Anopometerrial biopsy inoshanda gynecological inobatwa nokuda kwekuongorora zvirwere. Zvechokwadi, iyo nzira yacho pachayo hainyanya kufadza uye inowanzokonzera manzwiro anorwadza, asi izvi zvinotarisirwa kuti zviongororwe kuongororwa kwehutano hwechibereko.
Nezve nzira
Endometrium ndiyo mucous membrane ye uterine cavity. Somuenzaniso, panguva yekuzvitakura, endometrium inoita basa rinoita pakuumbwa kwepentecenta, iyo inokosha pakuvandudza kwekuberekwa kwe fetus. Mamiriro e-endometrium haasi nguva imwe chete-muzvikamu zvakasiyana-siyana zvekufamba-famba kunoita tissue yakazara, izere nemafuta uye mitsipa yeropa, uye inonyangarika panguva yekuenda kumwedzi.
An endometrial biopsy inoitwa kuti ione kuchinja kwehutachi mucosa, somuenzaniso, nehommonal stimulation. Zvigumisiro zvemaprotometrial biopsy zvinogona kuratidzawo kuvapo kwezvirwere zvinotyisa kana kuziva zvikonzero zvinokonzera kubuda ropa.
Iyo nzira inogona kuitika muhofisi yechiremba anorera pasi pasi pekushaya maitiro anharaunda kana muchipatara nehukuru anesthesia. Pfungwa ndeyekuti biopsy inzira inorwadza. Kuti utore samuenzaniso we endometrium, zvakakosha kuwedzera ganda remudzimai, iyo dzimwe nguva inosangana nemasaisai akakura.
Muenzaniso wakawanikwa semugumisiro wechiopsy we endometrium wechiberekero unoongororwa pasi microscope, iyo inoratidza kuchinja mu mucosa, zvinoshungurudza mishonga pachirwere, zvinobvumira kugadzirisa zvikonzero zvekudzivirira kwevascula kubva muchibereko, pamwe chete nechikamu chekateal kusakwanira. Endometrial biopsy pamwe ne hysteroscopy inoitwa mushure meVIVF kuitira kuti idzidze kugadzirira kwechibereko chekuberekwa kwemuviri. Mukuwedzera, nyanzvi mushure mekugadzirisa kwemasimba ekugadzirisa zvirwere kunogona kuratidza zvikonzero zvekusava nemuviri kutora pamuviri.
Contraindications ye endometrial biopsy
Iwe unofanirwa kuziva kuti nzira yacho inorambidzwa kuita kana iwe uchifungidzira kuti uri nepamuviri. Uyewo nyanzvi haifaniri kukurudzirwa nekuputira maitiro uye purulent formations, sezvo inogona kukonzera kupararira kwehutachiona. Zvimwe chete mumamiriro ezvinhu akadaro ndiko kudiwa kwekupindira.
Kupindirana kunogona kuva kuvapo kwezvirwere zvepabonde kana zvirwere zvinotapukira. Murwere anofanira kuudza chiremba wekuenda kune mishonga chero ipi zvayo kune mishonga, kutora mishonga inoderedza ropa, uyewo matambudziko ane mwoyo yemagetsi nemapapu.
Migumisiro yepometrial biopsy
Mushure mokutora biopsy ye endometrium, kushungurudza, chirwere, chirwere mumimba pasi, kubudiswa, kuderera kweropa, uye kushaya simba kunogona kuitika. Zvose izvi zviratidzo zvinowanzoitika mumazuva mashoma. Iyo iyo nzira yekugadzirisa zvirwere zvemakemikari inotora maminetsi mashanu kusvika pamakumi maviri, uye munguva iyo nzira vamwe varwere vanotsanangura manzwiro semafungiro akakura anowedzera kumwedzi.
Vanachiremba vanokurudzira kuti varege basa rakaoma rekunyama uye vatsvake rubatsiro kana pane fever yakasimba, kubuda ropa kwakanyanya uye kurwadziwa, uye kuonekwa kwekuyerera nekunhuhwirira kwakashata.
Munguva yezvinyorwa zve endometrium, pane imwe njodzi yekuvhiringidzika mumuviri wechiropa, kubuda ropa, pamwe neutachiona hwezvikamu zvepachiviri.
Mhando dze endometrial biopsy
Mukuwedzera kune inowanzogumira endometrial biopsy, iyo inofanirwa kucheneswa kweuterine cavity, kune dzimwe nzira dzekutora kutora mucosal specimen.
Semuenzaniso, pini-biopsy haina zvisingabatsiri kudarika kushandiswa kwemazuva ose. Nzira yacho inoitwa kuburikidza nechinhu chinokosha
Uyezve, chido chekudya chinoshandiswa zvakanyanya, icho chinowanzoitwa muzvirwere zvichibva kune zvinetso zvehomoni. Pano chironga chekuberekwa kana pombi yegesi inoshandiswa, uye nzira yacho pachayo inowanikwa pane imwe nguva.
Endometrial biopsy yakajairika uye, inonyanya kukosha, nzira inobatsira iyo inogona kuongorora mucosal lining of the uterine cavity.