Koilocytosis

Zvemukati

• Zviratidzo zveoilocytosis
• Zvinokonzera koilocytosis
• Inoonekwa sei
• Hukama negomarara
• Inorapwa sei
• Kutora

Chii chinonzi koilocytosis?

Zvese zviri zviviri zvemukati uye zvekunze zvemuviri wako zvakagadzirwa nemaseru epithelial. Aya maseru anoita zvipingamupinyi zvinodzivirira nhengo - senge zvakadzama zvikamu zveganda, mapapu, uye chiropa - uye dzinozvitendera kuti dziite mabasa adzo.

Koilocytes, inozivikanwawo se halo masero, rudzi rwe epithelial cell inokura ichitevera hutachiona hwevanhu papillomavirus (HPV). Koilocytes akarongeka zvakasiyana nemamwe maseru epithelial. Semuenzaniso, nuclei yavo, iyo ine iyo sero reDNA, ihwo husina kujairika saizi, chimiro, kana ruvara.

Koilocytosis izwi rinoreva kutanga kwekoilocytes. Koilocytosis inogona kutaridzirwa seyakafanotungamira kune mamwe kanzira.

Zviratidzo zveoilocytosis

Pachega, koilocytosis haikonzere zviratidzo. Asi zvinokonzerwa neHIVV, hutachiona hwehutachiona hunogona kukonzera zviratidzo.

Kune zvakawanda zvinopfuura zveHIVV. Mhando dzakawanda hadzikonzeri chero zviratidzo uye dzinojekesa dzoga. Nekudaro, mamwe mhando dzenjodzi dzeHIVV dzakabatanidzwa mukuvandudzwa kweepithelial cell cancer, inozivikanwawo secarcinomas. Kubatana pakati peHPV nemukenza wechibereko, kunyanya, kwakasimbiswa.

Gomarara remuromo wechibereko rinobata chibereko chechibereko, mugwagwa wakamanikana uri pakati pechikadzi nechibereko. Zvinoenderana neanenge ese egomarara remuromo wechibereko rinokonzerwa nezvirwere zveHPV.

Zviratidzo zvegomarara remuchibereko hazviwanzo kuoneka kudzamara gomarara rakwira padanho repamberi. Zviratidzo zvekenza zvechibereko zvinogona kusanganisira:

• kubuda ropa pakati pezvikamu
• kubuda ropa mushure mekusangana pabonde
• kurwadziwa mugumbo, chiuno, kana musana
• kuonda
• kurasikirwa nenzara
• kuneta
• kusagadzikana kwemukadzi
• kubuda panhengo yechikadzi, iyo inogona kunge yakatetepa uye inonwisa mvura kana kuita sefinya uye ichinhuwirira

HPV inosanganiswazve nekenza dzinokanganisa masero epithelial muanus, penis, vagina, vulva, uye zvikamu zvehuro. Mamwe marudzi eHPV haakonzere cancer, asi anogona kukonzera genital warts.

Zvinokonzera koilocytosis

HPV inotapuriranwa kuburikidza nekusangana pabonde, kusanganisira nemumuromo, nekumashure, uye kusangana nekutsi kwemukadzi pabonde. Iwe uri panjodzi kana ukaita bonde nemunhu ane hutachiona. Zvisinei, sezvo HPV isingawanzo kukonzera zviratidzo, vanhu vazhinji havazive kuti vanayo. Ivo vanogona kusaziva kuipfuudza kune vamwe vavo.

Kana HPV ichipinda mumuviri, inovavarira masero epithelial. Aya maseru anowanzo kuve munzvimbo dzekubereka, semuenzaniso muchibereko. Utachiona hunonamira mapuroteni ayo pachawo mumasero eDNA. Mamwe emapuroteni aya anogona kukonzera shanduko yeshanduko inoshandura maseru kuita koilocytes. Vamwe vane mukana wekukonzera gomarara.

Inoonekwa sei

Koilocytosis mumuromo wechibereko inoonekwa kuburikidza nePap smear kana cervical biopsy.

Pap smear ndeyeyero yekuongorora bvunzo yeHIVV uye gomarara remuchibereko. Munguva yePap smear test, chiremba anoshandisa bhurasho diki kutora sampuro yemasero kubva kumeso kwemuromo wechibereko. Muenzaniso unoongororwa nachiremba wezvirwere zvekoilocytes.

Kana mhedzisiro yacho iri yakanaka, chiremba wako anogona kuratidza colposcopy kana cervical cyops. Munguva yecolposcopy, chiremba anoshandisa chishandiso kuvhenekera nekukudza chibereko. Bvunzo iyi yakafanana chaizvo nemubvunzo wauinayo pamwe nekuunganidzwa kwePap smear yako. Munguva yechibereki biopsy, chiremba anobvisa chidiki chemuenzaniso kubva muchibereko chako.

Chiremba wako anozogovana zvawanikwa nemimwe miedzo yako. Mhedzisiro yakanaka inogona kureva kuti koilocytes yakawanikwa.

Mhedzisiro iyi haireve kuti une gomarara remuchibereko kana kuti urikuwana. Nekudaro, iwe uchafanirwa kuti uongororwe uye kurapwa kuitira kudzivirira kuitika kunogoneka kuita gomarara remuchibereko.

Hukama negomarara

Koilocytosis mumuromo wechibereko ndiyo inotungamira gomarara remuchibereko. Iyo njodzi kana mamwe koilocytes anokonzerwa nemamwe maratidziro eHPV aripo.

Kuongororwa kwe koilocytosis mushure mePap smear kana cervical biopsy kunowedzera kudiwa kwekugara uchiongororwa gomarara. Chiremba wako achakuzivisa iwe kana iwe uchida kuongororwa zvakare. Kuongorora kunogona kusanganisira kuongorora kwega kwega kwemwedzi mitatu kusvika kumitanhatu, zvinoenderana neyako njodzi.

Koilocytes inosanganisirwa mumakenza anowanikwa mune dzimwe nzvimbo dzomuviri, senge anus kana huro. Nekudaro, maitiro ekuvhenekwa kwekenza aya haana kunyatso simbiswa seaya egomarara remuchibereko. Mune zvimwe zviitiko, koilocytosis haisi yakavimbika nhanho yekenza njodzi.

Inorapwa sei

Koilocytosis inokonzerwa nehutachiona hweHIVV, iyo isina mushonga unozivikanwa. Muzhinji, kurapwa kweHPV kunonongedza kurapwa, senge genital warts, cervical precancer, uye mamwe kanzira inokonzerwa neHIVV.

Iyo iri pamusoro apo muromo wechibereko kana gomarara rikaonekwa nekurapwa nekukurumidza.

Muchiitiko chekuchinja kwakanyatsoitika mumuromo wechibereko, kuongorora njodzi yako kuburikidza nekuwongorora kazhinji kunogona kukwana. Vamwe vakadzi vane cervical precancer vangangoda kurapwa, nepo gadziridzo yekuzvimirira ichionekwa mune vamwe vakadzi.

Kurapa kwecancer precancer kunosanganisira:

• Loop electrosurgical excision nzira (LEEP). Mune maitiro aya, zvinyama zvisina kujairika zvinobviswa pamuromo wechibereko zvichishandisa chimbo chakakosha chine tambo tambo inotakura magetsi. Iyo tambo chiuno inoshandiswa senge reza kupora zvinyoro nyoro zvinyama.
• Kuchema. Cryosurgery inosanganisira kutonhodza zvisina kujairika nyama kuti uvaparadze. Liquid nitrogen kana kabhoni dhayokisaidhi inogona kuiswa kumuromo wechibereko kubvisa maseru anonamira.
• Laser kuvhiya. Munguva yekuvhiyiwa kwelaser, chiremba anovhiya anoshandisa laser kucheka uye kubvisa maturusi ane ngozi mukati memuromo wechibereko.
• Hysterectomy. Iyi nzira yekuvhiya inobvisa chibereko nemuromo wechibereko; izvi zvinowanzo shandiswa kuvakadzi vasina kugadziriswa nedzimwe nzira dzekurapa.

Kutora

Kana koilocytes akawanikwa panguva yenguva dzose Pap smear, hazvireve hazvo kuti une gomarara remuromo wechibereko kana kuti uchariwana. Izvi zvinoreva kuti ungangoda kuongororwa kakawanda kuitira kuti kana gomarara remuromo wechibereko rikaitika, rinogona kuonekwa nekurapwa nekukurumidza, nekudaro richikupa mhedzisiro yakanaka.

Kuti udzivise HPV, dzidzira bonde rakachengeteka. Kana iwe uine makore makumi mana nemashanu ekuberekwa kana mudiki, kana kana iwe uine mwana aripo, taura nachiremba wako nezvechirwere sekuwedzera kudzivirira kune mamwe marudzi eHPV.