Koilocytosis

Zamkati

• Zizindikiro za koilocytosis
• Zimayambitsa koilocytosis
• Momwe amadziwika
• Zokhudzana ndi khansa
• Momwe amathandizidwira
• Kutenga

Kodi koilocytosis ndi chiyani?

Mbali zonse zakunja ndi zakunja kwa thupi lanu zimapangidwa ndi ma epithelial cell. Maselowa amapanga zotchinga zoteteza ziwalo - monga kuzama pakhungu, mapapo, ndi chiwindi - ndikuwalola kuti agwire ntchito zawo.

Ma Koilocytes, omwe amadziwikanso kuti ma halo cell, ndi mtundu wamaselo am'minyewa omwe amayamba kutsatira matenda a papillomavirus (HPV) a munthu. Ma Koilocyte amasiyana mosiyanasiyana ndi ma cell ena aminyewa. Mwachitsanzo, nthenda yawo, yomwe imakhala ndi DNA ya selo, ndi kukula, mawonekedwe, kapena utoto wosazolowereka.

Koilocytosis ndi liwu lomwe limatanthawuza kuyambika kwa koilocytes. Koilocytosis imatha kuonedwa kuti ndiyomwe imayambitsa matenda ena a khansa.

Zizindikiro za koilocytosis

Payekha, koilocytosis siyimayambitsa zizindikiro. Koma imayambitsidwa ndi HPV, kachilombo ka HIV komwe kangayambitse zizindikiro.

Pali zoposa HPV. Mitundu yambiri siyimayambitsa zizindikiritso zilizonse ndikudziwonekera zokha. Komabe, mitundu ina yowopsa ya HPV yalumikizidwa ndikupanga khansa ya epithelial cell, yomwe imadziwikanso kuti carcinomas. Kugwirizana pakati pa HPV ndi khansa ya pachibelekero, makamaka, kwakhazikitsidwa bwino.

Khansara ya chiberekero imakhudza khomo pachibelekeropo, njira yopapatiza pakati pa nyini ndi chiberekero. Malinga ndi pafupifupi milandu yonse ya khansa ya pachibelekero imayambitsidwa ndi matenda a HPV.

Zizindikiro za khansa ya pachibelekero sizimawoneka mpaka khansara itakula. Zizindikiro zapamwamba za khansa ya pachibelekero zitha kuphatikiza:

• Kutaya magazi pakati pa nthawi
• kutuluka magazi mutagonana
• kupweteka mwendo, m'chiuno, kapena kumbuyo
• kuonda
• kusowa chilakolako
• kutopa
• Vuto la nyini
• kutuluka kwa nyini, komwe kumatha kukhala kocheperako komanso kothira madzi kapena kopitilira mafinya komanso kamanunkhiza bwino

HPV imalumikizananso ndi khansa yomwe imakhudza ma epithelial cell mu anus, mbolo, nyini, maliseche, ndi mbali zina za pakhosi. Mitundu ina ya HPV siyimayambitsa khansa, koma imatha kuyambitsa ziwalo zoberekera.

Zimayambitsa koilocytosis

HPV imafalikira kudzera mukugonana, kuphatikiza mkamwa, kumatako, komanso kumaliseche. Muli pachiwopsezo ngati mugonana ndi munthu yemwe ali ndi kachilomboka. Komabe, popeza HPV samayambitsa zizindikiro, anthu ambiri sadziwa kuti ali nayo. Atha kupatsira anzawo osadziwa.

HPV ikalowa m'thupi, imalunjika ma epithelial cell. Maselowa amakhala m'magawo achiberekero, mwachitsanzo pachibelekeropo. Tizilomboti timayika mapuloteni ake mu DNA yama cell. Ena mwa mapuloteniwa amatha kuyambitsa kusintha komwe kumapangitsa maselo kukhala ma koilocytes. Ena amatha kuyambitsa khansa.

Momwe amadziwika

Koilocytosis mu khomo pachibelekeropo imapezeka kudzera mu Pap smear kapena biopsy ya chiberekero.

Pap smear ndiyeso yowunika ya HPV ndi khansa ya pachibelekero. Mukamayesa Pap smear, dotolo amagwiritsa ntchito burashi yaying'ono kuti atenge zitsanzo zam'maso kuchokera pachiberekero. Chitsanzocho chimasanthulidwa ndi katswiri wamatenda a koilocytes.

Ngati zotsatira zake ndi zabwino, dokotala wanu atha kunena kuti colposcopy kapena kachilombo ka khomo lachiberekero. Pakati pa colposcopy, dokotala amagwiritsa ntchito chida chowunikira ndikukulitsa chiberekero. Mayesowa ndi ofanana kwambiri ndi mayeso omwe muli nawo ndi Pap smear yanu. Mukamayesa kachilombo ka khomo lachiberekero, dokotala amachotsa kanyama kakang'ono m'chiberekero chanu.

Dokotala wanu adzagawana nawo zotsatira za mayeso aliwonse omwe mungayesedwe. Zotsatira zabwino zitha kutanthauza kuti ma koilocytes adapezeka.

Zotsatirazi sizikutanthauza kuti muli ndi khansa ya pachibelekero kapena kuti mupeza. Komabe, muyenera kuyang'aniridwa ndi kulandira chithandizo kuti muteteze kupita patsogolo kwa khansa ya pachibelekero.

Zokhudzana ndi khansa

Koilocytosis mu khomo pachibelekeropo ndiye chimayambitsa khansa ya pachibelekero. Zowopsa pomwe ma koilocyte ambiri amtundu wina wa HPV amapezeka.

Kuzindikira koilocytosis pambuyo pa Pap smear kapena biopsy ya khomo lachiberekero kumawonjezera kufunikira kowunikira khansa pafupipafupi. Dokotala wanu adzakudziwitsani nthawi yomwe muyenera kuyesedwa. Kuwunika kumatha kuphatikizira kuwunikira miyezi itatu kapena isanu ndi umodzi, kutengera kuchuluka kwanu.

Ma koilocyte amaphatikizidwanso ndi khansa yomwe imapezeka m'malo ena a thupi, monga anus kapena pakhosi. Komabe, njira zowunikira khansa izi sizinakhazikitsidwe bwino ngati za khansa ya pachibelekero. Nthawi zina, koilocytosis siyomwe ili yodalirika pangozi ya khansa.

Momwe amathandizidwira

Koilocytosis imayambitsidwa ndi matenda a HPV, omwe alibe mankhwala odziwika. Mwambiri, chithandizo cha HPV chimafunikira zovuta zamankhwala, monga ma genital warts, khansa yapakhosi, ndi khansa zina zoyambitsidwa ndi HPV.

Izi ndizopamwamba kwambiri pomwe khansa yapakhosi kapena khansa imadziwika ndikuchiritsidwa msanga.

Pakakhala kusintha kwa khomo pachibelekeropo, kuwunika chiopsezo chanu pakuwunika pafupipafupi kumatha kukhala kokwanira. Amayi ena omwe ali ndi vuto la khomo lachiberekero angafunikire chithandizo, pomwe kusamvana kowonekera kumawonekera mwa amayi ena.

Mankhwala ochizira khomo lachiberekero ndi awa:

• Ndondomeko yoyendetsera zida zamagetsi zamagetsi (LEEP). Pochita izi, minofu yachilendo imachotsedwa pachibelekeropo pogwiritsa ntchito chida chapadera chokhala ndi waya womwe umanyamula magetsi. Chingwe cholumikizira waya chimagwiritsidwa ntchito ngati tsamba kuti chifufutire modekha zotupa.
• Kuchiza opaleshoni. Cryosurgery imaphatikizapo kuzizira minofu yachilendo kuti iwawononge. Nitrogeni wamadzimadzi kapena kaboni dayokisaidi amathanso kugwiritsidwa ntchito pachibelekero kuti atulutse maselo omwe ali ndi vuto.
• Opaleshoni ya Laser. Pochita opaleshoni ya laser, dokotalayo amagwiritsa ntchito laser kudula ndi kuchotsa zotupa m'mimba mwa chiberekero.
• Kutsekemera. Njirayi imachotsa chiberekero ndi khomo pachibelekeropo; Izi zimagwiritsidwa ntchito kwa amayi omwe sanasinthe ndi njira zina zamankhwala.

Kutenga

Ngati ma koilocyte amapezeka mukamachita Pap smear, sizitanthauza kuti muli ndi khansa ya pachibelekero kapena mupeza. Zimatanthawuza kuti mungafunike kuwunikiridwa pafupipafupi kuti ngati khansa ya pachibelekero ichitike, imatha kupezeka ndikuchiritsidwa msanga, motero kukupatsani zotsatira zabwino kwambiri.

Pofuna kupewa HPV, yesani zogonana motetezeka. Ngati muli ndi zaka 45 kapena kucheperapo, kapena ngati muli ndi mwana yemwe ali, lankhulani ndi adotolo za katemerayu kuti mupewenso mitundu ina ya HPV.