Oncocitology: icho chiri, ndipo Mulimonsemo m'pofunika kuti akapereke kuwunika?

Ntchito iliyonse mkazi wamakono wa m'badwo uliwonse mosamala kuwunika thanzi lawo, ndi matenda, ndithudi, nayenso. Kuchita zimenezi kamodzi pa chaka chofunika pochitika dispanzerizatsiyu zonse, kutenga mayesero onse osavomerezeka, kuphatikizapo kuchita phunziro monga oncocitology. Kodi ndi chifukwa chake chifukwa ofunika kwambiri a kusanthula izi? Izi m'nkhani ino.

Oncocitology-ndichiyani?

khansa khomo lachiberekero ndi amodzi mwa matenda ambiri matenda, amene akuvutika madokotala ndi asayansi padziko lonse lapansi. Kutenga kuipitsa mbiri onkotsitologiyu angazindikire maselo precancerous, ndipo mwamsanga kuyamba kulandira chithandizo choyenerera, nchifukwa chake kusanthula izi ndi zofunika kwambiri.

kafukufuku Onkotsitologichesskoe zikusonyeza kutenga swab ku nyini ndi chiberekero, komanso anayendera ndi kusanthula ziwiri wosanjikiza epithelium kuphimba khomo pachibelekeropo.

Wosanjikiza loyamba epithelium ndi, cylindrical wosanjikiza wosakwatiwa, chimakwirira khomo pachibelekeropo ndi ngalande khomo lachiberekero. Wosanjikiza wachiwiri, ndi planar multilayer chimakwirira nyini.

Investigation ya kapangidwe ka zigawo za epithelium pansi maso ndi limakupatsani kuona maselo mmene wathanzi komanso kudziwa ngati aliyense wa awa mutated, mwachitsanzo khansa.

Analysis wa onkotsitologiyu khomo lachiberekero detects osati pamaso pa maselo nthenda, komanso limasonyeza pamaso pa ndondomeko iliyonse yotupa, kapena kusintha ina iliyonse epithelium lapansi. matenda ambiri wapezeka pa siteji oyambirira, amenable mankhwala bwino.

Zikuonetsa potenga kusanthula onkotsitologiyu

Smears pa onkotsitologiyu wasonyeza kuti akazi onse kuyambira ali ndi zaka 18.

Malinga ndi kafukufuku, ngakhale akazi amene alibe makhalidwe oipa, chitani ndi kutsogolera moyo wathanzi Koma atengeke khansa.

Choncho, khomo lachiberekero onkotsitologiyu kusanthula chofunika ndi kugonana onse chilungamo, m'badwo ambiri. Izi zichitike onse ndi maonekedwe a kukayikirana, ndi kupewa.

Pa kudziwika kwa matenda khomo lachiberekero, kusanthula atengeko zosachepera nthawi 2 chaka. Monga njira muyeso kuphunzira limodzi lokha miyezi 12.

papillomavirus anthu ndi umboni kuvomerezedwa phunziro onkotsitologicheskogo, kuyambira HIV kawirikawiri amachititsa mapangidwe njira khansa.

Kuwonjezera kuwerenga zofunika, chopaka khomo lachiberekero pa onkotsitologiyu anatumizidwa akazi ndi kulephera kupita kumwezi, osabereka, madandaulo a ululu m'mimba, yaitali m'thupi mankhwala. Pachiopsezo komanso akazi amene achibale ankadwala matenda a khansa.

Oncocitology akazi achikulire

Pali zoona kuti akazi pambuyo kusintha ndi mavuto maliseche kutha. olakwika umenewu umatipatsa chakuti madokotala azindikire khansa kwambiri ananyalanyaza, kuchiza zina zosatheka. Choncho usakhale wabisa kukumbutsa amayi ndi grandmothers kuti kusanthula onkotsitologiyu chofunika kudali chaka, ngakhale ukalamba ndi udindo thanzi.

Oncocitology kwa amayi apakati

Pozindikira kufunika kwa Khadili monga oncocitology, ndichiyani nanga tichite, ndi mkazi yense pa siteji ya mapulani mimba.

Olondola kwambiri zidzadutsa musanaone kamodzi Kupenda mimba ankaimbidwa, makamaka akazi amene anakwanitsa zaka makumi atatu ndi akulu. Ndipotu, pa mimba, matenda onse amakonda kuwonjezera kwambiri, zomwe zingachititse kuti imfa ya mwana wosabadwayo ndi mavuto osiyanasiyana.

Woyembekezera, dokotala n'kukulemberani onkotsitologicheskoe kuphunzira katatu. Komabe, mu nkhani ya anaopseza mimba dokotala angasinthe ndondomeko, chifukwa adani a mtundu wa kusanthula kumafuna ena alowererepo zimene zingasokoneze gestation. Pa mayesero onsewa, dokotala wasankha payekha.

Monga kusanthula watengedwera onkotsitologiyu?

Mpanda kusanthula anachita mu chipinda chithandizo ku matenda mpando azamba.

Collection maselo ndi opangidwa ndi ochepa otschipyvaniya epithelium ndi pamwamba pa khomo pachibelekeropo. Pakuti mzamba likugwiritsa ntchito ya zida wosabala, wopangidwa mwa maburashi wapadera ndi spatula.

Ndondomeko sikutanthauza utsogoleli wa mankhwala mankhwala ochititsa akhala sabweretsa chisoni kwambiri. Komabe, odwala ambiri amaopa ena mapindikidwe wa epithelium pamwamba ndi zowawa koma ndi thunthu cholakwika.

ukazi dera si kuonongeka epithelium dongosolo silinasinthe, kuyambira kusanthula mpanda sasiya kufufuza kulikonse. Analysis mwamtheradi zoopsa ndi sizikupanga mkazi kumva kuwawa kapena kusamva bwino.

Atakhala pa kusanthula mu masiku munthu mmodzi kapena awiri anaona zoonera kuti anayesedwa popanda mankhwala.

Atasonkhana kusanthula ndi pa chidutswa wosabala galasi, magalasi kungakhale zidutswa 3. Iwo ankachitira kukonza njira ndipo anawonjezera mtundu njira.

Zasayansi sing'anga-dokotala wodziwa za vutoli amafufuza maselo pansi maso ndipo amapereka maganizo ake. Malinga ndi zotsatira za cytologic mapeto a dokotala kupezeka n'kukulemberani mankhwala oyenera.

Kukonzekera ndondomeko

Ku zotsatira za kuwunika aliyense wa thanzi ndi moyo wa wodwala, imadalira ndi kupaka pa onkotsitologiyu. Zotsatira za kuwunika kudzadalira, kuphatikizapo mmene mkazi kukonzekera ndondomeko.

Nthawi yomweyo mtengo munene kuti kusanthula sangathe pochitika kuzungulira kusamba, komanso pamaso pa magazi ina. Nthawi yomweyo isanachitike isanayambike msambo kapena nthawi yomweyo pamene anamalizidwa, nthawi yabwino, pamene izo tikulimbikitsidwa kuti akapereke chopaka pa onkotsitologiyu. Kutupa kwa maliseche kunja kudzakhala ndi contraindication.

Pofuna kupeza zotsatira yodalirika, masiku awiri pamaso kumupima tikulimbikitsidwa kuti achotse kugonana, douching zichotsedwa, musati ntchito tampon, creams aliyense, mafuta ndi suppositories ukazi.

Musanayambe pobwezera chopaka pa onkotsitologiyu, zotsatira zake zidzakhala kwakukulukulu likudalira anakonza mkazi yotsatira maola 48 ali osavomerezeka kukaona gynecologist ndi kuchita mwai aliyense pa mpando matenda. Onse kupita kwa dokotala ayenera anasamukira ku nthawi iliyonse pambuyo tsiku kusanthula.

kusamba phwando amadziwikanso osavomerezeka chifukwa masiku awiri asanayambe kuphunzira, ndi bwino kuchita shawa.

mitundu oncocytology

Mtundu wa kusanthula onktsitologiyu angakhale mitundu iwiri:

• Easy oncocytology;
• oncocitology madzi.

Kuchititsa zakuthupi madzi anatengedwa oncocytology osati kupaka pa galasi monga pa oncocytology yosavuta ndi maburashi wapadera adatchithisira mu mbale ndi sing'anga wapadera. Analysis kokhazikika mkati madzimadzi, osatembenukira ku ngakhale wosanjikiza maselo kutsukidwa.

Zimene kutenga kusanthula ndi nzeru, si ntchito mu zipatala zonse. Phula oncocitology akulola dokotala-cytologist kupeza zotsatira yodalirika.

chinawathandiza kumvetsa n'chakuti kusanthula

Kamodzi mu chipinda chithandizo oncocitology unachitikira mkazi mawu olembedwa kusanthula zikuchitika katswiri choyezera, cytology, kawirikawiri izo zimatengera pafupifupi milungu iwiri.

Pali magulu asanu a udindo khomo lachiberekero:

1. Kalasi yoyamba ndi ponseponse. Choncho chopaka si wapezeka maselo iliyonse nthenda. Maselo onse a mawonekedwe zabwinobwino komanso kukula.
2. M'kalasi yachiwiri - taonera pamaso kutupa, monga vaginitis.
3. M'kalasi yachitatu - mu kuipitsa mbiri ya munthu lili ndi maselo nthenda mu pang'ono. Chofunika kuti adzathe tione salephera.
4. kalasi wachinayi - mu kuipitsa mbiri ya munthu ndi maselo zilonda.
5. Chachisanu kalasi - maselo onse chopaka atypical. Mwina khansa ndi mkulu.

Komabe, muyenera kudziwa kuti kusanthula onkotsitologiyu si chizindikiro cha khansa, anangowauza amatanthauza kusintha komwe kumachitika maselo phunziro kenako bwino.

Matenda okhazikika ndi dokotala pambuyo angapo mayesero ndi kufufuza, komanso kuonerera zizindikiro.

phunziro Cytological mulinso deta zotsatirazi:

1. A kuipitsa mbiri ya chiberekero cha njira - pafupifupi boma la epithelium squamous ku nyini ndi pa mbali ya ngalande khomo lachiberekero.
2. A kuipitsa mbiri ya gawo ukazi - amafufuza maselo a stratified squamous epithelium, kuphimba gawo ukazi wa khomo pachibelekeropo.

Zotsatira odalirika okwanira kuchuluka kwa chuma chofunika. Apo ayi dokotala m'ndende limasonyeza zosayenera (osakwanira kwa phunziro) kuchuluka kwa mankhwala.

Oncocitology pa kutupa

Ngati muyeso njira kapena amaganiziridwa dokotala matenda matenda yoikidwiratu oncocitology. Kutupa, ngati, chingalepheretse chizindikiritso cha maselo a khansa.

Pankhaniyi m'pofunika pochitika chopaka yosavuta pa miklofloru kulongosolerana gwero la matenda ndi kuyesedwa kwa matenda, matenda opatsirana pogonana.

Pambuyo mankhwala onkotsitologiyu kusanthula ayenera mobwerezabwereza. Chikaonekera ngati mankhwala anapatsidwa thandizo ndi molondola kudziwa kumene kuli maselo a khansa mu Pakani.

zotsatira zoipa

Ngati kusanthula pa onkotsitologiyu limasonyeza kukhalapo kwa maselo a khansa, pamwamba pa zonse, osati mantha. Zopatuka mwakale zambiri sizikutanthauza kuti akazi kukhala zotupa zilonda ndi kuti zinthu sizingasinthe.

Kafukufuku akusonyeza kuti kuipitsa mbiri wosauka pa onkotsitologiyu zimachitika nthawi zambiri ndi khansa khomo lachiberekero la chiberekero ndi zochepa wamba.

A dokotala oyenerera kufotokoza wotani zolakwika akhala kuzindikiridwa ndi mankhwala mayesero zina monga colposcopy kapena biopsy.

Mulimonsemo, kukumbukira kuti kuipitsa mbiri nthenda pa onkotsitologiyu si nthawi zonse chitsimikizo cha kukhalapo kwa khansara mu akazi.

Mkazi aliyense ano azidziwitsidwa za kufunika amenewa Khadili monga oncocitology icho chiri ndi chifukwa Kupenda choncho kotero zofunika kudziwika oyambirira a khansa.