Cone biopsy

A cone biopsy (conization) bụ ịwa ahụ iji wepu a sample nke ndiiche anụ ahụ si cervix. Cervix bụ akụkụ dị ala nke akpanwa (akpa nwa) nke na-emepe n'elu elu nke ikpu. A na-akpọ mgbanwe na-adịghị mma na mkpụrụ ndụ ndị dị n'elu cervix ahụ dysplasia cervical.

A na-eme usoro a n'ụlọ ọgwụ ma ọ bụ na ụlọ ọrụ ịwa ahụ. N'oge usoro ahụ:

• A ga-enye gị ọgwụ nhụjuanya izugbe (ụra na enweghị mgbu), ma ọ bụ ọgwụ ga-enyere gị aka izu ike ma hie ụra.
• Ga-edina na tebụl ma tinye ụkwụ gị na mkpali iji debe pelvis maka ule. Onye na - ahụ maka ahụike ga - etinye ihe (speculum) n'ime ikpu gị iji hụ cervix ahụ nke ọma.
• A na-ewepụ obere eriri dị n'ụdị cone na cervix. Enwere ike ịme usoro a site na iji eriri waya na-ekpo ọkụ site na ọkụ eletrik (usoro LEEP), ihe mkpuchi (mma mma biopsy), ma ọ bụ eriri laser.
• A pụkwara ihichapụ oghere dị n'elu eriri biopsy cone iji wepụ mkpụrụ ndụ maka nyocha. Nke a bụ akpọ endocervical curettage (ECC).
• A na-enyocha ihe nlele ahụ n'okpuru microscope maka ihe ịrịba ama nke kansa. Biopsy a nwekwara ike ịbụ ọgwụgwọ ma ọ bụrụ na onye na-eweta ya na-ewepụ anụ ahụ niile na-arịa ọrịa.

Imirikiti oge, ị ga-enwe ike ịla ụlọ n'otu ụbọchị dịka usoro ahụ.

Enwere ike ịgwa gị ka ị ghara iri nri ma ọ bụ drinkụọ maka awa 6 ruo 8 tupu ule ahụ.

Emechaa usoro ahụ, ị ​​nwere ike inwe ihe mgbochi ma ọ bụ nkasi obi ruo ihe dị ka otu izu. Maka ihe dị ka izu 4 ruo 6 zere:

• Ntughari (emeghi ka eme ya)
• Mmekọahụ
• Iji tampon

Maka izu 2 ruo 3 mgbe usoro ahụ gasịrị, ịnwere ike ịnwepụta nke bụ:

• Ọbara
• Arọ
• Agba odo

A na-eme biopsy Cone ịchọpụta ọrịa cancer akpa nwa ma ọ bụ mgbanwe ndị mbụ na-ebute kansa. A na-eme biopsy cone ma ọ bụrụ na nnwale a na-akpọ colposcopy enweghị ike ịchọta ihe kpatara ọrịa na-adịghị mma Pap smear.

A pụkwara iji ọgwụ biopsy gwọọ:

• Typesdị mgbanwe dị oke njọ nke mgbanwe mkpụrụ ndụ na-adịghị mma (nke a na-akpọ CIN II ma ọ bụ CIN III)
• Ọrịa cancer nke na-ebute mmalite (nke mbụ 0 ma ọ bụ IA1)

Nsonaazụ nkịtị pụtara na enweghi mkpụrụ ndụ ihere ma ọ bụ nke kansa na cervix.

Ọtụtụ mgbe, nsonaazụ ndị na-adịghị mma na-apụta na enwere mkpụrụ ndụ nwere oke ma ọ bụ nke kansa na cervix. A na-akpọ mgbanwe ndị a cerop intheepithelial neoplasia (CIN). E kewara mgbanwe ndị ahụ gaa n’òtù atọ:

• CIN I - obere dysplasia
• CIN II - agafeghị oke akara dysplasia
• CIN III - nnukwu dysplasia ka carcinoma nọ

Nsonaazụ ndị na - adịghị mma nwere ike ịbụ n'ihi ọrịa kansa cancer.

Ihe egwu nke biopsy cone gụnyere:

• Ọbara ọgbụgba
• Erughị eru cervix (nke nwere ike iduga nnyefe akaghi aka)
• Ofufe Ọrịa
• Egwu nke cervix (nke nwere ike ime ka oge na-egbu mgbu, oge na-aga nká, na nsogbu ịme ime)
• Mmebi na eriri afo ma ọ bụ ikensi

Cone biopsy nwekwara ike ime ka o siere onye na-eweta gị ike ịkọwa nsonaazụ Pap smear na-adịghị mma n'ọdịnihu.

Biopsy - cone; Cervical njikọta; CKC; Cervical intraepithelial neoplasia - cone biopsy; CIN - cone biopsy; Mgbanwe dị iche iche nke cervix - cone biopsy; Ọrịa cancer cervical - cone biopsy; Ngwurugwu intraepithelial squamous - cone biopsy; LSIL - cone biopsy; HSIL - cone biopsy; Ngwunye bioe nke dị ala; High-akara cone biopsy; Carcinoma na ebe obibi-cone biopsy; CIS - cone biopsy; ASCUS - cone biopsy; Mkpụrụ ndụ gland nke gbara gharịị - cone biopsy; AGUS - cone biopsy; Mkpụrụ ndụ squamous atypical - cone biopsy; Pap smear - cone biopsy; HPV - cone biopsy; Oria mmadu papilloma virus - cone biopsy; Cervix - cone biopsy; Colposcopy - cone biopsy

• Mmekpa ahụ nwa nwanyi
• Oyi cone biopsy
• Nwepu oyi cone

Cohen PA, Jhingran A, Oaknin A, Denny L. Ọrịa cancer. Lancet. 2019; 393 (10167): 169-182. PMID: 30638582 pubmed.ncbi.nlm.nih.gov/30638582/.

MP Salcedo, Baker ES, Schmeler KM. Intraepithelial neoplasia nke genital tract (cervix, ikpu, vulva): etiology, nyocha, nchoputa, njikwa. Na: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology zuru ezu. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 28.

Uchenna Onyekwere Cervical njikọta. Na: Fowler GC, ed. Usoro Pfenninger na Fowler maka Nlekọta Isi. Agba nke anọ. Philadelphia, PA: Elsevier; 2020: isi nke 128.