Umdlavuza Womlomo wesibeletho
Incazelo emfushane:
Umdlavuza womlomo wesibeletho, owaziwa nangokuthi umdlavuza womlomo wesibeletho, uyisimila esivame kakhulu emzileni wokuzala wabesifazane.I-HPV iyisici esiyingozi kakhulu sesifo.Umdlavuza womlomo wesibeletho ungavinjelwa ngokuhlolwa njalo nangokugoma.Umdlavuza womlomo wesibeletho wangaphambi kwesikhathi welapheka kakhulu futhi ukubikezelwa kwawo kuhle kakhulu.
I-Epidemiology
I-WHO yakhipha ngo-2018 ukuthi izehlakalo zomhlaba wonke zomdlavuza womlomo wesibeletho zilinganiselwa ku-13 kubantu abayizi-100000 e-Wei minyaka yonke, futhi izinga lokufa libalelwa ku-7 kubantu abayizi-100000 ababulawa umdlavuza womlomo wesibeletho.Ngo-2018, kube nezigameko ezintsha ezibalelwa ku-569000 zomdlavuza womlomo wesibeletho kanye nokufa kwezi-311 000, okungama-84% kuzo ezenzeke emazweni angathuthukile okuhweba ngabathengi.
Ukugula nokufa komdlavuza womlomo wesibeletho kwehle kakhulu eminyakeni engu-40 edlule, okuhlobene nokuqiniswa kwemfundo yezempilo, ukugonywa kwe-HPV kanye nokuhlolwa komdlavuza womlomo wesibeletho.
Lesi sifo sivame kakhulu kwabesifazane abaneminyaka ephakathi (35-55y).Amaphesenti angu-20 amacala avela eminyakeni engaphezu kwengu-65 futhi ayivelakancane entsheni.
Izindlela zokuxilonga umdlavuza womlomo wesibeletho:
1. Ukuhlolwa kwe-Cytological of curettage yomlomo wesibeletho.
Le ndlela ikwazi ukubona izilonda ezidala umdlavuza womlomo wesibeletho kanye nomdlavuza womlomo wesibeletho kusenesikhathi, ngoba kunezinga elingelona iqiniso elingu-5% mi 10%, ngakho iziguli kufanele zihlolwe njalo.
2. Ukuhlolwa kwe-iodine.
I-epithelium evamile yomlomo wesibeletho kanye ne-vaginal squamous epithelium inothile nge-glycogen futhi ingangcoliswa ingxube ye-iodine ibe nsundu, kuyilapho ukuguguleka komlomo wesibeletho kanye ne-epithelium engavamile ye-squamous (kuhlanganise ne-atypical hyperplasia, i-carcinoma in situ kanye ne-invasive carcinoma) azikho futhi ngeke zibe namabala.
3. I-Biopsy yomlomo wesibeletho kanye nomsele womlomo wesibeletho.
Uma i-smear cytology yomlomo wesibeletho ikubanga Ⅲ ~ Ⅳ, kodwa i-biopsy yomlomo wesibeletho inegethivu, izicubu eziningi kufanele zithathwe ukuze kuhlolwe ukugula.
4. I-Colposcopy