I-biopsy ye-endometrial iyindlela yokusebenza ngokomoya eyenziwa ngezinjongo zokuxilonga. Yiqiniso, inqubo ngokwayo ayiyona imnandi kakhulu futhi ivame ukubangela izinzwa ezibuhlungu, kodwa le nqubo iyadingeka ukuze kuhlolwe ngokunembile isimo sesisu.
Mayelana nenqubo
I-Endometrium yi-membrane emangcwabeni yesikhumba se-uterine. Isibonelo, ngesikhathi sokukhulelwa, i-endometrium idlala indima ebonakalayo ekwakheni i-placenta, ebaluleke kakhulu ekuthuthukiseni okujwayelekile kwe-fetus. Isimo se-endometrium asihlali ngaso sonke isikhathi - ngezigaba ezahlukene zomjikelezo izicubu ziqina, zigcwele izigulane nemithambo yegazi, futhi ziyanyamalala ngesikhathi sokuya esikhathini.
I-biopsy ye-endometrial yenziwa ukuze ithole izinguquko ku-mucosa ye-uterine, isibonelo, ngokuvuselela ama-hormone. Imiphumela ye-biopsy ye-endometrial ingabonisa nokuba khona kwezicubu ezimbi noma ukuthola izimbangela zokuphuma kwegazi.
Inqubo ingenzeka ehhovisi likadokotela olapha ngaphansi kokuhlinzekwa kwezidakamizwa zendawo noma esibhedlela nge-anesthesia jikelele. Iphuzu liwukuthi i-biopsy yinkambiso ebuhlungu kakhulu. Ukuze uthathe isampula ye-endometrium, kuyadingeka ukwandisa umsele womlomo wesibeletho, ngezinye izikhathi ohambisane nama-spasms abanzi.
Isampula esitholakala ngenxa ye-biopsy ye-endometrium yesibeletho ihlolwe ngaphansi kwe-microscope, ebonisa ushintsho kumcuksi, amathishu asolisayo esiqhumeni, evumela ukusekela izimbangela zokukhishwa kwamagciwane esibelethweni, kanye nesimo sokungasebenzi kahle kwesigaba. I-biopsy ye-endometrial ehlanganiswe ne-hysteroscopy yenziwa ngaphambi kwe-IVF ukuze ifunde ukulungelelwa kwesibeletho ekutholeni ukubelethwa kombungu. Ngaphezu kwalokho, izazi emva kwe-biopsy ye-endometrial zingase ziveze izizathu zokungaveli ngokwemvelo ukukhulelwa.
Ukuqhathaniswa kwe-biopsy ye-endometrial
Kufanele wazi ukuthi inqubo ivunyelwe ukuqhuba uma usola ukuthi ukhulelwe. Futhi i-biopsy ayinconywa ngezinqubo zokuvuvukala kanye namafomu ahlanzekile, ngoba ingabangela ukusabalala kokutheleleka. Okuhlukile kulezi zimo kuyisidingo sokungenelela kokuhlinzwa.
Ukungathintwa kwe-contraindication kungase kube khona ukutheleleka ngokocansi noma izifo ezithathelwanayo. Isiguli kufanele sazise udokotela oya kuyo yonke imishanguzo yemithi emithini, ethatha imithi ehlanza igazi, kanye nezinkinga zesimiso senhliziyo nemisipha.
Imiphumela ye-biopsy ye-endometrial
Ngemuva kwe-biopsy ye-endometrium, isiyaluyalu, isizungu, ubuhlungu esiswini esingaphansi, ukukhishwa, ukuphuma kwegciwane elincane, kanye nobuthakathaka obukhulu kungenzeka. Zonke lezi zimpawu ngokuvamile zenzeka ezinsukwini ezimbalwa. Yona kanye inqubo ye-biopsy ye-endometrial ithatha amaminithi angu-5 kuya kwangu-20, futhi ngesikhathi senqubo ezinye iziguli zichaza ukuzwa njengama-spasms ezinzima ezihambisana nokuya esikhathini.
Odokotela bancoma ukuthi bayeke emsebenzini omningi futhi bafune usizo uma kunomkhuhlane ophezulu, ukuphuma kwegazi okukhulu nobuhlungu, nokubonakala kokukhipha ngephunga elimnandi.
Ngesikhathi se-biopsy ye-endometrium, kunengozi ethile yokulimaza umlomo wesibeletho, ukuphuma kwegazi, kanye nokutheleleka kwezitho zomzimba.
Izinhlobo ze-biopsy ye-endometrial
Ngaphandle kwe-biopsy evamile ye-endometrial, okuyiyona ndlela yokuguqulwa kwesigcawu se-uterine, kunezinye izindlela zokwazisa ukuthatha isampula ye-mucosal.
Isibonelo, i-pin-biopsy ayinabuhlungu kakhulu kunokuba i-scraping evamile. Inqubo yenziwa ngokusebenzisa okukhethekile
Futhi, i-aspiration ye-biopsy iyasetshenziswa kabanzi, ngokuvamile evame ukuphathwa ngezifo ngenxa yezifo ze-hormonal. Lapha isirinji se-uterine noma ipompi kagesi isetshenzisiwe, kanti inqubo ngokwayo isenziwa ngesineke.
I-biopsy ye-Endometrial iyinto evamile futhi, okubaluleke kakhulu, indlela ephumelelayo engakwazi ukuxilonga uketshezi lwe-mucosal lwesiguli se-uterine.