Cov kev tshawb fawb ntawm cov ctology (cytology) tau ntev tau muab tso rau hauv gynecology, raws li ib qho ntawm feem ntau siv txoj kev kuaj mob. Piv txwv li, ib qho smear rau cyology , cov khoom siv uas tau ua los ntawm lub ncauj tsev menyuam, yog qhov kev tshawb nrhiav kev mob loj, nrog kev xav txog ntawm kev mob ntsws ntawm cov kab mob hauv lub cev.
Ntau zaus, cov kev tshawb fawb cytological yog ua nrog hormonal tsis zoo ntawm kev ua ntawm zes qe menyuam, nrog rau kev ua txhaum ntawm kev coj khaub ncaws.
Lub hom phiaj ntawm tus smear rau cyology yog dab tsi?
Nyob rau hauv cov yeeb tshuaj tsim, cov kws kho cov neeg kuaj xyuas cov qauv, nrog rau qhov loj me thiab cov hlwb, qhov ntawm lawv qhov chaw, uas tso cai ntxov ntxov ntawm cov kab mob hauv ob hom tshuaj tiv thaiv thiab keeb kwm ntawm ncauj tsev menyuam.
Cov kev qhia
Qhov ntsuam xyuas rau cytology, ua nyob rau ntawm gynecological centre, yog cov tshuaj rau txhua tus poj niam muaj hnub nyoog 18 xyoo thiab tshaj. Ntxiv mus, nws tau ua nrog:
- kev npaj plab me nyuam;
- suspicion ntawm infertility;
- tsis raws kev coj khaub ncaws;
- kis tus kab mob (papilloma);
- kev nkag mus sij hawm ntev ntawm ib qho kev xeeb tub los ntawm ib tug poj niam nyob rau hauv hormonal hauv paus;
- ua ntej qhov txheej txheem ntawm qhov chaw ntaus hauv lub tshuab hlwb hlau.
Kev npaj ntawm
Kev npaj rau kev soj ntsuam ntawm cytological ntawm lub tsev menyuam yog raws li nram no:
- abstinence los ntawm kev sib deev com 2 hnub ua ntej qhov kev ntsuam xyuas;
- lub abolition ntawm kev siv yeeb siv tshuaj uas tau siv vaginally, rau 2 hnub.
Tsis tas li ntawd, ib tug poj niam tau qhia kom tsis txhob tso zis 2 teev ua ntej qhov kev ntsuam xyuas rau cyology ntawm lub tsev menyuam.
Cov kws kho mob pom zoo kom noj cov kev kuaj rau cyology tam sim ntawd tom qab xaus kev coj khaub ncaws, hnub 4-5.
Nws tau ua li cas?
Kev tshawb xyuas ntawm cov cytological nta ntawm lub tsev menyuam yog coj ntawm cov ntaub ntawv cellular, uas yog ntxiv raug tsom.
Lub smear yog noj nrog ib tug gynecological xeem nrog ib tug sterile, tshwj xeeb tsim tsim txhuam. Cov khoom yog muab los ntawm lub puab thiab sab nraub qaum ntawm lub ncauj tsev menyuam. Tom qab ntawd nws yog siv rau ntawm ib sab sterile swb thiab maj mam, maj mam, tsab ntawv tsa suab yog smeared. Tom qab ntawd nws qhuav, txhim kho nws nrog kev daws teeb meem tshwj xeeb thiab tshuab raj. Tus txheej txheem nws tus kheej tsis mob thiab tsuas kav li 10-15 feeb xwb.
Raws li cov khoom uas tau muab pov tseg thaum sib sau, thiab cov ntaub so ntswg raug mob, tom qab tus txheej txheem, me ntsis cov pob txaij me me, 1-2 hnub hauv lub sijhawm, yuav ua tau.
Qhov kev ntsuam xyuas ntawm qhov kev tshawb nrhiav tau li cas?
Thaum piav txog smear raws li ib feem pua, cov ntsiab lus ntawm txhua hom epithelial hlwb yog qhia nyias. Colpositogram yog compiled. Yeej, qhov feem pua ntawm cov qe hlwb muaj lub nucleus nucleus yog txiav txim siab.
Raws li txoj cai, kev hloov ntawm kev hloov ntawm lub cev, thiab kev hloov pauv hauv qhov chaw mos qhov quav, ua rau muaj kev hloov hauv cov khoom xyaw ntawm smear. Yog li, estrogens ntxiv dag zog rau tus txheej txheem ntawm maturation ntawm lub epithelium,
Nyob rau hauv kev txo cov progesterone desquamation ntawm epithelial hlwb tshwm sim, yog li ntawd, nyob rau hauv lub smear lawv saib deformed thiab raug teem nyob rau hauv pawg, tus xov tooj ntawm cov ntshav dawb nyob rau hauv lub smear nce.
Feem ntau, qhov sib txawv thiab qhov loj ntawm txhua lub hlwb yog tib yam nyob rau hauv lub smear, thiab tsis muaj cov atypical hlwb. Thaum pom muaj ntau lub hlwb, daim ntawv tsis raug cai yog muab ib qho smear rau oncocytology, ib yam khoom uas tsim los ntawm lub tsev menyuam. Yog tias tsim nyog, tus kws kho mob ntxiv tau tso cai rau txoj hnyuv thaij nrog qhov nqaij me, kom paub meej thiab ua kom tiav qhov kev kuaj mob.