Low-grade grade Squamous Intraepithelial Izioni Zvitsva
Chirwere chisina kuyerwa checamous intraepithelial, chinowanzozivikanwa seLSIL kana LGSIL, chinowanikwa kuburikidza nechiitiro cheP Pap smear uye zvinoreva kuti unyoro hwechibereki dysplasia hwave huchitsvaga.
Izvi zvinoreva kuti masero ari pamucheto ari kuratidza kuchinja kunonyatsonaka, zvichireva kuti masero anogona kuchinja kuva mukenza wechibereki makore pasi. Ichokwadi kuti ivo vanoonekwa se "pasi-grade" zvinoreva kuti nzira iyi inogona kuwedzera zvishoma kana ikaitika zvachose.
(Kana masero akaonekwa se "high-grade" kana HSIL, kune rumwe rutivi, zvinoreva kuti vanogona kuchinja kuva kanzera.)
LSIL inowanzokonzerwa nepillomavirus yemunhu (inozivikanwawo seHIVV), iyo ndiyo inonyanya kuisa chikonzero chekudzivirira kenza yemukomana.
HPV yakakurumbira uye inoparadzirwa nekuita zvepabonde (vaginal, anal, kana muromo) nemumwe munhu ane chirwere. Mashoko akanaka ndeokuti vazhinji vevanhu vanotapukirwa neHIVV vanojekesa utachiona. Asi mumadzimai avo maitiro ezvirwere zvekudzivirira zvirwere hazvina kubvisa chirwere ichi, kenza yemukomana inogona kuitika.
Nzira yei LSIL Inoona
Apo vakadzi vanoshanyira vanachiremba vavo veO / GYN kuti vaongorore, vanowanzogamuchira Pap smear, iyo dzimwe nguva inonzi Pap test. A Pap smear inzira inosangana nekenza yemukomana mukati mevakadzi uye inotora maminetsi mashoma. Iyi nzira inosanganisira kuunganidza masero kubva mumuviri wemukati uri pasi, pasi pfupi pamuchembera uri pamusoro pemudzimai.
Pakati pePear smear, mukadzi anorara patafura yekuongorora uye anoisa tsoka dzake mumhepo. Chiremba anobva aisa chimbo chekurapa chinonzi speculum (icho chinonongedzerwa) mumudzimai uye kushandisa brashi kana swab, zvinyoronyoro zvinoputira pamusoro pemukati mutsva kuti uwane kuunganidza masero. Aya masero anotumirwa kubhi kuti iongororwe.
Kutevera-shure Pashure pekunge LSIL Yakaonekwa
Kana ukawana kuongororwa kweLSIL, zvakakosha kuitevera nachiremba wako, sezvo mazano ake ekugadzirisa mhinduro yacho achasiyana pakati pevakadzi zvichienderana nezera ravo, nhoroondo yeP Pap smear, uye zviitiko zveHIVV test.
Somuenzaniso, kana LSIL inowanika kuburikidza nePap smear, kudzokorora Pap smear mugore uye / kana kuongorora kwe HPV kunogona kuitwa. Chirwere cheHVV chinotarisa kuvapo kwemamwe mishonga yeHIVV inobatanidzwa nekenza yemukomana. Chiremba wako anogona kuwanzowana kuongorora kweVHV pamasero akafanana akashandiswa paP premi yako rekutanga (Pap smear yakadzoka se "isina kujairika" nekuda kweLSIL).
Kune vamwe vakadzi vanotambira kuongororwa kweLSIL, colposcopy inogona kuitwa, kufanana nevadzimai vakaidza maitiro akanaka kuHIVV kana kuti vakadzi vari pakati pemakore 25 ne29.
A colposcopy is in-office procedure inobvumira chiremba kuti aongorore chibereko chechivivhe zvakanyanya. Paunenge uchiita colposcopy, chiremba wako achashandisa microscope yakajeka inonzi colposcope inokudza chibereko chechivharo, saka inogona kuonekwa zvakanaka.
Munguva ye colposcopy, chiremba anogona kuitawo chiropa chechivharosi kuti abvise zviduku zvemuviri wekervical. Kunyatsodzivirira kunogona kuitika munguva yemudzimai wepervical biopsy; zvisinei, hazvina maturo.
Zviratidzo izvi zvinobva zvatumirwa kubhi rekuongorora zvakare.
Kurapa kweLSIL
Imwe yenzira dzakajairika yekurapa LSIL ndeyekutora "kurinda nekumirira" kusvika. Kubvira pakaderera-grade-grade dysplasia zvinowanzozvigadzirisa pachavo, hapana mushonga unogona kudiwa, asi pap smears uye / kana colposcopies inoitwa nguva dzose kuti ione dysplasia.
Kana dysplasia ichifambira mberi, mushonga unogona kudiwa. Mushonga wokubvisa mishonga isina kuchena inogona kusanganisira
Loop Electrosurgical Excision Procedure (LEEP)
Penguva yechirongwa cheLeEP , magetsi anotumirwa kuburikidza nematare. Ita roop loop inoshanda sevha, kubvisa maitiro emakondomu asina kukodzera.
Cryotherapy
Cryotherapy inyanzvi inoshandiswa kuparadza mhuka dzisina kuchena kuburikidza nekuipisa. Inonziwo gorosi.
Conization
Iyo inonziwo cone biopsy , conization inobvisa imwe yakakura, yakagadzirwa sendimi yakasvibirira yenyama.
Laser Therapy
Munguva yewaser therapy, chidonho chechiedza chinoshandiswa kuparadza masero asina kukwana.
Shoko Rinobva
Chinokosha apa ndechekuti Pap smear chiitiko cheLSIL chinonzi "chisina kujairika" uye chinoda kuwedzera kuongororwa uye pamwe kurapwa. Asi nhau dzakanaka ndeyokuti pane dzimwe nguva, inogadzirisa pachayo pachayo mukati memakore maviri.
Kunyange zvakadaro, kugara uchitarisa nachiremba wako kwakakosha kuti uone kuti chero masero asina kukwana haafaniri kuramba kana kufambira mberi. Yeuka, kukurumidza kutanga ndicho chinhu chinoita kuti udzikise mikana yako yekukura nekenza yemukomana.
Nezvo, ramba uchitarisa chiremba wako kuti uite zvinotevera kubva pane zvaanorayira, uye uone iye nokukurumidza kana iwe ukacherechedza zviratidzo zvitsva sekusava nekubuda ropa kwemazuva mashoma (semuenzaniso, kubuda ropa munguva yepabonde kana pakati penguva).
> Sources:
> American College yeVadzidzi uye Gynecologists. (2016). Nhengo dzeCervical Cancer Screening Test Results.
> Ciavattini A et al. Kutevedzera muvakadzi vane biopsy kuongororwa kwekervical low-grade squamous intraepithelial lesion (LSIL): inofanira kuva yakareba zvakadini? Arch Gynecol Chibvumirano. 2017 Apr; 295 (4): 997-1003.