Cervical dysplasia
Cervical dysplasia yog hais txog qhov txawv txav ntawm cov keeb ntawm cov nqaij ntawm lub ncauj tsev menyuam. Lub ncauj tsev menyuam yog qhov qis dua ntawm lub tsev menyuam (lub tsev menyuam) uas qhib rau ntawm qhov chaw mos.
Cov kev hloov pauv tsis yog mob qog noj ntshav tab sis tuaj yeem ua rau mob kheesxaws ncauj tsev menyuam yog tias tsis kho.
Cervical dysplasia tuaj yeem tshwm sim thaum muaj hnub nyoog li cas. Txawm li cas los xij, kev rov qab ua tiav thiab kho yuav nyob ntawm koj lub hnub nyoog. Cervical dysplasia yog feem ntau tshwm sim los ntawm tib neeg papillomavirus (HPV). HPV yog ib tus kab mob uas kis los ntawm kev sib deev. Muaj ntau hom HPV. Qee hom ua rau lub ncauj tsev menyuam dysplasia lossis mob cancer. Lwm hom ntawm HPV tuaj yeem ua rau mob pob ntawm chaw mos.
Cov hauv qab no tej zaum yuav ua rau koj muaj mob rau lub ncauj tsev menyuam:
- Muaj kev sib deev ua ntej hnub nyoog 18 xyoo
- Muaj menyuam nyob rau hnub nyoog heev
- Tau muaj kev sib deev nrog coob leej ntau tus
- Muaj lwm yam mob, xws li mob ntsws lossis HIV
- Siv cov tshuaj uas ua kom koj muaj zog tiv thaiv tsis tau
- Haus Yeeb
- Keeb kwm niam muaj feem raug rau DES (diethylstilbestrol)
Feem ntau, tsis muaj tsos mob dab tsi.
Koj tus kws saib xyuas kev noj qab haus huv yuav kuaj xyuas lub plab me me kom kuaj xyuas lub ncauj tsev menyuam tsis muaj mob. Qhov kev ntsuas thawj zaug feem ntau yog Pap kuaj thiab ntsuas rau qhov kuaj pom HPV.
Cervical dysplasia uas pom ntawm Pap kuaj yog hu ua squamous intraepithelial lesion (SIL). Ntawm Daim Ntawv Tshaj Qhia Pap xeem, cov kev hloov pauv no yuav raug piav raws li:
- Qib-Qib (LSIL)
- Qib-Qib (HSIL)
- Tej zaum mob cancer (malignant)
- Atypical glandular cov hlwb (AGC)
- Atypical squamous hlwb (ASC)
Koj yuav tsum tau kuaj ntxiv yog tias kev ntsuam xyuas Pap qhia pom tias muaj cov hlwb tsis zoo lossis lub ncauj tsev menyuam tsis zoo. Yog tias qhov pauv me me, qhov kev rov qab soj ntsuam Pap yuav yog txhua yam uas xav tau.
Tus kws kho mob yuav kuaj me ntsis los kuaj mob. Qhov no tuaj yeem ua tiav nrog kev siv cov colposcopy. Txhua qhov chaw ntawm kev txhawj xeeb yuav raug kuaj. Qhov kev tso me me nws tsawg heev thiab poj niam feem ntau tsuas hnov mob me me.
Dysplasia uas pom ntawm qhov nqaij me me ntawm lub ncauj tsev menyuam hu ua ncauj tsev menyuam mob leeg nqaij (CIN). Nws tau faib ua 3 pawg:
- CIN I - mob me ntsis ntawm dysplasia
- CIN II - mob pesnrab rau cim dysplasia
- CIN III - muaj mob ntshav tawm los rau mob carcinoma hauv situ
Qee hom kab mob HPV yeej paub tias yuav ua rau mob khees xaws ncauj tsev menyuam. Kev kuaj HPV DNA tuaj yeem txheeb xyuas hom kev pheej hmoo siab heev ntawm HPV txuas nrog tus kabmob no. Qhov kev ntsuas no tuaj yeem ua tiav:
- Raws li kev kuaj mob rau cov poj niam hnub nyoog tshaj 30 xyoo
- Rau cov poj niam tsis hais hnub nyoog li cas uas muaj kev ntsuam xyuas Pap txawv me ntsis
Kev kho mob yog nyob ntawm qhov degree ntawm dysplasia. Me Dysplasia (LSIL lossis CIN I) yuav ploj mus yam tsis muaj kev kho mob.
- Koj tsuas yog yuav tsum tau soj qab xyuas kom zoo los ntawm koj tus neeg zov me nyuam nrog kev ntsuam xyuas Pap dua txhua 6 rau 12 hlis.
- Yog tias cov kev hloov pauv tsis ploj mus lossis mob hnyav ntxiv, yuav tsum tau kho mob.
Kev kho rau dysplasia rau mob me-rau-heev los yog mob me uas tsis ploj mus xws li:
- Cryosurgery kom khov rau cov qe ntshav tsis zoo
- Txoj kev kho laser, uas siv lub teeb kom hlawv cov ntaub so ntswg uas tsis zoo
- LEEP (lub voj voos electrosurgical kev tshaj tawm tus txheej txheem), uas siv hluav taws xob tshem tawm cov nqaij mos tsis zoo
- Kev phais kom tshem tawm cov ntaub so ntswg uas tsis meej (tshem me me)
- Hysterectomy (tsis tshua muaj mob)
Yog tias koj muaj mob qog, koj yuav tsum tau rov kuaj ib zaug txhua 12 hlis los yog raws li koj tus kws kho mob pom zoo.
Nco ntsoov tias koj yuav tau txhaj tshuaj tiv thaiv HPV thaum lawv muab rau koj. Cov tshuaj tiv thaiv no tiv thaiv ntau yam mob khees-xaws ncauj tsev menyuam.
Kev paub thaum ntxov thiab kho sai sai kho feem ntau ntawm mob ncauj tsev menyuam. Txawm li cas los xij, tus mob yuav rov qab los.
Yog tias tsis kho, kev mob hnyav rau lub ncauj tsev menyuam yuav hloov mus rau mob khees xaws ncauj tsev menyuam.
Hu rau koj tus kws kho mob yog koj hnub nyoog 21 lossis laus dua thiab koj yeej tsis tau muaj txoj kev ntsuam xyuas hu ua pelvic thiab Pap test.
Nug koj tus kws khomob txog cov tshuaj tiv thaiv mob HPV. Cov menyuam ntxhais uas txhaj cov tshuaj tiv thaiv no ua ntej lawv muaj kev sib daj sib deev txo lawv txoj kev muaj mob khees xaws ncauj tsev menyuam.
Koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev tsim mob ntawm lub ncauj tsev menyuam dysplasia los ntawm kev ua raws li hauv qab no:
- Mus txhaj tshuaj tiv thaiv mob HPV rau cov muaj hnub nyoog 9 txog 45 xyoos.
- Tsis txhob haus luam yeeb. Kev haus luam yeeb ua rau koj qhov kev pheej hmoo ntawm kev tsim muaj mob loj dua thiab mob cancer.
- Tsis txhob sib deev txog thaum koj muaj 18 xyoo lossis laus dua.
- Siv kev nyab xeeb kev sib deev. Siv hnab looj qau.
- Xyaum kev tswj tus kheej. Qhov no txhais tau tias koj tsuas muaj ib tus khub sib deev ib zaug xwb.
Ncauj tsev menyuam rau mob neoplasia - dysplasia; CIN - dysplasia; Qhov kev hloov pauv ua ntej ntawm ncauj tsev menyuam - dysplasia; Cervical cancer - dysplasia; Mob ua paug mob intraepithelial - dysplasia; LSIL - dysplasia; HSIL - dysplasia; Tsawg-qib dysplasia; High-qib dysplasia; Carcinoma hauv situ - dysplasia; CIS - dysplasia; ASCUS - dysplasia; Atypical glandular hlwb - dysplasia; AGUS - dysplasia; Atypical squamous hlwb - dysplasia; Pap smear - dysplasia; HPV - dysplasia; Tus kab mob rau tib neeg papilloma - dysplasia; Cervix - dysplasia; Colposcopy - dysplasia
- Poj niam deev aub
- Mob ncauj leeg ntshav ntswg
- Uterus
- Ncauj tsev menyuam dysplasia - series
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