Njengomlinganiselo wokuthintela iinkqubo ze-oncological ze-cervix, ngamnye umfazi uyacetyiswa ukuba athathe uhlalutyo lwe-cytology ngexesha elithile. Ezi nyathelo zinceda ngexesha lokuxilonga utshintsho lwezakhiwo kwiiscuphe zomlomo wesibeleko, oko kukuthi, i-dysplasia esilinganiselweyo ye-epithelium esicacileyo kunye ne-cylindrical, echanekileyo ngqo.
I-dysplasia yesibeletho yezinga eliphakathi
Ukuze ube nengcamango ecacileyo yento ekuthethwa ngayo yi-dysplasia ephakathi, makhe sikhumbule iimpawu zesakhiwo somlomo wesibeleko, ngokuchanekileyo, i-mucosa yayo.
Ibhinqa kunye nenxalenye yangaphandle yomlomo wesibeleko imelwe yi-flat epithelium eplastiki, ehlukeneyo:
- umgca we-basal (ongqamene nezicubu ze-muscle kunye neenqanawa kwaye uxanduva lokwahlukana okuqhubekayo nokuphindaphinda kweeseli, ukubonelela ukuhlaziywa kwe-mucosa);
- Uluhlu oluphakathi (indawo yokuhlala yeseli kwinqanaba lokukhula);
- Uluhlu olusebenzayo (iiseli ezivuthiweyo ezingenakucima).
Kwisiseko somlenze womngxube wesibeleko ngumgudu we-epithelium one-single-layered cylindrical enezigulane ezivelisa i-mucus. Ukuba inkqubo yokuvuthwa kunye nokwahlukana kwe-mucosa iphazamiseka, iiseli ze-atypical zivela kulolu hlobo lwesishu. Xa inani labo lidlula i-sibini kwisithathu sobunzima be-epithelium-le pathology ibizwa ngezinga elilinganayo le-dysplasia.
Unyango kunye neempawu ze-dysplasia yomlomo wesibeleko
Ukunyanga kwezonyango kubonakele imbangela enkulu yesifo - i-papillomavirus yabantu. Ekubeni, iminyaka eyi-1.5 yokuhlala emzimbeni wowesifazane, 16 no-18, uhlobo lwentsholongwane lungabangela utshintsho lwezakhiwo kwiiseli ze-epithelium.
Ukongezelela, ezi zinto zilandelayo zifaka isandla kwi-dysplasia elula:
- ukubeleka kwangaphambili kunye nokuqala kwesondo;
- ukutshaya, uxinzelelo, ukusela kakhulu;
- izifo ezithathelwanayo zenkqubo yokuzala;
- ukubuthathaka kwamasosha omzimba kunye nokuxhwaleka komlomo wesibeleko.
Njengomthetho, i-dysplasia ephantsi ye-flat epithelium ayinayo impawu. Ngoko ke, kunokwenzeka ukufumanisa i-pathology kuphela ngoncedo lwenzululwazi.
Ukuxilongwa kwenkqubo, oku kulandelayo kuyasetyenziswa:
- colposcopy;
- uhlalutyo lwe-cytology ;
- i-biopsy (eyenziwa xa kukho ukungaqhelekanga kwiindlela ezimbini zokuqala).
Ezi zilandelayo zikhombiselele ukhetho lwenkqubo yokonyango lwe-dysplasia:
- ubudala somguli;
- ubunzulu nobukhulu beendawo ezichaphazelekayo;
- izifo ezithintekayo.
Ugqirha ngokwabo ukhetha irejimeni yonyango - kwinqanaba elincinci lenkqubo, umntu unokukhetha ukulinda nokubona indlela yokusebenzisa i-immunomodulators kunye nokubeka iliso rhoqo. Kwiimeko ezigqithiseleyo, zisebenzise iindlela zokugonywa.