Chiberekero cha dysplasia

Chiberekero cha dysplasia chimatanthawuza kusintha kosasintha kwa maselo omwe ali pamwamba pa khomo lachiberekero. Khomo lachiberekero ndilo gawo lotsika la chiberekero (chiberekero) lomwe limatsegukira kumtunda kwa nyini.

Zosinthazi si khansa koma zimatha kubweretsa khansa ya khomo lachiberekero ngati sichichiritsidwa.

Cervical dysplasia imatha kukula msinkhu uliwonse. Komabe, kutsatira ndi chithandizo kumadalira msinkhu wanu. Cervical dysplasia nthawi zambiri imayamba chifukwa cha papillomavirus ya anthu (HPV). HPV ndi kachilombo komwe kamafala kudzera mukugonana. Pali mitundu yambiri ya HPV. Mitundu ina imatsogolera ku khomo lachiberekero dysplasia kapena khansa. Mitundu ina ya HPV imatha kuyambitsa njerewere kumaliseche.

Zotsatirazi zitha kukulitsa chiopsezo cha khomo lachiberekero la dysplasia:

• Kugonana asanakwanitse zaka 18
• Kukhala ndi mwana ali wamng'ono kwambiri
• Kukhala ndi zibwenzi zingapo zogonana
• Kukhala ndi matenda ena, monga chifuwa chachikulu kapena HIV
• Kugwiritsa ntchito mankhwala omwe amaletsa chitetezo chanu chamthupi
• Kusuta
• Mbiri ya amayi yokhudzana ndi DES (diethylstilbestrol)

Nthawi zambiri, sipakhala zisonyezo.

Wothandizira zaumoyo wanu adzayezetsa m'chiuno kuti aone chiberekero cha dysplasia. Chiyeso choyambirira nthawi zambiri chimakhala kuyesa kwa Pap ndi kuyesa kupezeka kwa HPV.

Cervical dysplasia yomwe imawoneka pa mayeso a Pap amatchedwa squamous intraepithelial lesion (SIL). Pa lipoti loyesa Pap, zosinthazi zidzafotokozedwa kuti:

• Otsika pang'ono (LSIL)
• Wapamwamba (HSIL)
• Mwina khansa (yoyipa)
• Maselo amtundu wa atypical (AGC)
• Maselo osokoneza bongo (ASC)

Mudzafunika mayeso ena ngati mayeso a Pap akuwonetsa maselo osazolowereka kapena chiberekero cha dysplasia. Ngati zosinthazo zinali zochepa, kuyesa kwa Pap kungakhale kofunikira.

Wothandizirayo atha kupanga zolemba kuti atsimikizire zomwe zachitikazo. Izi zitha kuchitika pogwiritsa ntchito colposcopy. Madera aliwonse omwe ali ndi nkhawa adzasankhidwa. Ma biopsies ndi ochepa kwambiri ndipo azimayi ambiri amangomva pang'ono pang'ono.

Dysplasia yomwe imapezeka pachimake pachibelekeropo imatchedwa chiberekero cha intraepithelial neoplasia (CIN). Amagawidwa m'magulu atatu:

• CIN I - dysplasia wofatsa
• CIN II - dysplasia yodziwika bwino
• CIN III - dysplasia yoopsa ku carcinoma in situ

Mitundu ina ya HPV imadziwika kuti imayambitsa khansa ya pachibelekero. Kuyesedwa kwa HPV DNA kumatha kuzindikira mitundu ya chiopsezo cha HPV yolumikizidwa ndi khansara. Mayesowa atha kuchitika:

• Poyesa akazi azaka zopitilira 30
• Kwa azimayi azaka zilizonse omwe ali ndi zotsatira zoyipa pang'ono za Pap

Chithandizo chimadalira pamlingo wa dysplasia. Dysplasia wofatsa (LSIL kapena CIN I) atha kupita popanda chithandizo.

• Mutha kungofunika kutsata mosamalitsa ndi omwe amakupatsani mayeso obwereza Pap miyezi isanu ndi umodzi kapena 12 iliyonse.
• Ngati zosinthazo sizingathe kapena kukulira, chithandizo chikufunika.

Chithandizo cha ma dysplasia owerengeka kapena owopsa omwe samatha atha kuphatikizira:

• Cryosurgery kuti amaundana maselo osadziwika
• Mankhwala a Laser, omwe amagwiritsa ntchito kuwala kuti awotche minofu yachilendo
• LEEP (njira yochotseka yamagetsi yamagetsi), yomwe imagwiritsa ntchito magetsi kuchotsa minyewa yachilendo
• Opaleshoni kuti achotse minofu yachilendo (cone biopsy)
• Hysterectomy (nthawi zambiri)

Ngati mwakhala ndi dysplasia, muyenera kuyesanso mayeso pakatha miyezi 12 iliyonse kapena malinga ndi zomwe amakupatsani.

Onetsetsani kuti mwalandira katemera wa HPV mukaperekedwa. Katemerayu amateteza khansa yambiri ya khomo lachiberekero.

Kuzindikira koyambirira komanso kuchizidwa mwachangu kumachiritsa milandu yambiri ya khomo lachiberekero la dysplasia. Komabe, vutoli limatha kubwerera.

Popanda chithandizo, khomo lachiberekero la dysplasia limatha kusintha khansa ya pachibelekero.

Itanani omwe akukuthandizani ngati zaka zanu zili 21 kapena kupitilira apo ndipo simunayesedwepo mchiuno ndi mayeso a Pap.

Funsani omwe akukuthandizani za katemera wa HPV. Atsikana omwe amalandira katemerayu asanayambe zogonana amachepetsa mwayi wawo wopeza khansa ya pachibelekero.

Mutha kuchepetsa chiopsezo chotenga chiberekero cha dysplasia potenga izi:

• Pezani katemera wa HPV pakati pa zaka 9 mpaka 45.
• Osasuta. Kusuta kumawonjezera chiopsezo chokhala ndi dysplasia ndi khansa.
• Musamagonane mpaka mutakwanitsa zaka 18 kapena kupitirira.
• Chitani zogonana motetezeka. Gwiritsani kondomu.
• Yesetsani kukhala ndi mkazi mmodzi. Izi zikutanthauza kuti mumagonana ndi munthu m'modzi yekha nthawi imodzi.

Khomo lachiberekero intraepithelial neoplasia - dysplasia; CIN - matenda opatsirana; Khansa pachibelekeropo - dysplasia; Khansa ya pachibelekero - dysplasia; Squamous intraepithelial lesion - dysplasia; LSIL - matenda opatsirana; HSIL - matenda opatsirana; Otsika dysplasia; Mkulu dysplasia; Carcinoma in situ - dysplasia; CIS - matenda; ASCUS - matenda; Maselo am'mimba am'mimba - dysplasia; AGUS - matenda; Maselo osokoneza bongo - dysplasia; Pap smear - dysplasia; HPV - matenda; Kachilombo ka papilloma - dysplasia; Chiberekero - dysplasia; Colposcopy - dysplasia

• Matupi achikazi oberekera
• Chiberekero cha neoplasia
• Chiberekero
• Chiberekero cha dysplasia - mndandanda

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