Iziphumo zeLesion ze-Squamous Intraepithelial
I-lesion ye-low-grade squamous intraepithelial lesion, eyaziwa ngokuba yi-LSIL okanye i-LGSIL, ifunyenwe kwi- Pap smear rhoqo kwaye ithetha ukuba i- dysplasia yecervical mildness ifunyenwe.
Oku kuthetha ukuba iiseli zomlomo wesibeleko zibonakalisa utshintsho olungaqhelekanga, oluthetha ukuba iiseli zingaba ngumdlavuza wesibeleko phantsi komgca. Inyaniso yokuba bajongwa "ibakala eliphantsi" kuthetha ukuba inkqubo iya kuhamba ngokukhawuleza ukuba kwenzeka njalo.
(Ukuba iiseli zifunyaniswa "njengezinga eliphezulu" okanye i-HSIL, ngakolunye uhlangothi, kuthetha ukuba banokuba ngumhlaza ngokukhawuleza.)
I-LSIL idla ngokubangela i- papillomavirus yabantu (eyaziwa nangokuthi i-HPV), eyona nto ibalulekileyo yengozi yokuphucula umdlavuza wesibeleko.
I-HPV iqhelekile kwaye idluliselwa ngesondo (ubulili, umlomo, okanye ngomlomo) kunye nomnye umntu onesifo sengculaza. Iindaba ezilungileyo kukuba uninzi lwabantu abanentsholongwane ye-HPV lucacisa intsholongwane. Kodwa kwabasetyhini abanamajoni omzimba abakwazi ukukrazula intsholongwane, umhlaza wesibeleko unokwenzeka.
Indlela i-LSIL ifunyenwe ngayo
Xa abafazi batyelela oogqirha babo be-OB / GYN ukuba bahlolisise, bavame ukufumana iP smear, ngezinye izihlandlo ekuthiwa yi-Pap vavanyo. I-Pap smear yinkqubo eyenza umvavanyo wesibeleko somlomo wesibeleko kubasetyhini kwaye ithatha imizuzu embalwa nje. Le nkqubo ibandakanya ukuqokelela iiseli ezivela emlonyeni wesibeleko esisezantsi, esincinci somlenze ophezulu kwisisu.
Ngexesha le-Pap smear, ibhinqa lilele kwitheyibhile yokuhlola kwaye ibeka iinyawo zakhe ezinqabeni. Ugqirha ugxininisa isixhobo sezokwelapha esibizwa ngokuba yi-speculum (esicocekileyo) kwisisu kunye nokusebenzisa ibrashi okanye i-swab, ngokukhawuleza idonsa ubuso bomlomo wesibeleko ukufumana ukuqokelela kweeseli. Ezi iiseli zithunyelwa kwibhuyibhile ukuze zihlaziywe.
Ukulandelwa Emva kokuba i-LSIL ifunyenwe
Ukuba ufumana ukuxilongwa kwe-LSIL, kubalulekile ukulandelelana nodokotela wakho, njengoko iingcebiso zakhe malunga nendlela yokulawula iziphumo ziya kwahluka phakathi kwabasetyhini kuxhomekeke kwiminyaka yabo, imbali ye-Pap smears, kunye neziphumo zovavanyo lwe-HPV.
Umzekelo, ukuba i-LSIL ifumaneka ngePap smear, ukuphinda iP smear ngonyaka kunye / okanye uvavanyo lwe-HPV lwenziwa. Uvavanyo lwe-HPV lubheka ubukho beentlobo ezithile ze-HPV ezinxulumene nomhlaza wesibeleko. Ugqirha wakho unokufumana uvavanyo lwe-HPV kwiiseli ezifanayo ezisetyenzisiweyo kwiP smear yakho yokuqala (i-Pap smear ebuyele "engavamile" ngenxa ye-LSIL).
Kwabanye abesifazana abafumana ukuxilongwa kwe-LSIL, i- colposcopy ingenziwa, njengabasetyhini abavavanywe kakuhle kwi-HPV vavanyo okanye ngabafazi abaphakathi kweminyaka engama-25 no-29.
I-colposcopy yinkqubo ye-ofisi evumela ukuba ugqirha ahlole umlomo wesibeleko ngokubanzi. Xa wenza ugqirhaphi, ugqirha wakho uya kusebenzisa i-microscope ekhanyayo ebizwa ngokuba yi-colposcope ephakamisa umlomo wesibeleko, ngoko kuya kubonakala ngcono.
Ngethuba le-colposcopy, ugqirha unokwenza i- biopsy yesibeleko ukususa iincinci ezincinci zesisu. Ukunyanzelwa kancinci kunokwenzeka ngexesha le-biopsy yomlomo wesibeleko; nangona kunjalo, ayibuhlungu.
Iisampuli zamathambo zithunyelwa kubhal
Unyango lwe-LSIL
Enye yezindlela eziqhelekileyo zokuphatha i-LSIL kukuthatha "indlela yokulinda nokulinda". Ekubeni i-dysplasia ephantsi-gangatho isoloko isombulula, akukho unyango lwezonyango olufunekayo, kodwa i-pap smears kunye / okanye i-colposcopies zenziwa ngokukhawuleza ukujonga i-dysplasia.
Ukuba i-dysplasia iyaqhubeka, unyango luyimfuneko. Unyango ukususa izicubu ezingavumelekanga zingaquka
I-Loop Electrosurgical Excision Procedure (LEEP)
Ngethuba leNDLELA ye- LEEP , umbane wombane uthunyelwa ngodonga lwetambo. Ingqungquthela yentambo isebenza njengesicu, isuse iiseli ezingavamile zeseli.
Cryotherapy
I-Cryotherapy yinkqubo esetyenziselwa ukutshabalalisa izicubu ezingaqhelekanga ngokuyiqanda. Kwakhona kuthiwa yi-cryosurgery.
Conization
Kwakhona kuthiwa i- cone biopsy , i-conization iyakususa isampula enkulu, esakhiwe ngekona yeethambo ezingaqhelekanga.
ITraer Therapy
Ngethuba lonyango lwe-laser, i-bram encane yokukhanya isetyenziselwa ukutshabalalisa iiseli ezingaqhelekanga.
ILizwi
Umgca olapha apha kukuba i-Pap smear isiphumo se-LSIL ibhekwa "engavamile" kwaye idinga ukuvavanywa okungakumbi kwaye mhlawumbi unyango. Kodwa iindaba ezilungileyo kukuba ngamaxesha amaninzi, ityhila yodwa kwiminyaka emibini.
Nangona kunjalo, ukuhlolwa rhoqo rhoqo nogqirha wakho kubaluleke kakhulu ukuqinisekisa ukuba nayiphi iiseli ezingavumelekanga aziqhubeki okanye ziqhubeke. Khumbula, ukufumanisa kwangaphambili kukubalulekileyo ekunciphiseni amathuba akho ekuveliseni umdlavuza wesibeleko.
Ngaloo nto, qhubeka ufumana ugqirha wakho ngokulandelelana ngokusekelwe kwiingcebiso zakhe, uze ubone ngokukhawuleza ukuba ubona iimpawu ezintsha njengegazi elingaqhelekanga (umzekelo, ukuphaphaza ngexesha lokulala okanye phakathi kwexesha).
> Imithombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists. (2016). Iziphumo zoVavanyo lweCercer Cancer.
> Ciavattini A et al. Ukulandelelana kwabasetyhini abane-biopsy diagnostic ye-lesi-inferior grade grade squamous intraepithelial lesion (LSIL): kufuneka kube lide kangakanani? I-Arch Gynecol Obstet. 2017 kuMatshi; 295 (4): 997-1003.