Colposcopy

Zoo Siab

• Colposcopy yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj li xav tau colposcopy?
• Muaj dab tsi tshwm sim thaum lub sij hawm colposcopy?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog lub colposcopy?
• Ua tim khawv

Colposcopy yog dab tsi?

Kev tso mob plab yog ib qho txheej txheem uas tso cai rau tus kws saib xyuas kev noj qab haus huv los tshuaj xyuas tus poj niam lub tsev menyuam, lub paum, thiab qhov chaw mos. Nws siv lub teeb pom kev zoo, ua kom lub zog muag hu ua colposcope. Cov cuab yeej muab tso rau ntawm qhov pib ntawm qhov chaw mos. Nws ua kom pom qhov tseeb, tso cai rau koj tus kws kho mob kom pom cov teeb meem uas tsis tuaj yeem pom ntawm lub qhov muag ib leeg.

Yog tias koj tus kws kho mob pom ib qho teeb meem, nws yuav coj ib qho qauv ntawm daim ntaub mus kuaj (kuaj me). Qhov hnoos qeev feem ntau yog coj los ntawm ncauj tsev menyuam. Tus txheej txheem no paub txog kev kuaj mob ncauj tsev menyuam. Tej zaum yuav kuaj me me ntawm qhov chaw mos los yog chaw mos. Qhov ncauj tsev menyuam, ntawm lub paum, lossis rab qau yuav tuaj yeem qhia tau yog tias koj muaj cov cell uas yuav muaj feem yuav mob qog nqaij hlav cancer. Cov no yog hu ua precancerous hlwb. Kev nrhiav thiab kho cov kab mob hlwb yuav tiv thaiv tus kabmob los ntawm kev tsim.

Lwm lub npe: colposcopy nrog rau kev kuaj ntshav

Nws siv rau dab tsi?

Ib tug colposcopy feem ntau yog siv los nrhiav cov qog ua paug ntawm lub ncauj tsev menyuam, lub paum, lossis qhov chaw mos. Nws kuj tseem siv tau:

• Xyuas seb puas muaj mob pob ntawm chaw mos, uas tej zaum yuav yog tus tsos mob ntawm tus mob HPV (tib neeg papillomavirus). Muaj tus mob HPV tuaj yeem tsim kev phom sij rau koj los tsim mob khees-xaws ncauj tsev menyuam, ntawm chaw mos, lossis ntawm rab qau.
• Saib rau qhov tsis tuaj yeem loj hlob hu ua polyps
• Kuaj xyuas qhov ua voos lossis mob hlab ntshav ntawm ncauj tsev menyuam

Yog tias koj twb tau kuaj thiab kho tus mob HPV lawm, txoj kev kuaj no yuav siv los ntsuas kev hloov ntawm tes hauv lub ncauj tsev menyuam. Qee zaum qog hlwb rov qab tuaj tom qab kho tas.

Vim li cas kuv thiaj li xav tau colposcopy?

Koj tuaj yeem xav tau qhov kev ntsuas no yog tias koj muaj cov txiaj ntsig tsis zoo ntawm koj li Pap smear. Pap smear yog qhov kev sim uas yuav tau txais cov hnoos qeev los ntawm ncauj tsev menyuam. Nws tuaj yeem qhia tau yog tias muaj cov kab mob hlwb tsis zoo, tab sis nws tsis tuaj yeem muab kev kuaj mob. Ib tug colposcopy muab cov ncauj lus kom ntxaws ntxiv rau ntawm cov hlwb, uas tuaj yeem pab koj tus kws kho mob paub tseeb txog kev kuaj mob thiab / lossis nrhiav lwm yam teeb meem tshwm sim.

Koj kuj tseem xav tau qhov kev ntsuas no yog tias:

• Koj tau kuaj mob HPV
• Koj tus kws khomob pom tias thaj chaw tsis zoo ntawm koj lub ncauj tsev menyuam thaum lub sijhawm kuaj plab mos
• Koj muaj ntshav tom qab kev sib deev

Muaj dab tsi tshwm sim thaum lub sij hawm colposcopy?

Tus kab mob colposcopy tuaj yeem ua los ntawm koj tus thawj kws kho mob lossis kws kho mob poj niam, kws kho mob tshwj xeeb hauv kev kuaj mob thiab kho tus kab mob ntawm poj niam kev muaj me nyuam. Qhov kev ntsuam xyuas no feem ntau ua nyob hauv tus neeg muab kev pabcuam lub chaw haujlwm. Yog tias pom cov nqaij ntshiv uas tsis zoo, koj tuaj yeem kuaj qhov nqaij mus kuaj.

Thaum lub caij colposcopy:

• Koj yuav hle koj lub ris tsho thiab hnav tsoos tsho rau hauv tsev kho mob.
• Koj yuav tau pw ntawm koj sab nraum qab ntawm lub rooj kuaj mob nrog koj txhais ko taw nyob hauv txoj siav.
• Koj tus kws kho mob yuav muab lub cuab tam hu ua speculum rau hauv koj qhov chaw mos. Nws raug siv los txhawm rau qhib koj lub qhov paum.
• Koj tus kws kho mob yuav maj mam muab koj lub ncauj tsev menyuam thiab lub paum nrog cov kua dej vinegar lossis kua Iodine. Qhov no ua rau cov ntaub so ntswg tsis yooj yim pom.
• Koj tus kws kho mob yuav tso lub colposcope ze rau koj lub paum. Tab sis cov cuab yeej siv yuav tsis chwv koj lub cev.
• Koj tus kws kho mob yuav saib lub qhov nqaij me me, uas yog nthuav dav rau lub ncauj tsev menyuam, lub paum, thiab rab qau. Yog tias ib qho chaw ntawm cov nqaij mos zoo li qhov txawv txav, koj tus kws kho mob yuav ua rau lub ncauj tsev menyuam, ntawm qhov chaw mos, lossis ua paum.

Thaum kuaj me:

• Qhov chaw mos ib ce yuav mob heev, yog li koj tus kws kho mob yuav xub muab tshuaj rau koj loog tsam.
• Thaum thaj chaw loog, koj tus kws kho mob yuav siv ib qho cuab yeej me me los tshem cov hnoos qeev coj mus kuaj. Qee lub sij hawm coj mus kuaj ntau.
• Koj tus kws kho mob tseem yuav ua tus txheej txheem hu ua endocervical curettage (ECC) coj qhov hnoos qeev los ntawm sab hauv ntawm qhov qhib ntawm lub ncauj tsev menyuam. Thaj chaw no tsis tuaj yeem pom nyob rau thaum me me. ECC ua tiav nrog cov cuab yeej tshwj xeeb hu ua chav kho me nyuam. Tej zaum koj yuav hnov ​​zoo li yuag me ntsis los yog mob plab raws li cov ntaub so ntswg tshem tawm.
• Koj tus kws kho mob yuav siv cov tshuaj pleev pleev rau qhov chaw kuaj ntshav kom kho qhov ntshav twg uas koj tau muaj.

Tom qab kuaj ib qho me me, koj yuav tsum tsis txhob nyo, siv tampons, lossis pw ua ke rau ib lub lim tiam tom qab koj txoj kev kuaj mob, lossis kom ntev li koj tus kws kho mob qhia.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Tsis txhob siv tshuaj, siv cov tampons lossis tshuaj noj ntawm lub paum, lossis muaj kev sib deev rau tsawg kawg 24 teev ua ntej ntsuas. Tsis tas li, nws yog qhov zoo tshaj plaws los teem sijhawm koj colposcopy thaum koj nyob tsis tau coj khaub ncaws koj coj khaub ncaws.Thiab nco ntsoov qhia koj tus kws kho mob yog tias koj xeeb tub los yog xav tias koj cev xeeb tub. Kev mob plab yog feem ntau muaj kev nyab xeeb thaum cev xeeb tub, tab sis yog xav tau qhov txhab ntshav, nws tuaj yeem ua rau kom los ntshav ntxiv.

Puas muaj kev pheej hmoo rau kev kuaj?

Nws muaj feem yuav pheej hmoo heev rau qhov muaj mob kas cees. Koj yuav muaj qee qhov tsis xis nyob thaum cov ntiv tes no tso rau hauv lub paum, thiab cov kua qaub lossis kua Iodine yuav plev.

Txoj kev siv me me (biopsy) kuj yog ib qho txheej txheem nyab Koj tuaj yeem hnov ​​zoo ib ntus thaum qhov nqaij coj mus kuaj. Tom qab cov txheej txheem, koj qhov chaw mos yuav mob rau ib hnub lossis ob hnub. Tej zaum koj yuav muaj qee qhov caws me ntsis thiab los ntshav me ntsis. Nws ib qho yuav los ntshav me ntsis thiab tawm mus txog li ib asthiv tom qab kuaj tas.

Cov teeb meem hnyav los ntawm kev siv lub tshuab me me yuav tsis tshua muaj, tab sis hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob hauv qab no:

• Los ntshav hnyav
• Mob plab
• Cov tsos mob ntawm kis, xws li ua npaws, ua daus no thiab / los yog tsw phem tsw

Cov txiaj ntsig li cas?

Thaum lub caij koj mus kuaj mob, koj tus kws kho mob yuav pom ib lossis ob peb yam ntawm cov xwm txheej hauv qab no:

• Mob pob txha los sis chaw mos
• Polyps
• O los yog voos rau lub ncauj tsev menyuam
• Cov nqaij tsis zoo

Yog tias koj tus kws kho mob muab kuaj me me, koj cov txiaj ntsig yuav qhia tau koj tias koj muaj:

• Hlwb cev xeeb tub hauv lub ncauj tsev menyuam, lub paum, lossis qau
• Kab mob HPV
• Mob khees xaws rau lub ncauj tsev menyuam, lub paum, lossis rab qau

Yog hais tias koj cov kev kuaj mob mus kuaj ib txwm, nws tsis muaj peev xwm hais tias koj muaj cov kab mob hauv koj lub ncauj tsev menyuam, lub paum, lossis qhov chaw mos uas yuav muaj feem yuav ua mob cancer. Tab sis qhov ntawd tuaj yeem hloov tau. Yog li koj tus kws kho mob yuav xav saib xyuas koj rau cov kev hloov ntawm tes nrog Pap smear ntau dua thiab / los yog ntxiv rau cov chaw muaj ntshav.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Puas muaj lwm yam ntxiv uas kuv xav paub txog lub colposcopy?

Yog tias koj cov txiaj ntsig pom tau tias koj muaj lub hlwb muaj xwm txheej, koj tus kws kho mob yuav teem lwm txoj hauv kev los tshem lawv. Qhov no tuaj yeem tiv thaiv tus mob qog noj ntshav. Yog tias nrhiav pom kabmob kheesxaws, koj yuav raug xa mus rau tus kws kho mob pojniam, kws khomob uas paub txog kev kho mob qog nqaij hlav ntawm pojniam lub cev.

Ua tim khawv

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2. Cleveland Clinic [Hauv Is Taws Nem]. Cleveland (OH): Cleveland Clinic; c2020. Colposcopy: Ntsiab thiab Ua Raws; [raug suav xyoo 2020 Jun 22]; [txog 5 ntxaij]. Muaj los ntawm: https://my.clevelandclinic.org/health/diagnostics/4044-colposcopy/results-and-follow-up
3. Cancer.Net [Is Taws Nem]. Alexandria (VA): Asmeskas Cov Neeg Sib Koom Hauv Kev Kho Mob oncology; 2005–2020. Colposcopy: Yuav Npaj Li Cas thiab Yuav Ua Li Cas Paub; 2019 Jun 13 [raug nplua 2020 Jun 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.cancer.net/blog/2019-06/colposcopy-how-prepare-and-what-know
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5. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2020. Qhia Txog Colposcopy; 2020 Plaub Hlis 4 [raug nplua 2020 Jun 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/tests-procedures/colposcopy/about/pac-20385036
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7. National Cancer Institute [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; NCI Phau Ntawv Txhais Lus ntawm Cancer Yog: tus kws khomob poj niam; [raug suav xyoo 2020 Jun 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/gynecologic-oncologist
8. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. Colposcopy - qhia me me: Cov lus qhia dav dav; [kho tshiab 2020 Jun 22; raug nplua 2020 Jun 2]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/colposcopy-directed-biopsy
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12. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Kev Kuaj Mob Ncaws Pob thiab Ncauj Ncig Me: Cov Lus Pom Zoo; [kho tshiab 2019 Aug 22; raug nplua 2020 Jun 22]; [txog 8 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4248
13. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Colposcopy thiab Cervical Biopsy: Cov Kev phom sij; [kho tshiab 2019 Aug 22; raug nplua 2020 Jun 22]; [txog 7 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4246
14. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Lus Qhia Txog Kev Noj Qab Haus Huv: Kev Kuaj Mob Ncaws Pob Txha thiab Ncauj Ncig Ntawm Lub Ncauj Ncauj Ncauj Ncig Zov: Kev Ntsuam Xyuas Tag Nrho; [kho tshiab 2019 Aug 22; raug nplua 2020 Jun 22]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html
15. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Kev Kuaj Mob Ncaws Pob Txha thiab Ncauj Ntawm Menyuam Ncauj Qoob: Dab Tsi Yuav Tsum Xav Txog; [kho tshiab 2019 Aug 22; raug nplua 2020 Jun 22]; [txog 10 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4254
16. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Colposcopy thiab Cervical Biopsy: Vim Li Cas Nws Ua; [kho tshiab 2019 Aug 22; raug nplua 2020 Jun 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/colposcopy-and-cervical-biopsy/hw4205.html#hw4221

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.