ʻO ka biopsy endometrial

ʻO ka biopsy endometrial ka wehe ʻana i kahi ʻāpana liʻiliʻi o ke kiko mai ka uhi o ka uterus (endometrium) no ka nānā ʻana.

Hana ʻia kēia kaʻina hana me ka ʻole o ka anesthesia. ʻO kēia ka lāʻau e ʻae iā ʻoe e hiamoe i ke kaʻina hana.

• Moe ʻoe ma kou kua me kou mau wāwae i ka stimrups, like me ka loaʻa ʻana o kahi hōʻike pelvic.
• Hoʻokomo mālie kāu kauka olakino i kahi mea kani (speculum) i loko o ka ʻōpū e hāmama a wehe ʻia i hiki ai ke ʻike ʻia i kou ʻaoʻao. Hoʻomaʻemaʻe ʻia ka cervix me kahi wai kūikawā. Pili ʻia ka lāʻau numbing i ka cervix.
• E hopu mālie ʻia ka cervix me kahi mea kani e paʻa mau ai ka uterus. Pono ʻia kahi mea hana ʻē aʻe e hohola mālie i ka wehe ʻana o ka haʻi inā he paʻa.
• Hāʻawi mālie ʻia kahi mea kani i loko o ka cervix i loko o ka kōpū e ʻohiʻohi i kahi kiko kiko.
• Lawe ʻia ka laʻana a me nā mea kani.
• Hoʻouna ʻia ka iʻa i kahi lab. Ma laila, nānā ʻia ma lalo o kahi microscope.
• Inā he anesthesia kāu no ke kaʻina hana, lawe ʻia ʻoe i kahi wahi hoʻōla. E hōʻoia nā kahu hānai ʻoluʻolu ʻoe.Ma hope o kou ala ʻana a ʻaʻohe ou pilikia mai ka anesthesia a me ke kaʻina hana, ʻae ʻia ʻoe e hoʻi i ka home.

Ma mua o ka hoʻāʻo:

• E haʻi i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai. Hoʻopili kēia i nā mea lahilahi o ke koko e like me warfarin, clopidogrel, a me aspirin.
• E noi ʻia paha ʻoe e loaʻa kahi hōʻike e hōʻoia ʻaʻole ʻoe hāpai.
• I nā lā 2 ma mua o ke kaʻina hana, mai hoʻohana ʻoe i nā kalima a i ʻole nā ​​lāʻau ʻē aʻe i ka lua.
• Mai douche. (ʻAʻole ʻoe e douche. Hiki i ka moe ʻana ke hōʻeha i ka maʻi o ka ʻōpū a me ka uterus.)
• E noi i kāu mea hāʻawi inā pono ʻoe e ʻai i ka lāʻau ʻeha, e like me ibuprofen a i ʻole acetaminophen, ma mua o ke kaʻina hana.

Anuanu paha nā mea kani. ʻIke paha ʻoe i kahi cramping ke hopu ʻia ka cervix. Loaʻa paha iā ʻoe kahi cramping mālie i ke komo ʻana o nā mea kani i ka uterus a ʻohiʻohi ʻia ka laʻana. Akahai ka hōʻoluʻolu, ʻoiai no kekahi mau wahine hiki ke kaumaha. Eia nō naʻe, he pōkole ka lōʻihi o ka hoʻāʻo a me ka ʻeha.

Hana ʻia ka hoʻāʻo e ʻike i ke kumu o:

• Nā wā menstrual maʻamau (kaumaha, hoʻolōʻihi ʻia, a i ʻole kahe koko ʻole)
• Kahe ma hope o ka menopause
• Kahe i ka lawe ʻana i nā lāʻau lapaʻau hōmona
• ʻIke ʻia ka uhi ʻo uterine mānoanoa ma ultrasound
• Maʻi ʻaʻai Endometrial

He maʻamau ka biopsy inā ʻaʻohe ʻokoʻa nā hunaola o ka hāpana.

Hiki ke hoʻokumu ʻia nā wā maʻamau ʻole e:

• Nā fibroids ʻōterine
• ʻO ka ulu ʻana o ka manamana lima i loko o ka kōpū (uterine polyps)
• Maʻi kīnā
• Hormone kaulike ʻole
• Ka maʻi ʻaʻai endometrial a i ʻole precancer (hyperplasia)

Nā kūlana ʻē aʻe e hana ʻia ai ka hōʻike:

• ʻO ke kahe kūpono ʻole inā lawe ka wahine i ka tamoxifen lāʻau lapaʻau maʻi ʻaʻai
• Kahe koko ʻole ma muli o nā loli i nā pae hormonone (kaheʻe koko

ʻO nā pilikia no ka biopsy endometrial me:

• Maʻi kīnā
• Ke kumu nei i kahi puka i (perforating) i ka kōpū a haehae paha i ka cervix (ʻike pinepine ʻole ʻia)
• Kahe lōʻihi ʻana
• ʻO kahi kiko iki a me ka cramping mālie no kekahi mau lā

ʻO Biopsy - endometrium

• Pelvic laparoscopy
• Anatomia hānau wahine
• ʻO ka biopsy endometrial
• Uterus
• ʻO ka biopsy endometrial

ʻO Beard JM, Osborn J. Nā kaʻina hana maʻamau. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 28.

Soliman PT, Lu KH. Nā maʻi Neoplastic o ka kōpū: endometrial hyperplasia, endometrial carcinoma, sarcoma: diagnose and management. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 32.