Ngokwezibalo, i-70% yabasetyhini beminyaka yobudala ibhekana nengxaki yokunyuka kwengqondo yomlomo wesibeleko. Izimbangela zokubonakala komkhuhlane zininzi, kodwa eyona nto ingumhlaza wepiloma womntu, ongena kumaseli e-epithelium yomlomo wesibeleko kwaye ibangela inkqubo engapheliyo yokuvuvukala. Oku, kukhokelela ekutshintsheni kwisakhiwo se-epithelium (ukutshintsha i-epithelium ye-planar eplaslium enee-cylindric one). Kwinqaku lethu, siza kuqwalasela iindlela ezinjalo zokwelapha njenge-cauterization yomhlaba ophezulu womlomo wesibeleko.
Indlela yokulungiselela i-laser cauterization yentsholongwane yomkhuhlane?
Ngaphambi kokunikezela le ndlela engabonakaliyo yokuphatha ukukhulelwa komkhuhlane, umfazi kufuneka ahlolwe. Uvavanyo lwevaginal usebenzisa indlela ephakamileyo ye-colposcopy ivumela ukufumanisa ukukhukhula kwamanzi, ukuqikelela ukuba kubonakala ixesha elide kangakanani (unyango lwentsholongwane "yolutsha" lunokwenzeka ngendlela egciniweyo). Ugqirha kufuneka athathe i-biopsy ukusuka kwindawo yokukhukhula komhlaba ukuze abone uhlobo lokutshintsha kweeseli kunye nobukho beeseli ezingama-atypical.
Ugqirha oya kuba uya kuthumela loo nto kwibhinatri kwi-PCR-diagnostics (i-polymerase chain reactors) ukuba ifakwe kwii-pathogens ezininzi (i-mycoplasma, i-chlamydia, igciwane lesifo se-papilloma yesifo se-oncogenic). Ngomphumo omhle wohlalutyo, isigulane sichazwe unyango. Ukucuthwa kwimizimba yomlomo wesibeleko nge-laser kuya kwenzeka kuphela emva kokuhamba kwonyango oluchongiweyo.
Inani leemviwo ezigunyazisiweyo phambi kokuba kudluliswe unyango lwe-laser lubandakanya: ukuhlolwa kwegazi kumagciwane okulwa ne-treponema eluhlaza (ukusabela kwe-Wasserman), iqela legazi kunye ne- smear ye-cytology esuka kwintsholongwane.
Iyintoni inkqubo ye-laser cauterization yokukhukhula komlomo?
Inkqubo yokunyanga i-laser ye-cervix idlula phantse kwaye ayifuneki i-anesthesia jikelele. Kwi-anesthesia yendawo, ugqirha uyayiphatha isibeleko ngesisombululo se-anesthetic yendawo. Ngethuba le nkqubo, le ntokazi iseklasini elikhethekileyo kwisihlalo somzimba. Ugqirha uyasusa ama-tissu aguqulwe (umgangatho ogqityiweyo) nge-laser knife. Inkqubo yenziwa ngomhla wesi-5-6 wexesha lokuya esikhathini. Kubalulekile ukugxininisa ukuba le ndlela ifanele ibe yonyango ekwenzeni ukukhushulwa kwamanzi kwintombikazi.
Ixesha lokubuyisela emva kwe-cauterization yentsholongwane yentsholongwane kalasi
Emva kwe-cauterization yokukhushulwa kwe-laser, intamo yomphezulu yilonda efuna ukuphiliswa. Oku kuya kuthatha malunga neenyanga ezi-1.5 (ukucoca ngokucokisekileyo kwenxeba kubonakala kwiintsuku ezi-5 zokuqala). Emva kokuphilisa kwinqwelana, intamo iya kuba yinto epholileyo, ingabikho izibazi (oku kubonisa ukuba inkqubo iya kwenziwa ngokuchanekileyo). Ukukhawulezisa iinkqubo zokubuyisela, ugqirha uya kuncomela ngokukrakra umfazi ukuba ahambe kwi-sexinal sexinal kwisithuba seentsuku ezingama-30, nangaphezulu kweentsuku ezili-10 ukubeka i-suppositories ye-vaginal anti-inflammatory nge-methyluracil.
Emva kokususa i-laser, umfazi unako ukuhlamba okucacileyo, amanzi amaninzi ngaphandle kovumba.
Ngoko, iziganeko ze-dysplasia yomlomo zanda ngokunyuka. Kakade ke, oku kubangelwa ukungonakaliswa kwemeko yezinto eziphilayo kunye nokuncipha kwinqanaba lokuziphatha (isondo esingaqhelekanga). Ukutshatyalaliswa komzimba wesibeleko kungathatha ixesha elide ngaphandle kokubangela ukuba umnini wayo abe neengxaki. Nangona kunjalo, asifanele sikhohlwe ukuba i-dysplasia ingaba yintlawulelo yokuphulukiswa kakubi kwe-cervix, ngoko kuyimfuneko ukuyiphatha. Kwaye indlela eyona ndlela iphezulu yokuphatha ukukhukuliseka komfazi iya kucebiswa ngumjobi wesifo somzimba.