Kuongororwa kwekervical intraepithelial neoplasia, kana kuti cervical neoplasia, rinoreva rudzi rwemhando yekuchinja mumuviri. Iko kushanduka kunogona kana kuti kusagadzirisa kenza yemukomana. Chaizvoizvo, kervical neoplasia diagnosis inogona kureva zvakasiyana-siyana zvechirwere. Iko kushanduka kunogona kubva kubva kuzvigadzirisa kuzvidzora kuva munyoro kuenzanirana nekervical dysplasia yose kusvika kumatanho ekutanga emukenza wechibereki.
Kusarudzira Cervical Intraepithelial Neoplasia
Mushonga womukati mumushonga womukati intraepithelial neoplasia ane zvinoreva zvakajeka. Inoreva uterine chiremera. Kuti unzwisise chinonzi cervical intraepithelial neoplasia, inobatsira kunzwisisa mamwe mazwi zvakare. Intraepithelial zvinoreva "mukati me epithelium." Chimiro chemuviri chemuviri wechivi chakafukidzwa nematanda emarudzi akawanda eepithelial cells. Ndiyo masero ayo anokonzerwa nekervical intrapithelial neoplasia. Neoplasia chaizvoizvo zvinoreva "kukura kutsva." Kunyange zvakadaro, inowanzoshandiswa kureva kusakosha kana kusadzora masero ekukura. Nokudaro, cervical intraepithelial neoplasia isingaenzaniswi masero ekukura mukati mematanda epithelial masero anofukidza chibereko chemuviri.
Grading Cervical Neoplasias
Cervical neoplasias inoongororwa ne-biopsy uye inoshandiswa maererano nekuoma kwayo. Kusuruvara kunoshandiswa sezvinotevera:
- Cervical Intraepithelial Neoplasia 1 (CIN I) - mild dysplasia
- CIN II - unyoro kuenzanisa dysplasia
- CIN III - dysplasia yakasimba kune kenza
Vanhu vanoongororwa neCIN I, kana unyoro dysplasia, kazhinji havasati vabatwa Iro rudzi urwu rwekuvhiringidzika kwechibereki rinoporesa pacharo pasina kupindira. (Izvi zvakafanana neLSIL kuongororwa nePap smear.) Pane kudaro, vanoteverwa zvakanyanya pedyo nechiremba wavo.
Izvozvo zvinogona kusanganisira kakawanda Pap smears, kuongorora kweHVV , kana zvichida colposcopy
Kusiyana neizvi, vanhu vane CIN II neCIN III vanowanzotaurirwa kuzorapwa. (Izvi zvinowirirana neHSIL, ASC-H, AGC, kana carcinoma in situ Pap smear kuongororwa.) Kurapa kwekuenzanisa kusvika kune yakanyanya kervical neoplasias kunosanganisira kubviswa kwezvipembenene. Izvi zvinogona kuitwa kuburikidza ne cryotherapy, LEEP , kana conization.
Kunyangwe mushure mekurapa kubvisa chironda ichi, vanhu vane mazinga epamusoro emakondomu neoplasias vanoramba vari pangozi yekuwedzera kenza yemukondombera mune ramangwana. Ivo vanowanzorairwa kuti varambe vachishanyira vanachiremba vavo kune dzimwe nguva kutevera.
Cervical Neoplasia kana Squamous Intraepithelial Lesion?
Paanoongororwa nePap smear , chirwere cheservic dysplasias chinowanzozivikanwa se squamous intracellular zvipembenene (SIL) panzvimbo yekervical interepithelial neoplasias. Muchechi neoplasia diagnsosis yakachengeterwa kuongororwa ne biopsy kana colposcopy . Izvi ndezvokuti Pap smears inopa muongorori nemasero akasununguka. Kusiyana neizvi, biopsies vanovabvumira kuti vaone chero mararamiro emudzimai munyaya. Izvi zvinopa vanachiremba kukwanisa kuita zvakajeka kuongororwa. Kutarisa bhizimusi kunogona kuratidza kuti mukati memukirini chero zvipembenene zvinokura.
Ko Cervical Neoplasia Inoreva Kanzera Here?
Kuonekwa kuti une kervical neoplasia hazvirevi kuti une kenza. Izvo hazvirevi kunyange kuti iwe uri kuenda kune kenza. Zvinorevei ndezvokuti iwe unenge uri pangozi yakawanda yekuve nekenza pane imwe nguva mune ramangwana. Izvozvo zvinonyanya kuitika kana iwe uine chirwere cheCIN II kana CIN III.
Mucheche wako wechikwereti wekutengesa unenge wakaderera shure kweCIN II kana III kuongorora. Zvisinei, chiremba wako angangodaro achikurudzira nguva dzose kutevera. Izvi zvichabatsira kuve nechokwadi kuti anogona kuzvibata pakutanga kana kenza inokura. Kunyanya kuongororwa uye kurapwa chiratidzo chinokosha pakugadzirisa kufa kwechirwere chemuviri wechibereko.
Sources:
JW Vatengesi naR. R. Sankaranarayanan "Colposcopy uye Kuchengetedzwa kweCervical Intraepithelial Neoplasia: Bhuku Rokutanga - Chitsauko 1: Sumo yehutachiona hwechibereko chemuviri" International Agency for Research on Cancer 2003/4.
> Kalliala I, Dyba T, Nieminen P, Hakulinen T, Anttila A. Kufa mukurarama kwenguva refu mushure mekurapwa kweCIN. Int J Kanzura. 2010 Jan 1; 126 (1): 224-31. doi: 10.1002 / ijc.24713.
> Melnikow J, McGahan C, Sawaya GF, Ehlen T, Coldman A. Cervical intraepithelial neoplasia zvinotevera mushure mekurapa: nguva refu kutevera kubva kuBritain Columbia Cohort Study. J Natl Kankere Inst. 2009 May 20; 101 (10): 721-8. doi: 10.1093 / jnci / djp089.