I-hysterectomy ibhekisela ekususweni kokuhlinzwa kwesibeletho futhi ngezinye izikhathi umlomo wesibeletho . Ezimweni eziningi, i-hysterectomy yenzelwa izimo ezinobungozi (ezingekho komdlavuza) njenge-uterine fibroids noma ukuphuma kwegazi lomzimba ongasebenzi. Kodwa ngezinye izikhathi kwenziwa ukwelapha umdlavuza.
Ukwazi ukuthi kungani une-hysterectomy kubalulekile, njengoba ukwazi ukuthi umbelevuza wakho ususwe ngesisu sakho nokuthi unomlando womdlavuza womlomo wesibeletho nanoma yiziphi iziphampi ezingavamile.
Lokhu kungenxa yokuthi lezi zici zinquma uma udinga ukuqhubeka ne-Pap smears ngemuva kokuhlinzwa kwakho.
Ngenkathi udokotela wakho kufanele abe nalo lonke ulwazi, kungcono ukuthi wazi futhi-ngaleyo ndlela ayikho into ehamba ngayo, futhi kungcono nakakhulu, ungazizwa kahle ngokuba phezulu kwezempilo yakho.
I-Pap Smear Ngemva Kwama-Total Hysterectomy
Abesifazane abaye bathola i-hysterectomy esiphelele noma ephelele (okusho ukuthi isibeletho nomlomo wesibeletho basuswe ngokuhlinzwa) akudingeki ukuba baphinde baphelelwe ama-pap smears-ngaphandle kokuthi, futhi lokhu kuyi-caveat enkulu, i-hysterectomy yenziwa njengomuthi wesibeletho somlomo wesibeletho -cancer noma umdlavuza.
Kulokhu, kusengaba namaseli omlomo wesibeletho avela phezulu kwesifazane, ngakho ukuhlolwa kwesifo somdlavuza wesibeletho ngokwemiyalo ejwayelekile kufanele kusenziwa.
I-caveat yesibili yukuthi noma ngabe owesifazane uye waba ne-hysterectomy esiphelele, uzodinga ukuthi angene ngaphansi kwe-Pap smears uma engumlando wesibeletho somlomo wesibeletho noma umlando wezingcingo zesigqila somlomo wesibeletho, ikakhulukazi umlomo we-intraepithelial neoplasia II noma III (obizwa nge-CIN2 noma i-CIN3 ) -ukulinganisela ekukhuleni kwamagciwane okungavamile emlonyeni wesibeletho.
I-CIN2 noma i-CIN 3 itholakala ngesikhathi i- colposcopy yi-biopsy (uma udokotela wakho ethatha isampula yomlomo wakho wesibeletho futhi uyibheka ngaphansi kwe-microscope).
Ngokusho kwe-American College of Obstetrics kanye ne-Gynecologists (i-ACOG), owesifazane onomlando womdlavuza womlomo wesibeletho noma ushintsho lweseli lomlomo wesibeletho (CIN2 noma i-CIN3) kufanele aqhubeke nama-pap smears iminyaka engama-20 ngemuva kwesikhathi se-hysterectomy yakhe.
I-Pap Smear Ngemuva kwe-Hyterectomy Ephansi
Ngakolunye uhlangothi, abesifazane abathola i-hysterectomy lapho umlomo wesibeletho ushiywe endaweni (okubizwa ngokuthi i-hysterectomy, i- subtotal hysterectomy , noma i-hysterectomy engaphezulu komlomo) kufanele ilandele imiyalelo ye-pap smear njengenjwayelo.
Ngamanye amazwi, kulabo abane-hysterectomy ye-subtotal, imihlahlandlela ifana nowesifazane ongenalo i-hysterectomy, ngoba umlomo wesibeletho usekhona.
I-Pap Smears Yenzani Uma I-Cervix Isusiwe
I-Pap smear iyindlela ephumelela kakhulu yokuhlola umdlavuza womlomo wesibeletho, ngisho nalapho umlomo wesibeletho ususiwe. Ngesikhathi se-Pap smear, ngemva kokuba isisu sesibeletho sisusiwe, udokotela uqoqa isampula emgodini wesisu, ubulili obuphezulu lapho isibeletho sasikhona khona.
Ngenkathi lokhu kungase kube nzima ukumboza ikhanda lakho nxazonke (futhi kulungile), okuyinhloko ukuthi ngisho noma isisu somlomo wakho ususiwe, amaseli womlomo wesibeletho (angabonakali) angase ahlale phezulu kwesifazane-futhi afane nanoma yisiphi iseli, bangashintsha futhi baba nomdlavuza, ngakho ukuhlola njalo kuyisihluthulelo.
Izivivinyo Zonyaka ZasePelvic Zisadingeka Ngemuva kwe-Hysterectomy
Ukuhlolwa kwe-pelvic yonyaka, okubizwa nangokuthi uvakashele owesifazane omuhle, yisikhathi sokuba odokotela bangenzi kuphela i-Pap smear kodwa futhi banakekele ezinye izinkinga zokubeletha, kokubili umdlavuza futhi cha.
Isibonelo, ngesikhathi uvakashele owesifazane omuhle, udokotela uzokwenza ukuhlolwa kwebele, kanye nokuhlolwa kwama-ovari, okuthiwa ukuhlolwa kwe-bimanual.
Ngaphezu kwalokho, ukuvakashelwa kowesifazane ohlinzeka kahle kunika ithuba lokuba odokotela babe neseluleko ngokuphila ngendlela enempilo, banikeze ugonyo oludingekayo, futhi baxoxe ngokukhathazeka noma ukukhathazeka owesifazane angase abe nakho (isibonelo, ukuphuma kwegazi okungavamile noma ubuhlungu bobulili).
Izwi elivela
Khumbula, udokotela wakho ungumthombo wakho ophelele wemininingwane yezempilo. Ngemuva kwe-hysterectomy, buza ukuthi ngabe umlomo wakho wesibeletho ugcinwe noma ususwe yini. Nakuba kungenzeka udokotela wakho ecacile lokhu ngaphambi kokuhlinzwa, kunezikhathi lapho udokotela enquma ukususa noma ukugcina umlomo wesibeletho ngesikhathi sokuhlinzwa kwangempela.
Futhi, ungakhathazeki uma ungaqiniseki uma isisu somlomo wakho ususiwe. Udokotela wakho angenza ukuhlolwa kwe-pelvic ukuhlola.
Ekugcineni, unikwe igunya futhi usebenzise kahle futhi ubone udokotela wakho ukuvakashela kahle, umlomo wesibeletho ukhona noma cha.
> Imithombo:
> I-American Cancer Society. (2012). Imihlahlandlela Yokuhlola Ingculaza yomlomo wesibeletho.
> I-American College ye-Obstetrics ne-Gynecologists. (2016). Ukuhlolwa kwesifo somdlavuza wesibeletho.
> I-American College ye-Obstetrics ne-Gynecologists. (2016). I-Committee Opinion: Ukuvakashelwa Kulungile.
> Feldman S, Goodman A, uPeipert JF. Ukuhlolwa kwesifo somdlavuza wesibeletho. I-Goff B, i-Elmore JG, ama-eds. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Sawaya GF. Phinda ubheke ukuvakashelwa kowesifazane ohamba kahle ngonyaka. I-Obstet Gynecol . 2015 Okthoba; 126 (4): 695-96.