I-dysplasia yesibeleko kukukho kweeseli ezingaqhelekanga kwi-cervix yakho, ngokuqhelekileyo ifunyenwe yi-Pap smear. Oogqirha basebenzisa iindlela ezimbalwa ezahlukeneyo xa unyanga i- dysplasia yomlomo wesibeleko . Injongo yokonyango kukususa iindawo ezingaqhelekanga zomlomo wesibeleko ngaphambi kokuba zibe ngumhlaza. Kodwa akuzona zonke iimeko ze-dysplasia yomlomo zifuna unyango.
Ukubukela nokulinda
Kwabesetyhini abane-dysplasia yomlomo wesibeleko esinyanisiweyo ukuya kumodareyitha, "ukulinda nokulinda" kudla ngokuba unyango olumiselweyo. "Ukubukela nokulinda" kuthetha ukuba iPap smear okanye i-colposcopy okanye i-biopsy iya kwenziwa zonke iinyanga ezili-6 ukuya kwezi-12 ukujonga i-dysplasia. I-dysplasia elula yokumodareyitha isoloko isombulula ngokwayo kwiminyaka emibini ngaphandle kokonyango.
I- colposcopy isebenzisa i-microscope ukujonga indawo ezingavumelekanga kwisibeleko sakho somlomo wesibeleko esifanele sithathwe kwaye sihlalutye. Yenziwe ngokufana nePap smear, kodwa umlomo wesibeleko kunye nesisini somfazi kuqala udibanti okanye isisombululo se-iodine. Emva koko isetyenziselwa ukujonga indawo ezingavumelekanga kunye neesampuli zisuswa kunye nezixhobo ezincinci ze-biopsy kwaye zithunyelwa kwibhabhi yokuhlalutya.
Nge-biopsy, i-dysplasia yesibeleko iqokelelwe kwiintlobo ezintathu ze-CIN I (i-dysplasia emnene), i-CIN II (ngokulinganayo i-dysplasia) kunye ne-CIN III (i-dysplasia eqatha kwi-carcinoma in situ).
Ziziphi ezinye unyango ezenziwayo kuxhomekeke kwinqanaba.
I-Loop Electrosurgical Excision Procedure (LEEP)
Ngamanye amaxesha kuthiwa yi-LLETZ, i- LEEP yinkqubo esebenzisa umtya wocingo oqhutywe ngombane ukususa iseli ezingaqhelekanga kwi-cervix. Olu hlobo lonyango luyasetyenziswa kwiimeko ze -dysplasia ye-colervical high grade .
Ngokuqhelekileyo kwenziwa kwiofisi yegqirha kunye ne-anesthesia yendawo. Iisusi ezikhutshweyo zithunyelwa kubhobho ukuqinisekisa ukuxilongwa.
Conization
Ukonyuswa yinkqubo yokonyango kwabasetyhini abathile abane-high grade grade dysplasia. Ukukhutshwa kwekhoni kususa isiqwenga sesigxina seesisipha kumlomo wesibeleko. Kwakhona kuthiwa i-cone biopsy kwaye ingasetyenziselwa ukukunceda ukufumanisa umdlavuza wesibeleko. I-LEEP yinto enye yokudibanisa, kwaye kukho i-coe knife ye-biopsy. Bobabini bavame ukwenza kwiofisi yegqirha kunye ne-anesthesia yendawo.
Cryosurgery
I-Cryosurgery yindlela enye esetyenziselwa ukuphatha i-dysplasia ye-colervical high grade. Ngokuqhelekileyo kwenziwa kwiofisi yegqirha. I-cryoprobe ifakwe kwisisu kwi-cervix. I-nitrogen egxininiswe iqhutyelwa kwi-probe yensimbi, eyenza kubanda ngokwaneleyo ukuba ifakelwe izicubu ezidibana nazo. I-Cryosurgery ikwabizwa ngokuba yi-cryotherapy.
ITraer Therapy
I-carbon dioxide laser photoablation yindlela enye engasetyenziselwa ukutshabalalisa izicubu ezingavamile. Ngokuqhelekileyo kwenziwa kwimeko yokugulisa isigulane kunye ne-anesthetic yendawo ingasetyenziswa.
Ukulandelelana Emva Kwonyango lweDysplasia yesibeletho
Emva kokuba uphathwe nge-dysplasia yomlomo wesibeleko, ukulandelelana nokucebisa ugqirha kubalulekile.
Ugqirha uya kuncomela isicwangciso esilandelayo esekelwe kwingxelo yokukhubazeka evela kwi-LEEP okanye i-conization.
Iziphakamiso eziqhelekileyo ezilandelayo zonyango yi- biopsy rhoqo kunye neyervicycer biopsy zonke iinyanga ezi-6 ukuya kwezi-12. I-dysplasia yesibeleko iyakwazi ukubuyela, ngoko ukulandela isiluleko sokulandelelwa kwegqirha kubaluleke kakhulu.
Imithombo:
"I-National Cancer Institute Facts Sheets." I-Papillomaviruses yabantu kunye neCarcer: Imibuzo neempendulo. 06 uJuni 2006. iNational Cancer Institute.
Josefson, Deborah. "I-dysplasia yomlomo wesibeleko ihlala ibuyela kwiindawo eziqhelekileyo." IBritish Medical Journal 31813 Februwari 1999 17.