Sakamakon ganewar asali na neoplasia intraepithelial, ko kuma ƙwayar mahaifa, tana nufin wani irin canje-canje a cikin kwakwalwa. Wadannan canje-canjen na iya zama ko kuma bazai zama daidai ga ciwon kwari ba. A gaskiya ma, ƙwararren ƙwayoyin cutar neoplasia zai iya komawa zuwa canje-canje mai yawa na canji. Wadannan canje-canjen na iya kasancewa daga yin sulhu na dysplasia mai sauƙi zuwa matsakaici har zuwa farkon farkon ciwon sankarar mahaifa.
Ƙayyade Cervical Intraepithelial Neoplasia
Cervical a cikin mahaifa intraepithelial neoplasia yana da ma'ana ma'ana. Yana nufin ƙwayar mahaifa. Don fahimtar abin da ke cikin ƙwayar intanet na intanet, yana taimakawa wajen fahimtar wasu kalmomi. Intraepithelial yana nufin "a cikin epithelium." Tsarin kwayoyin halitta na cervix an rufe shi da yadudduka da dama na kwayoyin epithelial. Wadannan kwayoyin halitta ne wadanda ke fama da ƙwayar ƙwayar ƙwayar cuta ta jiki. Neoplasia tana nufin "sabon ci gaba". Duk da haka, ana amfani dasu da yawa zuwa ci gaba da mawuyacin ƙwayar cell. Sabili da haka, neoplasia intraepithelial na jijiyoyin jiki shine ciwon haɗari maras kyau a cikin layuka na kwayoyin halitta wanda ke rufe cervix.
Grading Cervical Neoplasias
An gano kwayoyin halitta na kwayoyin halitta ta hanyar biopsy kuma sun yi daidai bisa ga matsananciyarsu. Girma mai daraja ne kamar haka:
- Cervical Intraepithelial Neoplasia 1 (CIN I) - m dysplasia
- CIN II - m zuwa matsakaici dysplasia
- CIN III - Dysplasia mai tsanani ga ciwon daji
Mutanen da aka gano tare da CIN I, ko dysplasia mai dadi, ba a bi da su ba. Wannan irin lalacewar mahaifa yakan warkar da kanta ba tare da yin magana ba. (Wannan daidai yake da ilimin LSIL da rubutun ta Pap.) Maimakon haka, likita sun bi su da hankali.
Wannan na iya haɗawa da ƙwarewar Pap, da jarrabawar HPV , ko yiwuwar ɓoye
Ya bambanta, mutanen da ke tare da CIN II da CIN III suna kusan ake kira don magani. (Wadannan suna dacewa da HSIL, ASC-H, AGC, ko kuma Carcinoma a cikin binciken Pap.) Jiyya ga ƙananan ƙwayoyin ƙwayoyin ƙwayoyin cuta yana dauke da kawar da raunuka. Ana iya yin haka ta hanyar cryotherapy, LEEP , ko rarrabawa.
Ko da bayan jiyya don cire lalacewar, mutanen da ke ɗauke da ƙananan ƙwayoyin mahaifa suna ci gaba da haɗarin ciwon ciwon ciwon sankarar mahaifa a nan gaba. An shawarce su kullum su ci gaba da ziyartar likitocin su don karin biyan bukatun.
Neoplasia Cervical or Squamous Intraepithelial Lesion?
Lokacin da Pap ya gano kansa, ƙwayar dysplasia na mahaifa an sani dashi a matsayin suturar kwayar cutar ta jiki (SIL) a maimakon ciwon kwayoyin halitta neoplasias. Ana gano maganin ƙwaƙwalwar neoplasia na mahaifa don maganin asali ta hanyar biopsy ko colposcopy . Wannan shi ne saboda fassarar Pap yana samar da mai binciken tare da kwayoyin halitta. Da bambanci, biopsies ba su damar ganin duk wani lalacewar mahaifa a cikin mahallin. Wannan yana ba wa likitoci ikon yin cikakkiyar ganewar asali. Dubi biopsy zai iya nuna yadda zurfi cikin cervix kowane raunuka girma.
Shin Magunguna Neoplasia Ma'anar Cutar Cancer?
Kasancewa da bincikar da kwayar cutar neoplasia baya nufin kina da ciwon daji. Ba ma ma'ana cewa za ku samu ciwon daji. Abin da ake nufi shi ne cewa akwai yiwuwar samun ci gaban ciwon daji a wani lokaci a nan gaba. Wannan shi ne ainihin gaskiya idan an gano ku tare da CIN II ko CIN III.
Kullum lafiyar ciwon ciwon ta ci gaba da kasancewa bayan ƙaddarar CIN II ko III. Duk da haka, likitan ku zai bayar da shawarwarin yau da kullum. Wannan zai taimaka wajen tabbatar da cewa ta iya kama shi da wuri idan ciwon daji ke ci gaba. Sanin asali da kuma maganin farko shine matukar muhimmanci wajen rage mace-mace daga ciwon sankarar mahaifa.
Sources:
JW Sellors da R. Sankaranarayanan "Cikakke da Jiyya na Cervical Intraepithelial Neoplasia: A Farawa Manual - Babi na 1: Gabatarwar zuwa ga jikin mutum daga cikin mahaifa mai ciki" Cibiyar Duniya don Nazarin Ciwon daji 2003/4.
> Kalliala I, Dyba T, Nieminen P, Hakulinen T, Anttila A. Mutuwa a cikin dogon lokaci bayan bin magani na CIN. Int J Kankara. 2010 Janairu 1; 126 (1): 224-31. Doi: 10.1002 / ijc.24713.
> Melnikow J, McGahan C, Sawaya GF, Ehlen T, Coldman A. Cervical sakamakon ƙwaƙwalwar neoplasia bayan jiyya: Tsayawa na tsawon lokaci daga Binciken Jakadancin Columbia a Columbia. J Natl Cancer Inst. 2009 Mayu 20; 101 (10): 721-8. Doi: 10.1093 / jnci / djp089.