Yini Ongayilindela Ngalesi Sindlela Esijwayelekile Nezinsana Zomzimba
Kungase kube ukuphazamiseka lapho umgogodla wakho wezinsizwa ebiza ukuthi akutshele ukuthi imiphumela yakho yeP Pap smear yayingavamile nokuthi udinga i-colposcopy - inqubo ye-in-office lapho udokotela wakho ehlola khona umlomo wakho wesibeletho eduze kakhulu nensimbi yokukhulisa.
Izindaba ezinhle ukuthi le nqubo ilula futhi ingenziwa ngokushesha ngaphakathi kokunethezeka kwegumbi lesiguli ehhovisi likadokotela wakho.
Lokhu kuthiwa, ukuqonda ukuthi i-colposcopy ihlanganisa yini kunganciphisa noma yikuphi ukukhathazeka okungase ube nomuzwa wokuthi ungena owodwa.
Kungani Ngifaka I-Colposcopy?
Udokotela wakho angase anikeze i-colposcopy uma imiphumela yakho ye-Pap smear ibonisa izinguquko ezingavamile zomlomo wesibeletho. Ngokusho kwe-American Congress of Obstetrics ne-Gynecologists (i-ACOG), kungase kwenziwe futhi ukuhlola:
- umlomo wesibeletho ovuthayo (lokhu kubizwa ngokuthi i-cervicitis)
- ukukhula okungenayo umdlavuza embelethweni (ama-polyps)
- Ama-warts ngokobulili embelethweni wesibeletho
Lokhu kungavamile kungase kubonwe udokotela wakho ngesikhathi sokuhlolwa kwakho kwe-pelvic ne-Pap smear.
Ngaphezu kwalokho, udokotela wakho angenza ikholpocopy uma ubika izimpawu ezingavamile njengobuhlungu noma ukuphuma kwegazi.
Indlela Yokulungiselela I-Colposcopy Yakho
Kungcono ukufaka i-colposcopy yakho uma ungaqedi. Kubalulekile futhi ukuthi ungabeki lutho oluswini lwakho okungenani usuku olulodwa ngaphambi kwenqubo - lokhu kusho ukungasebenzisi noma yiziphi izitho zomzimba zangasese, ukwenza ucansi, ukufaka izinwele , noma ukusebenzisa amathoni.
Kubalulekile futhi ukuvumela udokotela wakho ukuba azi uma uthatha imithi yokwehlisa igazi efana ne-aspirin noma i-warfarin. Le mithi ingakwandisa ingozi yokugaya nge-biopsy yomlomo wesibeletho, okuyinto isampula encane yezicubu zomlomo wesibeletho ngezinye izikhathi ezithathwe ngesikhathi se-colposcopy. Tshela nodokotela wakho futhi uma ukhulelwe.
Ngenkathi ngokuvamile i-colposcopies ithathwa njengokuphephile ngesikhathi sokukhulelwa, udokotela wakho uzofuna ukugwema ukuthatha i-biopsy.
Yini Ongayilindela Phakathi Ne-Colposcopy
I-colposcopy iyindlela elula yokugcina imizuzu engu-10 kuya kwemizuzu engu-15 engenabuhlungu futhi eyenziwa ehhovisi likabafazi. Eqinisweni, ungalindela ukuqashwa kwakho kwe-colposcopy kufane nokuqokwa kwe-Pap smear.
Uzoqala ngokubeka phansi etafuleni lokuhlola nokubeka izinyawo zakho ngezinyawo. Udokotela wakho uzobe esebeka i- speculum ebesini lakho. Lapho i-speculum isesikhundleni, umhlinzeki wakho wezempilo uzobeka isisombululo seviniga kumlomo wakho wesibeletho ukwenza izindawo ezingavamile zilula ukubona.
Okulandelayo, udokotela wakho uzobeka kahle i-colposcope (ibukeka sengathi i-microscope enkulu ehlezi esihlalweni futhi inokukhanyisa okukhanyayo) eduze kokuvula kwakho kwesisu, ngakho ukukhanya kukhanya ebesini nesisu somlomo wesibeletho.
Phakathi ne-colposcopy, udokotela wakho angase abone izindawo ezimhlophe esibelethweni somlomo wesibeletho, okuyisiginali soshintsho olungavamile lwesibeletho somlomo wesibeletho. Noma yiziphi izinguquko ezingavamile ze-vascular (isitsha segazi) nazo zibonakala nge-colposcope.
Okokugcina, umhlinzeki wakho wezempilo uzothatha isampula yamathambo noma i- biopsy , uma kunesidingo, ezindaweni ezingavamile bese uyithumela ebhodini ukuze kuhlolwe okuqhubekayo.
Kufanele uthole imiphumela emuva kweviki elilodwa kuya kwamabili. Qinisekisa ukubiza i-ofisi yakho kadokotela uma ungazwa emuva ngaphakathi kwaleso sikhathi.
Yini Okumele Yilindele Ngemuva kwe-Colposcopy
Abesifazane abangadingi i-biopsy yomlomo wesibeletho bavame ukuzizwa behlelekile ngemuva kwe-colposcopy, nakuba bangase babe nokukhanya okuncane kakhulu.
Uma une-colposcopy ene-biopsy, kufanele ugqoke i-pad yangasese, njengoba uzothola ukuphuma kwegciwane lesisu. Ungase uzwe nokuchofoza okuncane kwamahora angu-24 kuya kwangu-48 alandelayo. Ngokuvamile, lobu buhlungu bulashwa ngemithi yokuhlunguphazwa okungaphezu kwe-counter ezifana ne-Tylenol (i-acetaminophen) noma i-Motrin (ibuprofen).
Ngaphandle kwegazi elithile elimhlophe lokuphuma kwegazi, ungabona ukuphuma okumnyama, okungenzeka kungenxa yesisombululo udokotela wakho osetshenziselwa isayithi le-biopsy site. Lokhu kuphuma kwamagciwane akufanele kube ukuhogela okubi, ngakho shayela udokotela wakho uma kunjalo. Ngenkathi umlomo wesibeletho usuphilisa, udokotela wakho angancoma ukuthi ubaleke ukubeka noma yini emithanjeni yakho njengamathangi noma ukuya ocansini.
Uma ubuhlungu bakho bungathuthuki ngemithi yokwelapha ngaphezulu noma ukuphuma kwegazi kuqhubeka isikhathi eside kunsuku eziyisikhombisa, thintana nomhlinzeki wakho wezempilo ukuze uthole izeluleko zokulandela.
Ngaphezu kwalokho, ngokusho kwe-ACOG, kubalulekile ukubiza udokotela wakho ngokushesha uma uthola ukuphuma kwegazi okuphawulekayo (njengokungaphezu kweyodwa idethi ye-sanitary ngehora), ubuhlungu obukhulu besisu esiswini, umkhuhlane, kanye / noma ama-chill ngemuva kwe-colposcopy.
Izwi elivela
Yize kungokwemvelo ukukhathazeka ngaphambi kwe-colposcopy yakho, ukwazi ukuthi yini ongayilindela ngesikhathi senqubo futhi ngemuva kwalokho kungenethemba lokuthi uzolahla izinzwa zakho.
Okokugcina, umyalezo owodwa okufanele ukhumbule ukuthi "akukho zindaba, akusho ukuthi izindaba ezinhle." Hlala ungummeli empilweni yakho bese ushayele ukulandelela emiphumeleni yokuhlola uma ungazwa.
Buza imibuzo futhi uma ukhathazekile noma ungaqondi imiphumela yakho - yilokho ithimba lakho lezokwelapha likhona, futhi bafuna ukukuqondisa nokunakekelwa.
> Imithombo
> I-American Congress yezidakamizwa namaGynecologists. (NgoJanuwari 2016). Imibuzo Evame Ukubuzwa: Imiphumela Evivinywa Yokuhlolwa Kwegciwane Lomdlavuza wesibeletho.
> I-American Congress yezidakamizwa namaGynecologists. (Ephreli 2015). Imibuzo evame ukubuzwa: I-Colposcopy.
> Ukuzwa u-CM, uFeldman S. Imfundo yeziguli: I-Colposcopy (Ngaphandle Kwezinto Eziyisisekelo). Ku: UpToDate, Mann WJ (Ed), UpToDate, Waltham, MA.
> Tombola (Isivivinyo sokulawulwa kwemingcele kanye namanye ama-smears angajwayelekile). Imiphumela embi ebikwe abesifazane besilandela i-colposcopy, i-biopsies yomlomo wesibeletho kanye ne-LLETZ: imiphumela evela kuhlolo lwe-TOMBOLA. I-BJOG . 2009 Oct; 116 (11): 1506-14.