Ukuxilongwa kwe-neoplasia ye-intraepithelial yomlomo wesibeletho, noma i-neoplasia yomlomo wesibeletho, kubhekisela kuhlobo oluthile lwezinguquko emtholampilo. Lezi zinguquko zingase zingabi yizibikezelo zomdlavuza wesibeletho. Eqinisweni, ukuxilongwa kwe-neoplasia yomlomo wesibeletho kungabhekisela ezinhlobonhlobo zezinguquko emtholampilo. Lezi zinguquko zingabuka ekuzixazululeni ukuzinza okunciphisa noma ukulinganisa i- dysplasia yomlomo wesibeletho kuze kube sezingeni lokuqala lomdlavuza wesibeletho.
Ukuchaza i-Neoplasia ye-Cervical Intraepithelial
Umlomo womlomo wesibeletho nge-neoplasia yomlomo wesibeletho unomqondo ocacile. Libhekisela embelethweni wesibeletho. Ukuze uqonde ukuthi i-neoplasia ye-intraepithelial yomlomo wesibeletho iyini, kusiza ukuqonda amanye amagama. Izindlela zokubheka izintambo zisho "ngaphakathi kwe-epithelium." Isakhiwo se-muscular of the cervix sigcwele izingqimba zezinhlobo eziningana zamaseli e-epithelial. Yilezi cells ezithinteka nge-neoplasia yomlomo wesibeletho somlomo wesibeletho. I-Neoplasia ngokwezwi nezwi isho ukuthi "ukukhula okusha." Kodwa-ke, kuvame ukusetshenziswa ukubhekisela ekukhuleni okungavamile noma okungalawuleki. Ngakho-ke, i- neoplasia ye-intraepithelial yomlomo wesibeletho iyinhlangano engavamile yokukhula kwamangqamuzana ngaphakathi kwezingqamuzana zamaseli e-epithelial afaka umlomo wesibeletho.
Ukufaka i-Neoplasias yesibeletho
I-neoplasias yomlomo wesibeletho ihlolwe yi-biopsy futhi ihlanganisiwe ngokweqile. Ubunzima buhlanganiswa kanje:
- I-Neoplasia ye-Cervical Intraepithelial 1 (i-CIN I) - i-dysplasia ephansi
- I-CIN II - i-dysplasia emnene kuya ekulinganiseni
- I-CIN III - i-dysplasia enomdlavuza
Abantu abatholakala benesifo se-CIN I, noma i-dysplasia emnene, ngokuvamile abaphathwanga uhlobo Loluhlobo lomonakalo wesibeletho luvame ukuziphilisa ngaphandle kokungenelela. (Lokhu kufana nokuxilongwa kwe-LSIL nge-Pap smear.) Esikhundleni salokho, balandelwa eduze kakhulu nodokotela wabo.
Lokhu kungafaka phakathi ama-pap smears amaningi, ukuhlolwa kwe-HPV , noma mhlawumbe i-colposcopy
Ngokuphambene nalokho, abantu abaneCIN II noCIN III bahlale bebhekiselwa ukwelashwa. (Lezi zihambelana ne-HSIL, ASC-H, AGC, noma i-carcinoma e-diagnostic Pap smear.) Ukwelashwa okulinganiselwe kuya kwe-neoplasias enamandla yomlomo kuhilela ukususwa kwezilonda. Lokhu kungenziwa ngokusebenzisa i-cryotherapy, i- LEEP , noma i-conization.
Ngisho nangemva kokwelashwa ukususa lesi sifo, abantu abanesifo se-neoplasias esiphezulu sezinga eliphezulu bahlala engozini enkulu yokuthuthukisa umdlavuza wesibeletho esikhathini esizayo. Ngokuvamile bayelulekwa ukuba baqhubeke bevakashela odokotela babo ukuze balandele njalo.
I-Neoplasia yomlomo wesibeletho noma i-Squamous Intraepithelial lesion?
Uma kutholakala i- Pap smear , i-dysplasias yomlomo wesibeletho ngokuvamile ibizwa ngokuthi izilonda ze-intracellular squamous (SIL) esikhundleni se-neoplasias ye-interepithelial ye-colervical. I-neoplasia diagnsosis yomlomo wesibeletho igcinwe ukuxilongwa nge-biopsy noma colposcopy . Lokhu kungenxa yokuthi ama-Pap smears anika umhloli ngamaseli avulekile. Ngokuphambene, ama-biopsies avumela ukuba babone umonakalo wesibeletho ngomongo. Lokhu kunika odokotela ithuba lokwenza ucwaningo olunembile. Ukubheka i-biopsy kungabonisa ukuthi umlomo wesibeletho ukhula kangakanani.
Ingabe i-Neoplasia yomlomo wesibeletho isho i-Cancer?
Ukuthola ukuthi une-neoplasia yomlomo wesibeletho akusho ukuthi unomdlavuza. Akusho ngisho nokuthi uzothola umdlavuza. Lokho kusho ukuthi cishe usengozini enkulu yokwenza umdlavuza esikhathini esizayo. Lokhu kuyiqiniso ikakhulukazi uma uthola ukuthi une-CIN II noma i-CIN III.
Ingozi yakho yomdlavuza ngokuphelele isesezingeni eliphansi ngemuva kokuxilongwa kwe-CIN II noma III. Kodwa-ke, udokotela wakho cishe uzotusa ukulandelwa okujwayelekile. Lokhu kuzosiza ukuqinisekisa ukuthi angakwazi ukukubamba ngokushesha uma umdlavuza ukhula. Ukuxilongwa kokuqala kanye nokwelapha kuyisinyathelo esibalulekile ekunciphiseni ukufa okuvela emdlalweni wesibeletho somlomo wesibeletho.
Imithombo:
I-JW Sellors no-R. Sankaranarayanan "I-Colposcopy ne-Treatment ye-Cervical Intraepithelial Neoplasia: Incwadi Yomqaphi - Isahluko 1: Isingeniso se-anatomy yomlomo wesibeletho" I-International Agency for Research on Cancer 2003/4.
> Kalliala I, Dyba T, Nieminen P, Hakulinen T, Anttila A. Ukufa ekulandeleni isikhathi eside ngemuva kokwelashwa kwe-CIN. Int J Cancer. 2010 Jan 1; 126 (1): 224-31. i-doi: 10.1002 / ijc.24713.
> Melnikow J, McGahan C, Sawaya GF, Ehlen T, Coldman A. Imiphumela ye-Cervical intraepithelial neoplasia emva kokwelashwa: ukulandelwa isikhathi eside kusukela eSifundweni SeBrithani Cohort. J Natl Cancer Inst. 2009 Meyi 20; 101 (10): 721-8. doi: 10.1093 / jnci / djp089.