Muzviitiko zvizhinji, chirwere chemuchembere chirwere chinokurumidza-chinowedzera chinotora makore kuti uwedzere. Pamberi pemukenza chero upi zvaunowedzera, chirwere chemuviri (musana wakadzika wechibereko chemukadzi) chinosangana nekuchinja kusina kuchena kunonzi cervical dysplasia. Kana akabatwa pamusana pekutanga, chirwere chemucheche chiri nyore kurapa uye kuponesa kwepabonde kwakanyanya. Ichi ndicho chikonzero vakadzi vanowanzoongorora zvirongwa zveP-smear kuti vatarise chero kushanduka kusina kuitika kumuromo wechibereko.
Apo zvipamu zvePapa zvinouya zvakare zvisina kujairika , pane zvikamu zvakasiyana zvinotsanangura kuti sei zvakawanikwa kuti hazvina kujairika:
- ASCUS (maatypical squamous cells asingazivikanwi zvisingazivikanwi)
- LGSIL (gorosi yakaderera checamous intraepithelial lesion)
- HGSIL (high-grade squamous intraepithelial lesion)
- AGC (inypical maglandular cells paPap smear)
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.
Icho chinangwa cheHGSIL Pap Smear
Chirongwa cheHGSIL Pap smear chinoratidza kuti humwe hutsananguriro hunoenderana nehukuru uye humiro hwemasero emudzimai akaonekwa, iyo-sezvataurwa pamusoro-inoratidza kuenzanisa-kusvika-yakaoma cervical dysplasia. HGSIL haisi chirwere chepervical yet, asi kana yakasiyiwa isingateereri uye isina kuonekwa, inogona kutungamirira kumuchirwere wechibereki.
Kugutsikana kweGumisiro reHGSIL
Kana zviitiko zvePap smear zvinodzoka seHGSIL, kuongorora kwecolpcopy zvinoitwa kuitira kusimbisa zvitsva. Kuongorora kwecolpcopy is in-office procedure iyo inobvumira chiremba kuti aone zvakajeka chivharox nechiridzwa chine chiedza chinonzi colposcope. Munguva yekuongorora, colposcope inoramba iri kunze kwechikadzi.
Inoshanda se microscope, ichibvumira zvakadzama maonero emumuviri wechibereko . Munguva yecolcopcopy, chiremba anogonawo kuita chiberekero chechibereki , nzira inobvisa zvidimbu zviduku zvekervical. Zviratidzo izvi zvinobva zvatumirwa kubhi rekuongorora zvakare. Chimbofunga nezvekolposcopy seP-depth smear.
Mhando dzeUrwere
Kana mushonga wechibereki chibereko chinoratidza HGSIL, saka kurapwa kubvisa zvisingaiti zvechirwere chechibereki zvinodiwa kuitira kudzivirira kuvepo kwekenza yemukomana munguva yemberi. Mishonga inogona kuitika yeHGSIL inosanganisira:
- Loop Electrosurgical Excision Procedure (LEEP): Munguva yeLeEP , magetsi anotumirwa kuburikidza nematare. Mucherecheti anotema kuita sevha, achibvisa maitiro emakondomu asina kukodzera.
- Cryotherapy: Cryotherapy ndiyo nzira inoshandiswa kuparadza mhuka dzisina kuchena kuburikidza nekuipisa. Inonziwo majeko.
- Kuchengetedza: Uyewo inonzi cone biopsy , conization inobvisa imwe yakakura, yakagadzirwa sendimi yezvisikwa zvisingawanzoitiki.
- Laser Therapy: Munguva yewaser therapy, chiduku chiduku chechiedza chinoshandiswa kuparadza masero asina kukwana.
Kuchengetedza Kuchengetedza Pashure Pokurapa
Kutevera mushure mekurapwa kweHGSIL kunonyatsodikanwa. Mitsara inogona kuva isina kujairika, pasinei nekurapa, uye inogona kuwedzera kurapwa.
Kutevera kunosanganisira nguva dzose Pap smear uye mienzaniso yecolposcopy kwenguva yakareba.