I-dysplasia yomlomo wesibeletho

I-dysplasia yomlomo wesibeletho isho ushintsho olungajwayelekile kumaseli ebusweni bomlomo wesibeletho. Umlomo wesibeletho yingxenye engezansi yesibeletho (isibeletho) evuleka ngaphezulu kwesitho sangasese sowesifazane.

Izinguquko akuwona umdlavuza kepha zingaholela kumdlavuza wesibeletho uma zingelashwa.

I-dysplasia yomlomo wesibeletho ingakhula nganoma yisiphi isikhathi. Kodwa-ke, ukulandelwa nokwelashwa kuzoya ngeminyaka yakho. I-dysplasia yomlomo wesibeletho ivame ukubangelwa i-human papillomavirus (HPV). I-HPV igciwane elivame ukusabalala ngokuxhumana ngokocansi. Kunezinhlobo eziningi ze-HPV. Ezinye izinhlobo ziholela kwi-dysplasia yomlomo wesibeletho noma umdlavuza. Ezinye izinhlobo ze-HPV zingadala izinsumpa zangasese.

Okulandelayo kungandisa ubungozi bakho be-dysplasia yomlomo wesibeletho:

• Ukuya ocansini ngaphambi kweminyaka yobudala engu-18
• Ukuba nengane esemncane kakhulu
• Ukuba nabalingani abaningi bezocansi
• Ukuba nezinye izifo, njengesifo sofuba noma i-HIV
• Usebenzisa imithi ecindezela amasosha akho omzimba
• Ukubhema
• Umlando womama wokuchayeka ku-DES (diethylstilbestrol)

Isikhathi esiningi, azikho izimpawu.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa kwe-pelvic ukuze ahlole i-dysplasia yomlomo wesibeletho. Ukuhlolwa kokuqala kuvame ukuhlolwa kwePap kanye nokuhlolwa kobukhona be-HPV.

I-dysplasia yomlomo wesibeletho ebonakala ekuhlolweni kwe-Pap ibizwa nge-squamous intraepithelial lesion (SIL). Embikweni wokuhlolwa kwePap, lezi zinguquko zizokuchazwa njengezi:

• Ibanga eliphansi (LSIL)
• Ibanga eliphakeme (HSIL)
• Mhlawumbe umdlavuza (omubi)
• Amaseli we-Atypical glandular (AGC)
• Amaseli we-atypical squamous (ASC)

Uzodinga izivivinyo eziningi uma ukuhlolwa kwePap kukhombisa amaseli angajwayelekile noma i-dysplasia yomlomo wesibeletho. Uma izinguquko bezimnene, ukuhlolwa kwePap okulandelwayo kungaba yikho konke okudingekayo.

Umhlinzeki angenza i-biopsy ukuqinisekisa isimo. Lokhu kungenziwa ngokusetshenziswa kwe-colposcopy. Noma yiziphi izindawo ezikhathazayo zizokwenziwa nge-biopsied. Ama-biopsies mancane kakhulu futhi iningi labesifazane lizwa inkankane encane kuphela.

I-Dysplasia ebonakala ku-biopsy yomlomo wesibeletho ibizwa nge-cervical intraepithelial neoplasia (CIN). Ihlelwe ngezigaba ezi-3:

• I-CIN I - i-dysplasia emnene
• I-CIN II - i-dysplasia emaphakathi nendawo
• I-CIN III - i-dysplasia eqatha ku-carcinoma in situ

Ezinye izinhlobo ze-HPV zaziwa ngokudala umdlavuza wesibeletho. Ukuhlolwa kwe-HPV DNA kungakhomba izinhlobo ezinobungozi obukhulu be-HPV exhunywe kulo mdlavuza. Lokhu kuhlolwa kungenziwa:

• Njengokuhlolwa kokuhlolwa kwabesifazane abangaphezu kweminyaka yobudala engama-30
• Kwabesifazane banoma yimuphi unyaka abanomphumela wokuhlolwa wePap ongajwayelekile

Ukwelashwa kuya ngezinga le-dysplasia. I-dysplasia emnene (i-LSIL noma i-CIN I) ingahle ihambe ngaphandle kokwelashwa.

• Ungahle udinge ukulandelelwa ngokucophelela ngumhlinzeki wakho ngokubuyekeza ukuhlolwa kwePap njalo ezinyangeni eziyisithupha kuya kweziyi-12.
• Uma izinguquko zingapheli noma ziba zimbi kakhulu, kudingeka ukwelashwa.

Ukwelashwa kwe-dysplasia emaphakathi kuya kwelukhuni noma i-dysplasia emnene engapheli kungafaka:

• I-Cryosurgery yokuqandisa amaseli angajwayelekile
• Ukwelashwa nge-Laser, okusebenzisa ukukhanya ukushisa izicubu ezingavamile
• I-LEEP (inqubo ye-loop electrosurgical excision procedure), esebenzisa ugesi ukususa izicubu ezingavamile
• Ukuhlinzwa ukususa izicubu ezingavamile (i-cone biopsy)
• I-Hysterectomy (ezimweni ezingavamile)

Uma ngabe une-dysplasia, kuzodingeka ukuthi uphinde uvivinye njalo ezinyangeni eziyi-12 noma njengoba kusikiselwe ngumhlinzeki wakho.

Qiniseka ukuthi uthola umuthi wokugoma we-HPV uma unikezwa wona. Lo muthi wokugoma uvimbela umdlavuza omningi wesibeletho.

Ukuxilongwa kusenesikhathi kanye nokwelashwa okusheshayo kwelapha amacala amaningi we-dysplasia yomlomo wesibeletho. Noma kunjalo, isimo singabuya.

Ngaphandle kokwelashwa, i-dysplasia yomlomo wesibeletho enamandla ingashintsha ibe ngumdlavuza womlomo wesibeletho.

Shayela umhlinzeki wakho uma iminyaka yakho ingama-21 noma ngaphezulu futhi ungakaze uhlolwe i-pelvic ne-Pap test.

Buza umhlinzeki wakho ngomuthi wokugoma we-HPV. Amantombazane athola lo mgomo ngaphambi kokuya ocansini anciphisa amathuba okuthola umdlavuza wesibeletho.

Unganciphisa ubungozi bokuthuthukisa i-dysplasia yomlomo wesibeletho ngokuthatha lezi zinyathelo ezilandelayo:

• Gomela i-HPV phakathi kweminyaka engu-9 kuye kwengu-45.
• Ungabhemi. Ukubhema kwandisa ingozi yokuba ne-dysplasia nomdlavuza onzima kakhulu.
• Musa ukuya ocansini uze ube neminyaka engu-18 noma ngaphezulu.
• Zijwayeze ukwenza ucansi oluphephile. Sebenzisa ikhondomu.
• Prakthiza ukuba nenkosikazi eyodwa. Lokhu kusho ukuthi unomlingani oyedwa ocansini ngesikhathi esisodwa.

I-neoplasia yomlomo wesibeletho ye-intraepithelial - i-dysplasia; I-CIN - i-dysplasia; Izinguquko ezibangelwa umdlavuza wesibeletho - i-dysplasia; Umdlavuza wesibeletho - i-dysplasia; I-squamous intraepithelial lesion - i-dysplasia; I-LSIL - i-dysplasia; I-HSIL - i-dysplasia; I-dysplasia esezingeni eliphansi; I-dysplasia esezingeni eliphakeme; I-Carcinoma in situ - i-dysplasia; I-CIS - i-dysplasia; I-ASCUS - i-dysplasia; Amaseli we-Atypical glandular - i-dysplasia; I-AGUS - i-dysplasia; Amaseli we-atypical squamous - i-dysplasia; I-Pap smear - i-dysplasia; I-HPV - i-dysplasia; Igciwane le-papilloma lomuntu - i-dysplasia; Umlomo wesibeletho - i-dysplasia; IColposcopy - iDysplasia

• I-anatomy yokuzala yabesifazane
• I-neoplasia yomlomo wesibeletho
• Isibeletho
• I-dysplasia yomlomo wesibeletho - uchungechunge

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