Uma udokotela wakho noma udokotela wezifo zabesifazane ekutshela ukuthi wenze i-colposcopy, ungase uzizwe wesaba kancane futhi unelukuluku, akunjalo? "Kuyini lokhu kuhlolwa? Kungani ngicelwa ukuba ngenze lokhu? Kuzokwenzekani?" Ungase ube nemibuzo eminingi egijima ekhanda lakho. Ngakho-ke namuhla, sizoxoxa ngakho konke lokhu ngesiSinhala, ngendlela elula kakhulu ongayiqonda. Akukho okufanele ukwesabe, lokhu kuvame ukuba lula kunalokho ocabanga.

Kuyini i-Colposcopy?

Kalula nje, i-colposcopy iyisivivinyo esikhethekile sokuhlola umlomo wesibeletho sakho (ingxenye engezansi yesibeletho) kanye nezindonga zesitho sakho sangasese sowesifazane ukuze kubhekwe noma yiziphi izicubu ezingavamile. Udokotela wakho uzosebenzisa ilensi ekhethekile yokukhanya nokukhulisa ebizwa ngokuthi i-colposcope. Ifana ne-microscope encane. Ingakhulisa izicubu zesitho sakho sangasese sowesifazane sowesifazane kanye nesitho sangasese sowesifazane.

Ake ucabange nje, uma ubheka into engavamile, uma ubona izicubu ezibukeka ngendlela ehlukile , udokotela angathatha ingxenye encane yezicubu lapho ayithumele elabhorethri. Lokhu yilokho esikubiza ngokuthi i-biopsy . Leyo ngxenye yezicubu iyahlolwa ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza noma amangqamuzana angaphambi komdlavuza angaba umdlavuza.

Yini enye ezotholwa yilolu vivinyo?

I-Colposcopy ukuhlolwa okwenziwa kakhulu ukuhlola umlomo wesibeletho, isitho sangasese sowesifazane, kanye ne-vulva ukuze kutholakale amangqamuzana noma amaseli anomdlavuza angaba umdlavuza uma engelashwa, njenge -cervical dysplasia .

Ngaphezu kwalokho,

• Hlola ukuthi azikho yini izinhlungu zesitho sangasese.
• Lokhu kuhlola kusiza futhi ukuhlola ukukhula okungenawo umdlavuza njenge-polyps.

Ngezinye izikhathi, uma unesifo sokuphuma kwegazi esingavamile noma izimpawu ezifana nokulunywa endaweni yangaphandle yesitho sangasese sowesifazane, udokotela wakho angase akuncome lokhu kuhlolwa ukuze athole imbangela.

Kungani udinga i-colposcopy?

Owesifazane uvame ukuthunyelelwa i-colposcopy uma imiphumela yokuhlolwa okunye ikhombisa ukuthi unesifo esithile. Isibonelo:

• Uma imiphumela yokuhlolwa kwakho kwe-Pap (i-Pap smear) ingajwayelekile.
• Uma udokotela ebona into engavamile ngesikhathi sokuhlolwa kwe-pelvic.
• Uma kuqinisekisiwe ukuthi utheleleke ngegciwane le-HPV `(Human Papillomavirus)` .

Kusezimweni ezinjengalezi lapho udokotela ethi khona, "Ingabe kufanele senze i-colposcopy bese sibheka eduze?"

Ingabe kufanele ngesabe lesi sivivinyo?

Lutho neze! Ukuthi nje ucelwe ukuba wenze i-colposcopy akusho ukuthi unomdlavuza. Eqinisweni,Ezimweni eziningi, amathuba okuthi umdlavuza uphele aphezulu.

Cabanga nje, noma ngabe unamaseli angaphambi komdlavuza, ithuba lokuthi azophenduka umdlavuza ngesikhathi esifushane osithathayo ukuze uhlolwe lincane kakhulu.

Lokhu kuhlolwa kukuvumela ukuthi ubone futhi welaphe noma yimaphi amangqamuzana anomdlavuza kusenesikhathi . Khona-ke ngeke kudingeke ukhathazeke ngokungadingekile ngomdlavuza. Yingakho lokhu kuyisivivinyo esibaluleke kakhulu.

Ubani owenza lolu vivinyo lwe-colposcopy?

Umhlinzeki wakho wokunakekelwa okuyinhloko noma udokotela wezifo zabesifazane angenza lokhu kuhlolwa. Ngezinye izikhathi kunodokotela abaqeqeshwe ngokukhethekile ngale njongo (odokotela be-colposcopists). Ucwaningo lukhombisile ukuthi lapho uchwepheshe onolwazi enza lokhu kuhlolwa, amathuba okuthola amangqamuzana angaphambi komdlavuza aphezulu .

Ingabe i-colposcopy iwukuhlinzwa?

I-Colposcopy akuyona inqubo yokuhlinzwa. Kodwa-ke, uma kuthathwa i-biopsy, okungukuthi, isampula yezicubu, ngesikhathi senqubo, kubhekwa njengenqubo encane yokuhlinzwa .

Cabanga nje, uma udokotela ebona okuthile okusolisayo ngesikhathi sokuhlolwa, uzothatha ingxenye encane yezicubu lapho. Lokhu ngokuvamile akubuhlungu futhi kuthatha imizuzu engaphansi kwengu-30 . Asikho isidingo sokuhlala esibhedlela.

Uzilungiselela kanjani ngaphambi kokuhlolwa?

Kunezindlela eziningana ongazilungiselela ngazo i-colposcopy. Uma ulandela lezi zinyathelo ngokucophelela, kuzoba lula ukuthola imiphumela enembile.

• Uma ukhulelwe, kufanele nakanjani utshele udokotela wakho. I-Colposcopy ingenziwa ngesikhathi sokukhulelwa. Kodwa-ke, uma kuthathwa i-biopsy, kungenzeka ukuthi igazi liphume kakhulu kunokujwayelekile. Ngakho-ke khuluma nodokotela wakho ngalokhu bese uthola iseluleko.
• Zama ukwenza isivivinyo ngosuku ongasayi esikhathini ngalo. Awukwazi ukwenza isivivinyo ngesikhathi usesikhathini, kodwa kuzoba lula ngodokotela ukubona umlomo wesibeletho sakho ngokucacile uma ungophi.
• Ungafaki lutho esithweni sangasese sangasese amahora angu-48 ngaphambi kokuhlolwa. Lokhu kusho ukugwema ukuya ocansini, ukufaka iminwe noma amathoyizi ocansi esithweni sangasese sangasese sangasese.
• Futhi , ungasebenzisi ama-tampon noma imithi yesitho sangasese sowesifazane (njengokhilimu noma amaphilisi). Konke lokhu kungathinta imiphumela yokuhlolwa.
• Uma uzizwa ungakhululekile kancane ngosuku lokuhlolwa, thatha umuthi wokuqeda izinhlungu njenge-paracetamol (isib. iTylenol©) noma i-ibuprofen (isib. i-Advil©, i-Motrin©) kusengaphambili. Lokhu kuzokusiza ukuthi uhlale ukhululekile ngesikhathi sokuhlolwa.

Kwenzekani ngesikhathi sokuhlolwa? Luhlobo luni lolwazi?

I-Colposcopy ivame ukwenziwa ehhovisi likadokotela noma emtholampilo. Kuthatha imizuzu eyi-10 kuya kwengama-20 . Ungaya ekhaya ngokushesha ngemva kokuhlolwa.

Indlela yokwenza isivivinyo

I-colposcopy ngokuvamile ayibuhlungu njenge-Pap smear. Ngeke udinge i-anesthesia noma imithi eminingi yobuhlungu. Nakhu okwenzekayo:

• Uzocelwa ukuba ulale etafuleni lokuhlolwa bese ubeka imilenze yakho ezisekelweni ezimbili ezikhululekile ukuthi uzibambe.
• Udokotela uzobe esefaka i-speculum kancane kancane (kungenzeka ukuthi ukubonile lokhu ngesikhathi se-Pap smear, esetshenziselwa ukwandisa kancane isitho sangasese sowesifazane nokubuka isitho sangasese sowesifazane) esitho sangasese sowesifazane bese esilungisa ukuze isitho sangasese sowesifazane sibonakale.
• Manje, kusetshenziswa i-colposcope. Leli ithuluzi elifana ne-telescope elinamalensi okukhanya nokukhulisa. Udokotela ulibamba ngaphandle kwesitho sangasese sowesifazane bese ebheka umlomo wesibeletho sakho kanye nesitho sangasese sowesifazane.
• Okulandelayo, udokotela uzofaka isixazululo se-acetic acid (esifana neviniga) esibelethweni sakho nge-cotton swab. Ungase uzizwe umuzwa wokushisa okuncane phakathi nalesi sikhathi. Lesi sixazululo sizosiza ekugqamiseni noma yimaphi amangqamuzana angavamile asolisayo.

Uma, lapho kuhlolwa, kubonakala sengathi kunezicubu ezingavamile endaweni eyodwa noma ngaphezulu, udokotela angenza i-biopsy bese ethumela lezo zicubu ukuze zihlolwe.

Kuzwakala kanjani ukwenza i-biopsy?

Esikhundleni sokuklwebha wonke umlomo wesibeletho bese kuthathwa amaseli afana nokuhlolwa kwe-Pap, i-colposcopy ivumela udokotela ukuthi athathe izingcezu ezincane zezicubu ezindaweni ezibukeka zingavamile . Lezi zingcezu ezincane zezicubu zithunyelwa elabhorethri ukuze zihlolwe umdlavuza noma amaseli angaphambi komdlavuza.

Uma kuthathwa i-biopsy, ungase uzizwe uqina kancane noma umuzwa wokucasuka okuncane . Kwabanye, kungase kuzwakale njengobuhlungu bokuya esikhathini.

Kubuhlungu kangakanani lokhu?

I-Colposcopy ayibuhlungu kangako . Ungase uzizwe umuzwa omncane wokuhlaba lapho i-speculum ifakwa esithweni sangasese sowesifazane. Ungase uzizwe umuzwa omncane wokusha noma wokuhlaba lapho kufakwa isisombululo se-acetic acid. Uma kuthathwa i-biopsy, ungase uzizwe umuzwa omncane wokuhlaba noma ubuhlungu obufana nokuya esikhathini. Ukuthatha umuthi wokuqeda izinhlungu ngaphambi kokuhlolwa kungakunciphisa kakhulu lokhu kungakhululeki.

Kwenzekani ngemva kokuhlolwa?

Uma nje isivivinyo sesiphelile, ungaqhubeka nomsebenzi wakho njengenjwayelo.

• Uma ungenayo i-biopsy , ungase uthole amabala athile osukwini olulandelayo noma ezimbili.
• Uma une-biopsy, nansi ezinye izinto ongazilindela:
• Kungase kube nokopha okuthile kwesitho sangasese sowesifazane izinsuku ezimbalwa.
• Kungase kube nobuhlungu obuthile esithweni sangasese sowesifazane izinsuku ezimbalwa.
• Ukuphuma koketshezi esithweni sangasese sowesifazane kungaba mnyama noma nsundu (lokhu kungenxa yesisombululo se-acetic acid).

Ungasebenzisa ama-pad phakathi nalesi sikhathi. Futhi, gwema ukufaka noma yini esithweni sakho sangasese sowesifazane . Gwema ukuya ocansini, ukusebenzisa ama-tampon, noma ukugeza umlomo wesibeletho izinsuku ezimbalwa. Nika umlomo wesibeletho sakho isikhathi sokuphola. Buza udokotela wakho ukuthi kufanele uzigweme isikhathi esingakanani lezi zinto.

Isho ukuthini imiphumela ye-colposcopy yami?

Imiphumela ye-colposcopy yakho kanye (uma kwenziwa) i-biopsy kuzonquma ukuthi udinga ukwelashwa okwengeziwe.

• Cishe abantu abangu-40% babika ukuthi akukho maseli angajwayelekile emiphumeleni yabo. Lokho kusho ukuthi konke kuhamba kahle!
• Futhi, cishe abantu abangu-60% badinga uhlobo oluthile lokwelashwa ngenxa yesimo esingavamile. Lokhu kukhubazeka kungaba izinto ezifana namaqhubu emlonyeni wesibeletho, esithweni sangasese sowesifazane, noma esithweni sangasese sowesifazane.

Yini okufanele uyenze uma imiphumela ingavamile?

Manje ungase ucabange, "O, kuthiwani uma imiphumela yami ingajwayelekile?" Ungakhathazeki, kunezixazululo zalokho futhi.

Uma imiphumela ye-colposcopy noma i-biopsy ibonisa ukukhubazeka okuncane, njenge-cervical dysplasia encane , udokotela wakho uzokutshela ukuthi uphinde wenze ukuhlolwa kwe-Pap ngezikhathi ezithile . Lokhu kungenxa yokuthi ngezinye izikhathi la ma-dysplasia amancane ayanyamalala ngokwawo (okusho ukuthi izicubu zibuyela esimweni sazo esijwayelekile) ngaphandle kokwelashwa .

Kodwa-ke, uma kukhona amaseli angaphambi komdlavuza athuthukile , adinga ukwelashwa. Nazi ezinye zezindlela zokwelapha ezitholakalayo:

• Inqubo Yokususa Izicubu Nge-Electrosurgical Excision (LEEP): Le nqubo isebenzisa i-wire loop esebenza ngogesi ukususa indawo yamaseli angajwayelekile.
• I-Cone Biopsy: Kulokhu, ingcezu yezicubu emise okwekhoni equkethe amangqamuzana angavamile iyasikwa bese isuswa emlonyeni wesibeletho.
• Ukwelashwa nge-cryotherapy: Kusebenzisa amakhemikhali abandayo kakhulu (njenge-nitrogen ewuketshezi) ukubhubhisa amangqamuzana angavamile.
• Ukuhlinzwa Nge-Laser: Umshini we-laser oshisayo usetshenziselwa ukubhubhisa amangqamuzana angavamile.

Ezimweni ezimbi kakhulu (okungavamile kakhulu), ukuhlinzwa kokukhipha sonke isibeletho kungadingeka. Khuluma nodokotela wakho nganoma yiziphi ezinye izivivinyo ongase uzidinge ngemva kokuhlinzwa.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa?

Imiphumela ye-biopsy ivame ukuthatha izinsuku ezimbili kuya kweziyishumi ukubuya. Buza udokotela wakho ukuthi ungalindela nini imiphumela yakho nokuthi uzokwaziswa kanjani ngolwazi olubalulekile.

Yiziphi izikhathi ezikhethekile lapho kufanele ubonane nodokotela? (Ngemva kokuhlolwa)

I-Colposcopy ngokuvamile inqubo ephephile kakhulu enemiphumela emibi embalwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kwenqubo, kufanele ubonane nodokotela wakho ngokushesha :

• Uma uzwa ubuhlungu obukhulu esiswini sakho esingezansi noma endaweni ye-pelvic .
• Uma uphuma igazi kakhulu kunokujwayelekile ngesikhathi usesikhathini.
• Uma ubonisa izimpawu zokutheleleka : Okusho ukuthi, uma ukhipha uketshezi olujiyile nolunuka kabi kunokuvamile, umkhuhlane, futhi uzizwa sengathi unamakhaza.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba uma uthola ukuthi omunye wemiphumela yakho yokuhlolwa awujwayelekile futhi utshelwa ukuthi udinga ukwenza izivivinyo ezengeziwe. Kodwa khumbula, i-colposcopy iyisivivinyo esilula, esingenabuhlungu . Lokhu kungasiza ekunciphiseni ukwesaba kwakho futhi kukunike ukuthula kwengqondo.

I-Colposcopy ivumela udokotela wakho ukuthi athole amangqamuzana anomdlavuza noma angaphambi komdlavuza kusenesikhathi futhi akunikeze ukwelashwa okudingekayo . Ngisho nomdlavuza wesibeletho ungelapheka ngokuphelele uma utholakala futhi welashwa kusenesikhathi.

Futhi, lokhu kuhlolwa kungaqinisekisa ukuthi awunawo umdlavuza. Ngakho-ke, njengoba ulungiselela ukuhlolwa, khuluma ngokukhululekile nodokotela wakho nganoma yikuphi ukwesaba, ukungabaza, izingozi zomdlavuza, kanye nemiphumela onayo. Kuzokunikeza impumuzo enkulu.

I- Colposcopy, Ukuhlolwa Kwesibeletho, Ukuhlolwa Kwe-Pap, I-HPV, I-Biopsy, Impilo Yabesifazane, Umdlavuza Wesibeletho