Colposcopy - inotungamirwa biopsy

Colposcopy inzira yakakosha yekutarisa pamuromo wechibereko. Inoshandisa microscope yechiedza uye ine simba shoma kuita kuti chibereko chechivharo chionekwe chakakura. Izvi zvinobatsira mupi wako wezvehutano kuwana uyezve biopsy nzvimbo dzisina kujairika mumuromo wechibereko chako.

Iwe ucharara pamusoro petafura uye woisa tsoka dzako muzvimisikidzo, kuti umise chiuno chako pabvunzo. Mupiro anoisa mudziyo (unonzi speculum) mukati memukadzi wako kuti uone chibereko chechibereko zvakajeka.

Cervix nemukadzi zvinoshambidzwa zvinyoro nevhiniga kana mhinduro yeodhini. Izvi zvinobvisa mhezi inovhara pamusoro uye inosimbisa nzvimbo dzisina kujairika.

Iye mupi anoisa iyo colposcope pakuvhura kwemukadzi uye otarisa nzvimbo yacho. Mifananidzo inogona kutorwa. Iyo colposcope haibate iwe.

Kana paine chero nzvimbo dzinoita sedzisina kujairika, idiki sampuro yetishu yacho inobviswa uchishandisa madiki mabhiopsy maturusi. Mazhinji sampuli anogona kutorwa. Dzimwe nguva sampuro yetishu kubva mukati memuromo wechibereko inobviswa. Izvi zvinonzi endocervical curettage (ECC).

Iko hakuna kugadzirira kwakakosha. Unogona kuve wakasununguka kana ukadurura dundira uye ura usati waitwa.

Pamberi bvunzo:

• Usatore (izvi hazvikurudzirwe).
• Usaise chero zvigadzirwa mukati memukadzi.
• Usaite bonde kwemaawa makumi maviri nemana bvunzo isati yaitwa.
• Udza mupiki wako kana iwe uri nepamuviri kana uchigona kuve nepamuviri.

Muedzo uyu haufanire kuitwa panguva inorema, kunze kwekunge zvisiri zvemukati. Chengetedza nguva yako kana iwe uri:

• Pakupera kana kutanga kwenguva yako yenguva
• Kuva nekubuda ropa zvisina kujairika

Iwe unogona kukwanisa kutora ibuprofen kana acetaminophen (Tylenol) pamberi pecolposcopy. Kumbira mupiki wako kana izvi zvakanaka, uye riini uye zvakadii zvaunofanira kutora.

Unogona kunge uine kusagadzikana kana iyo speculum ikaiswa mukati memukadzi. Zvinogona kunge zvisina kugadzikana pane kugara uchiedzwa Pap.

• Vamwe vakadzi vanonzwa kubaya kudiki kubva pamhinduro yekuchenesa.
• Iwe unogona kunzwa pini kana kupwanya nguva yega yega sampuro yetissue painotorwa.
• Iwe unogona kunge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wabuda ropa.
• Usashandise matamponi kana kuisa chero chinhu mukati memukadzi kwemazuva mazhinji mushure mekuvhenekwa.

Vamwe vakadzi vanogona kubata mweya wavo panguva dzechiuno nekuti vanotarisira kurwadziwa. Kunonoka, kugara uchifema kuchakubatsira kuzorora uye kubvisa marwadzo. Kumbira mupiki wako nezve kuunza munhu wekutsigira newe kana izvo zvichizobatsira.

Iwe unogona kunge uine kubuda ropa mushure meiyo biopsy, kwemazuva maviri.

• Iwe haufanire kugeza, kuisa matamponi kana makirimu mukati memukadzi, kana kuita bonde kwevhiki rinotevera. Kumbira mupiki wako kuti unofanira kumirira kwenguva yakareba sei.
• Unogona kushandisa sanitary pads.

Colposcopy inoitwa kuona gomarara remuchibereko uye shanduko dzinogona kukonzera gomarara remuchibereko.

Inowanzoitwa kana iwe uchinge uine akajairwa Pap smear kana HPV bvunzo. Inogona zvakare kukurudzirwa kana iwe uine ropa mushure mekusangana pabonde.

Colposcopy inogona zvakare kuitwa kana mupi wako achiona nzvimbo dzisina kujairika pamuromo wechibereko chako panguva yekuongororwa kwepilvic. Izvi zvinogona kusanganisira:

• Chero kukura kusina kujairika pamuromo wechibereko, kana kumwe kunhu mukati memukadzi
• Genital warts kana HPV
• Kushatirwa kana kuzvimba kwechibereko (cervicitis)

Iyo colposcopy inogona kushandiswa kuchengetedza HPV, uye kutsvaga shanduko dzisina kujairika dzinogona kudzoka mushure mekurapwa.

Iko kutsetseka, kwepinki pamusoro wechibereko kwakajairika.

Nyanzvi inonzi pathologist ichaongorora sampuro yemuviri kubva muchibereki biopsy uye inotumira mushumo kuna chiremba wako. Biopsy mhedzisiro kazhinji inotora 1 kusvika 2 mavhiki. Mhedzisiro mhedzisiro zvinoreva kuti hapana kenza uye hapana shanduko isina kujairika yakaonekwa.

Wako mupi anofanira kukwanisa kukuudza kana paine chero chisina kujairika chakaonekwa panguva yekuedzwa, kusanganisira:

• Maitiro asina kujairika mumidziyo yeropa
• Nzvimbo dzakazvimba, dzakasakara, kana kuparara (atrophic)
• Cervical polyps
• Genital warts
• Machena machena pamuromo wechibereko

Zviitiko zvisina kujairika biopsy zvinogona kunge zvichikonzerwa neshanduko dzinogona kutungamira kugomarara remuchibereko. Shanduko idzi dzinodaidzwa kuti dysplasia, kana remuromo wechibereko intraepithelial neoplasia (CIN).

• CIN Ini ndiri munyoro dysplasia
• CIN II ine mwero dysplasia
• CIN III yakanyanya dysplasia kana yekutanga kwazvo kenza yemuromo wechibereko inonzi carcinoma in situ

Asina kujairika biopsy mhedzisiro inogona kuve nekuda kwe:

• Gomarara remuromo wechibereko
• Cervical intraepithelial neoplasia (precancerous tishu shanduko iyo inonziwo cervical dysplasia)
• Cervical warts (hutachiona nehutachiona hwevanhu papilloma, kana HPV)

Kana iyo biopsy isingatarise iyo mhedzisiro yemhedzisiro mhedzisiro, iwe ungangoda nzira inonzi inotonhora banga banga koni biopsy.

Mushure meiyo biopsy, unogona kunge uine kubuda ropa kweinosvika vhiki. Unogona kunge uchimonyoroka, nyinyo yako ingangonzwa kurwadziwa, uye unogona kuburitsa rima kwemazuva 1 kusvika matatu.

Colposcopy uye biopsy hazviite kuti zvive zvakanyanya kukuomera kuti uve nepamuviri, kana kukonzera matambudziko panguva yekuzvitakura.

Fonera mupiki wako ipapo kana:

• Kubuda ropa kwakanyanya kana kunotora kwenguva yakareba kupfuura mavhiki maviri.
• Iwe une marwadzo mudumbu rako kana munzvimbo yepelvic.
• Iwe unoona chero zviratidzo zvehutachiona (fivha, kunhuhwirira kwakashata, kana kubuda).

Biopsy - colposcopy - inotungamirwa; Biopsy - cervix - colposcopy; Endocervical curettage; ECC; Cervical punch biopsy; Biopsy - muromo wechibereko; Remuromo biopsy; Remuromo intraepithelial neoplasia - colposcopy; CIN - colposcopy; Precancerous shanduko yemuromo wechibereko - colposcopy; Kenza yemuromo wechibereko - colposcopy; Squamous intraepithelial lesion - colposcopy; LSIL - colposcopy; HSIL - colposcopy; Yakadzika-giredhi colposcopy; Yakakwira-giredhi colposcopy; Carcinoma in situ - colposcopy; Kishi - colposcopy; ASCUS - colposcopy; Masero eatypical glandular - colposcopy; AGUS - colposcopy; Masero anokatyamadza - colposcopy; Pap smear - colposcopy; HPV - colposcopy; Hutachiona hwevanhu papilloma - colposcopy; Chibereko - colposcopy; Colposcopy

• Mukadzi wekubereka anatomy
• Colposcopy-inotungamirwa biopsy
• Uterus

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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.

Smith RP. Carcinoma in situ (cervix). Muna: Smith RP, rakanyorwa. Netter's Obstetrics & Gynecology. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits. 115.