I-endometrial biopsy yindlela yokusebenza ngokwemvelo ehloswe ekuhloleni izifo zesisu. Ukuyiqhuba, amangqamuzana omzimba amancane athathwa futhi athunyelwa esifundweni. Le ndlela isetshenziselwa ukuthola izinqubo ze-endometrium, ukubona izimbangela zokuphuma kwamagciwane, ukuxilonga i-carcinoma, njll.
Kunezinhlobo eziningana zalolu cwaningo:
- biopsy engaqondakali;
- ukukhishwa kwe-biopsy;
- i-endoscopic biopsy;
- i-vacuum aspiration biopsy.
Abesifazane abaningi abaye bathola le nqubo bayazi ukuthi i-endometrial biopsy yinqubo ebuhlungu kakhulu. Phela, ukwenza ukuhlaziywa ngezigaba ze-endometrium, kudingekile ukwandisa ukuhamba komlomo wesibeletho, okubangela ukuzwa okungajabulisi okubuhlungu. Kodwa kungekudala nje indlela yokucwaninga yesimanje ivele. Le ndlela ibizwa ngokuthi i-biopsy ye-endometrial.
Ukuze uqoqe impahla yokuhlolwa, ithuluzi eliqukethe ithubhu ye-plastiki eguquguqukayo enezimbobo ezingemuva kanye ne-piston, njengasesirongeni, isetshenziswa. I-catheter ifakwa emgodini we-uterine, i-piston isolwe ibe yingxenye, idale ingcindezi ebhodini elenza ukuthi ukumuncwa kwamangqamuzana avele phezu kwezingqimba ze-uterine. Izinto ezifunyenwe zifundwa, futhi imiphumela yensilinga ye-biopsy iboniswa. Inqubo yonke ingapheli imizuzwana engaphezu kwengu-30. Ububanzi be-tube yepulasitiki kuze kube yizigidi eziyi-4.5, ngakho-ke ukwandiswa kwesibeletho akukwenzeka futhi akudingekile ukuba kwenziwe i-anesthesia kwisiguli. I-pipel i-biopsy ye-endometrial - lokhu akuyona ebuhlungu njengokutadisha okuvamile.
Izinkomba zokusetshenziswa:
- ukuhlonza izimbangela zokungabikho;
- ukuzimisela izimbangela zokugaya ngesikhathi sokwelashwa kwe-hormonal nokuvimbela ukukhulelwa;
- ukuxilongwa kwegazi elibuhlungu kwabesifazane abangaphezu kuka-40;
- ocwaningweni oluyinkimbinkimbi ekwenzeni i-hysteroscopy yokuxilonga kanye ne-ultrasound yangaphandle;
- uma kwenzeka ingozi yokusakazwa kwamangqamuzana omdlavuza, endometriosis, njll.
I-biopsy ye-pinpoint yenziwa ngosuku lwangama-7-13 wesigodi sokuya esikhathini. Ngaphambi kwenqubo, i-microflora ye-smear ihlolwe. Kunconywa esikhathini sokuqala sokugwema ukuphuza utshwala, ngaphandle kwemigomo yokushisa nokuzikhandla ngokweqile ngokomzimba.
I-endometrial biopsy - imiphumela
Ucwaningo lungabangela ezinye izinkinga:
- ukuthuthukiswa kokutheleleka kusayithi lapho i-biopsy yenziwa khona;
- ukuphuma emithanjeni yegazi yomlomo wesibeletho;
- ubuhlungu obulinganiselayo esiswini esingaphansi;
- ukukhishwa kwamanzi.
Imiphumela elandisiwe ye-aspiration biopsy yesibeletho ayinqabile kakhulu, engaphansi kwe-0.5% yenani eliphelele lezinqubo. Ubuhlungu nokukhishwa kwegazi ngokuvamile kwenzeka ezinsukwini ezingu-3-7. Ngokuphuma kwegazi okuningi, ukukhishwa kwegazi-ukuvuvukala kwegazi kuqhutshwa, kuze kutholakale isisu. Futhi uma kwenzeka ukuvuvukala nezifo, kubalulekile ukuba ufundele ukwelashwa kwama-antibacterial.
Ukuqhathaniswa kweso sifundo kungase kube ukuvuvukala komlomo wesibeletho
I-endometrial biopsy nokukhulelwa
Ucwaningo lwenziwe kuphela emva kokuqinisekisa ukuthi ukukhulelwa akuzange kwenzeke. Odokotela abaningi ngaphambi kokuba inqubo imemezele ukuhlolwa kokukhulelwa. Iphuzu eliphelele ukuthi i-biopsy ingavusa ukukhipha isisu.
Abakhiqizi abaningi baqala ukufaka isifundo se-endometrium ohlwini lwezinqubo zokuhlola ezidingekayo ezenzelwe ukuthola izimbangela zokukhulelwa kwesisu. Abesifazane abaningi sebeye bakhulisa amathuba okukhulelwa emva kwesitimela se-biopsy. Imiphumela ecacile yocwaningo, ukwelashwa okunembile okwenziwe kahle kwanikeza abesifazane ithuba lokuzizwa njengomama.