Kuyini ukugcina, ukuvuthwa kanye nokuvuthwa kwemetaplasia nezimbangela ezinkulu

-Delile

• Ingabe umdlavuza we-squamous metaplasia?
• Izimbangela ezingenzeka ze-squamous metaplasia
• Izigaba ze-squamous metaplasia
• 1. I-Hyperplasia yamaseli agcinwayo
• 2. I-metaplasia engavuthiwe
• 3. I-metaplasia evuthiwe ye-scaly

I-squamous metaplasia ingukuguqula okungathandeki kwezicubu ezibeka isibeletho, lapho amaseli wesibeletho enza uguquko nokwehlukaniswa, okwenza izicubu zibe nongqimba olungaphezu kolulodwa lwamaseli ahlanganisiwe.

I-Metaplasia ihambelana nenqubo ejwayelekile yokuvikela engenzeka ngezikhathi ezithile empilweni yowesifazane, njengokuthomba noma ngesikhathi sokukhulelwa, lapho kune-asidi enkulu yesitho sangasese sowesifazane, noma lapho ukuvuvukala noma ukucasuka okubangelwa yi-candidiasis, i-bacterial vaginosis noma ukungezwani komzimba kwenzeka, ngenxa isibonelo.

Lezi zinguquko zeselula azithathwa njengeziyingozi, futhi azenzi ingozi yokuba nomdlavuza womlomo wesibeletho. Ngaphezu kwalokho, i-squamous metaplasia yomlomo wesibeletho ingumphumela ovamile wePap smear futhi ayidingi ukwelashwa okuqondile uma kungekho zimpawu ze-candidiasis, ukutheleleka kwamagciwane noma izifo ezithathelwana ngocansi (STIs), ngokwesibonelo.

Ingabe umdlavuza we-squamous metaplasia?

I-squamous metaplasia ayiwona umdlavuza, kepha ushintsho olujwayelekile kwabesifazane oluvela ngenxa yokucasulwa okungapheli, futhi lapho obunye ubufakazi bungekho emphumeleni we-Pap smear, i-metaplasia ayinakuhlobene nomdlavuza.

Kodwa-ke, yize kuvame ukwenzeka ngenhloso yokuqinisekisa ukuvikeleka okukhulu nokumelana ne-epithelium yesibeletho, ukwanda kwezendlalelo zamaseli kunganciphisa ukusebenza okuyimfihlo kwamaseli, okungavumela ukuthuthukiswa kwe-neoplasia, yize ezimweni eziningi ama-metaplasias angahlobene kumdlavuza.

Yize kungewona umdlavuza futhi isikhathi esiningi ingakwandisi ingozi yomdlavuza, udokotela wezifo zabesifazane uvame ukucela ukuthi kuphindwe kwenziwe i-pap smear ngemuva konyaka o-1, nangemva kokuhlolwa okujwayelekile okulandelanayo, isikhawu se-pap smear kungaba yiminyaka emithathu.

Izimbangela ezingenzeka ze-squamous metaplasia

I-squamous metaplasia yenzeka ikakhulukazi ngenhloso yokuvikela isizalo futhi ingathandwa yizinto ezilandelayo:

• Ukwanda kwe-asidi yesitho sangasese sowesifazane, okuvame kakhulu eminyakeni yokuzala nokukhulelwa;
• Ukuvuvukala kwesibeletho noma ukucasuka;
• Ukuvezwa kwezinto zamakhemikhali;
• Ukweqiwa kwe-estrogen;
• Ukushoda kukavithamini A;
• Ubukhona bama-polyps wesibeletho;
• Ukusetshenziswa kwezinto zokuvimbela inzalo.

Ngaphezu kwalokho, i-squamous metaplasia nayo ingabangelwa i-cervicitis engapheli, okuwukuqubuka okuqhubekayo komlomo wesibeletho okuthinta kakhulu abesifazane abaseminyakeni yokubeletha. Bona konke mayelana ne-cervicitis engapheli.

Izigaba ze-squamous metaplasia

I-squamous metaplasia ingahlukaniswa ngokwenziwe kwezinye izigaba ngokuya ngezici zamaseli:

1. I-Hyperplasia yamaseli agcinwayo

Iqala ezindaweni ezivezwa kakhulu zomlomo wesibeletho, lapho kwakhiwa khona amangqamuzana amancane agcinwayo okuthi, njengoba akha futhi ande, akhe izicubu ezinezingqimba eziningana.

2. I-metaplasia engavuthiwe

Lesi yisigaba se-metaplasia lapho amaseli agciniwe engakaqedi ukwahlukanisa nokuhlukanisa. Kubaluleke kakhulu ukukhomba le ndawo futhi ube nezivivinyo ezijwayelekile zokuhlaziya ukuvela kwayo, ngoba kulapho kuvela khona iningi lomdlavuza womlomo wesibeletho.

Kwezinye izimo, i-epithelium ingahlala ingavuthiwe, okubhekwa njengokungajwayelekile futhi kungaqala ushintsho lweselula olungadala umdlavuza. Yize le nkinga ingajwayelekile kakhulu, ingenzeka kwabanye abantu ngenxa yokutheleleka nge-HPV, okuyi-human papilloma virus, engatheleleka kulawa maseli angavuthwa futhi iwenze amaseli anokungajwayelekile.

3. I-metaplasia evuthiwe ye-scaly

Izicubu ezingavuthiwe zingafinyelela ekuvuthweni noma zihlale zingavuthiwe. Lapho i-epithelium engavuthiwe iguquka ibe izicubu ezivuthiwe, esezakhiwe ngokuphelele, iba namandla okumelana nokuhlukunyezwa, ngaphandle kwengozi yezinkinga.