Yini Okumele Ukulindele Nalokho Ongayilinda
I-conop biopsy yindlela yokuhlinza esetshenziselwa ukususa ucezu oluthile lwezicubu ezivela embelethweni wesibeletho nomsele wesibeletho. I-cop biopsy iyasiza lapho uhlola noma ukwelapha isimo somlomo wesibeletho njenge-neervlasia ye-cervical intraepithelial (CIN) noma umdlavuza wesibeletho. Kubizwa nangokuthi i-conization.
Sibutsetelo
I-cone biopsy ivame ukusebenzisa uma i-Pap smear ibonisa ukuthi kukhona amangqamuzana angavamile emlonyeni wesibeletho sakho.
Lokhu akumele kubonise ukuthi kunenkinga, kuphela ukuthi ukungajwayelekile kudinga uphenyo olwengeziwe.
Ngombono obanzi, i-biopsy ye-cone isebenza ngezinhloso ezehlukene:
- ithuluzi lokuxilonga lithola isampula lesishukela (i-biopsy) ukuhlola okuncane kakhulu
- uhlobo lwezokwelapha ukususa izicubu ezingavamile emlonyeni wesibeletho
- indlela yokuhlola izinga lomdlavuza womlomo wesibeletho esivele utholakala
Indlela iNqubo eyenziwa ngayo
I-biopsy ye-cone yenziwa esibhedlela ngesikhathi sokugula. Kunezinqubo ezintathu ezahlukene ezingahle zisetshenziswe:
- i-cryosurgery isebenzisa i-carbon dioxide laser ukuze idle ingxenye yesisindo
- inqubo ye-loop electrosurgical excision (LEEP) esebenzisa i-loop encane ethinta i-generator ukuze isuse ugesi
- umcibisholo obandayo obomvu (CKC) lapho kusetshenzwa khona ukukhwabanisa okuhlinzayo
Ngaphambi kokuhlinzwa, udokotela wakho uzoxoxa ngokuthi iyiphi i-anesthesia ezoba ngcono kakhulu kuwe. Ezimweni eziningi, abantu bazokhetha ukuhlala bephapheme, mhlawumbe ngokusebenzisa ukuhlinzekwa kwezinzwa zesifunda noma umgogodla we-spinal.
Uzokwaziswa ukuthi ugweme ukudla noma ukuphuza amahora ayisishiyagalombili ngaphambi kwenqubo.
Ukuholela kule nqubo kufana nesimo seP Pap smear. Ngokuvamile uyobekwa emuva ngemilenze yakho. Udokotela wakho uzobe esefaka ithuluzi elihlanjululwe okuthiwa i-speculum ngaphakathi kwesiswini sakho ukuze usakaze izindonga zangasese.
Uma i-LEOP biopsy yenziwa, ungase ujove ngemithi ukuze unqande umlomo wesibeletho.
Okumele Ukulindele Ngemva kwalokho
Ngokujwayelekile uzolindelwa amahora amathathu kuya kwangu-4 emva kwenqubo futhi uzovunyelwa ukuya ekhaya uma nje umuntu ehlala nawe ebusuku.
Ngemuva kwe-conop biopsy, ungalindela ukuphuma kwegazi cishe isonto elilodwa kepha kungase kube nokunye okuvelele kwesinye isonto noma amabili ngemuva. Mhlawumbe uzomuzwa uzilimaza usuku lokuqala noma ezimbili, futhi. Udokotela wakho angakukwazisa ngalokho ongayithatha ukuze uthole ukuphumula kobuhlungu.
Kubalulekile ukugwema ama-tampons, ama-douches, ama-tubs ashisayo, nokulala ngokocansi cishe amasonto amathathu kuya kwamane ngenkathi uphulukisa. Kumele futhi ugweme ukuphakamisa okunzima okungaholela ukwanda kwegazi.
Ngesikhathi udokotela wakho engase ancoma ukuthi omunye ahlale nawe amahora angu-24 ngemuva kwenqubo, kufanele ucabangele ukuba nomngane noma ilungu lomndeni uhlale nawe izinsuku eziningana uma uhlala wedwa.
Okuqhamuka uma udla imishanguzo
Inqubo ye-cone biopsy ivame ukubekezelela kahle. Ukuphuza ngokweqile kwenzeka kaningi. Ngezinye izikhathi ukutheleleka kungenzeka futhi kuvame ukubonakala ngokuphuma okuphuzi noma okwesibhakabhaka ngephunga elimnandi.
Ngemuva kwanoma iyiphi inqubo yokuhlinzeka, kuhlale kunengozi encane yezindwangu zegazi emilenzeni.
Nakuba lokhu kungavamile nge-cone biopsy, khuluma nodokotela wakho uma unesifo, ubomvu, noma ukuvuvukala komunye noma emilenzeni yakho yombili.
Uma ngabe ulokhu uqhubeka ubuhlungu be-pelvic , ukuyeka ngokwegazi ngokweqile ukuphuma kwegazi, ukungcola okungcolile, noma umkhuhlane omkhulu kunama-100.5 Fahrenheit, shayela udokotela wakho ngokushesha. Kusebenza okufanayo uma izimpawu zibonakala zingakalungi kuwe. Unganqikazi. Ayikho yalezi zimo ezingabhekwa njengokujwayelekile.
Izingozi Zesikhathi Eside
Kubalulekile ukukhuluma nodokotela wakho mayelana nanoma yiziphi izingozi zesikhathi eside ezihlobene ne-biopsy ye-cone. Noma kunjalo, izinkinga ziye zaziwa ukuthi zenzeka.
Phakathi kwazo:
- Ukuphindaphindeka kwesifo somuntu we-papillomavirus (HPV) akukwenzeki konke okuvame ukwenzeka, kodwa kuyaziwa ukuthi kuvela kubantu besifazane abanezinkinga ezinkulu ze-HPV (ikakhulukazi izinhlobo ezingu-16) kanye nemithwalo ephezulu ye-HPV yegciwane.
- Ukuphindaphindiwe kwamangqamuzana omlomo wesibeletho (dysplasia) kuyaziwa futhi ukuthi kwenzeka. Ingozi ijwayele ukuthi ibe yilapho ibamba iqhwa elimnyama (ngaphansi kwamaphesenti amabili) uma kuqhathaniswa ne-LEEP ne-cryosurgery.
- Ukulethwa kokuqala kungavamile kepha kungenzeka njengomphumela we-cone biopsy. Ucwaningo lwango-2016 lwaphakamisa ukuthi leyo ngozi elandela ukukhishwa kommese okubandayo yayiphakeme kakhulu uma kuqhathaniswa ne-LEEP noma i-cryosurgery.
Lezi zici ziqinisa kuphela ukubaluleka kokulandelana okuqhubekayo, okuqhubekayo nomhlinzeki wezempilo kanye nokuqinisekisa ukuthi isiphi isazi se-obstetric noma gynecologic uma siqhathaniswa ngokugcwele emlandweni wakho wezokwelapha.
Izwi elivela
Ngaphambi kokuba usebenzise i-cone biopsy, qiniseka ukuthi uhlala nodokotela wakho futhi ubuze yonke imibuzo oyidingayo ukuyibuza. Ungagodli; ayikho imibuzo "yobuwula". Uma ungaqiniseki, unganqikazi ukufuna umbono wesibili.
Ngezinye izikhathi kuyasiza ukukhuluma nabanye abaye benza inqubo kodwa bakhethe. Njengamanye amasimu omuthi, ama-cone biopsies aqhubeka ethuthuka. Ekugcineni, amathuba ukuthi inqubo yakho izosebenza futhi ngaphandle kwezinkinga ziphakeme kunomuntu okungenzeka ukuthi ube nenqubo esikhathini esidlule.
> Imithombo
- > Kindinger, uL .; I-Kyrgiou, M .; MacIntyre, D .; et al. "Ukuqala Ukuvimbela Ukuzalwa Okubeletha Ngaphambi Kokuzalwa: Isibonelo Sokuhlolwa Kwesibeletho Esikhathini Sokubeletha Ngomzimba Wokunciphisa." PLoS One . 2016; 11 (11): e0163793.
- > Kyrgiou, M .; I-Mitra, A .; I-Arbyn, M .; et al. Imiphumela yokubeletha kanye nokukhulelwa kwangaphambi kokubeletha kwe-Treatment for the Cervical Intraepithelial Neoplasia: Ukubuyekezwa kwesistimu kanye nokuhlaziywa kwe-Meta. " BMJ . 2014; 349: g6192.
- > Santesso, N .; I-Mustafa, R .; Wiercioch, W .; et al. "Ukuhlolwa Okuhlelekile Nokuhlaziywa Kwezinzuzo Ne-Harms of Cryotherapy, LEEP, neCold Knife Conization Yokuphatha I-Neoplasia Ye-Cervical Intraepithelial." I-International Journal of Gynecology and Obstetrics . 2016; 132 (3): 266-71.
- > IKomidi Lokubukeza Iziqondiso Zenhlangano YezeMpilo. "WHO WHO Guidelines for Treatment of Intraepithelial Neoplasia 2-3 kanye ne-Adenocarcinoma in situ: Cryotherapy, Large Loop Excision ye-Transformation Zone, neCold Knife Conization." I-Geneva: I-World Health Organization; 2014.