Ni iki Colposcopy? Intego, Uburyo & Ibivamo

Colposcopy ni uburyo bworoshye, bukorerwa hanze bwemerera muganga wawe kureba neza umura wawe, igituba, na vulva. Tekereza nk'uko ukoresha ikirahure kinini cyihariye kugirango ukore isuzuma ry'ahantu hashobora gukenera kwitabwaho nyuma yo gusuzuma Pap smear idasanzwe cyangwa izindi mpungenge.

Ubu buryo bufasha abaganga kumenya impinduka mu ngirangingo zawe z'umura hakiri kare, igihe byoroshye kuvura. Mugihe ijambo "colposcopy" rishobora kumvikana riteye ubwoba, mubyukuri ni igikoresho gisanzwe cyo gupima gifasha kugufasha kugira ubuzima bwiza.

Colposcopy ni iki?

Colposcopy ni uburyo bwo gupima aho muganga wawe akoresha igikoresho cyihariye cyongera ubunini cyitwa colposcope kugirango asuzume umura wawe n'ibice by'umubiri bikikije. Colposcope iguma hanze y'umubiri wawe kandi ikora nk'ikirahure kinini gifite urumuri rwinshi.

Mugihe cyo gukora ubu buryo, muganga wawe ashobora kubona ahantu hatagaragara mugihe cyo gusuzuma pelvisi risanzwe. Kongera ubunini bifasha kumenya impinduka zidasanzwe mu ngirangingo z'umura wawe, igituba, cyangwa vulva bishobora gukenera kwitabwaho kurushaho.

Uku kugaragaza mubisanzwe bifata iminota 10 kugeza kuri 20 kandi bikorerwa mu biro bya muganga wawe. Ntabwo uzakenera anesthesia, nubwo ushobora kumva utameze neza nkuko byagenze kuri Pap smear.

Kuki colposcopy ikorwa?

Muganga wawe agushishikariza gukora colposcopy iyo bakeneye gukora iperereza ku ngaruka zidasanzwe ziva mu bizami byabanje cyangwa ibimenyetso bisaba isuzuma rirambuye. Muri rusange, ibi bibaho nyuma yo gusuzuma Pap smear idasanzwe yerekana impinduka mu ngirangingo zawe z'umura.

Ubu buryo bufasha muganga wawe kumenya niba impinduka z'ingirangingo ari nto kandi zishobora gukemuka zonyine, cyangwa niba zikeneye kuvurwa. Mubyukuri ni uburyo bwo kubona amakuru arambuye mbere yo gufata icyemezo icyo aricyo cyose cyo kuvura.

Hano hari impamvu nyamukuru muganga wawe ashobora kugushishikariza gukora colposcopy:

• Ibisubizo bidasanzwe bya Pap smear bigaragaza selile zidasanzwe cyangwa zitaratera kanseri
• Ibisubizo byiza bya HPV, cyane cyane ubwoko bwa HPV bufite ibyago byinshi
• Gusohoka amaraso bidasanzwe hagati y'imihango cyangwa nyuma yo gutera akabariro
• Ibyaduka bigaragara ku ijosi ryawe ry'inkondo y'umura mugihe cyo gupimwa
• Urubavu rubabaza cyane cyangwa amasohoka adasanzwe
• Gukurikiranwa nyuma yo kuvurwa mbere kubera ibitagenda neza ku ijosi ry'inkondo y'umura

Wibuke, kugira colposcopy ntibisobanura ko ufite kanseri. Abagore benshi bakora iki gikorwa bafite indwara zitari mbi cyangwa impinduka nto zivurwa byoroshye.

Ni iki gikorwa cya colposcopy?

Igikorwa cya colposcopy kigenda neza kandi gisa no gupimwa bisanzwe, gusa no gusuzuma birambuye. Uzaryama ku meza yo gupimira ufite ibirenge byawe muri stirrups, nkuko byagenze mugihe cya Pap smear.

Muganga wawe azashyiramo speculum kugirango afungure neza igituba cyawe kugirango abone ijosi ryawe ry'inkondo y'umura neza. Hanyuma bazashyira colposcope hafi santimetero 30 uvuye kumubiri wawe - ntabwo igukora.

Ibi nibyo bibaho intambwe ku ntambwe mugihe cya colposcopy yawe:

1. Uzambara uva mu rukenyerero ukamanuka hanyuma ukambara ikanzu y'ibitaro
2. Muganga wawe azakora isuzuma ry'urugingo rw'imbere ruto
3. Speculum ishyirwamo kugirango ifungure igituba cyawe
4. Muganga wawe ashyiraho umuti woroshye wa vinegar kugirango agaragaze ahantu hose hatari hasanzwe
5. Colposcope ishyirwa ahantu kugirango isuzume ijosi ryawe ry'inkondo y'umura hamwe no kongera ubunini
6. Niba bikenewe, icyitegererezo gito cy'uruhu (biopsy) gishobora gufatwa
7. Speculum ikurwaho, urashobora kwambara

Uburyo bwose busanzwe bufata iminota 10 kugeza kuri 20. Niba muganga wawe afashe biopsy, urashobora kumva ububabare bugufi, ariko abagore benshi babona ko byihanganirwa.

Uburyo bwo kwitegura colposcopy yawe?

Kitegura kubagwa colposcopy biroroshye, kandi gukurikiza izi ngamba bizafasha kugaragaza neza umura wawe. Ikintu cy'ingenzi ni ukwirinda ikintu cyose gishobora kubangamira isuzuma mbere y'amasaha 24 kugeza kuri 48.

Shyira gahunda y'igikorwa cyawe mu cyumweru kimwe nyuma y'imihango yawe irangiye, igihe umura wawe ugaragara cyane. Kuva amaraso menshi birashobora kugora muganga wawe kubona neza mugihe cy'igikorwa.

Uku n'uko witegura muminsi yo gutegura colposcopy:

• Irinda imibonano mpuzabitsina mumasaha 24 mbere y'igikorwa
• Ntukoreshe tampon, amavuta yo mu gitsina, cyangwa douche mumasaha 24 mbere
• Irinda imiti yo mu gitsina keretse niba wabisabwe na muganga wawe
• Fata umuti wo kurwanya ububabare utagurishwa ku isoko iminota 30 mbere niba ufite impungenge zo kutamererwa neza
• Wambare imyenda yoroshye kandi ushobora kuzana ipadi nyuma
• Tegura umuntu wo kukujyana murugo niba wumva uhangayitse

Bisanzwe rwose kumva uhangayitse mbere y'igikorwa. Abagore benshi babona ko bifasha kuzana inshuti cyangwa umuryango kugirango babashyigikire, kandi ntugatinye kubaza muganga wawe ibibazo ufite.

Ni gute usoma ibisubizo byawe bya colposcopy?

Ibisubizo byawe bya colposcopy mubisanzwe bizaboneka muminsi mike kugeza icyumweru, bitewe niba biopsy yakozwe. Muganga wawe azasobanura icyo babonye nicyo bisobanura kubuzima bwawe bugenda imbere.

Ibisubizo bisanzwe bisobanura ko imitsi yawe yo mumura igaragara neza nta bimenyetso by'impinduka zidasanzwe z'uturemangingo. Ibi mubisanzwe bisobanura ko ushobora gusubira kuri gahunda yawe isanzwe yo gupima nta mpungenge zihuse.

Niba ahantu hadasanzwe habonetse, muganga wawe azabishyira mubyiciro bitewe nubukana bwimpinduka z'uturemangingo. Ibi nibyo ibintu bitandukanye bisanzwe bisobanura:

• Impinduka zoroheje: Imiterere y'uturemangingo tudasanzwe, akenshi zikemuka zonyine uko igihe kigenda
• Impinduka zikomeye: Imiterere idasanzwe ikomeye ishobora gusaba kuvurwa
• Uturemangingo tudasanzwe: Uturemangingo tutagaragara neza ariko tutagaragara neza
• Uburibwe: Uburakari bushobora guterwa n'indwara cyangwa ibindi bintu

Niba biopsy yarafashwe, ibyo byavuyemo bitanga ibisobanuro birambuye ku bwoko bwihariye n'urugero rw'impinduka zose z'uturemangingo. Muganga wawe azaganira niba ukeneye kuvurwa cyangwa gukurikiranwa kenshi.

Ni iki gitera ibisubizo bidasanzwe bya colposcopy?

Ibintu byinshi bishobora kongera amahirwe yo kugira ibisubizo bidasanzwe bya colposcopy, kwandura HPV bikaba ari byo by'ingenzi. Kumva ibyo bintu bitera biragufasha gufata ibyemezo bifitiye akamaro ku buzima bwawe no ku ngengabihe yo gupima.

Uwandura HPV (human papillomavirus) bitera impinduka nyinshi z'uturemangingo tw'umura, cyane cyane ubwoko buri mu kaga bushobora gutera indwara zitarakira kanseri. Ariko, kugira ibintu bitera ntibisobanura ko rwose uzagira ibibazo.

Ibintu bisanzwe bishobora gutera ibisubizo bidasanzwe birimo:

• Uwandura HPV, cyane cyane ubwoko buri mu kaga nk'uko HPV 16 na 18
• Kugira abafatanyabikorwa benshi mu mibonano mpuzabitsina cyangwa umufatanyabikorwa ufite abafatanyabikorwa benshi
• Gutangira imibonano mpuzabitsina ukiri muto
• Umunyenga, ugabanya ubushobozi bwa sisitemu yawe y'umubiri yo kurwanya HPV
• Sisitemu y'umubiri idakora neza bitewe n'indwara nka HIV cyangwa imiti igabanya ubudahangarwa
• Amateka y'izindi ndwara zandurira mu mibonano mpuzabitsina
• Gukoresha imiti yo kuboneza urubyaro igihe kirekire (imyaka irenga 5)

Ibintu bike bishobora gutera ibibazo birimo kuba warabyaye inshuro nyinshi, kuba warahuye na DES (diethylstilbestrol) uri mu nda, cyangwa kuba mu muryango wawe harimo abagore barwaye kanseri y'inkondo y'umura. Wibuke ko abagore benshi bafite ibyo bintu bitera ibibazo batagira ibibazo bikomeye.

Ni ibihe bibazo bishobora guterwa n'ibisubizo bidasanzwe bya colposcopy?

Ibisubizo byinshi bidasanzwe bya colposcopy bigaragaza impinduka zo hambere zivurwa aho kuba ibibazo bikomeye. Intego ya colposcopy ni ugufata ibibazo hakiri kare, igihe bikiri byoroshye kuvura kandi mbere yuko biba bikomeye.

Iyo bitavuwe, zimwe mu mpinduka zikomeye zo ku nkondo y'umura zishobora gutera kanseri y'inkondo y'umura nyuma y'imyaka myinshi. Ariko, iyi ntambwe ikunda kugenda gahoro, ikaguha wowe na muganga wawe umwanya wo gukemura ibibazo byose.

Ibibazo bishobora guterwa n'ibisubizo bidasanzwe bitavuwe birimo:

• Kugenda imbere ku buryo bwa precancerous lesions: Impinduka zikomeye zisaba kuvurwa
• Kanseri y'inkondo y'umura: Ibyavuyeho bidasanzwe biterwa nyuma y'imyaka myinshi hatavurwa
• Ibikomere ku birebana n'uburumbuke: Kuvura cyane ibidasanzwe bikomeye bishobora kugira ingaruka ku nda zizaza
• Indwara zikomeza kugaruka: Indwara ya HPV ikomeza idakira mu buryo busanzwe

Inkuru nziza ni uko hamwe no gukurikiranwa buri gihe no kuvurwa neza iyo bikenewe, ibibazo bikomeye biba bike cyane. Abagore benshi bafite ibisubizo bidasanzwe bya colposcopy bakomeza kubaho ubuzima busanzwe kandi bwiza.

Ni ryari nkwiriye kubona umuganga nyuma ya colposcopy?

Ugomba kuvugana na muganga wawe niba ubonye ibimenyetso bibangamiye nyuma ya colposcopy yawe, cyane cyane niba biopsy yakozwe. Nubwo abagore benshi badafite ibibazo nyuma y'iyi nzira, ni ngombwa kumenya icyo ugomba kwitaho.

Ibimenyetso bisanzwe nyuma ya colposcopy birimo kubabara gato mu gihe gito ndetse no kuva amaraso make mu gihe cy'umunsi umwe cyangwa ibiri. Niba warakoze biopsy, ushobora kugira amaraso menshi ndetse no kurekurwa kwijimye mugihe ahantu hakorewe biopsy hakira.

Vugana na muganga wawe vuba niba ubonye ibi bimenyetso:

• Kuva amaraso menshi arenze pad imwe ku isaha
• Urubavu rubabaza cyane rutagabanuka n'imiti igurishwa itagomba kwandikwa na muganga
• Ubukana burenze 100.4 ° F (38 ° C)
• Kurekurwa mu gitsina bifite impumuro mbi
• Kuva amaraso bikomeza mu gihe kirenga icyumweru
• Ibimenyetso byo kwandura nko kongera kubabara, kubyimba, cyangwa gushyuha

Nanone, gena gahunda yo gusubiramo nkuko byategetswe na muganga wawe, kabone niyo wumva umeze neza. Ibi bifasha kumenya neza gukira kandi bituma muganga wawe ashobora kuganira ku ngaruka zawe n'izindi ntambwe zikurikira.

Ibikunze kubazwa kuri colposcopy

Q1: Ese colposcopy irababaza?

Abagore benshi basobanura colposcopy nkaho itoroshye cyane kuruta uko ibabaza, bisa na Pap smear. Gushyiraho speculum no gushyiraho bishobora gutera igitutu gito cyangwa kubabara gato, ariko colposcope ubwayo ntikora ku mubiri wawe.

Niba muganga wawe afata biopsy, ushobora kumva kubabara gato cyangwa kubabara. Gufata umuti ugurishwa utagomba kwandikwa na muganga mbere yiminota 30 mbere yo guhura nawe birashobora gufasha kugabanya ibibazo byose.

Q2: Ese colposcopy idasanzwe isobanura ko mfite kanseri?

Oya, ibisubizo bidasanzwe bya colposcopy hafi ntibisobanura ko ufite kanseri. Ingaruka nyinshi zidasanzwe zerekana impinduka zibanza kanseri cyangwa ibibazo byiza bivurwa byoroshye.

Colposcopy yagenewe cyane gufata ibibazo hakiri kare, mbere yuko biba bikomeye. Ndetse n'impinduka zikomeye zifatwa nkizibanza kanseri, bivuze ko zishobora gukura zikaba kanseri nyuma yimyaka myinshi niba zitavuwe, ariko ubwazo ntabwo ari kanseri.

Q3: Nshobora gukora imibonano mpuzabitsina nyuma ya colposcopy?

Ukwiye kwirinda imibonano mpuzabitsina mu masaha 24 kugeza kuri 48 nyuma yo gukorerwa colposcopy, cyane cyane niba warakorewe biopsy. Ibi bituma umura wawe ukira kandi bigabanya ibyago byo kwandura cyangwa kuva amaraso menshi.

Muganga wawe azaguha amabwiriza asobanutse bitewe n'uko ubuzima bwawe bwifashe. Niba warakorewe biopsy, ushobora gukenera gutegereza icyumweru mbere yo gusubukura imibonano mpuzabitsina.

Q4: Ni kangahe nkeneye gukorerwa colposcopy?

Uburyo bwo gukorerwa colposcopy buterwa n'ibisubizo byawe n'ibintu bigushyira mu kaga. Niba colposcopy yawe ari nziza, ushobora kutazongera kuyikenera mu myaka myinshi kandi ushobora gusubira mu isuzuma risanzwe rya Pap smear.

Niba ahantu hatari hasanzwe harabonetse, muganga wawe ashobora kugusaba gukorerwa colposcopy mu mezi 6 kugeza ku mwaka kugira ngo akurikirane impinduka zose zishobora kubaho. Abagore bafite ibitagenda neza byavuwe bikunze gukenera gukurikiranwa kenshi mu ntangiriro.

Q5: Ese colposcopy ishobora kugira ingaruka ku bushobozi bwanjye bwo gutwita?

Colposcopy ubwayo ntigira ingaruka ku miterere cyangwa ubushobozi bwawe bwo gutwita. Iyi nzira ni iyo gupima gusa kandi ntikuraho cyangwa ngo yangize imitsi yo mu kizunguruko.

Ariko, niba hari ubuvuzi bukenewe kubera ibyavumbuwe bitari bisanzwe, zimwe muri izo nzira zishobora kugira ingaruka gato ku gutwita mu gihe kizaza. Muganga wawe azaganira nawe ku ngaruka zose zishobora kugira ku miterere niba ubuvuzi bukenewe, kandi abagore benshi bakomeza kugira inda zisanzwe nyuma yo gukorerwa ibikorwa byo mu kizunguruko.