Pakati pezvirwere zvakanyanya zvekuberekwa, dysplasia yemukati inotora nzvimbo yakasiyana. Iyo inobatanidzwa nekushandura muhutano hwemasero, saka zvakaoma kuongorora chirwere ichi. Kazhinji inowanikwa pane imwe nguva yapfuura, iyo yakazara nekugadzirwa kwematambudziko.
Cervical dysplasia - chii ichocho?
Cervical dysplasia inoratidzira nzira, inopesana nekuputsa kwekugadzirwa kwepa epithelium yakazara munzvimbo ino. Somugumisiro wekushanduka uku, masero anononoka kurasikirwa nezvinhu, achikonzera kukanganisa mukushanda kwepithelial tissue. Izvi zvinokonzerwa nokuvhiringidzwa kwekuparadzanisa epithelium. Iko kushanduka kwegynecology kunonzi hyperplasia.
Kuzivikanwa kwekervical dysplasia kunogona kuburikidza nekunyora microscopy yemuenzaniso kubva kune imwe nzvimbo yakashandurwa (cervical uye uterine dysplasia). Murwere haagoni kukanganisa kuti avepo kwenguva yakareba. Izvi zvinotsanangura kufungidzirwa kwe hyperplasia mukuongororwa kwechirwere chinokonzera zvirwere. Kuonekwa kwemasvikiro eatypical mumakumbo epithelial emuviri wechibereko anowanzokonzera kunyatsoongororwa kwemurwere.
Chii chakaipa cervical dysplasia?
Dambudziko guru rechirwere ndiro dambudziko guru rekushaya mutezo - kuora kusvika mukenza. Dysplasia yakasimba yemukativha inowanzotarisa kuva incoprocess. Izvo mukana wekugadzirisa dambudziko rakadaro kunobva pane zvimwe zvikonzero:
- Zvikamu zvehutano hwehutachiona - hukuru hwehutachiwana hwehutachiona, huwandu hwehutano hwekufa.
- Zera remurwere. Apo dysplasia inokanganisa nzira yekubereka yevakadzi vaduku, vane makore 25-35, kune matambudziko mukusarudza nzira yerapi. Kuti kuchengetedza kubereka, vanachiremba havaregi kurapwa, uye mungozi yekufambira mberi kwezvirwere zvakanyanya kuwedzerwa.
- Zvirwere zvinogadzirisa zvehutano hwehutano - hutachiona husingaperi uye zvirwere zvinoputika mukati mechiberekero zvinowanzosangana nekushandura mu epithelium yemukati, zvichiva chikonzero chekugadzira hyperplasia
- Kutanga kwekutanga kwehutano hwekurapa - gare gare kuonekwa kweDysplasia kunokonzera njodzi yakakura yehutachiona.
Cervical dysplasia - dhigirii
Chirwere chinokura zvishoma nezvishoma. Muchiremba iye zvino vanachiremba vanosiyanisa zvitatu. Tsanangudzo yega yega ndeyotevera:
- migumisiro yebiopsy ;
- dhiyabhorosi yekuongorora (kuongorora kwekugadzirisa, morphology yemasero) emuchechi mucosa.
Zvichienderana nezvakaonekwa kuchinja, tsika yekusiyanisa zvikamu zvinotevera zvehutano:
- mild dysplasia yemukati (1st degree);
- kuenzanisa (2nd degree);
- rakaoma (3rd degree).
Cervical dysplasia ye 1 degree
Chiedza dysplasia kana dysplasia yemukati wechidimbu chekutanga inoratidzirwa nehuwandu hwekuwedzera kwemasero ezvinyorwa zvepamusoro epithelium yakazara. Zvikamu zvepamusoro hazvisi kuchinja maitiro avo: microscopy yavo haina kuratidzira maitiro ekuchinja. Chimiro chacho chinopindirana zvachose nechinowanzoitika, kushandiswa kwemaitiro ezvinyorwa hazvina kunyorwa. Kuchinja kunowanikwa mu 1/3 yehutema hwose hwehutu. Icho chiyero chinogadzirisa zvakanaka kurapwa.
Cervical dysplasia yechipiri chechipiri
Cervical dysplasia yechipiri chechipiri inoperekedzwa nekupararira kwemagadzirirwo emagetsi ezvinyorwa uye zveparasal zvikamu zvepervical epithelium. Pane kukanganiswa kwekuisa: mune dzimwe nzvimbo dzemasero ezvinyorwa zvepakati pedo zvinogona kuonekwa. Izvi zvinotsigirwa nekorosikopu. Nekunzvera kwakakwana kwenharaunda yakatarwa, vanachiremba vanogadzirisa mifananidzo muhutano hweparasal layer. Panguva ino yechirwere, 2/3 ye epithelium yose yemukirini inobatanidzwa mukugadzirisa zvirwere.
Cervical dysplasia yezinga rechitatu
Chiratidzo chekuongororwa kwekervical dysplasia yepamusoro chechitatu ndiko kukundwa kwezvinhu zvose zve multilayer epithelium. Pakuita kusiyanisa kuongororwa kwehutachiona hwemaitiro, masero akawanda easypical anowanikwa mune epithelial tissue itself. Vane chimiro chakasiyana, uye chimiro chavo chakasiyana nechimiro chemweya. Icho chinyorwa chepamusoro che epithelium chine chimiro chakanaka. Kana pasina chirwere chakakosha, mukana wekuparara kuva kenza unopfuura 90%.
Zvinokonzera cervical dysplasia
Zvinokonzera dysplasia kazhinji zvinokonzerwa nezvikonzero zvakawanda. Izvi zvinomanikidza chirongwa chekuongorora uye chinoda kuongorora kwakawanda. Pakati pezvinhu zvinonyanya kukonzera:
- Human papillomavirus. Izvi zvinokonzera kukanganisa kunokwanisa kuchinja kubereka kwekuita, zvichikonzera genital herpes . Muchirwere ichi, semugumisiro webasa rinokosha rehutachiona, mucous membrane yemukatikiti inobatwa, iyo inotungamirira kuchinje mumagadzirirwo emagetsi.
- Kukuvadza kumatumbu emumuromo. Kushanda pamutambo wekuberekwa, kugara uchirapa, kuvepo kwekubvisa pamuviri mune an anamnesis kunowanzokonzera kuchinja mumagadzirirwo emakiramu epervical epithelium. Uyewo, kukuvadza kunobatsira kugadzirisazve nzira, umo kushandiswa kwesero kunowedzera. Kana iyo nzira iripo inopesana nokuputsa kwekupararira kwemunharaunda, mukana weDysplasia unowedzera.
- Zvirwere zvinoputika zvinokonzera. Kuramba kwenguva refu kunokonzera kugadzirisazve epithelium, iyo inopesana nokuputsa kwekudzivirirwa kwemuviri, kuwedzerwa ngozi ye dysplasia.
- Hormonal failure. Kuvhiringidzika kwehomoni kunogona kuendeswa nekuvandudzwa kwemahomoni ezvepabonde. Pasi pemitemo yavo inotanga kuwedzera kukura kwehutachiona hwehutachiona, nemhaka yei uye hunoita dysplasia yemukati mutsvuku.
- Zvirwere zvinotapukira muhutano hwekubereka. Zvidzidzo zvakaitwa navanachiremba zvakaratidza dambudziko rinowedzera dysplasia muhupo hwehutachiona hwehutano hwekubereka. Trichomoniasis , gonorrhea, chlamydia vanowanzova shamwari dzechirwere.
Cervical dysplasia - zviratidzo
Chirwere hachizviratidzi pachedu kwenguva yakareba. Kazhinji, vakadzi vanodzidza nezvazvo munguva yekuongorora kweprophylactic, kuongororwa kwegynecological system yekuvapo kwemamwe zvirwere. Zviratidzo zve dysplasia yemukirini hazvirevi, zvekuti zvinogona kunyorwa kune dzimwe zvirwere zvechimiro. Kuvhiringidzika kwechiremba kwehutano hwakafanana nekervical dysplasia inogona kuitika kana zviratidzo zvinotevera zvichiitika:
- Pain in groin area, mumukati wechitatu wemuviri. Inoonekwa nekufambira mberi kwehutano uye ine unhu hwakasiyana-siyana: kunyunyuta, kunonoka, kudhonza.
- Kusununguka kwepathological kubva kumadzimai. Kazhinji kacho kune unhu weropa uye hazvibatanidzi nekuenda kumwedzi. Apo iyo inotapukira inobatanidzwa, pane kuwedzerwa mune zvakachengetedzwa, kuchinja muhutano hwavo.
- Kusimbisa kumwedzi kunopera, kuwedzerwa nguva yekuenda kumwedzi.
- Kuwedzera kwekushisa kwemuviri kunowanikwa chete kana chirwere chekuvhiringidza mumuviri wechibereko chakabatanidzwa.
Cervical Dysplasia - Kuziva
Cervical dysplasia inoratidzwa nezvidzidzo zvinotevera:
- Chiyero cheSchiller ndechokuwana zvikamu zvezvipembenene zvakasiyana-siyana zvepithelium mune sampuli tema samples.
- PAP-kuongorora - microscopy ye smear inotorwa kubva mumuviri wechivi, nechinangwa chekugadzirisa, chimiro uye nhamba yemasero.
- Colposcopy - kuongororwa kwemakumbo emutsipa ne microscope pamwe nekuwedzera kukuru.
- Dajin test - kuonekwa muropa remurwere zvezvimedu zveDNA yemarwere epilloma, izvo zvinowanzokonzera dysplasia.
Nekuongororwa kwe "cervical dysplasia," biopsy inoitwa kwete kungoita chikonzero chehutachiona, asiwo kuongorora shanduko yemasero. Kugadzirisa kunoitwa zvinangwa: nechikamu chakashandurwa chechibereko chechirwere, chiremba anotora shanduko yechipfuva, iyo inenge yakanyanyiswa. Nenzira yekuchinja, munhu anogona kutonga danho rehutano hwehutano, huwandu hwahwo.
Cervical dysplasia - kurapa
Asati aporesa dysplasia yemukati, vanachiremba vanodzidza zvakakwana murwere. Chinangwa chayo ndechekuona chikonzero, icho chakava chikonzero chekugadzira chirwere chacho. Mushure mekunge vaongororwa nekervical dysplasia, vanachiremba vanoona maitiro ekurapa chirwere ichifunga nezvezvinhu zvakakonzera chirwere. Mishonga yezvokurapa inoshandiswa navanachiremba inotarisirwa ku:
- kunonoka kufambira mberi kwe dysplasia;
- kubviswa kwemashandundu emavara;
- kubviswa kwekudzoka zvakare.
Kurapa kwekervical dysplasia neredhiyo wave method
Kurapa kwe dysplasia yemukatiro nemafungu eredhiyo inoitwa muchirongwa chekubuda kunze. Nzira yacho yakaratidza kunge yakanganisa - nguva yekudzoka ine nguva shoma, kuora ruvara mushure mokuporeswa kusina kubviswa. Chinokosha chemuitiro ndiyo kushandiswa kwemafungu eredhiyo yepamusoro (3.8-4 MHz), kuburikidza nekusagadzikana kusina kubatana kunogadzirwa.
Munguva yechirongwa chekurapa, hapana chipikano chinorwadza che myometrium, saka murwere haanzwi kurwadziwa. Chido chekuita anesthesia mune izvi ndechokuti hachipo. Radiyo wave therapy ye dysplasia inoratidzwa apo:
- Pakuita colposcopy pamuviri wechibereki, chigamba chepitelial tissue chakawanikwa nekupararira mumucheto wechibereki.
- Dysplasia yemuchechi ye 2-3 degree, iyo inotungamirirwa nemigumisiro yechiratidzo chePAP, inoratidzwa.
- Kune tumarara yekenza inowanikwa mu cytology.
Kurapa kwekervical dysplasia ne laser
Imwe nzira mitsva yekurapa chirwere ichi, chiitiko chacho chinoonekwa nokukurumidza mushure mekuita. Nenzira iyi yekurapa, chiremba anoita cauterization ye cervical dysplasia achishandura bhora resimbi semhando. Pamberi pekugadzirisa, kukwirira kwemajeni kunosarudzwa, kuwedzera kwekupindira kwakatemwa, maererano nehuwandu hwechirwere.
Nzira yacho inopiwa kutanga kwekuenda kumwedzi. 5-7 zuva ndiro nguva yakakodzera yaro. Asati arapa mukadzi wacho anopfuura nepcolcopcopy, anopa smear ku cytology. Maererano nemigumisiro yezviongorori izvi, chiremba anogadzira chiyero cherapi, inotarisa nzvimbo chaiyo yenharaunda inobatwa nekamuviri. Maperembudzi pachayo anoguma nemaminetsi gumi nemashanu. Zvose kugadzirisa uterine mishonga inowanikwa mumasvondo 4-6. Munguva yekudzorera nguva, gynecologists anokurudzira:
- Usabata zvepabonde mumazuva ekutanga 1-14.
- Usatora bhaji inotonhorera, usashanyira sauna, mabhati, solarium.
- Chiremera chiito.
Cervical dysplasia - chirwere chokuvhiya
Kurapa kunobatanidzwa kunoratidzirwa kune dysplasia yakaoma. Zvinotarisirwa ndezvokutanga smear ye cytology, chinangwa chacho ndechokusiya nzira yehupenyu uye yekugadzirisa danho rechirwere. Pavanoita kurapwa, vanachiremba vanoshandisa nzira yepamusoro yezvikamu zvepitelial tutsi pamutsipa wakagadziridzwa. Inonzi vanachiremba sezvinoita conization yemukirini (uye gorosi 3 dysplasia ndiyo nzira huru yekurapa). Munguva yekuvhiya, vanachiremba vanobvisa chikamu chemutsipa wemutsipa wemaonde akaumbwa.
Cervical dysplasia - kufungidzira
Mafungiro emhando iyi yehutano inobva kune:
- nguva yehosha yekuona;
- zera remurwere;
- kuvapo kwezvinhu zvinokonzera kukanganisa muhutano hwekubereka.
Saka, apo mukadzi anoonekwa ane kervical dysplasia ye1 degree, kufungidzira kunofadza. Mikana yekuzorora zvakakwana inopfuura 90%. Zvisinei, kuonekwa kweDysplasia panguva ye2 nd uye 3 rd danho yakazara nehupenyu hwekenza. Mumamiriro ezvinhu akadaro, kunyange kurapwa kwakagadziriswa hakuregi kudzokera zvakare, izvo zvinowanikwa muna 40-55% yezviitiko zvechirwere chacho.
Cervical dysplasia uye pamuviri
Kuvapo kwehutachiona uku hakusi kupesana kwekutakura mwana kana painoonekwa. Kuvhiringidza pachako hakugadziri maitiro ekugadzirisa intrauterine kwechecheche, hazvipindirani nekushanda kwepentecenta. Uyezve, pamuviri hausi kuita kuti chirwere ichi chiwedzerwe, hachikuvhiringidzi. Kucherechedza dysplasia yemukati mutezo pakuberekwa inoratidza kuratidzwa kwakasimba kwomurwere.
Nevheji yepamusoro ye dysplasia, vanachiremba vanorayira colposcopy . Kudzokorora zvakare kunoitwa mushure mokuberekwa. Kana paine kusafungirwa kwekuoma dysplasia, chinangwa chakakanganwa chinogona kurongerwa - kusina kuipa. Apo kuongororwa kunosimbiswa, colposcopy inodzokororwa kwemwedzi mitatu, kusvika pakuzvarwa chaiyo. Mushure mokuberekwa, kupindira kwokuvhiya kunorayirwa.