I-Koilocytosis

-Delile

• Izimpawu ze-koilocytosis
• Izimbangela ze-koilocytosis
• Kutholakala kanjani
• Ukuhlobana nomdlavuza
• Iphathwa kanjani
• Ukuthatha

Yini i-koilocytosis?

Kokubili ingaphakathi nengaphandle lomzimba wakho lakhiwe ngamaseli we-epithelial. Lawa maseli akha imigoqo evikela izitho - njengezingqimba ezijulile zesikhumba, amaphaphu nesibindi - futhi iwavumele ukuthi enze imisebenzi yawo.

Ama-koilocyte, aziwa nangokuthi ama-halo cell, awuhlobo lweseli le-epithelial eliqala ukulandela ukutheleleka komuntu nge-papillomavirus (HPV). Ama-koilocyte ahluke ngokwakheke kwamanye amaseli we-epithelial. Isibonelo, ama-nuclei awo, aqukethe i-DNA yeseli, angusayizi ongafani, umumo, noma umbala.

I-Koilocytosis yigama elibhekisa ekubalulekeni kwama-koilocytes. I-Koilocytosis ingabhekwa njengesandulela somdlavuza othile.

Izimpawu ze-koilocytosis

Ngokwako, i-koilocytosis ayizibangeli izimpawu. Kodwa kubangelwa i-HPV, igciwane elidluliselwa ngocansi elingadala izimpawu.

Kukhona okungaphezu kwe-HPV. Izinhlobo eziningi azibangeli zimpawu futhi zizicacele.Kodwa-ke, izinhlobo ezithile ezinobungozi obukhulu be-HPV zixhunyaniswe nokwakhiwa komdlavuza wamaseli we-epithelial, owaziwa nangokuthi i-carcinomas. Ukuxhumana phakathi kwe-HPV nomdlavuza womlomo wesibeletho, ikakhulukazi, kusungulwe kahle.

Umdlavuza wesibeletho uthinta umlomo wesibeletho, umgudu omncane ophakathi kwesitho sangasese sowesifazane nesibeletho. Ngokusho cishe kwazo zonke izifo zomdlavuza wesibeletho zibangelwa ukutheleleka nge-HPV.

Izimpawu zomdlavuza wesibeletho azivamile ukuvela kuze kube yilapho umdlavuza usudlulele esigabeni esithuthukile. Izimpawu zomdlavuza ezithuthukisiwe zomlomo wesibeletho zingabandakanya:

• ukopha phakathi kwezikhathi
• ukopha ngemuva kocansi
• ubuhlungu emlenzeni, okhalweni, noma emuva
• ukuncipha komzimba
• ukulahlekelwa isifiso sokudla
• ukukhathala
• Ukungaphatheki kahle kwesitho sangasese sowesifazane
• ukukhishwa kwesitho sangasese sowesifazane, okungaba mncane futhi kube namanzi noma kufane nobomvu futhi kube nephunga elibi

I-HPV iphinde ihlotshaniswe nomdlavuza othinta amaseli we-epithelial ku-anus, ipipi, isitho sangasese, isitho sangasese, nezingxenye zomphimbo. Ezinye izinhlobo ze-HPV azibangeli umdlavuza, kepha zingadala izinsumpa zangasese.

Izimbangela ze-koilocytosis

I-HPV idluliselwa ngokuya ocansini, kufaka phakathi ucansi lomlomo, lwendunu nolwesifazane. Usengozini uma uya ocansini nomuntu onegciwane. Kodwa-ke, njengoba i-HPV ingavamile ukudala izimpawu, abantu abaningi abazi ukuthi banayo. Bangakudlulisa ngokungazi kubalingani babo.

Lapho i-HPV ingena emzimbeni, ihlose amaseli we-epithelial. Lawa maseli ajwayelekile ezifundeni zobulili, ngokwesibonelo emlomo wesibeletho. Leli gciwane lifaka amaprotheni alo kwi-DNA yamaseli. Amanye ala maprotheni angadala ushintsho lwesakhiwo esiguqula amaseli abe ama-koilocyte. Abanye banamandla okudala umdlavuza.

Kutholakala kanjani

I-Koilocytosis emlomo wesibeletho itholakala nge-Pap smear noma nge-biopsy yomlomo wesibeletho.

I-Pap smear ukuhlolwa okujwayelekile kokuhlolwa kwe-HPV nomdlavuza womlomo wesibeletho. Ngesikhathi sokuhlolwa kwe-Pap smear, udokotela usebenzisa ibhulashi elincane ukuthatha isampula lamaseli ebusweni bomlomo wesibeletho. Isampula lihlaziywa yi-pathologist yama-koilocytes.

Uma imiphumela emihle, udokotela wakho angase asikisele i-colposcopy noma i-biopsy yomlomo wesibeletho. Ngesikhathi se-colposcopy, udokotela usebenzisa ithuluzi ukukhanyisa nokukhulisa umlomo wesibeletho. Lokhu kuhlolwa kufana kakhulu nokuhlolwa onakho neqoqo lePap smear yakho. Ngesikhathi sokuhlolwa komlomo wesibeletho, udokotela ususa isampula elincane lezicubu emlomo wesibeletho sakho.

Udokotela wakho uzokwabelana ngemiphumela yanoma yikuphi ukuhlolwa kwakho. Umphumela omuhle ungasho ukuthi ama-koilocyte atholakele.

Le miphumela akusho ukuthi unomdlavuza womlomo wesibeletho noma uzoyithola. Kodwa-ke, kuzodingeka ukuthi ubhekwe ukwelashwa nokwelashwa ukuze uvimbele ukuqhubeka komdlavuza womlomo wesibeletho.

Ukuhlobana nomdlavuza

I-Koilocytosis emlomo wesibeletho iyisandulela somdlavuza womlomo wesibeletho. Ingozi lapho ama-koilocyte amaningi avela ezinhlotsheni ezithile ze-HPV akhona.

Ukuxilongwa kwe-koilocytosis ngemuva kwe-Pap smear noma i-biopsy yomlomo wesibeletho kukhulisa isidingo sokuhlolwa kaningi komdlavuza. Udokotela wakho uzokwazisa uma udinga ukuhlolwa futhi. Ukuqapha kungabandakanya ukuhlolwa njalo ezinyangeni ezintathu kuya kweziyisithupha, kuya ngezinga lobungozi bakho.

Ama-koilocyte nawo ayathinteka kumdlavuza ovela kwezinye izindawo zomzimba, njenge-anus noma umphimbo. Kodwa-ke, izinqubo zokuhlola lawa mdlavuza azimisiwe kahle njengalezo zomdlavuza womlomo wesibeletho. Kwezinye izimo, i-koilocytosis ayisona isilinganiso esithembekile sengozi yomdlavuza.

Iphathwa kanjani

I-Koilocytosis ibangelwa ukutheleleka kwe-HPV, okungenalo ikhambi elaziwayo. Ngokuvamile, ukwelashwa kwe-HPV kuhlose izinkinga zezokwelapha, ezinjengezinsumpa zangasese, i-precancer yomlomo wesibeletho, namanye amagciwane abangelwa yi-HPV.

Okuphakeme uma kutholakala isifo somdlavuza womlomo wesibeletho noma umdlavuza bese welashwa kusenesikhathi.

Endabeni yezinguquko ezingakaqali emlonyeni wesibeletho, ukuqapha ubungozi bakho ngokuhlolwa njalo kungahle kwanele. Abanye besifazane abane-precancer yomlomo wesibeletho bangadinga ukwelashwa, kuyilapho ukuxazululwa okuzenzakalelayo kubonakala kwabanye besifazane.

Ukwelashwa kwe-precancer yomlomo wesibeletho kufaka:

• Inqubo ye-Loop electrosurgical excision (LEEP). Kule nqubo, izicubu ezingajwayelekile ziyasuswa emgodini wesibeletho kusetshenziswa ithuluzi elikhethekile elinezintambo zocingo ezithwala ugesi. Intambo yocingo isetshenziswa njengensingo ukusula ngobumnene izicubu ezingaphambuki.
• I-Cryosurgery. I-Cryosurgery ifaka phakathi ukubandisa izicubu ezingavamile ukuziqeda. I-nitrogen ewuketshezi noma i-carbon dioxide ingasetshenziswa emlomo wesibeletho ukususa amaseli angaphambi kwesikhathi.
• Ukuhlinzwa kwe-Laser. Ngesikhathi sokuhlinzwa kwe-laser, udokotela ohlinzayo usebenzisa i-laser ukusika nokususa izicubu ezinesikhumba ngaphakathi komlomo wesibeletho.
• I-Hysterectomy. Le nqubo yokuhlinza isusa isibeletho nomlomo wesibeletho; lokhu kuvame ukusetshenziselwa abesifazane abangazange bathole isixazululo ngezinye izindlela zokwelashwa.

Ukuthatha

Uma ama-koilocyte atholakala ngesikhathi se-Pap smear ejwayelekile, akusho ukuthi unomdlavuza womlomo wesibeletho noma uzowuthola. Kusho ukuthi uzodinga ukuhlolwa kaningi ukuze uma umdlavuza womlomo wesibeletho wenzeka, utholakale futhi welashwe kusenesikhathi, ngakho-ke kukunikeze umphumela omuhle kakhulu.

Ukuvimbela i-HPV, yenza ucansi oluphephile. Uma uneminyaka engama-45 noma ngaphansi, noma uma unengane, khuluma nodokotela wakho ngomuthi wokuvikela njengokuvikela ezinye izinhlobo ezithile ze-HPV.