Endometrial biopsy inoshanda gynecological inomirira kuongorora zvirwere zvechibereko. Kuti uitungamirire, masero emasikirini akawandisa anotorwa uye anotumirwa kuchidzidzo. Iyi nzira inoshandiswa kuona hutachiona hwemagumo e endometrium, tsvaga zvinokonzera uterine kubuda ropa, kuziva chirwere chekodoma, nezvimwewo.
Kune marudzi akawanda emudzidzi uyu:
- incisional biopsy;
- puncture biopsy;
- endoscopic biopsy;
- vacuum aspiration biopsy.
Vakadzi vazhinji vakawana nzira iyi vanoziva kuti endometrial biopsy inoshungurudzika. Mushure mezvose, pakuita chikoro chekuongorora ye endometrium, zvinokosha kuwedzera rutivi rwechirwere, izvo zvinokonzera kusagadzikana kunorwadza kwekunzwa. Asi kwete kare kare imwe nzira yezvino yekutsvakurudza yakaonekwa. Iyi nzira inonzi "endometrial biopsy".
Kuchengeta nyanzvi yekuongorora, chigadzirwa chine plastiki inogadziriswa yepurasiti ine mashizha emakona uye piston, seyindira, inoshandiswa. Iyo catheter inopindirwa mukati mehutachi uterine, piston inotambanudzirwa kusvika hafu, ichigadzira kushanda mukati mehubhu inoita kuti kushandiswa kwemasero kubva pamusoro pezvinyorwa zveuterine. Zvinhu zvakagadzirwa zvinodzidzwa, uye migumisiro yebiopsy sindete inoratidzwa. Iyo yose nzira inotora mushure memasekondi makumi matatu. Iyo yakareba yepurasitiki kusvika pamakiromita mashanu, saka kuwedzera kwechibereko hakuiti uye hazvidikanwi kuita chirwere chechirwere kumurwere. Pipel endometrial biopsy - izvi hazvisi zvinorwadza seyechikoro chekudzidza.
Zviratidzo zvekushandiswa:
- kuzivisa zvikonzero zvekushaya vana;
- kutsunga kwezvikonzero zvinokonzera kubuda ropa panguva ye hormonal therapy uye kubata pamuviri;
- kuongororwa kweropa rinorwadzisa kuvakadzi vanopfuura makumi mana;
- pakutsvakurudza kwakakomba pakuita kwekuongorororwa hysteroscopy uye transvaginal ultrasound;
- kana mungozi yekupararira kwekenza masero, endometriosis, nezvimwewo.
Chirevo chepfungwa chinoshandiswa chinoitwa musi we7-13 kusvika kumwedzi. Pamberi penzira, microflora ye smear inoongororwa. Zvinokurudzirwa munguva yekutanga kushanda kuti urege kunwa doro, kusabvisa zvinotyisa uye kushanda zvakanyanya.
Endometrial biopsy - mhinduro
Kudzidza kunogona kutungamirira kune zvimwe zvinetso:
- kukura kwehutachiona panzvimbo yakakonzerwa nenyuchi;
- kubuda kubva mumidziyo yeropa yemukati;
- kurwadziwa kunonono mucheche pasi;
- kubuda ropa.
Iyo migumisiro yakatarwa yekushuva kwechibereko chechibereko chinowanika, zvishoma pane 0.5% yehuwandu hwehuwandu hwematongerwo enyika. Urombo uye kubuda kweropa zvinowanzoitika mumazuva matatu kusvika ku7. Nekuropafadzwa kwakanyanya, ropa-resurfacing manipulations inoitwa, kusvika pakugadzirisa chibereko. Uye munyaya yekuputika uye zvirwere, zvinokosha kuti uwane chirongwa chekurwisa mabhakitiriya.
Kupindirana kwekudzidza kwakadaro kunogona kuva chirwere chechirwere chokuputika
Endometrial biopsy uye pamuviri
Kudzidza kunoitwa chete mushure mekusimbiswa kuti mimba haina kuitika. Vanachiremba vakawanda vasati vaita chirongwa chinorayira kuve nekuita pamuviri. Izvo zvose ndeyekuti biopsy inogona kumutsa kubvisa pamuviri.
Vazhinji vanozvara vana vakatanga kusanganisira kudzidza kwe endometrium mune urongwa hwemvumo yekuongorora hutano hwakagadzirirwa kuti uone zvikonzero zvinokonzera kusununguka. Vakadzi vakawanda vakatowedzera huwandu hwekuita pamuviri mushure mekutakura chikwata chebiopsy. Mhedziso chaiyo yekudzidza, yakanyatsorongwa kurapwa yakapa vakadzi mukana wekunzwa sevanaamai.