Isiganeko se-dysplasia nomhlaza wesibeleko kubasetyhini sikhula ngezinga elidangayo minyaka yonke. Ukuxilongwa ngexesha elifanelekileyo kwezi zifo kunye nezinye izifo zesibhinqa, kukho uvavanyo lobunzima olubizwa ngokuthi "i-biopsy cervical".
Kutheni kwaye bathabatha bani i-biopsy yomlomo wesibeleko?
Kuxhomekeke kwimeko, i-biopsy yomlomo wesibeleko ithathelwe:
- ukucaciswa kokunikezelwa okanye ukuxilongwa;
- ukukhutshwa okanye ukufumanisa umdlavuza okanye iinkqubo zengqungquthela yomlomo wesibeleko.
I-biopsy yesibeleko ibaluleke kakhulu kulabo bafazi abathwala i-HPV yingozi enkulu ye-oncogenic (i-16, 18, 36 ne-45 iintlobo), iziphumo ze-oncocytology okanye i-colposcopy eneenkcukacha kwiinguqu ezinzulu ze-pathological epithelium.
Ukuba kuyimfuneko, i-colposcopy eyandisiweyo (ngexesha elifanayo, i-colposcopy yendabuko ne-biopsy yomlomo wesibeleko) yenziwa. Le nqubo ibizwa ngokuba yi-biopsy ye-cervix.
I-biopsy yesibeleko nayo iyenziwa nge- leukoplakia , iifolk kunye nokukhukhula kwamanzi ukucacisa ubukho / ukungabikho kweeseli ezimbi, kucacisa isizathu sesifo kwaye kunika unyango olufanelekileyo.
Nge-dysplasia ephantsi, i-biopsy yomlomo wesibeleko ayikhuthazwa, kwanele ukuqhuba izifundo ze-oncocytological periodically to control the disease.
Yenza njani i-biopsy yomlomo?
Inkqubo yokuqhuba i-biopsy yomlomo wesibeleko ilula kwaye ibuhlungu ngokukhawuleza. Ngethuba, isigulane sijojelwe kwisisini kunye nezixhobo ezifanelekileyo zomzimba, ngoncedo lwabo inxalenye encinci yesikhumba sekhanda. Amathambo athatyathwa kuloo nxalenye entanyeni, imeko ebangela ukwesaba okukhulu koogqirha. Iisampuli zeethambo zithunyelwa ukuhlolwa kweengcali.
Imfuno ye-aneshesia ngexesha le-biopsy yomlomo wesibeleko lichaneke ngokubonakala kwayo. Ngokuqhelekileyo kunye nokujola kwe-anesthetic yenza i-aneshesia yendawo, kaninzi kangako: i-epidural, i-anesthesia yomgudu okanye yomntu jikelele.
Iintlobo ze-biopsy
Okwangoku, umkhwa oqhelekileyo wezo ntlobo ze-biopsies:
- Injongo (i-colposcopic) ye-biopsy yomlomo wesibeleko. Kuqhutyelwa ngexesha loviwo lokuxilonga, ngokungafuneki, kungenabuhlungu, inqanaba elifutshane (ukuya kwi-10 seconds) inkqubo.
- I-radiop wave wavepi ye-cervix. Inkqubo eyenziwa ngaphandle kwe-anesthesia ngoncedo lwe-scalpel yomsakazo, okhokelela ekubandezelweni okuncinci kunye nobungozi obuncitshisiweyo bokusongela. I-radio wave biopsy ye-cervix inconywa ukuba yenze abafazi abangenanto.
- I-Loop i-biopsy i-biopsy yomlomo wesibeleko. Uhlobo olubi lwe-biopsy lwanele, emva koko luyakwazi ukwenza izibazi kwi-cervix. Ingundoqo yayo kukukutshintshwa kwezicubu zentsholongwane ngokuncediswa kwesoxhobo esikhethekileyo esinokutshintsha, ngokugqithiseleyo ukuhamba kwamandla kagesi.
- I-knife biopsy yomlomo wesibeleko (i-convization). Inqubo idinga i-anesthesia, i-epidural okanye i-aneshesia. Ngoxa uncedwa yi-scalpel, ukugqweswa kwezinto eziqhelekileyo kunye nezisondlo ezikufutshane zentanyeni ye-uterine eyenziwa, kulandelwa uviwo lwakhe.
- I-biopsy ye-Endocervical yomlomo wesibeleko. I-scraper ye-tissue ye-layer layer ye-neck uterine isetyenziswe njengesixhobo se-curette.
Yintoni i-biopsy yomboniso wesibeleko?
Iziphumo ze-biopsy yomlomo zichanekile kunokuba zikholeji kunye ne-oncocytology kwaye azichaswanga. Ngenxa yeziphumo ze-biopsy kunokwenzeka:
- ukucacisa ubukho be-leukoplakia, i-dysplasia kunye nomhlaza wesibeletho.
- qinisekisa ubukho bokuba: ukuvuvukala komlomo wesibeleko kunye nomsele walo, ukuguguleka komzimba, i-leukoplakia elula, iipolisi.
Iziphumo ze-biopsy ze-cervical ziqulethe idatha:
- Ubukho / ukungabikho kweenguqu zamaselula (ukungabikho kweenguqu zamaselula - okuqhelekileyo, utshintsho oluncinane - inkqubo yokuvuvukala);
- Ubukho / ukungabikho kwe-I, ii-II okanye i-III degree of dysplasia (I-degree - dysplasia, i-II, III degree - i-dysplasia ephakathi kunye neyomeleleyo, eqinisweni, i-precancer);
- Ubukho / ukungabikho komdlavuza wesibeletho - umdlavuza wesibeleko.