Nini futhi kanjani kuyinto biopsy endometrial?

biopsy Endometrial - indlela lokuxilonga, ebonakala ngokuthatha inani elincane izicubu luhlolo ezincane. Le nqubo sisebenza imisebenzi ezincane izifo zabesifazane njengoba curettage wenziwa we endometrium ngosizo amathuluzi akhethekile.

biopsy Endometrial kusekelwe okuvela izinguquko eziphawulekayo ezihlelekile endometrium ekuphenduleni ukushukuma hormone. Izazi eziningi zithi ithole ukuxilongwa okufanele nezinkinga endometrial kungenzeka kuphela ngokusebenzisa sisondelene phakathi wezifo zabesifazane kanye histopathology. Ngo emlandweni wezokwelapha endometrial biopsy kwathiwa engeyokuqala eyakhishwa ngo-1937. Ukuze ithole ukuxilongwa okufanele we scrapings we endometrium, kubalulekile ukudala izimo ezithile.

Ukuze afeze ithole ukuxilongwa okufanele, udokotela kufanele alandele imithetho:

• ukungazali abesifazane nge esolwa anovulatory umjikelezo nokususa ezithathwe ngaphambi kokuya esikhathini noma ngqo esesikhathini;
• okuphindaphindiwe scrapings kunodeshi aphethwe amenorrhea amasonto amane, nge esingaba isonto elilodwa;
• menorrhagia nokususa esithathwayo ngosuku lwesihlanu ukuze Ngosuku lweshumi emva ukuqala kokuya esikhathini;
• nokususa at metrorrhagia, ngokuvamile kuthathwe ngokushesha ngemva ukopha;
• I-zokuba uchwepheshe wokuhlola izimila we scrapings we endometrium zingafundwa noma yiluphi usuku umjikelezo.

On the semthethweni Ukukhethwa biomaterial kuncike ubumsulwa isilingo.
Uma ucwaningo iza izingcezu wahlukana kwezicubu, kunzima kakhulu ukubuyisela isakhiwo se-endometrium. nokususa Lungile Kuhlanganisa ukuthola ezinkulu, emapheshana nje ukusika endometrium. Phakathi nokususa le curette emva ngamunye ezindongeni endometrium kuyinto okukhipha kusuka komsele wesibeletho.

biopsy Endometrial engenziwa ngezindlela eziningana:

• ukuqedela curettage zokuxilonga kwesibeletho. Ezimweni eziningi curettage wenziwa eceleni (ekuqaleni umsele wesibeletho, bese ezingadingekile esibelethweni). Lapho ukopha, ikakhulukazi perimenopausal nokususa engeli lesizalo tube Kwenziwa usebenzisa curette encane, ngoba kulezi esishintshashintshayo ngokuvamile yenziwe yaba yasendaweni polypous neziqu endometrial. Kuyinto kulezi zindawo iqala umdlavuza. Ukuze carcinoma esolwa (isingeniso curette lokuqala esusa elithambile, izicubu friable) nokususa anqanyulwa ngokushesha;
• inaliti nenshisekelo biopsy we endometrium Kunenkolelo nge Ukuhlolwa mass abesifazane ngenjongo ekuxilongweni Kantser endometrial;
• ibha scrapings endometrial ikhiqizwa ukuze sithole ukusabela ulwelwesi lwamafinyila phezu endocrine umsebenzi wesibeletho, ukucacisa izimbangela ukungazali, ukulawula Imiphumela gormoterapii. Indlela okwethulwa akuyona ezisebenzayo lesizalo ukopha.

Paypel biopsy endometrial kusetshenziswa Paypelya ithuluzi (tube nezimo nge ububanzi amamilimitha angu ezintathu ukuvulwa lateral ekupheleni). Ngaphakathi tube ibekwe a piston, njengasezulwini isipetu ezivamile. Izinkomba kwalolu hlobo biopsy: ukopha abesifazane abadala kwamashumi amane; ukopha phakathi ukusetshenziswa zokuvimbela inzalo hormone; ukuxilongwa ukungazali endometrial; ukopha kakhulu kule premenopausal; ukopha nambili kuya kwabadala.