Kodi malo osungira, okhwima komanso okhwima okhwima ndi zomwe zimayambitsa
Zamkati
- Kodi khansa ya squamous metaplasia?
- Zomwe zingayambitse metaplasia yoyipa
- Magawo a squamous metaplasia
- 1. Hyperplasia yama cell osungidwa
- 2. Metaplasia wakhanda osakhwima
- 3. Metaplasia okhwima okhwima
Squamous metaplasia ndi kusintha kwabwino kwa minofu yomwe imayendetsa chiberekero, momwe ma cell a uterine amasinthira ndikusiyanitsa, ndikupangitsa kuti minofuyo ikhale ndimaselo opitilira umodzi.
Metaplasia imafanana ndi njira yodzitetezera yomwe imatha kuchitika nthawi zina m'moyo wa mayi, monga kutha msinkhu kapena nthawi yoyembekezera, pakakhala ukazi wambiri wamaliseche, kapena pakatupa kapena kukwiya chifukwa cha candidiasis, bakiteriya vaginosis kapena chifuwa chimachitika Mwachitsanzo.
Kusintha kwamasamba kumeneku sikuwoneka ngati koopsa, komanso sikuwonjezera chiopsezo cha khansa ya pachibelekero. Kuphatikiza apo, squamous khomo lachiberekero metaplasia ndi zotsatira zodziwika bwino za Pap smear ndipo safuna chithandizo chamankhwala ngati palibe zizindikiro za candidiasis, matenda a bakiteriya kapena matenda opatsirana pogonana (mwachitsanzo).
Kodi khansa ya squamous metaplasia?
Squamous metaplasia si khansa, koma kusintha komwe kumachitika chifukwa cha kukwiya kwanthawi yayitali, ndipo umboni wina ukapezeka pazotsatira za Pap smear, metaplasia sangakhale yokhudzana ndi khansa.
Komabe, ngakhale zimachitika nthawi zambiri ndi cholinga chotsimikizira kutetezedwa kwakukulu kwa uterine epithelium, kuwonjezeka kwa magawo am'magazi kumatha kuchepa kwa ntchito yamaselo, yomwe imatha kuthandizira kukulira kwa neoplasia, ngakhale nthawi zambiri ma metaplasias sagwirizana ku khansa.
Ngakhale si khansa ndipo nthawi zambiri saonjezera chiwopsezo cha khansa, a gynecologist nthawi zambiri amapempha kubwereza kwa pap smear pakatha chaka chimodzi, ndipo pakatha mayeso awiri motsatizana, nthawi yopanga pap itha kukhala zaka zitatu.
Zomwe zingayambitse metaplasia yoyipa
Squamous metaplasia imachitika makamaka ndi cholinga choteteza chiberekero ndipo titha kuyanjidwa ndi izi:
- Kuchuluka acidity ukazi, amene ali ambiri msinkhu wobereka ndi mimba;
- Kutupa kwa chiberekero kapena kukwiya;
- Kuwonetsedwa ndi zinthu zamankhwala;
- Kuchuluka kwa estrogen;
- Kulephera kwa Vitamini A;
- Kukhalapo kwa tizilombo ta uterine;
- Kugwiritsa ntchito njira zolerera.
Kuphatikiza apo, squamous metaplasia amathanso kuyambitsidwa ndi matenda a cervicitis, omwe amakhumudwitsa khomo pachibelekeropo lomwe limakhudza kwambiri azimayi azaka zobereka. Onani zonse zokhudzana ndi cervicitis yanthawi yayitali.
Magawo a squamous metaplasia
Squamous metaplasia itha kulekanitsidwa mwanjira inayake molingana ndi mawonekedwe am'maselo:
1. Hyperplasia yama cell osungidwa
Imayamba kumadera obvundikira kwambiri a khomo lachiberekero, momwe timaselo tating'onoting'ono timapangidwira momwe, momwe zimapangira ndikuchulukitsa, zimapanga minofu yokhala ndi zigawo zingapo.
2. Metaplasia wakhanda osakhwima
Ili ndi gawo la metaplasia momwe ma cell osungira sanamalize kusiyanitsa ndi kusanja. Ndikofunika kuzindikira malowa ndikukhala ndi mayeso nthawi zonse kuti tiwone momwe zasinthira, chifukwa ndipamene mawonetseredwe ambiri a khansa ya pachibelekero amabwera.
Nthawi zina, epithelium imatha kukhalabe yaying'ono, yomwe imadziwika kuti ndi yachilendo ndipo imatha kuyambitsa kusintha kwama cell omwe angayambitse khansa. Ngakhale vutoli silofala kwambiri, limatha kuchitika kwa anthu ena chifukwa cha kachilombo ka HPV, kamene kali kachilombo ka papilloma kaumunthu, kamene kamatha kupatsira ma cell osakhwima awa ndikuwasandutsa ma cell okhala ndi zovuta.
3. Metaplasia okhwima okhwima
Minofu yosakhwima imatha kukula kapena kukhalabe wosakhwima. Pamene epithelium yosakhwima isandulika kukhala minofu yokhwima, yomwe idapangidwa kale, imakhala yolimbana ndi zipolowe, popanda chiopsezo chazovuta.