Ingabe udokotela wakho uke wathi kukhona okungahambi kahle ngokuhlolwa kwakho kwe-Pap? Noma ingabe ngezinye izikhathi unamaconsi amancane egazi aphuma emlonyeni wakho wesibeletho? Lezi zinto zingakwenza wesabe futhi ukhathazeke kancane. Kodwa ungakhathazeki. Esikhathini esiningi, lezi zinto azibalulekile. Ukwelashwa okulula odokotela abakuncomayo kulezi zimo kubizwa ngokuthi 'ukuhlinzwa kwe-cryosurgery.' Nakuba igama lingase lizwakale njengento enkulu, empeleni lilula impela. Ukuze kube sobala, kuhilela ukusebenzisa umkhuhlane omkhulu, njengeqhwa, ukubhubhisa amangqamuzana angavamile. Ake sixoxe ngalokhu ngendlela ecacile nelula.
Kalula nje, kuyini ukuhlinzwa kwe-cryosurgery?
Kulungile, ake sikuqonde lokhu ngesibonelo esilula kakhulu. Cabanga ukuthi une-wart encane engalweni yakho. Ngezinye izikhathi odokotela basebenzisa uketshezi olubandayo kakhulu ukususa i-wart. Umkhuhlane ubulala amangqamuzana e-wart. Kwenzeka into efanayo ekuhlinzeni i-cryosurgery yomlomo wesibeletho.
Okwenzekayo lapha ukuthi udokotela usebenzisa ikhemikhali ebanda kakhulu, njenge-nitrogen ewuketshezi, ukuze 'aqandise' noma aqandise amangqamuzana angavamile ebusweni besibeletho sakho. Umkhuhlane omkhulu ubangela ukuba amangqamuzana afe. Ngemuva kwalokho, inqubo yokuphulukisa yemvelo yomzimba wethu ivumela amangqamuzana amasha, anempilo ukuba akhule kuleyo ndawo. Lokhu kwelashwa kubizwa nangokuthi i-cryotherapy.
Esikhathini esidlule, le ndlela yayithandwa kakhulu ukususa amangqamuzana angajwayelekile emlonyeni wesibeletho. Kodwa manje, eSri Lanka nasezindaweni eziningi emhlabeni, kusetshenziswa izindlela ezintsha nezisebenza kahle njenge-LEEP (Loop Electrosurgical Excision Procedure). Kodwa-ke, kwezinye izimo ezikhethekile, ezinye izibhedlela zisakwenza lokhu kwelashwa kwe-cryosurgery.
Ubani odinga lokhu kwelashwa?
Kunezimo eziningana lapho udokotela angase akuphakamisele khona lokhu kwelashwa. Ake sibone ukuthi ziyini.
- Amaseli angajwayelekile emlonyeni wesibeletho: Uma ukuhlolwa kwakho kwe-Pap kwembula ukuthi amaseli akho omlomo wesibeletho awajwayelekile, noma anengozi enkulu yokuba nomdlavuza (i-cervical dysplasia), le nqubo inganconywa ukususa lawo maseli.
- I-Cervicitis: Ngezinye izikhathi umlomo wesibeletho ungangenwa yigciwane, uvuvuke, futhi ube bomvu. Le ndlela isetshenziswa kwezinye izimo ezingaphenduli emithini.
- Ama-Genital Warts: Lokhu kwelashwa kungasetshenziswa futhi ukususa ama-warts akheka ebusweni bomlomo wesibeletho ngenxa yegciwane le-HPV.
- Ukopha komlomo wesibeletho okungachazeki: Ngezinye izikhathi, ukopha okuncane kungenzeka ngenxa yemithambo yegazi emincane ebusweni bomlomo wesibeletho. Kunezikhathi lapho lokhu kwelashwa kwenziwa khona.
Kwenzekani ngaphambi kokwelashwa?
Lokhu akusilo ukuhlinzwa okukhulu. Ngeke kudingeke uhlale esibhedlela. Kungenziwa ekamelweni likadokotela (OPD). Kwenziwa uphapheme. Asikho isidingo sokuhlinzwa okujwayelekile.
- Ukuba ndikindiki: Ngezinye izikhathi udokotela angase afake inani elincane le-anesthesia yendawo emlonyeni wesibeletho. Kodwa isikhathi esiningi, lokho akudingekile ngoba umlomo wesibeletho awunawo umuzwa wemizwa omkhulu.
- Ukuthula: Uma wesaba kakhulu futhi ukhathazekile, ungase unikezwe umuthi omncane wokukuthulisa.
- Ukulungiselela komuntu siqu: Udokotela wakho uzokutshela ukuthi ugweme ukuya ocansini futhi ungafaki lutho esithweni sakho sangasese amahora angama-24 kuya kwangu-48 ngaphambi kokwelashwa.
Kwenzekani ngesikhathi sokwelashwa? Isinyathelo ngesinyathelo
Yonke inqubo ithatha imizuzu engaphansi kweyi-10 , ngakho-ke asikho isidingo sokukhathazeka. Kuzwakala sengathi kwenziwa i-Pap smear.
1. Indawo: Okokuqala, uzocelwa ukuba ulale embhedeni, ovame ukusetshenziselwa ukuhlolwa kwabesifazane, imilenze yakho isakazeke emaceleni.
2. Ukufaka i-Speculum: Okulandelayo, uyakhumbula ithuluzi olisebenzisayo uma uthola i-Pap smear? Ithuluzi elifanayo (i-speculum) lifakwa esithweni sangasese sowesifazane bese lisunduza kancane izindonga zesitho sangasese sowesifazane ukuze umlomo wesibeletho ubonakale kahle.
3. I-Cryoprobe: Okulandelayo, udokotela ufaka ithuluzi lensimbi elide, elincane, elifana nepensela (elibizwa ngokuthi i-cryoprobe) esithweni sangasese sowesifazane. Uketshezi olubandayo kakhulu lugeleza kulo mshini, okwenza isihloko salo mshini sibe bandayo njengeqhwa.
4. Ukuqandisa amangqamuzana: Manje udokotela ubeka isihloko sethuluzi elibandayo lapho amangqamuzana angavamile akhona khona emlonyeni wesibeletho sakho bese esibamba lapho imizuzwana embalwa noma imizuzu embalwa. Lokhu kubanda okukhulu (okufana nama-degree Celsius angu-20 kuya kwangu-50) kwenza amangqamuzana abe lukhuni.
5. Ncibilikisa bese uphinda: Bese ususa idivayisi bese uvumela indawo incibilikise kancane. Uma kudingeka, qandisa amaseli futhi ngendlela efanayo. Yilokho kuphela.
Esikhathini esiningi, lokhu akubuhlungu. Ungase uzizwe ungakhululekile, njengobuhlungu besikhathi sokuya esikhathini, esiswini sakho esingezansi. Kodwa akufanele uzizwe ubuhlungu. Abanye abantu bangase bazizwe benesiyezi kancane ngemva kokwelashwa.
Yini ongayilindela ngemva kokwelashwa?
Ungaya ekhaya ngokushesha nje lapho ukwelashwa sekuphelile. Asikho isidingo sokuhlala esibhedlela.
- Ukuphuma kwamanzi: Ngemva kokwelashwa, ungase uqale ukuphuma kwamanzi, ngezinye izikhathi kube negazi, esithweni sakho sangasese sowesifazane amasonto ambalwa . Lokhu kuvamile kakhulu, ngakho ungakhathazeki.Lokhu kwenzeka ngoba amangqamuzana aqandisiwe ayafa, ancibilike, bese ephuma emzimbeni. Ungasebenzisa ama-sanitary pad kulokhu. Ungasebenzisi ama-tampons nganoma yisiphi isizathu .
- Ubuhlungu: Uma unesisu esincane, ungathatha umuthi wokuqeda izinhlungu ojwayelekile njenge-paracetamol.
- Izinto okufanele uzigweme: Gwema ukuya ocansini kuze kube yilapho umlomo wesibeletho sakho usupholile ngokuphelele, okuzothatha cishe amasonto ama-2-3 . Futhi, gwema ukufaka noma yini esithweni sakho sangasese sangasese (isb. ama-tampon, ama-douche). Lokhu kungasiza ekuvimbeleni ukutheleleka.
- Ukulandelela: Lokhu kubalulekile impela . Udokotela uzokunika usuku lokubuya. Ngaleso sikhathi, uzohlola ukuthi amangqamuzana angavamile asenyamalele yini ngokuphelele nokuthi umlomo wesibeletho usupholile kahle yini. Ngaleso sikhathi, ungenza olunye uhlolo lwe-Pap noma, uma kudingeka, i-biopsy.
Yiziphi izinzuzo kanye nokungalungi kwalokhu kwelashwa?
Njenganoma yiluphi uhlobo lokwelashwa, lolu hlobo lokwelashwa nge-cryosurgery lunezinzuzo kanye nokungalungi. Ake sibheke kabanzi.
| Izinzuzo | Ukungalungi |
|---|---|
| Akuyona indlela yokuhlinzwa: Njengoba kungekho ukusikwa komzimba, ingozi yobuhlungu, ukopha, kanye nezinkinga iphansi kakhulu. | Ayikwazi ukuhlola amaseli: Ngenxa yokuthi amaseli ayabhujiswa, ingxenye esusiwe ayikwazi ukuthunyelwa elabhorethri ukuze kubonakale ukuthi akhona yini amaseli omdlavuza. |
| Kuyashesha futhi kulula: Kuthatha imizuzu eyi-10 ukuqeda. Asikho isidingo sokuhlala esibhedlela. | Akunembe kangako: Akunembe njengezinye izindlela (njenge-LEEP). Ngezinye izikhathi amaseli angajwayelekile angaphuthelwa. |
| Izindleko eziphansi: Izindleko ziphansi uma ziqhathaniswa nezinye izindlela zokuhlinzwa. | Angikwazi ukujula:Isebenza kuphela kumaseli angaphezulu komlomo wesibeletho. Le ndlela ngeke isebenze uma amaseli engene shí emlonyeni wesibeletho. |
| Akukho mthelela ekuzaleni: Lokhu kwelashwa ngokuvamile akuthinti ikhono lokukhulelwa esikhathini esizayo. | Ayifaneleki ezimweni ezibucayi: Le ndlela ayifaneleki ukususa amaseli asengozini enkulu yokuba umdlavuza (isib. i-CIN 3). |
Kusebenza kangakanani lokhu kwelashwa?
Lokhu kwelashwa kusebenza cishe ngo-90% . Lokho kusho ukuthi kubantu abangu-90 kwabayi-100 abelashwayo, amangqamuzana angajwayelekile ngeke abuye. Kodwa-ke, inani elincane kakhulu labantu lingaphinde libe namangqamuzana angajwayelekile. Uma lokho kwenzeka, kuzodingeka basebenzise okunye ukwelashwa, njenge-LEEP.
Udinga isikhathi esingakanani ukukhuluma nodokotela?
Nakuba kuvamile ukuzwa ukungakhululeki kanye nokukhishwa kwamanzi ngemva kokwelashwa, izimpawu ezithile zingaba uphawu lokutheleleka noma ezinye izinkinga. Uma unezinye zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha. Noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU).
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| 🌡️ Umkhuhlane | Uma izinga lokushisa lomzimba lingu-100.4 Fahrenheit (38 Celsius) noma ngaphezulu. |
| 🩸 Ukopha kakhulu | Uma wopha kakhulu kunesikhathi sakho esivamile sokuya esikhathini. |
| 😖 Ubuhlungu obukhulu besisu | Ubuhlungu obungabekezeleleki besisu esingezansi obungapheli ngisho nangemva kokuthatha i-paracetamol. |
| 👃 Ukuphuma koketshezi olunuka kabi | Uma uketshezi oluphuma esithweni sangasese sowesifazane lunephunga elibi (lokhu kuyisibonakaliso sokutheleleka). |
Ekuphetheni, ukuhlinzwa kwe-cervical cryosurgery kuyindlela endala kakhulu, kodwa kuseyindlela elula, ephephile, futhi ephumelelayo yokwelapha esasetshenziswa kwezinye izimo. Uma udokotela wakho ephakamisa lokhu kwelashwa, ungesabi ukukwenza. Gcina ulwazi olukulesi sihloko engqondweni, futhi ukhulume ngokukhululekile nodokotela wakho uma unemibuzo. Wena nodokotela wakho yibo enithatha izinqumo ngempilo yenu ndawonye.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Cryosurgery kuyindlela elula yokwelapha esebenzisa umkhuhlane omkhulu ukubhubhisa amangqamuzana angavamile emlonyeni wesibeletho.
- Lokhu akuyona indlela enkulu yokuhlinzwa. Kuthatha cishe imizuzu eyi-10. Asikho isidingo sokuhlala esibhedlela.
- Ukwelashwa akubuhlungu kakhulu. Ungase uzizwe ubuhlungu obuncane, obufana nobuhlungu bokuya esikhathini.
- Kujwayelekile ngokuphelele ukuba noketshezi oluphuma esithweni sakho sangasese sowesifazane amasonto ambalwa ngemva kokwelashwa. Ungakhathazeki ngakho.
- Gwema ukuya ocansini nokusebenzisa ama-tampon kuze kube yilapho ululame ngokuphelele (amasonto ama-2-3).
- Qiniseka ukuthi uya ku-aphoyintimenti yokulandelela enikezwe udokotela. Kubaluleke kakhulu.
- Uma unomkhuhlane omkhulu, ukopha okukhulu, ubuhlungu obungabekezeleleki, noma ukuphuma kwegazi okunuka kabi, yazisa udokotela wakho ngokushesha.
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