Mgbe na otú bụ ihe endometrial biopsy?

Endometrial biopsy - Diagnostic usoro, e ji mara site na-ewere a obere ego nke anụ ahụ maka microscopic nyochaa. Nke a na usoro na-emetụta obere gynecological arụmọrụ dị ka rụrụ curettage nke endometrium na-enyemaka nke pụrụ iche ngwaọrụ.

Endometrial biopsy dabeere na omume nke ịrịba bughi mgbanwe endometrium omume mmiri ọgwụ mmalite. Ọtụtụ ndị ọkachamara na-ekwu na a ziri ezi nchoputa nke endometrial dysfunction ekwe omume nanị site nso kọntaktị n'etiti ndị ọkachamara n'ọrịa ụmụ nwanyị na histopathology. Na akụkọ ihe mere eme nke nkà mmụta ọgwụ endometrial biopsy ya na nke mbụ na-emepụta na 1937. Iji mee ka a ziri ezi nchoputa nke scrapings nke endometrium, ọ dị mkpa ka ike ụfọdụ ọnọdụ.

Iji mepụta a ziri ezi nchoputa, dọkịta ga-eso ụfọdụ iwu:

• infertility inyom na-enyo enyo na anovulatory okirikiri ịkpụcha tupu ịhụ nsọ ma ọ bụ na n'oge ahụ nsọ;
• ugboro ugboro kụriri scrapings na-enwe ya amenorrhea maka izu anọ, na otu nkeji nke otu izu;
• menorrhagia scraping ẹka na ise ka iri ụbọchị mgbe mmalite nke ahụ nsọ;
• ịkpụcha na metrorrhagia, a na e ozugbo ọbara ọgbụgba;
• maka nchoputa nke etuto ahụ nke scrapings nke endometrium nwere ike iwere ọ bụla n'ụbọchị nke okirikiri.

On ndaba nke nhọrọ nke biomaterial na-adabere na-adị ọcha nke nnwale.
Ọ bụrụ na nnyocha e mere na-abịa ezughi ezu iberibe anụ ahụ, ọ bụ oké ike iji weghachi Ọdịdị nke ahụ endometrium. Correct scraping agụnye inweta nnukwu, naanị bee ibe nke endometrium. N'oge ịkpụcha na curette mgbe ọ bụla mgbidi nke endometrium bụ mmepụta si cervical kanaal.

Endometrial biopsy nwere ike rụrụ na ọtụtụ ụzọ:

• mezue achọpụta ọrịa curettage nke akpanwa. N'ọnọdụ ka ukwuu curettage a rụrụ iche iche (mmalite nke na cervical kanaal, wee si akpanwa). Mgbe ọbara na-agba, karịsịa na perimenopausal ịkpụcha akụkụ eriri akpa nwa tube a rụrụ iji a obere curette, ebe ọ bụ na ndị a zones na-adịkarị metụtara nanị akụkụ ụfọdụ polypous endometrial growths. Ọ bụ ebe ndị a na-amalite malignancy. N'ihi na-enyo enyo na carcinoma (mbụ iwebata curette kpụchasịrị adụ, friable anụ ahụ) ịkpụcha ozugbo kwụsị;
• agịga ọchịchọ biopsy nke endometrium ẹkenịmde na uka echetakwa nke nwanyi maka nzube nke Ịchọpụta Otú Nsogbu endometrial Kantser;
• mmanya endometrial scrapings emepụta iji chọpụta ndị Jeremaya mere nke mucous akpụkpọ ahụ na endocrine ovarian ọrụ, chọpụta akpata infertility, ịchịkwa gormoterapii pụta. The ọkọnọ usoro bụghị ọdabara maka eriri akpa nwa ọbara ọgbụgba.

Paypel endometrial biopsy rụrụ iji Paypelya ngwá ọrụ (mgbanwe tube na a dayameta nke atọ millimeters mpụta oghere na njedebe). Inside na tube-etinye a pistin, dị ka a ot ntụtụ. Egosi maka nke a ụdị biopsy: ọbara na-agba ndị inyom tọrọ iri anọ; agba ọbara n'oge na ojiji nke mmiri ọgwụ gbochie afọ; nchoputa nke endometrial infertility; oké ọbara ọgbụgba n'ime premenopausal; agba ọbara na menopause.