Endometrial biopsy ndi opaleshoni ya amayi omwe cholinga chake ndi kupeza matenda a chiberekero. Kuti tichite, maselo osakanikirana amatha kutengedwa ndikuwatumiza ku phunziroli. Njira imeneyi imagwiritsidwa ntchito kuti azindikire njira zomwe zimapangidwira matenda a endometrium, kudziwa zomwe zimachititsa kuti magazi azizira magazi, azipeza khansa, ndi zina zotero.
Pali mitundu yambiri ya phunziro ili:
- chosokoneza;
- chiwonongeko;
- chithunzi;
- mpweya wofuna kupuma.
Azimayi ambiri omwe achita zimenezi amadziŵa kuti biometsy ya endometrial ndi yopweteka kwambiri. Ndipotu, pofufuza kafukufuku wamaphunziro a endometrium, m'pofunika kufalitsa kachilombo ka HIV, komwe kumapweteka kwambiri. Koma osati kale kwambiri kachitidwe kafukufuku wamakono kabwera. Njira imeneyi imatchedwa endometrial biopsy.
Pofuna kusonkhanitsa zinthu zowonetsera, chida chopangidwa ndi pulasitiki yogwiritsira ntchito mapuloteni omwe ali ndi mabowo ndi pisitoni, monga sirinji, imagwiritsidwa ntchito. Catheter imalowetsedwa mu chiberekero cha uterine, pistoni imatambasulidwa mpaka theka, imayambitsa kupanikizika mu chubu yomwe imathandiza kuti maselo awonongeke kuchokera pamwamba pa ziwalo za uterine. Zopezazo zimaphunziridwa, ndipo zotsatira za singano ya biopsy zikuwonetsedwa. Njira yonseyi sichikhala ndi masekondi osachepera 30. Chigawo cha pulasitiki chapafupi mpaka mamita 4.5, kotero kukula kwa chiberekero sikuchitika ndipo sikofunikira kuchita mankhwala opatsirana pogonana kwa wodwalayo. Pipel endoprial biopsy - izi sizili zopweteka monga kuphunzira kawirikawiri.
Zizindikiro zogwiritsidwa ntchito:
- kudziwika kwa zifukwa za kusabereka;
- kutsata zomwe zimayambitsa kutaya mwazi pa nthawi yamachilombo ndi mankhwala;
- Kupeza magazi owawa mwa amayi oposa 40;
- pa kafukufuku wovuta pakupeza matenda opatsirana pogonana ndi ultrasound transvaginal;
- ngati pangakhale ngozi yofalitsa maselo a kansa, endometriosis, ndi zina zotero.
Chiwerengero cha phokoso chimagwiritsidwa ntchito pa tsiku la 7-13 la kumwezi. Zisanachitike, microflora ya smear ikuyankhidwa. Ndibwino kuti muyambe kumwa mankhwala osokoneza bongo, osaphatikizapo njira zowonjezereka komanso kuchita zinthu mwamphamvu.
Zomwe zimapangitsa kuti thupi liziyenda
Phunziro lingapangitse mavuto ena:
- chitukuko cha matenda pa malo pomwe biopsy yachitidwa;
- magazi kuchokera m'mitsempha ya mimba ya chiberekero;
- kupweteka pang'ono pamimba pamunsi;
- kukhetsa magazi.
Zotsatira zowonongeka za chifuwa cha chiberekero ndizochepa, osachepera 0,5% ya chiwerengero cha njira. Ululu ndi kukhetsa mwazi nthawi zambiri zimachitika masiku atatu mpaka 7. Pokhala ndi magazi ochulukirapo, kuwukitsidwa kwa magazi kumapangidwira, kuti awononge chiberekero. Ndipo pa nkhani ya kutupa ndi matenda, m'pofunika kuti tipeze chithandizo cha antibacterial.
Kusamvana kwa phunziro lotero kungakhale kutupa kwa chiberekero
Endometrial biopsy ndi mimba
Phunziroli limaperekedwa kokha atatsimikiziridwa kuti vutoli silinapezeke. Madokotala ambiri asanayambe ndondomekoyo amavomereza kuti ali ndi mimba. Mfundo yonse ndi yakuti biopsy ikhoza kubweretsa mimba.
Ambiri opanga mankhwalawa anayamba kuphatikizapo kuphunzira za endometrium m'ndandanda wa njira zovomerezeka zogwiritsira ntchito zomwe zimapangidwira pofuna kudziwa zomwe zimayambitsa kuperewera kwa amayi. Azimayi ambiri awonjezera kale mwayi wokhala ndi mimba pambuyo pa sitima ya biopsy. Zotsatira zenizeni za phunzirolo, mankhwala oyenera kulandira chithandizo anapatsa akazi mwayi wokhala ngati amayi.