Cervical dysplasia ndiko kuvapo kwemasero asina kukwana pamucheto wako, kazhinji anowanikwa nechirongwa cheP Pap smear. Vanachiremba vanoshandisa nzira shomanana dzakasiyana pakurapa kervical dysplasia . Chinangwa chekurapa ndechekubvisa nzvimbo dzisina kukodzera dzechirwere vasati vangave vane kenza. Asi hazvisi zvose zviitiko zvechirwere dysplasia zvinoda kurapwa.
Kurinda nekumirira
Kune vakadzi vane unyoro kusvika pakuenzanisa kervical dysplasia, "kutarisa nekumirira" inowanzotarisirwa kurapwa. "Kutarisa nekumirira" kunongoreva kuti Pap smear kana colpcopype kana biopsy ichaitwa mwedzi yese kusvika pamwedzi 12 kuti ione dysplasia. Dild to moderate dysplasia inowanzozvigadzirisa pachayo mumakore maviri pasina kurapwa.
Inonzi colposcopy inoshandisa microscope kuti iongorore nzvimbo dzisina kunaka pamuviri wako wechirwere zvinofanira kuenzanisirwa uye kuongororwa. Izvo zvinoitwa zvakadai sePap smear, asi chibereko chemuviri nemukadzi chinotanga kusvibiswa newainiki kana iodine solution. Zvadaro nzvimbo yacho inoshandiswa kutarisa nzvimbo dzisina kukodzera uye sampuli dzinobviswa necheki zvishandiso zvebiopsy uye dzinotumirwa kubhi rekuongorora.
Nebiopsy, cervical dysplasia yakaiswa mumapoka matatu eCIN I (mild dysplasia), CIN II (inonyoresa kuonekwa dysplasia) uye CIN III (yakaoma dysplasia kusvika kucarcinoma in situ).
Zvimwe kurapwazve kunoitwa zvinoenderana nechechi.
Loop Electrosurgical Excision Procedure (LEEP)
Dzimwe nguva dzinonzi LLETZ, LEEP inzira inoshandisa tambo yakagadzirwa nemagetsi kuti ibvise masero asina kukwana kubva mumuviri wechibereko. Izvi zvinowanzoshandiswa mumamiriro ezvinhu epamusoro-grade cervical dysplasia .
Inowanzoitwa muhofisi yechiremba neanesthesia yemo. Tsvina yakabviswa inotumirwa kubhii kuti ibudise kuongorora.
Conization
Konization inzira yekurapa kune vamwe vakadzi vane high-grade cervical dysplasia. Kuchenesa kunobvisa chigunwe chakafanana nemakumbo kubva mumuviri wechibereko. Inonziwo cone biopsy uye inogona kushandiswa kubatsira kubatsira chirwere chekenza chechibereki. LEEP imwe yerudzi rwekudzivirira, uye kunewo kukonzera keni kondomu biopsy. Zvose izvi kazhinji zvinowanzoitwa muhofisi yechiremba neanesthesia yemo.
Cryosurgery
Cryosurgery imwe imwe nzira inoshandiswa kuporesa yepamusoro-grade cervical dysplasia. Inowanzoitwa muhofisi yechiremba. A cryoprobe inopindirwa mukati mechiratidzo mumukati. Inomanikidzwa nitrogen inoyerera ichienda kune probe yesimbi, ichiita kuti ichitonhe zvakakwana kuisa mavara ayo arikubatana nayo. Cryosurgery inonziwo cryotherapy.
Laser Therapy
Carbon dioxide laser photoablation ndeimwe nzira inogona kushandiswa kuparadza zvisikwa zvisingaiti. Iyo inowanzoitwa muchigadziro chekubuda kwenguva uye nzvimbo yekunyepedzera inogona kushandiswa.
Kutevera-Kutevera Mushure Mokurapa kweCervical Dysplasia
Mushure memokurapwa kwechibereki dysplasia, kutevera zvakataurwa nachiremba kunokosha.
Chiremba achakurudzira chirongwa chekutevera zvichienderana nehutano hwehutano kubva kuLeEP kana kukonzera.
Mazano anowirirana achitevera kurapwa ndeyekuti nguva dzose makirasikiti uye chiberekero chechibereki zvinenge mwedzi 6 kusvika ku12. Cervical dysplasia inogona kudzoka, saka kutevera chiremba yekutevera-kukurudzira kunokosha zvikuru.
Sources:
"National Cancer Institute Fact Sheets." Human Papillomaviruses uye Cancer: Mibvunzo neMhinduro. 06 June 2006. National Cancer Institute.
Josefson, Deborah. "Mucheche wechiberekero dysplasia kazhinji inodzokera kune yakajairika." British Medical Journal 31813 February 1999 17.