Oncocitology: ntoni na, kwaye kunjalo kuyimfuneko ukuba ayigqithisele phezu zohlalutyo?

Umsebenzi wonke umfazi namhlanje nayiphi na ubudala, esweni ngenyameko impilo yabo, nangenxa yamanina, Kakade ke, kakhulu. Ukwenza oku kanye kufuneka ngonyaka Kwathi dispanzerizatsiyu ngokupheleleyo, thatha zonke iimvavanyo Kucetyiswa, kubandakanywa ukwenza isifundo efana oncocitology. Yintoni na kwaye kutheni na japan kubaluleke kangaka kolu hlahlelo? Oku kuya kuxutyushwa kweli nqaku.

Oncocitology-ntoni na?

Umhlaza womlomo wesibeleko lelinye zifo zixhaphakileyo yamanina, ezithi nzima oogqirha izazinzulu kulo lonke ihlabathi. Ukuthatha smear onkotsitologiyu uyakwazi ukubona iiseli precancerous, kwaye kwangoko kangangoko kunokwenzeka ukuqalisa unyango olufanelekileyo, nto leyo esisizathu sokuba olu hlalutyo nto ibaluleke kakhulu.

Onkotsitologichesskoe uphando lubonisa ethatha swab evela kwilungu lobufazi kwaye wesibeleko, kunye nokuhlolwa kunye nohlahlelo epithelium maleko-ezimbini egubungele wesibeleko.

Lo maleko wokuqala epithelium, umaleko ube mnye zezindlu, Azigubungele wesibeleko yi emjelweni wesibeleko. Umaleko yesibini, yaye Planar multilayer lugubungela ikuku.

Uphando isakhiwo esicwangciswe ngayo epithelium phantsi neemicroscope sikuvumela ukuba ubone iiseli ucocekile, nokuqinisekisa ukuba nayiphi na kwezi mutated, ie umhlaza.

Uhlalutyo onkotsitologiyu wesibeleko ibhaqa nje kukho iiseli ezingaqhelekanga, kodwa ibonisa ubukho nayiphi na inkqubo kwiintetho ezikralayo, okanye naluphi na utshintsho epithelium. Izifo ezininzi zifumaneka kwi kusekwangoko, efanele unyango ngempumelelo.

Ubungqina obubonakalayo buxela ukuba uthathe uhlalutyo onkotsitologiyu

Smear ku onkotsitologiyu eboniswe bonke abafazi ukuqala eneminyaka eyi-18.

Ngokutsho manani, namankazana abo Kodwa ke ukuba imikhwa emibi, ukusebenzisa ukhokela yokuphila esempilweni,, basengozini yomhlaza.

Ngoko ke, thabatha uhlalutyo onkotsitologiyu wesibeleko kufuneka ngawo onke besini enobulungisa, ubudala uninzi. Oku kufuneka kwenziwe zombini kunye ukubonakala sola, kunye nothintelo.

Xa efumanise sisifo wesibeleko, uhlalutyo kufuneka kungabikho ngaphantsi kwe amaxesha 2 ngonyaka. Njengenyathelo lokuthintela olunye uhlolisiso kuphela iinyanga ezili-12.

papillomavirus Human kubonisa inyanzelekile ukuba onkotsitologicheskogo sifundo, ekubeni le ntsholongwane kubangela ukuyilwa iinkqubo ngumhlaza.

Ngaphandle kokufunda basic, smear wesibeleko kwi onkotsitologiyu wabelwa ukuba amabhinqa yezitenxo sexesheni, nenzalo, kunye nezikhalazo iintlungu esiswini, unyango elide hormone. Olusemngciphekweni kwakhona nabafazi izalamane zakhe close ubunzima ngumhlaza.

Oncocitology for abafazi abadala

Kukho imbono engachananga kwabasetyhini emva exesheni iingxaki zangasese shwaka. Bakuve kukhokelela kukuba oogqirha zokuva imihlaza bayityeshela ngokunzulu, nokuphilisa maxa wambi akunakwenzeka. Ngoko ke musa ukuba kuhambe ukukhumbuza oomama kunye oomakhulu ukuba uhlalutyo onkotsitologiyu kufuneka kwathi kunyaka ngamnye, nangona ngeminyaka kunye nesimo sempilo.

Oncocitology kwabasetyhini abakhulelweyo

into Azi imfuneko yokuba azihlole njengoko oncocitology, ngaba yaye wenza ntoni, ukuba wonke umfazi ngxexesha izicwangciso lokukhulelwa.

Eyona ezichanekileyo ziya kudlula phambi uhlalutyo ngexesha elinye-esakhulelwe izityholo, ingakumbi amabhinqa ufikelele kwiminyaka yobudala amathathu nangaphezulu. Enyanisweni, ngexesha lokukhulelwa, zonke izifo badla ukwandisa kakhulu, nto leyo enokukhokelela ukulahleka kwimveku kunye iingxaki ezahlukeneyo.

Ngexa lokukhulelwa, ugqirha umisela onkotsitologicheskoe ukufunda kathathu. Nangona kunjalo, kwimeko ugqirha isisu ezisengozini ungatshitshisa inkqubo, ekubeni kuthinjwe olu hlobo lokuvandlakanya kufuna ezinye namanyathelo zingonakalisa yokumitha. Kwimeko nganye, ugqirha isigqibo ngabanye.

Njengoko Uhlalutyo sithathwa onkotsitologiyu?

Uhlalutyo Kucingo olubiyele wenziwa kwigumbi imithi esitulweni yamanina obstetrician.

Ukuqokelelwa iiseli yenziweyo inani elincinane epithelium otschipyvaniya kunye kumphezulu wesibeleko. Ngenxa umbelekisi isebenzisa iseti izixhobo ludlolo, kuqulethe iibhrashi ezizodwa spatula.

Inkqubo ayifuni ulawulo amachiza iintlungu ziye elula ngokupheleleyo. Noko ke, izigulane ezininzi bayoyika ethile deformation le epithelium komhlaba kunye neentlungu, kodwa luphawu engalunganga.

ummandla kusisi alizange isakhiwo epithelium ayitshintshanga, ekubeni uhlalutyo ucingo angazishiyi na, azafunyanelwa ndawo. Uhlalutyo neze buhlungu kwaye akumenzi umfazi uzive iintlungu okanye ukungaphatheki.

Emva kokuthatha phezu uhlalutyo ngeentsuku enye okanye ezimbini ukuze nibonwe amabala ukuba kuvavanywa ngaphandle unyango.

Uhlalutyo ndawonye phezu kwiphetshana engenazintsholongwane ngeglasi, izibuko ungaba kuze ziingceba-3. Bathi ke baphathwe ukulungisa isisombululo kunye nezisombululo umbala longeziwe.

Elabhoratri, ugqirha-sezifo ulinganisa iiseli ngemicroscope aze anike izimvo zalo. Ngokutsho iziphumo cytologic nowokupheliswa ugqirha ukuya imisela unyango olufanelekileyo.

Ukulungiselela inkqubo

Ukususela iziphumo zazo naziphi uhlalutyo impilo kunye nobomi yomguli, akukho ngaphandle kunye smear kwi onkotsitologiyu. Iziphumo zohlalutyo ziya kuxhomekeka, kuquka indlela kakuhle umfazi ukulungiselela le nkqubo.

kukhankanywa nangoko kubalulekile ukuba ayinako le ndebe ukudlula uhlalutyo ngethuba lomjikelo sexesheni, kwakunye phambi kwabanye ukopha. Kwangoko phambi xa uqala ukuba sexesheni okanye ngoko nangoko emva kokugqitywa kwalo, elona xesha lifanelekileyo, kucetyiswa xa ukuba anike ngaphezu smear kwi onkotsitologiyu. Ukudumba zangasese lwangaphandle ziya kuba contraindication.

Ukuze ufumane iziphumo inokuthenjwa, kwiintsuku ezimbini phambi koviwo Kucetyiswa ukuba ukwahlula neentlobano zesini, douching icinyiwe, musa ukusebenzisa tampon, naziphi izithambiso, amafutha kunye suppositories lobufazi.

Ngaphambi kokuba isandla phezu smear kwi onkotsitologiyu, iziphumo nto leyo eza kuxhomekeka kwindlela kakuhle wayilungiselela umfazi kwiiyure 48 ezayo ayikhuthazwa ukundwendwela ugqirha kwaye enze nayiphi na zazo esitulweni yamanina. Zonke Utyelelo kugqirha ufanele naliphi na ixesha emva komhla uhlalutyo.

reception bath kwakhona akukhuthazwa ukuba kwiintsuku ezimbini phambi kokuba sifundo, kungcono ukwenza ishawa.

iintlobo oncocytology

Uhlobo analysis onktsitologiyu unokuba iifom ezimbini:

• oncocytology Easy;
• oncocitology ulwelo.

Ekuqhubeni into engamanzi athathwe oncocytology hayi unesandla kwi iglasi ngexesha oncocytology ezilula kunye iibhrashi ezikhethekileyo bewuhlisele kungena igutyana kunye medium okhethekileyo. Uhlalutyo zilondolozwe ngaphakathi kulwelo, lwaba nokuba inwebu iiseli ndahlamba.

Le ndlela ukuthatha zohlalutyo izinto ezintsha, ke akuyi kusetyenziswa kuzo zonke iiklinikhi. oncocitology ulwelo kuvumela ugqirha-cytologist ukufumana iziphumo inokuthenjwa.

analysis ziqonde

Uhlalutyo umfazi yombhalo kanye kwigumbi imithi oncocitology yabanjwa kwenziwa kwi yingcali elebhu, cytology, kaninzi kuthatha malunga neeveki ezimbini.

Kukho iiklasi ezintlanu yemeko wesibeleko:

1. Iklasi yokuqala eqhelekileyo. Ngoko a smear ayenziwanga kukhona iiseli ezingaqhelekanga. Zonke iiseli ngokwemilo yesiqhelo kunye nobukhulu.
2. Udidi lwesibini - iqaphele ubukho ukudumba, ezifana හසුරුව isiphathi.
3. Kudidi lwesithathu - in a smear iqulethe iiseli ezingaqhelekanga xa imali encinane. Kufuneka ukuba baphinde-ukuhlolisisa ngaphandle nakanjani.
4. kwibakala lesine - in a smear iiseli amabi.
5. kwiklasi yesihlanu - zonke iiseli smear Nedlac. Amathuba lomhlaza uphezulu.

Kodwa ke, ufanele wazi ukuba uhlalutyo onkotsitologiyu ayikho sisalathisi echanekileyo umhlaza, wamane ubhekisela neenguqu ezithi zenzeke iiseli zokufunda kamva ngokucokisekileyo ngakumbi.

Uxilongo esichazayo kukuba ugqirha emva eziliqela iimvavanyo kunye nophando, kwakunye Ukubona iimpawu.

isifundo Cytological ikwaqulathe datha ilandelayo:

1. A smear wesibeleko umjelo - kuqikelelwa imo epithelium carcinomas evela kwilungu lobufazi yaye inxalenye lomsele wesibeleko.
2. A smear yenxenye langasese - uphonononga iiseli epithelium wakubo carcinomas, equka inxalenye kusisi wesibeleko.

Kuba imiphumo ethembekileyo mali olwaneleyo izinto ezifunekayo. Kungenjalo ugqirha entolongweni ibonisa engafanelekanga (zaneleyo isifundo) isixa-iziyobisi.

Oncocitology ngexesha ukudumba

Njengenyathelo lothintelo okanye ugqirha wezifo yamanina okukrokrelwayo amisiweyo oncocitology. Nangokurhala, ukuba ikhona, unako ukuthintela ukuchongwa iiseli zomhlaza.

Kule meko kuyimfuneko ukuba bapase i-smear elula kwi miklofloru ukucacisa umthombo yosulelo kwaye yavavanyelwa izifo, izifo ezidluliselwa ngeentlobano zesini.

Emva unyango onkotsitologiyu uhlalutyo kufuneka liphindwe. Oku kubonisa ukuba unyango banikwa uncedo ngokuthembekileyo ukubona ubukho iiseli umhlaza kwi smear.

imiphumela emibi

Ukuba lihlaziya onkotsitologiyu ibonisa ubukho iiseli umhlaza, ngaphezu kwabo bonke, musa ukothuka. Ukutenxa kumgaqo kaninzi akuthethi ukuba abasetyhini benze ngamathumba amabi, nokuba le meko azikwazi alungiswe.

Uphando lubonise ukuba smear kakuhle onkotsitologiyu kwenzeka ngokufuthi, kunye nomhlaza wesibeleko ze isibeleko lingaphantsi azixhaphakanga.

Ugqirha ofanelekileyo uya kuchaza ukuba uhlobo ezinxaxhileyo sele zichongiwe, kwaye amisele iimvavanyo ezongezelelweyo ezifana Colposcopy okanye biopsy.

Xa kunjalo, khumbula ukuba smear esingaqhelekanga kwi onkotsitologiyu akusoloko kububungqina ubukho umhlaza kwabasetyhini.

Wonke umfazi mihla kufuneka aziswe malunga nokubaluleka uhlahlelo ezifana oncocitology yintoni na nokuba kutheni uhlahlelo njalo-njalo kuyimfuneko ukuze efumanise umhlaza kwangethuba.