Leukoplakia - kuyini e zabesifazane? Izimpawu, izimpawu kanye nokwelashwa leukoplakia wesibeletho

Namuhla, abesifazane abaningi babhekana kokutshelwa ngokukhubazeka kwengane njengoba leukoplakia. Kuyini e zabesifazane? Kungani kukhona isifo efana? Yeka indlela okuyingozi kungaba? Yini zokwelapha linikeza imithi yesimanje? Izimpendulo zale mibuzo athungatha abafundi abaningi.

Leukoplakia - kuyini e zabesifazane?

Okokuqala, ake sithi ukuthi sokwephulwa kwe efanayo chasiselwe okuthiwa pathologies zangaphambi anomdlavuza. Namuhla, iziguli eziningi ukuzwa kokubeletha ukuxilongwa "leukoplakia". Kuyini e zabesifazane? Ziyini izimpawu? Yini abatelekile izicubu?

Lesi sifo kuhambisana ukuqina futhi okwalandela keratinization mucosa Izitho zokuzala. Ngokuvamile, odokotela eqoshiwe lekoplakiya wesibeletho zokwelapha zanamuhla, nokuthi kuthinta umsele wesibeletho. Ngaphezu kwalokho, ukushintsha amashidi ngokuvamile ebonwe ingxenye yesitho sowesifazane sangasese kwesibeletho. Ngaphansi ngokuvamile kutholakala ukuthi uphethwe yini leukoplakia lwesitho sangasese sowesifazane kanye vulvar.

Le nkinga akubhekwa kuvamile - ngokuvumelana ngemiphumela yocwaningo kwezibalo, cishe 5-6% abesifazane ukuzwa kokugula efanayo. Nokho, ukuba ushaye sengathi awuboni Kunoma yikuphi, ukuthi into ethile ayinakwenzeka. Iqiniso liwukuthi ukuthi lesi sifo kakhulu kwandisa amathuba ukuguqulwa abulalayo kwezicubu futhi umdlavuza esikhathini esizayo.

Ziyini izimbangela eziyinhloko zalokhu yesifo

Kukhona ezinye izici ngaphansi kwethonya okuyinto lingathuthukiswa njengoba isifo ezimbi futhi iyingozi njengoba leukoplakia. Kuyini e zabesifazane? Ukuze uqale, kuyafaneleka ethi imbangela izinguquko izicubu kungase kuwuthinte kokubili imvelo bangaphandle zangaphakathi.

Izinto zangaphakathi zihlanganisa ukuphazamiseka ohlelweni endocrine. Kwama-hormone ngemuva kungaholela anovulation hyperestrogenia, ukwehla elibukhali amazinga progesterone, okuholela izinqubo hyperplastic ebonwe kwezicubu.

Kaningi ama-leukoplakia kwesibeletho kuwumphumela inqubo ezithathelwanayo ukuvuvukala. Ikakhulu, i-engcupheni kuthiwa ngaphambilini sidluliselwe adnexitis, endometritis, ukuphazamiseka nomjikelezo wokuya esikhathini. Ngaphezu kwalokho, izicubu angase akhule ku ushintsho ezifweni, kuhlanganise i-herpes ureaplasmosis, cytomegalovirus futhi Papillomavirus ukutheleleka, mycoplasmosis, i-chlamydia kanye t. D. izifo Nonspecific ezithathelwanayo (isib cervicitis, colpitis) futhi ungaba yingozi.

Chemical nokulimala kuhlasimulise kwezicubu lesizalo eyatholakala kusukela isisu, isifo noma izinqubo zokwelapha (nokukhuhla, moxibustion erosions) futhi neqhaza ekuthuthukiseni lesi sifo. Izinto eziyingozi ezingabangela i zibandakanya kwehle umsebenzi wamasosha omzimba, ngokobulili.

izinhlobonhlobo leukoplakia

Kukhona izinhlobo eziningana sifo, okuthiwa leukoplakia. Zabesifazane ikhomba ezintathu eziyisisekelo, kodwa eqinisweni kukhona izikimu ngezigaba eziningana. Nokho, kuye ngokuthi izici ze-isifo, owesifazane enezinwele lezi zinhlobo ezilandelayo zokugula ingase ibonise ::

• Ifomu okulula leukoplakia. Ibhekwa njengenye yezinto izinguquko ngemuva. inqubo enjalo libhekene kancane ukuqina futhi epithelium keratinization ebusweni izingqimba - kuleli cala hhayi basal parabasal izingqimba abavezwe lesi sifo.
• isifo Proliferative. Kuhambisane ukuphazamiseka kwamangqamuzana evamile kwezicubu, okuholela izinguquko waphawula yazo zonke zamatshe amaseli bese kumiswa kancane kancane izakhiwo ongaphilile. Le ndlela lesi sifo zithathwa njengeziNdawo ezingamaGugu isimo precancerous.

Kuye isifo Planar isehlane (phezu EPITHELIAL kwakhiwa ifilimu olumhlophe), a lamellar (keratinized izingxenye kungabonwa), erosive (ushintsho cell kuhambisana kumiswa erosions), amabhamuza namanye amafomu lekoplakii.

Ayini izimpawu zesifo kuhambisana?

Abesifazane abaningi banesithakazelo imibuzo ngalokho izimpawu ephelezelwa leukoplakia. Uphenyo kodokotela kanye neziguli, kanye nedatha ye ukuhlola izibalo ziveza ukuthi abantu lesi sifo kwenzeka ngaphandle izimpawu. Ngokuvamile, ushintsho sokugembula kanye cell actinic kuthola udokotela ngesikhathi okuhleliwe luhlolo izifo zabesifazane.

Leukoplakia kungakubangeli abanye ukwephula ebonakalayo - ngokuvamile kuphela uma kwenzeka ukuthi yenzeka ingemuva ukuvuvukala. Abesifazane abanezinkinga ezifanayo esekhala nengcosana umbala mhlophe futhi iphunga uncharacteristic. Ngezinye izikhathi kukhona ukulunywa we zangasese zangaphandle. Ezinye iziguli esekhala nezikhathi ezibuhlungu nobuhlungu ngesikhathi ocansini.

Iyini inqubo wekuhlolisisa kusebenta kwahulumende?

abaningana iziguli namuhla unesithakazelo imibuzo mayelana nokuthi iyiphi leukoplakia. Izimpawu kanye nokwelashwa yalesi sifo, yezinkinga ezihlobene naso, nakho nesithakazelo abesifazane. Kodwa akukho ebaluleke kancane ulwazi kanye nenqubo yokuhlola.

Njengoba sekushiwo, khona esolwa udokotela leukoplakia may ngesikhathi kuhlolwa isimiso wesibeletho ngosizo izibuko. Ephambi kwezinduna izingxenye olumhlophe nezicubu keratinized is egcinwe nokususa izicubu (ngenhlanhla lezi zingxenye kungaba kokubili abangashadile futhi eziningi).

Phakathi laboratory ukuhlolwa onguchwepheshe angakwazi uqaphela khona amaseli nge parakeratosis futhi hyperkeratosis. Kwezinye izimo, eminye ebanjwa biopsy ummese kanye luhlolo histological ka kwezicubu ekzotserviksa - lokhu kwenza kube nokwenzeka ukuba sithole khona ekwandeni ezijulile futhi iseli atypia.

Ngemva kwalokho colposcopy enwetshiwe wenziwa, phakathi kwesikhathi lapho udokotela ehluleka cabanga yakheke kahle ku izicubu uqweqwe. Ngaphezu kwalokho, kubalulekile kakhulu ukuze kutholakale imbangela lesi sifo, ngakho iziguli kaningi linqume hormone, bacteriological, izifundo immunological namanye ukuhlolwa. Ngezinye izikhathi ibizwa ngaphezu kwalokho okudingekayo kuboniswana endocrinology futhi oncologist.

imithi ye leukoplakia

Kuphela udokotela ungafaka owesifazane ukuthi nginesifo "leukoplakia kwesibeletho." Ukwelashwa kuleli cala kushintshwe ngamunye, njengoba bonke incike kundlela nobukhali lesi sifo, izimbangela zayo, kanye engu-isiguli izici zomzimba wayo.

ukwelashwa izidakamizwa uyelulekwa endabeni le leukoplakia entanyeni lihlotshaniswa unesifo noma ukuvuvukala. Ezimweni ezinjalo, iziguli ebekiwe eqeda ukuvuvukala, elwa namagciwane noma ama-ejenti elwa namagciwane. Uma unezinkinga izivikeli mzimba idinga yokwamukela immunomodulators, Vitamin izakhiwo, nokunye. D. Uma lesi sifo sekuvele isizinda ukwehluleka kohlelo endocrine, kungase kudingeke ukwelashwa nge-hormone i-amalungiselelo.

Ukwelashwa ngokuvamile ithatha cishe izinyanga ezimbili. Ngalesi sikhathi, owesifazane kufanele ulandele ngokucophelela zonke izincomo udokotela. By the way, ngesikhathi ukwelashwa kufanele ayeke zonke ngocansi - lokhu kuzokwenza esheshisa inqubo nokuvulwa epithelium evamile.

Okunye ukwelashwa ngoba leukoplakia

Kuze kube manje, zikhona izindlela eziningi zokususa ekhukhwini keratinization kanye ukuqina kwezicubu. Kodwa waphinda kufanele kusho ukuthi ekuqaleni kubalulekile ukuthola imbangela futhi lesi sifo, futhi kuphela bese uqhubekela phambili ukususwa endaweni ethintekile. Namuhla, zikhona izindlela eziningana ezithandwayo:

• coagulation Steel kuhilela cauterizing izilonda, ngosizo izidakamizwa nolaka kwemithi, isibonelo, "Solkovagina". Inqubo cishe kobuhlungu, akuvamile ephelezelwa ukuxakeka. Ngaphezu kwalokho, cishe 75-96% emva cauterization waphawula alulame ngokugcwele.
• Electrocoagulation - inqubo lapho sear leukoplakia amasayithi Usebenzisa kagesi. Le nqubo ibizwa namanye eziyingozi, ezifana ukopha futhi ukutheleleka kwezicubu, ngakho-ke isetshenziswa zabesifazane ezingavamile.
• Enye indlela cryosurgery sasivumela ngempumelelo, ephinde ikunike ngenxa 96%. Ngesikhathi inqubo ukuze izingxenye Ushintshe ehlaselwe liquid nitrogen, futhi elibangela ukufa izicubu ukwenqatshwa.
• Indlela ephumelela kakhulu futhi iphephile namuhla ibhekwa njengempophoma ukususwa laser we leukoplakia. Le nqubo likuvumela ukuthi ususe ngokushesha ezindaweni Ushintshe, ngenkathi kugwenywa ukuxhumana igazi nezicubu, ke kunciphisa amathuba okutheleleka esiphansi. By the way, khona izilonda ezinkulu inqubo wenziwa izikhathi eziningana, kwaze kwaba yilapho zinyamalala ephelele.
• Emacaleni angu-olunzima, ukusikwa kwamalungu wesibeletho nge ukuqhubekisela phambili plastic yayo umsebenzi wokuvuselela izakhiwo.

Leukoplakia nokukhulelwa

Abanye besifazane ukuthola leukoplakia kakade ngesikhathi sokukhulelwa. Ngokushesha kufanele kusho ukuthi isifo akuyona usongo ngqo ingane. Yiqiniso, kukhona ingozi wazalwa kungakabi isikhathi, ngakho isiguli kufanele kube ngaphansi kweso lwezokwelapha njalo.

Noma kunjalo leukoplakia ngesikhathi sokukhulelwa - ingozi kwabesifazane. Iqiniso ukuthi iyehla iyenyuka ama-hormone izinguquko izivikeli mzimba kungabangela ushintsho ebulalayo. Yingakho kubaluleke kangaka ukuxilonga kanye ukuqeda isifo phakathi ukuhlela sokukhulelwa.

izinyathelo

Ngeshwa, akukho imithi ukuthi angabavikela ezifweni ezinjenge phakade. Ngakho-ke, nokuvinjelwa leukoplakia kuyehla kube njalo siyohlolwa ngesikhathi udokotela wezifo zabesifazane. Kunconywa ukusebenzisa Ukuvikelwa ngesikhathi sokuya ocansini ukwenza ukuhlaziywa ngesikhathi esifanele futhi swabs izifo ezihlukahlukene futhi Izifo ukuvuvukala, futhi lapho kutholwa ngesikhathi ukwelashwa. Ngokwemvelo iyakwamukela ekuqiniseni amasosha omzimba, kanye nokudla ngendlela efanele, indlela yokuphila ngokulinganisela esebenzayo kanye neminye imisebenzi zokuzithokozisa.

Izibikezelo for iziguli

In the ukungabikho abulalayo ukwelashwa izicubu ukonakala kungenzeka - kubalulekile ukukhomba kanye imbangela leukoplakia, bese kuphela afeze ukususwa ezindaweni yashintshwa. Ukwelapha okunjalo ngokuvamile iphela ukululama ephelele. Esokuqala kweminyaka emibili emva kokwelashwa, isiguli liyadingeka zenzeka njalo ezinyangeni eziyisithupha colposcopy - lokhu kwenza kube nokwenzeka ukubona lokubuya kwesifo ekuqaleni. Ngeshwa, uma imbangela sifo engakaze iqedwe, kukhona amathuba okusezingeni eliphezulu ukuthi isifo izoya umdlavuza wesibeletho.

Leukoplakia (ukwelashwa): ukubuyekezwa kodokotela kanye neziguli

Namuhla, abesifazane abaningi zidlule inqubo ekwelapheni lesi sifo. Kanjani ngokushesha sidlule ukubuyiselwa umzimba ngemva leukoplakia wesibeletho eziye zembulwa? Izibuyekezo zisikisela ukuthi ukususwa ezindaweni Horny - lena ingxenye esheshayo futhi elula yokwelapha. isikhathi nomzamo owengeziwe ithatha yokukhomba izimbangela zezifo (Ukwelashwa hormone, ukulungiswa bangangenwa yilesi sifo, ukwelapha izifo ukuvuvukala kanye nezifo). Ngokwezibalo, abesifazane abaningi wehluleka ukubhekana ngokugcwele lesi sifo, ikakhulukazi uma inqubo izinguquko izicubu zihlonzwe kusaqalwa. Ngemva ukwelashwa isiguli ngokuvamile bangathembela kokukhulelwa, ukukhulelwa evamile futhi nokwanelisayo ocansini.