Colposcopy kuApollo Hospitals, Lucknow

Nei Vakadzi Vachisarudza Zvipatara zveApollo Lucknow kuti Vabatwe neColposcopy

• Nhaka yekiriniki yaApollo: Zvipatara zveApollo zvakatanga muna 1983 seboka rekutanga rezvipatara zvemakambani muIndia uye nhasi uno rine zvipatara zvinopfuura makumi manomwe, zvichipa mukana wekuwana nzira dzeboka rose dzekuongorora muromo wechibereko, colposcopy uye gynaecologic oncology.
• Chikwata chehutano chevakadzi chakazvipira: Chipatara cheApollomedics Super Specialty, Lucknow chine dhipatimendi reObstetrics & Gynaecology rinotsigirwa neSurgical and Medical Oncology, Pathology and Radiology, saka mhedzisiro yePap kana HPV isina kujairika inogona kuongororwa uye, kana zvichidikanwa, kurapwa pasi pechidziro chimwe chete. Huwandu chaihwo hwevanopa mazano vari murondedzero yecolposcopy uye ruzivo rwavo rwega rwega zvinogona kusimbiswa nedesiki rekugadzwa.
• Maitiro anoitwa nevanopa mazano, vachitungamirwa nevakuru: Colposcopy inoitwa nenyanzvi dzemadzimai dzakadzidziswa nezvezvirwere zvemuromo wechibereko, kwete nevadzidzi vanoshanda vasina kutarisirwa.
• Teknolojia: Kuongororwa kwevhidhiyo nemifananidzo yedhijitari yakakura, acetic acid uye kushandiswa kweLugol's iodine, magwaro emifananidzo ekuenzanisa, zvivakwa zve punch biopsy uye endocervical curettage, uye histopathology panzvimbo yacho. Kana kurapwa kwacho kuchidikanwa, LEEP/LLETZ, cryotherapy kana thermal ablation uye cold-knife conization zvinowanikwa kuburikidza nedhipatimendi.
• Nzira imwe chete yekushanya kana zvakakodzera: Muzviitiko zvakasarudzwa nzira yekuonana nekurapa inogona kukurukurwa, kudzivirira rwendo rwechipiri kuchipatara kune vakadzi vanofamba vachibva kunze kweLucknow.
• Kutarisira muhupenyu hwese: Maitiro ekuita izvi akagadzirirwa vakadzi vechidiki vasati vapedza mhuri dzavo, vakadzi vane pamuviri vane cytology isina kujairika, vakadzi vapedza kuenda kumwedzi vane shanduko dzisina simba, uye vakadzi vane dziviriro yemuviri kana vane HIV vanoda kuongororwa nguva nenguva.
• Nzvimbo yechipatara inotenderwa neNABH nekuongorora kwekudzivirira hutachiona, vashandi vechikadzi varipo panguva yekuongororwa, uye makamuri ekuongororwa anotarisira zvakavanzika.
• Kutarisirwa kwegomarara kwakarongeka: Kana histology ikaona chirwere chepamusoro kana kuti chakanyanya kupinda mumuviri, kutumirwa ku gynae-oncology, hurukuro dzebundu, mifananidzo uye radiotherapy ndekwemukati uye hazvidi kuti munhu atamire kune rimwe guta.
• Rutsigiro rwevarwere vari kunze kweguta vachifamba kubva kuSitapur, Barabanki, Raebareli, Unnao, Hardoi, Kanpur, Gonda, Faizabad/Ayodhya, Sultanpur, Bahraich neBasti, nemishumo uye nhungamiro yekutevera yakarongwa kutenderedza kushanya kumwe chete kupi kwakachengeteka muchipatara.

Colposcopy kuApollo Hospitals Lucknow: Wako Waunovimba naye muhutano hwevakadzi

Colposcopy inzira inokosha yekuongorora iyo inobvumira vanachiremba kuti vanyatsoongorora muromo wechibereko, mukadzi nemurume wemukadzi kuti vaone zviratidzo zvechirwere. Uchishandisa colposcope - bhinocular ine simba shoma kana maikorosikopu yedhijitari iri kunze kwemuviri - nyanzvi inoona pamusoro pemuromo wechibereko nekukwidziridza ka6 kusvika ku40 mushure mekushandisa dilute acetic acid uye, muzviitiko zvakawanda, iodine solution. Mhinduro idzi dzinoita kuti nzvimbo dzisina kujairika dzionekwe zvakanaka kuitira kuti biopsies dzikwanise kutorwa kubva panzvimbo chaiyo kwete kungoerekana dzaitika.

KuApollo Hospitals Lucknow, timu yegynaecology inotarisa pa colposcopy yakarurama, yakanyorwa zvakanaka inotsigirwa nemifananidzo yepamusoro uye pathology panzvimbo yacho. Kutarisirwa kwakatarisana nemurwere: zvichaitwa, nei, uye zvinorehwa nezvakawanikwa zvinotsanangurwa nemutauro wakajeka, muchiHindi kana Chirungu, mvumo isati yatorwa. Nzvimbo dzacho ndedzemazuva ano uye nzira yacho ndeyetsitsi, tichitarisa zvakavanzika uye chiremera mukati mese. Hapana bvunzo yekuongorora yakakwana, uye timu yakavhurika nevarwere nezvemiganhu ye colposcopy pamwe nekusimba kwayo.

Nei Colposcopy Ichidikanwa

Colposcopy inowanzo kurudzirwa mushure mekuongorora Pap smear zvisina kujairika kana kana paine zviratidzo zvinooneka zvechirwere chemuromo wechibereko. Inokurudzirwawo mushure mekuongororwa kweHPV ine njodzi huru, kana ropa risingatsananguriki rikaramba richibuda mushure mebonde, kana muromo wechibereko uchiita seusingafungidzike kana wakaongororwa nemaziso kunyangwe cytology iri yakajairika, uye kana wangoongororwa mushure mekurapwa kwegomarara risati rasvika.

Maitiro aya akakosha pakuona zvirwere zvakaita se cervical dysplasia (inonziwo cervical intraepithelial neoplasia, kana CIN), izvo zvinogona kukura kuita kenza yemumuromo wechibereko kana zvikasarapwa. Nekuti kenza yemumuromo wechibereko inowanzo buda zvishoma nezvishoma mumakore akati wandei kuburikidza nematanho anozivikanwa asati asvika kenza, pane mukana chaiwo wekuona kenza uchichinja mhedzisiro.

Nekupa ongororo yakadzama, colposcopy inobvumira biopsy yakanangana, zvichiita kuti kuongororwa kwakarurama uye kupindira panguva yakakodzera. Mabhenefiti acho anopfuura kuongororwa: inopa vakadzi ruzivo nezvehutano hwavo uye inobatsira kusarudza neruzivo maererano nesarudzo dzekurapa. Gomarara remuromo wechibereko richiri rimwe regomarara rinowanzoonekwa pakati pevakadzi vekuIndia, uye huwandu hwakawanda hwezvirwere hunoonekwa kunonoka nekuda kwekuti kuongororwa nekutevera hakuna kupedzwa. KuApollo Hospitals Lucknow, timu inoita shuwa kuti murwere wese anonzwisisa kuti nei bvunzo iri kurayirwa uye kuti inoita basa rei mukudzivirira hutano hwake.

Ngozi dzekunonoka

Kunonoka kuita colposcopy kunogona kuva nemigumisiro yakakomba. Kuchinja kwemuromo wechibereko kusina kujairika kunogona kuenda kuzvirwere zvakanyanya, kusanganisira maronda asati asvika kenza uye kenza yemuromo wechibereko. Kuonekwa nekukurumidza kuburikidza ne colposcopy kwakakosha kuti kurapwa kubudirire uye mhedzisiro ive nani. Nekumbomira kuita izvi, varwere vanogona kutarisana nenjodzi dzakawanda, kusanganisira kudiwa kwekurapwa kwakanyanya, kurasikirwa nesarudzo yekurapa kuchengetedza kubereka, uye mukana wakakura wematambudziko.

Hazvisi zvese smear isina kujairika inova kenza? shanduko zhinji dzegiredhi shoma dzinodzokera dzoga, kunyanya kuvakadzi vadiki? Asi hapana nzira yakavimbika yekuziva kuti ndeipi ichadzokera shure pasina kuongororwa kwakakodzera. KuApollo Hospitals Lucknow, timu inosimbisa kuongororwa nenguva uye inokurudzira vakadzi kuronga colposcopy nekukurumidza kana inokurudzirwa, pane kumirira zviratidzo, nekuti chirwere chemuchibereko chepakutanga chinowanzo nyaradzwa.

Mabhenefiti eColposcopy

Kuongororwa kwecolposcopy kuApollo Hospitals kuLucknow kune mabhenefiti akati wandei:

• Kuonekwa Kwekutanga: Chinhu chikuru chinobatsira kugona kuona zvirwere zvisina kumira zvakanaka nguva isati yakwana, zvichiita kuti munhu awane kurapwa nekukurumidza uye kuderedza njodzi yekukura kwechirwere ichi.
• Kuongororwa kweBiopsies: Kana nzvimbo dzinofungidzirwa dzikazivikanwa, nyanzvi dzinogona kutora biopsy kubva munzvimbo idzodzo panguva imwe chete, zvichibatsira kuongororwa kwakarurama uye kuronga kurapwa kwakagadzirirwa munhu wacho.
• Runyararo rwePfungwa: Kuziva mamiriro ehutano hwemuromo wechibereko kunogona kuderedza kuzvidya mwoyo uye kukubatsira kuita sarudzo dzakakodzera nezvekurapwa kwako.
• Nyanzvi Kuchengeta: Vanachiremba vane ruzivo rwezvirwere zvemadzimai, vachitsigirwa nevamwe vanoshanda mukurapa kenza kana zvichidikanwa, vanopa rubatsiro rwakasiyana-siyana kuburikidza nemaitiro ese.
• Yepamberi Tekinoroji: Masisitimu evhidhiyo-colposcopy aripo iye zvino uye magwaro emifananidzo anovandudza kururama uye anobvumira kuenzanisa kwakarurama pakushanya kwekutevera.

Kugadzirira uye Kudzorera

Kugadzirira colposcopy kuri nyore, uye mazano aya anobatsira kuona kuti chiitiko ichi chinofambira mberi.

Kugadzirira Matipi

• Ronga zvine hungwaru: Dzivisa kuronga colposcopy panguva yako yekuenda kumwedzi, sezvo kubuda ropa kunogona kuvharira maonero ako. Kuona chiedza kunowanzo gamuchirwa - bvunza kiriniki.
• Udza chiremba wako: Kurukurai mishonga yese yamunotora, kusanganisira mishonga inobvisa ropa rakadai seaspirin, clopidogrel kana warfarin, uye taurai nezvese zvinokanganisa muviri, kunyanya iodine kana local anesthetic.
• Dzivisa mamwe mabasa: Rega kuita zvepabonde, kunwa doro, mishonga yechikadzi, mafuta ekuzora kana mapessary kwemaawa angangoita makumi maviri nemana (zvichida maawa makumi mana nemasere) usati watanga kuvhiyiwa.
• Udza timu kana ungave uine pamuviri. Colposcopy inogona kuitwa zvakachengeteka panguva yekuzvitakura, asi sarudzo dze biopsy uye endocervical sampling zvinoitwa zvakasiyana.
• Idya zvakanaka uye tora mushonga wekuderedza marwadzo wakaita separacetamol awa imwe chete usati watora mushonga uyu, kana chiremba wako achibvuma.

Mazano Ekudzoreredza

• Post-procedure care: Kurwadziwa kushoma kana kuti mavanga madiki zvakajairika, uye kubuda kwemvura kwakasviba kana kwakaita sekofi kwemazuva mashoma kunotarisirwa kana mushonga wekubvisa ropa wakashandiswa mushure mekuongorora. Kana uine kubuda ropa kwakanyanya, kubuda kwemvura kunhuwa, fivha kana kurwadziwa kwakanyanya, taura nachiremba wako nekukasika.
• Nguva dzekutevera: Pinda pane zvese zvakarongwa zvekuongororwa. Zvakabuda mu biopsy zvinotungamira danho rinotevera, uye mhedzisiro isina kujairika yekuongororwa inokundikana chinangwa chebvunzo.
• Shandisa ma sanitary pads pane kushandisa matamponi kana makapu ekuenda kumwedzi kusvika ropa rapera, uye usashandise zvekusangana pabonde, kushambira uye kugeza mubhavhu kwenguva yaunorayirwa nachiremba mushure mekuongororwa.
• Vakadzi vazhinji vanodzokera kubasa, vachityaira mota uye vachiita mabasa epamba zuva rimwe chete kana rinotevera.

Nhungamiro Dziripo Pari Zvino Dziri Kutevera Kurudziro

Zvinokurudzirwa zviri papeji rino zvinoratidza manyuko anotevera anozivikanwa:

• FOGSI (Federation of Obstetric and Gynaecological Societies of India) Mazano Ekurapa Akanaka Pakuongorora Gomarara reMuromo uye Kutarisira Kusashanda Kwemasero Emuromo Mudumbu, ayo anotsigira Kuongororwa kweHPV senzira yekutanga inosarudzwa kana zvichibvira, nekutarisa nemaziso uchishandisa acetic acid (VIA) uye cytology senzira dzekurapa munzvimbo dzisina zviwanikwa zvakawanda, uye colposcopy yekuongorora vakadzi vane kenza yemumuromo.
• Dare reIndia reKutsvagurudza Kwezvokurapa (ICMR) Grid reNational Cancer magwaro ekubvumirana pamusoro pekurapwa kwegomarara remumuromo wechibereko uye chirwere chemumuromo wechibereko chisati chapinda mumuviri.
• Gwaro reWHO reKuongorora neKurapa Maronda eMuromo weCervical Pre-Cancer Prevention for Cervical Cancer Prevention, chinyorwa chechipiri (2021), iyo inokurudzira kuongororwa kweHPV DNA senzira yekutanga yekuongorora kubva pazera remakore makumi matatu (kubva pazera remakore makumi maviri nemashanu muvakadzi vane HIV), nekuongororwa makore mashanu kusvika gumi ega ega, uye inotsigira nzira yekuongorora nekurapa kana kuongorora nekurapa.
• Nhungamiro dzeKubvumirana kweASCCP 2019 Dzinoenderana neNjodzi (nekutsanangurwa kwakatevera), inoshandiswa zvakanyanya mumabasa epamusoro eIndia. Shanduko yakakosha munguva pfupi yapfuura kuchinja kubva pamhedzisiro kuenda ku ngozi-based Kutarisirwa: sarudzo yekuita colposcopy, kurapa nekukasika, kana kuongorora izvozvi zvinoenderana nenhoroondo yekuongorora yazvino neyekare pane kuti pave nemhedzisiro imwe chete ye smear. Izvi zvakaderedza colposcopy isina kukodzera muvakadzi vechidiki vane shanduko diki uye zvakawedzera kurapwa nekukurumidza kune avo vari panjodzi huru yekukurumidza.
• IFCPC (International Federation of Cervical Pathology and Colposcopy) 2011 mazita emazita, mazwi akajairika anoshandiswa pakuzivisa zvakawanikwa ne colposcopic, kusanganisira kukwana kweongororo, kuonekwa kwe squamocolumnar junction uye rudzi rwe transformation zone.

Nhungamiro dzinoshanduka, uye manejimendi emunhu mumwe nemumwe anofanira kusarudzwa nachiremba wemadzimai wako zvichienderana nezera rako, HPV uye mhedzisiro yecytology, zvirongwa zvepamuviri, mamiriro ekudzivirira muviri uye kurapwa kwawakaita kare.

Nguva uye Chikamu Chekutanga Chekuita

• Nguva yakanakisa mudenderedzwa: Mazuva 8 kusvika 12 mushure mekutanga kwemwedzi ndiwo akakodzera, kana pasina kubuda ropa uye madzihwa emumuromo mechibereko asina kukora.
• Mushure memushumo usina kujairika: Mirayiridzo yakawanda inoratidza kuti colposcopy inofanira kuitwa mukati memavhiki mashoma mushure mekunge yaonekwa kuti ine hutachiona hwepamusoro. Kuongororwa kwevhiki imwe chete kunowanzo kwanisika kune vanhu vane cytology yepamusoro.
• Mushure mekubereka: Kana paine chinhu chisina kujairika pakuzvitakura, colposcopy inowanzo dzokororwa mavhiki matanhatu kusvika masere mushure mekusununguka.
• Vakadzi vapedza kuenda kumwedzi: Kana muromo wechibereko usina kunyatsooneka uye maonero asina kukwana, murwere anogona kupiwa oestrogen yemudumbu kwenguva pfupi kwemavhiki maviri kusvika mana colposcopy isati yaitwa kuti aonekwe zvakanaka.
• Nguva yezuva racho: Kunyoresa uye mvumo zvinotora maminetsi angangoita makumi maviri kusvika makumi matatu, kuongororwa pachako maminetsi gumi kusvika makumi maviri, uye kuongororwa mushure mezvo maminetsi gumi nemashanu kusvika makumi matatu. Ronga kuita hafu yezuva kuchipatara.
• Nhoroondo: Kuongororwa kwe biopsy histopathology kunowanzo tora mazuva matatu kusvika manomwe ekushanda; shanduko chaiyo pachipatara ichi inosimbiswa nedhipatimendi re pathology panguva yekutorwa kwesampuli.

Maitiro uye Sarudzo Dzakasiyana Zvichienzaniswa

Maitiro Anoitwa Dzimwe Nguva Pamusangano Mumwe Chete

• Kuongororwa kwepamuviri wepamuromo wechibereko kubva panzvimbo imwe chete kana kupfuura, uye kuongororwa kwepamuviri wemukadzi kana kuti wemukadzi kana maronda akaonekwa ipapo.
• Kucheneswa kwemudumbu kana kuti endocervical brush cytology.
• Dzokorora Pap smear kana HPV sampling kana sampuro yekutanga isina kukwana.
• Kuongororwa kwemvura yakawanda kubva munhengo yemukadzi kana kuongororwa kwe chlamydia, gonorrhea, trichomonas kana bacterial vaginosis kana paine kubuda kwemvura kana kuzvimba.
• Kuvhiyiwa kwemasero emumuromo wechibereko (cervical polypectomy) kana paine polyp diki inoonekwa.
• Kuongororwa kwe endometrium kana kubuda ropa muchibereko kusingawanzoitiki, kunyanya mushure mekuguma kuenda kumwedzi.
• Rara pasi peanesthesia yemunharaunda mune dzimwe nzvimbo dzakasarudzwa dze "kuona-uye-kurapwa", mushure mekupiwa mazano.
• Kupa mazano pamusoro pekubaiwa jekiseni reHPV kuvakadzi vanokodzera nevanasikana vari mumhuri, uye kuongororwa HIV kana zvichikodzera.

Kupora Kwechikamu Nechikamu

Kudzokera kuMabasa Akajairika, Basa uye Kurovedza Muviri

• Kuongororwa kwecolposcopy pasina biopsy: zvese zvakajairika pazuva rimwe chete, kusanganisira gym nekufamba.
• Colposcopy ine biopsy: basa remuhofisi nerepamba zuva rimwe chete kana rinotevera; jimu, yoga uye kumhanya kana kuona kwamira, kazhinji mazuva maviri kusvika matatu.
• Mushure meLEEP kana kubvisa pamuviri: basa repadhesiki mukati mezuva rimwe kusvika matatu; basa rinorema, basa repapurazi, kutakura mvura kana kusimudza vana mushure memavhiki maviri; kushambira uye kurovedza muviri zvakanyanya muchiuno mushure memavhiki mana kana kana kubuda ropa kwamira zvachose.
• Zviratidzo zvehupenyu hwezuva nezuva hweIndia: Kugara pasi uchitsvaga chimbuzi cherudzi rwechiIndia, kugara pasi wakapfugama makumbo uchidya pooja kana kudya, uye kurara pasi zvese zvakachengeteka mushure mekuongororwa kwe colposcopy. Mushure me LEEP, kugara pasi kwenguva refu kana basa rinorema repasi rakadai sekukwesha, kusuka mbatya nemaoko kana kukuya zviri nani kuimisa kwemazuva gumi kusvika gumi nemana, sezvo dumbu richigona kutanga kubuda ropa zvakare. Shandisa chigaro chakasimudzwa kana chituru kana kugara pasi kusingafadzi.
• Kufamba: Nzendo pfupi dzakanaka ipapo ipapo; rwendo rurefu rwebhazi kana chitima pazuva rimwe chete rekuongororwa kwemuviri zvinokwanisika asi takura mamwe mapedhi.
• Kutsanya uye vrat: Udza timu kana uri kutsanya, kuitira kuti nguva uye marwadzo zvigone kurongwa.

Kudzivirira Kudzoka kweZvirwere zveMuromo uye Kuwedzera Zvirwere zveMuromo

• Kutevera kwakazara: mushure mekurapwa kweCIN, bvunzo yekurapwa kwakaitwa neHPV paanenge mwedzi mitanhatu, wobva waenderera mberi nekuongororwa kwemakore angangoita gumi - kunyangwe mushure mekubviswa chibereko chechirwere chepamusoro.
• Kudzivirira HPV: inoshanda zvikuru vasati vatanga zvepabonde, uye inokurudzirwa kuvasikana vane makore 9 kusvika ku14 sechirongwa chemishonga miviri. Mushonga wekudzivirira wemuIndia une majekiseni mana wakawedzera mukana wekuwana mushonga uyu, uye National Technical Advisory Group on Immunization yakakurudzira kuiswa kwejekiseni reHPV kuvasikana vari kuyaruka. Kubaiwa nhomba mushure mekurapwa kunogona kuderedza kudzoka kwechirwere ichi, kunyange hazvo humbowo huchiri kukura; kurukurai mumwe nemumwe.
• Rega fodya mumhando dzese, kusanganisira gutkha, khaini, paan masala uye bidi. Kusvuta nefodya isina utsi zvinokanganisa kubviswa kweHPV.
• Rapa uye ongorora zvirwere zvemudiwa wako, shandisa makondomu kuti dziviriro iwedzere, uye kurapa hutachiona hunoramba huripo kubva muchibereko.
• Kudzora chirwere cheshuga uye kudzora kudzvinyirirwa kwemuviri; Vakadzi vane HIV kana vari kushandisa mishonga inodzvinyirira masoja emuviri vanoda kuongororwa nguva nenguva.
• Chengetedza hutsanana hwekuenda kumwedzi uye hutsanana hwemudumbu nemapedhi akachena, anochinjwa nguva dzose kana makapu akacheneswa nemazvo.
• Usavimba nezviratidzo - kenza inoramba ichidzoka kazhinji hairatidzi zviratidzo.

Vachiri Kuyaruka, Vakadzi Vadiki, Vane Mimba Nevarwere Vakwegura

Vechidiki nevakadzi vari pasi pemakore makumi maviri nemashanu

Kuongororwa kwemuromo wechibereko nguva dzose hakukurudzirwi nekuti hutachiona hweHPV hunowanzoitika uye hunowanzo pera hwega, uye kurapwa muboka iri kunogona kukanganisa pamuviri mune ramangwana. Colposcopy mumwana wechidiki inochengeterwa cytology yepamusoro-soro, maronda anoonekwa, kubuda ropa kusingatsananguriki, kuratidzwa kweDES kana kudzvinyirirwa kwemuviri. Kutarisirwa kunotsamira pakuongororwa kwete kubviswa.

Vakadzi vari kuronga pamuviri

Kurapa nekubvisa chibereko kunobvisa chikamu chemuromo wechibereko uye kunowedzera mukana wekusununguka nguva isati yakwana uye kurasikirwa nechibereko mumwedzi mitatu yechipiri. Kana paine nzira yakachengeteka, inochengetedza kana kubviswa chibereko kwakaringana, uye pamuviri pangangove panodiwa nekutarisa kureba kwechibereko.

Panguva yekuzvitakura

Colposcopy yakachengeteka. Kuongororwa kweganda kunoitirwa chete kana paine chinofungidzirwa kuti chapinda; kurapwa kwe endocervical curettage uye kubviswa kwemasero emudumbu kunodziviswa. Kurapwa kwegomarara risati rasvika kunowanzo miswa kusvika mushure mekusununguka, uye kuongororwazve pamavhiki matanhatu kusvika masere ekuberekwa.

Vakadzi vakwegura vapedza kuenda kumwedzi

Kubatana kwe squamocolumnar kunodzokera mu canal, saka kuongororwa kunowanzo "sagutsikana" uye kutorwa kwe endocervical sampling kana excisional diagnostic may need often. Kushandiswa kwe vagina kwakaoma, kusina kunaka kunoita kuti speculum isagadzikane; speculum diki, mafuta uye estrogen ye vagina inobatsira usati watanga kurapwa. Kubuda ropa mushure mekupedza kuenda kumwedzi kunodawo kuongororwa kwemukati me uterine. Kuongororwa kunogona kumisa mushure memakore makumi matanhatu nemashanu kuvakadzi vane nhoroondo yakakwana yekuongororwa kwe positive, asi kwete kune avo vasina kumboongororwa kana kurapwa kare.

Vakadzi vakaremara kana mushure mekuvhiyiwa kwemadzimai

Rutsigiro rwekumira panzvimbo, nguva yakareba yekusangana uye, kashoma, kuongororwa pasi peanesthesia kunogona kurongwa. Vakadzi vakabviswa chibereko kuti vabatwe neCIN yepamusoro vachiri kuda kuongororwa chivako chemukati memukadzi.

Kana Ukasarudza Kusaita Colposcopy

Sarudzo ndeyako, uye zvine musoro kukumbira nguva uye pfungwa yechipiri. Zvaunofanira kuziva usati wasarudza:

• Kuongororwa kwakaitwa zvisina kujairika hazvirevi kuti une kenza, asi zvinoreva kuti njodzi yacho haigone kugadziriswa pasina kutarisa muromo wechibereko.
• Kana CIN yemhando yepamusoro isingarapwe ine njodzi huru yenguva refu yekukura nekenza yemumuromo wechibereko inopararira kwemakore anopfuura 10 kusvika 30; kuchinja kwemhando yepasi kunowanzodzokera shure, kunyanya pasi pemakore 30.
• Kenza yemumuromo wechibereko inowanzova isina kutaurwa pakutanga. Panguva yekubuda ropa mushure mebonde, kubuda ropa rakaipa kana kurwadziwa muchiuno, kurapwa kunenge kwanyanya.
• Kurapa kenza isati yatanga kuvhiyiwa inzira inoitirwa kunze kwechipatara inochengetedza chibereko kazhinji. Kurapa kenza inozivikanwa kunogona kusanganisira kuvhiyiwa kwakanyanya, kurapwa nemwaranzi uye chemotherapy, zvichikonzera kurasikirwa kwekubereka uye kushanda kwechibereko.
• Kana mukaramba izvozvi, bvumiranai nezvenzira chaiyo yekuchengetedza: bvunzo yeHPV necytology inodzokororwa pazuva rakatarwa, gwaro rakanyorwa rehurongwa, uye ongororo yekukasika kana mukatanga kubuda ropa pakati pekuenda kumwedzi, mushure mebonde kana mushure mekuguma kuenda kumwedzi.

Chii Chinokanganisa Mutengo weColposcopy

Mari dzinosiyana kubva kumurwere mumwe nemumwe. Zvinhu zviri pazasi zvinosarudza fungidziro yekupedzisira; kuti uwane nhamba chaiyo, ndapota bvunza Apollo Hospitals Lucknow reception, billing counter kana inishuwarenzi desk, avo vachakupa fungidziro yakanyorwa zvichienderana nehurongwa hwako.

Inishuwarenzi, Kurapwa Pasina Mari uye Maitiro eTPA muIndia

• OPD vs day-care: Kuongororwa kwecolposcopy muOPD kunowanzoonekwa sekuferefetwa kwemurwere ari kunze kwechipatara uye hakungadzoserwe mari pasi pemutemo wekudzivirira chirwere. Maitiro akadai seLEEP, cryotherapy kana conization anowanzo shandiswa se nzira dzekuchengeta vana masikati uye zvinobhadharwa pasi pemapolisi mazhinji emazuva ano kunyangwe pasina kupinda maawa makumi maviri nemana - simbisa runyorwa rwevana vanochengetwa vana masikati mumashoko enyu emapolisi.
• Kudzivirirwa kwenjodzi kwakarongwa kana kukanganiswa: Colposcopy inzira yekutarisirwa yakarongwa, yekusarudza. Kusiyana nekubvumidzwa kuchipatara nekuda kwetsaona, iyo inowanzo vharwa kubva pazuva rekutanga, kuferefetwa kwakarongwa uye kurapwa kunoenderana nenguva yekumirira yeinishuwarenzi.
• Nguva dzekumirira kuti utarise: nguva yekumirira yekutanga yemazuva makumi matatu, nguva yekumirira yemakore maviri kusvika mana yezvirwere zvakatarwa uye yezvirwere zviripo, uye zvikamu zvezvirwere zvakanangana nezvirwere. Mitemo yeIRDAI inovhara kumirira kwechirwere chiripo kwemakore matatu kune mapolisi akapihwa pasi pehurongwa hweinishuwarenzi yehutano hwa2024, uye chirwere chiripo chinofanira kuziviswa nekuvimbika padanho rechirongwa.
• Nzira yekushandisa mari isina mari: Tumirai policy yenyu kana e-card nephoto ID kuhofisi yerubatsiro rweinishuwarenzi mazuva matatu kusvika mashanu ekushanda musati maitwa oparesheni yakarongwa. Chipatara chinotumira chikumbiro chemvumo yekutanga kukambani yeinishuwarenzi kana TPA; mvumo inowanzo svika mukati memaawa makumi maviri nemana kusvika makumi manomwe nemaviri ezviitiko zvakarongwa. Pasi peNational Health Claim Exchange neIRDAI's 2024 master circular, makambani einishuwarenzi anotarisirwa kusarudza mvumo yekutanga nekukurumidza uye kugadzirisa mabhiri ekupedzisira nekukurumidza mushure mekubuda muchipatara.
• Nzira yekudzoserwa mari: Zvibhadhare wozokumbira mari yako gare gare. Chengeta mabhiri ekutanga, marisiti ekubhadhara, pfupiso yekuburitswa kwemhosva kana yekurapwa, mishonga yekurapa, mushumo wekuongorora histopathology uye mushumo we referring smear kana HPV.
• Zvinhu zvisingabhadharwe: Zvinoshandiswa, magirovhosi, mari yekunyoresa nekunyora, uye zvimwe zvirwere zvinowanzobviswa uye zvinotakurwa nemurwere.
• Zvirongwa zvehurumende nemakambani: Ayushman Bharat PM-JAY, CGHS, ECHS, zvirongwa zvehurumende uye mapoka emakambani ane mitengo yavo yemapakeji, zvinodiwa zvekutumirwa kune varwere, uye runyorwa rwevanorwara. Kana chirongwa chakati chichishanda pachipatara ichi pakuita izvi, zvinofanirwa kusimbiswa nedhipatimendi reinishuwarenzi usati washanya.
• Mari yekubhadhara pamwe chete uye miganho midiki: Zvirongwa zvevanhu vakuru pamwe nemamwe mapolisi evashandirwi ane chikamu chemari yekubhadhara pamwe chete kana kuti chiyero chemari yekurenda imba chinoenderana nemutengo wakaenzana.
• Zano rekunyora magwaro: Makambani einishuwarenzi anowanzo kumbira zvikonzero zvekiriniki. Kumbirai mupi wezano wenyu kuti anyore chiratidzo chacho zvakajeka, semuenzaniso mhedzisiro yecytology isina kujairika kana HPV.

Kuronga Kushanya Kwako uye Zvekuuya nazvo

Magwaro nemishumo

• Mufananidzo ID (Aadhaar kana imwe) uye, kana zvichibvira, kadhi reinishuwarenzi, nhamba yepolisi uye ruzivo rweTPA
• Tsamba yekutumira tsamba, uye mushumo chaiwo wePap smear, LBC kana HPV wakakonzera colposcopy - kwete pfupiso chete
• Mishumo yekare ye colposcopy kana biopsy, uye masiraidhi kana parafini blocks kana zvakataurwa kune imwe nzvimbo
• Rondedzero yemishonga iripo, kusanganisira mishonga inobvisa ropa rakawanda, uye chero ruzivo rweallergy
• Runyoro rwemwedzi wekupedzisira uye ruzivo rwepamuviri chero upi zvawo kana pamuviri wakarongwa
• Rekodhi yekubaiwa nhomba kana mushonga weHPV wakatorwa

Zvinhu zvinoshanda

• Mbatya dzine zvidimbu zviviri zviri nyore kuchinja, mapedhi ekuchenesa, uye seti yembatya dzemukati dzekuwedzera
• Mvura, chikafu chidiki chekudya mushure mekuvhiyiwa, uye chero mushonga wezuva nezuva
• Mushandi wechikadzi kana uchida mumwe; muperekedzi anowanikwawo kuchipatara

Mhuri nekutarisira mhuri dzeIndia

• Munhu mumwe chete kana vaviri chete ndivo vanobvumirwa munzvimbo yekuvhiyiwa. Sarudza hama imwe chete kuti itarisire mapepa ekubhadhara neinishuwarenzi kuitira kuti musafambe pakati pemakaunda.
• Vakadzi vazhinji vari mumhuri dzakabatana ndivo vanonyanya kubika nekutarisira varwere. Rongai kuti mumwe munhu aite basa guru rekicheni nerokuchenesa kwemazuva maviri mushure me biopsy uye kusvika mavhiki maviri mushure me LEEP.
• Madzimai anoyamwisa anogona kuuya nemwana pamwe chete nemubatsiri; colposcopy uye local anesthesia hazvidi kuti mwana arege kuyamwisa.
• Kana kuvanzika kumba kwakaganhurirwa, kumbirai mupi wezano kuti mukurukure zvakasiyana kuitira kuti mugone kusarudza kuti mugoudza mhuri zvakawanda sei. Mishumo inopihwa kwamuri.

Zviratidzo Zvinonyevera Zvinoda Kuongororwa Nokukurumidza

Bata chipatara kana kuenda kuchipatara kana, mushure me colposcopy, biopsy kana kurapwa kwemuromo wechibereko, ukaona:

• Kubuda ropa rinorema kupfuura nguva yakajairika yekuenda kumwedzi, kana kunyikwa pad mukati meawa imwe chete
• Kubuda maronda makuru, kana kubuda ropa kunotangazve zvakanyanya mushure mekunge wamira
• Fivha iri pamusoro pe100.4°F (38°C), kutonhora kana kunzwa kusanzwa zvakanaka
• Zvinobuda zvinonhuwa kana kuti zvegirini kubva muchibereko
• Marwadzo akanyanya kana kuti anowedzera kuipa mudumbu kana muchiuno haabviswi nemishonga inonyaradza marwadzo
• Kuoma kana kurwadziwa pakubuda weti, kana kutadza kubuda weti
• Dzungu, kupera simba, kushaya mweya kana kumhanya kwemoyo
• Kubuda ropa chero kupi zvako mushure mekuita zvepabonde kana mushure mekuguma kuenda kumwedzi pane imwe nguva inotevera, kunyangwe kana mushumo wekare waive wakajairika

Kune Varwere Vari Kufamba Vachibva Kumatunhu Ari Pedyo Nemaguta

Vakadzi vanowanzoenda kuLucknow kune colposcopy kubva kuSitapur, Barabanki, Raebareli, Unnao, Hardoi, Kanpur, Lakhimpur Kheri, Gonda, Bahraich, Balrampur, Ayodhya/Faizabad, Sultanpur, Amethi, Pratapgarh, Basti, Shravasti, dunhu reNepal pamwe neShahjanpur.

• Tumira mishumo pachine nguva: Goveranai mishumo yenyu ye smear, HPV uye biopsy yekare nehofisi yekusangana vasati vafamba kuitira kuti rwendo rwenyu rurongwe serwendo rumwe chete.
• Ronga zuva rekutenderera: Bhuka zuva rechi8 kusvika rechi12 remwedzi wako kuti usazorasikirwa nerwendo nekuda kwekubuda ropa.
• Kuronga kushanya kamwe chete: Bvunza kana kubvunzana, colposcopy uye biopsy zvichigona kuitwa pazuva rimwe chete. Kana zvichibvira kuti kurapwa kuitwe, bvunza nezvesarudzo yekuonana nekurapwa kuitira kuti usadzoke kuzovhiyiwa kechipiri.
• Mishumo isina kudzoka: Kurukurai kana mushumo we histopathology uchigona kugoverwa kuburikidza nedhijitari uye mhinduro dzacho dzikatsanangurwa kuburikidza nekubvunzana nefoni, nekushanyirwa kwemuviri chete kana zvichidikanwa kurapwa.
• Kufamba zvakanaka