Cone biopsy

ʻO kahi biopsy cone (conization) kahi ʻoki e wehe i kahi laʻana o nā kikoʻī ʻole mai ka cervix. ʻO ka cervix ka ʻaoʻao haʻahaʻa o ka kōpū (ʻōpū) e wehe ana ma ka piko o ka lua. Ua kapa ʻia nā hoʻololi kūlohelohe o nā hunaola ma ka ʻili o ka cervix cerpla dysplasia.

Hana ʻia kēia hana i ka haukapila a i ʻole kahi kikowaena. Ma ke kaʻina hana:

• Hāʻawi ʻia ʻoe i ka anesthesia laulā (hiamoe a ʻaʻohe ʻeha), a i ʻole nā ​​lāʻau e kōkua iā ʻoe e hoʻomaha a hiamoe.
• E moe ʻoe ma ka papa ʻaina a kau i kou mau wāwae i ka stirrups e hoʻonohonoho i kou pelvis no ka hoʻokolokolo. E hoʻokau ka mea mālama ola i kahi mea kani (speculum) i loko o kāu ʻōpū e ʻike ʻoi aku ka ʻike o ka cervix.
• Lawe ʻia kahi hiʻohiʻona cone-shaped o nā kiko mai ka cervix. Hana ʻia paha ke kaʻina hana me ka hoʻohana ʻana i ka loop loop e wela ʻia e ka uila uila (kaʻina LEEP), kahi scalpel (biopsy pahi anuanu), a i ʻole kahi kukuna kukuna.
• Hiki ke ʻoki ʻia ke kanal cervix ma luna o ka biopsy cone e hemo i nā pūnaewele no ka loiloi. Kāhea ʻia kēia he endocervical curettage (ECC).
• Nānā ʻia ka laʻana ma lalo o kahi microscope no nā ʻōuli o ke kanesa. He lāʻau lapaʻau paha kēia biopsy inā hemo ka mea hāʻawi i nā maʻi maʻi āpau.

ʻO ka hapa nui o ka manawa, hiki iā ʻoe ke hoʻi i ka home i ka lā like me ke kaʻina hana.

E noi ʻia ʻoe ʻaʻole e ʻai a inu paha no 6 a 8 mau hola ma mua o ka hoʻāʻo.

Ma hope o ke kaʻina hana, loaʻa paha iā ʻoe kahi cramping a hōʻoluʻolu paha ma kahi o hoʻokahi pule. No 4 a 6 mau pule e hōʻalo:

• Douching (ʻaʻole pono e hana ʻia ka douching)
• Moekolohe
• Ke hoʻohana nei i nā tampons

No 2 a 3 mau pule ma hope o ke kaʻina hana, he hoʻokuʻu paha kāu:

• Koko koko
• Kaumaha
• Waihoʻoluʻu melemele

Hana ʻia ka biopsy cone e ʻike i ka maʻi ʻaʻai cervier a i ʻole nā ​​hoʻololi mua e alakaʻi ai i ka maʻi ʻaʻai. Hana ʻia kahi biopsy cone inā ʻaʻole hiki i kahi hoʻokolohua i kapa ʻia colposcopy ke loaʻa ke kumu o kahi Pap smear maʻamau.

Hiki ke hoʻohana ʻia ka biopsy cone e mālama ai:

• Kahi i nā ʻano koʻikoʻi o nā loli keu (i kapa ʻia ʻo CIN II a i ʻole CIN III)
• ʻO ka maʻi ʻaʻai ʻōiwi mua loa (pae 0 a i ʻole IA1)

ʻO kahi hopena maʻamau, ʻaʻohe precancerous a i ʻole nā ​​maʻi ʻaʻai maʻi i loko o ka cervix.

ʻO ka hapanui pinepine, nā hopena ʻokoʻa ke ʻano he precancerous a i ʻole cancerous cells i loko o ka cervix. Kapa ʻia kēia mau hoʻololi i neoplasia cerra intraepithelial (CIN). Māhele ʻia nā hoʻololi i nā hui 3:

• CIN I - displasia akahai
• CIN II - kūlike i ka dysplasia māka
• CIN III - displasia loa i ka carcinoma ma kahi

Loaʻa paha nā hopena maʻamau ma muli o ka maʻi ʻaʻai cervical.

Nā pilikia o ka biopsy cone:

• Kahena
• ʻO ka cervix kūpono ʻole (kahi e alakaʻi ai i ka lawe manawa ʻole)
• Maʻi kīnā
• Scarring o ka cervix (i hiki i nā manawa ʻeha, lawe manawa ʻole, a me ka paʻakikī hāpai)
• Ka poino i ka maʻi ʻaʻai a pololei paha

E paʻakikī paha ka biopsy cone i kāu mea hāʻawi e wehewehe i nā hopena Pap smear ʻole i ka wā e hiki mai ana.

ʻO Biopsy - cone; Hoʻonohonoho cerviery; CKC; Ceropular intraepithelial neoplasia - cone biopsy; CIN - cone biopsy; Hoʻololi precancerous o ka cervix - cone biopsy; Maʻi ʻaʻai cerviery - cone biopsy; Liona intraepithelial squamous - cone biopsy; LSIL - cone biopsy; HSIL - cone biopsy; ʻO ke biopsy cone haʻahaʻa haʻahaʻa; ʻO ke biopsy cone kiʻekiʻe; Carcinoma ma ka biopsy situ-cone; CIS - biopsy cone; ASCUS - cone biopsy; Nā hunaola glandular āpau - biopsy cone; AGUS - cone biopsy; Nā hunaola squamous atypical - biopsy cone; Pap smear - cone biopsy; HPV - biopsy kone; Huakaʻi papilloma kanaka - cone biopsy; Cervix - pōʻaiapapa kōpē; Colposcopy - cone biopsy

• Anatomia hānau wahine
• Biopsy anu anu
• ʻO ka hemo ʻana o ka cone anu

ʻO Cohen PA, Jhingran A, ʻO Oaknin A, ʻo Denny L. Cer cancer maʻi maʻi. Lancet. 2019; 393 (10167): 169-182. PMID: 30638582 pubmed.ncbi.nlm.nih.gov/30638582/.

MP Salcedo, Baker ES, Schmeler KM. ʻO nā neoplasia Intraepithelial o nā ʻōnaehana liʻiliʻi o lalo (cervix, vagina, vulva): etiology, kānana, ʻike, hoʻokele I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 28.

ʻO Watson LA. Hoʻolālā ʻohana. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 128.