Ngesikhathi udokotela wakho ekutshela ukuthi udinga ukwenza i-colposcopy, wesaba kancane, akunjalo? "Kuyini lokhu kuhlolwa? Ingabe kuzolimaza? Kuzokwenzekani?" Cishe wacabanga wena. Kodwa asikho ngempela isizathu sokwesaba. Lokhu kuhlolwa okulula okucelwa abesifazane abaningi ukuba bakwenze, futhi ngokuvamile kuthatha imizuzu eyi-10-20. Kulesi sihloko, sizokhuluma ngakho ngokucacile nangokulula.
Kalula nje, iyini i-colposcopy?
I-Colposcopy inqubo yokuhlola umlomo wesibeletho sakho, isitho sangasese sowesifazane, kanye ne-vulva ukuze kutholakale noma yiziphi izicubu ezingavamile.
Kulokhu, udokotela usebenzisa ithuluzi elikhethekile elibizwa ngokuthi i-colposcope. Cabanga ngalo njenge-microscope ekhethekile enokukhanya okuhle kanye nengilazi yokukhulisa. Uma ubheka ngalo, ungabona amangqamuzana akuleyo ndawo ngokucacile nangokukhuliswa.
Uma udokotela ebona into engavamile noma ehlukile, uthatha ingxenye encane kakhulu yezicubu ukuze ihlolwe . Lokhu kubizwa ngokuthi i-biopsy . Izicubu zibe sezithunyelwa elabhorethri ukuze zihlolwe ukuze kubonakale ukuthi kukhona yini okungahambi kahle ngazo.
Lokhu kuhlolwa kwenziwa kakhulu ukuthola ukuthi kukhona yini amangqamuzana angaphambi komdlavuza angase abe umdlavuza esikhathini esizayo. Ngokwezokwelapha lesi simo sibizwa ngokuthi i-cervical dysplasia . Ngaphezu kwalokho, lokhu kuhlolwa kusiza nokuthola izinto ezifana nezinhlungu zesitho sangasese sowesifazane kanye nokukhula okuncane okwakheka emlonyeni wesibeletho (cervical polyps).
Kungani ucelwa ukuthi ubhale lesi sivivinyo?
Udokotela wakho angase akuncome lokhu kuhlolwa ngesizathu esisodwa noma ngaphezulu kwalezi ezilandelayo:
- Uma imiphumela ye-Pap smear yakho ingavamile .
- Uma udokotela wakho ethola into engavamile ngesikhathi sokuhlolwa kwesitho sakho sangasese sowesifazane njalo.
- Uma ukuhlolwa kwakho kwe-HPV kutholakala ukuthi kuqinisekisiwe .
- Uma uphuma igazi ngendlela engavamile ngesikhathi sokuya esikhathini noma unezimpawu eziqhubekayo njengokulunywa endaweni yesitho sangasese (i-vulva).
Lolu hlolo lwenziwa kanjani? Yiziphi izinhlobo ze-biopsy?
Udokotela uhlola umlomo wesibeletho ngedivayisi ebizwa ngokuthi i-colposcope, ebekwa ngaphandle kwesitho sakho sangasese sowesifazane. Ayifakwa ngaphakathi. Ilensi yokukhanya neyokukhulisa ekuvumela ukuthi ubone umlomo wesibeletho ngokucacile.
Uma udokotela esola ukuthi kukhona amaseli angajwayelekile, uzonquma ukwenza i-biopsy. Kunezindlela ezimbili eziyinhloko zokwenza lokhu.
| Uhlobo lwe-Biopsy | Indlela yokukwenza |
|---|---|
| I-Punch Biopsy | Kulokhu, kusetshenziswa ithuluzi elikhethekile ukususa ingcezu encane kakhulu, eyindilinga yezicubu endaweni ebhekwa njengengajwayelekile. |
| Ukwelashwa Kwe-Endocervical Curettage (ECC) | Kulokhu, kusetshenziswa ithuluzi elifana nesipuni ukuklwebha udonga lwangaphakathi lomlomo wesibeletho kancane bese kutholwa isampula yamaseli lapho. |
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzokunikeza imiyalelo eqondile oyidingayo ngaphambi kwalolu vivinyo, kodwa kunezinto ezimbalwa ezijwayelekile okufanele uzazi.
| Okufanele ngikwenze | Kungani kunjalo? |
|---|---|
| Uma ukhulelwe, tshela udokotela . | Lokhu kuhlolwa kungenziwa ngesikhathi sokukhulelwa, kodwa kubalulekile ukwazisa udokotela wakho ngalokhu njengoba kungase kube nengozi eyengeziwe yokopha. |
| Thatha isivivinyo ngosuku lapho ungenayo isikhathi sakho sokuya esikhathini . | Uma ukopha sekuphelile, kuba lula ngodokotela ukuhlola umlomo wesibeletho ngokucacile. |
| Ungafaki lutho esithweni sangasese sowesifazane amahora angu-48 ngaphambi kokuhlolwa. | Gwema ukuya ocansini, ukusebenzisa ama-tampon, okhilimu besitho sangasese sowesifazane, ama-suppositories, njll. Lokhu kungathinta imiphumela yokuhlolwa. |
| Khuluma nodokotela wakho mayelana nokuphathwa kobuhlungu . | Buza ukuthi yini ongayenza ngobuhlungu. Ungase ucelwe ukuthi uthathe umuthi wokuqeda izinhlungu njenge-acetaminophen noma i-ibuprofen ngaphambi kokuhlolwa. |
| Woza ulungele ukunikeza isampula yomchamo . | Uma usesikhathini, udokotela wakho angase afune ukwenza ukuhlolwa kokukhulelwa komchamo ukuze ahlole ukuthi ukhulelwe yini ngaphambi kokuhlolwa. |
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu ukuhlolwa okuvame ukwenziwa emtholampilo noma esibhedlela. Nakhu okwenzekayo:
1. Uzolaliswa etafuleni lokuhlolwa bese ucelwa ukuthi ubeke imilenze yakho phezu kwe-stirrups.
2. Udokotela uzobe esefaka ithuluzi eligcotshwe ngokuthi i-speculum esithweni sakho sangasese sowesifazane. Lokhu kuzokhulisa kancane isitho sangasese sowesifazane futhi kuvumele umlomo wesibeletho ubonakale kahle.
3. Ukuze kuncishiswe ubuhlungu, udokotela angakunika umuthi wokubulala izinzwa wendawo noma afake i-lidocaine spray.
4. Manje udokotela uzohlola ngokucophelela umlomo wakho wesibeletho, izindonga zesitho sangasese sowesifazane, kanye nendawo yangaphandle nge-colposcope.
5. Okulandelayo, kufakwa i-cotton swab emlonyeni wesibeletho ngesisombululo se-acetic acid. Kuleli qophelo, ungase uzizwe umuzwa omncane wokushisa . Lesi sixazululo sizokwenza izindawo ezinamaseli angajwayelekile ziphenduke zibe mhlophe futhi zibonakale kakhulu.
6. Uma kubonakala indawo engajwayelekile, udokotela uzothatha ingxenye encane yezicubu lapho ukuze ayohlolwa khona.
7. Uma kudingeka, kuzosetshenziswa umuthi okhethekile ukuze kumiswe ukuphuma kwegazi endaweni yokuhlolwa kwegazi.
Khumbula, yonke inqubo ithatha imizuzu eyi-10 kuya kwengama-20 kuphela. Ungaya ekhaya ngalolo suku ngemva kokuba ukuhlolwa sekuqediwe.
Ingabe lokhu kuyalimaza ngempela?
Lena inkinga abantu abaningi abanayo. Uma sikhuluma iqiniso, wonke umuntu uzwa ubuhlungu ngendlela ehlukile. Ngakho akunakwenzeka ukusho ukuthi buzokulimaza kangakanani. Kodwa kunezimo ezimbalwa ezivamile lapho ungase uzizwe ungakhululekile noma ubuhlungu:
- Ungase uzizwe ucindezelekile noma ungakhululekile lapho ufaka i-speculum noma uma ishiywe endaweni yayo isikhashana.
- Ungase uzizwe umuzwa omncane wokushisa lapho uhlikihla isisombululo seviniga (i-acetic acid) .
- Uma kuthathwa i-biopsy , ungase uzwe umuzwa wokuncinza noma wokuqaqamba esiswini esingezansi. Yilapho abantu abaningi bezwa khona ubuhlungu obukhulu.
Ngakho-ke, ngaphambi kokuhlolwa, khuluma nodokotela wakho mayelana nokulawula ubuhlungu. Kuzoba impumuzo enkulu kuwe.
Yini ongayilindela ngemva kokuhlolwa? Ingabe zikhona izingozi?
I-Colposcopy inqubo ephephile kakhulu futhi enobungozi obuphansi . Kodwa-ke, ezimweni ezingavamile, ukopha ngokweqile noma ukutheleleka kungase kwenzeke. Kodwa-ke, lokhu kungelashwa.
Isikhathi sokululama ngemva kokuhlolwa
Uma wenze i-biopsy, kungathatha izinsuku ezimbalwa ukuthi umlomo wakho wesibeletho uphole. Phakathi nalesi sikhathi, ungase ubhekane nalokhu:
- Kungase kube namaconsi amancane egazi izinsuku ezimbalwa.
- Kungase kube nobuhlungu obuthile esithweni sangasese sowesifazane izinsuku ezimbalwa.
- Ungase ube noketshezi olumnyama noma olunsundu (lokhu kungenxa yomuthi osetshenziselwa ukuvimba ukopha, ungakhathazeki).
Ungasebenzisa ama-sanitary pad phakathi nalesi sikhathi. Ukuze unike umlomo wesibeletho sakho isikhathi sokululama, gwema ukusebenzisa ama-tampon nokwenza ucansi izinsuku ezimbalwa. Buza udokotela wakho ukuthi kufanele uhlale kude nawo isikhathi esingakanani.
Uma ungenayo i-biopsy, ungenza imisebenzi yakho evamile ngemva kokuhlolwa. Ungase uzwe ukopha usuku olulodwa noma ezimbili.
Imiphumela izophuma nini? Isho ukuthini?
Imiphumela ye-biopsy ivame ukuthatha izinsuku ezimbili kuya kweziyishumi ukubuya. Buza udokotela wakho ukuthi uzoyithola nini imiphumela yakho nokuthi ungathola kanjani. Imiphumela ingafika ngezindlela ezimbili eziyinhloko.
| Uhlobo lomphumela | Incazelo |
|---|---|
| Okuvamile | Lokhu kusho ukuthi bekungekho maseli angajwayelekile ku-biopsy. Ngeke udinge ukwelashwa. Kodwa kufanele uqhubeke nokuhlolwa njalo, njenge-Pap smears, njengoba udokotela wakho encoma. |
| Okungavamile | Lokhu kusho ukuthi i-biopsy ithole amaseli angajwayelekile. Lokhu kusho ukuthi ungadinga ukwelashwa noma ukuqashwa njalo kwezokwelapha. Esikhathini esiningi, lawa akuwona amaseli omdlavuza, kodwa amaseli angaphambi komdlavuza . Akuvamile ukuthi umdlavuza utholakale. |
Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?
Udokotela wakho uzokuchazela ngokucacile ukuthi yini okufanele uyenze ngokulandelayo ngokusekelwe emiphumeleni. Kuya ngohlobo kanye nobukhali bamaseli angajwayelekile.
- I-dysplasia yomlomo wesibeletho encane ingase iphele ngaphandle kokwelashwa, ngakho-ke udokotela wakho cishe uzokucela ukuthi uphinde ukuhlolwa kwe-Pap ngezikhathi ezithile.
- Uma kukhona amangqamuzana angaphambi komdlavuza athuthukile , ukwelashwa okufana ne -cone biopsy , inqubo yokususwa kwe-loop electrosurgical excision (LEEP) , noma ukuhlinzwa nge-laser kunganconywa.
- Uma kutholakale ukuthi unomdlavuza, ithimba lodokotela abangochwepheshe lizohlangana ukuze lithuthukise uhlelo lokwelashwa olufanele kakhulu kuwe.
Udinga ukushayela udokotela ucingo ngokushesha!
Ngokuvamile azikho izinkinga ezinkulu ngemva kokuhlolwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele uxhumane nodokotela wakho ngokushesha .
- Uma uzwa ubuhlungu obungabekezeleleki esiswini noma ethangeni .
- Uma uzwa ukopha okukhulu (uma wopha kakhulu kunesikhathi sakho esivamile sokuya esikhathini).
- Uma ubonisa izimpawu zokutheleleka (isibonelo, ukuphuma koketshezi lwesitho sangasese sowesifazane okunuka kabi nokujiyile kunokuvamile, umkhuhlane, kanye nokubanda).
Kuvamile ukuzizwa wesaba futhi ukhathazekile uma utshelwa ukuthi udinga ukwenza i-colposcopy. Kodwa khumbula, lokhu kuhlolwa kwenzelwe ukuthola noma yiziphi izinkinga emzimbeni wakho zisesencane, ngaphambi kokuba zibe umdlavuza, futhi kunikeze ukwelashwa okudingekayo . Uma kutholakala ngokushesha, kulapho ukwelashwa kuphumelela khona. Ngakho-ke, vuleleka nganoma yimiphi imibuzo noma ukukhathazeka onakho ngalokhu nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Colposcopy ukuhlolwa okuvamile okuhlola umlomo wesibeletho futhi ngokuvamile kuthatha imizuzu eyi-10-20.
- Lokhu kwenziwa kakhulu ukuthola amangqamuzana angaba nomdlavuza kusenesikhathi, njengalapho imiphumela ye-Pap smear ingajwayelekile.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa (njengokungayi ocansini, ukungasebenzisi ama-tampon).
- Ungase uzizwe ungakhululekile noma ubuhlungu, kodwa ungakhuluma nodokotela wakho ngezindlela zokubuphatha.
- Kujwayelekile ukuba nokopha noma ukuphuma kwegazi ngemva kokuhlolwa. Kodwa-ke, uma uhlangabezana nezimpawu ezifana nokopha okukhulu, ubuhlungu obukhulu, noma umkhuhlane, yazisa udokotela wakho ngokushesha.
- Umphumela "ongajwayelekile" awusho njalo umdlavuza. Kusho ukuthi ungaqala ukwelashwa noma ukuqapha okufanele ngokushesha.
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