Isimo se-dysplasia nomdlavuza womlomo wesibeletho kwabesifazane sikhula ngesilinganiso esidumazayo minyaka yonke. Ukuze kuhlolwe isikhathi esifanele salezi nezinye izifo zesifazane, kukhona ukuhlolwa kwegazi okubizwa ngokuthi "i-cervical biopsy".
Kungani bathatha nobunikazi bomlomo wesibeletho nobani?
Kuye icala, i-biopsy yomlomo wesibeletho ithathwa ngokuthi:
- ukucaciswa kokuhlinzekwa okukhulunywe noma okucatshangelwayo;
- ukukhishwa noma ukutholakala komdlavuza noma izinqubo zokuvikela umlomo wesibeletho.
I-biopsy ye-cervical ngokuyinhloko iyadingeka kulabo besifazane abane-HPV abathwali bezinkinga eziphezulu ze-oncogenic (izinhlobo ezingu-16, 18, 36 no-45), imiphumela ye-oncocytology noma i-colposcopy equkethe idatha ekushintsheni okuphawulekayo kwe-pathological epithelium yomlomo wesibeletho.
Uma kunesidingo, i-colposcopy eyandisiwe (ngesikhathi esifanayo, ikholpocopy yendabuko ne-biopsy yomlomo wesibeletho) yenziwa. Le nqubo ibizwa ngokuthi i-sight biopsy yomlomo wesibeletho.
I-biopsy ye-cervical nayo iyenziwa nge- leukoplakia , ama-polyps kanye nokukhuphuka kwamanzi ukuze kunqume ukuba khona / ukungabikho kwamangqamuzana amabi, ukucacisa imbangela yesifo nokubeka ukwelashwa okufanele.
Nge-dysplasia emnene, i-biopsy yomlomo wesibeletho ayinconywa, kwanele ukuqhuba izifundo zochungechunge ngezikhathi ezithile ukulawula lesi sifo.
I-biopsy yomlomo wesibeletho yenziwe kanjani?
Inqubo yokwenza i-biopsy yomlomo wesibeletho ilula futhi ibuhlungu ngokwemvelo. Phakathi naleso sikhathi, isiguli sigxilwe emgodini ngezinsimbi zomzimba ezifanele, ngosizo lwabo ucezu oluncane lwezicubu zomlomo wesibeletho luyaqedwa. Lezi zicubu zisuswa kuleyo ngxenye entanyeni, isimo esibangela ukwesaba okukhulu odokotela. Amasampula amathishu ayathunyelwa ukuze aqhubeke nokuhlolwa kwakhe.
Isidingo se-anesthesia ngesikhathi se-biopsy yomlomo wesibeletho sinqunywa ukubonakala kwayo. Ngokuvamise kakhulu ngomjovo we-anesthetic yenza i-anesthesia yendawo, kaningi kangako: i-epidural, i-anesthesia yomgogodla noma ejwayelekile.
Izinhlobo ze-biopsy
Kuze kube manje, umkhuba ovame kakhulu wezinhlobo ezinjalo ze-biopsies:
- Ukubona i-biopsy ye-cervix (i-colposcopic). Kuqhutshwa ngesikhathi sokuhlolwa kokuxilongwa, cishe okungenabuhlungu, inqubo yesikhashana (kuze kube ngu-10 imizuzwana) inqubo.
- I-radio wave biopsy yomlomo wesibeletho. Inqubo yenziwa ngaphandle kwe-anesthesia ngosizo lwesikhalazo somsakazo womsakazo, esibangela ukuhlukumezeka okuncane kanye nenengozi encane yezinhlamvu zangemva kwe-postoperative. I-radio wave biopsy yomlomo wesibeletho inconywa ukuba yenze abesifazane abangenalutho.
- I-Loop ukucabangela i-biopsy yomlomo wesibeletho. Uhlobo oluyingozi lwe-biopsy lwanele, okwathi ngemva kwalokho kungenzeka ukudala izibazi emlonyeni wesibeletho. Ingqikithi yayo iwukuxoshwa kwezicubu ze-pathological ngosizo lwe-instrument ekhethekile-efana ne-loop-like, okwenziwa ngayo umbane kagesi.
- Umkhwenyana wezinsikazi zomlomo wesibeletho (conization). Inqubo idinga i-anesthesia ejwayelekile, epidural noma emgogodleni. Ngosizo lwe-scalpel, ukuhlaziya kokubili izicubu ezingavamile neziseduze ezitholakala entanyeni ye-uterine kwenziwa, kulandelwa ukuhlolwa kwayo kwe-hertological.
- I-endocervical biopsy yomlomo wesibeletho. I-scraper yezicubu zezingqimba zomzimba we-neck uterine isetshenziswa njengethuluzi le-curette.
Yini i-biopsy yombukiso wesibeletho?
Imiphumela ye-biopsy yomlomo wesibeletho inembile kakhulu kune-colposcopy kanye ne-oncocytology futhi ayisekho emncintiswaneni. Imiphumela ye-biopsy kungenzeka:
- ukucacisa ukuba khona kwe-leukoplakia, i-dysplasia ne-uterine yomdlavuza wezinwele;
- qinisekisa ukuthi kukhona: ukuvuvukala komlomo wesibeletho nomsele wakhe, ukuguguleka komhlabathi, i-leukoplakia elula, ama-polyps.
Imiphumela ye-cervical biopsy iqukethe idatha ku:
- ukutholakala / ukungabikho kwezinguquko zeselula (ukungabi khona kwezinguquko zamaselula - okuvamile, izinguquko ezincane - inqubo yokuvuvukala);
- ukukhona / ukungabi khona kwe-I, II noma III degree of dysplasia (I degree - dysplasia ephansi, II, III degree - i-dysplasia elinganisiwe neyinkimbinkimbi, empeleni, i-precancer);
- Ukuba khona / ukungabikho kwe-carcinoma yomlomo wesibeletho - umdlavuza wesibeletho.