Wesibeletho izilonda precancerous. isifo wesibeletho: izimbangela, izimpawu, ukuxilongwa kanye nokwelashwa

Ngo amangqamuzana avamile wesibeletho imbozwe wakubo epithelium squamous. Siqukethe izingqimba ezintathu: i-basal, Lesisemkhatsini ezingabalulekile. Noma iluphi ushintsho ebaleni nokuvuthwa noma kwamangqamuzana lamaseli EPITHELIAL, kungenzeka odokotela ngokuthi dysplasia. Leli gama uvame ukubizwa zonke izilonda wesibeletho precancerous.

izifo kunokwenzeka

Odokotela baye bathola lezimo eziningana sokugembula, okuyinto ngempela kufanele sinake. Ngakho, iqembu ahlukene ahlanganisiwe okuthiwa izinqubo zangokwasemuva. Lezi zihlanganisa ukuguguleka kweqiniso, leukoplakia elula, ama-polyp, ectopia wesibeletho erythroplakia. Eceleni labelwe isimo precancerous ngokuthi wesibeletho neoplasia intraepithelial noma dysplasia. Kubalulekile ukuqonda ukuthi isizinda predkartsernyh zithi pathogenesis ezahlukene.

Kodwa umsuka kanye ukubonakaliswa izilonda precancerous nomdlavuza efanayo. Esinye isizathu eziningi ngokuthi i-HPV. Ngakho, ukuba khona komuntu papilloma virus emzimbeni akusona isiqinisekiso salokho nakanjani sibe umdlavuza. Kodwa kulabo besifazane abaye bacosha izinto isimo pre-anomdlavuza wesibeletho 90% amacala uye kwatholakala ukuthi une-HPV. Kodwa Kufanele kwaziwe kodwa ukuthi abangaphezu kuka-60 izinhlobo wathi igciwane umthondo nomthelela mayelana 20, futhi 11 ezibhekwa yezinga serotypes.

Papillomavirus

Abantu abaningi abazi ukuthi umzimba wabo has HPV. Ezinye isifo kwenzeka ifomu esicashile. Lokhu kusho ukuthi abantu abathwali igciwane, kodwa iyiphi ukubonakaliswa bengakwenzi. Ngesimo subclinical kutholakala ukuthi uphethwe yini izinguquko cytological. Emtholampilo HPV sobala ukucacisa lapho kubonakala condylomas exophytic futhi endophytic.

Okuvame kakhulu yiwona 16 th futhi 18 th Papillomavirus serotype. Ukutheleleka ngokuvamile singanakwa ngokuphelele futhi hhayi ephelezelwa ukubonakala izimpawu. Kodwa ngesikhathi esifanayo igciwane ithelela iseli, it is afakwa ikhodi yabo zofuzo iqala ukufanisana lamaseli elinegciwane. Lokhu ekugcineni kuholela ukonakala yabo futhi iba imbangela dysplasia noma umdlavuza.

Kodwa kunenkolelo yokuthi indima ebalulekile ekuthuthukiseni isifo ezifweni ufeza epithelium ngabanye kanye zamehlo azalwa naso etindlela Ukuvikelwa.

Kwebalingisi of izinqubo zangokwasemuva

Gynecologists ukuxilonga izifo may wesibeletho izimpawu izinguquko ethile. Ngakho, odokotela ukuhlukanisa ukuguguleka kweqiniso, isegazini neyamanga.

Ngisho amantombazane asakhula wezifo zabesifazane ngesikhathi inhlolovo ungabona shift epithelium columnar. Ngemva colposcopy, kuba sobala ukuthi kuxhopha ubomvu. Ngesikhathi upende efanayo ngayo "Lugol" isixazululo akunakwenzeka. Lesi simo ngokuvamile okuthiwa mbumbulu noma ectopia. Kungaba azalwa naso noma bathenga. Kodwa lokhu akulona isimo precancerous wesibeletho, ukuze ukuguguleka ezinjalo angadingi ukwelashwa. Kuyinto kudingekile kuphela ukuba sizigcine njalo.

Uma ulwelwesi lesiguli lwamafinyila we-canal wesibeletho is nabokhulumile engxenyeni lwesitho sangasese sowesifazane wesibeletho ke kulesi simo sibizwa ngokuthi ectropion. Lokhu inhlanganisela isibanda ukusonteka kwezicubu wesibeletho nemithi yamanga. On udokotela ungabona entanyeni zikhubazekile nge umqhewu noma maw enkulu namabala abomvu ka epithelium columnar. Ngokuvamile lokhu kungaba indawo lenguquko.

Enye inqubo yangemuva engavumelekile itholakala leukoplakia, igama isifo ngokuvamile lihunyushwa ngokuthi "indawo elimhlophe". Kulesi isifo endaweni cornified epithelium multilayer. Ngakho stroma emhlabeni imithambo yegazi akhiwa lingene. Leukoplakia kungaba elula ke labizwa ngokuthi izinqubo zangokwasemuva. Uma lesi sifo bavele amaseli angavamile, bese sikhuluma precancer.

Esinye isifo erythroplakia, kodwa wakuthola kaningi impela. Leli gama ngokwezwi nezwi ehunyushwa ngokuthi njengoba "indawo abomvu". Kulesi simo, wakubo epithelium yoma, ke tapers ukuba ezelekene. amaseli Intermediate zinyamalale. Through the epithelium thinned izitsha angenisa ukukhanya, ngakho izingxenye ibukeke izindawo abomvu.

Futhi, lapho libhekwa udokotela ungabona neziqu, embozwe epithelium. Ziyakwazi ngokuthi ama-polyp. Le mfundo pink elikhanyayo, okungase leaf-okwenyanga noma oblong. Bona zilenga os wesibeletho.

Izimbangela ukuguguleka

Ngokuvamile, izinkinga kungatholakala ngesikhathi sokuhlolwa nokungasho colposcopy. Uma udokotela ubona ushintsho, kungaba ukuchaza ngalokho ibonakala ukuguguleka wesibeletho. Ngakho, yezimbangela ezivame kakhulu yilezi:

- izifo ezithathelwanayo, phakathi lapho chlamydia ezivamile, trichomoniasis, isipatsholo, ureaplasmosis, herpes genetalny, Papillomavirus;

- okhalo isifo ukuvuvukala;

- umonakalo mechanical kuya ulwelwesi lwamafinyila;

- ukushintsha kwama-hormone.

Ngenxa yalokho, izinguquko epithelium wakubo, okuyinto izingqimba banamathele kahle futhi alengayo phama, ngezinye izikhathi exfoliated futhi ezilimele. Kuye kwaphawulwa ukuthi lokhu izikhathi 5 zanda abesifazane nge ukuphazamiseka kokuya esikhathini, angase ukuguguleka nakakhulu wesibeletho. Esikhundleni obumba columnar epithelium ungqimba desquamated.

izici ngodlame abizwa ngokuthi ukwehluleka emjikelezweni, ushintsho njalo ophathina, ekuqaleni umsebenzi wocansi, futhi kwehle amasosha omzimba. Iningi lalabo abathatha uhlangothi baye bathola lezi zinkinga, unesithakazelo ukuthi zikhona yini ezinye imikhawulo lapho ukuguguleka wesibeletho iye sitholakale. Okungamelwe ukwenze kulesi sifo na? Noma yimuphi kanzima ayikho imikhawulo. Kubalulekile nje ziqashwe njalo udokotela wezifo zabesifazane, thatha zonke izivivinyo kudingekile hhayi ukulahla ukuphathwa ebekiwe.

Ukuxilongwa izinqubo zangokwasemuva

Njengoba ojwayelekile, abesifazane kanye wesibeletho onesifo kulokho akusho ukukhononda. Noma yimuphi erosions izimpawu zingasekho. Yiqiniso, zikhona ezinye osenyameni olumhlophe, okuyinto musa zibangele noma iyiphi kabi. Emva kocansi singenzeka zokubona noma sanies. Kulokhu, ngokushesha ngangokunokwenzeka ukuze abone udokotela. Uyakwazi ukuhlola isimo, ukuze anqume ukuthi bukhona yini ukuguguleka wesibeletho. Igama isifo usesimweni esinjalo kubaluleke kakhulu ngoba udokotela. Kuyinto kusukela inkinga ezikhonjwe kuzoncika okwengeziwe isu ukwelashwa.

On luhlolo mbumbulu kubukeka sengathi ibala elibomvu ezimise ngendlela engavamile. Ivelele ngokumelene lwamafinyila okhanyayo. Phakathi colposcopy, kuba sobala ukuthi ezindaweni inkinga embozwe obomvu papillae round noma oblong isesimweni, ngenxa ezindaweni zawo libukeka velvet. Ungesabi of colposcopy nje ukuhlolwa usebenzisa idivayisi ekhethekile, elikwaziyo ukwandisa ingxenye izikhathi 30-40.

Ukuxilonga izifo ezifana leukoplakia, futhi inikeza akukho nobunzima. Ezinye iziguli Horny cell izingqimba seziyabonakala nqunu iso Babukeka njengezihlahla nezimagqabhagqabha elimhlophe okuyizinto ezingenawo liphuma phezu ectocervix (wesibeletho ingxenye projecting esithweni sowesifazane). Abanye kungatholakala phakathi colposcopy kuphela. Ukuze sitholakele izicubu wesibeletho kungenzeka ziphathwe i solution iodine. izindawo Horny abathintekayo kungukuthi enombala in brown, Babukeka njengezihlahla surface embozwe ifilimu olumhlophe. Ukuze ubone ukuthi uhlobo leukoplakia (plain noma nge amaseli atypical) kuyadingeka ukuze afeze biopsy.

Futhi, lapho libhekwa wezifo zabesifazane ungabona izinhlumba ku wesibeletho. izimbangela yabo injengoba ilandela:

- izifo zangasese ezibanga ukuthuthukiswa izifo ukuvuvukala;

- Ukulimala wesibeletho ngesikhathi sokubeletha, isisu, dilatation futhi curettage ;

- iziyaluyalu hormone.

Izinhlumba ibukeke izikhwama ukuthi zigcwele isikhwehlela. Bona ziyaphuma Nabothian nezindlala, okuyinto ibukeke ukuvuvukala ezincane ezimhlophe. Uma kukhona ukwehluleka emsebenzini wabo, lo Amapayipi zivaliwe. Esimeni lapho ebonakalayo lapho libhekwa isikhwama esisodwa kuphela, ubizwa ngokuthi endometriodnyh simila. Kodwa zikhona izikhathi lapho kukhona eziningana. Ezimweni ezinjalo, udokotela uthi kungcono izinhlumba Nabothian ku wesibeletho. nezimbangela zabo, kuyinto efiselekayo ukuthola. Ngemva kungenzeka ukubukeka kwabo senziwa izifo ukuthi kufanele kuthathwe. Ngokuvamile, odokotela batusa eyodwa kuphela indlela yokwelashwa - ukususwa izinhlumba. Lokhu kwenziwa puncturing isikhwama, ukususa okunamathelayo isikhwehlela nokucubungula nezindawo lapho ivela khona.

amacebo yokwelashwa

Ezimweni lapho udokotela kuthola inkinga nge wesibeletho, kufanele akutshele ukuthi yini wena okudingeka uyenze ngokulandelayo. Ngakho, okokuqala ubambe colposcopy onguchwepheshe, thatha indaba for cytological luhlolo kanye, uma kunesidingo, ukunikela ukwenza biopsy. Ucwaningo umnyuziki kungacacisa ukuthi nalokho okubonakala ukuguguleka wesibeletho. Kubalulekile futhi ukwenza smear ku izitshalo, ukukhomba ukuthi kukhona igciwane. Kuphoqelekile ukuthola ukuthi isiguli-HIV, ugcunsula noma kwesibindi. Ngaphezu kwalokho, udokotela wezifo zabesifazane ungakwazi ukunikeza isiqondiso ukuze afeze ukuhlolwa Trichomonas, ureaplasma, HPV, chlamydia, mycoplasmas, Gardnerella.

Ungabese uqhubeke nokwelashwa. Kuye ngobukhulu, izimbangela, nezinye izinto wezifo zabesifazane ziyonikela zamanje ukuba cauterize entanyeni kwesibeletho, okwenza cryotherapy, laser coagulation noma sebenzisa indlela umsakazo wave.

Kwezinye izimo, ukumane ukubukela ukuguguleka kwenhlabathi. amaqhinga anjalo abakhethiwe ezimweni ukuthi kutholakala kuphi abesifazane abasebasha nulliparous. Ngokuvamile, zingabantu isizathu ivela khona ukushintsha kwama-hormone.

Incazelo zokwelapha

Moxibustion ingenye yezindlela ezivamile. Kodwa ngenkathi inqubo eningi engemihle. Ngenxa cauterization olungakhiqiza nezibazi ezinzima, umlomo emincane isiteshi wesibeletho. Ngaphezu kwalokho, ukuphulukiswa emva inqubo ithatha Adalberto isikhathi eside. Kodwa, naphezu kwazo zonke amaphutha, kaningi zisebenzisa moxibustion ukuguguleka wesibeletho. Izibuyekezo abonisa ukuthi inqubo kubuhlungu, kodwa kubuhlungu kakhulu asikwazi ngokuthi. Abesifazane abaningi nje ngokuthi umuzwa kabi esiswini ephansi. Ngaphezu kwalokho, emva inqubo ingase ibe osenyameni lwesitho sangasese sowesifazane.

Udokotela kufanele futhi ukuvimbela eziningi ukulinganiselwa. Kuphoqelekile ukuba ukuphumula ngokocansi okungenani inyanga ngemva kokuhlinzwa. Kukhona isisindo kokususa imingcele eyayibekiwe - kungenziwa igqoke hhayi ningi than 2 kg. Ukuvinjelwa onikezwe sauna, izindlu zokugeza, ukuthatha zokugeza, bonisani ukushuba umsebenzi.

Cryodestruction ngokuvamile kuholela kokunciphisa wesibeletho. Ngaphezu kwalokho, ngenxa inqubo kungenziwa ayisesemikhulu os wesibeletho. Ngokweqile buhlungu ngokuthi cryotherapy akunakwenzeka, iziguli kuphazamisa iphunga ezingemnandi elikulesi sihloko.

Abantu abaningi bakhetha ukusebenzisa izindlela ezithuthukile kunalezi, ezifana ukwelashwa radio-igagasi ukuguguleka wesibeletho. Yazenzela ama-apharathasi ekhethekile "Surgitron". Kuqukethwe electrode therein obusuka amagagasi ephezulu imvamisa, akha ukushisa uma behlangana ne ezicutshini zomzimba. Kulokhu, amaseli owayebonakala shabalala.

Liphinde kubhekwe ukuba ukwelashwa laser kuyaphumelela. Ukuchayeka ugongolo ngamagagasi kubangela ukuthi amaseli angavamile ziyasuswa. Kulokhu, izicubu ezizungezile iyathinteka kancane. Le ndlela kubhekwa ebuhlungwini okungenani.

Izimpawu dysplasia

Ngokuvamile nezilonda emathunjini, ubuchopho precancerous e izilonda ebuhlungu wesibeletho. Naka ngokukhethekile kudingeka babe nalabo ukuguguleka wesibeletho. Umdlavuza ngemuva ke ngeke neze bacale kutfutfukisa, kodwa emkhakheni dysplasia kwezinye izimo zitholakala nje ngemuva mbumbulu.

Ochwepheshe ukukhomba izigaba ezintathu yalesi sifo. degree Okokuqala ibizwa ngokuthi ukukhanya. Lapho lawushaya izingqimba ezijulile - the basal parabasal amaseli EPITHELIAL. Zogqinsi engenhla ijwayelekile. izimpawu kwangaphandle zesifo bengekho. It kungatholakala phakathi Cytology kuphela, nokususa kufanele kuthathwe ngokujulile.

Ngo besigaba sesibili - dysplasia ngokulinganisela - izinguquko ezingase zithinte kuze kube 2/3 lamaseli EPITHELIAL. Kulesi sigaba lamaseli atypical akufanele kube.

Ngo dysplasia okunzima eyesithathu degree nokuvuthwa kanye kwamangqamuzana kwamaseli senzeka kuphela ungqimba ebusweni. Zogqinsi asele ayaphazamiseka. survey Okuningi enemininingwane ibonisa amaseli nge atypia.

Xilonga dysplasia ngisho simple. Lesi sifo kwenzeka ngaphandle izimpawu evelele, ayinayo izimpawu sici. On luhlolo, lo wezifo zabesifazane kungacacisa ectopia, leukoplakia, papilloma uyibona. Ngezinye izikhathi kuyenzeka uma dysplasia ukuthi wesibeletho aliguquki.

Isiphetho sokuthi umuntu uphethwe kungenzeka by Cytology smear ethathwe wesibeletho. Uma ngokuhamba nophenyo, kwatholakala ukuthi ekuthatheni impahla inamaseli nge dikariozom (ushintsho nucleus), kubalulekile ukuba ukuqhuba Histology. Yenziwe izinto ezithathwe ngesikhathi biopsy.

Izimbangela dysplasia

Ezimweni eziningi kunzima ukuqonda ukuthi yini Wawugujelwani ukuvela izinkinga Izitho zokuzala zabesifazane. Kodwa kukhona izinto ezimbalwa engabangela ukuba ukuqala isifo. Ngokwesibonelo, uma isiguli yaseZimbabwe e wesibeletho, ngakho-ke ukungondleki kwezicubu. Futhi lokhu kungaba Umfutho ukuthuthukiswa lesi sifo.

Ngu ayeke ukunisa izici zihlanganisa:

- izinkinga zesimiso sokuzivikela somzimba namangqamuzana;

- khona izilonda erosive - kuyingozi zone inguquko phakathi epithelium flat futhi cylindrical, ezifuywa engxenyeni engaphandle entanyeni;

- khona emzimbeni ingozi High HPV izinhlobo.

Izinto eziyingozi ezingabangela i yilezi ezilandelayo:

- ngaphambi kokuqala ngokobulili umsebenzi intombi ngesikhathi, lapho epithelium uye ayakhekanga kahle;

- ukusetshenziswa kwesikhathi eside izinto zokuvimbela inzalo ama-hormone intrauterine;

- ukubeletha amaningi;

- khona izifo, zocansi;

- Ukudla singenele ne nokuntuleka amavithamini C, A no-beta-carotene.

Ngaphezu kwalokho kwatholakala ukuthi lokhu kwenzani kuma-nokubukeka kwazo Izifo eziphatha abesifazane kwezempilo zamadoda. Smegma eqoqa ngaphansi ijwabu kungabangela ozokhula izilonda wesibeletho precancerous. Lokhu kungenxa yokuba khona kuwo izidakamizwa umdlavuza, ewa ngesikhathi zobulili wesibeletho.

izindlela ukususa inkinga

Amaqhinga ukwelashwa kuxhomeke ekutheni degree of dysplasia kwatholakala. Ngakho ngaso esigabeni sokuqala ngokuvamile Kunconywa ukuba nje watch Dynamics izicubu futhi enze ukwelashwa ngoludala, okuyinto ihlose ukuze sisuse izimbangela zesifo. Ngokuvamile labetibambile yokwelapha namagciwane noma elwa namagciwane yakhelwe ukuqeda amagciwane. In the ukungabikho Dynamics omuhle, kanye kulezo zimo, uma kwake kwaba dianostirovana 2nd dysplasia noma degree 3rd, ke Kunconywa ukwelashwa kuhlinzwa.

Kulokhu, kungaba kwenziwe kanye cauterization of ukuguguleka wesibeletho. Izibuyekezo abonisa ukuthi le ndlela linikeza imiphumela emihle kakhulu. Futhi, kungenzeka cryosurgery noma laser ukwelashwa esetshenziswa. Kwezinye izimo, basebenzisa diatermokonizatsiya. Le ndlela liqukethe yokuthi nezicubu Ushintshe excised ngesimo Isigaxa, beyizidalwa eziphakeme kunazo zonke lapho kuqondiswe lo os yangaphakathi. Izindawo eziqhelile kwezicubu eminye ithunyelwe ukuze Histology.

Kubalulekile ukwazi ukuthi ezigulini ezine-dysplasia ingozi yokuba nomdlavuza ingaphezu kuka-10-20 izikhathi ezingaphezu kwalabo abangenayo le nkinga. Esigabeni sokuqala kukhona ithuba lokuthuthukiswa okuqhubekayo kwalesi sifo - lokhu kwenzeka cishe engxenyeni yamacala. Kodwa ku-40% yabesifazane kuzoqhubeka, bonke abanye - esimweni sokuzinza.

Alternative Medicine

Ezwa ukuxilongwa okungajabulisi, akubona wonke umuntu ovuma ukwelashwa ngezindlela zendabuko. Ngisho noma udokotela unikeza indlela emsakazo enomsindo futhi ephumelelayo kakhulu yokwenyuka komkhuhlane, kukhona labo abenqaba inqubo.

Abanye baqala izindlela ezihlukile. Okuthandwa kakhulu yi-douches nge-diluted calendula infusion (i-1 tsp ngayinye yamanzi angama-¼), i-eucalyptus (i-1 tsp ehlanjululwe engilazini yamanzi), ama-tampons ane-oli buckthorn ama-mummies.

Kodwa akuzona zonke izinketho, ukwelashwa komlomo wesibeletho kanye namakhambi omuntu kungenziwa kanjani. Abanye abaphulukisi batusa ukuphunga i-wort uSt. John ngokulinganisa ngesilinganiso se-1 tbsp. L. Ngama-litre-litre angaba ngamanzi abilayo. Utshani kufanele ubiliswe ngamaminithi angaba ngu-10 futhi ubambe okungenani isigamu sehora.

Uma unquma ukuyeka ukunakekelwa okunolwazi futhi uzophathwa ngalezi zindlela, bese uye kumgogeni wamazinyo njalo ukuqapha isimo somlomo wesibeletho. Lena yindlela kuphela yokubona ukuwohloka kwesikhathi futhi uzame ukulungisa lesi simo.