Kungenzeka ukuthi uzizwe wesaba futhi wethukile kancane lapho udokotela wakho ekutshela ukuthi kukhona okungajwayelekile emiphumeleni yakho ye-Pap smear. Ngemuva kwalokho, udokotela kungenzeka ukuthi utshele ukuthi udinga ukwenza inqubo ebizwa ngokuthi i-LEEP. Ngakho-ke, lapho uzwa leli gama, kungenzeka ukuthi ucabange, "O, lokhu kuzokwenzenjani?" Ungesabi. Namuhla, sizoxoxa ngale nqubo ye-LEEP ngendlela elula kakhulu ongayiqonda.
Iyini ngempela i-LEEP?
Kalula nje, i-LEEP inqubo encane yokuhlinzwa esusa ucezu lwamaseli angajwayelekile ebusweni besibeletho sakho. I-LEEP imele i-Loop Electrosurgical Excision Procedure . Ake siyichaze kancane.
- Iluphu: ibhekisela kuluphu lwentambo encane.
- Ukuhlinzwa Nge-Electrosurgical: Lokhu kusho ukuthi ugesi omncane uthunyelwa ngale ntambo.
- Inqubo Yokususa: Inqubo yokusika nokususa okuthile.
Uyaqonda manje? I-LEEP inqubo esebenzisa iluphu encane yocingo esebenzisa ugesi ukusika nokususa indawo enamaseli angavamile.
Izicubu ezisusiwe zibe sezithunyelwa elabhorethri ukuze kuhlolwe amangqamuzana omdlavuza noma amangqamuzana angaphambi komdlavuza. Lesi simo esingaphambi komdlavuza sibizwa ngokuthi i-cervical dysplasia . Akusiwo umdlavuza. Kodwa-ke , uma singelashwa , singakhula sibe umdlavuza womlomo wesibeletho ngokuhamba kwesikhathi . Yingakho odokotela bencoma ukususa la maseli angajwayelekile kusenesikhathi.
Udokotela wakho uvame ukuncoma i-LEEP ngemva kokuhlolwa kwe-Pap smear noma i-colposcopy. Iphinde isetshenziswe ekwelapheni izimo ezifana nama-polyps esibeletho kanye nama-genital warts.
Ulungiselela kanjani i-LEEP?
Kunezinto ezithile okudingeka uzazi ngaphambi kokuthola lokhu kwelashwa. Udokotela uzokunikeza imiyalelo ecacile ngalokhu.
Okokuqala, udokotela uzohlola ukuthi unazo yini izimo zezokwelapha ezingakuvimbela ukuthi uthole lokhu kwelashwa. Isibonelo:
- Uma unesifo esifana nesifo sokuvuvukala kwe-pelvic (PID).
- Uma unesifo esifana ne-cervicitis.
Kulezi zimo, i-LEEP ayenziwa. Ungahlolwa futhi ukuze kubonakale ukuthi ukhulelwe yini. Uma ukhulelwe, udokotela wakho uzonquma isikhathi esingcono kakhulu sokwenza i-LEEP. Ukwelashwa kuzohlelwa usuku lapho ungenayo isikhathi sakho sokuya esikhathini .
Ake sibheke ithebula elingezansi ukuze sibone ukuthi ungalungiselela kanjani ngaphambi kokwelashwa.
| Okufanele ukulungiselele | Incazelo nezinto okufanele uzikhumbule |
|---|---|
| Ucansi nama-cream | Gwema ukuya ocansini amahora angama-24 ngaphambi kokwelashwa. Futhi, ungasebenzisi noma yimaphi amakhrimu afakwa esithweni sangasese sowesifazane. |
| Ama-sanitary pad | Ngemva kokwelashwa, ungase uzwe uketshezi oluthile lwesitho sangasese sowesifazane. Letha iphedi ukuze uyisebenzisele lokhu. |
| Izinto zokunciphisa igazi | Uma uthatha imithi yokunciphisa igazi njenge-aspirin, qiniseka ukuthi utshela udokotela wakho ngakho. Angase akucele ukuthi uyeke ukuthatha imithi izinsuku ezimbalwa. |
| Ama-Painkiller | Udokotela wakho angase akuncome ukuthi uthathe umuthi wokuqeda izinhlungu (isib. i-Ibuprofen, i-Panadol) cishe imizuzu engama-30 ngaphambi kokwelashwa. Lokhu kuzosiza ekunciphiseni ukungakhululeki ngesikhathi sokwelashwa. |
| Izingubo | Gqoka izingubo ezikhululekile okulula ukuzikhumula. Uzonikezwa ingubo ehlukile ozoyigqoka esibhedlela. |
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kwelashwa kuthatha cishe imizuzu eyi-10-20 ukwenziwa. Kungenziwa ehhovisi likadokotela wakho wezifo zabesifazane, esibhedlela, noma emnyangweni weziguli ezingalaliswa esibhedlela. Uvukile phakathi nalesi sikhathi. Ngeke uzwe ubuhlungu, ngaphandle kokungakhululeki okuncane.
1. Ukulungiselela
Kuqala njengokuhlolwa okuvamile kwesinqe. Uzocelwa ukuba ulale etafuleni lokuhlolwa imilenze yakho igobile. Njengoba i-LEEP isebenzisa ugesi, kuzobekwa i-grounding pad ethangeni lakho ukuze ikuvikele. Ngemuva kwalokho, udokotela uzofaka idivayisi ebizwa ngokuthi i-speculum ukuze andise isitho sakho sangasese sowesifazane futhi aqinisekise ukuthi umlomo wakho wesibeletho ubonakala kahle.
2. Ukwenza amaseli angajwayelekile abonakale
Okulandelayo, kufakwa uketshezi, njenge-acetic acid, emlonyeni wesibeletho ukuze kube lula ukubona noma yimaphi amangqamuzana angajwayelekile. Bese kufakwa idivayisi ebizwa ngokuthi i-colposcope eduze kwesitho sangasese sowesifazane. Lokhu kukhulisa umlomo wesibeletho. Kufana nengilazi yokukhulisa. Le divayisi ayifakwa emzimbeni.
3. Ukwanda komlomo wesibeletho
Manje udokotela uzokonakalisa umlomo wesibeletho sakho. Lokhu kwenziwa ngokufaka umjovo omncane womuthi wokonakalisa, njenge- lidocaine . Lokhu kuzobangela umuzwa wokuhlaba nokusha, ofana nomjovo owuthola ezinsinini zakho ngaphambi kokukhipha izinyo. I-epinephrine kulo muthi ingenza inhliziyo yakho ishaye ngokushesha futhi ikwenze uzizwe unesizungu. Kodwa ungakhathazeki, izophela ngokuphelele ngemizuzu embalwa.
4. Ukususwa kwezicubu ezingavamile
Ngemva kokuba umlomo wesibeletho usuvulekile, udokotela uzosika ngokucophelela izicubu ezingavamile ezine-wire loop exhunywe kugesi. Kubaluleke kakhulu ukuthi unganyakazi nhlobo phakathi nalesi sikhathi. Ngezinye izikhathi olunye uhlaka lungasetshenziswa ukususa amaseli phezulu komlomo wesibeletho. Ungase uzizwe umuzwa ofudumele noma ukudlidliza okuncane phakathi nalesi sikhathi.
5. Yeka ukopha
Ekugcineni, ukuze amise ukopha futhi avimbele ukopha okwengeziwe, udokotela ufaka inhlama ekhethekile (inhlama kaMonsel) enxebeni.
Uma uzwa ubuhlungu obukhulu phakathi nenqubo, ungesabi ukutshela udokotela noma umhlengikazi ngakho.
Yiziphi izinzuzo nezingozi zalokhu?
I-LEEP inqubo ephephile kakhulu. Izinkinga azivamile. Enye inzuzo enkulu ukuthi ingenziwa ngaphandle kokubulala izinzwa okugcwele.
Njenganoma yikuphi ukuhlinzwa, kunengozi encane yokutheleleka nokopha. Futhi, njengoba umlomo wesibeletho ungase ube buthaka kancane ngemva kokwelashwa kwe-LEEP, kunengozi encane yokubeletha ngaphambi kwesikhathi uma ukhulelwa esikhathini esizayo. Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho ngaphambi kokwelashwa.
Kodwa lezi zingozi empeleni zincane kakhulu uma ziqhathaniswa nezinzuzo. Inzuzo enkulu nebaluleke kakhulu lapha ukuthi isusa amangqamuzana angaholela kumdlavuza wesibeletho futhi ikuvikele kumdlavuza.
Kwenzekani ngemva kokwelashwa?
Ngemva kokuphela kokwelashwa, ungaya ekhaya. Cishe uzocelwa ukuba uphumule imizuzu engama-30-60. Ngaleso sikhathi, udokotela nabahlengikazi bazochaza imiyalelo okudingeka uyilandele ekhaya. Buza noma yimiphi imibuzo ongase ube nayo ngaleso sikhathi.
Ungalindela okulandelayo ngesikhathi sokululama kwakho.
| Okufanele ukulindele | Incazelo |
|---|---|
| Ubuhlungu besisu (Ukuqaqamba kwesisu) | Ezinsukwini ezimbalwa zokuqala, ungase ube nobuhlungu besisu obuncane, obufana nobo obuba khona ngesikhathi sokuya esikhathini. Lokhu kungalawulwa ngokuthatha umuthi wokuqeda izinhlungu owunikezwe udokotela wakho. |
| Ukuphuma/ukuphuma kwamabala esithweni sangasese sowesifazane | Ukuphuma koketshezi esithweni sangasese sowesifazane kungase kwenzeke isonto elilodwa kuya kwamathathu. Ekuqaleni, ukukhishwa koketshezi kungaba luhlaza okotshani futhi kube nephunga elibi kancane. Kamuva, ukukhishwa koketshezi olunsundu olumnyama kungase kuvele. Lokhu kuyinto evamile ngokuphelele . Sebenzisa ama-pad kulokhu. Ungasebenzisi ama-tampons. |
| Ukuphazamiseka | Ungase uzwe ubuhlungu noma ukungakhululeki ngaphakathi kwesitho sangasese sowesifazane noma esiswini. Ungase uzwe umuzwa wokucasuka endaweni yomlomo wesibeletho, okufana nomthambo ocijile. Lokhu kuzophela ngemva kwezinsuku ezimbalwa. |
| Ukuya esikhathini kwanyanga zonke | Lokhu kwelashwa ngeke kube nomthelela omkhulu emjikelezweni wakho wokuya esikhathini wanyanga zonke. Kuzoqhubeka njengokujwayelekile. |
Izinto okufanele uzigweme ngesikhathi sokululama
Kuthatha cishe amasonto angu-4-6 ukuthi umlomo wesibeletho uphole ngokuphelele. Phakathi nalesi sikhathi, kufanele ugweme izinto ezithile.
- Ukuzivocavoca Nokusebenza Okukhathazayo: Gwema ukusebenza kanzima amahora angu-48 ngemuva kokwelashwa. Ungavivinyi umzimba okungenani isonto lonke. Uma uqala ukuzivocavoca ngemva kwesonto bese uzwa ukopha (hhayi ukuya esikhathini), yeka ukuzivocavoca bese unikeza umzimba wakho isikhathi esengeziwe sokululama.
- Ucansi: Gwema ucansi okungenani amasonto ama-4 . Futhi, ungafaki lutho esithweni sangasese sowesifazane, njengama-tampon noma amathoyizi ocansi.
- Ukugeza: Kulungile ukugeza njalo. Kodwa-ke, gwema ukucwilisa ebhavini noma echibini lokubhukuda kuze kube yilapho udokotela wakho ekunike imvume.
Kwenzekani ngemva kokuthola imiphumela ye-LEEP?
Njengoba sixoxile ngaphambili, i-LEEP iyindlela yokuxilonga kanye neyokwelapha. Ezimweni eziningi, ukususa umucu ongavamile wamaseli kuzoxazulula inkinga.
Kodwa ngezinye izikhathi, uma amangqamuzana angavamile engasuswanga ngokuphelele, kungase kudingeke enye i-LEEP. Futhi, uma unegciwane le -Human Papillomavirus (HPV) eliyingozi kakhulu, kunethuba elincane lokuthi amangqamuzana angavamile azophinde akhule esikhathini esizayo.
Into ebalulekile ukuthi i-LEEP isuse amangqamuzana angajwayelekile abangelwa yigciwane le-HPV. Kodwa-ke, ayisusi igciwane le-HPV ngokwalo emzimbeni.
Ngakho-ke, ngisho nangemva kokwelashwa, kubaluleke kakhulu ukwenza izivivinyo ze-Pap kanye ne-HPV ngezikhathi ezihleliwe njengoba kunconywe udokotela.
Kunini lapho udinga ukubonana nodokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho noma uye esibhedlela ngokushesha . Lezi zingase zibe izimpawu zokutheleleka.
- Ukopha kakhulu (okungaphezu kokuya esikhathini okuvamile kwanyanga zonke)
- Amahlule egazi
- Iphunga elinamandla elivela ekuphumeni koketshezi lwesitho sangasese sowesifazane
- Imfiva
- Ubuhlungu obukhulu besisu
Kuvamile ukuzizwa wesaba uma uzwa nge-LEEP. Kodwa khumbula, lokhu kwenziwa ngaphandle kobuhlungu obukhulu ngoba umlomo wakho wesibeletho uyaphela amandla. Amathuba omdlavuza wesikhathi esizayo makhulu kakhulu kunokungakhululeki kwale mizuzu eyi-10-20. Unganqikazi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngale nqubo.
Umlayezo Wokuya Nawe Ekhaya
- I-LEEP iyindlela yokwelapha ephephile kakhulu futhi ephumelelayo esusa amangqamuzana angajwayelekile angakhula abe umdlavuza wesibeletho.
- Lokhu kwenziwa ngokukhulisa umlomo wesibeletho, ukuze ubuhlungu nokungakhululeki kube kuncane.
- Kujwayelekile ukuzwa uketshezi oluphuma esithweni sangasese sowesifazane kanye nobuhlungu besisu obuncane amasonto ambalwa ngemva kokwelashwa. Ungakhathazeki ngalokho.
- Landela imiyalelo kadokotela wakho ngokucophelela ngesikhathi sokululama kwakho, ikakhulukazi mayelana nokugwema ukuya ocansini kanye nokuzivocavoca umzimba.
- Uma uzwa izimpawu eziyisixwayiso njengokuphuma kwegazi ngokweqile, umkhuhlane, noma ubuhlungu obukhulu, funa iseluleko sezokwelapha ngokushesha.
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