Colposcopy - nazarin biopsy

Cutar kwalara (colposcopy) hanya ce ta musamman ta kallon mahaifa. Yana amfani da haske da karamin microscope mai karamin karfi don sanya bakin mahaifa ya bayyana sosai. Wannan yana taimaka wa mai ba da lafiyar ku gano sannan kuma abubuwan biopsy marasa kyau a cikin mahaifa.

Za ku kwanta a kan tebur ku sanya ƙafafunku cikin motsawa, don sanya ƙashin ƙugu don gwaji. Mai bayarwa zai sanya kayan aiki (wanda ake kira speculum) a cikin farjinku don ganin bakin mahaifa a fili.

Ana tsabtace bakin mahaifa da farji a hankali tare da ruwan tsami ko iodine. Wannan yana cire ƙoshin da yake rufe farfajiya kuma yana haskaka wuraren al'ada.

Mai bayarwa zai sanya colposcope a buɗewar farji ya bincika yankin. Ana iya ɗaukar hoto. Colposcope baya taba ku.

Idan kowane yanki yayi kama da al'ada, za'a cire ƙaramin samfurin nama ta amfani da ƙananan kayan aikin biopsy. Yawancin samfura na iya ɗauka. Wani lokaci sai a cire samfurin nama daga cikin wuyan mahaifa. Wannan shi ake kira endocervical curettage (ECC).

Babu wani shiri na musamman. Kuna iya zama mafi kwanciyar hankali idan kun zubar da mafitsara da hanji kafin aikin.

Kafin jarrabawa:

• Kar a yi douche (wannan ba a taɓa ba da shawara ba).
• Kada a sanya wasu kayayyaki a cikin farji.
• Kada ku yi jima'i na awanni 24 kafin gwajin.
• Faɗa wa mai ba ku sabis idan kuna da ciki ko kuma kuna iya ɗauke da juna biyu.

Bai kamata a yi wannan gwajin a lokacin nauyi ba, sai dai idan ba matsala. Ci gaba da alƙawarinku idan kun kasance:

• A karshen karshe ko farkon lokacinka na al'ada
• Yin jini mara kyau

Kuna iya shan ibuprofen ko acetaminophen (Tylenol) a gaban colposcopy. Tambayi mai ba da sabis idan wannan ya yi daidai, da kuma yaushe da nawa ya kamata ku karɓa.

Kuna iya samun rashin jin daɗi lokacin da aka sanya samfurin a cikin farji. Yana iya zama mafi rashin jin daɗi fiye da gwajin Pap na yau da kullun.

• Wasu mata suna jin ɗan kaɗan daga maganin tsarkakewa.
• Kuna iya jin tsunkule ko ƙyama a duk lokacin da aka ɗauki samfurin nama.
• Wataƙila ku sami ɗan mitsitsi ko ƙananan jini bayan biopsy.
• Kar a yi amfani da tsumma ko sanya wani abu a cikin farji kwanaki da yawa bayan an yi gwaji.

Wasu mata na iya riƙe numfashin su yayin aikin kwalliya saboda suna tsammanin ciwo. Slow, numfashi na yau da kullun zai taimaka maka shakatawa da sauƙar zafi. Tambayi mai ba ku sabis game da kawo mai tallafi tare da ku idan hakan zai taimaka.

Kuna iya samun jinni bayan biopsy, na kimanin kwanaki 2.

• Bai kamata kuyi kurji ba, sanya tampon ko creams a cikin farji, ko yin jima'i har zuwa sati ɗaya daga baya. Tambayi mai ba ku sabis tsawon lokacin da ya kamata ku jira.
• Zaka iya amfani da kayan tsafta.

Colposcopy ana yin shi ne don gano kansar mahaifa da canje-canje da ka iya haifar da cutar sankarar mahaifa.

Ana yin shi galibi lokacin da aka yi ma kumburin Pap smear ko gwajin HPV. Hakanan za'a iya ba da shawarar idan kuna jini bayan jima'i.

Hakanan za'a iya yin maganin ta jiki lokacin da mai ba da sabis ya ga wuraren da ba na al'ada ba a cikin mahaifa yayin gwajin ƙugu. Waɗannan na iya haɗawa da:

• Duk wani ci gaban da bai dace ba a mahaifa, ko kuma wani wuri a cikin farji
• Abun ciki na al'ada ko HPV
• Jin haushi ko kumburin bakin mahaifa (cervicitis)

Ana iya amfani da colposcopy din don kiyaye cutar HPV, da kuma neman canje-canje marasa kyau waɗanda zasu iya dawowa bayan jiyya.

Matsayi mai laushi, ruwan hoda na mahaifa al'ada ce.

Wani ƙwararren masani da ake kira masanin ilimin ƙwayoyin cuta zai bincika samfurin samfurin daga ƙwarjin mahaifa ya aika da rahoto ga likitanka. Sakamakon biopsy galibi yakan ɗauki makonni 1 zuwa 2. Sakamakon yau da kullun yana nufin babu cutar kansa kuma ba a ga canje-canje mara kyau ba.

Mai ba ku sabis zai iya gaya muku idan an ga wani abu mara kyau yayin gwajin, gami da:

• Misalai marasa kyau a cikin jijiyoyin jini
• Yankunan da suka kumbura, suka lalace, ko suka lalace (atrophic)
• Kwakwalwar mahaifa
• Abun farji
• Alamar fari a bakin mahaifa

Sakamakon binciken biopsy mara kyau na iya zama saboda canje-canje wanda zai haifar da cutar sankarar mahaifa. Wadannan canje-canjen ana kiran su dysplasia, ko kuma neoplasia intraepithelial neoplasia (CIN).

• CIN I yana da rauni dysplasia
• CIN II matsakaiciyar dysplasia ne
• CIN III mummunan dysplasia ne ko farkon sankarar mahaifa da ake kira carcinoma a ciki

Sakamakon cututtukan kwayoyin halitta na iya zama saboda:

• Ciwon mahaifa
• Cervical intraepithelial neoplasia (ainihin canje-canje na nama wanda kuma ake kira dysplasia na mahaifa)
• Cutar mahaifa (kamuwa da cutar kwayar cutar papilloma, ko HPV)

Idan biopsy bai tantance dalilin sakamako mara kyau ba, kuna iya buƙatar hanyar da ake kira biopsy wuka mai sanyi biopsy.

Bayan biopsy, ƙila samun jini har na mako guda. Kuna iya samun ƙyamar ciki, farjinka na iya jin zafi, kuma ƙila ka sami fitowar duhu na kwana 1 zuwa 3.

Takaddun shaida da kwayar halitta ba zai sanya muku wahala a yin ciki ba, ko haifar da matsala yayin juna biyu.

Kira mai ba da sabis kai tsaye idan:

• Zuban jini yana da nauyi ƙwarai ko yana ɗaukar sama da makonni 2.
• Kuna da ciwo a cikin ciki ko a yankin ƙashin ƙugu.
• Kuna lura da alamun kamuwa da cuta (zazzabi, warin wari, ko fitarwa).

Biopsy - colposcopy - ya jagoranci; Biopsy - cervix - colposcopy; Endocervical curettage; ECC; Mahaifa naushi biopsy; Biopsy - bugun mahaifa; Maganin mahaifa; Cervical intraepithelial neoplasia - colposcopy; CIN - colposcopy; Canje-canjen da suka gabata na mahaifa - colposcopy; Ciwon mahaifa - colposcopy; Squamous rauni na intraepithelial - colposcopy; LSIL - colposcopy; HSIL - colposcopy; Posananan colposcopy; Babban-colposcopy; Carcinoma a cikin wuri - colposcopy; CIS - colposcopy; ASCUS - colposcopy; Kwayoyin glandular atypical - colposcopy; AGUS - colposcopy; Cellsananan ƙwayoyin ƙwayoyin cuta - colposcopy; Pap shafa - colposcopy; HPV - colposcopy; Kwayar cutar papilloma na mutum - colposcopy; Cervix - colposcopy; Kayan kwafi

• Tsarin haihuwa na mata
• Kwayar halitta da aka ba da umurni da kwayar halitta
• Mahaifa

Cohn DE, Ramaswamy B, Christian B, Bixel K. Malignancy da ciki. A cikin: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy da Resnik na Maganin Uwar-Gida: Ka'idoji da Ayyuka. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 56.

Khan MJ, Werner CL, Darragh TM, da sauransu. ASCCP ka'idojin colposcopy: rawar kwaikwaiyo, fa'idodi, illolin cutarwa da kalmomin aiki don aikin colposcopic. Jaridar Genananan cututtukan cututtukan mata. 2017; 21 (4): 223-229. PMID: 28953110 pubmed.ncbi.nlm.nih.gov/28953110/.

Newkirk GR. Binciken Colposcopic. A cikin: Fowler GC, ed. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 124.

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.

Smith RP. Carcinoma a cikin wuri (cervix). A cikin: Smith RP, ed. Netter’s Obetetrics & Gynecology. 3rd ed. Philadelphia, PA: Elsevier; 2018: babi na 115.