Kawirikawiri, khansara ya chiberekero ndi matenda opitirira pang'onopang'ono omwe amatenga zaka kuti akule. Asanayambe khansa iliyonse, chibelekero (khosi lopapatiza la chiberekero cha mkazi) limasinthidwa mosalekeza chotchedwa kervical dysplasia. Akagwidwa msinkhu, khansara ya chiberekero imakhala yosavuta kuchiza ndipo ndalama zomwe zimakhalapo ndizopambana. Ichi ndi chifukwa chake akazi amapitilira mayeso a Pap smear kuti awonetsetse kusintha kwachilendo kwachilombo.
Pamene zotsatira za mapepala a Pap zimabwereranso zachilendo , pali magulu angapo omwe akufotokozera chifukwa chake anapezeka kuti ndi osalongosoka:
- ASCUS ( maselo ochititsa chidwi omwe sali ofunika kwenikweni)
- LGSIL (chotupa chachikulu chotchedwa intraepithelial lesion)
- HGSIL (kuthamanga kwamtundu wotchuka kwambiri wa scamous intraepithelial lesion)
- AGC (maselo osakanikirana a pamapu a Pap)
Ngakhale kuti khola lachiberekero losatetezedwa la dysplasia lingapangitse khansa ya pachibelekero nthawi zina, kukhala ndi dysplasia ya chiberekero sikukutanthauza kuti munthu ali ndi khansara kapena sadzakhala ndi matendawa. Kawirikawiri amachiritsidwa kaye ndi kufufuza kuti aone ngati ikupitirira, ndiyeno ndi njira zakuchipatala mu ofesi ya dokotala.
Zomwe Zomwe Zotsatira za Pap Smear Zimatengera
Chotsatira cha HGSIL Pap smear chimasonyeza kuti kusintha kwakukulu kwambiri kwa kukula ndi mawonekedwe a maselo achiberekero apezeka, omwe-monga atchulidwa pamwambawa akusonyeza zovuta zedi zachiberekero cha dysplasia. HGSIL si khansa ya chiberekero koma, ngati yasiyidwa osayimilidwa ndi yosatulutsidwa, ikhoza kuchititsa khansa ya pachibelekero.
Kutsimikizira zotsatira za HGSIL
Ngati zotsatira za mapepala a Pap zimabweranso ngati HGSIL, ndiye kuti pulogalamu ya colposcopy imatha kutsimikizira zomwe zapeza. Pulogalamu ya colposcopy ndiyo njira yomwe imapangitsa dokotala kuti aone bwinobwino kachilombo ka HIV pogwiritsa ntchito chipangizo chowombera chotchedwa colposcope. Panthawi yoyezetsa magazi, colposcope imakhala kunja kwa chiberekero.
Zimakhala ngati microscope, kulola kuwona mozama za chiberekero . Pa colposcopy, dokotala angathenso kuchita chiberekero cha khola lachiberekero , njira yomwe imachotsa tizigawo ting'onoting'ono ta mitsempha ya chiberekero. Zitsanzo za minofu zimatumizidwa ku labu kuti apitirize kufufuza. Ganizirani za colposcopy monga Pap smear kwambiri.
Mitundu ya Chithandizo
Ngati zotsatira za chiberekero za chiberekero zimatsimikizira HGSIL, ndiye kuti chithandizo chochotseramo minofu yachilendo yosafunikira ndi yofunikira kuti tipewe kuthekera kwa khansara ya chiberekero m'tsogolomu. Mankhwala othetsera HGSIL ndi awa:
- Loop Electrosurgical Excision Procedure (LEEP): Panthawi ya LEEP , mphamvu yamagetsi imatumizidwa kupyolera mu waya. Zingwe zamkati zimagwira ntchito ngati mpeni, kuchotsa maselo osadziwika achiberekero.
- Cryotherapy: Cryotherapy ndi njira yomwe imagwiritsidwa ntchito kuthetsa minofu yosadziwika ndi kuzizira. Amatchedwanso kuti mankhwala osokoneza bongo.
- Kukonzekera: Amatchedwanso kuti cone biopsy , conization imachotsa mitsempha yambiri yosaoneka bwino.
- Laser Therapy: Pa laser therapy, kuwala kochepa kumagwiritsidwa ntchito kuwononga maselo osadziwika.
Kusamalidwa Pambuyo Patatha Chithandizo
Kutsata pambuyo pa chithandizo kwa HGSIL ndikofunikira kwambiri. Maselo akhoza kukhala osachiritsika, ngakhale atachiritsidwa, ndipo angafunike chithandizo china.
Kutsatila kumakhala ndi mapepala a Pap ndi ma pulogalamu ya colposcopy nthawi yaitali.