Chii chinonzi Colposcopy? Chinangwa, Maitiro & Mhedzisiro

Colposcopy inzira iri nyore, inoitwa kunze kwechipatara inobvumira chiremba wako kuti atarise zvakanyanya pamutsipa wako wechibereko, beche, uye vulva. Fungidzira sekushandisa girazi rinokudza rakakosha kuti uongorore nzvimbo dzinogona kuda kutariswa mushure mePap smear isina kujairika kana dzimwe nyaya.

Nzira iyi inobatsira vanachiremba kuona shanduko mumaseru ako emutsipa wechibereko pakutanga, kana ari nyore kurapa. Kunyange zvazvo izwi rokuti "colposcopy" ringaita serinotyisa, chishandiso chekuongorora chinowanzoitwa chinokubatsira kuti urambe uine utano.

Chii chinonzi colposcopy?

Colposcopy inzira yekuongorora apo chiremba wako anoshandisa chishandiso chakakosha chinokudza chinonzi colposcope kuti aongorore mutsipa wako wechibereko uye matishu akapoteredza. Iyo colposcope inogara kunze kwemuviri wako uye inoshanda segirazi rinokudza rine chiedza chakajeka.

Munguva yacho, chiremba wako anogona kuona nzvimbo dzisingaonekwe panguva yekuongorora kwenguva dzose kwepelvic. Iko kukudza kunobatsira kuziva chero shanduko dzisingajairiki mumaseru emutsipa wako wechibereko, beche, kana vulva zvinogona kuda kumwe kutariswa.

Kuongorora uku kunowanzo tora maminitsi gumi kusvika makumi maviri uye kunoitwa muhofisi yachiremba wako. Hauzodi anesthesia, kunyange iwe unogona kunzwa kusagadzikana kwakafanana nePap smear.

Nei colposcopy ichiitwa?

Chiremba wako anokurudzira colposcopy kana vachida kuferefeta mhedzisiro isina kujairika kubva kumiedzo yapfuura kana zviratidzo zvinoda kuongororwa zvakanyanya. Kazhinji, izvi zvinoitika mushure mekunge Pap smear isina kujairika inoratidza shanduko mumaseru ako emutsipa wechibereko.

Nzira iyi inobatsira chiremba wako kuona kana shanduko dzemaseru dziri diki uye dzinogona kugadzirisa dzega, kana kana dzichida kurapwa. Iyo inzira yekuwana ruzivo rwakadzama usati waita chero sarudzo dzekurapa.

Heano zvikonzero zvikuru nei chiremba wako angakurudzira colposcopy:

• Mhedzisiro isina kujairika yePap smear inoratidza maseru asina kujairika kana ari pedyo nekenza
• Mhedzisiro yakanaka yeHPV bvunzo, kunyanya mhando dzeHPV dzine njodzi huru
• Kubuda ropa kusingaite pakati pemwedzi kana mushure mekuita bonde
• Zvisina kujairika zvinoonekwa pamutsipa wako panguva yekuongorora kwenguva dzose
• Kurwadziwa kwepelvic kunoramba kuripo kana kubuda kwemvura kusingaite
• Kutevera mushure mekurapwa kwakapfuura kwezvisina kujairika zvemuviri

Rangarira, kuva necolposcopy hazvirevi kuti une gomarara. Vakadzi vazhinji vane maitiro aya vane mamiriro akanaka kana shanduko diki dzinorapika nyore nyore.

Ndeipi nzira ye colposcopy?

Maitiro e colposcopy akatwasuka uye akafanana nekuongorora kwenguva dzose kwepelvic, kungoongorora zvakadzama. Iwe uchavata patafura yekuongorora netsoka dzako mumastirrups, sekunge panguva yePap smear.

Chiremba wako achaisa speculum kuti avhure nyoro beche rako kuti vagone kuona mutsipa wako zvakajeka. Vachabva vaisa colposcope anenge masendimita gumi nemaviri kubva mumuviri wako - haambokubati.

Hezvino zvinoitika nhanho nhanho panguva yako ye colposcopy:

1. Uchabvisa hembe kubva muchiuno pasi uye kupfeka gown rechipatara
2. Chiremba wako achaita bvunzo pfupi yepelvic kutanga
3. Speculum inoiswa kuti ivhure beche rako
4. Chiremba wako anoshandisa mhinduro yevhiniga yakapfava kuti aratidze chero nzvimbo dzisina kujairika
5. Iyo colposcope inoiswa kuti iongorore mutsipa wako nekukudza
6. Kana zvichidikanwa, sampuli diki yematishu (biopsy) inogona kutorwa
7. Iyo speculum inobviswa, uye unogona kupfeka

Iyo nzira yese inowanzo tora maminitsi gumi kusvika makumi maviri. Kana chiremba wako akatora biopsy, unogona kunzwa kunzwa kunobaya, asi vakadzi vazhinji vanozviwana zvichishiviririka.

Maitiro ekugadzirira colposcopy yako?

Kugadzirira colposcopy kuri nyore, uye kutevera matanho aya kuchabatsira kuona zvakanaka pamutsipa wako wechibereko. Chinhu chikuru ndechokudzivisa chero chinhu chingavhiringidza kuongororwa kwemaawa makumi maviri nemana kusvika makumi mana nemasere pamberi.

Ronga nguva yako yekusangana svondo rimwe mushure mekunge nguva yako yekutevera mwedzi yapera, apo mutsipa wako wechibereko unoonekwa zvakanyanya. Kubuda ropa zvakanyanya kunogona kuita kuti chiremba wako aone zvakajeka panguva yekuongororwa.

Hezvino maitiro ekugadzirira mumazuva anotungamira ku colposcopy yako:

• Dzivisa kuita zvepabonde kwemaawa makumi maviri nemana pamberi pekuongororwa
• Usashandise matamponi, makirimu emuviri, kana madhouchi kwemaawa makumi maviri nemana pamberi
• Svetuka mishonga yemuviri kunze kwekunge wakanzi nachiremba wako
• Tora mushonga wekurwadziwa usina kupihwa nemishonga maminitsi makumi matatu pamberi kana uchinetseka nezve kusagadzikana
• Pfeka mbatya dzakanaka uye funga kuuya nepad mushure
• Ronga kuti mumwe munhu akutyaira kumba kana uchinzwa kushushikana

Zvakajairika kunzwa kutya pamberi pekuongororwa. Vakadzi vazhinji vanoona zvichibatsira kuuya neshamwari kana nhengo yemhuri kuti vatsigire, uye usazeza kubvunza chiremba wako chero mibvunzo yaunayo.

Maitiro ekuverenga mhedzisiro yako ye colposcopy?

Mhedzisiro yako ye colposcopy inowanzo kuwanikwa mukati memazuva mashoma kusvika svondo, zvichienderana nekuti biopsy yakaitwa here. Chiremba wako achatsanangura zvavaona uye zvinoreva chii kuhutano hwako mberi.

Mhedzisiro yakajairika zvinoreva kuti tishu yako yemutsipa wechibereko inoita seyakanaka isina zviratidzo zvekusiyana kwemasero. Izvi zvinowanzoita kuti ugone kudzokera kune yako yakajairika chirongwa chekuongorora pasina kunetseka kwepedyo.

Kana nzvimbo dzisina kujairika dzawanikwa, chiremba wako achadzivisa zvichienderana nekukomba kweshanduko yemasero. Hezvino zvinoreva zvakasiyana zvinowanikwa:

• Kuchinja kwemhando yepasi: Kusiyana kudiki kwemasero ayo anowanzo gadzirisa ega nekufamba kwenguva
• Kuchinja kwemhando yepamusoro: Kusiyana kwakakura kunogona kuda kurapwa
• Masero asina kujairika: Masero asingataridzike zvakajairika asiwo asiri pachena kuti haajairika
• Kuzvimba: Kushatirwa kunogona kukonzerwa nehutachiona kana zvimwe zvinhu

Kana biopsy yakatorwa, mhedzisiro idzodzo dzinopa ruzivo rwakadzama pamusoro pemhando chaiyo uye huwandu hwekuchinja kwemasero. Chiremba wako achakurukura kana uchida kurapwa kana kungoongororwa kakawanda.

Ndezvipi zvinhu zvinoisa njodzi yekuwana mhedzisiro isina kujairika ye colposcopy?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuwana zvawanikwa zvisina kujairika zve colposcopy, nehutachiona hweHPV ndicho chakanyanya kukosha. Kunzwisisa izvi zvinhu zvinoisa njodzi zvinokubatsira kuita sarudzo dzine ruzivo nezvehutano hwako uye chirongwa chekuongorora.

HPV (human papillomavirus) hutachiona hunokonzera kuchinja kwakawanda kwemasero emuromo wechibereko, kunyanya mhando dzine njodzi huru dzinogona kukonzera mamiriro ekutanga-kansa. Zvisinei, kuva nezvinhu zvinoisa njodzi hazvirevi kuti zvechokwadi uchava nematambudziko.

Zvinowanzoitika zvinhu zvinoisa njodzi zvinogona kutungamirira kune zvawanikwa zvisina kujairika zvinosanganisira:

• HPV hutachiona, kunyanya mhando dzine njodzi huru dzakaita seHPV 16 ne 18
• Kuva nevakawanda vanobatana navo pabonde kana mumwe ane vakawanda vanobatana navo pabonde
• Kutanga kuita zvepabonde pazera duku
• Kusvuta, izvo zvinoderedza kugona kwemuviri wako kurwisa HPV
• Kuderera kwemuviri kubva kumamiriro ezvinhu akaita seHIV kana mishonga yekudzivirira immune
• Nhoroondo yeimwe hutachiona hunotapuriranwa pabonde
• Kushandiswa kwenguva refu kwemapiritsi ekudzivirira kubata pamuviri (anopfuura makore 5)

Zvimwe zvinokonzera njodzi zvinosanganisira kuva nemimba dzakawanda, kuve pachena kuDES (diethylstilbestrol) mudumbu, kana kuva nenhoroondo yemhuri yegomarara remuromo wechibereko. Yeuka, vakadzi vazhinji vane izvi zvinokonzera njodzi havambove nematambudziko akakomba.

Ndezvipi zvinogona kukonzerwa nemigumisiro isina kujairika ye colposcopy?

Mhedzisiro zhinji dzisina kujairika dze colposcopy dzinomiririra shanduko dzekutanga, dzinorapika pane matambudziko akakomba. Chinangwa che colposcopy ndechekubata matambudziko nekukurumidza, kana achigona kubatwa uye vasati vava vakakomba.

Kana zvasiiwa zvisina kurapwa, dzimwe shanduko dzemuromo wechibereko dzakakwirira dzinogona kufambira mberi kuita gomarara remuromo wechibereko kwemakore mazhinji. Zvisinei, kufambira mberi uku kunowanzoita zvishoma nezvishoma, zvichikupa iwe nachiremba wako nguva yakawanda yekugadzirisa chero zvinonetsa.

Zvinogona kukonzerwa nemigumisiro isina kujairika isina kurapwa zvinogona kusanganisira:

• Kufambira mberi kumatambudziko asati ari gomarara: Shanduko dzakakwirira dzinoda kurapwa
• Gomarara remuromo wechibereko: Mhedzisiro isingawanzoitiki inokura kwemakore mazhinji isina kurapwa
• Kufunganya nezve kubereka: Kurapwa kwakanyanya kwezvisina kujairika zvakanyanya kungakanganisa pamimba dzemunguva yemberi
• Zvirwere zvinodzoka: Kuenderera mberi kweHPV infection iyo isinganyatsojeki

Mashoko akanaka ndewekuti nekutarisa nguva dzose uye kurapwa kwakakodzera kana zvichidiwa, matambudziko akakomba haawanzoitiki. Vakadzi vazhinji vane mhedzisiro isina kujairika ye colposcopy vanoenderera mberi vaine hupenyu hwakajairika, hune hutano.

Ndinofanira kuona chiremba rini mushure me colposcopy?

Unofanira kubata chiremba wako kana ukaona chero zviratidzo zvinonetsa mushure me colposcopy yako, kunyanya kana biopsy yakaitwa. Kunyange vakadzi vazhinji vasina matambudziko mushure mekuita, zvakakosha kuziva zvekutarisa.

Zviratidzo zvakajairika mushure me colposcopy zvinosanganisira kurwadziwa kudiki kwemaawa mashoma uye kubuda ropa kudiki kwezuva rimwe kana maviri. Kana wakaita biopsy, unogona kuva neropa rakawanda uye kubuda kwakasviba sezvo nzvimbo ye biopsy ichipora.

Taura nachiremba wako nekukurumidza kana uine chero zviratidzo izvi:

• Kubuda ropa kwakanyanya kunonyudza mapedi anopfuura rimwe paawa
• Kurwadziwa kwakanyanya kwepelvic kusingavandudzwi nemishonga yekurwadziwa inotengeswa pasina mushonga
• Fivha inodarika 100.4°F (38°C)
• Kubuda kwevagina kunonhuwirira
• Kubuda ropa kunoenderera mberi kwevhiki rinopfuura rimwe
• Zviratidzo zvehutachiona senge kurwadziwa kwakawedzera, kuzvimba, kana kupisa

Rongerawo musangano wekutevera sezvinokurudzirwa nachiremba wako, kunyangwe ukanzwa zvakanaka. Izvi zvinobatsira kuona kupora kwakakodzera uye zvinobvumira chiremba wako kuti akurukure mhedzisiro yako uye chero matanho anotevera.

Mibvunzo inowanzo bvunzwa nezve colposcopy

Q1: Colposcopy inorwadza here?

Vakadzi vazhinji vanotsanangura colposcopy se isinganyanyi kunetsa pane kurwadza, zvakafanana nePap smear. Kuisa speculum uye kumisa kunogona kukonzera kumanikidzwa kana kurwadziwa kudiki, asi colposcope pachayo haina kubata muviri wako.

Kana chiremba wako akatora biopsy, unogona kunzwa kunzwa kudiki kana kurwadziwa. Kutora mushonga wekurwadziwa usina mushonga maminitsi makumi matatu usati waenda kuchikoro kunogona kubatsira kuderedza kusagadzikana.

Q2: Colposcopy isina kujairika zvinoreva kuti ndine gomarara here?

Aihwa, mhedzisiro ye colposcopy isina kujairika hairevi kuti une gomarara. Zvakawanda zvezvawanikwa zvisina kujairika zvinoratidza shanduko dzisati dzave gomarara kana mamiriro akanaka ayo ari nyore kurapa.

Colposcopy yakagadzirirwa kubata matambudziko kare, vasati vava serious. Kunyangwe shanduko dzepamusoro-soro dzinoonekwa seprecancerous, zvinoreva kuti dzinogona kukura kuita gomarara mumakore mazhinji kana dzikasiyiwa dzisina kurapwa, asi hadzisi gomarara pachadzo.

Q3: Ndingaita bonde mushure me colposcopy here?

Unofanira kudzivisa bonde kwemaawa anenge 24 kusvika ku48 mushure me colposcopy, kunyanya kana wakaita biopsy. Izvi zvinopa chibereko chako nguva yekupora uye zvinoderera njodzi yekutapukirwa kana kubuda ropa kwakawanda.

Chiremba wako achakupa mirairo yakatarwa zvichienderana nemamiriro ako ega. Kana wakaita biopsy, ungangoda kumirira kusvika vhiki rimwe usati watangazve bonde.

Q4: Ndingada colposcopy kakawanda sei?

Kuwanda kwe colposcopy kunoenderana nemigumisiro yako uye njodzi. Kana colposcopy yako yakajairika, ungangoda imwe kwemakore akati wandei uye unogona kudzokera kune yakajairika Pap smear screening.

Kana nzvimbo dzisina kujairika dzawanikwa, chiremba wako anogona kukurudzira follow-up colposcopy mumwedzi mitanhatu kusvika gore rimwe kuti aongorore chero shanduko. Vakadzi vane high-grade abnormalities dzakabatwa vanowanzo daidza kuongororwa kakawanda pakutanga.

Q5: Colposcopy inogona kukanganisa kugona kwangu kubata pamuviri here?

Colposcopy pachayo haina kukanganisa kubereka kana kugona kwako kutakura pamuviri. Maitiro acho ndee diagnostic chete uye haabvise kana kukuvadza tishu yechibereko.

Zvisinei, kana kurapwa kuchidiwa nekuda kwezvawanikwa zvisina kujairika, mamwe maitiro anogona kukanganisa zvishoma pamuviri remangwana. Chiremba wako achakurukura chero zvingaitika zvekubereka kana kurapwa kuchidikanwa, uye vakadzi vazhinji vanoenderera mberi vaine pamuviri yakajairika kunyangwe mushure memaitiro echibereko.