Ke ulu nei ka maʻi o ka maʻi pīpī a me ka maʻi o ke kino i nā wāhine i ka hopena pilikia i kēlā me kēia makahiki. No ka hōʻoia kūpono o kēia mau maʻi a me nā maʻi'ē aʻe, aia kahi heluʻano hoʻomakeʻakeʻa i kapaʻiaʻo "biopsy pūpū".
No ke aha i lawe ai lākou i kahi biopsy o ka pūpū?
Ma muli o ka hihia, laweʻia kahi biopsy o ka pūpū no:
- ka ho'ākākaʻana o ka hōʻailona i hāʻawiʻia a manaʻoʻia paha;
- ka wehe a wehewehe paha i ka hana maʻi a me nā hana kūpono o ka pūpū.
ʻO ka mea nui e pono ai no nā wāhine o HPV e halihali ana i nā maʻi o ka locogenic kiʻekiʻe (16, 18, 36 a me 45), nā hopena o ka oncocytology a me ka colposcopy i loko o nāʻikepili i nā hoʻololi hoʻololi nui o ka epithhelium cervical.
Inā pono, ua hoʻonuiʻia kahi colposcopy (ma ka manawa hoʻokahi, ka pilina tradition me ka biopsy pēpē). Hanaʻia kēia hana i kaʻike biopsy o ka pūpū.
Hoʻopiʻiʻia ka lāʻau biopsy me ka leukoplakia , polyps a me ka lepo e hoʻoholo ai i ka puka / absence o nā pūnaewele puʻupuʻu, e wehewehe i ke kumu o ka maʻi a kuhikuhi i ka lāʻau kūpono.
Me ka dysplasia māmā,ʻaʻole i'ōleloʻia ka biopsy o ka pūpū, ua lawa ia i ke kālaiʻana i ka hana o nā mea oncocytological i nā manawa āpau e hoʻoholo i ka maʻi.
Pehea e hanaʻia ai kahi biopsy pūpū?
ʻO ke kaʻina hana no ka mālamaʻana i kahi biopsy o ka pūnāwai he mea maʻalahi a ua kaumaha loa. I loko o ia manawa, ua hoʻokomoʻia ka mea maʻi i loko o kaʻili me nā mea kani mele kūpono, me kā lākou kōkua e hōʻokiʻia kahi'āpana o ke kino o ke kino. Laweʻia kaʻiʻo mai kēlāʻaoʻao o ka'ā'ī, aʻo ke kumu o ia mea e hopohopo nui ai i nā kauka. Hoʻounaʻia nā'ōpena o ke kino no ka hoʻokolokolo houʻana.
ʻO ka mea e pono ai ka anesthesia i ka manawa o ka biopsy o ka pūpū e hoʻoholoʻia e konaʻike. ʻO ka hapanui pinepine me ka hanaʻana o ka maʻi āpau e hana i ka maʻi āpau o ka'āina, i ka mea maʻamau: epidural, spinal, a general general anesthesia.
Nāʻano biopsy
I kēia lā, ka hana maʻamau o nāʻano biopsies:
- Keʻikeʻana (colposcopic) biopsy o ka pūpū. Hanaʻia ia i ka manawa o ka hoʻokolohua diagnostically, kokoke i ka paʻiwaʻi, ka wā pōkole (hiki i kekona 10).
- ʻO ka biopsy pūnaewele lālā o ka pūpū. Hanaʻia ke kaʻina hana me kaʻole anesthesia me ke kōkua o kahi puhipiliʻili uila, e hopena i ka hopena a me ka liʻiliʻi loa o ka wili hope. Hoʻokumuʻia ka biopsy pūnaewele Radio o ka piko e hana i nā wāhine nulliparous.
- ʻO ka loop hopena biopsy o ka pūpū. Ua lawa nāʻano biopsy i ka hopena, a ma hope iho e hiki ke hana i nā haki ma ka pūpū. ʻO kona kumu i loko o ka exfoliation o nā mea hanaʻole me ke kōkuaʻana o kekahi mea like keʻano o ka loop, kahi e holo ai ka mana uila.
- ʻO ka'ōmole biopsy o ka ipu. ʻO ke kaʻina hana ka mea nui, ka epidural a me ka analia o ka'ō'ī. Me ke kōkuaʻana o ka maʻi pilapila, e hoʻokōʻia nā meaʻino a me nāʻiʻo e pili ana i ka'ā'ī uterine, a me ka nānāʻana i kaʻike o ka mōʻaukala.
- ʻO ka biopsy endocervic o ka pūpū. Hoʻohanaʻia kaʻili o nā mea o ka papa āpau o ka'ā'ī uterine i mea hana no ke olama.
He aha ka hōʻikeʻana i ka biopsy o ka pūpū?
ʻO nā hopena o ka biopsy pūpū iʻoi aku ka pololei ma mua o ka colposcopy a me ka oncocytology aʻaʻole i hakakā houʻia. Ma nā hopena o kahi biopsy hiki iā:
- e hoʻoholo i ka hikiʻana o ka leukoplakia āpau, ka maʻi dysplasia a me ka maʻiʻeleʻele uterine;
- ke hōʻoia i ka hikiʻana o: ka wela o ka pūpū a me kona kahawai, kaʻaleʻana, leukoplakia māmā, polyps.
Loaʻa nā huahana biopsy i nāʻikepili ma:
- ka hele / kahi o nā loli pūnaewele (kaʻole o nā loli pūnaewele - ka maʻamau, nā liʻiliʻi liʻiliʻi - ka papa hana inflammatory);
- ke hele / ka puka o I, II, a III paha ke kula o ka dysplasia (I degree - ke kaumaha o ka dysplasia, II, III. - i ka dysplasia mahele a me ka inoino, he oiaio, precancer);
- ke hele / ka puka o ka carcinoma cervical - ka maʻi kanesa.