Ubani omiswe Isigaxa wesibeletho biopsy? is ukuhlinzwa lwenziwa kanjani?

Uyini wesibeletho Isigaxa biopsy, kanjani ukusebenza - ngempela nezindaba ngezihloko ezihlukene namuhla. Le nqubo kuhlinzwa okuhloswe ngaso kususwa amaqoqo Isigaxa emise lamaseli soguquko lwegciwane singalawuleka. Khona-ke isinqamu ubabonisa Histology kude umdlavuza noma okuhlukile.

Ubani omiswe Isigaxa wesibeletho biopsy? is ukuhlinzwa lwenziwa kanjani?

igama Inqubo livela egameni "Isigaxa" futhi libhekisela ukuncishiselwa tapered ucezu ahlukene ihlule. Lokhu ukuma cross-Sectional uhlobo engasindi kakhulu ukuhlinzwa, ucabangela isakhiwo umzimba, nokubekwa imithambo yegazi. Ngaphezu kwalokho, phezu kobuso wesibeletho abumane nezibazi futhi deformity.

conization wesibeletho esinikeziwe uma uzingela owesifazane EPITHELIAL dysplasia, ukuguguleka komhlabathi, ama-polyp, i-endometriosis futhi miamatoznyh ISIZINDA, izinhlumba, izibazi ezinkulu (imiphumela izizukulwane), ectropion noma eversion mucosal esigabeni sokuqala umdlavuza.

Ngaphambi manipulation nesineke sihamba ahlolwe kahle emzimbeni futhi ukuthola ukwelashwa kudingekile izinqubo ukuvuvukala kule izitho zangasese. Ukuze wenze lokhu, lo dokotela sinquma ukuhlolwa:

• ukuhlolwa evamile egazi noma omchamo;
• igazi noma yokuthakwa kwamakhemikhali;
• assays ngoba khona-hepatitis B no-C, i-HIV, kanye nogcunsula (PB);
• smear ukuhlonza amaseli soguquko lwegciwane singalawuleka futhi microflora;
• le ukuthola izinto ezithwala izifo (i-PCR ukuhlola);
• kolkoskopiyu (isitho yangaphakathi luhlolo ngu kolkoskopa).

Esikhathini esingangenyanga ngaphambi ukuhlinzwa isiguli Kunconywa ukukhipha ukusondelana inhlanzeko yomuntu siqu.

Lapho ukhethe ukwenza inqubo enjalo, abesifazane abaningi umbuzo wokuqala: siyini lesi Isigaxa biopsy wesibeletho? is ukuhlinzwa lwenziwa kanjani? Izinzwa noma cha?

Empeleni, ukwenza inqubo enjalo wenziwa usebenzisa izinzwa wendawo, ngokuvamile lidocaine futhi epinephrine ikhambi lokuhlushwa 1%. Uma isiguli iguliswa ukubulala izinzwa engxenyeni ethile, isetshenziswa a izinzwa iDemo emthanjeni. Ngakho-ke, ukusebenza zibalwa kobuhlungu. Isikhathi esingcono kakhulu sokuba ukuhlinzwa ubhekwa ngesonto lokuqala emva kokuphothulwa menses, njengoba cishe aqede sokukhulelwa, futhi impela isikhathi eside ukoma isilonda ngemva kokuhlinzwa.

conization amasu:

1. Isingeniso isibuko emomozini eyenziwe ngepulasitiki.
2. Ukwelashwa solution iodine wesibeletho, ekhombisa imingcele izicubu abathintekayo.
3. Excision we lesion.
4. Ukususa isinqamu cut futhi ucwaningo olwengeziwe.
5. Cauterization ukopha amasayithi.

Ngokuvamile, ukuxhaphaza senzeka emaminithi la-15.

Izimo conization

conization akuyona kwenziwe uma kukhona ukuvuvukala e isibunu. Ezimweni ezinjalo, ukuhlinzwa idluliselwe esizayo ukususa izifo ukuvuvukala.

Inqubo akunakwenzeka, uma wesibeletho Oncology itholwe inhlolovo esigabeni lesithathu noma lesine. Kulokhu, kukhona ingozi ukusabalala amangqamuzana omdlavuza kwezitho zomzimba eseduze. Umphumela kungaba ukulahlekelwa sangasese, kwesinye, ingemuva. Isizathu sokuchuma okunjalo akukwazi udokotela iphutha yokusebenza, futhi yomdlali insidiousness yesimila ngokwayo, okuyinto ivame singagxila zonke izingxenye zomzimba.

Phezu ukuthola isimila enjalo kususa yonke isitho.

nokuvuselelwa

Futhi, kuphakama imibuzo eminingi mayelana yokumjwayeza ngemva conization. kuyinto isilonda kanjani?

yokutakula Okugcwele kuthatha izinyanga eziningana. Emva impatho abesifazane nithole sinombala uketshezi igazi ipheshana zangasese kokuba nephunga. Kungaba izinyanga. Ngaphezu kwalokho, ubuhlungu kungenzeka ukhathazekile egqoke bezwe izinhlungu, edonsa noma cramping ngokwemvelo. Ungesabi nakancane uma isikhathi sokuqala iyolandelwa more ezinkulu khona amahlule - kuyinto evamile.

Ukuqeda ukungakhululeki emva inqubo Kunconywa:

• ethola ejenti antiinflammatory kanye analgesic;
• ekuzileni ubuhlobo bobulili kuze akukho uketshezi sukrovichnyh (amasonto 2-3);
• ukususa kufakwe lwesitho sangasese sowesifazane tampons, amakhandlela yokugcoba, douches ukuqhuba;
• uyeka ukuthatha okugeza, swimming pool kanye sauna;
• kukhawulwe umsebenzi;
• kungabi at okushisa aphakeme (amabhishi, solariums, eduze futhi Ohhavini).

Ngemva kwamasonto amabili conization ukuhlolwa saziso ukuqapha inqubo yokwelapha, kanye ekuboneni kanye nokuvimbela yalokho okungase kulandele.

Ngemva kwezinyanga ezintathu noma ezine labetibambile kolkoskopiya futhi cytological umthondo yokuqinisekisa. Kuleli qophelo inqubo ephulukisa igcwaliswe.

imiphumela olungenzeka manipulation

Yamanje amasu kuhlinzwa conization ukunciphisa ukuthuthukiswa yezinkinga. Nokho, abakwazi ngokuphelele wawususa:

1. Ezophayo.
2. Penetration ukutheleleka.
3. Stenosis ka umsele wesibeletho (ukuvaleka).
4. Ukwephula obturator ikhono wesibeletho engaholela yisisu.
5. Ukushintsha izakhiwo uketshezi lwamafinyila kusuka komsele wesibeletho.
6. wenzalo ukwehla.

Okuvela nezibazi emva kokuhlinzwa iyindlala, ngoba ayifuni ukusebenzisa electrocautery imiklamo.

Izindlela nenqubo

zokwelapha Modern kuhilela conization lesizalo ngezindlela eziningana:

1. Laser. Kuyinto eqolo kodwa futhi kakhulu zobuchwepheshe.
2. Radiowave. Indlela liqukethe izinqe ndawo eshile kagesi.
3. Loop. Indlela has a ingozi sakugcina ngenxa yezinkinga ngentengo ephansi.
4. Ummese. Namhlanje ezingavamile, ngoba awokuthi imiphumela engemihle.

Namuhla, i-eziphumelela kakhulu laser Isigaxa biopsy, okuyinto kubhekwa ebuhlungwini okungenani. Nokho, biopsy Isigaxa usebenzisa indlela loop yisona esikhulunywa abantu abaningi, ngoba kahle ihlanganisa intengo imali nge high, njengoba kufakazelwa imibono kusukela ochwepheshe.

Laser indlela conization

Le ndlela kuyinto eqolo, ngakho-ke, kuphakama imibuzo: Uyini laser wesibeletho Isigaxa biopsy? Kushiwo ngamuphi umqondo ukuthi ukusebenza futhi yiziphi izinzuzo zayo?

Inqubo wenziwa ngaphansi emfushane ukubulawa kwezinzwa okuvamile usebenzisa karbondioksidnogo laser eqoqa inqubo nommese. Ngaphambi kokuqala ukusebenza, udokotela ohlinzayo udalula wesibeletho kanye IZINHLELO ngemomozi nezixazululo isinqandakuvunda. Ngaphansi isenzo esiqhubekayo ugongolo laser kuyinto lesion okwenyanga njengoba Isigaxa, nge isinqamu encane uthathiwe izicubu onempilo (1-2 mm). Kanyekanye kukhona cauterization ka emaphethelweni isilonda.

Izinzuzo indlela:

• ukunciphisa ukuba ubuncane ubuhlungu phakathi nangemva ukusebenza;
• nokuvinjelwa ukuvuvukala nasezinkingeni ezilandela ngemva kokuhlinzwa;
• nokwehlisa ukopha ngesikhathi ukuphulukisa;
• laser ebhubhisa ezincane, ngakho-ke ukunciphisa ingozi yamagciwane yasendle op;
• izicubu nezibazi emva inqubo ubuncane.

ukusebenza Laser siyasebenza, nokuhlinza aseptically, futhi kungase kwenziwe umile futhi esimweni sinenkonzo yokunakekela iziguli emakhaya.

Radiowave indlela conization

Lokhu malotravmatichen indlela futhi sisetshenziswa kabanzi practice kuhlinzwa. Kushiwo ngamuphi umqondo ukuthi isigaxa wesibeletho amagagasi biopsy umsakazo? Lapho coagulated onqenqemeni Sectional ukusikeka siqedwa okuvela ukopha. Indlela libhekene ukunemba okuphezulu ukususa endaweni dysplastic. Futhi ukuze unciphise imiphumela kungandisa amathuba umphumela omuhle abakhulelwayo okwalandela.

Indlela LEEP

Ukuphendula udaba, okungukuthi iluphu conization wesibeletho, indlela manipulation lokhu, kungase kuqashelwe ukuthi tapered ingxenye dysplastic inyama ukususwa, ngokubeka electrode loops kule ndawo. Ngemva kwalokho, iluphu uqondiswa okusezingeni eliphezulu imvamisa iselulo segama lefayela, futhi kukhiqizwa lapho excision.

Kwangezikhathi le ndlela kancane kuphela ezilimele, futhi isikhathi nokuvuselelwa okuphuma kahle. Lesi sifo ubuhlungu ibuthakathaka futhi esifushane. Ukopha neze kwenzeka.

Knife conization indlela

Kukholakala ukuthi le ndlela iyona okubuhlungu kakhulu futhi kungase kube nemiphumela emibi. Namuhla, Ngakho-ke, i-operation ezifana Kwenziwa akuvamile. Lapho ukwabela inqubo efana conization ummese, njengoba ukwenza ukuhlinzwa ngu nommese, ukuqonda kungaba engadingekile.

Inqubo wenziwa usebenzisa izinzwa noma lesifunda ngesethulo kwemithi hemostatic, odokotela ngezinye izikhathi abophe a Umthambo encane.

Ngemva kwalokho ahlukaniswe nommese inyama onesifo ngesimo Isigaxa. Ngemva excision ka emaphethelweni Imi coagulated usebenzisa electrode eyisiyingi ukuze ukopha. Kuze kube yimanje, futhi ingasetshenziswa swabs ukotini kanye hemostatic wamafutha.

Ingabe kungenzeka ukuthola ukhulelwe emva inqubo

Ukuze uzwisise ukuthi yini wesibeletho Isigaxa biopsy, indlela inqubo nokusetshenziswa izindlela ezahlukahlukene, sicabanga umbuzo ekubulungeni okuzala. Ochwepheshe bathi ukusebenzisa izindlela ezintsha wokusebenza empeleni ukunciphisa amathuba sowesifazane yokuthola abakhulelwe futhi wenze ingane. Nokho, phakathi inqubo nokukhulelwa kufanele kube kwesikhawu samahora okungenani unyaka wonke. Uma uhlela ukukhulelwa ngemuva conization owesifazane kufanele:

1. Uhlolwa udokotela wezifo zabesifazane, oncologist futhi endocrinology.
2. Ukuze udlulisele smear ngoba tsitolokicheskogo ucwaningo kanye nokuhlaziywa ngokuba khona hormone egazini.
3. Yenza kolkoskopiyu ultrasound wesibeletho Izitho zokuzala.

It yasungulwa ukuthi dysplasia, conization wamagciwane izigaba lokuqala nelesibili, cishe akakubangeli yezinkinga ngesikhathi sokukhulelwa. Izigaba yesithathu neyesine we zokugula lihambisana namanye izimo, kwandisa ingozi yokungenwa yisisu.

Zokubeletha emva inqubo

Mayelana lo mbuzo obalulekile uwukuthi: kangakanani lokuzalwa ngemva conization? Umphumela we zokukhwabanisa kungaba ukunciphisa ikhono lomzimba yokwelula, okwenza kube nzima ukudalula, futhi njalo sokukhulelwa inqanyulwa kuhlelwe Ukubeletha.

Kodwa njengoba zabasebenzi kungaba yemvelo, uma sigcina obelethisayo uzobona Izimo. Ngonyaka wokuqala ngemva kokuzalwa kuyadingeka ukuze kudlule luhlolo ngumuntu wezifo zabesifazane nge esingaba izinyanga 3, ukuze kusenesikhathi esisha lesi sifo, ingozi okwandisa emva kokukhulelwa.

Ngalokho okusongelayo Isigaxa wesibeletho biopsy, kanjani ukusebenza Izibuyekezo okuxubile kakhulu. Konke kuncike esigabeni lapho isifo satholakala, ngenxa yalesi sifo kanye kusuka ezindleleni inqubo. kokubonisana Esifike Ngesikhathi nodokotela kusiza zembula izimpawu zesifo i emabangeni kokuqala, okuyinto Kwakuyohlanganisani ukususwa imali encane izicubu ukuba ukusheshisa le nqubo zokuphulukisa futhi sandise amathuba umphumela omuhle ka ekhulelwa noma ebeletha.