Cervical dysplasia

Cervical dysplasia na-ezo aka na-adịghị mma mgbanwe na mkpụrụ ndụ na elu nke cervix. Cervix bụ akụkụ dị ala nke akpanwa (akpa nwa) nke na-emepe n'elu elu nke ikpu.

Mgbanwe ndị a abụghị ọrịa kansa mana ha nwere ike ibute ọrịa kansa n’ara akpa nwa ma ọ bụrụ na agwọghị ya.

Cervical dysplasia nwere ike ịmalite n'oge ọ bụla. Agbanyeghị, ntinye na ọgwụgwọ ga-adabere na afọ gị. A na-ejikarị dysplasia Cervical kpatara papillomavirus mmadụ (HPV). HPV bụ nje nkịtị a na-agbasa site na mmekọahụ. E nwere ọtụtụ ụdị HPV. Typesfọdụ ụdị na-eduga na dysplasia cervical ma ọ bụ cancer. Typesdị HPV ndị ọzọ nwere ike ibute ọrịa nwoke na nwanyị.

Ihe ndị a nwere ike ịbawanye ohere gị maka dysplasia cervical:

• Inwe mmekọahụ tupu afọ 18
• Inwe nwa na nwatakiri
• Enweela ọtụtụ ndị mmekọ nwoke na nwanyị
• Nwere ọrịa ndị ọzọ, dị ka ụkwara nta ma ọ bụ nje HIV
• Iji ọgwụ ndị na-egbochi usoro mgbochi gị
• Okingụ sịga
• Akụkọ ihe mere eme nke nne nke gosipụtara DES (diethylstilbestrol)

Ọtụtụ oge, enweghi mgbaàmà ọ bụla.

Onye na-ahụ maka ahụike gị ga-eme nyocha pelvic iji chọpụta dysplasia cervical. Nnwale mbụ bụkarị ule Pap na nnwale maka ọnụnọ HPV.

A na-akpọ dysplasia nke cervical na ule Pap na-akpọ squamous intraepithelial lesion (SIL). Na akwụkwọ nyocha Pap, a ga-akọwa mgbanwe ndị a:

• Ọkwa dị ala (LSIL)
• Akwa-ọkwa (HSIL)
• O nwere ike bụrụ ọrịa kansa (ajọ)
• Mkpụrụ ndụ gland nke gbara gharịị (AGC)
• Mkpụrụ ndụ squamous atypical (ASC)

Ga-achọ nyocha ọzọ ma ọ bụrụ na ule Pap na-egosi mkpụrụ ndụ na-adịghị ahụkebe ma ọ bụ dysplasia cervical. Ọ bụrụ ngbanwe ndị ahụ dị nro, nyocha Pap na-esote nwere ike ịbụ naanị ihe achọrọ.

Onye na-eweta ya nwere ike ịrụ biopsy iji kwado ọnọdụ ahụ. Enwere ike ime nke a site na iji colposcopy. Ebe ọ bụla metụtara nchegbu ga-abụ nke biopsied. Ihe biopsies pere mpe ma ọtụtụ ụmụ nwanyị na-eche naanị obere mkpagide.

Dysplasia nke a na-ahụ na biopsy nke cervix a na-akpọ cervical intraepithelial neoplasia (CIN). Ejiri ya n'ime uzo 3:

• CIN I - obere dysplasia
• CIN II - agafeghị oke akara dysplasia
• CIN III - nnukwu dysplasia ka carcinoma nọ

Knownfọdụ nsogbu nke HPV maara na-ebute kansa cancer. Nnwale DNA HPV nwere ike ịchọpụta ụdị HPV nwere nnukwu ihe ọghọm nwere njikọ na ọrịa kansa a. Enwere ike ime ule a:

• Dị ka ule nyocha maka ụmụ nwanyị karịa 30
• Maka ụmụ nwanyị nọ n'ọgbọ ọ bụla nwere nsonaazụ ule Pap na-adịghị mma

Ọgwụgwọ dabere na ogo dysplasia. Mkpa dysplasia (LSIL ma ọ bụ CIN I) nwere ike ịpụ n’enweghị ọgwụgwọ.

• Nwere ike ịchọ naanị nlezianya site na onye na-eweta gị iji nyocha Pap ugboro ọ bụla 6 ruo ọnwa 12.
• Ọ bụrụ na mgbanwe ndị ahụ agaghị akwụsị ma ọ bụ na-aka njọ, ọgwụgwọ dị mkpa.

Ọgwụgwọ maka dysplasia na-adị oke-njọ ma ọ bụ dysplasia dị nro nke na-anaghị agabiga nwere ike ịgụnye:

• Cryosurgery iji kpoo mkpụrụ ndụ ndị na-adịghị ahụkebe
• Usoro ọgwụgwọ Laser, nke na-eji ọkụ ewepụ anụ ahụ na-adịghị mma
• LEEP (usoro mgbatị electrosurgical), nke na-eji ọkụ eletrik ewepụ anụ ahụ na-adịghị mma
• Wa ahụ iji wepu anụ ahụ na-adịghị mma (cone biopsy)
• Hysterectomy (na obere okwu)

Ọ bụrụ na ị nwere dysplasia, ị ga-achọ ịmegharị nyocha kwa ọnwa 12 ọ bụla ma ọ bụ dịka onye na-eweta gị tụrụ aro.

Gbalisie ike inweta ọgwụ mgbochi HPV mgbe enyere gị ya. Ogwu a na - egbochi ọtụtụ ọrịa cancer akpa nwa.

Nchoputa mbu na ogwugwo ya na-agwọ ọtụtụ nsogbu nke ọrịa dysplasia. Otú ọ dị, ọnọdụ ahụ nwere ike ịlaghachi.

Na-enweghị ọgwụgwọ, nnukwu dysplasia cervical nwere ike gbanwee ghọọ cancer cancer.

Kpọọ onye na-enye gị ọrụ ma ọ bụrụ na afọ gị dị afọ iri abụọ na otu ma ọ bụ karịa na ị nwetụbeghị ule ule pel na ule Pap.

Jụọ onye na-enye gị ọgwụ mgbochi HPV. Mụ agbọghọ ndị na-enweta ogwu a tupu ha enwee mmekọahụ na-ebelata ohere ha nwere ịrịa ọrịa cancer akpa nwa.

Can nwere ike belata ohere gị ịmebe dysplasia cervical site na ịme usoro ndị a:

• Inye ọgwụ mgbochi ọrịa maka HPV n'agbata afọ 9 na afọ 45.
• Aụla anwụrụ. Ụ sịga na-eme ka ohere ị na-enwe ịrịa ọrịa dysplasia ka njọ nke ukwuu.
• Enwela mmekọahụ ruo mgbe ị ruru 18 ma ọ bụ karịa.
• Omume mmekọahụ na-adịghị ize ndụ. Jiri condom.
• Mụọ otu nwanyị. Nke a pụtara na ị nwere naanị onye mmekọ nwoke na nwanyị n'otu oge.

Cervical intraepithelial neoplasia - dysplasia; CIN - dysplasia; Mgbanwe dị iche iche nke cervix - dysplasia; Ọrịa cervical - dysplasia; Squamous ọnya intraepithelial - dysplasia; LSIL - dysplasia; HSIL - dysplasia; Ọrịa dị ala-dysplasia; Ọrịa dysplasia dị elu; Carcinoma na situ - dysplasia; CIS - dysplasia; ASCUS - dysplasia; Mkpụrụ ndụ gland nke gbara gharịị - dysplasia; AGUS - dysplasia; Mkpụrụ ndụ squyous atypical - dysplasia; Pap smear - dysplasia; HPV - dysplasia; Ọrịa papilloma mmadụ - dysplasia; Cervix - dysplasia; Colposcopy - dysplasia

• Mmekpa ahụ nwa nwanyi
• Cervical neoplasia
• Akpankpu
• Cervical dysplasia - usoro

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