Iziseko ze-dysplasia yomlomo wesibeleko
I-dysplasia yesibeleko yinto eqhelekileyo ichaza utshintsho olungaqhelekanga kwintsholongwane. Utshintsho olungaqhelekanga luya kusuka kwi-mild to the severe kwaye lufunyenwe nge-Pap smear.
Sibanzi
Nangona i-dysplasia engaphendulwanga yintsholongwane ingakhokelela kumhlaza wesibeleko kwezinye iimeko, ukuba i-dysplasia yengcango ayithethi ukuba umntu unomdla okanye akayi kuhlakulela eso sifo.
Ngokuqhelekileyo iphathwa ngokuqala ngokubeka iliso ukuba ibone ukuba iqhubeka, kwaye emva kweenkqubo zonyango kwiofisi yegqirha. Ngamanye amagama, ngokunyamekela nokunyamekela, utshintsho olungavumelekanga kwintsholongwane luvame ukuphathwa (lususwe) ngaphambi kokuba lunethuba lokuguqulwa ukusuka kwiiseli ezinqabileyo ukuya kumaseli omhlaza .
Iimpawu
Abafazi abane-dysplasia yomlomo wesibeleko abaqhelekanga naziphi na izimpawu. Esi sizathu sokuba kutheni iP smear rhoqo ibaluleke kakhulu. I-Pap smear rhoqo iyakwazi ukutshintsha utshintsho olungavumelekanga lwentsholongwane ngaphambi kokuba iguqulwe ngumhlaza.
Izizathu
Kukho uxhulumano oluqinileyo phakathi kwepillomavirus yabantu (HPV) kunye ne-dysplasia yomlomo wesibeleko. I-HPV yintsholongwane ekhoyo isasazeka ngoqhagamshelwano lwezesondo. Kwabafazi abaninzi, i-HPV kunye ne-dysplasia yesibeleko baya kuzincoma zabo ngaphandle kokonyango. Nangona kunjalo, kubafazi abathile, i-HPV inokukhokelela ekutshintsheni kanzima kwintsholongwane yomlomo wesibeleko. Xa ezi zitshintshi zishiywanga zingakhange ziphendulwe, zingakhokelela kumhlaza wesibeleko.
Uphando lubonisa ukuba abafazi abasafuniyo banyusela umngcipheko wokuphuhlisa i-dysplasia yomlomo wesibeleko. Kuye kwafunyanwa ukuba ukutshaya kunako ukukhawulezisa imiphumo ye-HPV kwisibeleko somlomo. Esi sinye esinye isizathu sokukhaba umkhwa wokutshaya ngokukhawuleza kunokwenzeka ebomini.
Eminye imiba yengozi yomlomo wesibeleko i-dysplasia iquka:
- Unentsholongwane kaGawulayo
- Ukuba namaqabane amaninzi ezesondo
- Ukuzala ngaphambi kweminyaka engamashumi amabini
Ukuxilongwa
I-dysplasia yesibeleko ifunyaniswa ngoluhlalutyo lwebhali lovavanyo lwePap, oluthatha isampula yetshontsho yeeseli zomlomo wesibeleko. Lebhu ibheka iiseli ezingaqhelekanga. Ukuba babika iiseli zesigubula ezingenakuqinisekiswa (ASC-US) , uvavanyo lunokuphinda luphindwe kwiinyanga ezili-12 kwaye uvavanyo lwe- HPV lwenziwa kwakhona.
Ngokuphinda ukufumana okungaqhelekanga okanye ukuba uvavanyo lwe-HPV luhle kwaye uneminyaka engaphezu kwe-25, i-biopsy inokwenziwa. Le biopsy yenziwa ngexesha lwenkqubo ebizwa ngokuba yi- colposcopy kunye neesampula zeeseli zesibilini eziza kuhlaziywa kwakhona ukuze zichongwe ukuba ngaba zi-cancer ngaphambili, i- intraepithelial neoplasia yomlomo wesibeleko (CIN). Ezi zifakwe njengeCIN1 (i-dysplasia elula), i-CIN2 (i-dysplasia ngokulinganayo) kunye ne-CIN3 (i-dysplasia eqatha okanye i- carcinoma in situ .)
Unyango
Utyando lwe-dysplasia yomlomo luxhomekeke kwimiphumo ye-biopsy echazwe ngasentla kwaye iyahluka kunye neqondo le-dysplasia ekhoyo.
I-CIN Andiqhelekanga. Kunoko, ngokuqhelekileyo kulandelwa ngokusondeleyo kunye nePap smears, iimvavanyo ze-HPV, okanye ngamanye ama-colposcopy.
Unyango luvame ukuwenzelwa iCIN II kunye neCIN II kwaye ibandakanya ukususa indawo zeeseli ezingaqhelekanga ukuze zingakwazi ukuqhubeka zikhula kwaye zibe ngumhlaza.
Izinketho zokwelapha zingaquka:
- I-Cryosurgery - Olu hlobo lotyando lubandakanya ukufaka iprojekiti eqingqiweyo ukwenzela ukuba iqhenqele izicubu ezingaqhelekanga.
- I-LEEP - Inkqubo ye-LEEP (inkqubo ye-loop electrosurgical procedure) isebenzisa ucingo oluxutywe ngombane ukuze kususwe izicubu ezingaqhelekanga.
- Utyando lwe-laser - I-laser dioxide laser ingasetyenziselwa ukuphatha izicubu ezingaqhelekanga.
- I-coldold knife cones biopsy - Le nkqubo ifana nale ingentla kodwa kunoko isebenzisa isalathisi sokutyhubela ukususa izicubu ezinokukrokra.
I-anesthetic yendawo ihlala isetyenziselwa ukuphazamisa izicubu kwi-cervix ngaphambi kokuba le nkqubo iqhutywe rhoqo kwikliniki okanye esibhedlele njengophando olufanayo lweentsuku.
Ukuba i-biopsy ibonisa ukuba kukho iiseli ezingaqhelekanga kwimida yesampuli, unyango olongezelelweyo lwenziwa kwendawo ukuqinisekisa ukuba lususe zonke iiseli ezingaqhelekanga.
Inani eliphindaphindiweyo le-CIN kwisifundo esisodwa esikhulu saba ngama-5.3 ekhulwini kubasetyhini abaphathwe nge-cryosurgery okanye i-LEEP kunye ne-1.4 ekhulwini kulabo baphathwa ngokugqithisa ummese obomvu, nangona ubuninzi beenkcenkceshe bekuninzi ngokugqithisileyo.
Ukulandelisa
Ukuba i-dysplasia yakho yomlomo iphathwa ngenye yezindlela ezingentla, uzakufuneka uhlolwe rhoqo. Ukuba amaseli angaqhelekanga abuya, unyango luphindaphindiwe. Ekubeni i-HPV isifo singaphikelela emva kwonyango lwe-CIN, kukho umngcipheko weendawo eziqhubekayo zezicubu ezingaqhelekanga ezikhulayo kwixesha elizayo. Qiniseka ukuba uthethe ugqirha wakho ukuze uqonde naluphi na ukulandelelana okucetyiswayo.
Ukujamelana
Oku kunokwesaba kakhulu ukuva unemeko enokubangela umdlavuza. Oku kuthethi, ngokungakhathaliseki ukuba ulandela ngokunyanisekileyo ugqirha wakho kwaye ufumana naluphina unyango olusetyunjwe, amathuba okuba utshintsho luphantsi kakhulu.
Imithombo:
Hoffman, S., Le, T., Lockhart, A. et al. Iipatheni zokusasazeka kwe-HPV emva kokuba unyango lwe-Cervical Intraepithelial Neoplasia (CIN): Uhlolo lokuHlola. Journal International of Cancer . 2017 Jan 25.
Santesso, N., Mustafa, R., Wiercioch, W. et al. Ukuphononongwa kweNkqubo kunye ne-Meta-Analysis of Benefits kunye neHarms ye-Cryotherapy, i-LEEP, kunye neCold Knife Conization yokuphatha i-Cervical Intraepithelial Neoplasia. International Journal of Gynecology and Obstetrics . 201. 132 (3): 266-71.
Tsikouras, P., Zervoudis, S., Manav, B. et al. I-Cancer kaCervical: Ukucoca, ukuxilongwa kunye nokuThengisa. J BUON . 2016. 21 (2): 320-5.