Ho fumanoa ha mokokotlo oa intraepithelial neoplasia, kapa mokokotlo oa neoplasia, ho bolela mofuta o itseng oa liphetoho molomong. Liphetoho tsena li ka 'na tsa se ke tsa e-ba li-precursors tsa kankere ea mokokotlo. Ha e le hantle, ho hlahlojoa ha kankere ea neurolasia ho ka bolela liphetoho tse fapa-fapaneng ho tloha molomo. Liphetoho tsena li ka fapana le ho ikemisetsa ho rarolla bokooa bo bobebe ho isa boemong bo botle ho tloha mehatong ea pele ea kankere ea malapa.
Ho hlalosetsa Neoplasia ea Cervical Intraepithelial
Sepheo sa mokokotlo oa malapeng a intraepithelial neoplasia se na le moelelo o totobetseng. E bua ka molomo oa uterine. E le hore u utloisise hore na mofuta oa intraepithelial neoplasia ke eng, e thusa ho utloisisa mantsoe a mang hape. Mekhoa ea intraepithelial "ka hare ho epithelium." Sebopeho sa mesifa sa molomo o koahetsoeng ke lihlopha tse 'maloa tsa lisele tsa epithelial. Ke lisele tsena tse anngoeng ke kervical intrapithelial neoplasia. Neoplasia ha e le hantle e bolela "kgolo e ncha." Leha ho le joalo, hangata se sebelisetsoa ho bolela ho se tloaelehileng ha seleng ea kgolo. Kahoo, khohlo ea malapeng ea intraepithelial neoplasia ke ho hōla ha lisele tse sa tloaelehang ka har'a lisele tsa epithelial tse koahela molomo.
Ho kenya li-Cervical Neoplasias
Li-neoplasias tsa mokokotlo li fumanoa ke li-biopsy le li-graded ho ea ka matla a tsona. Bohloko bo kenyelitsoe ka tsela e latelang:
- Cervical Intraepithelial Neoplasia 1 (CIN I) - bonolo dysplasia
- CIN II - dysplasia e bonolo ho ea boemong bo botle
- CIN III - Dysplasia e matla ho kankere
Batho ba fumanoang ba e-na le CIN I, kapa bonolo dysplasia, hangata ha ba tšoaroe Mofuta ona oa tšenyo ea malapa hangata oa folisa ntle le ho kenella. (Sena se tšoana le ho hlahlojoa ke LSIL ke Pap smear.) Ho e-na le hoo, ba lateloa haufi-ufi le ngaka ea bona.
E ka kenyelletsa ho feta khafetsa ea Pap smears, tlhahlobo ea HPV , kapa mohlomong colposcopy
Ka lehlakoreng le leng, batho ba nang le CIN II le CIN III ba atisa ho bitsoa phekolo. (Tsena li lumellana le HSIL, ASC-H, AGC, kapa carcinoma e fumanoeng ke lefu la Pap smear.) Kalafo bakeng sa li-neoplasias tse matla haholo ho akarelletsa ho tlosoa ha lisele. Sena se ka etsoa ka cryotherapy, LEEP , kapa conization.
Esita le ka mor'a hore kalafo e tlosoe, batho ba nang le li-neoplasias tse phahameng tsa kervical ba ntse ba le kotsing e khōloanyane ea ho ba le kankere ea kokoana-hloko nakong e tlang. Ka kakaretso ba eletsoa hore ba tsoele pele ho etela lingaka tsa bona bakeng sa ho latellana khafetsa.
K'homphieutheng ea Neoplasia kapa Leqhoa la Tšebelisano ea Squamous?
Ha e fumanoa ke Pap smear , li-dysplasias tsa mokokotlo li tsejoa e le li-squamous intracellular lesions (SIL) ho e-na le li-neoplasias tsa cervical interepithelial. Mokokotlo oa neurolasia diagnsosis o boloketsoe hore o hlahlojoe ka ho hlahisa likokoana-hloko kapa colposcopy . Lebaka ke hobane li-smear tsa Pap li fa mohlohloli lisele tse hlephileng. Ka lehlakoreng le leng, li-biopsies li li lumella ho bona tšenyo leha e le efe ea likamano tsa mokokotlo moelelong. Sena se fa lingaka matla a ho hlahloba ka ho nepahetseng haholoanyane. Ho shebella bothata bona ho ka bontša hore na mahlaba a mangata a ntse a hōla hakae.
Na Kankere ea Mokokotlo ea Neoplasia e Bolela Kankere?
Ho fumanoa u na le neoplasia ea malapa ha ho bolele hore u na le kankere. Ha ho bolele hore u tla fumana kankere. Seo se se bolelang ke hore mohlomong u kotsing ea ho ba le kankere nakong e tlang. Sena ke 'nete haholo haeba u fumanoa u e-na le CIN II kapa CIN III.
Bothata ba kankere ea hau ea kankere bo sa ntsane bo le tlase ka mor'a lefu la CIN II kapa III. Leha ho le joalo, ngaka ea hau e ka 'na ea nkhothaletsa ho latela tlhahlobo e tloaelehileng. Seo se tla thusa ho etsa bonnete ba hore o ka o tšoara kapele haeba kankere e hlahisa. Tlhahlobo ea pele le kalafo ke mokhoa o boima oa ho fokotsa lefu la kankere ea moloko oa motho.
Lisebelisoa:
JW Sellors le R. Sankaranarayanan "Colposcopy le Phekolo ea Cervical Intraepithelial Neoplasia: Buka ea Moqapi - Khaolo ea 1: Kenyelletso ea sebōpeho sa sebete sa uterine" International Agency for Research on Cancer 2003/4.
> Kalliala I, Dyba T, Nieminen P, Hakulinen T, Anttila A. Ho shoa ka nako e telele ka morao kalafo ea CIN. Int J Kankere. 2010 Jan 1; 126 (1): 224-31. doi: 10.1002 / ijc.24713.
> Melnikow J, McGahan C, Sawaya GF, Ehlen T, Coldman A. Cervical intraepithelial neoplasia liphello ka mor'a phekolo: ho latela nako e telele ho tsoa British Columbia Cohort Study. J Natl Cancer Inst. 2009 la 20 May; 101 (10): 721-8. doi: 10.1093 / jnci / djp089.