Munyori: Marcus Baldwin
Zuva Rekusika: 20 Chikumi 2021
Gadziridza Zuva: 1 Chikunguru 2024
Anonim
Cervical Dysplasia, Causes, Signs and Symptoms, Diagnosis and Treatment.
Vhidhiyo: Cervical Dysplasia, Causes, Signs and Symptoms, Diagnosis and Treatment.

Cervical dysplasia inoreva shanduko dzisina kujairika mumasero ari pamusoro pemuromo wechibereko. Cervix chikamu chepazasi chechibereko (chibereko) chinovhurika kumusoro kwemukadzi.

Shanduko hadzisi gomarara asi dzinogona kukonzeresa kugomarara remuromo wechibereko kana risina kurapwa.

Cervical dysplasia inogona kukura chero pazera. Nekudaro, kuteedzera uye kurapwa kunoenderana nezera rako. Cervical dysplasia inonyanya kukonzerwa nepapillomavirus yemunhu (HPV). HPV hutachiona hwakajairika hunopararira kuburikidza nekubatana pabonde. Kune akawanda marudzi eHPV. Dzimwe mhando dzinotungamira kumuromo wechibereko dysplasia kana gomarara. Dzimwe mhando dzeHIVV dzinogona kukonzera genital warts.

Izvi zvinotevera zvinogona kuwedzera njodzi yako yekervical dysplasia:

  • Kuita zvepabonde usati wasvika makore gumi nemasere
  • Kuve nemwana pazera diki kwazvo
  • Kuve nekuita bonde dzakawanda
  • Kuva nezvimwe zvirwere, zvakadai seTBB kana HIV
  • Uchishandisa mishonga inodzvinyirira immune system yako
  • Kusvuta
  • Nhoroondo yemadzimai yekuratidzwa kune DES (diethylstilbestrol)

Kazhinji yenguva, hapana zviratidzo.


Mutapi wako wezvehutano achaita bvunzo dzechiuno kuti atarise cervical dysplasia. Yekutanga bvunzo inowanzo kuve Pap bvunzo uye bvunzo yekuvapo kweHIVV.

Cervical dysplasia inoonekwa paPap bvunzo inonzi squamous intraepithelial lesion (SIL). PaPap bvunzo bvunzo, shanduko idzi dzinotsanangurwa se:

  • Yakaderera-giredhi (LSIL)
  • Yakakwira-giredhi (HSIL)
  • Zvichida kenza (yakaipa)
  • Atypical glandular masero (AGC)
  • Atypical squamous masero (ASC)

Iwe uchazoda mimwe bvunzo kana iyo Pap bvunzo inoratidza isina kujairika maseru kana cervical dysplasia. Kana shanduko dzaive dzakapfava, yekutevera-bvunzo dzePap dzinogona kunge dziri dzese dzinodiwa.

Iye mupi anogona kuita biopsy kuti asimbise mamiriro acho. Izvi zvinogona kuitwa nekushandisa colposcopy. Chero nzvimbo dzekunetseka dzichave biopsied. Biopsies idiki kwazvo uye vakadzi vazhinji vanonzwa kachembere kadiki chete.

Dysplasia inoonekwa pane biopsy yemuromo wechibereko inonzi cervical intraepithelial neoplasia (CIN). Iyo yakaiswa mumapoka matatu:


  • CIN I - munyoro dysplasia
  • CIN II - zvine mwero kusvika pakaratidzirwa dysplasia
  • CIN III - zvakanyanya dysplasia kune carcinoma in situ

Dzimwe mhando dzeHIVV dzinozivikanwa kuti dzinokonzera gomarara remuchibereko. Ongororo yeHPV DNA inogona kuziva mhando dzehutachiwana hweHIVV dzakabatana nekenza iyi. Bvunzo iyi inogona kuitwa:

  • Seyedzo yekuongorora yevakadzi vanopfuura makore makumi matatu
  • Kune vakadzi vezera ripi zvaro vane zvishoma zvisina kujairika Pap bvunzo mhedzisiro

Kurapa kunoenderana nedhisheni yedysplasia. Nyoro dysplasia (LSIL kana CIN I) inogona kuenda isina kurapwa.

  • Unogona kungoda kungwarira kuteedzera nemupi wako nekudzokorora Pap bvunzo kwese pamwedzi mitanhatu kusvika gumi nemiviri.
  • Kana shanduko dzikasaenda kana kuwedzera kuipa, kurapwa kunodiwa.

Kurapa kweapakati-kusvika-kwakasimba dysplasia kana nyoro dysplasia isingaendi inogona kusanganisira:

  • Cryosurgery kusimbisa isina kujairika maseru
  • Laser kurapwa, iyo inoshandisa mwenje kupisa zvisizvo zvisizvo
  • LEEP (loop electrosurgical excision procedure), iyo inoshandisa magetsi kubvisa zvisikwa zvisina kujairika
  • Kuvhiya kubvisa iyo isina kujairika nyama (koni biopsy)
  • Hysterectomy (mune zvisingawanzoitika zviitiko)

Kana iwe uine dysplasia, iwe uchafanirwa kunge uchidzokorora bvunzo mwedzi yega gumi nemaviri kana sekurudzirwa nemupi wako.


Ita chokwadi chekutora mushonga weHPV paunopihwa kwauri. Mushonga uyu unodzivirira gomarara rakawanda remuchibereko.

Kuongororwa kwekutanga uye kurapwa nekukurumidza kunorapa akawanda kesi emuromo wechibereko dysplasia. Zvisinei, mamiriro acho anogona kudzoka.

Pasina kurapwa, yakasimba cervical dysplasia inogona kuchinja kuita gomarara remuromo wechibereko.

Fonera waunopa kana zera rako riine makore makumi maviri kana makumi maviri uye usati wamboitwa bvunzo dzechiuno uye bvunzo yePap.

Kumbira mupiki wako nezvevharusi yeHIVV. Vasikana vanogamuchira jekiseni iri vasati vaita bonde vanoderedza mukana wavo wekubata gomarara remuchibereko.

Iwe unogona kudzikisa njodzi yako yekukudziridza remuromo dysplasia nekutora anotevera matanho:

  • Wana jekiseni reHPV pakati pemakore 9 kusvika 45.
  • Usapute. Kusvuta kunowedzera mukana wako wekukura zvakanyanya dysplasia nekenza.
  • Usaite bonde kusvikira wave nemakore gumi nemasere kana kupfuura.
  • Dzidzira bonde rakachengeteka. Shandisa kondomu.
  • Dzidzira kuroora mukadzi mumwe. Izvi zvinoreva kuti unongova nemumwe chete wepabonde panguva.

Remuromo intraepithelial neoplasia - dysplasia; CIN - dysplasia; Precancerous shanduko yemuromo wechibereko - dysplasia; Kenza yemuromo wechibereko - dysplasia; Squamous intraepithelial lesion - dysplasia; LSIL - dysplasia; HSIL - dysplasia; Yakadzika-giredhi dysplasia; Yakakwira-giredhi dysplasia; Carcinoma in situ - dysplasia; Kishi - dysplasia; ASCUS - dysplasia; Masero eatypical glandular - dysplasia; AGUS - dysplasia; Masero anokatyamadza - dysplasia; Pap smear - dysplasia; HPV - dysplasia; Utachiona hwevanhu papilloma - dysplasia; Chibereko - dysplasia; Colposcopy - dysplasia

  • Mukadzi wekubereka anatomy
  • Cervical neoplasia
  • Uterus
  • Cervical dysplasia - akateedzana

American College yeVadzvinyiriri uye Gynecologists. Dzidzira Bulletin Nha. 168: kuongorora gomarara remuromo wechibereko uye kudzivirira. Obstet Gynecol. 2016; 128 (4): e111-e130. PMID: 27661651 pubmed.ncbi.nlm.nih.gov/27661651/.

American College yeVadzvinyiriri uye Gynecologists. Dzidzira Bulletin Nha. 140: manejimendi eakajairika gomarara remuromo wechibereko kuongorora uye mitezo yepamberi yegomarara remuromo wechibereko Obstet Gynecol. 2013; 122 (6): 1338-1367. PMID: 24264713 pubmed.ncbi.nlm.nih.gov/24264713/.

Armstrong DK. Gynecologic kenza. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 189.

Freedman MS, Hunter P, Ault K, Kroger A. Komiti Inopa Mazano Yezvekudzivirira Zvirongwa yakakurudzira chirongwa chekudzivirira vanhu vakuru vane makore 19 makore kana kupfuura - United States, 2020. MMWR Morb Inofa Wkly Rep. 2020; 69 (5): 133-135. PMID: 32027627 pubed.ncbi.nlm.nih.gov/32027627/.

Hacker NF. Cervical dysplasia nekenza. Mune: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Zvakakosha zveObstetrics uye Gynecology. 6th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 38.

Kudzivirira Nyanzvi Yekushanda Boka, Dare reVechidiki Utano Hutano. Maonero eKomiti Nha. 704: kupora kwevanhu papillomavirus. Obstet Gynecol. 2017; 129 (6): e173-e178. PMID: 28346275 pubmed.ncbi.nlm.nih.gov/28346275/.

Robinson CL, Bernstein H, Poehling K, Romero JR, Szilagyi P. Advisory Committee yezvekudzivirira Maitiro Akakurudzira chirongwa chekudzivirira vana nevachiri kuyaruka vane makore gumi nemasere kana vadiki - United States, 2020. MMWR Morb Inofa Wkly Rep. 2020; 69 (5): 130-132. PMID: 32027628 pubmed.ncbi.nlm.nih.gov/32027628/.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia yepasi genital turakiti (cervix, vagina, vulva): etiology, kuongorora, kuongororwa, manejimendi Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 28.

Saslow D, Solomon D, Lawson HW, et al; ACS-ASCCP-ASCP Cervical Cancer Inotungamira Komiti. American Cancer Society, American Society yeColposcopy uye Cervical Pathology, uye American Society yeClinical Pathology yekuongorora mirayiridzo yekudzivirira uye kutanga kuona gomarara remuchibereko. CA Kanzera J Clin. 2012; 62 (3): 147-172. PMID: 22422631 pubmed.ncbi.nlm.nih.gov/22422631/.

US Preventive Services Task Force, Curry SJ, Krist AH, Owens DK, et al. Kuongororwa gomarara remuchibereko: US Preventive Services Task Force kukurudzira chirevo. JAMA. 2018; 320 (7): 674-686. PMID: 30140884 pubmed.ncbi.nlm.nih.gov/30140884/.

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