Chiitiko che dysplasia uye chirwere chemukomberedzi mumadzimai chiri kukura pamatambudziko anokanganisa gore negore. Nokuda kwekuongororwa kwakakodzera kweizvi nezvimwe zvirwere zvechikadzi, kune chirwere chechikadzi chinonzi "cervical biopsy".
Nemhaka yei uye vanotora ani bhiopsy yemukirini?
Zvichienderana nedzimwe nyaya, bhiopsy yemurovha inotorwa kuti:
- kutsanangurira kwekubudiswa kana kufungidzirwa kuongororwa;
- kurega kana kuonekwa kwekenza kana kuti nzira dzisinganzwisisiki dzomukati.
Cervical biopsy inonyanya kukosha kune avo vakadzi vane HPV vatakuri vehuwandu hwehuwandu hwehutachiona (16, 18, 36 uye 45), zvinoguma zve oncocytology kana colposcopy dzine mashoko pamusoro pekushanduka kukuru kwechirwere chepervical epithelium.
Kana zvichidikanwa, colposcopy yakawedzerwa (panguva imwecheteyo, chikorokodha chetsika nekervical biopsy) inoitwa. Iyi nzira inonzi maitiro ekuona chibereko chechirwere.
Cervical biopsy inoshandiswawo neukoplakia , polyps uye kudengenyeka kuti aone kuvapo / kusavapo kwemasero akaipa, kutsanangura chikonzero chechirwere uye kupa chirongwa chakakodzera.
Ne dysplasia munyoro, biopsy yemukirini haisati yakurudzirwa, zvakakwana kuti zviitise zvidzidzo zveccocytological nguva nenguva kuti zvironge chirwere chacho.
Ko chirwere chechibereki chinogadzirwa sei?
Nzira yekuita bhizinesi yemumuviri wechibereko isiri nyore uye inonzwisa tsitsi. Munguva yacho, murwere anorohwa mukati mechikadzi nemhando yakakodzera yezvigadzirwa zvegynecological, nekubatsira kwavo chiduku chiduku chemuviri wekervical chinobviswa. Mhuka yacho inotorwa kubva kumucheto iwoyo wemutsipa, mamiriro ezvinhu anokonzera kutya kukuru kwechiremba. Samples of tissue inotumirwa kuti iwedzere kuongorora histological.
Chido chekushaya aneshesia munguva yehupsy yemukati mutsara inotsanangurwa nekuonekwa kwayo. Kazhinji kazhinji nekujaira kwekunyepedzera kunogadzira anesthesia yekunzvimbo, kashoma kazhinji: epidural, spinal or general anesthesia.
Aina dze biopsy
Kusvika iye zvino, tsika yakajairika yemhando dzakadaro dzemasikirwo:
- Kuda (colposcopic) biopsy yemukati. Inoitwa panguva yechirwere chekuongorora, zvisinganzwisisiki, nguva pfupi (kusvika kumasekonzi gumi) nzira.
- Radiyo inoputira mutsara wemukati. Iyo nzira inoitwa pasina anesthesia nekubatsirwa kweredhiyo yevheti ye scalpel, iyo inoguma nekushungurudzika kuduku uye pangozi yechipfuva chemashure endoperative. Radiyo inofanirwa kubuda mumuromo wemukati inokurudzirwa kuti iite vakadzi vasingasviki.
- Loop kukanganisa biopsy yemukirini. Nzira inoshungurudza yehupia inokwana, mushure mokunge zvinokwanisika kugadzira zvikanda pamuviri wechibereko. Chinonyanya kukosha ndechekutsvaga kwechirwere chechirwere pamwe nekubatsirwa kwechigadzirwa chinokosha-sechigadzirwa, iyo ikozvino magetsi anopfuura.
- Nyeredzi yenyuchi yemukati (conization). Nzira yacho inoda huwandu, hutachiona kana maronda anesthesia. Nekubatsirwa kwekwakagadzika, kushamiswa kwezvinhu zvose zvisingasviki uye zvitsva zvine utano hwehutanda hweutter hunoitwa, huchiteverwa nehupfungwa yake yekuongorora.
- Endocervical biopsy yemukati. Iyo yakagadziriswa yechipfuva chepamusoro pehutanda hweutterin inoshandiswa sechigadziro chechireta.
Chii chinoratidzira chibereko chechirwere chinoratidza?
Migumisiro yekervical biopsy yakarurama kupfuura iyo inopposcopy uye oncocytology uye haisati yashorwa. Nemigumisiro yebiopsy zvinogoneka:
- kuti asarudze kuvapo kweatypical leukoplakia, dysplasia uye mucheche wemutsipa wemutsipa;
- kusimbisa kuvepo kwe: kuvhiringidza kwemukati uye chirwere chacho, kudengenyeka, soro lelaplakia, ma polyps.
Cervical biopsy zvikamu zvine data pa:
- kuvapo / kusavapo kwemajeri kuchinja (kusavapo kwemajeri kushanduka - chimiro, kuchinja kuduku -kuputira);
- Kuvapo / kusavapo kweI, II kana III degree ye dysplasia (I degree - mild dysplasia, II, III degree - inonwisa uye yakanyanya dysplasia, chaizvoizvo, yakananga);
- Kuvapo / kusavapo kweCervical Carcinoma - Mukenza wechibereki.