Izimila e sangasese: izimbangela, izimpawu kanye nemiphumela

Kuyaziwa ukuthi izimila singenzeka kuphi emzimbeni. Phakathi sabantu besifazane kukhona ukwanda yomdlavuza wesibeletho. Lokhu kwasendaweni izimila abulalayo kuyinto yesibili kuphela webele izimila. Ezimweni eziphambili, amaseli umdlavuza zidluliselwa kusukela umlomo wesibeletho sangasese. izimila eyinhloko lesi sitho awavamile. Zonke izimila zihlukaniswe ingozi nesibulalayo. Endabeni wangaphambili, amaseli zazo isimila yakhiwa une-isakhiwo naleyo umzimba. Okusho ukuthi kungokwemvelo. izimila ebulalayo akhiwe amaseli "atypical". Ngokuvamile, abazi zenzeka emzimbeni, njengoba kwamangqamuzana yabo (division) ayiphelele. Izimila e sangasese kungaba ingozi noma abulalayo (umdlavuza). Kuye ngobukhulu kanye kumiswa cell izakhiwo akhethiwe ukwelashwa indlela.

Ukwanda izimila sowesifazane sangasese

Ezingavamile eyinhloko isimila esibulalayo esikhula sangasese. bavame iyakhula kwezinye izitho. Ezimweni eziningi umdlavuza ikhula phakathi lwesitho sangasese sowesifazane odongeni indlela phansi. Okungukuthi, abangabantwana primary site of umdlavuza kuyinto wesibeletho. Ngezinye izikhathi sangasese ikhula umdlavuza ngemomozi (labia). Ngaphansi - isimila metastasizes kusukela umdlavuza komunye (akude) emzimbeni. umdlavuza Primary lwesitho sangasese sowesifazane ebangela% 1-2 kuphela umdlavuza pathologies esifazane uhlelo zokuzala. Kungenzeka ngasiphi isikhathi ubudala. Kuvamisile isiqongo kwenzeka engu 50-60. Izimila e sangasese ukuthuthukisa ngaphambili uma owesifazane enezinwele umlando inqwaba ukubeletha. Okuvame kakhulu okufana histological ka-squamous umdlavuza cell. Lokhu kuwuphawu lwesimila eba kusukela izicubu undifferentiated EPITHELIAL.

izimila Benign sangasese ezifana kakhudlwana umdlavuza. Batfutfukisa kusukela zezinzwa, fat and kwemisipha izicubu. Ngokungafani izimila umdlavuza neziqu ingozi ngokuvamile zenzeka engu zokuzala. Ngokuvamile, basuke kutholakala abesifazane asebekhulile 20-50. Naphezu kweqiniso lokuthi abazi zivame ukusakaza, yokwelapha lezi izinhlangano kuyadingeka.

Izimbangela yomdlavuza sangasese

Kungani ukuvuvukala singenzeka ngaphakathi esithweni sangasese? Naphezu ukuthuthukiswa ngokushesha umdlavuza, izimbangela yomdlavuza kukhona ayikaziwa. Kukholakala ukuthi ngamunye histological okufana izimila ungase ube umsuka ezahlukene. Ngokwesibonelo, ukuthuthukiswa kucace cell adenocarcinoma elihlobene ne-imiphumela emibi diethylstilbestrol (DES). Lokhu kwaziswa kunikeza hormone zesifazane zokwenziwa ubulili, wadala engxenyeni yokuqala yekhulu lama-20. Ngaphambili DES saphathwa ukuba abesifazane ahlukahlukene umjikelezo wokuya esikhathini, njengoba umuthi, kodwa futhi ukuvimbela ukuchitheka kwesisu. Nokho, kamuva kwavela ukuthi izidakamizwa kunomphumela teratogenic embungwini. Abesifazane abakhipha abavezwe DES e utero, ingozi yokuba nesifo somdlavuza lwesitho sangasese sowesifazane is kakhulu anda. Lokhu sicasulwa kuholela yeseli adenocarcinoma ecacile esemncane (iminyaka 19-24).

Ngaphezu kwalokho, kukhona izizathu ezilandelayo sokuthuthukiswa eyinhloko umdlavuza lwesitho sangasese sowesifazane:

1. Papilloma igciwane womuntu. Kukhona izinhlobonhlobo eziningi zalesi lwegciwane. Ezinye zazo zitholakala amaseli lwesimila.
2. adenosis lwesitho sangasese sowesifazane. Lokhu zokugula libhekene esikhundleni epithelium squamous namaseli yezindlala. Kwezinye izimo, izinguquko siyenzeka emva ukuqala kokuya esikhathini kwabesifazane enempilo.
3. Okungalapheki ukuvuvukala sangasese. Ngokuvamile ezihlobene izindandatho esibeletho. Kungase futhi ukuthuthukisa ezintweni ezenzeka izinqubo esithathelanayo omsakazo amagciwane viral (lezinkinobho).
4. Ukubhema.
5. ukuqala Ngasekuqaleni komsebenzi wocansi futhi ushintsho njalo abalingani.
6. Kushisa bhé kule ndawo imiphumela emzimbeni.

Yini lena okungenzeka ukuthi ukuthuthukisa neziqu ingozi e sangasese?

Kwesitho sangasese isimila ingozi akuyona umdlavuza. Kutfutfukisa amangqamuzana emzimbeni evamile. Ngokuvamile izimila benign izitho zangasese kubantu besifazane unesifo ngemuva kwama-hormone. Imihlobo ezilandelayo:

1. Lipoma sangasese. Lokhu kuwuphawu lwesimila ingozi ethathwe izicubu adipose. Okunye neoplasms bungavami.
2. fibroid lwesitho sangasese sowesifazane. Kuyinto umphumela zezinzwa izicubu ayanda.
3. fibroids lwesitho sangasese sowesifazane. Kutfutfukisa ngenxa ukukhula bushelelezi imisipha amaseli.
4. Fibroids. Lokhu degree ehlanganisa bushelelezi imisipha amaseli kanye ezicutshini. Litholakala isikhathi esiningi kunamanye izimila sowesifazane sangasese ekhona.
5. Hemangioma. Senzeka le mucosa zomzimba. Lingase libe capillary noma ngemithambo.

Ngaphezu kwalokho, isimila ingozi ukuthi yenzeka sangasese zihlanganisa izinhlumba futhi papillomas. Eyokuqala - uvuke lesi senzo sokukhwabanisa ungqimba papillary we epithelium. Bathola abesifazane itheleleke nge-HPV. izinhlumba lwesitho sangasese sowesifazane ukuthuthukisa kusuka izicubu yezindlala. Lezi zokwakheka kukhona izimbotshana egcwele uketshezi.

Komdlavuza: zinhlobo

Kunezinhlobo ezihlukahlukene zomdlavuza lwesitho sangasese sowesifazane. izimila ebulalayo sangasese libhekene isakhiwo histological, balolonge ukukhula esiteji. Kuye uhlobo oluthile lomdlavuza kunqunywa isu Izibikezelo kanye nokwelashwa. Histology zomdlavuza sangasese zihlukaniswe kukho okulandelayo:

1. imfundo squamous. Lolu hlobo lomdlavuza kwenzeka e-95% amacala. Ngokuvamile sibangelwa kancane kancane ngemuva izinqubo precancerous. Ngokuvamile, umdlavuza itholakala eslphambanweni sangasese ku wesibeletho.
2. Melanoma. Lokhu kubhekisela kumiswa izimila esikhunjeni. It libhekene ubudlova ezinzima, ukuthuthukiswa ngokushesha nokuthambekela iyakhula. Ngokuvamile, i-melanoma likhula sangasese kusukela ngemomozi yakho. Ngaphansi ngokuvamile, isimila eyinhloko.
3. Sula iseli adenocarcinoma. Kwenzeka abesifazane abasebasha. Libhekisela izimila DPP nasekuthengeni.
4. adenocarcinoma yesibili. Lezi izimila kukhona izimila metastatic nezinye izitho.
5. Sarcoma. Ngokuvamile, kuba khona ukuvuvukala odongeni lwesitho sangasese sowesifazane. Kungaba ukuthuthukisa kusuka imisipha bushelelezi noma striated (ezivamile ezinganeni ezincane).
6. Kwesitho sangasese lwegciwane iseli lwesimila. Lokhu umdlavuza samuntu histological ungachazwa ukuthi amaseli angavamile akhiwa embryonic period kusukela gonads. Kungenzeka ngasiphi yobudala, ngokuvamile kakhulu - izingane.

Kuye uhlobo ukukhula endo- sikude futhi izimila exophytic. Eyokuqala - ithuthukiswe odongeni umzimba. umdlavuza Exophytic ikhula kwangaphandle, okungukuthi - kule ingaphakathi lwesitho sangasese sowesifazane. Kukholakala ukuthi le ndlela kancane nge ukusabalala hematogenous (iyakhula).

Izimila kwesitho sangasese: izimpawu Pathology

umdlavuza kwesitho sangasese uyisikhathi eside akubonakali. Ngezinye izikhathi kukhona izimpawu ezifana ubuhlungu esiswini, okuvela kuyo ukopha phakathi bezoziphatha, leucorrhea. Lapho isimila ifinyelela usayizi esikhulu, kungase kube umuzwa umzimba angaphandle sangasese, ukuchama kahle, sokuzikhulula. izimpawu ezifanayo baziwa ngokuthi zibe nemiklamo ingozi nesibulalayo. Ngaphezu ukubheduka ukopha kungase ukuthuthukisa ukuvuvukala indawo lwesimila. Ngakho uphawu main kuyinto ubuhlungu, hyperemia mucosa may - kukhishwe ubovu (ulceration, necrosis).

isitho sangasese somuntu wesifazane umdlavuza esiteji

Esigabeni sokuqala ubhekwa precancerous. Okungukuthi, ukonakala kwazo amaseli selivele likhona, kodwa abazange zingakafinyeleli yokuphila ezindaweni eziphakathi nezwe lendwangu. Isigaba sokuqala libhekene yokuthi usayizi isimila kungaphansi kwama-2 cm ububanzi. Umdlavuza akuyona amila zibe izingqimba ezijulile odongeni lwesitho sangasese sowesifazane kanye usabalala-lymph. In esigabeni yobukhulu isimila engaphezu kuka-2 cm wesibili. Ngalesi izingqimba ezijulile kungukuthi ngesinyenyela, akukho metastases lesifunda. Uma ngaphezu isayithi isimila has paravaginalny kokuziphatha, buyisigaba wesithathu umdlavuza lwesitho sangasese sowesifazane. Kungase kube abathintekayo lymph node, udonga okhalo. Ngesikhathi esigabeni sesine, isimila liyakhula libe izitho eseduze noma metastases aqhelelene asezigabeni.

Komdlavuza sowesifazane sangasese

Lapho zokwakheka exophytic kakade ngesisekelo luhlolo izifo zabesifazane kungaba inikelwe uphethwe kokuqala umdlavuza lwesitho sangasese sowesifazane. Izithombe yalolu hlobo lomdlavuza kungatholakala ezincwadini. Ngaphandle izimila exophytic zifane ukholifulawa. Setha ukwakheka kwamangqamuzana lemfundo kungenzeka kuphela emva biopsy ukuze ukusihlola histological futhi cytological. Ngakho kubonakala umsuka yesimila. Kuphela ngemuva kokuphothulwa udokotela histological ongasho uqinisekile: noma isiguli umdlavuza noma cha.

Izindlela kokuphatha ingozi

Uma kukhona isimila ingozi eduze sangasese futhi phezu kwezingange zawo, amaqhinga ukwelashwa incike ubukhulu nokwakheka kwamanye ingaphazamiseki. Ngokuvamile ezinyangeni zokuqala 3 udokotela kuphela uyaphawula isiguli. Nge ukwanda usayizi isimila noma ukubukeka noma yiziphi izinkomba ezisheshe belashwa. Ngokuvamile papillomas kanye ukubunjwa semithambo wadalula cryodestruction, electrocautery, laser ukususwa. Uma isimila has a base ezibanzi, kwathiwa excised surgically.

Kwesitho sangasese Cancer Ukwelashwa

Ngo izimila ebulalayo, isitho sangasese somuntu wesifazane 1-2 izigaba wenziwa ukuhlinzwa olukhulu (ukususwa sangasese, ngezinye izikhathi - ne kwesibeletho futhi ezihlobene). Ngaphezu kwalokho, ukusetshenziswa chemotherapy photodynamic futhi ukwelashwa ngemisebe. Lapho egijima inqubo usebenze Cancer ukuhlinzwa okuthuthukisa. Uma kukhona metastases elikude, impatho lingaze kuphela lenikiwe.

Prevention izimila e sangasese

Lokho ugweme nesenzakalo nokuthuthukiswa izimila e sangasese kufanele uvakashele ngezikhathi wezifo zabesifazane (okungenani isikhathi esingu-1 ngonyaka). Futhi, ingabe akazibekanga isiqalo ukwelashwa ngama-hormone, ngoba izidakamizwa kufanele libekwe kuphela udokotela. Uma kukhona izimpawu zezifo, kufanele ahlolwe okhalo. Uma kukhona ingozi yomdlavuza, kubalulekile ukuyeka ukubhema, ukuze ulungise amandla.

Onalesi sifo izimila e sangasese

Izibikezelo incike umsuka isimila, kanye isimo jikelele wesifazane. Ephambi kwezinduna izimila ingozi kufanele njalo okuphawulwe udokotela wezifo zabesifazane. Uma kudingekile - ukususa yesimila. Onalesi sifo lomdlavuza lwesitho sangasese sowesifazane incike isigaba ohlelweni umdlavuza. Lesi silinganiso seminyaka emihlanu-rate sokusinda kuyinto 50-60% ezigulini welashelwa ezinkulu futhi welashwa ngemisebe.