Sechiyeuchidzo chemuitiro wehutachiona hwemuviri wechibereko, mukadzi wese anokurudzirwa kutora shanduro ye cytology neimwe nguva periodicity. Aya matanho anobatsira munguva kuti aongorore kuchinja kwemasimba mumatumbu emuviri wechiremera, kureva, kuenzanisa dysplasia ye flat flat and cylindrical epithelium, iyo inonyatsotarisana.
Cervical dysplasia yemwero
Kuti uve nechinje chakajeka chezvinorehwa nekuenzanisa dysplasia, regai tiyeuke zvikamu zvemuviri wechibereko, kunyanya, mucosa yayo.
Mukadzi uye chikamu chekunze chechivharo chinomiririrwa nemapurisa akawanda epithelium, ayo ayo akaparadzaniswa:
- basal layer (yakakomberedzwa nemishonga yemasumbu nemidziyo uye inokonzera kupatsanurana nekupararira kwemasero, zvichigadzirisa mucosa);
- Intermediate layer (iyo cell habitat pachikwata chekutsvaga);
- Basa rinoshandiswa (zvakananga zvisina kuora masero).
Pasi pemugero wemudzimai weganda yemvura inenge iri-single-layered cylindrical epithelium ine gland inogadzira mucus. Kana nzira yekubika nekuparadzaniswa kwemucosa inopesana, masero eatypical anoonekwa nekuda kwechimiro chezviviri. Apo nhamba yavo inodarika zvikamu zviviri kubva muzvitatu zvehupamhi hwe epithelium - ichi chirwere chinonzi chiyero chema dyssplasia.
Kurapa uye zviratidzo zveganda chibereko chedysplasia
Kurapa kwakaratidza chikonzero chikuru chechirwere - munhu papillomavirus. Kunyanya, kwemakore 1.5 ekugara mumuviri wemukadzi, 16 ne18, rudzi rwechirwere ichi runogona kukonzera shanduko mumasero e epithelium.
Mukuwedzera, zvinotevera zvinobatsira pakuonekwa kwekwenyoro dysplasia:
- kuberekwa kwekutanga nekutanga kwepabonde;
- kusvuta, kushungurudzika, kunwisa zvakanyanya;
- zvirwere zvinotapukira zvekuberekwa;
- kuora simba kwemajoni ezvirwere zvemuviri uye kushungurudzika mumuviri wechibereko.
Sezvo mutemo, kuenzanisa dysplasia ye flat flat epithelium haina zviratidzo zvinoratidza. Saka, zvinobvira kuona hutachiona chete nekubatsirwa kweongororo.
Nokuda kwekuongororwa kwebasa racho, zvinotevera zvinotanga kushandiswa:
- colposcopy;
- analysis for cytology ;
- bhiopsy (yakaitwa kana pane zvisina kukodzera mumigwagwa miviri yokutanga).
Izvi zvinotevera zviratidzo zvinokonzera kusarudza nzira yekurapa dysplasia:
- zera remurwere;
- kudzika uye hukuru hwemamiriro akaoma;
- zvinokonzera zvirwere.
Chiremba mumwe nomumwe anosarudza regimen yehutano - pamwero wakaenzana wegadziriro, mumwe angasarudza kurindira-uye-kuona mazano nekushandiswa kwema immunomodulator uye nguva dzose kuongororwa. Mumamiriro ezvinhu akaoma, shandisa nzira dzokuvhiya.