Cone biopsy

Koni biopsy (conization) kuvhiya kubvisa sampuli yemhando dzisina kujairika kubva pamuromo wechibereko. Cervix chikamu chepazasi chechibereko (chibereko) chinovhurika kumusoro kwemukadzi. Shanduko dzisina kujairika mumasero ari pamusoro pemuromo wechibereko inonzi cervical dysplasia.

Maitiro aya anoitwa muchipatara kana munzvimbo yekuvhiya. Munguva yekuita:

• Iwe unozopihwa huwandu hweanesthesia (wakarara uye usina kurwadziwa), kana mishonga yekukubatsira kuzorora uye kunzwa kurara.
• Iwe ucharara pamusoro petafura uye woisa tsoka dzako muzvimisikidzo kuti uise chiuno chako pabvunzo. Anopa hutano anoisa mudziyo (speculum) mukati memukadzi wako kuti unyatsoona chibereko chechibereko.
• Kamuenzaniso kadiki-koni kemhando yetishu inobviswa pamuromo wechibereko. Maitiro acho anogona kuitwa uchishandisa waya tambo inopisa nemagetsi emagetsi (LEEP maitiro), scalpel (inotonhorera banga biopsy), kana laser beam.
• Iyo canal canal pamusoro peiyo koni biopsy inogona zvakare kubviswa kubvisa maseru ekuongorora. Uku kudaidza endocervical curettage (ECC).
• Muenzaniso unoongororwa pasi pe microscope yezviratidzo zvegomarara. Iyi biopsy inogona zvakare kuve yekurapa kana mupi achibvisa zvese zvinyama zvinorwara.

Kazhinji yenguva, iwe unozokwanisa kuenda kumba zuva rimwe chetero nemaitiro.

Iwe unogona kubvunzwa kuti usadya kana kunwa kwemaawa matanhatu kusvika masere bvunzo usati waedzwa.

Mushure mekuita kwacho, unogona kuve nekupwanya kana kusagadzikana kweinenge vhiki. Kweanenge mavhiki mana kusvika matanhatu kudzivirira.

• Douching (douching haifanire kuitwa)
• Kuita zvepabonde
• Uchishandisa matamponi

Kwemavhiki maviri kusvika matatu mushure mekuita, unogona kuburitswa iyo iri:

• Ropa
• Heavy
• Yero-ruvara

Cone biopsy inoitwa kuona gomarara remuromo wechibereko kana shanduko yekutanga inotungamira kugomarara. Koni biopsy inoitwa kana bvunzo inonzi colposcopy isingakwanise kuwana chinokonzeresa chisina kujairika Pap smear.

Cone biopsy inogona zvakare kushandiswa kurapa:

• Pakati nepakati kusvika pamhando dzakakomba dzekuchinja kwesero (inonzi CIN II kana CIN III)
• Yepakutanga kwazvo gomarara remuromo wechibereko (nhanho 0 kana IA1)

Mhedzisiro mhedzisiro zvinoreva kuti hapana maseru anonamira kana ane cancer mukati memuromo wechibereko.

Kazhinji kazhinji, mhedzisiro isina kujairika inoreva kuti kune maseru anonamira kana ane gomarara mumuromo wechibereko. Shanduko idzi dzinodaidzwa kuti cervical intraepithelial neoplasia (CIN). Shanduko dzakakamurwa kuva mapoka matatu:

• CIN I - munyoro dysplasia
• CIN II - zvine mwero kusvika pakaratidzirwa dysplasia
• CIN III - zvakanyanya dysplasia kune carcinoma in situ

Mhedzisiro isina kujairika inogona kunge iri zvakare nekuda kwegomarara remuchibereko.

Ngozi dzekoni biopsy dzinosanganisira:

• Kubuda ropa
• Cervix isina kukwana (iyo inogona kutungamira kukurumidza kuuya)
• Utachiona
• Kupararira kwemuromo wechibereko (izvo zvinogona kukonzera nguva dzinorwadza, kuburitsa nguva isati yakwana, uye kunetsekana kubata pamuviri)
• Kukuvadza kune dundira kana rectum

Cone biopsy inogona zvakare kuomesa mupi wako kududzira zvisina kujairika Pap smear mhedzisiro mune ramangwana.

Biopsy - koni; Cervical conization; CKC; Cervical intraepithelial neoplasia - koni biopsy; CIN - koni biopsy; Precancerous shanduko yemuromo wechibereko - koni biopsy; Gomarara remuromo wechibereko - koni biopsy; Squamous intraepithelial lesion - koni biopsy; LSIL - koni biopsy; HSIL - koni biopsy; Yakadzika-giredhi koni biopsy; Yakakwira-giredhi koni biopsy; Carcinoma mu-situ-koni biopsy; CIS - koni biopsy; ASCUS - koni biopsy; Masero eatypical glandular - koni biopsy; AGUS - koni biopsy; Atypical squamous masero - koni biopsy; Pap smear - koni biopsy; HPV - koni biopsy; Hutachiwana papilloma hutachiona - koni biopsy; Chibereko - koni biopsy; Colposcopy - koni biopsy

• Mukadzi wekubereka anatomy
• Cold koni biopsy
• Cold koni kubviswa

Cohen PA, Jhingran A, Oaknin A, Denny L. Kenza yemuromo wechibereko. Lancet. 2019; 393 (10167): 169-182. PMID: 30638582 pubmed.ncbi.nlm.nih.gov/30638582/.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia yepasi genital turakiti (cervix, vagina, vulva): etiology, kuongorora, kuongororwa, manejimendi Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 28.

Watson LA. Cervical kubatanidza. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chitsuwa 128.