Chii Chinochinja Muchikamu Chako Chaizvoizvo Chinoreva
Chirwere chemukombomu ndekukura kusingachinji uye kusingadzorwiki kwemasero anotanga mumuviri wemukati uye anogona kupararira kune dzimwe nhengo dzomuviri. Iyo chirwere chinowanzofamba chinononoka chinowanzotora makore kuti ibude.
Usati wasvika pakuvandudzwa kwemasero anouraya uye matumire, chirwere chechivhadziro chichava kuchinja kusina kuchena kunonzi cervical dysplasia iyo inogona kushanda sechiratidzo chekutanga chekunyadzisa kunenge kuchikura.
Kuziva Cervical Dysplasia
Cervical dysplasia inongorondedzerwa sechinhu chisina kujairika kuchinja mumutsara wemukati. Kunyange zvazvo cervical dysplasia dzimwe nguva inotungamirira kukenza yemukondombera , haifaniri kuonekwa sekenza kuongororwa .
Cervical dysplasia inogona kuonekwa nemitiro weP Pap smear nezvakawanikwa zvakarongwa sezvizvi:
- ASCUS ( masayeri eatypical asinganzwisisiki) haanzwisisi kuti chero kuchinja kunenge kusina kunaka. Chikonzero chinogona kuva chikonzero chechinhu chipi nechipi chinobva kune hutachiona kusvika pakukudziridza masero epanchera. ASCUS haisi kuratidzwa kwekervical dysplasia kusvikira mamwe magwaro ekuongorora anoitwa.
- MHURI (atypical maglandisa masero esingazivikanwi zvisinganzwisisiki) inoreva kusakanganiswa mumasero anochera anoita kuti mukoko uite. Kunyange zvazvo zvisingazivikanwi zvakarongerwa sechirchi dysplasia, AGUS inogona kuva chiratidzo chechimiro chakakomba. Migumisiro ye AGUS inoonekwa isingawanzoitiki, inowanikwa muzasi pasi peyendi yezana yeP s sarar results.
- LGSIL ( yakaderera-grade grade squamous intraepithelial lesion ) inoreva kuti kuedza kwakaona unyoro dysplasia. Ndiyo kuwanikwa kwakajairika uye, mumatambudziko mazhinji, kuchazadzika pachako mukati memakore maviri.
- HGSIL ( high-grade squamous intraepithelial lesion ) iyo yakatonyanya kusarudzwa iyo, Kana isina kusiyiwa isingateereri, inogona kutungamirira pakukura kwekenza yemucheche.
Nzira Yakasiyana Yokugadzirisa
Imwe nzira inoparadzanisa cervical dysplasia nehuwandu hwekuchinja mumasero. Iko kushandurwa kunotumidzwa sechirwere intraepithelial neoplasia (CIN). CIN inoratidza kuti chikamu chemuviri wechibereko chinowanikwa sei nemasero asina kukwana.
CIN zvinyorwa zvakaputsika sezvinotevera :
- CIN I : unyoro dysplasia ane masero asina kujairika akawanikwa mune chimwe chikamu chetatu chemuviri wechibereko
- CIN II : kuenzanisa dysplasia nemasero asina kujairika anowanikwa muzvikamu zviviri kubva muzvitatu zveganda remukati
- CIN III : Dysplasia yakasimba nemasero asina kukwana anowanikwa mune zvikamu zvinopfuura zviviri kubva kune zvitatu zveganda remuviri uye kusvika pakuzara kweganda
Zviratidzo Nezvikonzero zveCervical Dysplasia
Pane kazhinji hapana zviratidzo zvinosanganiswa nekervical dysplasia . Vakawanda vakadzi vanongozviziva chete pavanenge vachiita purogiramu yemap smear.
Mukutaura kwezvikonzero, kune hukama hwakasimba pakati pecervical dysplasia uye papillomavirus yevanhu (HPV) . HPV chirwere chinowanikwa nevanhu vazhinji pane imwe nguva muhupenyu hwavo. Hupukamu hweHIVV inobatanidza nemapfumbamwe makumi mapfumbamwe nezana emakumi mashanu emukenza wechirwere chepervical diagnostics, zvichiita kuti vaone nguva dzose zvakanyanya kukosha.
An HPV kuongororwa hazvirevi kuti mukadzi achawana chirwere chepachibereko chemuviri.
Muzviitiko zvakawanda, HPV ichazvichengeta pachayo isina kurapwa. Mamwe mashomanana eVVV strains anobatanidzwa nekuvandudzirwa kwechirwere chinonzi malignancies.
Dzimwe njodzi dzinobatanidza nekubudirira kweDysplasia dzinosanganisira:
- kusvuta
- kuva nevakadzi vakawanda
- pamuviri vasati vava nemakore makumi maviri
- chiito chekudzivirira chitunha chemuviri, zvakadai sevakadzi vane HIV
Kurapa Cervical Dysplasia
Kana chirongwa cheP Pap chichiwana chisina kujairika, danho rinotevera nderekuita colposcopy . Chikoro checopposcopy inzira inofanirwa kubasa iyo inobvumira chiremba kuti aongorore chibereko chechivharosi zvakanyanya. Zvichienderana nezvakawanikwa, chironga chechibereki chinogona kuitwa.
Kamwe kervical dysplasia inosimbiswa, kurapa kuchasiyana zvichienderana nekuoma:
- Mhosva dzinoita zvinyoro zvishoma zvinoda zvishoma pane kurinda-uye-kumirira nzira nekudzokorora kuongororwa kwakarongwa mwedzi mitanhatu kusvika kune gumi nembiri.
- Mhosva dzakawanda dzinoda kurapwa. Mishonga yakajairika inosanganisira nzira yekutengesa magetsi yepamusoro-soro (LEEP) , magyoururgery , conization , uye dzimwe nzira dzokuvhiya.
Sources
- > American Cancer Society Colorectal Cancer Advisory Group. "Kuchengeta uye Kuongororwa Kwekutsvaga Kwokutanga kweColorectal Cancer uye Adenomatous Polyps: A Joint Guideline kubva kuAmerican Cancer Society, US Multi-Society Task Force paColorectal Cancer, uye American College of Radiology." Gastroenterology . 2008; 134 (5): 1570-1595.
- > National Cancer Institute. "Cervical Cancer (PDQ®): Kuongorora." Nhoroondo yeChechi, Kuitika, uye Kufa. Washington, DC; July 2006.