Ingabe nawe uhlangabezana nezinkinga ezithile ku-smear yakho yomlomo wesibeletho? Ake sifunde kabanzi nge-Cone Biopsy?

Ungase ukhathazeke kancane uma uzwa kudokotela ukuthi uzoba ne-"Cone Biopsy." Uma sizwa igama elithi "biopsy," sicabanga ngokushesha ngento engathi sína. Kodwa, empeleni, lokhu ukuhlolwa okubaluleke kakhulu kanye nokwelashwa okuvame ukwenziwa ukuze kuzuze wena. Ngakho-ke, ake sixoxe ngakho ngemininingwane embalwa. Ngendlela ongayiqonda kalula.

Kuyini i-Cone Biopsy?

Kalula nje, i-cone biopsy inqubo encane lapho kususwa khona ingxenye encane yezicubu emlonyeni wakho wesibeletho ngendlela efana ne-cone. Lokhu ngezinye izikhathi kubizwa ngokuthi i-conization. Cabanga ngakho njengokubhaka ikhekhe bese usika ingxenye encane ngaphakathi ukuze ubone ukuthi ibukeka kanjani. Yileyo ndlela esebenza ngayo.

Umlomo wesibeletho sakho yingxenye yomzimba wakho lapho ingxenye engenhla yesitho sakho sangasese sowesifazane ihlangana khona nengxenye engezansi yesibeletho sakho. Lokhu kuhlolwa kwe-cone biopsy kungahloli nje kuphela ubuso bomlomo wesibeletho sakho, kodwa namaseli ajule kancane phansi. Izicubu ezisusiwe ngale ndlela zithunyelwa elabhorethri ukuze zihlolwe ukuze kubonakale ukuthi kukhona yini amaseli angajwayelekile, amaseli omdlavuza, noma izinguquko kumaseli ezingaholela kumdlavuza (cervical dysplasia).

Lena inqubo yokulaliswa esibhedlela, evame ukwenziwa esibhedlela noma egumbini lokuhlinza.

Kungani kwenziwa i-cone biopsy?

Ngokuvamile, udokotela uzosikisela ukwenza i-cone biopsy ngezizathu ezilandelayo:

• Uma imiphumela ye-Pap smear yakho ikhombisa ukuthi kukhona izinguquko ezingavamile emaseli esibelethweni sakho , lezi zinguquko zingase zibe yimbangela yomdlavuza.
• Uma udinga ukususa amangqamuzana angajwayelekile, anomdlavuza, noma angaphambi komdlavuza emlonyeni wesibeletho.
• Uma unomdlavuza wesibeletho kusenesikhathi (isigaba 0 noma i-IA1), ukususa le ndawo yamaseli kuyindlela yokwelapha .

Ngezinye izikhathi, uma i-"(Colposcopy)" yangaphambilini (ukuhlolwa komlomo wesibeletho ngekhamera) noma i-"(Punch Biopsy)" (ukuthatha ingxenye encane yezicubu) ingakwazi ukukhomba imbangela yalezi zinguquko zamaseli, i-cone biopsy ingenziwa njengesinyathelo esilandelayo.

Okubalulekile: Lokhu akususi nje kuphela amangqamuzana angajwayelekile, kodwa futhi kukhomba ngqo ukuthi ayini lawo maseli nokuthi ayini. Lokhu kusho ukuthi kubalulekile kokubili njengokuxilongwa kanye nokwelashwa .

Ubani owenza le biopsy yekhoni?

Lokhu kuhlinzwa kwenziwa yi-Obstetrician-Gynecologist (Ob/Gyn) onolwazi oluningi kule ndawo.

Sikulungiselela kanjani lokhu?

Udokotela wakho uzokweluleka ukuthi ungakulungiselela kanjani lokhu. Lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile.(Lokhu kusho ukuthi uzolaliswa ngokuphelele) futhi uzocelwa ukuthi uyeke ukudla noma ukuphuza amahora ambalwa ngaphambi kokuhlinzwa. Ungase futhi welulekwe ukuthi ugweme ukuya ocansini futhi ungafaki lutho esithweni sakho sangasese ezinsukwini eziholela ekuhlinzweni.

Ingabe sivukile ngesikhathi sokuhlolwa kwe-cone biopsy?

Ngokuvamile akunjalo. Esikhathini esiningi, uzonikezwa i-anesthesia ejwayelekile kule nqubo. Kodwa-ke, akuvamile kakhulu, udokotela wakho angase asikisele i-anesthesia yendawo ( njengokuvimba kwemizwa) eqeda kuphela indawo engaphansi kwesinqe. Kodwa-ke, ngeke uzwe ubuhlungu phakathi nale nqubo.

Kwenzekani ngesikhathi sokuhlinzwa? Ungakhathazeki, yilokhu okwenzekayo!

I-cone biopsy ihilela ukusebenzisa i-scalpel ukusika ucezu lwezicubu ezingavamile oluyi-cone oluvela emlonyeni wesibeletho. Izicubu zibe sezithunyelwa elabhorethri, lapho isazi sezifo (udokotela ochwepheshe ekuhloleni izicubu) sizibheka ngaphansi kwe-microscope ukuze sibone ukuthi zinawo yini umdlavuza noma amaseli angaphambi komdlavuza.

Ukuhlinzwa ngokwako kuthatha cishe imizuzu eyi-15, kodwa ukulungiselela ngaphambi kanye nokululama ngemva kokuhlinzwa kungathatha amahora amaningana.

Nakhu okwenzeka ngokulandelana:

1. I-Anesthesia: Okokuqala, uzonikezwa i-anesthesia.

2. Indawo: Ngemuva kwalokho, uzobekwa endaweni obuzoba kuyo ukuze uhlolwe i-Pap smear, imilenze yakho ibekwe ezisekelweni ezifanele.

3. Ukufaka i-Speculum: Okulandelayo, udokotela uzofaka idivayisi ebizwa ngokuthi i-speculum esithweni sakho sangasese. Lokhu kuzohlukanisa izindonga zesitho sakho sangasese futhi kukuvumele ukuthi ubone umlomo wesibeletho sakho ngokucacile.

4. I-Colposcope: Okulandelayo, kufakwa idivayisi ebizwa ngokuthi i-colposcope, enelensi yokukhanya nekhulisayo, esithweni sangasese sowesifazane ukuze kuhlolwe umlomo wesibeletho. Lokhu kusetshenziselwa ukuhlola indawo eqondile okufanele isuswe.

5. Ukususa ingxenye yezicubu: Okulandelayo, udokotela ohlinzayo ususa ingxenye yezicubu ezingavamile, kanye nezinye zezicubu ezivamile ezizungezile, ngesimo sekhoni.

6. Ukuvimba ukopha: Bese kusetshenziswa izindlela ezahlukene ukuvimba ukopha. Ngezinye izikhathi kungafakwa izitishi, noma "ukufaka i-cauterization" (ukufaka i-cauterization emthanjeni wegazi ngogesi noma ngokushisa) . Ngezinye izikhathi ungabeka into efana ne-gauze ngaphakathi kwesitho sangasese sowesifazane ukuze uvimbele ukopha.

Udokotela wezifo uhlola izicubu ezisusiwe ukuze abone ukuthi udokotela ohlinzayo uzisusile zonke izicubu ezingavamile noma ukuthi kusele izicubu ezivamile kuphela.

Njengoba kushiwo ngaphambili, lokhu ukuhlinzwa kwangosuku olufanayo. Uma usuphilile ngokwanele ukuba ululame, uzothunyelwa ekhaya usuka esibhedlela noma esikhungweni sokuhlinzwa.

Yini ongayilindela ngemva kokuhlolwa kwe-cone biopsy?

Uzoqashwa esibhedlela noma egumbini lokuhlinza amahora ambalwa ngemva kokuhlinzwa. Umfutho wegazi lakho, ukushaya kwenhliziyo, ukopha kwegazi, kanye nobuhlungu kuzohlolwa, futhi uzokhishwa ekhaya uma usuphilile ngokwanele ukuya ekhaya. Uma une-gauze esithweni sakho sangasese sowesifazane, izosuswa ngaphambi kokuba uye ekhaya.

• Ubuhlungu: Ungase uzwe ukuqaqamba esiswini sakho esingezansi izinsuku ezimbalwa, okufana nokuqaqamba kokuya esikhathini. Ungathatha amaphilisi obuhlungu ngalokhu. Udokotela wakho angase akunike amaphilisi obuhlungu, noma uvame ukulawula lobu buhlungu ngemithi yokunciphisa ubuhlungu etholakala ekhemisi.
• Imisebenzi yansuku zonke: Kufanele ukwazi ukuqhubeka nemisebenzi evamile cishe ngesonto. Kodwa-ke, kuwumqondo omuhle ukucela usizo kubangani nomndeni ngemisebenzi yasekhaya enzima (njengokuhlanza nge-vacuum kanye nokuwasha izingubo) phakathi nesonto lokuqala.
• Igazi nokuphuma kwegazi: Phakathi nalesi sikhathi, kuyinto evamile ukuzwa ukopha okuthile kwesitho sangasese sowesifazane kanye nokuphuma kwegazi kanye nobuhlungu besisu esingezansi. Sebenzisa ama-sanitary pad kulokhu. Kuvamile futhi ukuthi lokhu kuphuma kwegazi kube bomvu noma kube pinki ekuqaleni, bese kuba nsundu kancane.

Udokotela wakho uzokunikeza uhlu lwezinto okungafanele uzenze kuze kube yilapho uhlangana nodokotela wakho olandelayo. Lokhu kungafaka:

• Ungafaki lutho esithweni sangasese sowesifazane cishe amasonto amane. Lokhu kusho ukuthi akufanele ulale nomuntu ocansini, usebenzise ama-tampon, ufake iminwe, noma ugeze ubuso.
• Gwema ukuphakamisa izinsimbi noma ukwenza izivivinyo ezinzima.
• Ungagezi ngamanzi (ukubhukuda, ukugeza ebhavini).

Udokotela wakho uzohlela i-aphoyintimenti yokulandelela amasonto amane kuya kwayisithupha ngemva kokuhlinzwa kwakho ukuqinisekisa ukuthi konke kuhambe kahle nokuthi amanxeba aphola kahle.

Ngemva kokuhlolwa kwe-cone biopsy, ungase ucelwe ukuba wenze ukuhlolwa kwe-Pap njalo ezinyangeni eziyisithupha. Ngemva kokuba ukuhlolwa kwe-Pap okuningana sekubuyele esimweni esijwayelekile, uzobuyiselwa ohlelweni olujwayelekile lokuhlolwa kwe-Pap (isb., kanye ngonyaka). Lolu hlelo lungahluka kuye ngobudala bakho kanye nomlando wempilo.

Ingabe kukhona izithungo ngemva kokuhlolwa kwe-cone biopsy?

Ngezinye izikhathi. Udokotela wakho ohlinzayo angase asebenzise izithungo, kodwa ngokuvamile uzosebenzisa ukupakisha kwesitho sangasese sowesifazane. Lokhu kufana ne-tampon noma ucezu olukhulu lwe-gauze olugoqiwe.

Ngingabuyela emsebenzini ngemva kokuhlolwa kwe-cone biopsy?

Ungabuyela emsebenzini ezinsukwini ezimbalwa, uma uzizwa ukhululekile. Kodwa-ke, uma umsebenzi wakho udinga ukuphakamisa izinto ezisindayo noma amahora amaningi okuma, kungadingeka uhlale ekhaya cishe amasonto amabili.

Ziyini izingozi zalokhu kuhlolwa kwe-cone biopsy?

I-cone biopsy ngokuvamile inqubo ephephile , kodwa njenganoma yikuphi ukuhlinzwa, ingaba nezingozi ezithile. Khuluma nodokotela wakho ngezingozi nezinzuzo zale nqubo ukuze ube nokuqonda okucacile kwalokho ongakulindela.

Ezinye zezimo eziyingozi yilezi:

• Ukopha
• Amahlule egazi
• Ukutheleleka
• I-Stenosis Yesibeletho
• Ingozi eyengeziwe yokubeletha ngaphambi kwesikhathi ekukhulelweni kwesikhathi esizayo
• Ukulimala kwezitho eziseduze njengesinyi noma i-rectum

Ukuhlolwa kwe-cone biopsy kungabangela izibazi emlonyeni wesibeletho, okungenza kube nzima ngodokotela ukuthola amangqamuzana angajwayelekile ezivivinyweni ze-Pap zesikhathi esizayo.

Yimiphi imiphumela emibi ye-Cone Biopsy?

Imiphumela emibi evame ukubonakala yile:

• Ukuqaqamba okufana nokuya esikhathini
• Ukungakhululeki noma ubuhlungu obuncane
• Ukopha noma ukubona amabala esithweni sangasese sowesifazane

Le miphumela emibi ingaba mibi kakhulu ngesonto lokuqala ngemva kokuhlinzwa, kodwa izoncipha kancane kancane ngokuhamba kwesikhathi. Uma usenobuhlungu obuphakathi kuya kobukhulu kanye nokopha ngemva kwamasonto amabili, bona udokotela wakho ngokushesha.

Ingabe i-cone biopsy ingawususa umdlavuza?

Yebo, lokhu kuhlolwa kwe-cone biopsy kungasusa amangqamuzana omdlavuza ezigabeni zokuqala zomdlavuza wesibeletho.

Ngiyithola nini imiphumela ye-cone biopsy?

Udokotela wakho kufanele athole imiphumela ye-biopsy zingakapheli isonto. Kodwa-ke, lesi sikhathi singahluka kuye ngelebhu. Kungcono ukubuza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela.

Imiphumela ye-cone biopsy isitshelani?

Isampula yezicubu ezithathwe emlonyeni wakho wesibeletho ihlaziywa ngaphansi kwe-microscope elabhorethri. Imiphumela yakho yokuhlolwa izosiza udokotela wakho ukuthi anqume ukuthi amaseli ajwayelekile, angaphambi komdlavuza, noma anomdlavuza.

• Umphumela ojwayelekile usho ukuthi awekho amangqamuzana angaphambi komdlavuza noma anomdlavuza atholakale emlonyeni wesibeletho sakho.
• Umphumela ongajwayelekile usho ukuthi kutholakale amangqamuzana angaphambi komdlavuza noma anomdlavuza emlonyeni wesibeletho sakho. Lawa maseli abizwa ngokuthi i-Cervical Intraepithelial Neoplasia (CIN) . I-CIN ihlukaniswa kusukela ku-1 kuya ku-3, kuye ngokuthi ingakanani izicubu zomlomo wesibeletho eziqukethe lawa maseli angajwayelekile.

• I-CIN I: I-dysplasia yomlomo wesibeletho encane. Kukhona ukukhubazeka okuncane emaseli.
• I-CIN II: I-dysplasia yomlomo wesibeletho ephakathi nendawo kuya kwephawulwe kahle. Amaseli awavamile.
• I-CIN III:I-dysplasia yomlomo wesibeletho noma i-carcinoma in situ (isigaba sokuqala somdlavuza). Amaseli awavamile kakhulu futhi anethuba elikhulu lokuba nomdlavuza.

I-CIN I ayivamile ukuba nomdlavuza. I-CIN II kanye ne-CIN III cishe zidinga ukwelashwa ukuze kuvinjelwe umdlavuza.

Kufanele ngimbone nini udokotela wami?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo , bona udokotela wakho ngokushesha :

• Umkhuhlane (101°F noma ngaphezulu)
• Ukuzizwa ubanda futhi uthuthumela, unenkinga yokuphefumula, uzizwa unesizungu
• Ukuvuvukala emilenzeni noma ukuqaqamba kwemilenze okubuhlungu (lokhu kungaba uphawu lokuqhekeka kwegazi)
• Ukopha okwanele ukushintsha iphedi langasese njalo emahoreni amabili
• Uma ubuhlungu bunganciphi ngemva kokuthatha umuthi
• Ukuphuma koketshezi esithweni sangasese sowesifazane okunephunga elibi

Uyini umehluko phakathi kwe-Cone Biopsy ne-LEEP?

I-Conization / Cone Biopsy kanye ne -LEEP (Loop Electrosurgical Excision Procedure) zombili izindlela ezisetshenziswa ukususa izicubu ezingavamile emlonyeni wesibeletho.

• I-LEEP isebenzisa iluphu encane, eshajelwe ngogesi ukuze isike futhi isuse izicubu ezingavamile.
• I-cone biopsy ihilela ukusebenzisa ummese wokuhlinzwa ukusika ingcezu yezicubu ezimise okwekhoni emlonyeni wesibeletho, enkulu kune-laparotomy. I-cone biopsy inqubo eyinkimbinkimbi kancane kune-laparotomy, futhi yenziwa ngaphansi kwe-anesthesia ejwayelekile. Isikhathi sokululama side futhi izingozi ziphakeme kancane kune-laparotomy.

Kungaki i-cone biopsy engenziwa?

Ngezinye izikhathi, uma amangqamuzana angajwayelekile ehlala emaphethelweni ezicubu ezisusiwe, noma uma kuvela amangqamuzana amasha angajwayelekile, kungase kudingeke enye i-cone biopsy noma olunye ukwelashwa. Kuye ngemiphumela yakho yokuhlolwa, udokotela wakho uzoxoxa ngezingozi nezinzuzo zokuba ne-cone biopsy nawe.

Umyalezo Wokugcina Wokuya Nasekhaya

I-cone biopsy inqubo ebalulekile engasiza ekuboneni nasekuphatheni amangqamuzana angajwayelekile angaholela kumdlavuza wesibeletho. Kujwayelekile ukuzizwa ukhathazekile futhi wesaba ngaphambi kwale nqubo. Thola ukwesekwa emndenini wakho, kubangani, kanye nethimba lakho lezokwelapha. Unganqikazi ukubuza noma yimiphi imibuzo onayo mayelana nenqubo noma imiphumela yakho.

Esikhathini esiningi, i-cone biopsy iyaphumelela, futhi ayikho imiphumela emibi yesikhathi eside. Indlela engcono kakhulu yokuthola amangqamuzana angajwayelekile esibelethweni sakho kusenesikhathi ukuqhubeka nokuthola i-Pap smears. Ngakho-ke qiniseka ukuthi uyakunakekela nalokho.

'I-Cervix, i-cone biopsy, ukuhlolwa kwe-pap, impilo yabesifazane, umdlavuza wesibeletho, i-CIN, i-gynecology