Mankhwala otchedwa hysterectomy amatanthauza kuchotsedwa kwa chiberekero ndipo nthawi zina chiberekero . Kawirikawiri, hysterectomy imapangidwira kuti zikhale zosaopsa (osati za khansa) monga uterine fibroids kapena kutuluka kwa magazi kumatenda. Koma nthawi zina zatha kuchiza khansa.
Kudziwa chifukwa chake mukudwala hysterectomy n'kofunika kwambiri, monga kudziwa ngati chiberekero chanu chinachotsedwa ndi chiberekero chanu komanso ngati muli ndi mbiri ya khansara ya chiberekero kapena mapepala osapitirira.
Ichi ndi chifukwa chakuti izi zimatsimikizira ngati mukufuna kupitiriza mapepala a Pap pambuyo pa opaleshoni yanu.
Ngakhale dokotala wanu atakhala ndi chidziwitso chonsechi, ndibwino kuti mudziwe nokha-motere, palibe chomwe chimapyola ming'alu, ndipo ngakhale bwino, mungakhale okondwa kukhala pamwamba pa thanzi lanu.
Pap Smear Pambuyo pa Kutentha Kwambiri
Azimayi amene adzizidwa ndi hysterectomy (zomwe zikutanthauza kuti chiberekero ndi chiberekero zinachitidwa opaleshoni) sizikusowa kuti zikhale ndi mapepala ena apadera, pokhapokha, ndipo izi ndizomwe zimakhala ndi mankhwala akuluakulu, hysterectomy inkachitidwa ngati mankhwala a chiberekero -cancer kapena khansa.
Pachifukwa ichi, pangakhale maselo achiberekero omwe alipo pamwamba pa abambo, kotero kufufuza kwa khansara ya khoza lachiberekero malinga ndi malangizo a nthawi zonse ayenera kuchitidwa.
Mphindi wachiwiri ndi kuti ngakhale mayi atakhala ndi mankhwala osokoneza bongo, amafunikanso kupatsidwa mapepala a Pap ngati ali ndi mbiri ya khansa ya chiberekero kapena mbiri ya kansalu ya chiberekero kusintha, makamaka chiberekero cha intraepithelial neoplasia II kapena III (yotchedwa CIN2 kapena CIN3 ) -kukhala kochepa kwambiri mpaka kukula kochepa kwa maselo pamimba.
CIN2 kapena CIN 3 amapezeka pa colposcopy ndi biopsy (pamene dokotala atenga kachilombo ka HIV ndi kuyang'ana pansi pa microscope).
Malingana ndi American College of Obstetrics ndi Gynecologists (ACOG), mayi yemwe ali ndi mbiri ya khansara ya chiberekero kapena selo lachiberekero amasintha (CIN2 kapena CIN3) ayenera kupitiliza pap smears kwa zaka 20 pambuyo pa nthawi ya hysterectomy.
Pap Smear Pambuyo pa Kutentha kwa Hysterectomy
Komabe, amayi omwe ali ndi hysterectomy omwe amatsalira pachibelekero (omwe amatchedwa hysterectomy, chiwerengero cha hysterectomy , kapena hyperereticomy) ayenera kutsata ndondomeko ya pap smear monga mwachizolowezi.
Mwa kuyankhula kwina, kwa iwo omwe ali ndi kachilombo koyambitsa matenda, malangizowa ali ofanana ndi mkazi yemwe sanakhale ndi hysterectomy, chifukwa chiberekero chidalipobe.
Zomwe Smears Zimapangidwira Pamene Nyongolotsi Yachotsedwa
Mankhwala a Pap ndi njira yabwino kwambiri yowunikira khansa ya chiberekero, ngakhale pamene chiberekero chachotsedwa. Pambuyo pa chifuwa cha Pap, atachotsedwa chiberekero, dokotala amatola zitsanzo kuchokera kumimba ya vagini, kumtunda kumene chiberekero chimapezeka.
Ngakhale izi zingakhale zovuta kukulunga mutu wanu (ndipo ndizobwino), mfundo yaikulu ndi yakuti ngakhale mkodzo wanu utachotsedwa, maselo a chiberekero (omwe sali owoneka) akhoza kukhala pamwamba pa chiberekero-komanso ngati selo iliyonse, Amatha kusintha ndi kukhala khansa, kotero kuyesa nthawi zonse ndikofunika.
Zomwe Zakale Zomwe Zachisoni Zikufuna Zidakalipo Pambuyo pa Hysterectomy
Kuyezetsa magazi kwapadera, komwe kumatchedwanso kuti mayi wabwino, ndi nthawi yoti madokotala asamangopanga mapepala a Pap okhaokha komanso mawonekedwe a mavuto ena okhwima, omwe ali ndi khansa osati ayi.
Mwachitsanzo, panthawi yomwe mayi wabwino akuchezera, dokotala akhoza kuyesa kuyamwa, komanso kufufuza pa mazira ozungulira, omwe amatchedwa kuti bimanual.
Kuwonjezera pamenepo, maulendo a amayi abwino amapereka mwayi kwa madokotala kuti alangize uphungu, kukhala ndi thanzi labwino, ndikuwunikira majekeseni oyenera, ndi kukambirana ndi nkhawa zomwe amayi angakhale nazo (mwachitsanzo, kutaya mwadzidzidzi kapenanso kupweteka pogonana).
Mawu Ochokera
Kumbukirani, dokotala wanu ndiye gwero lanu labwino la chidziwitso cha thanzi. Pambuyo pa hysterectomy, funsani ngati chiberekero chanu chinasungidwa kapena kuchotsedwa. Ngakhale dokotala wanu atatha kufotokoza izi asanachitike opaleshoni, nthawi zina dokotala amalingalira kuchotsa kapena kuteteza kachilombo ka HIV pamsana pa opaleshoniyo.
Komanso musadandaule ngati simukudziwa ngati kachilomboka kanachotsedwa. Dokotala wanu akhoza kuchita kafukufuku wamkati kuti ayang'ane.
Pamapeto pake, khalani ndi mphamvu komanso mwakhama komanso muwone dokotala wanu kuti abwerere kuchipatala kapena ayi.
> Zotsatira:
> American Cancer Society. (2012). Malangizo a Kansalu ya Khansa.
> American College of Obstetrics ndi Gynecologists. (2016). Kuyeza Khansa ya Chiberekero.
> American College of Obstetrics ndi Gynecologists. (2016). Malingaliro a Komiti: Ulendo Wokongola.
> Feldman S, Goodman A, Peipert JF. Kuyeza kansa ya pachibelekero. Goff B, Elmore JG, eds. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Sawaya GF. Onaninso zowonongeka kwa mkazi wabwino pachaka. Choletsa Gynecol . 2015 Oct; 126 (4): 695-96.