Khomo lachiberekero Colposcopy - ndichiyani? Pamene kuchita colposcopy ndipo n'chifukwa

Khomo lachiberekero Colposcopy - icho chiri, pamene kuchita njirayi ndi ati m'nkhani ino. Panopa, chinawonjezeka kuchuluka kwa akazi amene amadwala yotupa zosiyanasiyana (osati) matenda khomo lachiberekero, ukazi ndi akumaliseche. Mu nkhokwe ya gynecologist pali njira yosavuta komanso yotchipa wa Kupeza Vuto zinthu zosiyanasiyana pathological wa maliseche kunja. Imodzi mwa njira zimenezi ndi colposcopy.

Kodi njira imeneyi?

Colposcopy ndi khomo lachiberekero biopsy yotchipa, ndipo ambiri Chofunika, njira kwambiri zothandiza pa diagnostics wa khomo lachiberekero kudwala, nyini kapena akumaliseche. Zochita panopa, sikutheka kulingalira ofesi ya gynecologist, amene sakanati akhale okonzeka ndi zida. The njira zambiri ntchito ndi anawonjezera colposcopy, imene imakhudza mosamala mucosal pamwamba pa khomo pachibelekeropo, nyini ndi akumaliseche ndi maso ndi chithunzi magnification nthawi 30-40 mayesero ina yodziwira. Mayesero amenewa zochokera padziko zaminyewa mphamvu za kuyankha mosiyana mankhwalawa mankhwala osiyanasiyana mankhwala.

Mothandizidwa ndi njira kufufuza akhoza kukhala matenda zolondola, kupenda mphamvu ya mankhwala a matenda kale sakudziwika. Plus njira imeneyi kwagona kuti zotsatira za colposcopy khomo lachiberekero adzakhala mwamsanga Zikuvumbulutsidwa kwa wodwalayo, ndipo mwamsanga oyendetsa kuchita chimodzi kapena zosinthika wina wa mankhwala.

Zokhudza chifukwa cha colposcopy?

Khalidwe la deta analandira pa kafukufukuyu zingakhudze osati maonekedwe a bakiteriya, zomwe zachititsa kuti pakhale ndondomeko yotupa, koma zinthu zina zambiri. Zikuphatikizapo zotsatirazi:

• esitirojeni kapena progesterone akusowa;
• tsiku kuzungulira kusamba (zomwe gawo: luteal, follicular, kapena nthawi ya ovulation);
• pa zimene siteji ya chitukuko ndi ndondomeko yotupa;
• m'badwo wa wodwalayo.

Umagwira ntchito yotamandika ndipo kumasulira zimene anaona chithunzi cha momwe ntchito gulu la. Ndi palibe chinsinsi chimene colposcopy akhala njira zotengera malingaliridwe a zoona. Chithunzi thunzi cha madokotala tinganene m'njira zosiyanasiyana ndi moyenera, kuvumbula diagnoses osiyana. Kotero ndikofunika patsogolo ndi mankhwala kuti achite kafukufuku pa dokotala yemweyo. Izi isiyana ndi njira zina colposcopy. Kodi izo, inu muli tsopano bwino. Mpaka kumvetsetsa mmene akuchita njirayi, ndipo ambiri Chofunika, pamene.

Kufotokozera za njira

Nthawi yabwino kuchita phunziro imatengedwa gawo loyamba la kuzungulira, mwachitsanzo. E. chikadzangotha magazi, koma pamaso ovulation. Mfundo ndi colposcopy akhoza kuchitika pa tsiku lirilonse la kuzungulira. Inu sayenera kunyalanyaza odwala oyembekezera omwe angafune kuchita phunziro ili. Pankhaniyi, monga musaiwale kuti Colposcopic chithunzi yachibadwa kukhala osiyana.

Kukonzekera colposcopy khomo lachiberekero osafunika. Iwo m'pofunika kuti zotsatira smears pa onkotsitologiyu ndi zomera. Ngati mayesero labu pali zizindikiro za kutupa, ndi bwino kuwaona chifukwa kusokoneza mvula kusintha mokwanira Unikani ndinawona mu mucous wa khomo pachibelekeropo, nyini ndi akumaliseche.

magawo a colposcopy

Choncho, kodi colposcopy khomo lachiberekero? Wodwala mu ofesi ya adokotala kwathunthu kudzivula kuti m'chiuno ndi pansi lagona pa mpando matenda. A katswiri kudwala khomo lachiberekero, kapena gynecologist, anayambitsanso kalilole mkati mwa nyini. Mkazi ayenera momasuka ngati kuli kotheka, chifukwa choonera mayiko (kuonetsa si ozizira) kutenga zambiri chida zikuluzikulu pang'ono kuposa kuona mwachizolowezi. Ndipo imeneyi wodwalayo pafupifupi mphindi 15-20, malinga ndi mmene dokotala anazindikira adaona pachithunzichi. Pa siteji yoyamba ya maso kuyendera ntchito Zosefera wobiriwira kuti azindikire ziwiya atypical inali pamwamba pa khomo pachibelekeropo. Malekezero koyamba siteji.

Ndiye gynecologist n'chakuti ngati zochita mkazi matupi awo sagwirizana ndi mankhwala chamankhwala, ndipo anapeza kuti wachiwiri siteji bwino. Yopangidwa yotsatana processing mucous poyamba njira ofooka ndi vinyo wosasa, ndiye yankho la ayodini. Malinga aona zimene zimagwira ntchito zosiyanasiyana pa mucous mu mitundu katswiri akhoza kudziwa zotupa kukayikira ndipo amatchedwa kuti biopsy.

Pamene kuyenderako uli wathunthu, adokotala kuchotsa galasi ku nyini, ndi mkazi amapita ku kuvala. Chinawathandiza kumvetsa n'chakuti colposcopy khomo lachiberekero angathe kuchitidwa mwamsanga ngati ndondomeko imagwiridwa ndi dokotala nawo, kapena pa phwando wotsatira pa gynecologist lapansi.

Ndikufuna kukhala pang'ono pa iwo limati matenda omwe akhoza kuzindikiridwa pa phunzirolo.

chotupa Nabothian

Pamwamba pa khomo pachibelekeropo ndi amenewa maphunziro zinchito monga pseudocysts. Pamene pazifukwa zina pali blockage wa ritsa kubwereketsa, chinsinsi ayamba kudziunjikira mkati chotupa cha. Chifukwa, izo kumawonjezera kukula ndi amaoneka ngati mapangidwe yochitidwa kapena chikasu (inalowa matenda) kulocha. Iwo yowonjezera lumen wa ziwiya yaing'ono, kukula kwa kusalola yotupa padziko cysts.

njerewere

Pamene colposcopy (zithunzi khomo lachiberekero matenda, zinthu zochititsa chidwi si wosangalatsa kwambiri) tikhoza kudziwa condylomas exophytic kapena papillomas mosabisa.

Chifukwa cha njerewere exophytic ndi agonjetsedwa ndi anthu papilloma HIV. kawirikawiri adzauka pamwamba mucosal mwina ndi mwendo woonda kapena, koma kamodzikamodzi, m'munsi lonse. Mtundu iwo zimasiyana wotumbululuka pinki wofiira. Njerewere akhoza kukhala wochepa thupi kapena wakuda, anakonza singly kapena zimafanana mu chithunzi, amene akufanana ndi kolifulawa.

papillomas Squamous ndi mtima wabwino dongosolo lawo histological isiyana ndi kapangidwe ka njerewere exophytic. Palibe umboni wodalirika kuti anthu papilloma HIV si chifukwa cha asayembekezere. Pamene colposcopy papilloma visualized ataima maphunziro yekha, amene yokutidwa ndi mucosa wabwinobwino, ndi nuance kokha pamaso pa yaikulu mtima maukonde.

N'zoona khomo lachiberekero kukokoloka

colposcopy khomo lachiberekero pamene kukokoloka ayenera kuchitika nthawi zonse. Khomo lachiberekero kukokoloka ali ndi chilema pamwamba mucosal, tsankho kulibe. Pansi pa chilonda ikuyimiridwa stroma akhoza kupezeka granulating chigawo akhoza ataphimbidwa ndi exudate fibrinous. Chifukwa cha chilonda mapangidwe ndi zambiri likupezeka pa maziko a choipa integumentary epithelium manja, yaitali kutupa, khansa. Izi chithunzi Colposcopic si zachilendo kwa akazi a zaka ubereki. ayodini kudetsa zimachokeradi, pali kutchulidwa wofiira hue. Pamene imeneyi imagwiridwa colposcopy (zithunzi khomo lachiberekero akupezeka pa gynecologist a), ndi kudetsa ndi yankho la viniga mtima angadandaule za zotengeka moto m'dera ukazi.

vaginitis

Pamaso kutupa kukupangitsa kukhala kovuta kuti aletse chifukwa cha kuchuluka kwa masankhidwe, pamene Colposcopic chithunzi angathe kutanthauziridwa molakwika. The ndondomeko yotupa ndi mukuchitika kapena ambiri. Ngati pali kudwala khomo lachiberekero, colposcopy akhoza kuchitidwa popanda akonzere kuyambirira, zasiyidwa, kapena mosinthanitsa, mapeto adzakhala ankatembenukira kwa hyperdiagnostics.

Kutupa mu gawo pachimake amakhala ndi redness olemba, edema kwambiri, zidzolo melkotochechnye, ambiri precipitates a mitundu yosiyanasiyana. Mtundu ndi kugwirizana kwa kumaliseche kukuchitika amadalira bakiteriya zomwe zinatipangitsa matenda.

Ngati ndondomeko matenda ali nthawi yaitali popanda chithandizo chokwanira, pa pamwamba pa khomo pachibelekeropo, nyini kapena akumaliseche ulcerations akhoza kupanga, zimene zimachititsa mapangidwe kukokoloka woona. Nthawi zambiri pansi pa zilonda mafinya ngati.

phunziro Zimenezi zikusonyeza "khomo lachiberekero Colposcopy"?

Kodi icho, inu mukudziwa. Tsopano muyenera kuthana ndi zimene gulu la odwala, phunziroli ayenera kuchitidwa. Choncho, kafukufuku ameneyu ayenera kukhala pansi pa 100% mwa odwala amene amabwera kwa dokotala. Koma vuto n'lakuti, kotero kuti kuchita adakali zosatheka kuzitsatira. Ngati ife kulankhula za zipatala akazi, mu ofesi iliyonse pali kawirikawiri colposcope Choncho, nthawi yokwanira kuchita mtundu wa kafukufuku (kwa wodwala aliyense laperekedwa 15-20 Mphindi). Ngati ife kulankhula za malo payekha zachipatala, pali kuthekera kwa yaikulu kwambiri, koma pali wina vuto - chosowa ndalama ya anthu. Osati mkazi aliyense angakwanitse kudzifufuza wathunthu ndalama zanu.

Ngati tikukamba za anthu okhudzidwa - amene amafuna kuchita colposcopy n'kofunika, ndi mkazi ndi mavuto otsatirawa:

• kukokoloka kapena ectopia khomo lachiberekero;
• onyamula papillomavirus anthu;
• wodwalayo mankhwala odana ndi yotupa yetsapo ndipo pambuyo njira yowononga ya chithandizo cha matenda khomo lachiberekero;
• odwala vulvovaginitis atrophic;
• amayi apakati.

kangati anachita colposcopy?

Ngati wodwala alibe khomo lachiberekero kudwala, nyini kapena akumaliseche, kuphunzira ikuchitika osapitirira kamodzi pa chaka. Ngati pali kudwala kwambiri (kukokoloka khomo lachiberekero dysplasia, Oncology) kafukufuku imagwiridwa kamodzi pa miyezi isanu ndi umodzi. Pambuyo odana ndi yotupa mankhwala ayenera kuchitidwa colposcopy, kuti kuwunika mphamvu ya mankhwala mankhwala.

zotsatira zoyipazi

Panalibe maonekedwe a mavuto alionse aakulu pambuyo colposcopy lapansi. Phunzirolo lili mkati, angakhale kusapeza mofanana ochiritsira speculum bwino. Makamaka ngati wodwala pano, ndi makoma ukazi abut m'mphepete mwa galasi (chomwe mwa iko kokha kuwonjezera zomverera kosangalatsa).

Ngati wodwalayo ndi ziwengo kwa ayodini, ndi dokotala sanali napeza angathe sayanjana wa amawasonyeza mosiyanasiyana mwamphamvu. Pamaso kutupa mu processing wa njira ofooka a viniga zingaoneke moto kwa nyini. Popereka zizindikiro zimenezi zimadalira ululu pakhomo la mkazi aliyense payekha. colposcopy khomo lachiberekero (ndichiyani tsopano amamvetsa mkazi aliyense) sichichititsa zotsatira iliyonse yaitali chowawa.

Pamene inu simungakhoze kuchita ndondomeko?

Kafukufukuyu ali osavomerezeka panthawi postpartum. Izi zikutanthauza kuti miyezi iwiri atabadwa mwana sayenera akamaliza njirayi, chifukwa sizinachitikebe kubwezeretsa zonse za kapangidwe ndi mucosal pamwamba pa khomo pachibelekeropo.

Inu simungakhoze kuchita colposcopy kwa mwezi woyamba pambuyo kuchotsa mimbayo. Choyamba, mucosa akadali mchikakamizo cha amaudindo m'thupi asintha. Chachiwiri, zoonera, zomwe zikhoza kukhala zozunguza mkazi kwa masabata anayi, adzakhala kusokoneza ndondomeko.

Mukhoza sanasankhe kafukufuku imachitika nthawi yomweyo pambuyo cryodestruction khomo lachiberekero kapena mtundu wina wa mankhwala opaleshoni. Chifukwa imeneyi mwina koma mokwanira anamaliza kusinthika ndi epithelialization a padziko kuonongeka. Pamene pali Sikuti kuchita mpheto izi? Nthawi zotsatirazi:

• pa msambo, pamene pali magazi a etiology sakudziwika;
• kuthamanga yotupa ndondomeko ndi mvula mafinya;
• kwambiri manja a nembanemba wa mucous.

anapezazo

colposcopy khomo lachiberekero (chimene anazindikira kuchokera mawu pamwambapa) ndi njira otetezedwa ndi yotchipa kuti amalola kudziwa zosiyanasiyana njira pathological wa khomo pachibelekeropo, akumaliseche kwa mkazi. Njira imeneyi kafukufuku pafupifupi palibe zosokonezeka. Nthawi zina monga:

• maonekedwe kapena kuchuluka magazi;
• otsika kalasi malungo;
• kusintha yapadera mtundu (makamaka ntchito ayodini kudetsa).
• kukokera ululu pamimba m'munsi yomweyo pambuyo ndondomeko.

Ngati aliyense wa zizindikiro zimenezi kumatenga tsiku kuposa wina, ndi mwayi kuti adzathe ntchito kwa gynecologist lapansi. Colposcopy wa khomo pachibelekeropo, ndemanga za njira zambiri zabwino, ndi pakufunika zikhoza kuchitika tsiku lililonse la kuzungulira kusamba.