Colposcopy - tso me me

Txoj kev colposcopy yog ib txoj kev tshwj xeeb ntawm saib ntawm ncauj tsev menyuam. Nws siv lub teeb ci thiab lub qes qes qes qes qes coj los ua kom lub qhov ncauj ntawm lub ncauj tsev menyuam pom ntau dua. Qhov no pab koj tus kws kho mob nrhiav tau thiab tom qab li cov kev qoj ib ce hauv koj lub ncauj tsev menyuam.

Koj yuav tau pw ntawm lub rooj thiab tso koj ob txhais ko taw rau ntawm cov nqaij ntsiag to, kom koj lub plab mog rau kev kuaj mob. Tus kws kho mob yuav muab cov cuab yeej ntsuas (hu ua speculum) rau koj qhov chaw mos kom pom lub ncauj tsev me nyuam kom meej.

Lub ncauj tsev menyuam thiab lub paum tau maj mam muab ntxuav kom muaj kua iab los sis kua Iodine. Qhov no tshem tawm cov hnoos qeev uas npog thaj chaw thiab tsom rau cov chaw tsis zoo.

Tus kws zov me nyuam yuav tso lub colposcope ntawm qhib ntawm lub paum thiab kuaj thaj tsam. Kev thaij tau duab. Lub colposcope tsis chwv koj.

Yog tias tej qhov chaw tsis txawv txav, cov hnoos qeev me me yuav raug tshem tawm siv cov cuab yeej me me. Ntau cov qauv kuj yuav raug coj mus. Qee zaum cov qauv nqaij ntawm sab hauv lub ncauj tsev menyuam tshem tawm. Qhov no hu ua endocervical curettage (ECC).

Tsis muaj kev npaj tshwj xeeb. Koj yuav nyob tau kaj siab dua yog tias koj tso zis thiab tso zis ua ntej kev ua.

Ua ntej kev kuaj mob:

• Tsis txhob douche (qhov no yeej tsis pom zoo).
• Tsis txhob muab ib yam khoom twg tso rau hauv lub paum.
• Tsis txhob sib deev li 24 teev ua ntej kuaj.
• Qhia koj tus kws kho mob yog tias koj xeeb tub los yog cev xeeb tub.

Qhov kev kuaj no yuav tsum tsis txhob ua rau lub sijhawm muaj hnyav, tshwj tsis yog nws yog qhov txawv txav. Kav tsij teem caij yog koj:

• Thaum xaus lossis pib ntawm koj lub sijhawm ua ntu zus
• Muaj ntshav tsis haum

Tej zaum koj tuaj yeem siv tshuaj ibuprofen lossis acetaminophen (Tylenol) ua ntej ua pob ua ntej. Nug koj tus kws kho mob yog qhov no tsis ua li cas, thiab thaum twg thiab koj yuav tsum noj npaum li cas.

Koj yuav muaj qee qhov tsis xis nyob thaum ntse qhov chaw tso rau hauv qhov chaw mos. Nws yuav tsis xis nyob ntau dua li kev ntsuam xyuas Pap ua ntu zus.

• Qee tus poj niam muaj lub ntsej muag me me los ntawm cov tshuaj ntxuav kom huv.
• Koj yuav hnov ​​zoo li txau lossis mob plab txhua lub sij hawm coj mus kuaj cov nqaij.
• Tej zaum koj yuav muaj qee qhov cramping lossis los ntshav me ntsis tom qab kuaj me me.
• Tsis txhob siv tampons lossis muab ib yam dab tsi tso rau hauv lub chaw mos rau ob peb hnub tom qab kuaj mob.

Qee tus poj niam tuaj yeem tuav lawv cov pa thaum ua cov txheej txheem pelvic vim tias lawv xav tias qhov mob. Maj mam, ua tsis taus pa ua tsis tu ncua yuav pab koj ib ce ntaug thiab txo qhov mob. Nug koj tus kws kho mob txog kev nqa ib tus neeg pab txhawb nqa nrog koj yog tias qhov ntawd yuav pab tau.

Koj yuav tau los ntshav tom qab kuaj me ntsis, li 2 hnub.

• Koj yuav tsum tsis txhob puag, tso cov tampons lossis pleev rau hauv lub paum, lossis pw ua ke kom ntev txog ib lis piam tom qab. Nug koj tus kws khomob hais tias koj yuav tau tos ntev npaum li cas.
• Koj tuaj yeem siv cov ntaub qhwv huv.

Colposcopy tau ua tiav los kuaj mob khees-xaws ncauj tsev menyuam thiab hloov pauv uas tuaj yeem ua rau mob kheesxaws ncauj tsev menyuam.

Nws yog feem ntau tau ua thaum koj tau muaj kev ntsuam xyuas Pap smear lossis HPV kuaj. Nws kuj tseem tuaj yeem pom zoo yog tias koj los ntshav tom qab kev sib deev.

Txoj kev phais plab kuj yuav ua thaum koj tus kws kho mob pom tej thaj chaw tsis zoo ntawm koj lub ncauj tsev menyuam thaum kuaj mob plab mos. Cov no suav nrog:

• Txhua yam kev txawv txav ntawm lub ncauj tsev menyuam, lossis lwm qhov chaw ntawm lub paum
• Mob pob txha los sis HPV
• Ceem mob los sis mob rau lub ncauj tsev menyuam (ncauj tsev menyuam)

Kev siv lub colposcopy tuaj yeem siv taug qab HPV, thiab saib rau qhov txawv txav uas tuaj yeem rov qab los tom qab kev kho mob.

Ib qhov chaw swm lossis du ntawm lub ncauj tsev menyuam yog qhov qub.

Tus kws tshwj xeeb hu ua pathologist yuav kuaj cov nqaij ntawm lub ncauj tsev menyuam thiab xa daim ntawv qhia rau koj tus kws kho mob. Qhov kev ntsuam xyuas me yuav tau siv li 1 mus rau 2 lis piam. Ib qho txiaj ntsig zoo txhais tau tias tsis muaj mob qog nqaij hlav thiab tsis muaj qhov txawv txav tau pom.

Koj tus kws kho mob yuav tsum qhia rau koj yog tias muaj ib yam dab tsi txawv txawv pom thaum lub sijhawm ntsuas, suav nrog:

• Cov qauv tsis meej hauv cov hlab ntshav
• Thaj chaw uas o tuaj, hnav, lossis tso rau lub sij hawm dhau (atrophic)
• Ncauj polyps
• Mob pob txha los sis chaw mos
• Xuas hniav pleev xim rau ntawm ncauj tsev menyuam

Kev kuaj ntshav tsis zoo yuav tshwm sim vim yog cov pauv hloov uas tuaj yeem ua rau mob khees xaws ncauj tsev menyuam. Cov kev hloov pauv no hu ua dysplasia, lossis ncauj tsev menyuam mob hlwb (CIN).

• CIN Kuv mob me me dysplasia
• CIN II yog mob hnyav dysplasia
• CIN III muaj mob ua rau dysplasia lossis mob khees-xaws ncauj tsev menyuam heev thaum ntxov hu ua carcinoma hauv situ

Txav tsis tau qhov txhab tau yog vim:

• Mob ncauj tsev menyuam
• Cervical intraepithelial neoplasia (yam mob hloov pauv ntawm cov nqaij mos uas kuj tseem hu ua cervical dysplasia)
• Cervical warts (kev kis mob rau tib neeg tus kabmob papilloma, lossis HPV)

Yog tias qhov txiav me me tsis txiav txim siab qhov ua rau qhov tshwm sim txawv txav, koj yuav tsum tau muaj tus txheej txheem hu ua rab riam txias me me.

Tom qab kuaj me, tej zaum koj yuav los ntshav me ntsis txog li ib vas thiv. Tej zaum koj yuav mob me, koj lub paum yuav hnov ​​mob heev, thiab tej zaum koj tso tsaus nti li 1 mus rau 3 hnub.

Kev tso duab yoo me thiab mob me yuav tsis ua rau koj cev xeeb tub, lossis ua teeb meem thaum cev xeeb tub.

Hu rau koj tus kws khomob sai sai yog tias:

• Kev los ntshav yog qhov hnyav lossis kav ntev dua 2 asthiv.
• Koj muaj mob hauv koj lub plab los yog hauv thaj tsam mob thaj tsam ntawm thaj chaw mob.
• Koj pom tej cim kev kis tus mob (ua npaws, tsw phem, lossis paug).

Biopsy - colposcopy - qhia; Txaij - lub ncauj tsev menyuam - colposcopy; Endocervical curettage; ECC; Mob ncauj rau lub ncauj tsev menyuam; Raug me nyuam mos - cov nqaij me ntawm lub ncauj tsev menyuam; Cervical biopsy; Ncauj tsev menyuam rau mob neoplasia - colposcopy; CIN - colposcopy; Qhov kev hloov pauv ua ntej ntawm ncauj tsev menyuam - colposcopy; Cervical cancer - colposcopy; Cov nqaij mob muaj kua tsis khov - colposcopy; LSIL - colposcopy; HSIL - colposcopy; Tsawg-qib colposcopy; High-grade colposcopy; Carcinoma hauv situ - colposcopy; CIS - colposcopy; ASCUS - colposcopy; Atypical glandular cov hlwb - colposcopy; AGUS - colposcopy; Atypical squamous hlwb - colposcopy; Pap smear - colposcopy; HPV - colposcopy; Tus kab mob human papilloma - colposcopy; Cervix - colposcopy; Colposcopy

• Poj niam deev aub
• Colposcopy-qhia kev kuaj
• Uterus

Cohn DE, Ramaswamy B, Christian B, Bixel K. Malignancy thiab cev xeeb tub. Hauv: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Nyiaj RM, eds. Kev Tsim Nyog thiab Resnik Cov Tshuaj Tiv Thaiv Leej Niam: Cov Ntsiab Cai thiab Kev UaCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 56.

Khan MJ, Werner CL, Darragh TM, li al. ASCCP colposcopy cov qauv: lub luag haujlwm ntawm colposcopy, cov txiaj ntsig, muaj kev phom sij thiab cov lus hais rau kev xyaum colposcopic. Phau ntawv Journal ntawm Sab Qeb Menyuam Muaj Peev Xwm KhoCov. 2017; 21 (4): 223-229. PMID: 28953110 pubmed.ncbi.nlm.nih.gov/28953110/.

Newkirk GR. Kev kuaj mob pob zeb. Hauv: Fowler GC, ed. Pfenninger thiab Fowler Cov Txheej Txheem rau Thawj Tus Saib XyuasCov. 4 tug ed. Philadelphia, PA: Elsevier; 2020: chap 124.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia ntawm qis qis hauv qhov chaw mos (ncauj tsev menyuam, qhov chaw mos, qhov chaw mos): kev ntsuas mob, tshuaj ntsuam, ntsuas mob, tswj hwm. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 28.

Smith RP. Carcinoma hauv situ (ncauj tsev menyuam). Hauv: Smith RP, ed. Netter's Obstetrics & GynecologyCov. 3lawm ed. Philadelphia, PA: Elsevier; 2018: chap 115.