Endometrial biopsy

Biopsy yotchedwa endometrial ndi ntchito yamagetsi yomwe imayesedwa kuti ipeze matenda. Zoonadi, ndondomeko yokhayo siikondweretsa kwambiri ndipo nthawi zambiri imayambitsa zowawa, koma izi ndizofunika kuti muyesetse kudziwa momwe chiberekero chikuyendera.

Pazochitikazo

Endometrium ndi mucous membrane ya chiberekero cha uterine. Mwachitsanzo, panthawi yoyembekezera, endometrium imathandizira kupanga mapangidwe, omwe ndi ofunikira kukula kwa mwana. Mkhalidwe wa endometrium si nthawizonse wofanana - mu magawo osiyana a kayendedwe ka minofu, imadzaza ndi glands ndi mitsempha ya magazi, ndipo imatheratu pamene akusamba.

Biopsy yotchedwa endometrial imayesedwa kuti ione kusintha kwa uterine mucosa, mwachitsanzo, ndi kutulutsa mahomoni. Zotsatira za biometric endometrial zingasonyezenso kupezeka kwa zotupa zoopsa kapena kupeza zomwe zimayambitsa uterine magazi.

Ndondomeko ikhoza kuchitika ku ofesi ya dokotala wodwala pansi pa mankhwala am'thupi kapena m'chipatala chomwe chimakhala ndi anesthesia. Mfundo ndi yakuti chikhalidwe ndi njira yopweteka kwambiri. Pofuna kutengera chitsanzo cha endometrium, m'pofunika kukulitsa chitoliro cha khomo lachiberekero, ndipo nthawi zina chimakhala ndi zovuta kwambiri.

Zitsanzo zomwe zimapezeka chifukwa cha chiberekero cha endometrium za chiberekero zimayang'aniridwa ndi microscope, zomwe zimasonyeza kusintha kwa mankhwala a mucosa, okayikitsa pa chotupacho, amalola kukhazikitsa zomwe zimayambitsa kutaya kwa chiberekero ku chiberekero, komanso chiwerengero cha luteal. Biometsy endometrial kuphatikizapo hysteroscopy imachitidwa pamaso pa IVF kuti aphunzire kukonzekera kwa chiberekero kuti mwanayo atenge mwanayo. Kuphatikizanso, akatswiri atatha kukhala ndi chiopsezo chotchedwa endometrial biopsy angasonyeze zifukwa zosayambira mimba.

Zotsutsana za endometrial biopsy

Muyenera kudziwa kuti ndondomekoyi ikuletsedwa kuchita ngati mukuganiza kuti ali ndi mimba. Komanso biopsy sichivomerezedwa chifukwa cha kutupa ndi maonekedwe a chizunguliro, chifukwa zingayambitse kufalikira kwa matenda. Zosiyana pazochitika zoterezi ndizofunikira kuchitapo opaleshoni.

Kuwongolera kungakhale kupezeka kwa matenda opatsirana pogonana kapena matenda opatsirana. Wodwala ayenera kumudziwitsa dokotala wa mankhwala alionse omwe amamwa mankhwala, kumwa mankhwala omwe amatsitsa magazi, komanso mavuto a mtima ndi mapapo.

Zotsatira za biopsy ya endometrial

Pambuyo phokoso la endometrium, kunyowa, chizungulire, kupweteka m'mimba pamunsi, kutaya magazi, kuchepa kwa magazi, komanso kufooka kwakukulu. Zizindikiro zonsezi zimachitika masiku angapo. Zomwe zimachitika pa biopsy zam'mimba zimatenga mphindi 5 mpaka 20, ndipo panthawiyi odwala ena amafotokoza momwe zimakhalira ndi mvula yambiri yomwe imakhalapo kumwezi.

Madokotala amalimbikitsa kuti asamavutike kugwira ntchito mwakuthupi ndikupempha thandizo ngati ali ndi malungo aakulu, kutuluka magazi kwakukulu ndi ululu, ndi mawonekedwe a kusefukira ndi fungo losasangalatsa.

Pakati pa phokoso la endometrium, pali chiopsezo china cha kuwonongeka kwa chiberekero, kutuluka kwa magazi, komanso matenda a ziwalo za m'mimba.

Mitundu ya biopsy ya endometrial

Kuwonjezera pa chizoloŵezi chotchedwa endometrial biopsy, chomwe chimakhala chidziwitso cha chiberekero cha uterine, pali njira zinanso zogwiritsira ntchito mucosal specimen.

Mwachitsanzo, phokoso-phokoso ndi lopanda phindu kusiyana ndi kupopera kwapadera. Njirayi ikugwiritsidwa ntchito padera chida, chomwe chimakhala chosakaniza chubu chokhala ndi mamita atatu okha. Ndondomeko yokha siimatenga nthawi yoposa miniti, ndipo zotsatira zitha kudziwika patatha masiku asanu ndi awiri.

Komanso, chiwopsezo chotchedwa aspiration chimagwiritsidwa ntchito kwambiri, chomwe kawirikawiri chikuchitidwa mu matenda chifukwa cha matenda a mahomoni. Pano pali sering'i kapena mpope wamagetsi ntchito, ndipo ndondomeko yokha imagwiritsidwa ntchito pokhapokha.

Biometric ya endometrial ndi yofala ndipo, chofunikira kwambiri, ndiyo njira yowona yomwe imatha kudziwa kuti mucosal yanyamulira chiani.