Nini yaye njani i biopsy endometrial?

biopsy Endometrial - indlela Diagnostic, lubonakala ngokuthatha imali encinane kwithishyu lokubhalela uviwo ngemikroskopu. Le nkqubo usebenza imisebenzi ezincinane yamanina njengoko wenza curettage le endometrium ngoncedo izixhobo ezikhethekileyo.

biopsy Endometrial isekelwe phezu kukuvela utshintsho ebalulekileyo kumaziko endometrium njengempendulo zovuselelo hormone. Iingcali ezininzi zithi ukuba ukuxilongwa oluchanekileyo kwekhono endometrial kunokwenzeka kuphela ngokudibana olusondeleleneyo phakathi Kwemithetho Yokwenziwa ugqirha kunye histopathology. Xa imbali yezonyango endometrial biopsy oko kuqala ngo-1937. Ukuze wenze ukuxilongwa olululo scrapings le endometrium, kuyimfuneko ukuba ukudala iimeko ezithile.

Ukwenza ukuxilongwa echanekileyo, ugqirha kufuneka balandele imithetho:

• nenzalo amabhinqa kunye nomjikelo anovulatory okusolwayo sisusa athathwe phambi kokuba sexesheni okanye ngqo esexesheni;
• scrapings namthanyana ngokuphindaphindiweyo ziqhutywa ngazo amenorrhea iiveki ezine, kudluliswe iveki enye;
• menorrhagia kokuphalwa kuthathwa ngomhla wesihlanu ukuba ngosuku lweshumi emva uqala ukuba sexesheni;
• sisusa kwi metrorrhagia, ngokokuqhelekileyo kuthathwa ngoko nangoko emva ukopha;
• ngenxa uxilongo yamathumba le scrapings zale endometrium zingasetyenziswa naluphi na usuku komjikelo.

Ngomhla wihi kukhethwa biomaterial kuxhomekeke ekuhlambululeni nokuhlola.
Ukuba phando iza amaqhekeza ngokwahluka kwithishyu, kunzima kakhulu ukubuyisela isakhiwo endometrium. kokuphalwa Lungisa kubandakanya ukufumana, iziqwengana nje wonqanyulwa enkulu endometrium. Ngeli sisusa i curette emva nganye iindonga endometrium na imveliso evela lomsele wesibeleko.

biopsy Endometrial zingenziwa ngeendlela ezininzi:

• ugcwalise curettage diagnostic ye isibeleko. Kwiimeko ezininzi curettage kwenziwa ngokwahlukeneyo (ekuqaleni emjelweni wesibeleko, yaye emva koko ukusuka wesibeleko). Xa ukopha, ingakumbi perimenopausal sisusa engile zesibeleko ityhubhu lwenziwa usebenzisa curette encinane, ekubeni kula kwimimandla bavame abekiwe Amahlathi polypous endometrial. Kungenxa kule mimandla iqala yobubi. Kuba carcinoma kuyakrokreleka (i curette intshayelelo yokuqala kokuphalwa ethambileyo, izicwili friable) sisusa kupheliswe ngoko nangoko;
• inaliti njengeminqweno biopsy le endometrium ligcinwe nge ukuhlolwa ngobuninzi abafazi ngenjongo zokufumanis endometrial Kantser;
• bar scrapings endometrial eziveliswa ukwenzela ukujonga ukuba iza kuba abasabela ngayo inwebu imazi ibonakalisa kwi umsebenzi ezidalwe ovarian, isigqibo oonobangela ukungachumi, ukulawula iziphumo gormoterapii. Indlela thaca akusebenzi ukuba zesibeleko ukopha.

Paypel biopsy endometrial ngokusebenzisa isixhobo Paypelya (ityhubhu bhetyebhetye kunye ububanzi of milimitha ezintathu wokuvula osisi ekupheleni). Ngaphakathi ityhubhu ibekwe piston, njengoko isirinji eqhelekileyo. Ubungqina obubonakalayo buxela ukuba olu hlobo biopsy: ukopha abafazi abadala kwamashumi amane; ukopha ngexesha ukusetyenziswa izicwangcisi hormone; isifo nenzalo endometrial; ukopha kakhulu kwi premenopausal; ukopha ukuya exesheni.