Kukura kwechirwere, maererano nemigumisiro yezvidzidzo, kunosvika kusvika ku44% yevakadzi vane makore ekubereka. Ichokwadi kuti kukanganiswa kwechirwere chepachiviri pamusana pekasa rakaoma kunokwanisa kutungamirira mukukudzirwa kwekenza yemukomana kunoratidzwa.
Kukura kunokanganisa zvakanyanya mu epithelium. Pakutanga, apo zvakanga zvisingakwanisi kuongorora chibereko chechivharo nemichina yakasanganiswa, kudengenyeka kwairehwa chero upi neupi mukati mechikadzi chechibereko chechibereko chemuviri, chinoratidzika muchitarisiko chechimiro chisina kujeka chinopenya chinonzi mucous red spot.
Apo colposcope yakabuda, yakawanikwa kuti muhuwandu hwakawanda hwezviitiko kukanganisa mumuviri wechikwereti kwakanga kusiri kuora kwechokwadi, asi kupararira kweiyo cylindrical epithelial tissue yechipical canal kumudzimai. Nokudaro, mumazuva ano masimba emagetsi, izwi rokuti "kudengenyeka kwemukati" rinoshandiswa kazhinji, uye rakashandurwa nezwi rokuti " cervical ectopia " kana kuti "pseudo-kukorera".
Chii chinonzi kukanganiswa kwechirwere?
Iko kuora kwechokwadi uye kwenhema kwechirwere. Muchiyero, kudengenyeka kwechirwere kunoparadzaniswa kubva ku 0.2 centimita kusvika 2 masentimita kana kupfuura.
- Kubudirira kwechokwadi kwechirwere ndiko kukanganisa kwakanyanya mumasero e epithelium (akafanana neshungu duku), anotadza kuzvirapa pashure pokubviswa kwechikonzero chinokonzera. Kurema kwechokwadi kunotsanangurwa semaruva ezvitsvuku zvakatsvuka pamadzimai emukati memucheto.
- Kuora kwenhema kwechibereko chemuviri ( kubvumira-kuora- dzika, ectopia) ndiko kuonekwa pane epithelium yakawanda yemapirini yepakati chechikadzi chechirvix chemasero e cylindrical epithelium, kazhinji inowanikwa chete mumuromo wechibereki. Nehutachiona ichi, hapana chirema mune epithelium pachayo. Masero anowanzo "haasi munzvimbo yawo."
Muchikwata chemukoko, kudengenyeka-kukonzera kunotsanangurwa sechikwata chechimiro chisina kuchena, ruvara rutsvuku, rwakafukidzwa nemapuranga akareba kana akapoteredza (ane "maitiro anooneka"). Iyo yakatsvuka yakajeka inowanikwa nemidziyo yeropa inopenya kuburikidza nehupamhi hweplinkrical epithelium. Pasi pusudo-kukorera, sezvinotonga, nzvimbo dzemavara akachena (multilayered flat epithelium) dzinoonekwa.
Masero e-cylindrical uye multilayered planar epithelium ndiwo maitiro akasiyana-siyana emuviri wechibereko, asi mune dzimwe nhungamiro dzezvirwere: iodine-negative nzvimbo, machena nzvimbo (leukoplakia), zvivako zvakafanana nemifananidzo zvinogona kuonekwa. Maitiro ekudzivirira mapoka ndiwo chiratidzo chisina kunaka uye chinogona kuipa kukuvara.
Kuonekwa kwekukanganiswa kunopesana zvichienderana nekukura kwechirema:
- kudengenyeka kuduku (kwete kupfuura 1 centimita muupamhi);
- miviri (kureba kubva 1 kusvika 2 cm);
- kudengenyeka kukuru (zvinopfuura 2 masentimita).
Kuenzaniswa kwekukwera kwevhu kuburikidza nehukuru ndeyekukosha kwekliniki yakakosha, nokuti kusarudzwa kwenzira yekurapa kunoenderana neizvi. Zvironda zviduku zvemucosa zvinogona kupfuura zvakasununguka, uye kudengenyeka kwepakati uye hukuru hukuru hunowanzodikanwa kurapwa kwakaoma, kusanganisira kusagadzirwa kwekuvhiya kwechikamu chechivharo.