Yintoni onokuyilindela kunye nokokujonga ngaphandle
I-cone biopsy yinkqubo yokucwangcisa esetyenziselwa ukususa isiqwenga sesigxina sesuncu emlonyeni wesibeleko kunye nomsele womlomo wesibeleko. I-biopsy yeCone iluncedo xa ufumanisa okanye uphatha imeko yomlomo wesibeleko njengengculaza ye-intraepithelial neoplasia (CIN) okanye umdlavuza wesibeleko. Kwakhona kuthiwa i-conization.
Sibanzi
I-cone biopsy isetyenziswa rhoqo xa iP smear ibonisa ukuba kukho iiseli ezingaqhelekanga kwi-cervix yakho.
Oku akufanelekelise ukuba kukho ingxaki, kuphela ukuba ukungaqhelekanga kudinga uphando olungakumbi.
Ukusuka kwindlela ebanzi, i-cone biopsy isebenza ngeenjongo ezahlukeneyo:
- isixhobo sokuxilonga sifumana isampuli yesishubhu (i-biopsy) ukuvavanya amancinci
- uhlobo lwonyango ukususa izicubu ezingavamile ukusuka kwisibeleko somlomo
- indlela yokuphonononga ubungakanani bomhlaza wesibeleko osufumene ufumaneke
Indlela iNkqubo eyenziwa ngayo
I-cone biopsy eyenziwa kwisibhedlele ngesiphene. Kukho iinkqubo ezintathu ezahlukeneyo ezinokusetyenziswa:
- i-cryosurgery isebenzisa i-laser dioxide laser ukuze idlulise inxalenye yesikhumba
- inkqubo ye-electrourgical excision procedure (LEEP) eyenza iqela elincinci le-wire elixhomekeke kumenzi-generator ukuba lisuse umbane weqhekeza
- ukukhangela ummango wokubanda (CKC) apho isalathisi esetyenziswayo isetyenziswa
Ngaphambi kokuhlinzwa, ugqirha wakho uya kuxubusha ukuba yeyiphi i-aneshesia eya kuba yinto enhle kuwe. Kwiimeko ezininzi, abantu baya kukhetha ukuhlala bephapheme, nokuba kusetyenziswe u-anesthetic wendawo okanye umgulane wesisu.
Uyakucetyiswa ukuba ungapheli ukutya okanye uphuze iiyure ezisibhozo ngaphambi kwenkqubo.
Ukukhokela kule nkqubo kufana ne-Pap smear. Ngokuqhelekileyo uya kufakwa umva wakho ngemilenze yakho. Ugqirha wakho uza kufaka i-lubricated tool ebizwa ngokuba yi-speculum kwisiswini sakho ukuze usasaze iindonga zesisu.
Ukuba i-LEEP biopsy yenziwa, unako ukujova ngeyeza ukuze unqande umlomo wesibeleko.
Yintoni ongayilindela emva koko
Ngokuqhelekileyo uza kuhlolwa emva kweeyure ezintathu ukuya kwezine emva kwenkqubo kwaye uya kuvunyelwa ukuba uye ekhaya ngokude umntu ahlale nawe ebusuku.
Emva kwekhono le-biopsy, unokulindela ukuphuma kwegazi malunga neveki enye, kodwa unokufumana indawo enye iveki okanye ezimbini emva koko. Mhlawumbi uya kuziva utyhafile ngosuku lokuqala okanye ezimbini, ngokunjalo. Ugqirha wakho unokukucebisa malunga nento onokuyithatha ukufumana intlungu.
Kubalulekile ukukhusela iitamponi, iintambo, ii-tubs ezitshatileyo, kunye neentlobano zesondo malunga neveki ezintathu ukuya kwezine ngelixa uphilisa. Kufuneka ugweme ukuphakamisa okunzima okungakhuphula igazi.
Ngoxa ugqirha wakho uya kucetyiswa ukuba umntu ahlale nawe iiyure eziyi-24 emva kwenkqubo, kufuneka ucinge ukuba nomhlobo okanye ilungu lentsapho lihlale nawe iintsuku eziliqela ukuba uhlala wedwa.
Imiphumela
Inkqubo ye-biopsy inkqubo ixhomekeke kakuhle. Ukuphuma kwegazi ngokugqithiseleyo kwenzeka ngokukhawuleza. Ngamaxesha amaxesha ukusulelwa kwintsholongwane kunokwenzeka kwaye ngokuqhelekileyo kubonakaliswe ukutshatyalala okomthetho okanye ohlaza okwenkcenkceshe.
Emva kwayo nayiphi na inkqubo yokucubungula, kukho imingcipheko encinci yamacandelo egazi kwimilenze.
Nangona oku akuqhelekanga nge-cone biopsy, thetha nodokotela wakho ukuba unayo intlungu, ubomvu, okanye ukuvuvukala kwenye okanye kwimilenze yakho yomibini.
Ukuba kufuneka uqhubeke nobuhlungu beplavic, ukuphuma kwegazi ngokungaqhelekiyo, ukukhupha okungcolileyo, okanye umkhuhlane ophezulu kunama-100.5 Fahrenheit, kubiza ugqirha ngokukhawuleza. Kuyafana nokuba kukho naziphi iimpawu ezibonakala zingalungile kuwe. Sukuthalalisa. Akukho nanye kule miqathango inokuqwalaselwa ngokuqhelekileyo.
Ixesha elide
Kubalulekile ukuba uthethe nogqirha wakho malunga nayiphi na ingozi yesikhathi eside edibene ne-cone biopsy. Nangona kunjalo ncinane, iingxaki ziye zaziwa ukuba zenzeke.
Phakathi kwabo:
- Ukuphindaphindwa kwintsholongwane ka-papillomavirus (HPV) engenziwanga kwenzeka rhoqo, kodwa kuyaziwa ukuba kuvela kubafazi abanomngcipheko omkhulu we-HPV (ngakumbi iintlobo ezili-16) kunye ne-HPV ephezulu yemithwalo yentsholongwane.
- Ukuphindaphinda kweeseli ezingavumelekanga zeseli (i-dysplasia) kwaziwa kwakhona. Umngcipheko uhlala uphantsi kakhulu kumgca wokubanda wobisi (ngaphantsi kweepesenti ezimbini) xa kuthelekiswa ne-LEEP kunye ne-cryosurgery.
- Ukunikezelwa kwangaphambili kokuqhelekileyo akuqhelekanga kodwa kunokuthi kwenzeke ngenxa ye-cone biopsy. Ucwaningo olwenziwa ngo-2016 lwaluphakamisa ukuba loo mngcipheko emva kokugqithisa ibomvu ebomvu yayiphezulu xa kuthelekiswa ne-LEEP okanye i-cryosurgery.
Ezi zinto ziqinisekisa kuphela ukubaluleka kokulandelelana okuqhubekayo kunye nomnikezeli wakho wezempilo kunye nokuqinisekisa ukuba isiphi isingcali somzimba okanye isifo somzimba xa sichazwa ngokupheleleyo kwimbali yakho yonyango.
ILizwi
Ngaphambi kokuba ungene kwi-cone biopsy, qiniseka ukuba uhlale nogqirha wakho kwaye ubuze yonke imibuzo oyifunayo. Musa ukubamba; ayikho imibuzo "yobuwula". Ukuba awuqinisekanga, unganqikazi ukufuna umbono wesibini.
Ngamanye amaxesha kunceda ukuthetha nabanye abaye bafumana inkqubo kodwa bakhethe. Njengoko kwezinye iindawo zonyango, i-cone biopsies ihlaziya rhoqo. Ekugqibeleni, amathuba okuba inkqubo yakho iya kusebenza kwaye ngaphandle kwengxaki iphezulu kunomntu onokuthi ube nenkqubo kwithuba elidlulileyo.
> Imithombo
- > Kindinger, L .; Kyrgiou, M .; MacIntyre, D .; okqhubekayo. I-Preterm Post Prevention Coneisation: Umzekelo wobukhulu beCervical Length Screening kunye neCerclage ejoliswe kuyo. PLoS One . 2016; 11 (11): e0163793.
- > Kyrgiou, M .; Mitra, A; Arbyn, M .; okqhubekayo. Iziphumo kunye neziphumo zokukhulelwa kwangaphambili emva kokuba unyango lwe-Cervical Intraepithelial Neoplasia: Uhlolo lokuHlola kunye noHlelo lweMeta. BMJ . 2014; 349: g6192.
- > Santesso, N .; Mustafa, R .; Wiercioch, W; okqhubekayo. "Iimvavanyo eziQinisekisiweyo kunye ne-Meta-Analysis of Benefits kunye neHarms ye-Cryotherapy, i-LEEP, kunye neCold Knife Conization yokunyanga i-Neoplasia ye-Cervical Intraepithelial." International Journal of Gynecology and Obstetrics . 2016; 132 (3): 266-71.
- > IKomidi yokuHlola yeziKhokelo zeMpilo yeSizwe. "BANGANI Iikhokelo zoLonyango lwe-Intraepithelial Neoplasia 2-3 kunye ne-Adenocarcinoma in situ: I-Cryotherapy, i-Large Loop Exision of Zone Transformation, kunye neCold Knife Conization." I-Geneva: Umbutho WezeMpilo Wehlabathi; 2014.