Squamous carcinoma wa khomo pachibelekeropo: madokotala ananena zawo, chithandizo

Malinga ndi kafukufuku, khomo lachiberekero neoplasia (m'bale Cin), mwachitsanzo khansa, ndi mtsogoleri mu kapangidwe ka khansa. Nthawi zambiri, ndi alibe minofu yachibadwa mu chotupa cha zimawonedwa pa khomo pachibelekeropo. Ichi ndi chifukwa epithelium lapansi. Chifukwa squamous carcinoma wa khomo pachibelekeropo akutchula mitundu wamba matenda a khansa, kuchititsa matenda oyambirira. Mkubwela kwa zochitika zapadera mosamala angapezeke osati pa magawo koyamba chotupa, koma mkhalidwe isanafike atypia. matenda oyambirira ndi mankhwala a khansa khomo lachiberekero n'zotheka kuti apulumutse kwambiri akazi. Choncho kudwala Mapa lero si zoopsa.

Squamous carcinoma wa khomo pachibelekeropo - ndichiyani?

khansa khomo lachiberekero imatengedwa kuti ndi mutu otentha osati kwa madokotala, komanso mkazi aliyense. Popeza anayamba kupewa yogwira matenda ndi matenda ake, anadziŵa lonse yaikulu kwambiri matenda. The khansa ambiri ndi khomo lachiberekero squamous. Mtundu wa chotupa amadziwika kuti zinthu atypical kuonekera kwa mwana multilayered epithelium kuti mizere ectocervix. M'mawu ena, mtundu wa khansa lili pamalo pamene khomo pachibelekeropo akulowa nyini.

Masiku ano matenda okhudzana ndi mmodzi wa pathologies ambiri oncological. Ektotserviksa zochitika khansa ndi 15 pa 100,000 alionse. Ngakhale chiwerengero cha imfa ku matenda, matenda madokotala ananena zawo amamuchititsa bwino. Ngati kale khansa ndi squamous khomo lachiberekero matenda yekha mu magawo lotsiriza la mankhwala tsopano kuyambira wina kuyambira akapeza zinanso ziti.

Monga matenda onse matenda a khansa, neoplasia khomo lachiberekero nthawi yaitali alibe mawonetseredwe matenda. Choncho n'kofunika kulabadira kusintha pang'ono zikuchitika mu thupi, komanso maulendo nthawi kuti gynecologist lapansi.

Chimayambitsa khansa ya khomo lachiberekero

Maonekedwe a neoplasia squamous kugwirizana ndi zinthu zosiyana etiological. Makamaka zimenezi zikugwira ntchito kwa kuyan'anila za dongosolo endocrine. Amakhulupirira kuti pali kugwirizana pakati pa matenda a khansa kudwala ndi boma m'thupi la thupi wamkazi. Nthawi zambiri kudziwika khansa khomo lachiberekero akuwonjezeka misinkhu esitirojeni. mahomoni izi amapangidwa ndi thumba losunga mazira ndi. Kuwonjezera kapena kuchepa msinkhu wawo umalamulidwa ndi ubongo imene imalamulira kutentha kwa. Popeza ubale wa matenda ndi matenda endocrine, awa ndi odziwika zimayambitsa poppies khomo lachiberekero khansa:

1. ntchito yaitali kulera. kulera kwambiri wapangidwa ndi estrogens. Choncho, ntchito COCs n'kofunika nthawi kuwona dotolo kudziwa mlingo wa mahomoni.
2. Mankhwalawa "Tamoxifen" ndi analogues ake. The medicament ntchito pa matenda a khansa. Komabe, mankhwala ayenera kugwiritsidwa ntchito mosamala kwambiri, chifukwa nayenso ndi timadzi.
3. chithokomiro (hypothyroidism), kunenepa ndi matenda. limati iwonso amathandiza kuti milingo timafunika ndi chitukuko cha khansa khomo lachiberekero.

Komanso, pali zinthu zina powonjezera. Pakati pawo matenda aakulu maliseche, mimba, ambiri mimba ndi kubereka, ndi kusapezeka wawo wonse. Khomo lachiberekero squamous carcinoma selo zambiri amapezeka ndi maziko a pathologies monga tizilombo ting'onoting'ono, kukokoloka, leukopenia ndi erythroplakia dysplasia. M'zaka zaposachedwapa, matenda kugwirizana ndi mitundu HPV 16 ndi 18. Akatswiri The anazindikira ichi, chifukwa tizilomboto uyu amapezeka pafupifupi onse odwala matenda neoplasia khomo lachiberekero.

Zosiyanasiyana carcinoma squamous selo

Popeza chikhalidwe cha maselo zaminyewa kuti alandire atypia, kudziwa mitundu yambiri ya neoplasia khomo lachiberekero:

1. Adenocarcinoma. mtundu uwu ndi zochepa wamba ena.
2. Keratinizing squamous carcinoma wa khomo pachibelekeropo. Yodziwika ndi mapangidwe granules keratin pa zaminyewa pamwamba. Matenda mbali ya matenda ngati "ngale khansa." Smears zosiyanasiyana mu maonekedwe, kukula losongoka maselo.
3. Low kalasi chotupa. N'zosatheka kudziwa zinthu ma akhala akukonza atypia. chimake Izi zikusonyeza akumane.
4. Neorogovevayuschy squamous khansa khomo lachiberekero. Yodziwika ndi kupanda keratin. The kuipitsa mbiri kuonekera lalikulu matupi chowulungika munali eosinophilic cytoplasm.

Mlingo wa neoplasia khomo lachiberekero

Pa kudziwika neoplasia (m'bale Cin) n'kofunika kuchita kafukufuku kuti tipeze mmene kufalitsa. Poganizira chitukuko maselo atypical, ndi 4 siteji matenda. Kudulidwa mu madigiri limakupatsani kusankha mankhwala oyenera ndiponso kudziwa madokotala ananena zawo. Gawo 0 amatanthauza khansa si olanda, ndiko kuti, maselo nthenda zilipo padziko epithelium, koma mkatikati mu mkati mwa minofu khomo lachiberekero. digiri yoyamba - chotupa prorosla kuya mamilimita angapo. Mwa ichi amatanthauza kuti anayamba olanda squamous selo khansa khomo lachiberekero, amapita malire a thupi. Mu neoplasia chachiwiri siteji chimafikira kwa chizindikiro kapena kumtunda kwa nyini. Mlingo lachitatu amakhala ndi maonekedwe a maselo khansa makoma a mafupa a chiuno ndi. Komanso kugonjetsedwa poyera mmunsi mwa nyini, oyandikana lymph mfundo. Mu sitepe 4 anapeza kuti chotupa chikhodzodzo kapena intestine. Pali metastases lakutali.

The matenda chithunzi khansa khomo lachiberekero

Amaganiziridwa m'bale Cin zovuta, monga Iyeyu ali pafupifupi palibe mbali khalidwe. Poyamba, khansa sizimawoneka kapena ali ndi zizindikiro monga kusamba osasamba, kupweteka pamimba ndi kutsikira kumbuyo, momveka kumaliseche kwa nyini. Mbali khalidwe la kukhudzana ankaona kuti magazi kuti zikuchitika panthawi yogonana. Kenako chizindikiro ankaona m'munsi malekezero edema, malungo otsika kalasi. Pa gawo lotsiriza la imfa Amowabu kulemera, kufooka, kusakhala ndi chilakolako ndi kutupa lymph mfundo mu groin lapansi.

Matenda a squamous selo khansa khomo lachiberekero

Funsani carcinoma squamous selo ikuchitika monga choncho madandaulo, komanso mosamala. Ndi kusanthula wapadera amene walandiridwa swab ya nyini ndi chiberekero (PAP-mayeso). Njira imeneyi n'zotheka kudziwa osati khansa, komanso dysplasia - kusintha kwakung'ono zikuchokera ma. Pamene equivocal colposcopy imagwiridwa ntchito asidi acetic ndi ayodini (kuzindikira mbali ankangokayikira epithelium a). Ngati khansa ndi achifwamba, ndi biopsy wa khomo pachibelekeropo chofunika. Kafukufuku wina ndi kudziwa mtima wa HPV.

Khomo lachiberekero Cancer Chithandizo

squamous khomo lachiberekero khansa chithandizo zikuphatikizapo kuchotsa opaleshoni ya chotupa mankhwala amphamvu ndi cheza mankhwala. Voliyumu ya opaleshoni zimadalira siteji, komanso m'badwo wa wodwalayo. Pamene anthu omwe sanali olanda neoplasia, kapena 1 digiri amathera hysterectomy, kusiya mazira. ntchito Titha odwala angathe kutenga pakati. Ngati wodwala kusamba, ndiye anapanga hysterectomy, kuchotsa zokhudzana ndi omentum wamkulu. Chotero ntchito buku chofunika chifukwa chakuti pali chiopsezo metastasis kapena chotupa zisadzachitikenso. Komanso onani mankhwala ndi wothandizila m'thupi. Mu sitepe otsiriza ikuchitika yekha symptomatic mankhwala.

Squamous khansa khomo lachiberekero: madokotala ananena zawo

Ngakhale mlingo mkulu imfa, pochira zotheka. Zimenezi zikugwira odwala neoplasia, anapezeka mu magawo oyambirira. Zisanu chaka mlingo atafa chithandizo ndi zaka pafupifupi 55%. kusintha Index chifukwa siteji chotupa (pa mlingo 1 ndi 78%, ndi 4 - 7,8%).

zodzitetezera kupewa khansa

Waukulu muyeso njira ndi kukaona gynecologist osachepera 1 nthawi pachaka. M'pofunikanso nthawi matenda maliseche, osati ntchito kuphatikiza kulera m'kamwa kwa zaka zoposa 5, nthawi kudziwa mlingo wa mahomoni. Pamaso pa zifukwa zinanso (khomo lachiberekero kukokoloka, polyp, leukoplakia) ayenera kukumana colposcopy. M'tsogolo, adokotala kusankha mankhwala a matenda maziko. M'zaka zaposachedwapa, Kutacha kupewa enieni a khansa khomo lachiberekero - katemera umalimbana mitundu HPV 16 ndi 18. umachitika mu unyamata. Pamaso katemera, muyenera kukaonana ndi dokotala.