Ukuxilongwa kwe-intraepithelial neoplasia, okanye i-neoplasia yomlomo wesibeleko, ibhekisela kuhlobo oluthile lweenguqu kwi-cervix. Ezi zinguqu zinakho okanye zingabi ngabaphambili kwintsholongwane yomhlaza wesibeleko. Enyanisweni, ukuxilongwa kwentsholongwane ka-neoplasia kungabhekisela kwiintlobo ezininzi zeenguqu kwi-cervix. Ezi zinguqu zinokuhlula kwi-self-solving mildness to moderate i- dysplasia yesibeleko yonke indlela eya kumanyathelo okuqala omhlaza wesibeleko.
Ukuchaza i-Neplasia yeCrazil Intraepithelial
Umlomo wesibeleko kwi-intraepithelial neoplasia inentsingiselo ecacileyo. Libhekisela kwisibeleko sombeleko. Ukuqonda into eyenziwa yi-neoplasia ye-intraepithelial yomlomo, inceda ukuqonda amanye amagama. I-intraepithelial ithetha "kwi-epithelium." Isakhiwo se-muscular yomlomo wesibeleko sihlanganiswe ngeendlela ezininzi zeeseli ze-epithelial. Zizo iiseli ezichaphazelekayo nge-neoplasia yengqondo yomlomo wesibeleko. I-Neoplasia ngokwezwi nezwi ithetha "ukukhula okutsha." Nangona kunjalo, ngokuqhelekileyo kusetyenziselwa ukubhekisela ekukhuleni kweeseli ezingavumelekanga okanye ezingalawulwayo. Ngaloo ndlela, i -neoplasia yomlomo wesibeletho yintsholongwane engekho ngokweqile phakathi kwee-epithelial cells ezifaka umlomo wesibeleko.
Ukufaka i-Neoplasias yomlomo wesibeleko
I-neoplasias yesibeleko ifunyaniswa yi-biopsy kwaye ihlulwe ngokuxhomekeka kwayo. Ubunzima bubekwe ngolu hlobo lulandelayo:
- I-Cervical Intraepithelial Neoplasia 1 (I-CIN I) - i-dysplasia enobubele
- I-CIN II - i-dysplasia elula ukuya kwi-modysia
- ICIN III - i-dysplasia enamandla kumhlaza
Abantu abafumene i-CIN I, okanye i-dysplasia epholileyo, ngokuqhelekileyo ayiphathwa ngolu hlobo Umonakalo womlomo wesibeleko uvame ukuphilisa ngaphandle kokungenelela. (Oku kufana nokuxilongwa kwe-LSIL ngePap smear.) Esikhundleni saloo nto, balandelwa ngokubanzi ngokugqithiseleyo ngugqirha wabo.
Oku kungabandakanya i-Pap smears rhoqo, ukuhlolwa kwe-HPV , okanye mhlawumbi i-colposcopy
Ngokwahlukileyo, abantu abaneCIN II kunye neCIN III bahlala bebhekiswa kwonyango. (Ezi zihambelana ne-HSIL, ASC-H, AGC, okanye i-carcinoma kwi- Pap smear i-diagnostic.) Ukonyango okumodareyithwa kwi-neoplasias eninzi yengxaki kubandakanya ukususwa kwezilonda. Oku kungenziwa nge-cryotherapy, i- LEEP , okanye i-conization.
Nangona emva kokuba unyango lukhuphe isihlunu, abantu abane-neoplasias ye-high-grade ye-colonias bahlala besengozini enkulu yokwenza umdlavuza wesibeleko esikhathini esizayo. Ngokubanzi bacebiswe ukuba baqhubeke betyelela oogqirha babo ngokulandelelana ngokuphindaphindiweyo.
I-Neoplasia yomlomo wesibeleko okanye i-Squamous Intraepithelial Lesion?
Xa ufumanisa i- Pap smear , i-dysplasias yesibeleko ngokuqhelekileyo iyaziwa njengezilonda ze-intracellular (SIL) zesikhala endaweni ye-neoplasias ye-interepithelial ne-colervus. I-neoplasia ye-colonosis diagnsosis igcinelwe ukuxilongwa yi-biopsy okanye i- colposcopy . Oku kungenxa yokuba i-Pap smears inikezela umhloli ngeeseli ezivulekileyo. Ngokwahlukileyo, i-biopsies ivumela ukuba babone umonakalo wesibeleko kumxholo. Oku kunika oogqirha amandla okwenza ukuxilongwa ngokuchanekileyo. Ukujonga i-biopsy kunokubonisa ukuba bunzulu kangakanani kwisibeletsheni sesilwanyana.
Ngaba i-Neoplasia yomlomo wesibeleko ibonisa umdlavuza?
Ukufunyaniswa ukuba une-neoplasia yomlomo akuthethi ukuba unomdlavuza. Akukho nto ithetha ukuba uya kuba nomhlaza. Oko kuthetha ntoni ukuba mhlawumbi usengozini yokwanda komdlavuza ngexesha elizayo. Oku kunjalo ngokwenene ukuba ufumene iCIN II okanye iCIN III.
Umngcipheko wakho wesifo somhlaza usesezantsi emva kokuxilongwa kweCIN II okanye III. Nangona kunjalo, ugqirha wakho uya kucetyiswa ukuba alandele ngokulandelelanayo. Oku kuya kunceda ukuqinisekisa ukuba unokuyifumana kwangaphambili ukuba umhlaza uphuhlise. Ukuxilongwa kwangaphambili kunye nokonyango kuyisinyathelo esibalulekileyo ekunciphiseni ukufa kwabantu abasuka kumhlaza wesibeleko.
Imithombo:
I-JW Sellors kunye no-R. Sankaranarayanan "I-Colposcopy kunye neNyango yeCervical Intraepithelial Neoplasia: Umqulu we-Beginner's Manual - Isahluko 1: Isingeniso kwi-anatomy yomlomo wesibeletho" I-Arhente yamazwe ngamazwe okuPhando ngeCarcer 2003/4.
> Kalliala I, Dyba T, Nieminen P, Hakulinen T, Anttila A. Ukufa kwixesha elide emva kokunyangwa kwe-CIN. Int J Cancer. 2010 Jan 1; 126 (1): 224-31. i-doi: 10.1002 / ijc.24713.
> Melnikow J, McGahan C, Sawaya GF, Ehlen T, Coldman A. Iziphumo zentliziyo ye-intraepithelial neoplasia emva kokuba unyango: Ulandelelwano lwexesha elide ukusuka kwiBritish Columbia Cohort Study. J Natl Cancer Inst. 2009 Meyi 20; 101 (10): 721-8. i-doi: 10.1093 / jnci / djp089.