Ha le ka moo ke biopsy endometrial?

Endometrial biopsy - Diagnostic mokhoa, tšoauoa ka ho etsa e nyenyane ea dinama tse nyenyane tse ho itlhahloba nyenyane. Tsamaiso ena e sebetsa ho etsa liopereishene tse nyenyane gynecological e phethile curettage tsa endometrium ka thuso ea lisebelisoa e khethehileng.

Endometrial biopsy o thehiloe ketsahalo ea liphetoho tse khōlō mehaho ka endometrium le ka lebaka la tsusumetso ea hormonal. litsebi tse ngata li re e fumanoe a nepahetseng a 'endometrial ho se sebetse ho ka khoneha feela ka ho ikopanya le haufi pakeng tsa gynecologist le histopathology. Ka histori ea moriana endometrial biopsy e ile ea pele ya hlahiswa ka 1937. E le hore ho etsa phumano e nepahetseng ea scrapings tsa endometrium, e ke ho hlokahala hore ho bōpa maemo a itseng.

Ho phetha e fumanoe nepahetse, ngaka e lokela ho latela ba bang ba melao:

• kgaolela basadi thari basali ba nang le belaela anovulatory potoloho fala nkiloe pele khoeling kapa ka kotloloho nakong ilela khoeli;
• pheta scrapings fela a tšoaroa amenorrhea bakeng sa libeke tse 'nè, ka karohano ea beke e' ngoe;
• menorrhagia fala e nkiloeng ka bohlano le letsatsi leshome ka mor'a hore ho qala ho ea khoeling;
• fala ka metrorrhagia, ka tloaelo ho nkoa ka hang ka mor'a hore mali le;
• bakeng sa fumanoe ba lihlahala tsa scrapings tsa endometrium ho ka nkoa letsatsi leha e le efe ea potoloho ena.

Ka matla ka tlhopho ya biomaterial ho itšetlehile ka bohloeki ba teko ena.
Ha phuputso e entsoeng e fihla likotoana tsekoloha ya dinama tse nyenyane tse, ho ke ke le thata haholo ho tsosolosa mohaho oa endometrium ena. fala nepahetseng ho akarelletsa ho fumana kholo, khaola feela hlobolisa ea endometrium. Nakong fala le curette mora e mong le e ha marako a endometrium ke khumo tswa kanale cervical.

Endometrial biopsy ka etsoa ka litsela tse ngata:

• tlatsa tekotshupo curettage ea popelo e. Maemong a mangata curettage o etsoa ka thoko (qalong ea le kanale cervical, eaba ho tloha popelo le). Ha tsoa mali, haholo-holo perimenopausal fala dikhutloteng uterine tube, e phethahatsoa sebelisa curette nyenyane, kaha ho ke ke ka ho libaka tsena tse ka kakaretso localized sekame polypous endometrial. Ho libakeng tsena qala malignancy. Bakeng sa carcinoma belaela (pele selelekela curette horutse bonolo, friable dinama tse nyenyane tse) fala hang-hang fediswa;
• nale aspiration biopsy tsa endometrium e neng e tšoaretsoe ka screening boima ba basali ka morero oa ho diagnosing endometrial Kantser;
• bareng scrapings endometrial hlahiswa e le hore ho fumana hore na liphetoho tsa lera mucous ka mosebetsi endocrine popelo, beha lisosa tsa ho kgaolela basadi thari, ho laola diphetho gormoterapii. The mokhoa fanoa ha ho tshwanetseng bakeng sa mali uterine.

Paypel endometrial biopsy phethile sebelisa Paypelya sesebelisoa (tube, tenyetsehang le bophara ba millimeters mararo lateral a qalang qetellong). Ka hare tube, e beha piston, jwalo ka ente tloaelehileng. Bontšang bakeng sa mofuta ona wa biopsy: tsoa mali ka basali ba baholo ho feta mashome a mane; tsoa mali nakong ea ho sebelisa lithibela-pelehi hormonal; phumano ya ho kgaolela basadi thari endometrial; mali ka tsela e feteletseng ka premenopausal ea; tsoa mali ka menopause.