Colposcopy - kuhikuhi i ka biopsy

ʻO kahi colposcopy kahi ala kūikawā e nānā ai i ka cervix. Hoʻohana ia i kahi kukui a me kahi microscope uila haʻahaʻa e hōʻike i ka nui o ka cervix i ʻoi aku ka nui. Kōkua kēia i kāu kahu mālama ola e ʻike a laila biopsy abnormal ʻāpana i kāu cervix.

E moe ʻoe ma ka papa ʻaina a kau i kou mau wāwae i ka stimrups, e hoʻonohonoho i kou pelvis no ka hoʻokolokolo. E hoʻokau ka mea hāʻawi i kahi mea kani (i kapa ʻia he speculum) i loko o kāu ʻōpū e ʻike maopopo ai i ka cervix.

Hoʻomaʻemaʻe mālie ʻia ka cervix a me ka ʻōpū me ka hopena vīnega a iodine paha. Lawe kēia i ka mucus e uhi ana i ka ʻili a hōʻike i nā wahi kūpono ʻole.

E hoʻonoho ka mea hāʻawi i ka colposcope ma ka wehe o ka lua a nānā i kahi. Hiki ke kiʻi ʻia i nā kiʻi paʻi kiʻi. ʻAʻole pili ka colposcope iā ʻoe.

Inā nānā nā wahi āpau i kahi kūpono ʻole, e hoʻoneʻe ʻia kahi mea liʻiliʻi o ka mea ma ka hoʻohana ʻana i nā mea hana biopsy liʻiliʻi. Lawe ʻia paha nā laʻana he nui. I kekahi manawa ua hemo kahi laʻana mai loko mai o ka cervix. Kapa ʻia kēia endocervical curettage (ECC).

ʻAʻohe hoʻomākaukau kūikawā. E ʻoluʻolu paha ʻoe inā ʻoe e ninini i kāu ʻōpū a me kou ʻōpū ma mua o ke kaʻina hana.

Ma mua o ka hoʻāʻo:

• Mai douche (ʻaʻole pono kēia.)
• Mai hoʻokomo i nā huahana i loko o ka lua.
• Mai moe kolohe no 24 mau hola ma mua o ka hōʻike.
• E haʻi i kāu mea hāʻawi inā hāpai ʻoe a hāpai paha.

ʻAʻole pono e hana i kēia hōʻike i ka wā kaumaha, inā ʻaʻole ʻokoʻa ia. Mālama i kāu koho inā ʻoe:

• I ka hopena a i ʻole hoʻomaka o kāu wā maʻamau
• Loaʻa i ke kahe koko ʻole

Hiki paha iā ʻoe ke lawe i ka ibuprofen a i ʻole ka acetaminophen (Tylenol) ma mua o ka colposcopy. E nīnau i kāu mea hāʻawi inā maikaʻi kēia, a i ka manawa a pehea ka nui āu e lawe ai.

Hiki paha iā ʻoe ke hōʻoluʻolu ke kau ʻia ka speculum i loko o ka lua. ʻOi aku paha ka ʻoluʻolu ʻole ma mua o kahi hōʻike Pap maʻamau.

• Manaʻo kekahi mau wahine i kahi ʻū iki mai ka hopena hoʻomaʻemaʻe.
• ʻIke paha ʻoe i kahi pinch a cramp paha i kēlā me kēia manawa lawe ʻia kahi kiko kiko.
• Loaʻa paha iā ʻoe kahi cramping a i ʻole ke kahe koko ma hope o ka biopsy.
• Mai hoʻohana i nā tampons a i ʻole hoʻokau i kekahi mea i loko o ka lua no kekahi mau lā ma hope o kahi biopsy.

Hiki paha i kekahi mau wahine ke hoʻopaʻa i ka hanu i ka wā o ke kaʻina pelvic no ka mea manaʻo lākou i ʻeha. ʻO ka mālie, ka hanu maʻamau e kōkua iā ʻoe e hoʻomaha a hoʻomaha i ka ʻeha. E noi i kāu mea hāʻawi e pili ana i ka lawe ʻana mai i kahi kanaka kākoʻo me ʻoe inā kōkua ia.

Hiki paha iā ʻoe ke kahe i ke kahe ma hope o ka biopsy, ma kahi o 2 mau lā.

• ʻAʻole pono ʻoe e douche, kau i nā tampons a i ʻole nā ​​kalima i loko o ka lua, a i ʻole he moekolohe a hiki i hoʻokahi pule ma hope. E noi i kāu mea hāʻawi i ka lōʻihi o kou kali ʻana.
• Hiki iā ʻoe ke hoʻohana i nā pale hoʻomaʻemaʻe.

Hana ʻia ʻo Colposcopy e ʻike ai i ka maʻi ʻaʻai cervix a me nā loli e alakaʻi ai i ka maʻi ʻaʻai maʻi maʻi.

Hana pinepine ʻia ia inā loaʻa iā ʻoe kahi hōʻike Pap smear a i ʻole HPV hōʻike. Paipai paha ia inā he kahe kou ma hope o ka moekolohe.

E hana ʻia paha ʻo Colposcopy ke ʻike ka mea hāʻawi i nā wahi kūpono ʻole ma kāu cervix i ka wā o kahi hōʻike pelvic. Pākuʻi ʻia kēia mau mea:

• Kekahi ulu kūpono ʻole ma ka cervix, a i ʻole nā ​​wahi ʻē aʻe i ka ʻōpala
• ʻO nā warts genital a i ʻole HPV
• Ka huhū a me ka mumū o ka cervix (cervicitis)

Hiki ke hoʻohana ʻia ke colposcopy e mālama i ka HPV, a e nānā i nā loli maʻamau i hiki ke hoʻi mai ma hope o ka lapaʻau ʻana.

ʻO ka laumā, ʻulaʻula o ka cervix kahi maʻamau.

ʻO kahi loea i kapa ʻia he pathologist e nānā i ka laʻana o ke kiko mai ka biopsy cervix a hoʻouna i kahi hōʻike i kāu kauka. Lawe pinepine nā hopena biopsy i 1 a 2 mau pule. ʻO kahi hopena maʻamau, ʻaʻohe maʻi ʻaʻai a ʻike ʻole ʻia nā loli maʻamau.

E hiki i kāu mea lawelawe ke haʻi iā ʻoe inā ʻike ʻia kekahi mea ʻino i ka wā o ka hoʻokolohua, e like me:

• Nā lauana maʻamau i nā kīʻaha koko
• Nā wahi pehu, mae wale, a ʻōpala hoʻi (atrophic)
• ʻO nā polyp cervix
• ʻO nā warts genital
• Pākuʻi keʻokeʻo ma ka cervix

ʻO nā hopena biopsy maʻamau ma muli o nā loli e hiki ai ke alakaʻi i ka maʻi ʻaʻai maʻi maʻi. Kapa ʻia kēia mau hoʻololi ʻo dysplasia, a i ʻole ceropular intraepithelial neoplasia (CIN).

• ʻO CIN wau maʻalahi displasia
• ʻO CIN II ka displasia kaulike
• ʻO CIN III kahi dysplasia koʻikoʻi a i ʻole ke kanulau maʻi ʻōiwi mua i kapa ʻia ʻo carcinoma ma kahi

ʻO nā hopena biopsy maʻamau ma muli o:

• Maʻi ʻaʻai cerviery
• ʻO ka neoplasia cerra intraepithelial (hoʻololi i nā kiko o ka precancerous i kapa ʻia hoʻi ʻo cerplicplplasia)
• Warts cervical (maʻi me ka maʻi papilloma kanaka, a i ʻole HPV)

Inā ʻaʻole hoʻoholo ka biopsy i ke kumu o nā hopena maʻamau, pono ʻoe i kahi hana i kapa ʻia he biopsy pahi anuanu.

Ma hope o ka biopsy, loaʻa paha iā ʻoe ke kahe o ke koko a hiki i hoʻokahi pule. Hiki paha iā ʻoe ke ʻūlū mālie, ʻehaʻeha paha kou puʻupaʻa, a he maʻi pōʻele paha kāu no 1 a 3 mau lā.

ʻAʻole e paʻakikī ka paʻakikī ʻana o kahi colposcopy a me biopsy iā ʻoe e hāpai ai, a i ʻole nā ​​kumu pilikia i ka wā hāpai.

Kāhea koke i kāu mea hāʻawi inā:

• He kaumaha loa ke kahe ʻana a i ʻole ʻoi aku ka lōʻihi ma mua o 2 mau pule.
• He ʻeha kou i loko o kou ʻōpū a i ʻole i ka wahi pelvic.
• ʻIke ʻoe i nā hōʻailona o ka maʻi (fiva, pilau, a hoʻokuʻu ʻia paha).

Biopsy - colposcopy - kuhikuhi; ʻO Biopsy - cervix - colposcopy; Curettage Endocervical; ECC; Biopsy kuʻi ʻōpū; Biopsy - kuʻi ʻōpū; ʻO Biopsy Cervical; ʻO ka neoplasia intraepithelial cervical - colposcopy; CIN - colposcopy; Hoʻololi precancerous o ka cervix - colposcopy; Maʻi ʻaʻai cervix - colposcopy; Liona intraepithelial squamous - colposcopy; LSIL - colposcopy; HSIL - colposcopy; Colposcopy papa haʻahaʻa; Colposcopy papa kiʻekiʻe; Carcinoma ma kahi - colposcopy; CIS - colposcopy; ASCUS - colposcopy; Nā hunaola glandular hui ʻole - colposcopy; AGUS - colposcopy; Nā hunaola squamous atypical - colposcopy; Pap smear - colposcopy; HPV - colposcopy; Huakaʻi papilloma kanaka - colposcopy; Cervix - colposcopy; Colposcopy

• Anatomia hānau wahine
• ʻO Biopsy i kuhikuhi ʻia e Colposcopy
• Uterus

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Khan MJ, Werner CL, Darragh TM, et al. Nā kūlana colposcopy ASCCP: ke kuleana o ka colposcopy, nā pono, nā mea hōʻino a me nā terminology no ka colposcopic hana. Ka Nūpepa o ka Maʻi Tract Genital Tract. 2017; 21 (4): 223-229. PMID: 28953110 pubmed.ncbi.nlm.nih.gov/28953110/.

Newkirk GR. Ninaninau Colposcopic. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 124.

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 Smith RP. Carcinoma ma kahi (cervix). I: Smith RP, hoʻoponopono. ʻO Netter's Obstetrics & Gynecology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 115.