Nheyo dzekervical dysplasia
Cervical dysplasia yakajairika iyo inorondedzera kusagadzikana kusina kuchinja kwemuviri wechibereko. Kushanduka kwemazuva ose kunogona kubva pane zvishoma kusvika kune zvakanyanya uye zvinowanikwa kuburikidza nechiitiro cheP Pap smear.
Overview
Kunyange zvazvo asina kubatwa nekervical dysplasia inogona kutungamirira kumukenza wechibereki mune dzimwe nguva, kuva nekervical dysplasia hazvirevi kuti munhu ane kenza kana kuti achazoudza chirwere chacho.
Inowanzotarisirwa kutanga nekutarisa kuona kana ichiripo, uye zvakare nekunze kwemaitiro muhofisi yechiremba. Mune mamwe mazwi, nekuchenjerera nekucherechedza uye kurapwa, kushandiswa kusina kuchena mumuviri wechibereko kunowanzobatwa (kubviswa) vasati vava nemukana wekushandura kubva kumasero akachengetedza kusvika kune masero ekenza .
Zviratidzo
Vakadzi vane kervical dysplasia havawanzo kuva nezviratidzo. Ichi ndicho chikonzero nei kuva neP Pap smear yenguva dzose kuchikosha. Kakawanda Pap smear inogona kuona idzi dzisina kuchena dzomudzimai dzinoshandiswa kwenguva refu vasati vatanga kurwara.
Zvinokonzera
Kune hukama hwakasimba pakati pepillomavirus yevanhu (HPV) uye cervical dysplasia. HPV chirwere chinowanzoparadzirwa kuburikidza nepabonde. Kune vakadzi vazhinji, HPV uye cervical dysplasia vachazvimirira voga vasina kurapwa. Kunyange zvakadaro, kune vamwe vakadzi, HPV inogona kutungamirira kune zvakanyanya kushandiswa kwemishonga yemushonga. Kana kuchinja uku kusara kusatenderwa, kunogona kutungamirira kumukondombera wechibereki.
Zvidzidzo zvakare zvinoratidza kuti vakadzi vanosvuta vanoita kuti vawedzere mungozi yekudzidzira kervical dysplasia. Zvave zvichiwanikwa kuti kusvuta kunogona kupedzisa zvakakonzerwa neHIVV pamuviri wechibereko. Ichi ndicho chimwe chikonzero chekukandira tsika yekubhema nekukurumidza sezvinobvira muupenyu.
Zvimwe zvinogona kuitika mumuviri wepervical dysplasia zvinosanganisira:
- Kuva neHIV
- Kuva nevakabatana vakawanda zvepabonde
- Kubereka asati ava nemakore makumi maviri
Kuziva
Cervical dysplasia inoratidzwa nebazi rekuongorora kwePap test, iyo inotora shanduro yebrasi yemasero emuviri wechibereko. Iro rinotarisira masero asina kukwana. Kana vakashuma masayeri e-atypical asingazivikanwi (ASC-US) , muedzo unogona kudzokororwa mumwedzi gumi nemaviri uye chirwere cheHIVV chinogona kuitwawo.
Nekudzokorora kuwanikwa kusina kujairika kana kana kuongorora kwe HPV kwakanaka uye iwe uri kupfuura makore 25, bhiopsy inogona kuitwa. Izvi zvinoshandiswa panguva inonzi colposcopy uye sampuli dzemasero emhondi dzinogona kuongororwa zvakare kuti dzione kana dziri musati dzave nekenza, cervical intraepithelial neoplasia (CIN). Izvi zvinoshandiswa seCIN1 (mild dysplasia), CIN2 (kuenzanisa dysplasia) uye CIN3 (rakaoma dysplasia kana carcinoma in situ .)
Kurapa
Kurapa kwekervical dysplasia kunoenderana nemigumisiro yebiopsy inotaurwa pamusoro apa uye inofanana nechiyero che dysplasia chiripo.
CIN ini handiwanzobatwa. Pane kudaro, inonyanya kutevedzwa pedyo nePap smears, kuongororwa kweHVV, kana dzimwe nguva kuporecopy.
Mishonga inowanzoitirwa CIN II neCIN II uye inosanganisira kubvisa nzvimbo dzemawere asina kukwana kuitira kuti dzigone kuramba dzichikura uye dzichiva nekenza.
Zvirwere zvinogona kusanganisira:
- Cryosurgery - Kuvhiyiwa uku kunosanganisira kuisa tsvina yakaomeswa kuitira kuti asvibise mhando dzisina kuchena.
- LEEP - Nzira yeLeEP (inoputira magetsi) inoshandisa tambo yakagadzirwa nemagetsi kuti ibvise mavara asina kuchena.
- Kuvhiyiwa kwema Laser - A carbon dioxide laser inogona kushandiswa kubata mhuka dzisina kunaka.
- Cold knife cone biopsy - Iyi nzira yakafanana neyakasara asi panzvimbo iyo inoshandisa chirwere chokuvhiya kubvisa mishonga inoshungurudza.
Imwe majoka emunharaunda inowanzoshandiswa kupedza mavara pamuviri wemukati musati maitiro aya, ayo anowanzoitwa muchipatara kana muchipatara sekuvhiya kwezuva rimwe chete.
Kana bhiopsy inoratidza kuti kune masero asina kukodzera pamakona emuenzaniso, kuwedzera kurapwa kunowanikwa munzvimbo yacho kuitira kuti vave nechokwadi chokuti vakabvisa masero ose asina kukwana.
Kudzokorora kweCIN mune rumwe ruzivo rwakakura kwaive 5,3 muzana yevakadzi vanobatwa ne-cryosurgery kana LEEP uye 1.4 muzana kune avo vaibatwa nechitonho chekuvhara mazai, kunyange zvazvo nguva yakawanda yezvinetso zvaive zvakanyanya kuwedzera nechitonho chekuvhara.
Tevera
Kana yako cervical dysplasia inobatwa neimwe yenzira dziri pamusoro, iwe unoda kuongororwa kazhinji. Kana masero asina kukwana achidzoka, kurapwa kunodzokororwa. Sezvo chirwere cheKVV chinogona kuramba chichitevera kurapwa kweCIN, pane ngozi yekuwedzera dzimwe nzvimbo dzisina kuchena dzinoitika dziri mberi mune ramangwana. Iva nechokwadi chokuti utaure nachiremba wako kuitira kuti iwe unzwisise chero kutevera kunodiwa.
Kutsungirira
Zvinogona kuva zvinotyisa kwazvo kunzwa kuti une chirwere chinogona kutungamirira kenza. Izvozvo zvakati, chero bedzi iwe uchitevera zvakanyatsonaka nachiremba wako uye unogamuchira chero marapirwo akataurwa, mukana wekushandurwa uku wakanyanya kuderera.
Sources:
Hoffman, S., Le, T., Lockhart, A. uye al. Maitiro Ekuramba Anorwara HPV Mushure mekurapa kweCervical Intraepithelial Neoplasia (CIN): Kuongorora kweChirongwa. International Journal of Cancer . 2017 Jan 25.
Santesso, N., Mustafa, R., Wiercioch, W. et al. Kuongorora kwakagadziriswa uye Meta-Kuongorora kweZibatsiro neHarms ye Cryotherapy, LEEP, uye Cold Knife Conization Yokubata Cervical Intraepithelial Neoplasia. International Journal of Gynecology and Obstetrics . 201. 132 (3): 266-71.
Tsikouras, P., Zervoudis, S., Manav, B. et al. Cervical Cancer: Kuchengeta, Kuziva uye Kuongorora. J BUON . 2016. 21 (2): 320-5.