Ukutholwa kwe-Lesion Low-Squamous Intraepithelial Findings
Isilonda se-intraepithelial esinezinga eliphansi, eyaziwa ngokuthi i-LSIL noma le-LGSIL, litholakala nge- Pap smear yesimiso futhi sisho ukuthi i- dysplasia yomlomo wesibeletho isitholile.
Lokhu kusho ukuthi amangqamuzana omlomo wesibeletho abonisa izinguquko ezingavamile, okusho ukuthi amaseli angaba ngumdlavuza womlomo wesibeletho phansi komugqa. Iqiniso lokuthi babhekwa ngokuthi "izinga eliphansi" lisho ukuthi inqubo ingase ibe kancane uma kwenzeka.
(Uma amangqamuzana abhekwa "njengezinga eliphezulu" noma i-HSIL, ngakolunye uhlangothi, kusho ukuthi bangakwazi ukuphenduka umdlavuza ngokushesha.)
I-LSIL ivame ukubangelwa yi- papillomavirus yomuntu (eyaziwa nangokuthi i-HPV), okuyinto eyinhloko engozini yokuthuthukisa umdlavuza wesibeletho.
I-HPV ivame kakhulu futhi idluliselwa ngokulala ucansi (ubulili, isilwane, noma ngomlomo) nomunye umuntu onegciwane. Izindaba ezinhle ukuthi iningi labantu abanegciwane lesandulela ngculaza limsula igciwane. Kodwa kulaba besifazane abanamasosha omzimba abangaqedi igciwane, umdlavuza womlomo wesibeletho ungenzeka.
Indlela i-LSIL Etholakele ngayo
Lapho abesifazane bevakashela odokotela babo be-OB / GYN ukuze bahlole, bavame ukuthola i-Pap smear, ngezinye izikhathi ebizwa ngokuthi i-Pap test. I-Pap smear yinkqubo ehlola umdlavuza wesibeletho kwabesifazane futhi ithatha imizuzu embalwa nje. Le nqubo ihilela ukuqoqa amangqamuzana avela emgodleni wesibeletho okuwukuphela komkhawulo ophansi, omncane wesibeletho esiphezulu kwesiswini.
Ngesikhathi seP Pap smear, owesifazane ulala etafuleni lokuhlola futhi ebeka izinyawo zakhe ezinkingeni. Udokotela wabe esefaka ithuluzi lezokwelapha elibizwa ngokuthi i-speculum (eligcotshwe) ngaphakathi kwesiswini bese usebenzisa i-shashi noma i-swab, ngokushelela ngokushelela ubuso bomlomo wesibeletho ukuthola iqoqo lamaseli. Lawa maseli ayethunyelwa ebhodini okufanele ahlaziywe.
Ukulandelwa Ngemva kokuthi i-LSIL ihlonziwe
Uma uthola ukuxilongwa kwe-LSIL, kubalulekile ukuba ulandele udokotela wakho, njengoba izincomo zakhe zokuphatha imiphumela zizohluka phakathi kwabesifazane kuye ngokuthi zini ubudala, umlando we-Pap smears ngaphambili, nemiphumela yokuhlolwa kwe-HPV.
Isibonelo, uma i-LSIL itholakele nge-Pap smear, ukuphinda iP smear ngonyaka kanye / noma ukuhlolwa kwe-HPV kungenziwa. Ukuhlolwa kwe-HPV kubheka ukutholakala kwezinkinga ezithile ze-HPV ezihlobene nomdlavuza wesibeletho. Udokotela wakho angavame ukuthola ukuhlola kwe-HPV kumaseli afanayo asetshenziselwa iPs smear yakho yokuqala (i-Pap smear ebuyele "engavamile" ngenxa ye-LSIL).
Kulaba besifazane abathola ukuxilongwa kwe-LSIL, i- colposcopy ingenziwa, njengabesifazane abavivinywe kahle kuhlolo lwe-HPV noma abesifazane abaphakathi kweminyaka engama-25 no-29.
I-colposcopy iyinkqubo ye-in-office evumela udokotela ukuthi ahlole umlomo wesibeletho ngokujulile. Uma wenza i-colposcopy, udokotela wakho uzosebenzisa i-microscope ekhanyisiwe ebizwa ngokuthi i-colposcope ekhulisa umlomo wesibeletho, ngakho-ke ingabonwa kangcono.
Phakathi ne-colposcopy, udokotela angenza futhi i- biopsy yomlomo wesibeletho ukususa izingcezu ezincane zezicubu zomlomo wesibeletho. Ukwehliswa okuncane kungenzeka ngesikhathi se-biopsy yomlomo wesibeletho; Kodwa-ke, kuwubuhlungu.
Amasampuli amathisimu abese athunyelwa ebhokisini ukuze ahlolwe ngokuqhubekayo.
Ukwelashwa kwe-LSIL
Enye yezindlela ezivame kakhulu zokwelapha i-LSIL ukuthatha indlela "yokulinda nokulinda". Njengoba i-dysplasia ephansi ejwayelekile ikwazi ukuzixazulula, akukho ukwelashwa okungadingeka, kodwa ama-pap smears kanye / noma ama-colposcopies akwenziwa ngezikhathi ezithile ukuze aqaphe i-dysplasia.
Uma i-dysplasia iqhubeka, ukwelashwa kungadingeka. Ukwelapha ukususa izicubu ezingavamile kungabandakanya
I-Loop Electrosurgical Excision Procedure (LEEP)
Ngenkambiso ye- LEEP , umshini kagesi uthunyelwa nge-loop wire. I-wire loop isebenza njengommese, isuse amaseli angavamile omlomo wesibeletho.
Cryotherapy
I-Cryotherapy iyindlela esetshenziselwa ukubhubhisa izicubu ezingavamile ngokuyiqandisa. Kubizwa nangokuthi i-cryosurgery.
I-Conization
Ebizwa nangokuthi i- cone biopsy , i-conization isusa isampula enkulu, esakhiwe ngesigqoko sezicubu ezingavamile.
I-Laser Therapy
Ngesikhathi ukwelashwa kwe-laser, ukukhanya okuncane okusetshenziselwa ukubhubhisa amaseli angavamile.
Izwi elivela
Okubalulekile lapha ukuthi imiphumela ye-Pap smear ye-LSIL ibhekwa "engavamile" futhi idinga ukuhlolwa okuqhubekayo kanye nokwelapha okungenzeka. Kodwa izindaba ezinhle ukuthi ezimweni eziningi, zivele zenzeke zingakapheli iminyaka emibili.
Noma kunjalo, ukuhlolwa okujwayelekile nodokotela wakho kubalulekile ekuqinisekiseni ukuthi noma yimaphi amangqamuzana angavamile angaphiki noma athuthuke. Khumbula, ukutholakala kokuqala kuyisihluthulelo sokunciphisa amathuba akho okuthuthukisa umdlavuza wesibeletho.
Ngalokho, qhubeka ubona udokotela wakho ngokulandelela ngokusekelwe ezincomo zakhe, bese ubona ngokushesha uma ubona izimpawu ezintsha njengegazi elingavamile lomzimba wesisu (isibonelo, ukuphuza ngesikhathi sokulala noma phakathi kwezikhathi).
> Imithombo:
> I-American College yezidakamizwa namaGynecologists. (2016). Imiphumela yokuhlolwa kweCerical Cancer Screening.
> Ciavattini A et al. Landela abesifazane besifo se-biopsy ukuxilongwa kwe-lesi-lower grade grade squamous intraepithelial lesion (LSIL): kufanele kube nini? I-Arch Gynecol Obstet. 2017 Apr; 295 (4): 997-1003.