Baaritaanka neoplasl-ka ee xubinta taranka ee ilma-mareenka, ama neoplasia ilmo-galeenka, wuxuu loola jeedaa nooca isbeddelka ilmo-galeenka. Isbeddeladani waxay noqon karaan ama aan horey u noqonin kuwa horay ugu dhaca kansarka ilma-mareenka. Dhab ahaan, baaritaanka neoplasia ee ilma-mareenka wuxuu tixraaci karaa isbedel balaadhan oo ku yimaada ilmo-galeenka. Isbeddelladani waxay ka koobnaan karaan is-xakameynta isdifaac yar oo illaa minka dhuunta ilmagaleenka oo dhan ilaa marxaladaha hore ee kansarka ilma-mareenka.
Qeexidda Neoplasel Neoplasia ee afka ilmo-galeenka
Ilmo - galeenka ilmo -galeenka neoplasmka ee ilmagaleenka wuxuu leeyahay macne cad. Waxay loola jeedaa afka ilmo-galeenka. Si aad u fahamto waxa neoplasia intraepithelial neoplasia waa, waxay kaa caawineysaa inaad fahamto shuruudaha kale. Intraepithelial micnaheedu waa "gudaha epithelium." Qaab dhismeedka muruqyada ee ilmo galeenka ayaa lagu daboolay lakabyo dhowr nooc oo unugyada epithelial ah. Waa unugyada kuwaas oo ay saameeyaan neoplasmka neeflasiga ee ilmagaleenka ilma-mareenka. Neoplasia macnaheedu waa "kobcin cusub". Si kastaba ha noqotee, waxaa badanaa loo isticmaalaa in lagu tilmaamo koritaanka unugyada aan xiqiijka ahayn ama aan xakamayn. Sidaa daraadeed, neoplasia intraepithelial neoplasia waa unugyada unugyada aan caadiga ahayn gudaha lakabadaha unugyada epithelial ee daboolaya afka ilmo-galeenka.
Xayeysiinta Neoplasias ee Ilmo-galeenka
Neoplasias oo ku dhaca dhuunta ilmo-galeenka ayaa lagu gartaa cad ka-qaadista waxaana lagu qiimeeyaa sida ay u daran yihiin. Xasillooni waxaa loo qiimeeyaa sida soo socota:
- Neoplasia-ga Ilmo-galeenka Afka Ilmo-galeenka 1 (CIN I) - dysplasia fudud
- CIN II - dysplasia oo fudud oo dhexdhexaad ah
- CIN III - dysplasia daran oo kansar ah
Dadka laga helo CIN I, ama dysplasia oo yar, guud ahaan looma daaweynayo Noocaan dhaawaca afka ilmo-galeenka ah wuxuu inta badan bogsanayaa iyada oo aan wax dhex-dhexaadin. (Tani waxay la mid tahay baaritaanka LSIL ee baaritaanka Pap smear.) Halkii, waxay la socdaan dhakhtar dheeraad ah.
Taas waxaa ka mid noqon kara baaritaanno badan oo Pap smears, baaritaanka HPV , ama suurtagal ahaan colposcopy
Taa bedelkeeda, shakhsiyaadka leh CIN II iyo CIN III ayaa inta badan loo gudbiyaa daaweynta. (Kuwani waxay u dhigantaa HSIL, ASC-H, AGC, ama carcinoma xaaladaha baaritaanka Pap smear.) Daaweynta neoplasiaska qanjirada dhexdhexaad ilaa daran ayaa ka mid ah ka saarida dhaawacyada. Tan waxaa lagu sameyn karaa iyada oo loo marayo cryotherapy, LEEP , ama isku-xirnaanta.
Xitaa ka dib marka la daaweeyo si looga saaro laf dhabarta, shakhsiyaadka qaba neoplasias-da ilmo-galeenka ee heer-sareeya ayaa weli ah halis dheeraad ah oo ku iman karta kansarka ilma-mareenka mustaqbalka. Waxay guud ahaan kuula talinayaan inay sii wadaan booqashadooda dhakhtarkooda si joogta ah.
Nooca Makaanka 'Neoplasia' ama 'Nabaro Qabiil'
Marka la ogaado Pap smear , unugyada ilmo-galeenka afkiisa waxaa guud ahaan loo yaqaannaa lesions intracellular (SIL) halkii laga heli lahaa ilmo-galeenka neoplasmka ee ilmo-galeenka. Daaweynta neoplasia neeflasia (diagnsosis) waxaa loogu talagalay cudurka dabaysha biopsy ama colposcopy . Tani waa sababta oo ah baaritaanka baaritaanka Pap smears ayaa bixiya imtixaan qaadaha unugyada dabacsan. Taas bedelkeeda, biopsies waxay u oggolaaneysaa inay arkaan waxyeello ilmo galeenka ah oo macquul ah. Tani waxay siineysaa dhakhaatiirta kartida ay u leeyihiin inay sameeyaan ogaanshaha saxda ah. Raadinta cad ka-qaadista ayaa muujin karta inta qoto-dheer ee afka ilmagaleenka ah uu ku dhaco wixii xanuunka foosha.
Kansarka Ilmo-galeenka Miyir-Ciladku Miyuu Lahaa?
Ahaanshaha lagu garto "neoplasia ilmo-mareenka ilmo-galeenka" micnaheedu maaha inaad qabtid kansar. Xitaa macnaheedu maaha in aad kansar qabtid. Maxay macnaheedu tahay in laga yaabo in aad halis dheeraad ah u tahay in aad kansar ka qaadato mustaqbalka. Tani waa run gaar ahaan haddii lagu ogaado CIN II ama CIN III.
Khatartaada kansarka qotodheer ayaa weli hooseysa ka dib markii la ogaado CIN II ama III. Si kastaba ha noqotee, dhakhtarkaagu wuxuu kugula talin lahaa dabagal joogto ah. Taasi waxay gacan ka geysan doontaa in ay hubiso inay hore u qabsan karto haddii kansarku horumarayo. Ciladda hore iyo daaweynta waa tallaabo muhiim ah oo lagu xaddidayo dhimashada kansarka ilma-mareenka.
Ilaha:
JW Sellors iyo R. Sankaranarayanan "Colposcopy and Treatment of Neoplasia Intraepithelial Neoplasia: Buug-gacmeedka Bilawga ah - Cutubka 1aad: Hordhac ku saabsan anatomy ee afka ilmo-galeenka" Hay'adda Caalamiga ah ee Cilmi-baarista Kansarka 2003/4.
> Kalliala I, Dyba T, Nieminen P, Hakulinen T, Anttila A. Dhimashada muddo dheer socota kadib daaweynta CIN. Cudurka kansarka. 2010 Jan 1; 126 (1): 224-31. doi: 10.1002 / ijc.24713.
> Melnikow J, McGahan C, Sawaya GF, Ehlen T, Coldman A. Natiijooyinka ka-hortagga taranka ilmo-galeenka ee ilmo-galeenka ka dib daaweyn ka dib: dabagal dheer oo ka yimid Daraasadda British Columbia Study Cohort. J Natl Cancer Inst. 2009 Maajo 20, 101 (10): 721-8. doi: 10.1093 / jnci / djp089.