Pamene ndi mmene ndi biopsy endometrial?

Endometrial biopsy - matenda njira, yodziwika ndi kutenga pang'ono minofu kufufuza tosaoneka. Ndondomeko imeneyi imagwira ntchito kwa ntchito yaing'ono matenda monga anachita curettage wa endometrium mothandizidwa ndi zipangizo zapadera.

Endometrial biopsy zachokera zosayembekezereka ya kusintha kwakukulu kandalama endometrium poyankha kukondoweza m'thupi. Akatswiri ambiri amanena kuti ndi matenda olondola a endometrial kukanika n'chotheka kudzera pafupi pakati pa gynecologist ndi histopathology. Mu mbiri ya mankhwala endometrial biopsy icho poyamba opangidwa mu 1937. Pofuna kupanga matenda lolondola la scrapings wa endometrium ndi, m'pofunika kulenga zinthu zina.

Kuti achite matenda zolondola, dokotala ayenera kutsatira malamulo:

• osabereka akazi ndi amaganiziridwa anovulatory mkombero kuchipala kupita naye msambo kapena mwachindunji pa msambo;
• mobwerezabwereza scrapings kumugwetsera imachitikira amenorrhea kwa masabata anayi, ndi imeneyi ya mlungu umodzi;
• menorrhagia kuchipala akutengedwa pa chachisanu ndi tsiku lakhumi pambuyo kuyamba kusamba;
• kuchipala pa metrorrhagia, amangoona anatengedwa yomweyo pambuyo magazi ndi;
• kwa matenda a zotupa za scrapings wa endometrium akhoza kumwedwa tsiku lililonse la kuzungulira.

Pa zotuluka pa kusankha biomaterial chimadalira pa chiyero cha zimenezo.
Ngati kafukufuku akubwera zidutswa unagawanika minofu, ndi povuta kuti abwezeretse kapangidwe ka endometrium lapansi. kuchipala zolondola kumafuna kupeza lalikulu, kudula chabe n'kupanga endometrium. Pa kuchipala ndi curette nthawi iliyonse mpanda wa endometrium ndi linanena bungwe kuchokera ngalande khomo lachiberekero.

Endometrial biopsy angathe kuchitidwa mu njira zingapo:

• malizitsani matenda curettage la chiberekero. Nthawi zambiri curettage imagwiridwa payokha (pachiyambi cha m'njira khomo lachiberekero, ndiyeno kuchokera kwa chiberekero). Pamene magazi, makamaka perimenopausal kuchipala kumathandiza kupeza ngodya zabwino uterine chubu ikuchitika ntchito curette yaing'ono, popeza mu mabacteria awa zambiri isanafalikire zophuka polypous endometrial. Ndi m'madera ikuyamba chotupa chija. Pakuti carcinoma amaganiziridwa (woyamba oyamba curette anafukula zofewa, friable minofu) kuchipala yomweyo kutsazikana;
• singano kukhumba biopsy wa endometrium ndi umachitika ndi mosamala misa akazi ndi cholinga Kupeza Vuto endometrial Kantser;
• mipingiridzo scrapings endometrial amapangidwa kuti kudziwa zochita za nembanemba mucous pa ntchito endocrine yamchiberekero, kudziwa zimayambitsa osabereka, kuchepetsa zotsatira gormoterapii. The njira anapereka sichiri magazi uterine.

Paypel endometrial biopsy anachita ntchito Paypelya chida (chubu kusintha ndi awiri a millimeters atatu lateral kutsegula pa mapeto). Mkati chubu aikidwa ndi pisitoni, monga mu syringe ochiritsira. Zikuonetsa mtundu wa biopsy: akutuluka magazi akazi achikulire kuposa makumi anai; magazi pa ntchito ya kulera m'thupi; matenda a osabereka endometrial; magazi ochuluka mu premenopausal ya; magazi kusamba.