Kwayar biopsy

A bioe biopsy (conization) shine tiyata don cire samfurin nama mara kyau daga cikin mahaifa. Mahaifa shine ƙananan ɓangaren mahaifar (mahaifar) wanda ke buɗewa a saman farjin mace. Canje-canje marasa kyau a cikin sel a saman farjin mahaifa shi ake kira dysplasia na mahaifa.

Ana yin wannan aikin a asibiti ko a cibiyar tiyata. Yayin aikin:

• Za a ba ku maganin rigakafi na gaba ɗaya (barci da rashin ciwo), ko magunguna don taimaka muku shakatawa da jin bacci.
• Za ku kwanta a kan tebur ku sanya ƙafafunku a cikin motsa don sanya ƙashin ƙugu don gwaji. Mai ba da kiwon lafiya zai sanya kayan aiki (abin dubawa) a cikin farjinka don ganin mahaifa mafi kyau.
• An cire ƙaramin samfurin nama mai siffar mazugi daga bakin mahaifa. Ana iya aiwatar da aikin ta amfani da madaurin waya mai ɗumi ta wutar lantarki (aikin LEEP), fatar kan mutum (biopsy mai wuka mai sanyi), ko katako na laser.
• Hakanan za'a iya share hanyar bakin mahaifa sama da mazugi biopsy don cire ƙwayoyin don kimantawa. Wannan ana kiran shi endocervical curettage (ECC).
• Ana bincika samfurin a ƙarƙashin microscope don alamun cutar kansa. Wannan kwayar halittar kuma na iya zama magani idan mai bayarwar ya cire duk wani nau'in cuta.

Mafi yawan lokuta, zaka iya zuwa gida rana ɗaya kamar yadda ake yi.

Ana iya tambayarka kada ka ci ko sha tsawon awanni 6 zuwa 8 kafin gwajin.

Bayan aikin, ƙila ku sami ɗan damuwa ko rashin jin daɗi na kimanin mako guda. Kimanin sati 4 zuwa 6 guji:

• Douching (douching ya kamata ba za a yi)
• Jima'i
• Amfani da tambari

Don makonni 2 zuwa 3 bayan aikin, zaku iya samun fitarwa wato:

• Jinin jini
• Mai nauyi
• Launi mai launin rawaya

Cone biopsy ana yin sa ne don gano kansar mahaifa ko canjin canjin farko wanda ke haifar da cutar kansa. Ana yin kwayar halittar kuzari idan gwajin da ake kira colposcopy ba zai iya gano abin da ke haifar da cutar Pap smear ba.

Hakanan za'a iya amfani da kimiyyar biopsy don magance:

• Matsakaici zuwa mai tsananin nau'ikan canje-canje ƙwayoyin cuta mara kyau (wanda ake kira CIN II ko CIN III)
• Matakin farkon farkon sankarar mahaifa (mataki na 0 ko IA1)

Sakamakon sakamako na yau da kullun yana nufin babu ƙwayoyin cuta masu cutarwa a cikin mahaifa.

Mafi sau da yawa, sakamako mara kyau yana nufin cewa akwai ƙwayoyin cuta na ƙwayar cuta a cikin mahaifa. Wadannan canje-canje ana kiransu neoplasia na cikin mahaifa (CIN). An rarraba canje-canje zuwa ƙungiyoyi 3:

• CIN I - m dysplasia
• CIN II - matsakaici zuwa alamar dysplasia
• CIN III - mummunan dysplasia zuwa carcinoma a cikin yanayi

Sakamakon sakamako mara kyau na iya kasancewa saboda cutar sankarar mahaifa.

Rashin haɗarin biopsy na mazugi sun haɗa da:

• Zuban jini
• Mara lafiyar mara kyau (wanda na iya haifar da isar da wuri)
• Kamuwa da cuta
• Sakar da bakin mahaifa (wanda na iya haifar da lokaci mai raɗaɗi, saurin haihuwa, da wahalar yin ciki)
• Lalacewa ga mafitsara ko dubura

Hakanan ƙararrakin kwayar halitta na iya zama da wahala ga mai ba ku sabis ya fassara sakamakon binciken Pap smear mara kyau a nan gaba.

Biopsy - mazugi; Maganin mahaifa CKC; Cervical intraepithelial neoplasia - mazugi biopsy; CIN - kwayar halitta biopsy; Canje-canjen da suka gabata na kwakwalwar mahaifa - mazugi biopsy; Cutar sankarar mahaifa - biopsy mazugi; Amwayar ƙwayar cuta ta intraepithelial - cone biopsy; LSIL - kwayar halitta bioe; HSIL - kwayar halitta biopsy; Psyananan ƙarancin mazugi biopsy; High-grade mazugi biopsy; Carcinoma a cikin yanayin biopsy; CIS - kwayar halitta biopsy; ASCUS - coe biopsy; Kwayoyin glandular atypical - cone biopsy; AGUS - kwayar halitta bioe; Cellsananan ƙwayoyin ƙwayoyin cuta - cone biopsy; Pap shafa - mazugi biopsy; HPV - kwayar halitta bioe; Kwayar cutar papilloma na ɗan adam - bioe cone; Cervix - bioe mazugi; Colposcopy - mazugi biopsy

• Tsarin haihuwa na mata
• Cold bioe biopsy
• Cire sanyi mazugi

Cohen PA, Jhingran A, Oaknin A, Denny L. Cutar sankarar mahaifa Lancet. 2019; 393 (10167): 169-182. PMID: 30638582 pubmed.ncbi.nlm.nih.gov/30638582/.

MP Salcedo, Baker ES, Schmeler KM. Intraepithelial neoplasia na ƙananan al'aura (cervix, farji, vulva): ilimin halittar jiki, bincike, ganewar asali, gudanarwa. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 28.

Watson LA. Maganin mahaifa A cikin: Fowler GC, ed. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 128.