Zowopsa kuti mudziwe zomwe mungamufunse dokotala wanu
Njira yotchedwa loop electrosurgical excision procedure , yomwe imadziwika kuti LEEP, ndiyo njira yomwe yachitidwa kuti azikhala ochizira, otsika komanso apamwamba kwambiri a chiberekero cha dysplasia , chomwe chimawoneka bwino kwambiri. A LEEP amagwiritsa ntchito waya wothandizira magetsi kuti achotse minofu ya chiberekero. Zachitika pansi pa anesthesia am'deralo ndipo kawirikawiri imachitidwa kuchipatala kuchipatala kapena ku ofesi ya dokotala.
Mimba Pambuyo pa njira ya LEEP
Pamene akuyembekeza kuti azitsatira njira ya LEEP, amai ambiri akudandaula za momwe zidzakhudzira mimba ya mtsogolo. Nkhani za kusabereka, kuperewera kwa amayi, komanso ntchito zogwirira ntchito nthawi zambiri zimakhala zoyamba zomwe akazi amamva akamakafufuza LEEP. Chowonadi ndi chakuti kukhala ndi ndondomeko ya LEEP kumangowonjezera pang'ono zomwe zingathetse mavuto a mimba mtsogolo, koma amayi ambiri alibe mavuto.
Ngozi Zowonongeka Zokhudzana ndi Mimba Pambuyo pa LEEP
Izi ndi zina mwa zoopsa zomwe zimakhudzana ndi mimba pambuyo pa LEEP:
- Chiberekero chosadziŵa. Pamene chiberekero chanu chikupezeka ngati "chopanda nzeru," zikutanthauza kuti chiberekero sichitha kutsekedwa panthawi ya mimba. Kusadziletsa kwa chiberekero kungabweretse kuperewera kwa amayi komanso kusamalidwa. Komabe, chiberekero cha kholachi chikhoza kuchitidwa kuti chiberekero chikhale chitatsekedwa pa nthawi ya mimba. Izi zikutanthauza kuti kachilombo ka HIV kamakhala kotsekedwa panthawi yomwe ali ndi mimba. Amayi ocheperapo okha omwe ali ndi LEEP adzafuna kacclage pa nthawi ya mimba.
- Kutuluka kunja . Kafukufuku wina waposachedwapa anasonyeza kuti amayi omwe anakhala ndi pakati zosakwana chaka chimodzi pambuyo poti njira zawo za LEEP zinali ndi chiopsezo chachikulu chopita padera. Nkhani yabwino ndi yakuti phunziro lomwelo linawonetsa kuti akazi omwe anali chaka chimodzi kapena kuposerapo njira zawo za LEEP analibe chiopsezo chotenga padera poyerekeza ndi amayi ena onse.
- Cervical stenosis. Izi zimatanthawuza ku chiberekero cholimba komanso chochepa. Izi zingapangitse kuti chiberekero chikhale chovuta kuwonjezera pa nthawi ya ululu.
- Kuvuta kutenga pakati. Kafukufuku wa LEEP ndi kubereka ndi ochepa, koma mukhoza kukhala ndi vuto kutenga mimba pambuyo pa njira ya LEEP.
Palinso pangozi ya 10 peresenti ya kubwezeretsa ana omwe akuyambanso kubereka omwe akugwirizana ndi LEEP, ngakhale kuti amayi ambiri amatha kukhala ndi thanzi labwino, nthawi zonse.
Pansi
Njira zomwe mimba imadzakhudzidwira ndi LEEP zimadalira kuchuluka kwa minofu ya chiberekero yomwe yachotsedwera ndipo ngati njirayi kapena opaleshoni ina iliyonse yakhala ikuchitidwa kale. Lankhulani ndi dokotala wanu ngati muli ndi nkhaŵa iliyonse.
Mafunso a Dokotala Wanu
Pali mafunso ambiri omwe muyenera kufunsa dokotala wanu za LEEP ngati mukufuna kukatenga. Zikuphatikizapo:
- Kodi mukuganiza kuti LEEP idzakhudza bwanji mimba yanga?
- Kodi LEEP ndi njira yokhayo yothandizira ineyo?
- Ndizotenga nthawi yaitali bwanji kuti kachilombo ka kachilombo kanga kachilitsike?
- Ndi liti pamene ine ndingayambe kugonana kachiwiri? (Nthawi zambiri kuyembekezera musanalowe kugonana ndi pafupi masabata anai kapena asanu ndi limodzi. Zingakhale zochepa kapena zochepa malinga ndi kuchuluka kwa minofu ya chiberekero yomwe imayenera kuchotsedwa.)
- Kodi patapita nthawi yaitali bwanji LEEP ndingayambe kutenga mimba?
Pakati pa Mimba
Onetsetsani kuti mudziwe dokotala wanu ngati mwakhala ndi LEEP mukamaliza kusankhidwa. Kupatsa dokotala wanu chidziwitso, monga ndondomeko zomwe adokotala omwe adachita LEEP komanso mauthenga omwe akugwirizana nawo, zimamuthandiza kudziwa momwe angakhalire ndi mimba.
> Zotsatira:
> Ciavattini, A, Clemente, N, Delli Carpini, G, et al. Loop Electrosurgical Excision Procedure ndi Ngozi Yokwatirana. Utsi ndi Wofooka . April 2015; 103 (4): 1043-1048.
> Loop Electrosurgical Excision Procedure (LEEP). American Congress of Obstetricians ndi Gynecologists. Lofalitsidwa mu July 2017.
> Njira Zowonongeka Zimayambitsa Khansa ya Chiberekero Poyamba. Clinical Cleveland. Lofalitsidwa pa January 23, 2014.