IDysplasia yomlomo wesibeleko

I-dysplasia yomlomo wesibeleko ibhekisa kutshintsho olungaqhelekanga kwiiseli kumphezulu wesibeleko. Umlomo wesibeleko yinxalenye engezantsi yesibeleko (isibeleko) evuleka phezulu kwilungu lobufazi.

Utshintsho awungomhlaza kodwa unokukhokelela kumhlaza womlomo wesibeleko ukuba awunyangwa.

I-dysplasia yomlomo wesibeleko inokukhula nangaliphi na ixesha. Nangona kunjalo, ukulandelelwa kunye nonyango kuya kuxhomekeka kubudala bakho. I-dysplasia yomlomo wesibeleko ixhaphake kakhulu ngenxa yepillomavirus yabantu (HPV). I-HPV yintsholongwane eqhelekileyo esasazeka kunxibelelwano ngokwesondo. Zininzi iintlobo ze-HPV. Ezinye iintlobo zikhokelela kwidysplasia yomlomo wesibeleko okanye umhlaza. Ezinye iintlobo ze-HPV zinokubangela iintsumpa kumalungu esini.

Oku kulandelayo kunokunyusa umngcipheko wedysplasia yomlomo wesibeleko:

• Ukuba neentlobano zesini ngaphambi kweminyaka eyi-18
• Ukufumana umntwana esemncinci kakhulu
• Ukuba namaqabane amaninzi ezesondo
• Ukuba nezinye izifo, ezinjengesifo sephepha okanye i-HIV
• Sebenzisa amayeza acinezela amajoni akho omzimba
• Ukutshaya
• Imbali yoomama yokuvezwa kwe-DES (diethylstilbestrol)

Uninzi lwexesha, akukho zimpawu.

Umboneleli wakho wezempilo uya kwenza uvavanyo lwe-pelvic ukujonga i-dysplasia yomlomo wesibeleko. Uvavanyo lokuqala luhlala luvavanyo lwePap kunye novavanyo lobukho be-HPV.

I-dysplasia yomlomo wesibeleko ebonwa kuvavanyo lwePap ibizwa ngokuba yi-squamous intraepithelial lesion (SIL). Kwingxelo yovavanyo lwePap, olu tshintsho luya kuchazwa njenge:

• Ibanga eliphantsi (LSIL)
• Inqanaba eliphezulu (HSIL)
• Mhlawumbi unomhlaza (unobungozi)
• Iiseli glandular glandular (AGC)
• Iiseli ze-atypical squamous (ASC)

Uya kudinga iimvavanyo ezingaphezulu ukuba uvavanyo lwePap lubonisa iiseli ezingaqhelekanga okanye i-dysplasia yomlomo wesibeleko. Ukuba utshintsho belungelulanga, uvavanyo lwePap olulandelayo kunokuba yiyo yonke into efunekayo.

Umboneleli unokwenza i-biopsy ukuqinisekisa imeko. Oku kunokwenziwa ngokusetyenziswa kwecolposcopy. Nayiphi na imimandla exhalabisayo iya kufakwa kwi-biopsied. Ii-biopsies zincinci kakhulu kwaye uninzi lwabasetyhini luziva lincinci kancinci.

Idysplasia ebonwa kwi-biopsy yomlomo wesibeleko ibizwa ngokuba yi-cervical intraepithelial neoplasia (CIN). Ihlelwe ngokwamacandelo ama-3:

• I-CIN I-dysplasia emnene
• I-CIN II-yokumodareyitha ukuya kwi-dysplasia ephawulweyo
• I-CIN III -i-dysplasia eqatha kwi-carcinoma in situ

Ezinye iintlobo ze-HPV ziyaziwa ukuba zibangela umhlaza womlomo wesibeleko. Uvavanyo lwe-HPV DNA lunokuchonga iintlobo ezinobungozi obuphezulu be-HPV enxulumene nalo mhlaza. Olu vavanyo lunokwenziwa:

• Njengokuvavanywa kovavanyo lwabasetyhini abangaphezulu kweminyaka engama-30
• Abafazi bayo nayiphi na iminyaka abaneziphumo zovavanyo lwePap ezingaqhelekanga

Unyango luxhomekeke kwinqanaba le-dysplasia. I-dysplasia emnene (i-LSIL okanye i-CIN I) inokuhamba ngaphandle konyango.

• Unokufuna ukulandelelwa ngononophelo ngumboneleli wakho ngovavanyo oluphindaphindiweyo lwePap rhoqo kwiinyanga ezi-6 ukuya kwezi-12.
• Ukuba utshintsho aluhambi okanye lusiba lubi, unyango luyafuneka.

Unyango lwe-dysplasia yokumodareyitha ukuya kwelukhuni okanye i-dysplasia ethambileyo engahambiyo inokubandakanya:

• I-Cryosurgery yokuqandisa iiseli ezingaqhelekanga
• Unyango lweLaser, olusebenzisa ukukhanya ukutshisa izicwili ezingaqhelekanga
• I-LEEP (inkqubo ye-loop electrosurgical excision), esebenzisa umbane ukususa izicubu ezingaqhelekanga
• Utyando lokususa izicwili ezingaqhelekanga (ikhowuni biopsy)
• I-Hysterectomy (kwiimeko ezinqabileyo)

Ukuba une-dysplasia, kuyakufuneka ukuba uphinde uviwo rhoqo kwiinyanga ezili-12 okanye njengoko kucetyisiwe ngumboneleli wakho.

Qinisekisa ukufumana isitofu sokugonya se-HPV xa usinikwa. Olu gonyo luthintela imihlaza emininzi yomlomo wesibeleko.

Ukuchongwa kwangoko kunye nokunyanga kwangoko kunyanga iimeko ezininzi zedysplasia yomlomo wesibeleko. Nangona kunjalo, imeko inokubuyela.

Ngaphandle konyango, i-dysplasia yomlomo wesibeleko inokutshintsha ibe ngumhlaza womlomo wesibeleko.

Tsalela umnikezeli wakho ukuba uneminyaka engama-21 okanye ngaphezulu kwaye awuzange ube novavanyo lwe-pelvic kunye novavanyo lwePap.

Buza umboneleli wakho malunga nogonyo lwe-HPV. Amantombazana afumana eli chiza phambi kokuba abelane ngesondo anciphisa amathuba okuba nomhlaza womlomo wesibeleko.

Ungawunciphisa umngcipheko wokuphuhliswa kwesibeleko ngokuthatha la manyathelo alandelayo:

• Gonyelwa i-HPV phakathi kweminyaka eli-9 ukuya kwengama-45.
• Musa ukutshaya. Ukutshaya kwandisa umngcipheko wokuba ne-dysplasia eqatha kunye nomhlaza.
• Musa ukulala ngesondo de ube ne-18 okanye ngaphezulu.
• Ziqhelise ngesondo elikhuselekileyo. Sebenzisa ikhondom.
• Ziqhelise ukuba neqabane elinye. Oku kuthetha ukuba uneqabane elinye lokwabelana ngesondo ngexesha.

Isibeleko se-intraepithelial neoplasia - idysplasia; CIN - idysplasia; Utshintsho olwenziwe kwangaphambili lomlomo wesibeleko - idysplasia; Umhlaza womlomo wesibeleko - idysplasia; Izilonda squamous intraepithelial - dysplasia; LSIL - idysplasia; HSIL - idysplasia; I-dysplasia ekumgangatho ophantsi; Idysplasia ekumgangatho ophezulu; ICarcinoma in situ - idysplasia; CIS - idysplasia; I-ASCUS - idysplasia; Iiseli glandular atypical - dysplasia; I-AGUS - idysplasia; Iiseli squamous atypical - dysplasia; Pap smear - idysplasia; I-HPV - idysplasia; Papilloma virus - dysplasia; Umlomo wesibeleko - idysplasia; IColposcopy - idysplasia

• I-anatomy yokuzala yabasetyhini
• Neoplasia yomlomo wesibeleko
• Isibeleko
• I-dysplasia yomlomo wesibeleko - uthotho

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