Cervical dysplasia ndi kukhalapo kwa maselo osadziwika m'thupi lanu lachiberekero, lomwe nthawi zambiri limapezeka ndi chizoloŵezi cha Pap. Madokotala amagwiritsa ntchito njira zingapo pochitira chithandizo cha khola la dysplasia . Cholinga cha chithandizo ndi kuchotsa malo osavuta a chiberekero asanakhale khansa. Koma sikuti vuto lonse lachiberekero la dysplasia limafuna chithandizo.
Kudikira ndi Kudikira
Kwa amayi omwe ali ndi cervical dysplasia, "kudikirira ndi kuyembekezera" nthawi zambiri amachiritsidwa. "Kudikira ndi kuyembekezera" kumangotanthauza kuti mapuloteni kapena mapepala a pap kapena makofi adzapangidwa miyezi 6 kapena 12 iliyonse kuti ayang'ane dysplasia. Kawirikawiri dysplasia imadzipangitsa kuti ikhale yokha mkati mwa zaka ziwiri popanda kuchipatala.
Colposcopy imagwiritsa ntchito microscope kuti muyang'ane malo osadziwika omwe ali pachibelekero chanu chomwe chiyenera kusankhidwa ndi kusanthuledwa. Zimapangidwa ngati mapepala a Pap, koma kachilombo ka HIV ndi abambo ndizoyamba kugwidwa ndi vinyo wosasa kapena ayodini. Ndiye chiwerengerocho chimagwiritsidwa ntchito kuyang'ana malo osalongosoka ndi zitsanzo zimachotsedwa ndi zipangizo zing'onozing'ono zamagulu ndi kutumizidwa ku labu kuti awononge.
Ndi chiwopsezo, chiberekero cha dervous dysplasia chimagawidwa m'magulu atatu a CIN I (wofatsa dysplasia), CIN II (moyenera kudziwika kuti dysplasia) ndi CIN III (yoopsa kwambiri kwa carcinoma in situ).
Kodi mankhwala ena opitilira amachokera kumadalira gululo.
Loop Electrosurgical Excision Procedure (LEEP)
Nthawi zina amatchedwa LLETZ, LEEP ndi njira yomwe imagwiritsa ntchito waya wothandizira magetsi kuchotsa maselo osadziwika m'thupi. Mankhwalawa amagwiritsidwa ntchito nthawi zambiri pamatenda apamwamba a dokotala wa dervous dysplasia .
Kawirikawiri imachitidwa ku ofesi ya dokotala ndi anesthesia. Matenda achotsedwa amatumizidwa ku labu kuti atsimikizidwe kuti ali ndi matenda.
Kukonzekera
Kusamalidwa ndi njira ya chithandizo kwa amayi ena omwe ali ndi apamwamba kwambiri a kervical dysplasia. Kuchulukitsidwa kumachotsa minofu yofanana ndi kondomu kuchokera pachibelekero. Amatchedwanso kuti cone biopsy ndipo ingagwiritsidwe ntchito kuthandiza kuthandizira khansa ya chiberekero. LEEP ndi mtundu umodzi wa conization, komanso pali ozizira kapeni cones biopsy. Zonsezi zimachitidwa ku ofesi ya dokotala ndi anesthesia.
Cryosurgery
Cryosurgery ndi njira inanso yogwiritsira ntchito apamwamba kwambiri a dervous dysplasia. Kawirikawiri imachitidwa ku ofesi ya dokotala. A cryoprobe amalowetsedwa m'mimba mwa chiberekero. Mankhwala otsikitsidwa a nayitrogeni amapita mu probe yachitsulo, kuwapangitsa kuzizizira mokwanira kuti awombetse minofu yomwe akukumana nawo. Cryosurgery imatchedwanso cryotherapy.
Laser Therapy
Mpweya wa carbon dioxide laser photoablation ndi njira ina yomwe ingagwiritsidwe ntchito kuthetsa minofu yosasangalatsa. Kawirikawiri imachitidwa panthawi yopuma komanso kugwiritsidwa ntchito kwa thupi kumagwiritsidwe ntchito.
Tsatirani Patatha Chithandizo cha Cervical Dysplasia
Atalandira mankhwala a chiberekero cha dervous dysplasia, kutsatira ndondomeko ya dokotala n'kofunikira.
Dokotalayo angalimbikitse ndondomeko yotsatila pogwiritsa ntchito lipoti la matenda a LEEP kapena conization.
Malangizo omwe anthu ambiri amatsatira chithandizochi ndizochitika nthawi zonse pamwezi 6 mpaka 12. Cervical dysplasia ikhoza kubwerera, motero kutsata ndondomeko ya dokotalayo ikufunika kwambiri.
Zotsatira:
"Masamba a National Cancer Institute Factory." Mankhwala a Papillomaviruses ndi Khansa: Mafunso ndi Mayankho. 06 June 2006. National Cancer Institute.
Josefson, Deborah. "Mankhwala amtundu wa dysplasia ochepa amatha kusintha." British Medical Journal 31813 February 1999 17.