Koilocytosis

Zoo Siab

• Cov tsos mob ntawm koilocytosis
• Ua rau mob koilocytosis
• Yuav kuaj li cas
• Kev txheeb ze rau mob qog noj ntshav
• Yuav kho nws li cas
• Cov nqa mus

Koilocytosis yog dab tsi?

Ob qhov chaw sab hauv thiab sab nraud ntawm koj lub cev yog tsim los ntawm cov qib epithelial. Cov qog no ua cov kev thaiv uas tiv thaiv kab mob hauv nruab nrog - xws li qhov tob hauv cov tawv nqaij, lub ntsws, thiab lub siab - thiab tso cai rau lawv ua lawv txoj haujlwm.

Koilocytes, tseem hu ua halo cell, yog ib hom kab mob epithelial ntawm tes uas muaj kev txhim kho tib neeg kev kis mob papillomavirus (HPV). Koilocytes yog cov yam ntxwv sib txawv los ntawm lwm lub hlwb epithelial. Piv txwv li, lawv cov nuclei, uas muaj lub cell ntawm DNA, yog qhov tsis xwm yeem loj, cov duab, lossis xim.

Koilocytosis yog ib lo lus uas hais txog qhov mob siab ua ntej ntawm koilocytes. Koilocytosis tuaj yeem suav ua ntej ua ntej qee yam qog nqaij hlav.

Cov tsos mob ntawm koilocytosis

Ntawm nws tus kheej, koilocytosis tsis yog ua rau cov tsos mob. Tab sis nws tshwm sim los ntawm HPV, tus kab mob kis los ntawm kev sib deev uas tuaj yeem ua rau cov tsos mob tshwm sim.

Muaj ntau dua li HPV. Ntau yam tsis ua rau mob tshwm sim thiab tshem tawm ntawm lawv tus kheej. Txawm li cas los xij, qee yam muaj feem yuav kis mob siab HPV tau txuas rau kev loj hlob ntawm cov mob qog nqaij hlav hauv lub cev, tseem hu ua carcinomas. Cov kab mob txuas ntawm HPV thiab mob khees xaws ncauj tsev menyuam, tshwj xeeb, yog qhov zoo.

Cervical cancer cuam tshuam rau lub ncauj tsev menyuam, qhov ncauj kev nqaim ntawm chaw mos thiab lub tsev menyuam. Raws li yuav luag txhua yam mob khees-xaws ncauj tsev menyuam yog los ntawm tus kab mob HPV.

Cov tsos mob ntawm mob khees xaws ncauj tsev menyuam feem ntau tsis pom tshwm sim txog thaum mob khees-xaws mus txog theem siab kawg. Cov tsos mob kheesxaws ncauj tsev menyuam tuaj yeem suav nrog:

• los ntshav nyob ntawm ntu
• los ntshav tom qab kev sib deev
• mob mob ntawm txhais ceg, pob txha caj dab, lossis nraub qaum
• poob phaus
• tsis qab los noj mov
• nkees
• pojniam tsis xis nyob
• paum qhov paum, uas tej zaum yuav nqaim thiab dej los sis zoo li kua paug thiab muaj qhov tsw phem

HPV kuj tseem cuam tshuam nrog cov qog nqaij hlav uas cuam tshuam rau lub hlwb epithelial hauv qhov quav, qhov chaw mos, lub paum, qhov chaw mos, thiab qhov chaw ntawm lub caj pas. Lwm yam ntawm HPV tsis ua rau muaj mob qog nqaij hlav, tab sis tuaj yeem ua rau mob pob ntawm chaw mos.

Ua rau mob koilocytosis

HPV kis tau los ntawm kev sib deev, suav nrog kev sib deev ntawm qhov ncauj, lub qhov quav, thiab ntawm lub paum. Koj yuav muaj kev pheej hmoo yog tias koj tau sib deev nrog ib tus neeg uas muaj tus kabmob no. Txawm li cas los xij, vim HPV tsis tshua pom muaj mob tshwm sim, ntau tus neeg tsis paub lawv muaj tus mob no. Lawv tuaj yeem tsis paub txog yam nws kis rau lawv cov neeg koom tes.

Thaum HPV nkag mus rau hauv lub cev, nws ntaus lub hlwb epithelial. Cov qog no feem ntau nyob ntawm thaj chaw ntawm chaw mos, piv txwv li lub ncauj tsev menyuam. Tus kab mob encode nws cov protein nkag rau hauv lub hlwb 'DNA. Qee qhov ntawm cov protein no tuaj yeem ua rau cov kev hloov pauv uas ua rau cov hlwb hloov mus rau koilocytes. Qee tus muaj lub peev xwm ua rau mob cancer.

Yuav kuaj li cas

Koilocytosis nyob rau hauv lub ncauj tsev menyuam yog nrhiav pom los ntawm kev kuaj me nyuam hauv Pap smear los yog ncauj tsev menyuam.

Pap smear yog qhov kev kuaj mob mus kuaj mob HPV thiab mob ncauj tsev menyuam. Thaum kuaj Pap smear, tus kws kho mob siv tus txhuam hniav me me los coj cov hnoos qeev los ntawm lub ntsej muag ntawm lub ncauj tsev menyuam. Cov qauv yog tshuaj xyuas los ntawm tus kws kho mob rau cov mob koilocytes.

Yog tias cov txiaj ntsig tau tshwm sim zoo, koj tus kws kho mob yuav hais qhia kom muaj nqaij ua kom lub cev voos lossis nqaij hlav ntawm lub tsev me nyuam. Thaum lub caij colposcopy, tus kws kho mob siv lub cuab yeej los ua kom pom qhov pom kev thiab ua kom lub ncauj tsev menyuam loj tuaj. Qhov kev kuaj mob no zoo ib yam li kev kuaj koj muaj nrog khaws ntawm koj li Pap smear. Thaum lub ncauj tsev me nyuam tawm, kws kho mob tshem ib qho nqaij me me hauv koj lub ncauj tsev menyuam coj mus kuaj.

Koj tus kws kho mob yuav qhia qhov tshwm sim ntawm kev kuaj twg koj. Qhov tshwm sim zoo tuaj yeem txhais tau tias koilocytes tau pom.

Cov txiaj ntsig no tsis txhais tau tias koj muaj mob qog nqaij hlav rau lub tsev menyuam lossis koj yuav kis nws. Txawm li cas los xij, koj yuav tsum tau soj ntsuam thiab kev kho mob txhawm rau tiv thaiv kev tuaj yeem tshwm sim mob qog nqaij hlav rau ncauj tsev menyuam.

Kev txheeb ze rau mob qog noj ntshav

Koilocytosis ntawm ncauj tsev menyuam yog qhov ua ntej rau kev mob kheesxaws ncauj tsev menyuam. Qhov kev pheej hmoo thaum ntau koilocytes uas tshwm sim los ntawm qee yam kab mob ntawm HPV tuaj.

Kev kuaj mob ntawm koilocytosis tom qab Pap smear los yog ncauj tsev me kuaj ntxiv qhov xav tau kuaj mob qog nqaij hlav cancer ntau zaus. Koj tus kws kho mob yuav qhia koj thaum koj yuav tau rov kuaj dua. Kev tswj xyuas tuaj yeem suav nrog kuaj txhua peb lossis rau lub hlis, nyob ntawm koj qib kev pheej hmoo.

Koilocytes kuj tseem cuam tshuam rau cov qog nqaij hlav uas tshwm sim rau lwm thaj chaw ntawm lub cev, xws li lub qhov quav los yog caj pas. Txawm li cas los xij, kev tshuaj ntsuam cov txheej txheem ntawm cov qog nqaij hlav tsis zoo li tau tsim los ntawm cov neeg mob qog nqaij hlav ncauj tsev menyuam. Qee zaum, koilocytosis tsis yog ib qho kev ntseeg siab uas yuav ua rau muaj mob qog noj ntshav.

Yuav kho nws li cas

Koilocytosis tshwm sim los ntawm tus mob HPV, uas tsis paub kho kom zoo. Feem ntau, kev kho mob rau HPV lub hom phiaj kho mob nyuaj, xws li mob pob ntawm chaw mos, mob ncauj tsev menyuam, thiab lwm yam mob qog nqaij hlav uas tshwm sim los ntawm HPV.

Yuav muaj ntau dua thaum nrhiav pom tias mob caj dab rau lub tsev menyuam lossis mob qog noj ntshav thiab tau kuaj ntxov.

Yog tias muaj kev txawv txav ntawm lub ncauj tsev menyuam, kev saib xyuas koj qhov kev pheej hmoo los ntawm kev kuaj mob ntau zaus yuav txaus. Qee tus poj niam uas tau mob ncauj tsev menyuam yuav tsum muaj kev kho mob, hos kev daws teeb meem tshwm sim rau lwm tus poj niam.

Cov kev kho mob rau lub tsev menyuam mob nrog rau:

• Voj electrosurgical txheej txheem kev zam (LEEP). Nyob rau hauv txoj kev ua no, cov ntaub so ntswg tsis zoo yog raug tshem tawm ntawm lub ncauj tsev menyuam uas siv qhov ntsuas tshwj xeeb nrog lub voj hlau uas nqa hluav taws xob. Lub voj xov hlau yog siv zoo li lub ntsej muag kom maj mam khawb ua kom ceev cov ntaub so ntswg.
• Cryosurgery. Cryosurgery tseem cia kom khov cov ntaub so ntswg tsis zoo kom rhuav tshem lawv. Cov kua roj nitrogen lossis carbon dioxide tuaj yeem siv rau lub ncauj tsev menyuam kom tshem tawm cov xwm txheej tsis zoo.
• Kev phais laser. Thaum phais laser, ib tug kws phais neeg siv lub laser txiav thiab tshem tawm cov nqaij mos ua mob sab hauv lub ncauj tsev menyuam.
• Hysterectomy. Txoj kev phais no tshem tawm lub tsev me thiab lub ncauj tsev menyuam; qhov no feem ntau siv rau cov poj niam uas tsis tau daws teeb meem nrog lwm txoj kev kho mob.

Cov nqa mus

Yog tias koilocytes nrhiav pom nyob hauv ib txwm muaj Pap smear, nws tsis tas yuav txhais tau tias koj muaj mob qog nqaij hlav rau lub tsev menyuam lossis yuav kis nws. Nws txhais tau tias koj yuav xav tau kev kuaj mob ntau ntxiv kom yog tias muaj mob cancer rau ncauj tsev menyuam, nws tuaj yeem kuaj tau thiab kho tau ntxov, yog li muab qhov txiaj ntsig zoo tshaj plaws rau koj.

Txhawm rau tiv thaiv HPV, xyaum kev pw ua ke kom nyab xeeb. Yog tias koj muaj hnub nyoog 45 xyoos lossis hluas dua, lossis yog koj muaj menyuam uas yog, nrog koj tus kws khomob tham txog cov tshuaj tivthaiv uas yog kev tivthaiv ntxiv rau qee yam kabmob HPV.