Tus Sau: Marcus Baldwin
Hnub Kev Tsim: 20 Lub Rau Hlis Ntuj 2021
Hloov Hnub: 1 Lub Xya Hli Ntuj 2024
Anonim
Cervical Dysplasia, Causes, Signs and Symptoms, Diagnosis and Treatment.
Daim Duab: Cervical Dysplasia, Causes, Signs and Symptoms, Diagnosis and Treatment.

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

American College ntawm Obstetricians thiab Gynecologist. Xyaum Ua Daim Ntawv No. 168: tshuaj ntsuam mob qog nqaij hlav ncauj tsev menyuam thiab kev tiv thaiv. Obstet GynecolCov. 2016; 128 (4): e111-e130. PMID: 27661651 pubmed.ncbi.nlm.nih.gov/27661651/.

American College ntawm Obstetricians thiab Gynecologist. Xyaum Ua Daim Ntawv No 140: kev tswj xyuas kev kuaj mob khees-xaws ncauj tsev menyuam thiab kuaj mob khees-xaws ncauj tsev menyuam ua ntej. Obstet GynecolCov. 2013; 122 (6): 1338-1367. PMID: 24264713 pubmed.ncbi.nlm.nih.gov/24264713/.

Armstrong DK. Gynecologic cov qog nqaij hlav. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 189.

Freedman MS, Tus saib xyuas tsiaj P, Ault K, Kroger A. Pawg Neeg Tawm Tswv Yim Txog Kev Tshaj Tawm Tshuaj Tiv Thaiv tau pom zoo kev teem caij txhaj tshuaj rau cov neeg laus hnub nyoog 19 xyoos lossis tshaj saud - Tebchaws Asmeskas, 2020. MMWR Morb Mortal Wkly RepCov. 2020; 69 (5): 133-135. PMID: 32027627 pubmed.ncbi.nlm.nih.gov/32027627/.

Tus tub luam nyiag NF. Cervical dysplasia thiab mob cancer. Hauv: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Qhov tseem ceeb ntawm Obstetrics thiab GynecologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 38.

Kev Tiv Thaiv Cov Kws Ua Haujlwm, Pawg Saib Xyuas Kev Noj Qab Haus Huv Rau Cov Hluas. Pawg Neeg Sawv Cev Lub tswvyim 704: kev txhaj tshuaj papillomavirus tib neeg. Obstet GynecolCov. 2017; 129 (6): e173-e178. PMID: 28346275 pubmed.ncbi.nlm.nih.gov/28346275/.

Pawg Robinson CL, Bernstein H, Poehling K, Romero JR, Szilagyi P. Pawg Neeg Tawm Tswv Yim Txog Kev Txhaj Tshuaj Tiv Thaiv tau pom zoo cov sijhawm txhaj tshuaj tiv thaiv kab mob rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog 18 xyoo lossis qis dua - Tebchaws Asmeskas, 2020. MMWR Morb Mortal Wkly RepCov. 2020; 69 (5): 130-132. PMID: 32027628 pubmed.ncbi.nlm.nih.gov/32027628/.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia ntawm qis qis hauv qhov chaw mos (ncauj tsev menyuam, qhov chaw mos, qhov chaw mos): kev ntsuas mob, tshuaj ntsuam, ntsuas mob, tswj hwm. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 28.

Saslow D, Solomon D, Lawson HW, li al; ACS-ASCCP-ASCP Pawg Thawj Coj Khees Xaws Ntawm Kev Mob Hlwb. American Cancer Society, American Society rau Colposcopy thiab Cervical Pathology, thiab American Society for Clinical Pathology tshuaj xyuas cov txheej txheem qhia txog kev tiv thaiv thiab kuaj ntxov ntxov txog mob khees xaws ncauj tsev menyuam. CA Cancer J ClCov. Xyoo 2012; 62 (3): 147-172. PMID: 22422631 pubmed.ncbi.nlm.nih.gov/22422631/.

Asmeskas Cov Kev Pabcuam Tiv Thaiv Cov Haujlwm, Curry SJ, Krist AH, Owens DK, li al. Kev kuaj mob ncauj tsev menyuam: Asmeskas Cov Kev Pabcuam Tiv Thaiv Cov Haujlwm xav kom muab lus tshaj tawm. JAMACov. 2018; 320 (7): 674-686. PMID: 30140884 pubmed.ncbi.nlm.nih.gov/30140884/.

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