Cytological studies (cytology) yakagara ichibatanidzwa mune gynecology, seimwe yenzira dzinowanzoshandiswa pakuongorora. Semuenzaniso, smear ye cytology , kukohwa kwezvinhu zvakagadzirwa kubva mumuviri wechibereko, ndicho chikuru chekuongorora kuongorora, nekufungidzirwa kwehutano hwezvirwere mumitumbi yekubereka.
Kazhinji, zvidzidzo zve-cytological zvinowanikwa nehommonal impairment ye ovarian basa, pamwe nekuputsa kumwedzi.
Chinangwa chei smear ye cytology?
Mune smear yakabudiswa, ma tearatory technicians anoongorora chimiro, pamwe nekukura uye nhamba yemasero, mararamiro emunzvimbo yavo, iyo inobvumira kufungidzirwa kwokutanga kwezvirwere zvakasimba uye zvepachirwere zvechirwere.
Zviratidzo
Kuongororwa kwe cytology, kunoitwa gynecological center, inorayirwa kune vose vakadzi vane makore 18 uye kupfuura. Mukuwedzera, inoitwa ne:
- kuronga kwekuita pamuviri;
- kunyunyuta kwekushaya vana;
- kusagadzikana kwezuva kumwedzi;
- hutachiona hwepachirwere (papilloma);
- kugara kwenguva refu kubvuma kwekudzivirira pamuviri nemukadzi pane hutoni;
- isati yasvika nzira yekuisa iyo intrauterine device.
Kugadzirira kwe
Kugadzirira cytological kuongorora kwechibereko chinotevera:
- kudzivisa zvepabonde mazuva maviri isati yasarudzwa;
- kubviswa kwekushandiswa kwezvinodhaka izvo zvinoshandiswa mumadzimai, kwemazuva maviri.
Uyezve, mukadzi anorayirwa kuti arege kuzora maawa maviri isati yasvika pakuongororwa kwe cytology yemukati.
Vanachiremba vanokurudzira kutora miedzo ye cytology pakarepo mushure mekupera kwekuenda kumwedzi, pazuva 4-5.
Unoitwa sei?
Kuongororwa kwe-cytological maitiro ehutachiona ndekutora masero emasero, ayo anowedzera kuongororwa.
Iyo smear inotorwa nekuongorora gynecological pamwe nesimbi, yakanyatsogadzirwa bhurshi. Nyaya yacho inotorwa kubva mukati uye kunze kwechomuviri. Zvadaro zvinoshandiswa kumucheto webasa slide uye zvishoma nezvishoma, zvishoma, kufamba kunoputika. Zvadaro zviomesa, zvigadzirise nemagadzirirwo akakwana uye microscopy. Nzira yacho pachayo haina chakaipa uye inopedza mashizha gumi nemashanu chete.
Sezvo nyaya yacho yakatorwa panguva yekuunganidza, uye mhuka yacho yakakuvadzwa, mushure mekuitwa, mavara maduku, mazuva maviri muhurefu, zvinogoneka.
Mhedzisiro yekudzidza inoongororwa sei?
Apo rinotsanangura smear se peresenti, zvinyorwa zvemarudzi ose emasero epithelial zvinoratidzwa zvakasiyana. Colpositogram yakanyorwa. Chaizvoizvo, muzana wepamusoro masero eine nucleus nucleus yakatemwa.
Sezvo mutemo, morphological change, pamwe chete nekushanda kwebasa mukati memudzimai mucosa, zvinotungamirira kuchinjwa muhutano hwechimiro. Saka, estrogensi inosimbisa nzira yekutsvaga kwema epithelium,
Pasi pesimba reprogesterone dequamation ye epithelial cells inowanzoitika, saka, muchimiro iyo inotarisa yakarasika uye inorongwa mumapoka, nhamba yemasero machena eropa mune smear inowedzera.
Kazhinji, chimiro uye ukuru kwemasero ose zvakafanana mune smear, uye hapana maasypical masero. Apo nhamba yakawanda yemasero inowanikwa, maitiro asina kururama anopiwa smear ye oncocytology, chinhu chinenge chichigadzirwa chinoitwa kubva mumuviri wechibereko. Kana zvichidikanwa, chiremba anowedzera kuisa colposcopy ne biopsy, kujekesa nekugumisa kuongorora.