Koilocytosis

Umxholo

• Iimpawu zoilocytosis
• Oonobangela koilocytosis
• Kufunyaniswa njani
• Ukudibana nomhlaza
• Iphathwa njani
• Ukuthatha

Yintoni i-koilocytosis?

Zombini iindawo ezingaphakathi nezangaphandle zomzimba wakho zenziwe ngeeseli ze-epithelial. Ezi seli zenza imiqobo ekhusela amalungu-afana nolusu olunzulu, imiphunga kunye nesibindi- kwaye azivumele ukuba zenze imisebenzi yazo.

I-Koilocytes, ekwabizwa ngokuba ziiseli ze-halo, luhlobo lweseli ye-epithelial ekhula ngokulandela usulelo lomntu lwe-papillomavirus (HPV). IiKoilocyte zahluke ngokwakhiwa kwezinye iiseli ze-epithelial. Umzekelo, ii-nuclei zazo, eziqulethe i-DNA yeseli, zinobungakanani obungaqhelekanga, imilo, okanye umbala.

I-Koilocytosis ligama elibhekisa kubukho be-koilocytes. I-Koilocytosis inokuthi ithathelwe ingqalelo njengesandulela somhlaza othile.

Iimpawu zoilocytosis

Ngokwayo, i-koilocytosis ayibangeli zimpawu. Kodwa kubangelwa yi-HPV, intsholongwane eyosulela ngokwabelana ngesondo enokubangela iimpawu.

Kukho ngaphezu kwe-HPV. Iindidi ezininzi azibangeli naziphi na iimpawu kwaye zicace zodwa. Nangona kunjalo, ezinye iintlobo ezinobungozi obuphezulu be-HPV ziye zadityaniswa kuphuhliso lomhlaza weseli ye-epithelial, ekwabizwa ngokuba yi-carcinomas. Unxibelelwano phakathi kwe-HPV kunye nomhlaza womlomo wesibeleko, ngakumbi, lusekwe kakuhle.

Umhlaza womlomo wesibeleko uchaphazela umlomo wesibeleko, indlela emxinwa phakathi kwesini nesibeleko. Ngokweziphantse zonke iimeko zomhlaza womlomo wesibeleko zibangelwa lusulelo lwe-HPV.

Iimpawu zomhlaza womlomo wesibeleko azibonakali de umhlaza uqhubele phambili. Iimpawu zomhlaza womlomo wesibeleko zingabandakanya:

• ukopha phakathi kwexesha
• ukopha emva kokwabelana ngesondo
• intlungu emlenzeni, isinqe, okanye umqolo
• ukuhla ukusinda
• Ukuphelelwa ngumdla wokutya
• ukudinwa
• Ukungahambi kakuhle kwilungu lobufazi
• incindi yelungu lobufazi, enokuthi icekeceke kwaye inamanzi okanye ngaphezulu njengobofu kwaye inevumba elibi

I-HPV ikwanxulunyaniswa nomhlaza ochaphazela iiseli ze-epithelial kwi-anus, ipenisi, ubufazi, ubufazi, kunye neendawo zomqala. Ezinye iintlobo ze-HPV azibangeli mhlaza, kodwa zinokubangela iintsumpa kumalungu esini.

Oonobangela koilocytosis

I-HPV idluliselwa ngokwabelana ngesondo, kubandakanya isondo lomlomo, ezimpundu, kunye nelungu lobufazi. Usemngciphekweni xa ulala nomntu onentsholongwane. Nangona kunjalo, kuba i-HPV kunqabile ukuba ibangele iimpawu, abantu abaninzi abazi ukuba banayo. Banokuthi ngokungazi bayidlulisele kumaqabane abo.

Xa i-HPV ingena emzimbeni, ijolise kwiiseli ze-epithelial. Ezi seli zihlala zikwimimandla yesini, umzekelo kumlomo wesibeleko. Intsholongwane ifaka iiproteni zayo kwi-DNA yeeseli. Ezinye zezi proteni zinokubangela utshintsho olwakhiweyo olujika iiseli zibe zii-koilocytes. Abanye banokubangela umhlaza.

Kufunyaniswa njani

I-Koilocytosis kumlomo wesibeleko ifunyenwe kwi-Pap smear okanye kwi-biopsy yomlomo wesibeleko.

I-Pap smear luvavanyo oluqhelekileyo lokuvavanywa kwe-HPV kunye nomhlaza womlomo wesibeleko. Ngexesha lovavanyo lwePap smear, ugqirha usebenzisa ibrashi encinci ukuthatha isampulu yeeseli ebusweni bomlomo wesibeleko. Isampulu ihlaziywa ngugqirha wezifo ze-koilocytes.

Ukuba iziphumo ziqinisekile, ugqirha wakho unokucebisa i-colposcopy okanye i-biopsy yomlomo wesibeleko. Ngexesha le-colposcopy, ugqirha usebenzisa isixhobo sokukhanyisa nokukhulisa umlomo wesibeleko. Olu viwo lufana kakhulu noviwo onalo nengqokelela yePap smear yakho. Ngexesha le-biopsy yomlomo wesibeleko, ugqirha ususa isampulu encinci yethishu kumlomo wakho wesibeleko.

Ugqirha wakho uza kwabelana ngeziphumo zalo naluphi na uvavanyo. Iziphumo ezilungileyo zinokuthetha ukuba ii-koilocytes zafunyanwa.

Ezi ziphumo azithethi ukuba unomhlaza womlomo wesibeleko okanye uza kuwufumana. Nangona kunjalo, kuyakufuneka wenze uhlolo kunye nonyango ukuthintela ukuqhubela phambili komhlaza womlomo wesibeleko.

Ukudibana nomhlaza

I-Koilocytosis kumlomo wesibeleko sisandulela somhlaza womlomo wesibeleko. Umngcipheko xa ii-koilocytes ezininzi zibangelwa ziindidi ezithile ze-HPV.

Ukuchongwa kwe-koilocytosis emva kwe-Pap smear okanye i-biopsy yomlomo wesibeleko kwonyusa isidingo sovavanyo lomhlaza rhoqo. Ugqirha wakho uya kukwazisa xa ufuna ukuvavanywa kwakhona. Ukubeka iliso kunokubandakanya ukuvavanywa rhoqo kwiinyanga ezintathu ukuya kwezintandathu, kuxhomekeke kwinqanaba lomngcipheko wakho.

I-Koilocytes nazo ziyanyanzeliswa kwi-cancer ezibonakala kwezinye iindawo zomzimba, ezifana ne-anus okanye umqala. Nangona kunjalo, iinkqubo zokuvavanywa kwezi mhlaza azimiswanga kakuhle njengalezo zomhlaza womlomo wesibeleko. Ngamanye amaxesha, i-koilocytosis ayisiyonto ethembekileyo yomngcipheko womhlaza.

Iphathwa njani

I-Koilocytosis ibangelwa lusulelo lwe-HPV, olungenalo unyango olwaziwayo. Ngokubanzi, unyango lwe-HPV lujolise kwiingxaki zonyango, ezinjengeentsumpa kumalungu okuzala, i-precancer yomlomo wesibeleko, kunye neminye imihlaza ebangelwa yi-HPV.

Iphezulu xa kufunyaniswa unyango lwangaphambi kwexesha okanye umhlaza.

Kwimeko yotshintsho olusebenzayo kumlomo wesibeleko, ukujonga umngcipheko ngokuhlolwa rhoqo kunokwanela. Abanye abantu basetyhini abanesibeleko somlomo wesibeleko banokufuna unyango, ngelixa isisombululo esizenzekelayo sibonakala kwabanye abantu basetyhini.

Unyango lwe-precancer yomlomo wesibeleko lubandakanya:

• Inkqubo ye-Loop electrosurgical excision (LEEP). Kule nkqubo, izicubu ezingaqhelekanga ziyasuswa kumlomo wesibeleko zisebenzisa isixhobo esikhethekileyo esinomtya wocingo ohambisa umbane. Umtya wocingo usetyenziswa njengeblade ukukrwela ngobunono izicwili ezingaphambuki.
• Utyando. I-Cryosurgery ibandakanya ukukhenkceza izicwili ezingaqhelekanga ukuzitshabalalisa. Initrojeni engamanzi okanye icarbon dioxide inokusetyenziswa kumlomo wesibeleko ukususa iiseli ezinamandla.
• Utyando lweLaser. Ngexesha lotyando lwe-laser, ugqirha osebenzisa i-laser ukusika nokususa izicwili ezinomdla ngaphakathi komlomo wesibeleko.
• Uhlobo lweHysterectomy. Olu tyando lususa isibeleko kunye nomlomo wesibeleko; oku kuhlala kusetyenziswa kwabasetyhini abangakhange babenaso isisombululo kunye nezinye iindlela zonyango.

Ukuthatha

Ukuba ii-koilocytes zifunyenwe ngexesha le-Pap smear yesiqhelo, oko akuthethi ukuba unomhlaza womlomo wesibeleko okanye uza kuwufumana. Oko kuthetha ukuba uyakufuna ukuvavanywa rhoqo ukuze ukuba umhlaza womlomo wesibeleko wenziwe, unokufunyanwa kwaye unyangwe kwangoko, ke oko kukunika esona siphumo sihle.

Ukuthintela i-HPV, yenza isondo elikhuselekileyo. Ukuba uneminyaka engama-45 ubudala okanye ungaphantsi, okanye ukuba unomntwana, thetha nogqirha wakho malunga neliyeza lokugonya njengokuthintela ngakumbi kwiintlobo ezithile ze-HPV.