Zomwe Kusinthika M'thupi Lanu Kumatanthauzadi
Khansara ya chiberekero ndi kukula kosalekeza kwa maselo komwe kumayambira pachibelekero ndipo kumatha kufalikira kumbali zina za thupi. Ndi matenda omwe amayamba kuchepa omwe nthawi zambiri amatenga zaka kuti akule.
Zisanachitike kukula kwa maselo a khansa ndi zotupa, kachilombo ka HIV kamakhala ndi kusintha kosasintha komwe kumatchedwa kervical dysplasia yomwe ingakhale chizindikiro chochenjeza cha vuto lomwe likukula.
Kuzindikira Cervical Dysplasia
Cervical dysplasia imatanthauzidwa kukhala kusintha kosasintha m'kati mwa chiberekero. Ngakhale kuti khofi lachiberekero la dysplasia nthawi zina lingayambitse khansa ya pachibelekero , siziyenera kuonedwa kuti ndi matenda a khansa .
Cervical dysplasia ikhoza kudziwika ndi mapepala a Pap omwe ali ndi chizoloŵezi chochita kafukufuku omwe amagawidwa motere:
- ASCUS ( maselo ovomerezeka osaneneka ) amatanthauza kuti kusintha kulikonse mwachibadwa. Chifukwacho chikhoza kukhala zotsatira za chirichonse kuchokera ku matenda kupita ku chitukuko cha maselo osakanikirana. ASCUS sizisonyezero ya chiberekero cha dysplasia mpaka kuyesedwa kovomerezeka kukuchitika.
- ZAMBIRI (maselo osakanikirana amtengo wapatali osaneneka ) amatanthauza kusalongosoka kwa maselo omwe amachititsa kuti ntchentche zisakwane. Ngakhale kuti sizinatchulidwe kuti ndi dervous dysplasia, AGUS ikhoza kukhala chizindikiro chachikulu. Zotsatira za mgwirizano zimayesedwa zachilendo, zimachitika peresenti yochepa ya zotsatira za Pap smear.
- LGSIL ( kutsika kochepa kwambiri ) kumatanthauza kuti mayeserowa awona kuti dysplasia ndi yofatsa. Ndicho chofala kwambiri, ndipo nthawi zambiri, chidzatha payekha pasanathe zaka ziwiri.
- HGSIL ( kuthamanga kwamtundu wotchuka kwambiri wa scamous intraepithelial lesion ) ndi gulu lalikulu lomwe, Ngati silingathenso kusamalidwa, lingayambitse chitukuko cha khansara ya chiberekero.
Njira Yopangira Njira
Njira ina imasankha dysplasia ya chiberekero mwa kusintha kwa maselo. Kusintha uku kumatchulidwa ngati chiberekero intraepithelial neoplasia (CIN). CIN imadziwika kuti zingwe za m'kati mwa chiberekero zimawonongeka ndi maselo osadziwika.
Zigawo za CIN zotsatilidwa motere :
- CIN I : mild dysplasia ndi maselo osadziwika anapeza gawo limodzi mwa magawo atatu a chiberekero
- CIN II : Dysplasia yochepa yomwe ili ndi maselo osadziwika omwe amapezeka m'zigawo ziwiri zachitatu
- CIN III : Dysplasia yoopsa ndi maselo osadziwika omwe amapezeka m'magulu opitirira awiri mwa magawo atatu a m'kati mwa chiberekero mpaka kufika pazitsulo
Zizindikiro ndi Zimayambitsa Cervical Dysplasia
Kaŵirikaŵiri palibe zizindikiro zogwirizana ndi chiberekero cha dervous dysplasia . Azimayi ambiri amangodziwa ngati akuchita mapepala a Pap smear.
Malingana ndi zifukwa, pali mgwirizano wamphamvu pakati pa kervical dysplasia ndi papillomavirus yaumunthu (HPV) . HPV ndi kachilombo kawirikawiri kamene anthu ambiri amakumana nawo panthawi ina m'miyoyo yawo. Matenda a HPV amagwirizanitsa ndi 95 peresenti ya khansa ya chibelekero ya chiberekero, kupanga msanga zofunikira zonse.
Vuto la HPV silikutanthauza kuti mkazi adzalandira khansara ya chiwindi.
Kawirikawiri, HPV idzasintha yokha popanda chithandizo. Matenda ochepa chabe a HPV amagwirizana ndi chitukuko cha malungo a chiberekero.
Zowopsa zina zokhudzana ndi kukula kwa dysplasia ndizo:
- Kusuta
- kukhala ndi zibwenzi zambiri zogonana
- mimba asanakwanitse zaka 20
- chitetezo cha chitetezo cha thupi, monga amayi omwe ali ndi HIV
Kuchiza Chithandizo Chachiberekero cha Dysplasia
Ngati kupuma kwa Pap sikuchitika zachilendo, chotsatira ndicho kukhala ndi colposcopy . Chipangizo chotchedwa colposcopy ndi ndondomeko ya ofesi yomwe imalola dokotala kukayezetsa kachilombo ka HIV. Malingana ndi zomwe zapeza, chiberekero cha khola lachiberekero chikhoza kuchitidwa.
Kamodzi ka kervical dysplasia imatsimikiziridwa, mankhwala amasiyana malinga ndi kuuma kwake:
- Kawirikawiri milandu yosavuta imakhala yowonjezera kokha ndi kachitidwe kaulonda ndi kuyembekezera zomwe zasankhidwa miyezi isanu ndi umodzi kapena 12 iliyonse.
- Mavuto aakulu amafunika kuchipatala. Njira zochiritsira zomwe zimagwiritsidwa ntchito masiku onse zimaphatikizapo ndondomeko yodzikongoletsera zamagetsi (LEEP) , mankhwala osungiramo mankhwala , magetsi , ndi njira zina zopangira opaleshoni.
Zotsatira
- > American Cancer Society Colorectal Cancer Advisory Group. "Kuwunika ndi Kuyang'anitsitsa Chifukwa Choyamba Kutulukira Khansa Yoyamba ndi Adenomatous Polyps: Chitsogozo Chogwirizana cha American Cancer Society, US Multi-Society Task Force pa Colorectal Cancer, ndi American College of Radiology." Gastroenterology . 2008; 134 (5): 1570-1595.
- > National Cancer Institute. "Khansa yachiberekero (PDQ®): Kuwonetsa." Mbiri Yachilengedwe, Chikoka, ndi Kufa. Washington, DC; July 2006.