Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho udokotela wakho ekutshela ukuthi imiphumela yakho ye-Pap smear ihlukile kancane. Ngemuva kwalokho, lapho ekutshela ukuthi udinga ukwenza inqubo ye-LEEP, lokho kwesaba kungaba kukhulu nakakhulu. Kungokwemvelo ukuzibuza, "Lokhu kuzokwenzenjani?" Kodwa iyini ngempela i-LEEP? Ingabe iyingozi? Ake sixoxe ngayo ngokucacile, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane.
Kuyini i-LEEP ngamagama alula?
Kalula nje, i-LEEP (Loop Electrosurgical Excision Procedure) inqubo engangenisi kakhulu esusa ungqimba lwamaseli angajwayelekile ebusweni besibeletho sakho. Njengokususa isikhumba kancane emfinweni, lolu ngqimba lwamaseli angajwayelekile lususwa ngocingo oluncane olusebenzisa ugesi.
Manje ungase ubuze, "Kungani la maseli esuswa?" Uma i-Pap smear noma i-colposcopy yakho iveza amaseli angajwayelekile esibelethweni sakho somlomo wesibeletho, udokotela wakho angase ancome le nqubo ye-LEEP. Lesi simo seseli esingajwayelekile sibizwa ngokuthi i-cervical dysplasia .
Into ebalulekile ukuthi le `(i-Cervical Dysplasia)` ayiyona umdlavuza. Kodwa-ke, uma ingelashwa isikhathi eside, iphesenti elincane lala maseli lingaphenduka umdlavuza womlomo wesibeletho. Ngakho-ke ukwelashwa kwe-LEEP kuyindlela ebaluleke kakhulu futhi ephumelelayo yokuqeda amathuba okuba nomdlavuza ngaphambi kokuba ukhule . Iphinde isetshenziswe ukususa amanye ama-polyp omlomo wesibeletho kanye nama-genital warts.
Uzilungiselela kanjani ngaphambi kokwelashwa?
Ngaphambi kokwenza le nqubo, udokotela wakho uzohlola ukuqinisekisa ukuthi konke kuhamba kahle. Isibonelo, uma unesifo sokuvuvukala kwe-pelvic (PID) noma i-cervicitis, lokhu kuzodingeka kwelashwa ngaphambi kokwenza i-LEEP.
Ungahlolwa futhi ukuze kubonakale ukuthi ukhulelwe yini. Uma ukhulelwe, udokotela wakho uzokhetha isikhathi esifaneleka kakhulu kuwe sokwenza lokhu kwelashwa. Ngokuvamile, lokhu kwenziwa ngosuku lapho ungenayo isikhathi sakho sokuya esikhathini.
Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngaphambi kokwelashwa.
- Gwema ukuya ocansini nokusebenzisa noma yimaphi ama-creams esitho sangasese sowesifazane amahora angama-24 ngaphambi kokwelashwa.
- Letha iphedi yokuhlanzeka ukuze uyisebenzise ngemva kokwelashwa.
- Uma uthatha imithi evimbela ukujiya kwegazi (njenge-aspirin), kufanele nakanjani utshele udokotela wakho ngayo futhi ucele iseluleko sakhe.
- Uma udokotela wakho ekuncoma, thatha umuthi wokuqeda izinhlungu (njengePanadol) cishe imizuzu engama-30 ngaphambi kokwelashwa.
- Uma ugqoka, gqoka izingubo ezikhululekile nezikhululekile ezingasuswa kalula.
Kwenzekani ngesikhathi sokwelashwa kwe-LEEP?
Lokhu kuvame ukwenziwa ehhovisi likadokotela noma emnyangweni weziguli zangaphandle esibhedlela. Ukwelashwa konke kuthatha imizuzu eyi-10 kuya kwengama-20 kuphela. Usuke uphapheme phakathi nalesi sikhathi, kodwa ngeke uzwe ubuhlungu obukhulu.
1. Ukulungiselela: Okokuqala, uzocelwa ukuba ulale etafuleni lokuhlolwa, njengoba ubungenza lapho uhlolwa njalo ngabesifazane, imilenze yakho igobile. Ngemuva kwalokho, kuzobekwa i-grounding pad emathangeni akho. Lokhu kuzokuvikela kugesi osetshenziswa ngesikhathi sokwelashwa. Ngemuva kwalokho, udokotela uzofaka idivayisi ebizwa ngokuthi i-speculum bese enweba kancane isitho sakho sangasese sowesifazane ukuze umlomo wesibeletho sakho ubonakale kahle.
2. Ukuhlonza amangqamuzana angajwayelekile: Okulandelayo, kufakwa uketshezi olukhethekile (i-acetic acid noma isixazululo se-iodine) emlonyeni wesibeletho ukuze amangqamuzana angajwayelekile abonakale kakhudlwana. Kufakwa ithuluzi elifana nekhamera elikhulisiwe elibizwa ngokuthi i-colposcope eduze kwesitho sangasese sowesifazane bese lihlolwa. Leli ithuluzi elibekwa ngaphandle komzimba.
3. Ukwanda Kwesibeletho: Lena yingxenye abantu abaningi abayesabayo. Kodwa akukho okufanele ukwesabe. Udokotela uzofaka umjovo obangela ukungazwani (`(Lidocaine)` nge-`(Epinephrine)`) esibelethweni sakho ngenaliti encane kakhulu . Kuzozwakala sengathi kuyathuthumela ezinsinini zakho uma ukhishwa izinyo, njengenaliti encane efakwayo, bese uzwa umuzwa omncane wokushisa imizuzwana embalwa . I-`(Epinephrine)` emjovweni ingenza inhliziyo yakho ishaye ngokushesha futhi ungase uzizwe unesiyezi kancane . Izophela ngokuphelele ngemizuzu embalwa, ngakho ungakhathazeki ngakho.
4. Ukususwa kwezicubu okungajwayelekile: Ngemva kokuba umlomo wesibeletho usuphelelwe amandla ngokuphelele, udokotela uzosebenzisa iluphu kagesi ukuze asike izicubu ezingajwayelekile. Kubalulekile ukuthi uhlale unganyakazi phakathi nalesi sikhathi. Ungase uzizwe umuzwa wokucasuka okuncane, kodwa hhayi ubuhlungu. Ngezinye izikhathi lokhu kungenziwa okwesibili ukususa noma yimaphi amaseli angaphansi komlomo wesibeletho. Isampula yezicubu izothunyelwa elabhorethri ukuze ihlolwe amaseli omdlavuza.
5. Misa ukopha: Ekugcineni, kufakwa i-paste ekhethekile yokwelapha (i-paste kaMonsel) enxebeni ukuze kumiswe ukopha futhi kuvinjelwe ukutheleleka.
Yini ongayilindela ngemva kokwelashwa?
Ngemva kokuphela kokwelashwa, uzothunyelwa ekhaya ngemva kokuphumula uze ululame ngokugcwele (cishe imizuzu engama-30-60). Phakathi nalesi sikhathi, ungabuza udokotela wakho uma unemibuzo. Ngemva kokubuyela ekhaya, kunezinto ezithile okudingeka uzilandele, kanye nezinguquko emzimbeni wakho ngenkathi ululama.
| Lokho ozobhekana nakho | Okufanele ukwenze nokungafanele ukwenze |
|---|---|
| Ukuqaqamba Ungase uzwe ubuhlungu obuncane, njengasesikhathini sokuya esikhathini, izinsuku ezimbalwa. | Phuza imithi yokubulala izinhlungu (isib. iPanadol) njengoba udokotela wakho ekuyalile. |
| Ukukhishwa Kwesisu Ukuphuma koketshezi oluphuzi noma olunsundu ngokumnyama, ngezinye izikhathi olunephunga elibi, kungase kube khona amasonto angu-1-3. Lokhu kungenxa yokuthi umuthi wokugcina osetshenzisiwe uyancibilika futhi uyaphuma. | Sebenzisa ama-sanitary pad. Ungasebenzisi ama-tampon noma yini efakwe esithweni sangasese nganoma yisiphi isizathu. |
| Imisebenzi kanye nokuzivocavoca Udinga ukunikeza umzimba wakho isikhathi sokululama. | Gwema ukwenza umsebenzi onzima emahoreni okuqala angu-48. Gwema ukuzivocavoca okungenani isonto lonke. |
| Ubuhlobo bobulili Umlomo wesibeletho kumele uphulukiswe ngokuphelele. | Gwema ucansi ngokuphelele okungenani amasonto amane . |
| Ibhavu | Ungageza njengenjwayelo, kodwa gwema ukungena emanzini (kusinki, kubhavu, olwandle/emfuleni) kuze kube yilapho udokotela wakho ekuyala ukuthi ugeze. |
Ingabe umlomo wesibeletho uzophinde ukhule?
Yebo. Izicubu ezisusiwe zithathelwa indawo amaseli amasha, anempilo futhi umlomo wesibeletho ubuyela esimweni esijwayelekile. Lokhu kuthatha cishe amasonto angu-4-6.
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kungaba uphawu lokutheleleka. Ngakho shayela udokotela wakho noma uye esibhedlela ngokushesha.
- Ukopha okukhulu okungaphezu kokugeleza okuvamile kokuya esikhathini (ukumanzisa i-pad engaphezu kweyodwa ngehora)
- Ukudlula amahlule egazi amakhulu
- Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kakhulu oluba lubi usuku nosuku
- Imfiva
- Ubuhlungu obukhulu besisu obungabekezeleleki
Kwenzekani ngemva kokufika kwemiphumela?
I-LEEP iyindlela yokuxilonga neyokwelapha. Ezimweni eziningi, uma amaseli angavamile esesusiwe, lesi simo siyaphela ngokuphelele.
Kodwa-ke, ngezinye izikhathi uma umbiko ubonisa ukuthi kunamaseli angajwayelekile emaphethelweni ezicubu ezisusiwe, kungadingeka ukwenza olunye ukwelashwa kwe-LEEP ukuze kususwe noma yimaphi amaseli asele.
Okunye okufanele ukukhumbule ukuthi imbangela eyinhloko yala maseli angajwayelekile emlonyeni wesibeletho igciwane elibizwa nge -HPV (Human Papillomavirus) . Ukwelashwa nge-LEEP kususa kuphela amaseli angajwayelekile abangelwa yileli gciwane, hhayi igciwane ngokwalo . Ngakho-ke, ngisho nangemva kokwelashwa, kubalulekile ukwenza ukuhlolwa kwe-Pap njalo njengoba kunconywe udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-LEEP iyindlela yokwelapha ephephile kakhulu, esheshayo, futhi ephumelelayo esusa amangqamuzana angajwayelekile angabangela umdlavuza wesibeletho ngaphambi kokuba ukhule.
- Lokhu kwenziwa ngokufaka izinzwa emlonyeni wesibeletho, ukuze ungazizwa ubuhlungu obukhulu. Ungase uzizwe ungakhululekile uma kunikezwa umjovo wokuzifihla.
- Kujwayelekile ukuzwa ubuhlungu besisu esingezansi kanye nokukhishwa koketshezi esithweni sangasese sowesifazane amasonto ambalwa ngemva kokwelashwa.
- Landela imiyalelo kadokotela wakho ngqo, ikakhulukazi leyo ephathelene nokugwema ukuya ocansini kanye nokuzivocavoca umzimba.
- Uma uzwa izimpawu ezifana nokopha ngokweqile, umkhuhlane, noma ubuhlungu obukhulu, bona udokotela ngokushesha.
- Noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho mayelana nalokhu kwelashwa kufanele kuxoxwe ngakho nodokotela wakho. Kuyilungelo lakho.
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