Kutulukira kwa chiberekero cha intereepithelial neoplasia, kapena chiberekero cha khola, kumatanthawuza mtundu wina wa kusintha kwa chiberekero. Kusintha kumeneku kungakhale kosakayikira khansa ya pachibelekero. Ndipotu, matenda a chiberekero a neoplasia angatanthauze kusintha kwakukulu kwa chibelekero. Kusintha kumeneku kungakhalepo kuchokera pakukhazikitsa kudzichepetsa kwa kervical dysplasia mpaka njira zoyambirira za khansa ya pachibelekero.
Kutanthauzira Mitsempha ya Kervical Intraepithelial Neoplasia
Chiberekero cha chiberekero cha intereepithelial neoplasia chiri ndi tanthauzo lomveka. Amatchula chiberekero cha uterine. Kuti mumvetse zomwe chiberekero cha intraepithelial neoplasia chiri, zimathandizanso kumvetsetsa mawu enawo. Njira zotanthauzira " inttraepithelial " zikutanthauza "mkati mwa epithelium." Mitsempha ya mimba ya chiberekero imadzazidwa ndi zigawo za mitundu yosiyanasiyana ya maselo achilendo. Ndi maselo amenewa omwe amakhudzidwa ndi chiberekero cha m'mimba mwa neoplasia. Neoplasia kwenikweni amatanthauza "kukula kwatsopano." Komabe, kaŵirikaŵiri amagwiritsidwa ntchito kutanthawuza kukula kosalephereka kwa selo. Motero, chiberekero cha intraepithelial neoplasia ndi kukula kochepa kwa maselo omwe ali pachibelekero.
Kulemba Cervical Neoplasias
Matenda a kervical neoplasias amapezeka ndi chiwopsezo ndi kusinthidwa molingana ndi kuuma kwawo. Kukhwimitsa kulimbidwa motere:
- Cervical Intraepithelial Neoplasia 1 (CIN I) - mild dysplasia
- CIN II - yofatsa mpaka yochepa dysplasia
- CHINENERO III - matenda aakulu a khansa
Anthu amene amapezeka kuti ali ndi CIN I, kapena mild dysplasia, sakhala ochiritsidwa Mtundu uwu wa kuwonongeka kwa chiberekero nthawi zambiri amadzichiritsa popanda kuthandizira. (Izi ndi zofanana ndi matenda a LSIL ndi Pap smear.) M'malomwake, amatsatiridwa kwambiri ndi dokotala wawo.
Izi zingaphatikizepo mapepala ambiri a Pap smears, kuyezetsa HPV , kapena colposcopy
Mosiyana ndi zimenezi, anthu omwe ali ndi CIN II ndi CIN III amatchulidwa nthawi zonse kuti amwe mankhwala. (Izi zimagwirizana ndi HSIL, ASC-H, AGC, kapena carcinoma m'maphunziro a Pap smear.) Chithandizo cha mankhwala ochepa kwambiri a kervical neoplasias chimaphatikizapo kuchotsedwa kwa zilondazo. Izi zikhoza kuchitika kudzera mu cryotherapy, LEEP , kapena conization.
Ngakhale atatha kuchiza matendawa, anthu omwe ali ndi apamwamba kwambiri a kervical neoplasias amakhalabe ndi chiopsezo chowonjezeka cha khansa ya pachibelekero m'tsogolomu. Iwo amauzidwa kuti apitirize kukayendera madotolo awo kuti azitsatiridwa mobwerezabwereza.
Kosalasi Neoplasia kapena Squamous Intraepithelial Lesion?
Akapezeka ndi Pap smear , ma dysplasias amtunduwu amadziwika kuti squamous intracellular zilonda (SIL) m'malo mwa chiberekero cha interepithelial neoplasias. Chiberekero cha neoplasia diagnsosis chimasungidwa kuti chidziwike ndi chidziwitso kapena colposcopy . Izi ndi chifukwa chakuti mapepala a Pap amapatsa oyeza maselo osayirira. Mosiyana ndi zimenezi, zizindikiro zimathandiza kuti awononge kuwonongeka kwa chiberekero. Izi zimapereka madokotala kuti azitha kudziwa bwinobwino. Kuyang'ana chithunzithunzichi kungasonyeze momwe chiberekero chimakula.
Kodi Khansa ya Kervical Neoplasia Imatanthauza Kansa?
Kudziwa kuti muli ndi khanda la neoplasia sikutanthauza kuti muli ndi khansa. Sizitanthauza ngakhale kuti mutenga khansa. Zomwe zikutanthawuza ndikuti mwinamwake muli pachiopsezo chachikulu chokhala ndi khansa panthawi inayake m'tsogolomu. Izi ndi zoona makamaka ngati mwapezeka ndi CIN II kapena CIN III.
Mtheradi wanu wa khansa yeniyeni imakhalabe yochepa pambuyo pa matenda a CIN II kapena III. Komabe, dokotala wanu angayamikire nthawi zonse kutsatira. Izi zidzakuthandizani kutsimikiza kuti akhoza kuchigwira msanga ngati khansara ikukula. Kuyezetsa magazi ndi chithandizo choyambirira ndi chinthu chofunikira kwambiri pofuna kuchepetsa kufala kwa khansa ya pachibelekero.
Zotsatira:
JW Sellors ndi R. Sankaranarayanan "Colposcopy ndi Chithandizo cha Kervical Intraepithelial Neoplasia: Buku Loyamba - Gawo 1: Mau oyamba a chikhalidwe cha mkaka wa uterine" International Agency for Research on Cancer 2003/4.
> Kalliala I, Dyba T, Nieminen P, Hakulinen T, Anttila A. Kufa pakutsata kwa nthawi yaitali pambuyo pa chithandizo cha CIN. Int J Khansa. 2010 Jan 1; 126 (1): 224-31. lembani: 10.1002 / ijc.24713.
> Melnikow J, McGahan C, Sawaya GF, Ehlen T, Coldman A. Cervical intraepithelial neoplasia zotsatira pambuyo pa chithandizo: Kwanthaŵi yayitali kuchokera ku British Columbia Cohort Study. J Natl Cancer Inst. 2009 May 20; 101 (10): 721-8. do: 10.1093 / jnci / djp089.