Zvaunotarisira uye Zvaunofanira Kutarisa
Nyeredzi inonzi biopsy inzira inoshandiswa iyo inoshandiswa kubvisa chigunwe chakafanana nemakona kubva mumuviri wechibereko uye mumuromo wechiganda. Chimwe chinhu chinonyanya kushandiswa chinobatsira kana uchitarisa kana kurapa chirwere chemukondombera chakadai sekervical intraepithelial neoplasia (CIN) kana chirwere chemumuromo. Inonziwo conization.
Overview
Koni yakakosha inowanzoshandiswa kana Pap smear inoratidza kuti pane masero asina kukwana mumuviri wako.
Izvi hazvifaniri kureva kuti kune dambudziko, chete kuti izvo zvisina kufanira zvinoda kuongorora zvakare.
Kubva pane zvakajeka, cone biopsy inoshandisa zvinangwa zvakasiyana-siyana:
- chimbo chekutsvaga chinowana shanduko yemaviri (biopsy) kuongorora microscopically
- chimiro chekurapa kubvisa mishonga isina kuchena kubva mumuviri wechibereko
- nzira yekuongorora kuwanda kwemukenza wechibereki uyo watoona
Nzira Iyo Maitiro Akaitwa Sei
Bhuku rinonyanya kushandiswa rinowanikwa muchipatara pamusana pechirwere chepakati. Pane mitatu yakasiyana-siyana inogona kushandiswa:
- gorosi inoshandisa kabhoni dioxide laser kuti inakidze chikamu chemasu
- loop electrosurgical excision procedure (LEEP) iyo inoshandisa tambo tsvuku yakasungirirwa kune jenereta kuitira magetsi kubvisa chikamu chemasu
- chando inopinza conization (CKC) umo chirwere chinoshandiswa chinoshandiswa
Usati wambovhiyiwa, chiremba wako achakurukura kuti ndeupi anesthesia ichakuitira zvakanakisisa iwe. Muzviitiko zvizhinji, vanhu vachasarudza kuramba vakamuka, pamwe nekushandiswa kwemawere emunharaunda kana masipinha epidural.
Iwe ucharayirwa kuti urege kudya kana kunwa maawa masere isati yasvika.
Izvo zvinotungamira kusvika pane zvinoratidzika zvakafanana neyomuitiro weP Pap smear. Iwe kazhinji unowanzoiswa mushure mako nemakumbo ako mumhepo. Chiremba wako achazoisa chigadzirwa chakakonzerwa chinonzi speculum mumudzimai wako kuti uparidze kumadzimai masvingo.
Kana bhiopsy ye LEEP iri kuitwa, unogona kujowa nemishonga kuti uvhare chibereko chechibereko chechibereko.
Zvaunotarisira Pashure Pakupedzisira
Iwe unowanzotariswa kwemaawa matatu kusvika mana mushure mekugadzirisa uye uchabvumirwa kuenda kumusha chero bedzi mumwe munhu anogona kugara newe usiku hwose.
Mushure mekusekwa kwekono, iwe unogona kutarisira kubuda ropa kwevhiki imwe chete asi kunogona kuonekwa kune imwe vhiki kana maviri pashure. Iwe unogona kunge uchinzwa uchipwanya zuva rokutanga kana maviri, zvakare. Chiremba wako anogona kukupa zano pamusoro pezvaunogona kutora kuti uwane marwadzo ekurwadziwa.
Zvakakosha kudzivisa matamponi, douches, hot tubs, uye zvepabonde kwemavhiki matatu kusvika mana kana uchirapa. Iwe unofanirwawo kudzivisa kukwidza kunorema kunogona kuwedzera kubuda ropa.
Kunyange zvazvo chiremba wako achida kukurudzira kuti mumwe munhu agare newe kwemaawa makumi maviri nematatu achitevera nzira, iwe unofanira kufunga kuva neshamwari kana nhengo yemhuri kugara newe kwemazuva mazhinji kana iwe uchigara uri woga.
Migumisiro Yechiri
Iyo cone biopsy nzira inowanzochengetedzwa zvakanaka. Kubuda ropa zvakanyanya kunowanzoitika. Utachiona dzimwe nguva hunogona kuitika uye kazhinji hunoonekwa nehutano kana hwemavara nekupisa kunhu.
Mushure mokuvhiyiwa chero kupi zvako, kune nguva dzose mukana wekuvhara ropa mumakumbo.
Kunyange zvazvo izvi zvisingawanzogoni nekodhi bhiopsy, taura nachiremba wako kana uine marwadzo, kubwinya, kana kuvhara mune imwe kana makumbo ako ose.
Unofanira kunge uchingoramba uchinge uchinge uchishungurudza mapepa , usingaregi kubuda ropa, kusviba kunhuhwirira, kana fivhiri inopfuura 100.5 Fahrenheit, tumira chiremba wako pakarepo. Izvozvo zvinoshanda kana zviratidzo zvipi zvisingaratidziki zvakanaka kwauri. Usazeza. Hapana chimwe chezviitiko izvi chinogona kuonekwa sechinhu chakanaka.
Dambudziko Renguva refu
Zvakakosha kutaurirana nachiremba wako pamusoro pezvipi zvengozi dzenguva refu dzinosangana nekodhi biopsy. Zvisinei zviduku, zvinetso zvakatozivikanwa kuti zvinoitika.
Pakati pavo:
- Kudzokorora kwemapiromavirus (HPV) yevanhu hakuiti nguva dzose, asi inozivikanwa kuti inowanikwa kuvakadzi vane mishonga yakawanda yeHIVV (kunyanya mapeji 16) pamwe nepamusoro yeVVV miviri mitoro.
- Kudzokorora kwechirwere chisina kujairika masero (dysplasia) inozivikanwawo kuti inoitika. Iyo njodzi inowanzova yakaderera kune inotonhora banga yekuisa (pasi peviri muzana) kana ichienzaniswa neLeEP uye magicurgery.
- Preterm kutaurira isingawanzoitiki asi inogona kuitika semugumisiro wekodhi yechipfu. Chirongwa che 2016 chakaratidza kuti njodzi iyi inotevera mushure mekudzikisa mazai yakakwirira yakaenzaniswa neLeEP kana magicurgery.
Zvinhu izvi zvinongowedzera kukosha kwekusagadzikana, nguva dzose yekutevera pamwe nemupiki wako wehutano uye nekuvimbisa kuti nyanzvi ipi neipi inobata pfungwa kana gynecologic kana yakazonyatsoratidzwa nhoroondo yako yezvechiremba.
Shoko Rinobva
Usati wava nekodhi yakakosha, iva nechokwadi chekugara nachiremba wako uye kubvunza mibvunzo yose yaunoda kubvunza. Usarega; hapana mhinduro "yeupenzi". Kana usina chokwadi, usazeza kutsvaka imwe pfungwa.
Dzimwe nguva zvinobatsira kutaurirana nevamwe vakawana nzira iyo asi vanosarudza. Sezvimwe nemimwe minda yemishonga, cone biopsies inogara ichivandudza. Pakupedzisira, mikana yokuti nzira yako ichave yakakosha uye isina zvinetso zvakakwirira kudarika mumwe munhu angave akafanirwa nenzira iri kure.
> Sources
- > Kindinger, L .; Kyrgiou, M .; MacIntyre, D .; et al. "Preterm Kuberekwa Kunodzivirira Post-Conization: Muenzaniso weCervical Length Screening neChitlage Targeted." PLoS One . 2016; 11 (11): e0163793.
- > Kyrgiou, M .; Mitra, A .; Arbyn, M .; et al. "Kubereka uye Kuberekwa Kwepamuviri Pakupedzisira Murairo weCervical Intraepithelial Neoplasia: Kuongorora Kwekugadzirisa uye Meta-Kuongorora." BMJ . 2014; 349: g6192.
- > Santesso, N .; Mustafa, R .; Wiercioch, W .; et al. "Ongororo Dzakagadziriswa uye Meta-Ongororo dzeZvibatsiro neHarms ye Cryotherapy, LEEP, uye Cold Knife Conization Yokubata Kervical Intraepithelial Neoplasia." International Journal of Gynecology and Obstetrics . 2016; 132 (3): 266-71.
- > World Health Organisation Guidelines Review Committee. "WHO Nhungamiro Yezvekurapa kweCervical Intraepithelial Neoplasia 2-3 uye Adenocarcinoma in situ: Cryotherapy, Large Loop Excision yeTransformation Zone, uye Cold Knife Conization." Geneva: World Health Organization; 2014.