Zofufuza Zakale za Squamous zochepa
Kachilombo kamene kamakhala kochepa kwambiri, kaŵirikaŵiri kumadziwika kuti LSIL kapena LGSIL, amadziwika kupyolera mu chizoloŵezi cha mapepala a Pap komanso chimatanthauza kuti dysplasia yochepa ya chiberekero imapezeka.
Izi zikutanthauza kuti maselo omwe ali pachibelekero akuwonetsa kusintha komwe kumakhala kosaoneka bwino, kutanthauza kuti maselo angasandulike kukhala khansa ya pachibelekero pansi pa mzere. Chowona kuti iwo amaonedwa kuti ndi "ochepa" amatanthauza kuti njirayi iyenera kuti ikhale pang'onopang'ono ngati izi zichitika.
(Ngati maselo amapezeka ngati "apamwamba" kapena HSIL, kumbali ina, zikutanthauza kuti angayambe khansa mofulumira.)
LSIL kawirikawiri imayambitsidwa ndi papillomavirus yaumunthu (yomwe imadziwikanso kuti HPV), yomwe ndiyi yaikulu yomwe imayambitsa khansa ya chiberekero.
HPV ndi yofala ndipo imafalitsidwa pogonana (abambo, anal, kapena pakamwa) ndi munthu wina yemwe ali ndi kachilomboka. Uthenga wabwino ndi wakuti anthu ambiri omwe ali ndi kachilombo ka HIV amathetsa kachilomboka. Koma m'mayi omwe chitetezo cha mthupi sichichotsa kachilomboka, khansara ya chiberekero ikhoza kuchitika.
Momwe LSIL Imadziwira
Amayi akamachezera madokotala awo a OB / GYN pofuna kufufuza, nthawi zambiri amalandira mapepala a Pap, omwe nthaŵi zina amatchedwa Pap. Mapulogalamu a Pap ndi njira zomwe zimayesa khansa ya pachibelekero kwa amayi ndipo zimatenga mphindi zochepa chabe. Njirayi imaphatikizapo kusonkhanitsa maselo ku chiberekero chomwe chiri chotsika, chochepa chiberekero cha chiberekero chomwe chiri pamwamba pa vaginito.
Pa mapepala a Pap, mayi amagona pa tebulo yofufuzira ndikuyika mapazi ake. Dokotalayo kenaka amaika chida chachipatala chotchedwa speculum (chimene chimapangidwira) m'mimba ndi kugwiritsa ntchito burashi kapena swab, mofewa amawombera pamwamba pa chiberekero kuti alandire maselo. Maselowa amatumizidwa ku labu kuti iwonedwe.
Kutsata Pambuyo LSIL Ili Kutheka
Ngati mukudziwidwa ndi LSIL, nkofunika kutsatirana ndi dokotala, monga momwe akufotokozera momwe angasamalire zotsatira zidzasiyana pakati pa akazi malinga ndi msinkhu wawo, mbiri ya mapepala a Pap, ndi zotsatira za kuyesa kwa HPV.
Mwachitsanzo, ngati LSIL imapezeka kupyolera mu mapepala a pap, kumapitanso pap smear m'chaka ndi / kapena kuyeza kwa HPV. Kuyezetsa kwa HPV kumafuna kukhalapo kwa matenda ena a HPV okhudzana ndi khansa ya pachibelekero. Dokotala wanu akhoza kupeza kachilombo ka HPV pamaselo omwewo omwe anagwiritsidwa ntchito pa Pap smear yoyamba (Pap smear yomwe idabweranso ngati "yachilendo" chifukwa cha LSIL).
Kwa amayi ena omwe amapezeka kuti ali ndi LSIL, colposcopy ikhoza kuchitidwa, monga amayi omwe adayesedwa bwino pa kuyesa kwa HPV kapena amayi omwe ali pakati pa zaka 25 ndi 29.
Chipangizo cha colposcopy ndi ndondomeko ya ofesi yomwe imalola dokotala kukayezetsa chiberekero mozama. Pogwiritsa ntchito colposcopy, dokotala wanu amagwiritsa ntchito microscope yowala yotchedwa colposcope yomwe imalimbikitsa kachilombo ka HIV, kotero zikhoza kuwonetsedwa bwino.
Pakati pa colposcopy, dokotala angathenso kupanga chiberekero cha khosi kuti achotse zing'onozing'ono za mitsempha ya chiberekero. Kupweteka pang'ono kumachitika panthawi ya chiberekero cha chiberekero; Komabe, ndi zopanda pake.
Zitsanzo za minofu zimatumizidwa ku labu kuti apitirize kufufuza.
Kuchiza kwa LSIL
Njira imodzi yodziwira LSIL ndiyo kutenga "kuyang'anira ndi kuyembekezera" njira. Popeza kuti dysplasia yapamwamba nthawi zambiri imadzipangitsa yekha, palibe chithandizo chamankhwala chingakhale chofunika, koma mapepala a pap ndi / kapena colposcopies amachitika nthawi zonse kuti ayang'ane dysplasia.
Ngati dysplasia ikupita, chithandizo chingakhale chofunikira. Kuchiza kuchotsa minofu yosadziwika kungaphatikizepo
Loop Electrosurgical Excision Procedure (LEEP)
Potsatira ndondomeko ya LEEP , magetsi amatumizidwa kudutsa pamsewu. Kutsekedwa kwa waya kumakhala ngati mpeni, kuchotsa maselo osadziwika achiberekero.
Cryotherapy
Cryotherapy ndi njira yomwe amagwiritsidwa ntchito kuthetsa minofu yosadziwika ndi kuzizira. Amatchedwanso kuti mabulosi amkuwa.
Kukonzekera
Amatchedwanso kuti cone biopsy , conization imachotsa mitundu yambiri ya minofu yosaoneka bwino.
Laser Therapy
Pa laser therapy, kuwala kochepa kumagwiritsidwa ntchito kuwononga maselo osadziwika.
Mawu Ochokera
Mfundo yaikulu apa ndi yakuti mapuloteni a Pap a LSIL amaonedwa ngati "osazolowereka" ndipo amafunika kuyesedwa komanso mwina mankhwala. Koma uthenga wabwino ndi wakuti nthawi zambiri zimakhala zovuta payekha pasanathe zaka ziwiri.
Ngakhale zili choncho, kufufuza nthawi zonse ndi dokotala n'kofunika kwambiri kuti muwonetsetse kuti maselo osadziwika sapitiriza kapena kuti apite patsogolo. Kumbukirani kuti kuyang'ana koyambirira ndikofunika kuti muchepetse mwayi wanu wokhala ndi khansa ya pachibelekero.
Ndiyetu, pitirizani kuonana ndi dokotala wanu kuti mumutsatire mogwirizana ndi zomwe akukulimbikitsani, ndipo muwone msanga mukamawona zizindikiro zatsopano monga magazi osadziwika (mwachitsanzo, kutaya mwazi pa nthawi yogonana kapena pakati pa nthawi).
> Zotsatira:
> American College of Othandizira ndi Amayi a Gynecologists. (2016). Zotsatira za mayeso oyeza khansa yachiberekero.
> Ciavattini A et al. Tsatirani akazi omwe ali ndi matenda osokoneza bongo omwe ali ndi kachilombo koyambitsa matendawa (LSIL): Kodi ayenera kukhala liti? Chitsulo cha Arch Gynecol. 2017 Apr; 295 (4): 997-1003.