Kana uye sei chinhu endometrial biopsy?

Endometrial biopsy - chirwere nzira, inozivikanwa nokutora shoma zvinyama nokuda nemaziso kuzviongorora. nzira iyi zvinoshandawo duku gynecological akavhiyiwa sezvo akaita curettage of endometrium nokubatsirwa dzinokosha zvishandiso.

Endometrial biopsy inobva panowanikwa kuchikosha STRUCTURAL zvachinja endometrium semhinduro hormone dzishande. Nyanzvi Most vanoti kuti munhu akarurama chirwere kubva endometrial dysfunction zvinogoneka chete kuburikidza pedyo kuonana pakati gayinakorojisiti uye histopathology. In nhoroondo mushonga endometrial biopsy zvakanzi kutanga kubudiswa muna 1937. Kuti kuita zvakarurama chirwere pakati scrapings ari endometrium, zvakakodzera kusika zvimwe zvinhu.

Kuti aite kwechokwadi nechirwere, chiremba vanofanira kutevera vamwe mitemo:

• kushaya mbereko vakadzi vanofungidzirwa anovulatory kutenderera tichibvisa atora pamberi kumwedzi kana zvakananga panguva yekutevera;
• akadzokorora chipitipiti scrapings inoitwa amenorrhea kwevhiki ina, pamwe penguva vhiki imwe;
• menorrhagia tichibvisa rakundwa kumativi weshanu regumi zuva pashure kutanga kuenda kumwedzi;
• tichibvisa panguva metrorrhagia, yemanyorero vatora pakarepo mushure ropa;
• nokuti chirwere anomera pakati scrapings ari endometrium anogona kutorwa chero zuva kutenderera.

On kururama kwemashoko kusarudzwa kubva biomaterial kunoenderana rucheno kuedza.
Kana kuongorora kunobva ichiparara zvidimbu zvinyama, zviri zvakaoma kudzosa nemamiriro endometrium. Rairira tichibvisa kunosanganisira kuwana guru, kungotaura akacheka micheka yakatsemurwa endometrium. Panguva tichibvisa ari curette pashure nerimwe masvingo endometrium ndiyo goho kubva remuromo mugero.

Endometrial biopsy kunogona kuitwa nenzira dzakawanda:

• apedze chirwere curettage yacho dumbu. Muzviitiko zvizhinji curettage rinoitwa yoga (pakutanga ari remuromo canal, uye ipapo kubva dumbu). Kana ropa, kunyanya perimenopausal tichibvisa pamakona uterine chubhu rinoitwa kushandisa chiduku curette, sezvo riri dzinodengenyeka aya kazhinji vemunyika polypous endometrial growths. Zviri munzvimbo idzi hunotanga malignancy. Nokuti vanofungidzirwa carcinoma (wokutanga nhanganyaya curette ngaarayire nyoro, friable zvinyama) tichibvisa pakarepo wakagumiswa;
• tsono chido biopsy pamusoro endometrium akasungwa pamwe vakawanda kuongorora vakadzi nechinangwa diagnosing endometrial Kantser;
• akanomira endometrial scrapings yakabereka kuitira kuona zvinoitwa mucous Kamudzira pamusoro kwemakemikari anobudiswa ovarian basa, kusarudza zvinokonzera kushaya mbereko, kudzora gormoterapii zvabuda. The vakapa nzira haasi kushanda kuti uterine ropa.

Paypel endometrial biopsy akaita kushandisa Paypelya chishandiso (kusanduka chubhu ine dhayamita pamusoro lateral hwomukova pakupedzisira millimeters matatu). Inside the chubhu iri akaisa pisitoni, sokunge kwakajairika sirinji. Zvairatidza hworudzi urwu biopsy: ropa vakadzi vakura kupfuura makumi mana; ropa panguva kushandiswa kwemakemikari omuviri nhumbu; chirwere kubva endometrial kushaya mbereko; kunyanya ropa iri premenopausal; ropa ari kubereka.