I-dysplasia yomlomo wesibeletho kungukuba khona kwamangqamuzana angavamile emlonyeni wesibeletho, ngokuvamile atholakala yi-Pap smear yesimiso. Odokotela basebenzisa izindlela ezimbalwa lapho belapha i- dysplasia yomlomo wesibeletho . Umgomo wokwelashwa ukukhipha izindawo ezingavamile zomlomo wesibeletho ngaphambi kokuba zibe ngumdlavuza. Kodwa akuzona zonke izimo ze-dysplasia yomlomo wesibeletho zidinga ukwelashwa.
Ukubuka nokulinda
Kwabesifazane abane-dysplasia yomlomo wesibeletho kuya komlinganiso, "ukubukela nokulinda" kuvame ukwelashwa okunqunyiwe. "Ukubuka nokulinda" kusho ukuthi iPs smear noma colposcopy noma i-biopsy izokwenziwa njalo ezinyangeni ezingu-6 kuya kwezingu-12 ukuqapha i-dysplasia. I-dysplasia elula ukulinganisa ivame ukuzixazulula ngaphakathi kweminyaka emibili ngaphandle kokwelashwa.
I- colposcopy isebenzisa i-microscope ukubhekisisa izindawo ezingavamile kumlomo wesibeletho okufanele uhlungwe futhi uhlaziywe. Ukwenziwa ngendlela efana ne-Pap smear, kodwa umlomo wesibeletho kanye nesiswini somzimba usuke uqale nge-vinegar noma isisombululo se-iodine. Khona-ke ububanzi busetshenziselwa ukubuka izindawo ezingavamile kanye namasampuli asuswe ngamathuluzi amancane we-biopsy futhi athunyelwe ebhodini lokuhlaziywa.
Nge-biopsy, i-dysplasia yomlomo wesibeletho ihlukaniswe yaba yizigaba ezintathu ze-CIN I (i-dysplasia elula), i-CIN II (i-dysplasia elinganiselayo) ne-CIN III (i-dysplasia eqinile kuya kwe-carcinoma in situ).
Yimuphi ukwelashwa okuqhubekayo okwenziwe kuncike kusigaba.
I-Loop Electrosurgical Excision Procedure (LEEP)
Ngezinye izikhathi kuthiwa yi-LLETZ, i- LEEP yinkqubo esebenzisa i-wire loop wire loop ukuze isuse amaseli angavamile emlonyeni wesibeletho. Lolu hlobo lwezokwelapha luvame ukusetshenziswa emazingeni e- high-grade dysplasia yomlomo wesibeletho .
Ngokuvamile kwenziwa ehhovisi likadokotela nge-anesthesia yendawo. Izisusi zisusiwe zithunyelwa ebhokisini ukuqinisekisa ukuxilongwa.
I-Conization
Ukwelashwa kuyindlela yokwelapha yabesifazane abathile abane-high-grade dysplasia yomlomo wesibeletho. Ukukhishwa kwe-conization kususa isicathulo sezinyosi ezivela enhlokweni yesibeletho. Kubizwa nangokuthi i-cone biopsy futhi ingasetshenziswa ukusiza ukuxilonga umdlavuza wesibeletho. I-LEEP yindlela eyodwa yokukhipha, futhi kukhona ummese obandayo obomvu we-knop. Bobabili bavame ukusebenza ehhovisi likadokotela nge-anesthesia yendawo.
Cryosurgery
I-cryosurgery enye indlela esetshenziselwa ukwelapha i-dysplasia ye-high grade grade. Ngokuvamile kwenziwa ehhovisi likadokotela. I-cryoprobe ifakwa emgodini ku-cervix. I-nitrogen egxilile igeleza ngaphakathi kwiprobhethi yesimbi, okwenza kubanda ngokwanele ukufisa izicubu ezithintana nazo. I-cryosurgery ibizwa nangokuthi i-cryotherapy.
I-Laser Therapy
I-carbon dioxide laser photoablation enye inqubo engasetshenziselwa ukubhubhisa izicubu ezingavamile. Kuvame ukwenziwa esimweni sokuphulukisa iziguli kanye nokuhlinzekwa kwezinzwa zendawo kungasetshenziswa.
Ukulandelela Ngemva Kwelashwa I-Dysplasia Yesibeletho
Ngemva kokuphathwa nge-dysplasia yomlomo wesibeletho, ukulandela iseluleko sikadokotela kubalulekile.
Udokotela uzophakamisa uhlelo lokulandelwa ngokusekelwe umbiko we-pathology we-LEEP noma ukukhipha.
Izincomo ezijwayelekile ezilandelayo ukwelashwa yi- biopsy evamile yekholpocopy neyomlomo njalo ezinyangeni ezingu-6 kuya kwezingu-12. I-dysplasia yomlomo wesibeletho ingabuya, ngakho-ke ukulandelwa kwezincomo zesilandelayo kudokotela kubaluleke kakhulu.
Imithombo:
"AmaSpredishithi e-National Cancer Institute Factory." I-Papillomaviruses yabantu ne-Cancer: Imibuzo nezimpendulo. 06 Juni 2006. iNational Cancer Institute.
Josefson, Deborah. "I-dysplasia yomlomo wesibeletho encane ivame ukubuyela ejwayelekile." I-British Medical Journal 31813 February 1999 17.