Ukukhubazeka entanyeni yeTekhthi phakathi kweyonke inani leentsholongwane zesifo se-gynecological malunga ne-10-15%. Kungekudala, kuye kwaba nenkohlakalo ekunyuseni kwinani lamatyala esifo somlomo wesibeleko eselula (iminyaka engama-15-24), echazwa, okokuqala, ngokuqala kokuphila ngokwesondo, ukutshintsha rhoqo kwizondo zesini, ukusuleleka kwezifo ezahlukeneyo zesini, ukukhulelwa kwangaphambili, okuvame ukuphela ngokukhipha isisu .
Ulwakhiwo lomlomo wesibeleko
Umlomo wesibeleko uncinci ngobukhulu. Ukusuka ngaphakathi, umsele womlomo wesibeleko (umlomo wesibeleko) udibanisa iiseli ze-epithelium ene-single-layered epithelium, apho kukho ubuninzi be-mucus obuvelisa izigulane. Ngaphandle, umlomo wesibeleko uhlanganiswe i-epithelium eplaslium eplaslium emininzi, edlulela kwiindawo zokugcina izigulane kunye nezithambiso zokulala.
Ukwahlulelwa kwezifo zomlomo wesibeleko
Kwi-gynecology, isifo somlomo wesibeleko sahlula ngamaqela amathathu:
- izifo zangasemva, ezibandakanya: ukuguguleka okwenyaniso, i-papillomas, i-cervicitis, i- leukoplakia , i-polyps, i-ectropion, i-post-traumatic rupture, i-endometriosis, utshintsho olubomvu kumlomo wesibeleko;
- umhlaza wesibeleko;
- Iimeko ezinokuthi zibandakanya: i-adenomatosis, i-dysplasia kunye ne-erythroplasty.
Iimpawu kunye nokuxilongwa kwezifo zentsholongwane
Uninzi lwezifo zomlomo wesibeleko ziqhubeka ngaphandle kweempawu ezikhethekileyo kwaye zihlala zikhula ngokusesikweni kwezinye izifo zentlobo. Yingakho bonke abesifazana bamele batyelele i-gynecologist nganye kwiinyanga ezintandathu ukuze bafumane utshintsho lweentsholongwane kwi-cervix ngokukhawuleza.
Ukuxilongwa kwentsholongwane yesibeleko, kukho iindlela ezahlukeneyo zokusetyenziswa:
- Ukuhlolwa kwizibuko-kwenza kube lula ukucinga ukuba zikhona iintlobo zentlupheko entanyeni.
- Uvavanyo lwe-Schiller - apho intamo ithatyathwa ngesisombululo sikaLugol. Iintlanzi ezingabonakaliyo ziindawo zokutshintsha kweentsholongwane.
- I-Colposcopy - kuquka ukuhlolisisa intamo nge colposcope, usebenzisa idayi kunye nokwenza iimvavanyo ezahlukeneyo.
- I-Cytology - phantsi kwe-microscope, i-smears ezithathwe kwinqanawa yomlomo wesibeleko kunye nomlomo wesibeleko ziyahlolwa.
- Isifundo sokuba nobukho besondo.
- I-Biopsy - inceda ukwenza ukuxilongwa ngokucacileyo ukuba oku akunakwenziwa ngokususela kwi-cytology kunye ne-colposcopy data.
- Ukuhlolwa kwe-ultrasound yeenxalenye zeplavic - kwenziwa ukuze kucaciswe ubungakanani bebhanki lomlenze womsele womlomo kunye nokuchonga ezinye iifom
- Ukucatshulwa kwemifanekiso yamagnetic, i-angiography, i-tomography ekhompyutheni - isetyenziswe xa kukho izikhalazo ezihlambalaza ezibi.
Unyango lwezifo zomlomo wesibeleko
Ulwaphulo lwesifo sebeletshi lusekelwe kwimigaqo elandelayo:
- unyango olukhokelela kwinkqubo ye-pathological of the disease;
- unyango lokuvuvukala kwesisu kunye nomlomo wesibeleko, uhamba kunye nale nzala;
- ukuqaliswa kweenkqubo zokubuyisela emzimbeni.
Okokuqala, ugqirha wezilwanyana ungcenga ubufazi. Ngaloo ndlela kuphela iindlela zokuthintela i-coviulation-chigulation coagulation, i-diathermocoagulation, i-diathermoconation, i-cryosurgery, ukuhlinzwa kwe-laser.
Emva kokutshatyalaliswa kwamathambo, ukulungiswa kweemvelaphi zokuzivikela kunye ne-hormonal, i-microbiocenosis yesini, ukuvuselela iinkqubo zokubuyisela emzimbeni womfazi.
Uhlolo lokulawula entanyeni kagqirha lugcina emva kokuphela kwesinye isikhathi sokuya esikhathini, ukuze kuhlolwe izinga lokuphilisa i-foci ye-pathology. Kwiimfazana ezingenayo i-ectopy ezingenakunzima, akukho miphumo kwi-cervix ingasetyenziselwa kwaye isifo se-pathologist sigqithise nje inkqubo yentsholongwane.