukuzwa ubuhlungu obuncane, obufana nokuya esikhathini, ngesikhathi nangemva kokuhlolwa. Ukubekezelela ubuhlungu kwawo wonke umuntu kuhlukile, ngakho-ke ungase uzizwe ubuhlungu obukhulu noma obuncane kunabanye. Odokotela ngokuvamile ababheki i-endometrial biopsy njengenqubo ebuhlungu kakhulu.

Kodwa uma usenobuhlungu besisu esingezansi izinsuku ezimbalwa ngemva kokuhlolwa kwe-biopsy, khuluma nodokotela wakho.

Ithini imiphumela ye-biopsy?

Uma imiphumela yakho ibuya isijwayelekile , kusho ukuthi udokotela akatholanga maseli angajwayelekile.

Uma imiphumela yakho ingajwayelekile , kusho ukuthi udokotela uthole amaseli angajwayelekile. Imiphumela engajwayelekile ingabangelwa yi:

• Umdlavuza we-endometrial.
• Ukuba nama-polyps esibeletho noma ama-fibroids.
• Ukutheleleka kodonga lwangaphakathi lwesibeletho.
• Ukungalingani kwama-hormone.

Ngezinye izikhathi imiphumela ingaba yinto engaphelele . Uma kunjalo, udokotela wakho angase ancome i-D&C (Dilation and Curettage) ukuze asuse ingxenye enkulu yezicubu ukuze abone ukuthi kukhona yini amaseli angajwayelekile.

Yini okufanele uyenze uma imiphumela ingavamile?

Udokotela wakho uzoxoxa nawe ngemiphumela bese enquma ukuthi yini okufanele uyenze ngokulandelayo. Ukwelashwa akudingeki ngaso sonke isikhathi. Akuwona wonke umphumela ongavamile osho ukuthi unomdlavuza. Ngakho-ke, khuluma nodokotela wakho ngokucophelela ukuze uqiniseke ukuthi uyayiqonda imiphumela yakho yokuhlolwa nokuthi isho ukuthini.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Kungathatha cishe isonto ukuzwa imiphumela yokuhlolwa kwegazi kudokotela wakho.

Kufanele ngishayele nini udokotela wami ucingo?

Khuluma nodokotela wakho kulesi simo:

• Uma unezinhlungu esiswini noma ubuhlungu izinsuku ezimbalwa ngemva kokuhlolwa.
• Uma ukopha kuqhubeka isikhathi esingaphezu kwamahora angu-72 ngemva kokuhlolwa, noma uma ukopha kukhulu (okusho ukuthi iphedi limanziswa ngokuphelele njalo emahoreni amabili).
• Ngisho noma imiphumela yakho ye-biopsy ijwayelekile, usenezimpawu ezifana nokopha okungajwayelekile.

Ngakho-ke, nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho:

I-endometrial biopsy ukuhlolwa udokotela wakho angakusebenzisa ukuhlola umdlavuza wesibeletho (ikakhulukazi umdlavuza we-endometrial) noma ukuthola imbangela yokopha okungajwayelekile. Kuthatha cishe imizuzu eyi-15 futhi kuwukuhlolwa okunengozi encane. Kuhilela udokotela wakho ukuthatha isampula yezicubu ze-endometrial esibelethweni sakho bese ezithumela elabhorethri ukuze zihlolwe kabanzi. Ungalindela ukuqaqamba nokuphuma kwegazi okuncane, okufana nokuya esikhathini kwakho, izinsuku ezimbalwa ngemva kokuhlolwa.

Ungesabi ukukhuluma nodokotela wakho ngalolu vivinyo nganoma yisiphi isikhathi. Ngaleyo ndlela, uzokwazi kahle ukuthi yini ongayilindela ngesikhathi sokuhlolwa nangemva kwalokho. Udokotela wakho uzoxoxa nawe ngemiphumela bese enquma ukuthi udinga ukuhlolwa okwengeziwe noma ukwelashwa.

` I-biopsy ye-endometrial, i-biopsy yesibeletho, impilo yabesifazane, ukopha okungajwayelekile, umdlavuza wesibeletho, i-gynecology, i-pap smear