Ziziphi iinguqu kwi-Cervix yakho Eyona nto ithethayo
Umhlaza womlomo wesibeleko ukukhula okungavumelekanga nokungalawulwayo kweeseli eziqala emlonyeni wesibeleko kwaye zinokusasazeka kwezinye iindawo zomzimba. Isifo esiqhubekayo esincinci esivame ukuthatha iminyaka ukukhula.
Ngaphambi kokuphuhliswa kweeseli zomhlaza kunye nezicubu, umlomo wesibeleko uza kuba utshintsho olungaqhelekanga olubizwa ngokuba yi-colysia yomlomo wesibeleko onokuthi ube ngumqondiso wesilumkiso esasisandul
Ukuchonga iDysplasia yesibeleko
I-dysplasia yesibeleko ichazwa nje ngokuthi utshintsho olungavumelekanga kwimbali yomlomo wesibeleko. Nangona i-dysplasia yesibeleko ngezinye izihlandlo ingakhokelela kumhlaza womlomo wesibeleko , akufuneki ukuba ithathelwe ingqwalasela yomhlaza .
I-dysplasia yesibeleko inokufunyanwa yi- Pap smear ngokuqhelekileyo kunye neziphumo ezihlelwe ngolu hlobo lulandelayo:
- I-ASCUS ( iiseli ezingama-atypical ezingabalulekanga ) zichaza ukuba nayiphi na inguqu iyanqabile. Isizathu singaba sisiphumo santoni ukususela kwintsholongwane ekuphuhlisweni kweeseli ezinqabileyo. I-ASCUS ayikho inkcazo ye-dysplasia yomlomo kwaze kwaba yilapho kuqhutyelwa uvavanyo lokuqinisekisa.
- I-AGUS ( amangqamuzana angama- atypical angamaxabiso angabalulekanga ) ibhekisela kwizinto ezingavumelekanga kwiiseli ezinobunzima ezenza i-mucus. Nangona kungenakucatshulwa ngokwezobuchwepheshe njenge-dysplasia yomlomo wesibeleko, i-AGUS ingabonakalisa imeko ebalulekileyo. Iziphumo ze-AGUS zibhekwa njengezinto ezinqabile, ezenzeka ngaphantsi kwepesenti enye yazo zonke iziphumo zePap smear.
- I-LGSIL ( i-lesion e-low-grade squamous intraepithelial lesion ) ithetha ukuba uvavanyo lufumene i-dysplasia epholileyo. Kuyinto eqhelekileyo yokufumana kwaye, kwiimeko ezininzi, ziya kuhlaziya ngokwazo kwiminyaka emibini.
- HGSIL (i -lesi-high grade grade squamous intraepithelial lesion ) luhlu olubi kakhulu, oluya kuthi, Ukuba lugqitywa lingahambi, lungaholela ekuphuhlisweni komhlaza wesibeleko.
Enye indlela yoHlelo
Enye indlela idibanisa i-dysplasia yesibeleko ngesilinganiso seenguqu kwiiseli. Olu tshintsho lubhekiswa njenge-neoplasia ye-intraepithelial ne-collasia (CIN). I-CIN ichonga ukuba ubuninzi bomgca we-cervix buhlaselwa ngamaseli angaqhelekanga.
Ukwahlulelwa kweCIN kuphulwe phantsi ngale ndlela :
- I-CIN I : i-dysplasia enobukhulu kunye neeseli ezingaqhelekanga ezifunyenwe kwisinye kwisithathu sombindi wesibeleko
- I-CIN II : i-dysplasia elinganisiweyo kunye neeseli ezingaqhelekanga ezifunyenwe kwi-sibini yesithathu yomlenze wesibeleko
- ICIN III : i-dysplasia enamandla kunye neeseli ezingaqhelekanga ezifunyenwe ngaphezu kweyesibini kweyesithathu kwimbombo yomlomo wesibeleko uze ufikelele kwi-lining
Iimpawu kunye Neengxaki zeDysplasia yomlomo wesibeleko
Ngokuqhelekileyo akukho zibonakaliso ezinxulumene ne- dysplasia yomlomo wesibeleko . Uninzi lwabasetyhini luyafumaneka kuphela malunga nalo xa luqhutyelwa i-Pap smear.
Ngokwezizathu, kukho iqhagamshelwano elinamandla phakathi kwe-dysplasia yesibeleko kunye ne- papillomavirus yabantu (HPV) . I-HPV iyintsholongwane evamile abantu abaninzi abaye bahamba nayo kwinqanaba lobomi babo. Ukusuleleka kwe-HPV kudibaniswa neepesenti ezingaphezulu kwama-95 yazo zonke izifo zomhlaza wesibeletho, ukufumana okokuqala kubaluleke kakhulu.
Ukuxilongwa kwe-HPV akuthethi ukuba ibhinqa liya kufumana umhlaza wesibeleko.
Kwiimeko ezininzi, i-HPV iya kucoca yona ngaphandle kwonyango. Iintlobo ezincinci ze-HPV ezincinci zidibene nokuphuhliswa kwezigulane zomlomo wesibeleko.
Ezinye izingozi ezixhomekeke ekuphuhliseni i-dysplasia ziquka:
- ukutshaya
- ukuba namaqabane amaninzi ezesondo
- ukukhulelwa ngaphambi kweminyaka engama-20
- isistim e-immune system, efana nabasetyhini abane-HIV
Ukunyanga iDysplasia yesibeleko
Ukuba ukufumana i-Pap smear akuqhelekanga, isinyathelo esilandelayo kukuba ungene kwi- colposcopy . I-colposcopy yinkqubo ye-ofisi evumela ukuba ugqirha ahlolisise umlomo wesibeleko ngokugqithiseleyo. Ngokuxhomekeke kwiziphumo, i- biopsy yomlomo ingenziwa.
Xa i-dysplasia yesibeleko iqinisekisiwe, unyango luyahlukahluka kuxhomekeke kunzima:
- Amatyala amancinci amodareyitha adinga ukuba angaphantsi kwindlela yokulinda nokulinda kunye nokuvavanywa okuphinda kwenzelwe zonke iinyanga ezintandathu ukuya kwezi-12.
- Iimeko ezinzima kakhulu zifuna unyango. Iimpawu eziqhelekileyo zonyango ziquka inkqubo ye-electrourgical procedure (LEEP) , i- cryosurgery , i- conization kunye nezinye iindlela zokuhlinzwa.
Imithombo
- > I-American Cancer Society iqela leCrorectal Cancer Consulting Group. "Ukuhlolwa nokuGadwa kweNgcaciso yeCrorectal Cancer kunye ne-Polyps Adenomatous: Isikhokelo esihlangeneyo kwi-American Cancer Society, i-US Multi-Society Task Force kwiColorectal Cancer kunye ne-American College of Radiology." Gastroenterology . 2008; 134 (5): 1570-1595.
- > INational Cancer Institute. "I-Cancer Cervical (PDQ®): Ukuhlolwa." Imbali Yendalo, Isiganeko, kunye nokufa. EWashington, DC; Julayi 2006.