I-hysterectomy ibhekiselele ekutshatshulweni kokuvuthwa kwesisu kwaye ngamanye amaxesha umlomo wesibeleko . Kwiimeko ezininzi, i-hysterectomy yenzelwa iimeko ezinobungozi (ezingekho komhlaza) ezifana ne-uterine fibroids okanye ukuphuma kwintsholongwane engasebenzi. Kodwa ngamanye amaxesha zenziwe ukunyanga umdlavuza.
Ukwazi ukuba kutheni unobungozi obuncitshisiweyo kubalulekile, njengoko ukwazi ukuba umlomo wesibeleko ususwe ngesisu sakho nokuba unembali yomhlaza wesibeleko okanye nayiphi na iP smears engavamile.
Oku kungenxa yokuba le miba inqume ukuba ufuna ukuqhubeka no-Pap smears emva kokuhlinzwa kwakho.
Ngelixa ugqirha wakho kufuneka abe nalo lonke ulwazi, kukulungele ukuba uyakwazi kwakhona-ngale ndlela ayikho into eyenza ukunyuka kwee-crack, kwaye nangona kunjalo, unokuziva ulungile malunga nokuba uphambili kwimpilo yakho.
I-Pap Smear Emva kwe-Total Hysterectomy
Abasetyhini abaye bafumana i-hysterectomy epheleleyo okanye epheleleyo (oko kuthetha ukuba isisu kunye nomlomo wesibeleko basuswe ngokobugqirha) akufuneki ukuba baphinde baphumelele kwi-smears-pap-ngaphandle kokuba, kwaye le yi-caveat enkulu, i-hysterectomy yenziwa njengonyango lwenyanga -kratshi okanye umhlaza.
Kule meko, kusekho iiseli zomlomo wesibeleko eziphezulu kwizondo, ngoko ukuhlolisiswa komhlaza wesibeleko ngokwesihlandlo esiqhelekileyo kufuneka kusenziwa.
I-cavesat yesibini kukuba nangona ibhinqa liye lafumana i-hysterectomy epheleleyo, kuya kufuneka ukuba iphinde i-Pap smears ukuba ingumdla womhlaza wesibeleko okanye imbali yentsholongwane yentsholongwane yomlomo wesibeleko, ngokukodwa i- intraepithelial neoplasia II okanye i-III (ebizwa ngokuba yiCIN2 okanye i-CIN3 ) -ukumodareyitha ukuya kwizinga eliqhelekileyo lokukhula kweeseli kwi-cervix.
I-CIN2 okanye i-CIN 3 ifumaneka ngexesha le- colposcopy nge-biopsy (xa ugqirha wakho ethatha isampuli yomlomo wakho wesibeleko kwaye uyayibheka phantsi kwe-microscope).
Ngokwe-American College ye-Obstetrics kunye ne-Gynecologists (ACOG), ibhinqa elinembali yomhlaza wesibeleko okanye utshintsho lweseli lomlomo (CIN2 okanye i-CIN3) kufuneka iqhube i-pap smears iminyaka engama-20 emva kwexesha le-hysterectomy yakhe.
I-Pap Smear Emva kwe-Subtotal Hysterectomy
Ngakolunye uhlangothi, abafazi abafumana i-hysterectomy apho i-cervix ishiywe endaweni (ekuthiwa yi-hysterectomy, i- subtotal hysterectomy , okanye i-hyra-ceretic hysterectomy) kufuneka ilandele izikhokelo ze-pap smear njengesiqhelo.
Ngamanye amagama, kulabo abane-hysterectomy, iikhokelo zifana neyowesifazane ongenalo i-hysterectomy, ekubeni isifo somlomo sisesekho.
Iip Pap Smears Zenzani Xa i-Cervix isusiwe
I-Pap smear yindlela ephumelelayo kakhulu yokukhangela umdlavuza wesibeleko, nangona xa umlomo wesibeleko ususwe. Ngexesha le-Pap smear, emva kokuba umlomo wesibeleko ususwe, ugqirha uqokelela isampula kwi-cuff vaginal, i-vagin ephezulu apho i-cervix ikhona khona.
Nangona oku kunzima ukulufaka intloko yakho ngeenxa zonke (kwaye oko kulungile), umgca wukuthi ukuba nangona umlomo wesibeleko ususwe, iiseli zomlomo wesibeleko (ezingabonakaliyo) zinokuthi zihlale ziphezulu ngaphezulu kwesini-kwaye zinjengeliphi iseli, banokutshintsha baze babe ngumhlaza, ngoko ke ukuvavanya rhoqo kukubalulekileyo.
Iimviwo zePelvic zonyaka zifunekayo emva kwe-Hysterectomy
Uvavanyo lwe-pelvic lonyaka, olubhekiselwe kuye njengowesifazane othe tyelela, lixesha lokuba oogqirha bangenzi kuphela iPsmmear kodwa banokwakheka kwezinye iingxaki zentsholongwane, zombini kunye nomhlaza.
Ngokomzekelo, ngexesha lokutyelela umfazi, umgqirha uya kwenza uvavanyo lwebele, kunye nokuhlolwa kwii-ovaries, ezibizwa ngokuba ngumvavanyo we-bimanual.
Ukongezelela, ukutyelela okwenene kumfazi kunika ithuba loogqirha ukuba bacebise ngokuphila ngendlela enempilo, bafumane ukugonywa okuyimfuneko, kwaye baxoxise nayiphi na inkxalabo okanye ukuxhalabisa umfazi anokuthi abe nayo (umzekelo, ukuphuma kwintsholongwane engavamile okanye intlungu ngesondo).
ILizwi
Khumbula, ugqirha wakho ngumthombo wakho ophezulu wolwazi lwezempilo. Emva kwe-hysterectomy, cela ukuba umlomo wakho wesibeleko ugcinwe okanye ususwe. Nangona ugqirha wakho unokucacisa oko ngaphambi kokuhlinzwa, kukho amaxesha apho ugqirha enquma ukukususa okanye ukugcina umlomo wesibeleko ngexesha lokuhlinzwa.
Kwakhona, ungakhathazeki ukuba awuqinisekanga ukuba umlomo wesibeleko ususwe. Ugqirha wakho angenza uvavanyo lwe-pelvic ukujonga.
Ekugqibeleni, unikwe igunya kwaye usebenze kwaye ugqirha ugqirha wakho ngokutyelela, umlomo wesibeleko okanye ungenawo.
> Imithombo:
> I-American Cancer Society. (2012). Izikhokelo zoKhenketho zeCerical Cancer Screening.
> I-American College ye-Obstetrics kunye neGynecologists. (2016). Ukuhlolwa kweCarcer Cancer.
> I-American College ye-Obstetrics kunye neGynecologists. (2016). Iingxelo zeKomidi: Ukutyelela kweNdwendwe.
> Feldman S, Goodman A, Peipert JF. Ukuhlolwa kwesifo somhlaza wesibeleko. I-Goff B, i-Elmore JG, i-eds. Isemgangathweno. Waltham, MA: UpToDate Inc.
> Sawaya GF. Ukuphinda uqikelele ukutyelela kwintombikazi yonyaka. Gstecol Obstet . 2015 Oct; 126 (4): 695-96.