Colposcopy wesibeletho - kuyini? Lapho ukwenza colposcopy futhi kungani

Colposcopy wesibeletho - kuyini, lapho enza le nqubo futhi sizoxoxa ngani kulesi sihloko. Okwamanje, anda iphesenti labesifazane abaphethwe ahlukahlukene ukuvuvukala (hhayi kuphela) izifo wesibeletho, lwesitho sangasese sowesifazane kanye ngemomozi yakho. Ngo arsenal of udokotela wezifo zabesifazane kukhona izindlela ezilula futhi engabizi ekuxilongweni izimo ezihlukahlukene sokugembula we zangasese zangaphandle. Enye yalezi zindlela kuyinto colposcopy.

Kuyini lokhu indlela?

Colposcopy futhi biopsy wesibeletho azibizi, futhi okubaluleke kakhulu, izindlela kakhulu ulwazi ka ukuhlola zokugula wesibeletho, esithweni sangasese somuntu wesifazane noma ngemomozi yakho. Ngo umkhuba wamanje, akunakwenzeka ukuba sicabange ehhovisi lika wezifo zabesifazane, ababengeke ifakwe imishini. Elivame ukusetshenziswa kakhulu indlela sandisiwe colposcopy, okubandakanya Ukuhlola ebusweni mucosal wesibeletho, esithweni sangasese futhi ngemomozi ngumuntu isibonakhulu elinesithombe kokukhulisa izikhathi 30-40 eminye sivivinyo seluhlololucwaningo. Lolu vivinyo zisekelwe phezu EPITHELIAL ikhono basabela ngokungefani ekwelapheni izidakamizwa ezihlukahlukene zezokwelapha.

Ngosizo le ndlela ucwaningo kungaba ukuxilongwa esinembile, ukuhlola ukuphumelela ekwelapheni izifo ngaphambilini siyachazwa. Plus le ndlela itholakala lokuthi ukuthi imiphumela colposcopy wesibeletho uzobe ngokushesha sidluliselwe isiguli, futhi ngokushesha Orient lokufeza elilodwa noma kwenye okufana ukwelashwa.

Lokho kuyithinta kanjani umphumela colposcopy?

Ubunjalo idatha etholwe kulolu cwaningo kungathinta hhayi kuphela okwenza libukeke njengendandatho silwanyana, esiye saholela ukuthuthukiswa ukuvuvukala, kodwa nezinye izinto eziningi. Lezi zihlanganisa lokhu okulandelayo:

• estrogen noma progesterone ukuntula;
• usuku umjikelezo wokuya esikhathini (lapho isigaba: luteal, follicular, noma isikhathi nge-ovulation);
• ngasiphi komqondo nezinga lokukhula kwengane kuyinto ukuvuvukala;
• yobudala isiguli.

Kufeza indima ebalulekile, nokuthi ngisho nokukwazi ukuqonda lokho ebona isithombe indlela yokusebenzisa ngezigaba. Kuyinto imfihlo ukuthi colposcopy ngokuyinhloko indlela subjective of luhlolo. Isithombe efanayo odokotela lingachazwa ngezindlela ezahlukene futhi, ngokufanelekile, adalule izifo ezahlukene. Ngakho kubalulekile ngaphambi nangemva ukwelashwa afeze inhlolovo ngesikhathi udokotela ofanayo. Loku kuyehluka kuneminye izinqubo colposcopy. Kuyini, manje ecacile. It uhlala ukuqonda lisebenza kanjani le nqubo, futhi okubaluleke kakhulu, lapho.

Incazelo indlela

Isikhathi esingcono kakhulu ukufeza cwaningo kubhekwa isigaba sokuqala umjikelezo, isb. E. Ngokushesha ngemva ukopha, kodwa ngaphambi ukukhiqizwa kwamaqanda. Ngomqondo onabile, a colposcopy kungase kwenziwe kunoma iyiphi usuku umjikelezo. Wena akufanele silithathe kancane iziguli abakhulelwe Kungadingeka ukuba bafeze lo cwaningo. Kulokhu, nje ungakhohlwa ukuthi isithombe Colposcopic kungokwemvelo ukuba ibe khona ehlukile.

Ukulungiselela colposcopy wesibeletho ayidingeki. Kungcono ukuthola le miphumela smear ku onkotsitologiyu nezimila. Uma ukuhlolwa lab zikhona izimpawu ukuvuvukala, kungcono aphathwe ngoba ngeke iphazamise izinguquko ezinkulu ngokwanele lehlola ukubonakala kwelase-United lwamafinyila wesibeletho, esithweni sangasese futhi ngemomozi yakho.

izigaba colposcopy

Ngakho, indlela ukwenza colposcopy wesibeletho? Isiguli e kwehhovisi likadokotela kuyinto khumula izingubo ngokuphelele okhalweni phansi itholakala esihlalweni izifo zabesifazane. Uchwepheshe zokugula wesibeletho, noma udokotela wezifo zabesifazane, wethula nesibuko sangasese. Owesifazane kumele ikhululeke ngangokunokwenzeka, ngoba ukubukwa lula (lokulingisa hhayi cool) ukuthatha ngokuvamile insimbi lithé ukuba likhudlwana kune-luhlolo evamile. Futhi kulesi simo isiguli cishe imizuzu 15-20, kuye ngokuthi indlela udokotela baqonda ayewubonile kulesi sithombe. Ngesikhathi besanda kuqala microscope ukuhlolwa esetshenziswa izihlungi oluhlaza ukuthi ukuthola izitsha atypical esisogwini ebusweni wesibeletho. Ngesikhathi kuqala esigabeni kuphelile.

Khona-ke udokotela wezifo zabesifazane icacisa ukuthi ukusabela sowesifazane iguliswa yimuphi izidakamizwa wezokwelapha, futhi wabe yesibili luhlolo esiteji. Ikhishwa ezilandelanayo ukucutshungulwa lwamafinyila isixazululo yokuqala ezibuthakathaka uviniga, bese isixazululo iodine. Ngokwe ukubonwa ukusabela nolwelwesi lwamafinyila e onguchwepheshe Umbala singakwazi ukubona izilonda osolisayo bese bedluliselwa biopsy.

Lapho kuhlolwa kuqediwe, udokotela kuzosusa esibukweni oluphuma esithweni sangasese, futhi lona wesifazane uya ugqoke. Sokuqonda colposcopy wesibeletho kungaba kwenziwe ngokushesha uma inqubo eyenziwa udokotela nokuya noma edilini okwalandela ngesikhathi udokotela wezifo zabesifazane.

Ngingathanda ukuhlala kancane kulawo uthi isifo okungase abhekwe phakathi nesifundo.

simila Nabothian

Uma uyikha phezulu le wesibeletho kufanele mfundo obusebenzayo njengoba pseudocysts. Lapho ngasizathu simbe kukhona ukuvaleka esidayisa imbobo, imfihlo iqala buthelela ngaphakathi simila. Ngenxa yalokho, it kwandisa ngobukhulu futhi ifana ekwakhekeni (ukubusa webhaktheriya ukutheleleka) tint olumhlophe noma aphuzi. It is ekwandiseni inesikhala emincane, ukuthuthukiswa kokuziphatha ukuvuvukala emhlabeni izinhlumba.

warts

Lapho colposcopy (izithombe wesibeletho ukutheleleka, imibukiso akulona emnandi kunazo), singazibona condylomas exophytic noma papillomas flat.

Imbangela warts exophytic linqotshiwe yindle yabantu papilloma virus. ngokuvamile avuke ngaphezu kwamanzi mucosal kungase kudingeke umlenze mncane noma, kodwa kancane njalo, base ebanzi. Ngo umbala ziyashiyana kusukela pink okhanyayo ibe bomvu. Warts kungaba mncane noma uqweqwe, wahlela singly noma ubuyisele ku isithombe, okuyinto ufana ukholifulawa.

papillomas squamous awayona ingozi, isakhiwo sabo histological ihlukile isakhiwo warts exophytic. Abukho ubufakazi okunokwethenjelwa ukuthi abantu papilloma virus akuyona imbangela nesenzakalo yabo. Lapho papilloma colposcopy ibukeke njengoba bemi imfundo kuphela, okuyinto embozwe mucosa evamile, ehilelekile kuphela khona i Inethiwekhi ebanzi yophathina semithambo.

Iqiniso ukuguguleka wesibeletho

colposcopy wesibeletho nakuba ukuguguleka kufanele kwenziwe njalo. ukuguguleka wesibeletho kuyinto isici ukuba sibe ebusweni mucosal, ukungabi esinqunyiwe. stroma phansi isilonda umelwe Ingase ithanyelwe granulating ingxenye kungenziwa embozwe exudate fibrinous. Imbangela isilonda kumiswa ngokuvamile itholakala isizinda yokulimala epithelium integumentary yoma, ukuvuvukala isikhathi eside, umdlavuza. Lesi sithombe Colposcopic akuyona evamile nabesifazane asebeneminyaka efanele yobudala zokuzala. iodine staining ingekho, kukhona liphinyiselwe luhlaza obomvu. Lapho kulesi simo wenziwa colposcopy (izithombe wesibeletho ayatfolakala wezifo zabesifazane), by staining necebo uviniga nesineke ingase ikhononde we ukuncinza endaweni yesitho sowesifazane sangasese.

lezinkinobho

Ukuba khona ukuvuvukala kwenza kube nzima ukuhlola ngenxa inani elikhulu okukhethile, kuyilapho isithombe Colposcopic kungahunyushwa ngephutha. Ukuvuvukala kuyinto ehunyushelwe noma okwandile. Uma kukhona zokugula wesibeletho, colposcopy kungase kwenziwe ngaphandle yokulungiswa wokulungiselela, ivinjelwe, noma okuphambene nalokho, esiphethweni uzobe sigudluke maqondana hyperdiagnostics.

Ukuvuvukala esigabeni acute libhekene ububomvu a imakwe, edema ezinzima, melkotochechnye amawala, inani elikhulu KULETHA anemibala ehlukene. Umbala bomsebenzi ukudedelwa incike lesi silwanyana ezibangele ukutheleleka.

Uma inqubo sifo isikhathi eside ngaphandle ukwelashwa okufanele, e-surface wesibeletho, ezibangelwa ukungaphenduki embhedeni emomozini noma ngemomozi ungakheka, okuholela ekwakhekeni ukuguguleka kweqiniso. Ngokuvamile phansi Izilonda ubomvu-like.

Lolu cwaningo lubonisa "wesibeletho Colposcopy"?

Kuyini, uyazi. Manje kudingeka abhekane nalokho isigaba iziguli, kulolu cwaningo kumele kwenziwe. Kahle kahle, lolucwaningo kumele babhekane 100% iziguli ukuthi eze ukubona udokotela. Kodwa isimo sangempela, ngakho ukuthi umkhuba kusenzima kungenzeki asebenze. Uma sikhuluma imitholampilo zabesifazane, kuzo zonke ehhovisi kukhona ngokuvamile colposcope, Ngakho-ke, isikhathi esanele ukuba bafeze lo uhlobo socwaningo (nesineke ngamunye unikezwa imizuzu mayelana 15-20). Uma sikhuluma zokwelapha zangasese, lapho kungenzeka ethe xaxa, kodwa kukhona enye inkinga - ukuntuleka ukulondeka ngokwezimali sabantu. Akuwona wonke owesifazane angaba namandla okuwunikela ukuhlolisisa ephelele imali yakho.

Uma sikhuluma amaqembu ingozi - labo kudingeke aqhube colposcopy kuyadingeka, kuba owesifazane lezi zinkinga ezilandelayo:

• ukuguguleka noma ectopia wesibeletho;
• abathwali Papillomavirus womuntu;
• nesineke emva kokwelashwa eqeda ukuvuvukala olwenziwa ngaphambi nangemva izindlela okubhubhisa nokwelashwa kwezifo kungakephuzi wesibeletho;
• iziguli ezine vulvovaginitis atrophic;
• kwabesifazane abakhulelwe.

Kukangaki wenziwa colposcopy?

Uma isiguli ayinakho zokugula wesibeletho, esithweni sangasese somuntu wesifazane noma ngemomozi yakho, isifundo Kwenziwa yini izikhathi ezingaphezu kwesisodwa ngonyaka. Uma kukhona zokugula sina (ukuguguleka dysplasia wesibeletho, Oncology) inhlolovo wenziwa kanye njalo ezinyangeni eziyisithupha. Ngemva yokwelapha anti-inflammatory Kufanele kwenziwe colposcopy, ukuqapha ukusebenza emithini yokuselapha.

side effects

Kwakungekho ukubukeka iyiphi nemiphumela emibi ngendlela efanayo ngemva colposcopy. Phakathi nesifundo, kungase kube ukuqaleka efanayo ezivamile speculum luhlolo. Ikakhulukazi uma isiguli sishubile, futhi izindonga sowesifazane sangasese Abut onqenqemeni kwesibuko (zona ngokwazo akusho ungeze ku emizweni mnandi).

Uma isiguli yokungezwani komzimba iodine, futhi udokotela akazange wathola kungase ukuthuthukisa ukusabela iguliswa ka inamazinga ahlukahlukene okujula obuhlukahlukene. Ephambi kwezinduna ukuvuvukala e ukucutshungulwa isixazululo ezibuthakathaka uviniga kungabonakala nasemkhakheni uvutha sangasese. Kobukhulu lezi zimpawu incike uzwela ubuhlungu ngayinye owesifazane ngamunye. colposcopy wesibeletho (ukuthi luyini lolo daba sezikuqonda yilowo nalowo wesifazane) aliholeli imiphumela yesikhathi eside ezingezinhle.

Uma ungakwazi ukwenza inqubo?

Lesi sifundo Kunconywa ngesikhathi kwangemva kokubeletha. Lokhu kusho ukuthi ezinyangeni ezimbili zokuqala ngemva kokuzalwa kwengane kufanele uyeke kwaqedwa le nqubo, ngoba okwenzekile okwamanje sokubuyiselwa egcwele isakhiwo kanye mucosal ebusweni wesibeletho.

Awukwazi ukwenza colposcopy ngenyanga yokuqala emva ukukhipha izisu. Okokuqala, le mucosa namanje ngaphansi kwethonya amazinga ezishintshwe hormone. Okwesibili, ukubeka amabala, okuyinto ingase yibe yinto exakayo ngowesifazane amasonto amane, ngeke aphazamise inqubo.

Awukwazi ukuzinikeza ucwaningo olwenziwa ngokushesha ngemva cryodestruction wesibeletho noma olunye uhlobo ukwelashwa kuhlinzwa. Ngoba kulesi simo-ke kungase ngokugcwele ligcwaliswe ukuvuselelwa kanye epithelialization we ebusweni lilimele. Lapho kukhona akudingekile ukuba bafeze lo zokukhwabanisa? Kulezi zimo ezilandelayo:

• esesikhathini, uma kukhona ukopha of omsakazo engaziwa;
• egijima ukuvuvukala ne ezinkulu ubovu osenyameni;
• yoma abalulekile nolwelwesi lwamafinyila.

okutholakele

colposcopy wesibeletho (lokho kuyaqondakala kusuka umbhalo ngaphezulu) iyindlela ephephile futhi engabizi elikuvumela ukukhomba ezihlukahlukene izinqubo sokugembula wesibeletho, ngemomozi futhi esithweni sakho sangasese. Le ndlela yocwaningo nhlobo izinkinga. Ezimweni ezingavamile zihlanganisa:

• ukubukeka noma ukopha owandiswayo;
• ongaphakeme-ebangeni umkhuhlane;
• ukushintsha umbala gqamisa (ikakhulukazi ngemva isicelo iodine staining).
• ukudonsa ubuhlungu esiswini aphansi ngokushesha ngemva kokuhlinzwa.

Uma noma iyiphi yalezi zimpawu ihlala isikhathi esingaphezu kosuku olulodwa, kuba ithuba ukufaka isicelo kabusha kuze udokotela wezifo zabesifazane. Colposcopy wesibeletho, izibuyekezo izinqubo ngokuvamile omuhle, isidingo esiphuthumayo kungenziwa kunoma iyiphi usuku umjikelezo wokuya esikhathini.