Remuromo precancerous maronda. remuromo chirwere: zvinokonzera, zviratidzo, kuongorora chirwere uye kurapwa

In zvinoitika mumasero cervix rinosanganisira stratified squamous epithelium. Inoitwa matatu akaturikidzana: basal, zvenguva uye asingafungi. Kuchinja kuibvisa kana Kusiyanisa masero epithelial, vanachiremba vanogona kunzi dysplasia. Izwi iri kazhinji akataura zvose remuromo precancerous maronda.

zvinogoneka zvirwere

Doctors kuziva dzinoverengeka pathological ezvinhu, izvo hazvo zvinofanira kuteerera. Saka, imwe yoga boka akabatanidza anonzi pezvakaitwa background. Izvi zvinosanganisira kukurwa kwevhu wechokwadi, nyore leukoplakia, polyps, ectopia cervix erythroplakia. Yoga dzinounzwa precancerous ezvinhu inonzi remuromo intraepithelial neoplasia kana dysplasia. Zvakakosha kunzwisisa kuti kumashure uye predkartsernyh inoti dzakasiyana pathogenesis.

Asi matangiro nokuratidzwa precancerous maronda uye kenza akafanana. Chimwe chikonzero vazhinji inonzi HPV. Saka, kuvapo kwevanhu papilloma utachiona mumuviri hausi runovimbisa chii chiri chokwadi kuti kenza. Asi vakadzi vaya vakawana pre-kenza remuromo ezvinhu muna 90% nyaya yave chirwere HPV. Asi zvinofanira kunzwisiswa kuti vanopfuura 60 mhando akati utachiona sikarudzi sei anenge 20, uye 11 vanoonekwa High- serotypes.

papillomavirus

Vanhu Vazhinji havazivi kuti muviri wavo une HPV. Vamwe chirwere kunoitika nenzira Isimba rakadini rinogona kubudiswa chimiro. Izvi zvinoreva kuti vanhu vari vatakuri utachiona, asi vanoita chinhu kuratidzwa. In subclinical chimiro chirwere cytological kuchinja. Akaora pachena HPV kuona kana akaona exophytic condylomas uye endophytic.

Zvinonyanyozivikanwa 16 ndipo uye 18 fung papillomavirus serotype. Chirwere Kazhinji anoenda zvachose kucherechedzwa uye haisi aine chitarisiko chero zviratidzo. Asi panguva iyo Utachiona hwacho foni, zvinonzi yakavakwa kupinda magene remitemo dzavo anotanga kuberekana masero utachiona. Izvi pakupedzisira inotungamirira degeneration dzavo uye anova chinokonzera dysplasia kana kenza.

Asi zvinonzi vaidavira kuti basa rinokosha kukura chirwere susceptibility anotamba Munhu epithelium uye vakaremara kudzivirirwa zvigadziriswe.

Characterization pamusoro pezvakaitwa kumashure

Gynecologists rokuongorora zvimwe may Chirwere nezvirwere izvo kubudikidza chaiyo kuchinja inozivikanwa. Saka, vanachiremba kusiyanisa wechokwadi, chokuziva uye venhema Kuparara.

Kunyange vasikana kuyaruka gayinakorojisiti pa kuongorora anogona kuona kuchinja ari columnar epithelium. Pashure colposcopy, zvinova pachena kuti piriviri ruvara. Panguva pendi pamwe chete "Lugol" mhinduro hazvibviri. Ichi chirwere anowanzodanwa ekunyebera kana ectopia. Zvinogona vachiberekwa kana vawana. Asi ichi hachisi precancerous ezvinhu cervix, saka kuti kukurwa kwevhu vakadaro havasi zvinoda kurapwa. Zvinokosha chete kuchengeta tichivashanyira.

Kana murwere mucous Kamudzira pamusoro remuromo Canal iri inverted mune kusangana nekutsi kwemukadzi mugove cervix, ipapo ichi anonzi ectropion. Kubatana uku vanga deformation kuti cervix zvinyama uye ekunyebera. On kuongororwa, chiremba anogona kuona akaremara mutsipa ane yakachekwa kana ane gaping nesusu Red makwapa akasvibirika ane columnar epithelium. Kazhinji kunogona wenyika tishandurwe.

Chimwe kumashure kwacho ndiko leukoplakia, zita chirwere rinoshandurwa se "chena pachivara". In chirwere ichi munharaunda cornified multilayer epithelium. Nokudaro stroma kumativi midziyo ropa vakaumba infiltrates. Leukoplakia zvinogona nyore, zvino ari semhosva pezvakaitwa background. Kana chirwere ichi kuonekwa masero kanganisika, zvino tiri kutaura pamusoro precancer.

Chimwe chirwere erythroplakia, asi vakawana kakawanda. Zita iri rinoreva rakashandurwa se "dzvuku gwapa". Mumamiriro ezvinhu aya, stratified epithelium atrophy, izvozvo tapers kune vakawanda akaturikidzana. masero zvenguva apere. Kuburikidza thinned epithelium translucent midziyo, saka migove Dzakafanana tsvuku makwapa.

Uyewo, kana ukatarira chiremba anogona kuona growths, akafukidzwa epithelium. Ndivo vakadanwa polyps. Izvi inopenya vaaleanpunainen dzidzo, izvo zvinogona mashizha serin'i kana oblong. Vanorembera kubva remuromo Os.

The zvinokonzera kwevhu

Kazhinji, zvinetso zvinogona kuonekwa panguva dzose rokuongorora kana colposcopy. Kana chiremba anoona kuchinja, inogona kutsanangura pane zvinooneka remuromo Kuparara. Saka, rakajairika zvinokonzera vari:

- zvinotapuriranwa, ramakagadzwa inonyanya chlamydia, trichomoniasis, mwandabvu, ureaplasmosis, genetalny herpes, papillomavirus;

- pelvic anogumbura chirwere;

- zvokuimba kuvadza mucous Kamudzira;

- hormone kuchinja.

Somugumisiro, kuchinja stratified epithelium, izvo akaturikidzana vanoomerera havaratidzi uye zvakasiyana-siyana arongedza, dzimwe nguva exfoliated uye sousingabatsiri. Zvave zvichinzi kuti ichi ndicho 5 nguva yakawanda nevanhu vakadzi vane kumwedzi hadzina kufambiswa zvakanaka, vanogona kunge yakatokura zvikuru Kuparara ari cervix. Panzvimbo achiumba columnar epithelium desquamated rukoko.

Sembura Zvinhu dzinonzi kukundikana vari kutenderera, kakawanda kuchinja vamwe, mangwanani zvepabonde, uye ungaderedza kutapata. Vakawanda vevaya vakawana matambudziko aya, vanofarira kana paine kurambidzwa kana kupera pakati cervix yave chirwere. Chii kwete kuita chirwere ichi? Chero zvakaoma pasina kurambidzwa. Zvakakosha chete kuongororwa nguva dzose kuburikidza gayinakorojisiti, tora zvose zvakafanira bvunzo uye kwete kusiya waakaudzwa kurapwa.

Chirwere pamusoro pezvakaitwa kumashure

Kazhinji, vakadzi vane hosha cervix pane asingadi kugunun'una. Chero erosions hapana zviratidzo. Chokwadi, pane zvimwe whitish zvinoerera, izvo regai kukonzera chero kusanzwa. Pashure kurara anogona kuitika kusvibisa kana sanies. Muchiitiko chino, nekukurumidza kuona chiremba. Iye anokwanisa kuongorora hurumende, kuti zvionekwe kana paine remuromo Kuparara. Zita hosha mumamiriro ezvinhu akadaro zvakakosha zvikuru kuti chiremba. Hazvina kubva akaratidza dambudziko kuchaenderana uchiwedzera kurapwa nzira.

On ongororo ekunyebera zvinoita sokunge dzvuku aizonyatsovachenesa irregularly kuumbwa. It anomira arwise mucous rakachenuruka. Munguva colposcopy, zvinova pachena kuti dambudziko nzvimbo akafukidzwa tsvuku papillae kumativi kana oblong mu chimiro, nokuda kwavo pamusoro sechinhu vherevheti. Usatya nokuda colposcopy inongova rokuongorora uchishandisa chaiyo mudziyo, rinogona kuwedzera mugove 30-40 nguva.

Diagnostics zvirwere zvakadai leukoplakia, kunewo hapana dambudziko. Vamwe varwere horny sero akaturikidzana vari chaioneka akashama ziso vanotarisika akafanana makwapa akasvibirika chena, rinokwira pamusoro ectocervix (remuromo chikamu projecting kupinda nyinyo). Vamwe vanogona kuonekwa chete panguva colposcopy. Nokuti nechirwere muromo wechibereko urege zvinyama anogona kubatwa ane ayodhini mhinduro. Horny vawirwa nenjodzi hadzina mavara ari shava, vanotarira sezvinoita pose akafukidzwa whitish firimu. Kuti tizive hunhu leukoplakia (bani kana masero atypical) zvakakodzera kuti vaite imwe biopsy.

Uyewo, kana uchiriona gayinakorojisiti anogona kuona cysts pamusoro cervix. Dzavo zvikonzero ndeinotevera:

- dzokubereka Zvirwere kuti chirwise kukura anogumbura zvirwere;

- zvinokuvadza kuti cervix pakusununguka, kubvisa pamuviri, dilatation uye curettage ;

- hormone zvirwere.

Cysts Dzakafanana zvikwama kuti vakafufutirwa madzihwa. Ivo vape- Nabothian omumuviri, izvo Dzakafanana kuzvimba maduku chena. Kana pane kukundikana mubasa ravo, ivo ducts dzakavharika. In Kana apo anoonekwa kana ukatarira muhomwe imwe chete, izvozvo inonzi chikofu endometriodnyh. Asi pane nguva apo pane dzakawanda. Mumamiriro ezvinhu akadaro, chiremba Anoti Nabothian cysts pamusoro cervix. Dzavo zvinokonzera, zviri chinodiwa kuti tione. Mushure chitarisiko chavo anogona kukonzerwa nezvirwere kuti inofanira kubatwa. Kazhinji, vanachiremba vanoti chimwe chete nzira kurapwa - kubviswa cysts. Izvi zvinoitwa puncturing bhegi, kubvisa namuka madzihwa uye kubudiswa nzvimbo parinowanika.

nzira kurapwa

Muzviitiko apo chiremba anoona dambudziko pamwe cervix, inofanira kukuudza kuti unofanira kuita inotevera. Saka, kutanga kuchengeta nyanzvi colposcopy, tora mashoko pamusoro cytological kuongororwa uye, kana zvakakodzera, kupa kuita biopsy. The wakazara Ongororo anogona kusarudza kubva zvinooneka remuromo Kuparara. Zvinokoshawo kuti smears pamusoro nemiti, kuziva kana pane chirwere. Zviri fanira kuwana kana murwere ane HIV, njovhera kana kuzvimba chiropa. Mukuwedzera, gayinakorojisiti anogona kupa mirayiridzo kuita kuongororwa Trichomonas, ureaplasma, HPV, chlamydia, mycoplasmas, Gardnerella.

Unogona vobva vaita kurapwa. Zvichienderana saizi, zvinokonzera, uye zvimwe zvinhu gayinakorojisiti ichataura kutira kuti cauterize pamitsipa dumbu, zvichiita cryotherapy, Laser coagulation kana kushandisa redhiyo chinozunguzirwa nzira.

Mune zvimwe zviitiko, kungoti murinde kupera. nzira dzakadaro musanangurwa zviitiko apo inowanikwa vakadzi vaduku nulliparous. Kakawanda, ndivo chikonzero parinowanika kuchinja kwemakemikari omuviri.

Description kwokurapa

Moxibustion ndeimwe rakajairika nzira. Asi apo nzira yakawanda nemishonga. Somugumisiro cauterization tenuka zvakakomba scarring, yakamanikana Muromo cervix gwara. Mukuwedzera, kupodzwa pashure nzira anotora chaizvo kwenguva refu. Asi, pasinei zvikanganiso, kazhinji vanoshandisa moxibustion remuromo Kuparara. Reviews zvinoratidza kuti nzira kusingafadzi, asi zvinondiremera kunorwadza harigoni kunzi. Vakadzi vazhinji kungoita kutaura kunzwa kusagadzikana mune rezasi mudumbu. Uyezve, pashure nzira kungava kusangana nekutsi kwemukadzi buditsa.

Chiremba anofanira kudzivisa zvinoverengeka zvausingakwanisi. Zviri fanira kuva kurara zororo kupfuura mwedzi pashure nzira. Panewo uremu nokusimudza kurambidzwa - inogona zvaipfekwa anopfuura 2 makirogiramu. Kurambidzwa zvavakatemerwa pamusoro saunas, dzokugezera, vachitora dzokugezera, kushandisa kusimba muviri.

Cryodestruction kazhinji kunotungamirira kune remuromo kupfupikisa. Uyezve, somugumisiro nzira inogona kujekesa remuromo Os. Zvakanyanyisa dzinorwadza inonzi cryotherapy hazvibviri, varwere Inovhiringidza munyaya hachifadzi kwakanaka.

Vakawanda vanosarudza kushandisa mamwe yepamusoro nzira, akadai redhiyo-wave mishonga remuromo Kuparara. Iye akabata rinokosha midziyo "Surgitron". Zviri mukati electrode anoratidza mukuru-kakawanda mafungu, vanoumba kupisa kana uchisangana munyama muviri. Panyaya iyi, masero airatidzika sasana.

Zvinonzi zvakare kuonekwa zvikuru vanobudirira Laser kurapwa. Kuonana danda nemafungu chinokonzera kuti masero mwero vanobviswa. Panyaya iyi, akapoteredza munyama vanokanganiswa zvishoma. Nzira iyi anonzi mudukusa zvinorwadza.

Zvinoitwa dysplasia

Kakawanda kuva precancerous maronda yaizoitika maronda ari cervix. Bhadharai vainyatsotarisirwa vanofanira kuva vaya remuromo Kuparara. Kenza necheseri zvakaoma kutanga kukudziridza, asi munda dysplasia mune zvimwe zviitiko anowanikwa chete pamusoro ekunyebera background.

Nyanzvi anozivisa zvinhanho zvitatu chirwere ichi. dhigirii First anonzi chiedza. Kana akarova zvakadzika akaturikidzana - the basal uye parabasal masero epithelial. Okumusoro akaturikidzana vari muupenyu. External zviratidzo zviri chirwere hatisi. It dzinogona kuonekwa chete panguva cytology, kuti tichibvisa zvinofanira chaizvo.

In yechipiri dhigirii - mwero dysplasia - kuchinja zvingaita kuti 2/3 masero epithelial. Panguva iyi masero atypical havafaniri kuva.

In chakakomba dysplasia wechitatu dhigirii kuibvisa uye Kusiyanisa kwamakamuri kunoitika chete ari pamusoro rukoko. The akaturikidzana asara kukanganiswa. More uchida kuongorora kunoratidza kuvapo masero pamwe atypia.

Rokuongorora dysplasia hakusi nyore. The chirwere kunoitika pasina raidudzwa zviratidzo, hapana kuva noruzhinji zviratidzo. On yokuongorora, chiremba anogona kusarudza ectopia, leukoplakia, papilloma Ona. Dzimwe zvinoitika apo dysplasia kuti cervix hakuna kushanduka.

Dambudziko iri ivepo cytology zodzera wakatorwa kubva cervix. Kana mukufamba kuferefeta, zvakanzi vakawana kuti kutora mashoko acho ane masero pamwe dikariozom (Kuchinja musimboti), zvinokosha kuti kuitisa histology. Wakaitwa kubva nezvinhu akatorwa panguva biopsy.

The zvinokonzera dysplasia

Kazhinji zvakaoma kunzwisisa chii chaiva hwaro kuti chidzoke matambudziko pamwechete nhengo dzokubereka nadzo dzevakadzi. Asi pane zvinhu zvakati kuti kungamutsawo kutanga chirwere. Somuenzaniso, kana murwere ane stitches ari cervix, saka chirwere munyama. Uye kuti aigona kuva riwedzere kuti kukura chirwere.

By precipitating zvinhu zvinosanganisirawo:

- zvirwere uye hormone zvirwere;

- kuvapo erosive maronda - ngozi ndiyo yezwi mapazi pakati flat uye cylindrical epithelium, akaberekwa ari rokunze chikamu pamutsipa;

- kuvapo mumuviri High ngozi HPV mhando.

zvinokonzera njodzi ndeizvi:

- risati ratanga bonde musikana panguva, apo epithelium haana uvakwe;

- Kushandiswa hormone nhumbu uye intrauterine kwenguva refu;

- kubereka vana vakawanda;

- kuvapo zvirwere, pabonde;

- rwakakwana zvokudya pamwe kushayikwa kwemavhitaminzi C, A uye Beta-carotene.

Zvakanga zvakare kuwanikwa kuti sei chimiro zvirwere izvi kukanganisa vakadzi uye utano dzevanhu. Smegma kuti anounganidza pasi chikanda anogona kukonzera kuti pachava remuromo precancerous maronda. Izvi imhaka pamberi mariri pamusoro carcinogenic zvinhu, izvo kuwa panguva kurara kuti cervix.

Possible nzira ndichiva kubvisa dambudziko

Nzira kurapwa inoenderana nokuti ukuru dysplasia akaonekwa. Saka pakutanga chikuva kakawanda akakurudzira chete cherechedzai zvinyama rinomutsa nokuita kuchinja kurapwa, izvo ndehwokuti kubvisa zvichibvira zvinokonzera chirwere. Kazhinji wakaitwa antiviral kana antibacterial kurapa zvakagadzirirwa kuparadza utachiona. Pasina zvakanaka emuchina, uyewo avo nguva payakanga kamwe dianostirovana dysplasia 2nd kana 3rd dhigirii, zvakanga ndakarumbidzwa kuvhiya kurapwa.

Muchiitiko chino, rinogona kuitwa uyewo cauterization pakati kwevhu of cervix. Reviews zvinoratidza kuti nzira iyi zvinopa nemigumisiro yakanaka chaizvo. Uyewo, cryosurgery kana Laser kurapa angashandiswa. Mune zvimwe zviitiko, ndikarangarira diatermokonizatsiya. nzira iyi kuri pakuti dzakachinjwa zvinyama excised ari muchimiro cône, kuti chakaderedzwa mutengo iyo chinotungamirwa akananga zvemukati Os. Mumaruwa zvinyama mberi akatuma histology.

Zvakakosha kuziva kuti varwere dysplasia ngozi kenza 10-20 nguva kupfuura vaya vasina dambudziko iri. In wokutanga Danho pane mukana neizvi Kugadzirwa chirwere - ichi kunoitika munenge hafu Muzviitiko. Asi 40% yevakadzi zvichava mberi, vamwe - kuti kukwanisa kudzikamisa.

Alternative mushonga

Kunzwa hachifadzi nokuti chirwere, kwete zvose kubvumirana mishonga nemakwenzi. Kunyange kana chiremba zvinoratidza zvinyoronyoro zvikuru uye zvikuru vakarongeka nzira radiowave Mabatirwo remuromo kukurwa kwevhu, pane vaya vanoramba kurapwa.

Vamwe vari kutanga kutsvaka dzimwe nzira. The inonyanya kufarirwa douching sanganisa tincture kuti calendula (1 hr. L. On ¼ mukombe mvura), Eucalyptus (1 hr. L., rakasanganiswa mune girazi remvura), gungwa buckthorn mafuta tampons kana mummies.

Asi handizvo zvose zvavanogona anogona kuitwa sezvo muromo wechibereko dambudziko zvavo mishonga. Vamwe varapi vanokurudzira doro nokuti douching St. Johani sana pa mwero 1 tbsp. l. hafu Rita mvura iri kufashaira. Grass inofanira yakabikwa anenge 10 maminitsi uye muchisviniro kweinenge awa.

Kana ukasarudza kurega kubatsira vanokwanisa uye achapiwa kubatwa nzira idzi, wozoenda kune gayinakorojisiti nguva dzose kuitira kuti kuongorora mamiriro cervix. Chete nenzira iyi ichava nguva kuona kudzikira uye edza kugadzirisa mamiriro ezvinhu.