Carcinoma carcinomas wesibeleko: abane, unyango

Ngokutsho manani, neoplasia wesibeleko (ngoCin), okt umhlaza, ihamba phambili isakhiwo somhlaza. Amaninzi, ukonakala yethishyu abaqhelekileyo kwi Ithumba kwenziwa wesibeleko. Oku kungenxa epithelium. Ngenxa carcinoma carcinomas wesibeleko kubhekiselele kwiintlobo oqhelekileyo izifo zomhlaza, iqhube uxilongo yayo yokuqala. Nokufika iinkqubo ezizodwa zohlolo zingafunyanwa kuphela kwi zigaba yokuqala ithumba, kodwa atypia ngaphambi karhulumente. Ukufunyaniswa kwangoko kunye nonyango komhlaza wesibeleko kwenza kube lula ukugcina eninzi yabafazi. Ngako oko ngezifo sase- namhlanje ngaphantsi yintlekele.

carcinoma carcinomas wesibeleko - ntoni na?

Umhlaza womlomo wesibeleko kuthathwa ukuba abe isihloko shushu hayi kuphela ngamagqirha, kodwa wonke umfazi. Ekubeni yaqala Uthintelo elikhutheleyo sifo kunye isifo yayo, wazi kwisikali ezinkulu kwesi sifo. Mhlaza iqhelekileyo wesibeleko carcinomas. Olu hlobo ithumba yaziwa ukuba izinto Nedlac avela ubuntwana multilayered epithelium ukuba imigca lo ectocervix. Ngamanye amazwi, le hlobo lomhlaza ise kuloo ndawo apho wesibeleko engena lobufazi.

Kweli hlabathi lanamhlanje esi sifo kunxulumene ukuya kwenye ezimbi zixhaphakileyo oncological. Ektotserviksa kwesifo somhlaza yi-15 abemi 100,000. Nangona ukwanda ngonyaka nokuyibulala kwesi sifo, ALS isifo kuyaphela ukuphucula. Ukuba ngaphambili umhlaza yi womlomo wesibeleko carcinomas sifo kuphela zigaba yokugqibela unyango ngoku eqala ukususela kanye wafumana zinto omnye predisposing.

Njengabo bonke isifo somhlaza yamanina, neoplasia wesibeleko ixesha elide akanayo kubonakaliswa onyango. Kubalulekile ke ngoko ukuba anikele ingqalelo utshintsho incinane yezinto ezenzeka emzimbeni, kwaze kwandwendwelwa ngamaxesha ukuba ugqirha.

Oonobangela zomhlaza womlomo wesibeleko

Imbonakalo neoplasia carcinomas ezinxulumene izinto ezahlukeneyo etiological. Ingakumbi oku kusebenza ukunyhashwa kwinkqubo yonyango. Kukholelwa ukuba kukho unxulumano ngqo phakathi kwegazi umhlaza yamanina kunye nemeko kwamadlala umzimba ababhinqileyo. Ngokufuthi ekufumanekeni bomhlaza wesibeleko ukwanda kumanqanaba estrogen. Ezi hormone ziveliswa zamaqanda. Yandisa okanye ukunciphisa inqanaba labo ilawulwa yi le ngxenye. Ngenxa ukuzalana sifo nokuphazamiseka yonyango, ezi zilandelayo oonobangela ezaziwayo poppy umhlaza womlomo wesibeleko:

1. ukusetyenziswa kwexesha elide zokucwangcisa. Uninzi zokucwangcisa yakhiwa estrogen. Ngoko ke, kosetyenziso COCs kuyimfuneko kumaxesha ngamaxesha ukuze ubone ugqirha ukuqinisekisa inqanaba hormone.
2. Unyango with "Tamoxifen" kunye analogue yayo. Le medicament esetyenziswa ukunyanga isifo somhlaza webele. Noko ke, ichiza kufuneka zisetyenziswe ngononophelo kakhulu, ekubeni naye hormone.
3. ndlala (hypothyroidism), ukutyeba kunye nezifo. Ezi lithi nazo negalelo kumanqanaba estrogen kunye nophuhliso umhlaza womlomo wesibeleko.

Ukongeza, kukho ezinye izinto ezinegalelo. Phakathi kwabo: izifo ezondeleyo obuni, ukuqhomfa, kukho inani elikhulu lokukhulelwa kunye nokubeleka, yaye ukungabikho kwabo ngokupheleleyo. Wesibeleko carcinomas cell carcinoma ngokubanzi kwalelo kwimvelaphi ezimbi ezifana polyp, ukhukhuliseko, leukopenia kunye erythroplakia dysplasia. Kwiminyaka yakutshanje, isifo ezinxulumene iintlobo HPV 16 ne-18 Abaphandi wafikelela kwesi sigqibo, ngenxa yokuba lo pathogen ifumaneka phantse zonke izigulana neoplasia wesibeleko.

Kwiintlobo ngeentlobo carcinomas cell carcinoma

Ngenxa yobume iiseli epithelial ezilandela atypia, chonga iintlobo ezininzi neoplasia wesibeleko:

1. Adenocarcinoma. Olu hlobo abanye azixhaphakanga.
2. Keratinizing carcinoma carcinomas wesibeleko. Luphawulwa ukuyilwa granules ngekeratini kumphezulu epithelial. phawu lokubhaqa esi sifo zithathwa "neeperile umhlaza." Smear kuhluka ngembonakalo, ubungakanani iiseli ezitsolo.
3. ithumba elisezantsi grade-. Akwenzeki ukuba ukufumanisa ukuba zeziphi izinto cellular unenzondelelo atypia. Le ngobuwena Ngakho nezinzima.
4. umhlaza Neorogovevayuschy womlomo wesibeleko carcinomas. Ephawuleka ngokungabikho zenziwe ngekeratini. I-smear imizimba ebonakalayo enkulu elimbhoxo equlethe kukho icytoplasm eosinophilic.

The degree of neoplasia wesibeleko

Xa efumanise neoplasia (ngoCin) kuyimfuneko ukuqhuba uphando ukuze ufumanise ubungakanani ukusasazeka kwayo. Xa kuqwalaselwa uphuhliso iiseli Nedlac, ezi-4 isifo yeqonga. Icandelo ibe izidanga ukuvumela ukuba ukhethe unyango olufanelekileyo nokujonga abantu abane. Isigaba 0 libhekisela somhlaza non-invasive test, oko kukuthi, iiseli ezingaqhelekanga ziyafumaneka phezu komhlaba epithelium, kodwa akazange ukungena kungena embindini yethishyu wesibeleko. isidanga sokuqala - ithumba prorosla ubunzulu mm eziliqela. Xa oku kwakuthetha ukuba iseli carcinomas sisifo somhlaza wesibeleko ziphuhliswe, uya ngaphaya kwemida zomzimba. Kule neoplasia Isigaba sesibini wayengabalibali parameter okanye inxalenye ephezulu kwinxenye yelungu lobufazi. I degree wesithathu luphawulwa imbonakalo iiseli umhlaza ezindongeni isinqe. Kwakhona Hlula siyibhentsisile inxalenye esezantsi kwinxenye yelungu lobufazi, kwiindawo nkovu lwengingqi. Sihambisane ingeniso-4 ukuya lwesinye ithumba okanye emathunjini. Kukho metastases ezikude.

Lo mfanekiso kwezonyango zomhlaza womlomo wesibeleko

Okusolwayo kunzima ngoCin, njengokuba yena phantse akukho iimpawu isici. Ekuqaleni, lo mhlaza alibonakali okanye uneempawu ezifana esexesheni mgaqweni, intlungu ekubhobhozeni esisu nolusezantsi umva, kucacile ukususela lobufazi. Eyona uphawu zoqhagamshelwano uthathwa ukopha ukuba zenzeka ngexesha lokwabelana ngesondo. uphawu kamva ingqalelo luse nokudumba ephantsi, icesina ephantsi-grade. Kwinqanaba lokugqibela umzimba esiphawuliweyo, ukutyhafa, ukungabi namdla kunye nkovu iyadumba ekudityanwa kuzo ubudoda.

Uxilongo lwe iseli carcinomas umhlaza womlomo wesibeleko

Ukuchongwa carcinomas cell carcinoma lwenziwa njengoko kunjalo izikhalazo, ngokunjalo zokuhlola. Kuyinto uhlalutyo ekhethekileyo, oko kuthathwa swab kwinxenye yelungu lobufazi kwaye wesibeleko (PAP-test). Ngale ndlela ke kunokwenzeka ukuba uzimisele umhlaza kuphela, kodwa dysplasia - utshintsho ezincinane ekwakhiweni zeselula. Xa Colposcopy hlolo luyenziwa usebenzisa acetic acid kunye ayodini (ukuchonga iindawo uyiphicothe epithelium). Ukuba umhlaza kurhanelwa, kukho biopsy wesibeleko efunekayo. Esinye isifundo kukuhlalutya nokuzimisela ze-HPV.

WoMlomo weSibeleko Cancer Treatment

carcinomas unyango umhlaza womlomo wesibeleko kubandakanya ukususwa zoqhaqho nethumba, ichemotherapy kunye radiation therapy. Umthamo zotyando kuxhomekeke eqongeni, kwakunye ubudala umguli. Xa neoplasia non-invasive, okanye isidanga 1 tirhisa hysterectomy, eshiya zamaqanda. Olu sebenziso kuboniswa izigulane ekwaziyo kwesisu. Ukuba isigulana ukuya exesheni, ngoko wenza hysterectomy, ukususwa waso kunye omentum enkulu. Loo umsebenzi volume efunekayo ngenxa yokuba kukho ingozi yokuba Ukudlulela okanye ithumba ukuphinda. Kwakhona bona kuthomalaliso kunye neearhente hormone. Kule inyathelo lokugqibela wenziwa kuphela unyango nomqondiso.

umhlaza womlomo wesibeleko carcinomas: abane

Nangona izinga lokusweleka eliphezulu, angalulama. Oku kusebenza kuzo izigulane neoplasia, kwafunyaniswa kwi usaqala. elingama seminyaka emihlanu emva imiyinge unyango malunga-55%. utshintsho Index ngenxa Inqanaba ithumba (kwi degree 1 78%, ne-4 - 7.8%).

amanyathelo azizithintelo ukuphepha umhlaza

Lo mqathango engundoqo lokunqanda kukutyelela ugqirha ubuncinane 1 xesha kunyaka ngamnye. Kwakhona kubalulekile ngexesha ukunyanga izifo obuni, ukuba ukusebenzisa zokucwangcisa yomlomo combined iminyaka engaphezu kwama-5, hlale ukuqinisekisa inqanaba hormone. Phambi izinto predisposing (ukhukuliseko wesibeleko, liqhubu, leukoplakia) kufuneka ukuba baye Colposcopy. Kwixesha elizayo, ugqirha uza isigqibo malunga unyango lwezifo imvelaphi. Kwiminyaka yakutshanje, bakhula uthintelo oluthile lomhlaza womlomo wesibeleko - ugonyo ejoliswe iintlobo HPV 16 no 18. Ku ebanjwe elivisayo. Phambi kogonyo, kufuneka udibane nogqirha wakho.