I-Leukoplakia - yintoni ekunyanyeni kwegazi? Izimpawu, iimpawu kunye nokonyango lwe-leukoplakia yomlomo wesibeleko

Namhlanje amaninzi amabhinqa ajongene nokuxilongwa okunjalo njenge-leukoplakia. Yintoni ekhoyo kwimizimba yobunzima? Kutheni eso sifo senzeka? Ingaba yingozi kangakanani? Ziziphi iindlela zonyango ezinikezwa ngamayeza anamhlanje? Abafundi abaninzi bafuna iimpendulo kule mibuzo.

I-Leukoplakia - yintoni ekunyanyeni kwegazi?

Ukuqala oko kuyimfuneko ukutsho ukuba ukuphulwa okunjalo kubangelwa iqela lezinto ezibizwa ngokuba yi-patanogly precance. Kwaye namhlanje ezininzi izigulane zeengxoxo zentombi ziva ukuxilongwa kwe "leukoplakia". Yintoni ekhoyo kwimizimba yobunzima? Njani kubonakala? Luhlobo luni lweendwangu ezimangazayo?

Esi sifo sihamba kunye ne-thickening kunye ne-cornification elandelayo emva kweembumba zamathambo ezizala. Uninzi lwamaxesha amaninzi, oogqirha kwiirejista ye-medical lekoplakia yesibeleko, apho i- canal yomlomo ichaphazeleka khona . Ukongezelela, utshintsho kwiingqinisiso luvame ukubonwa kwicandelo lomfazi wesisu. I-Leukoplakia yezilwanyana kunye ne-vulva ayifumananga kakhulu.

Le ngxaki ayicatshangwanga kakhulu-ngokubhekiselele kwimiphumo yezibalo, malunga ne-5-6% yabasetyhini bajamelana nesifo esinjalo. Nangona kunjalo, ayikwazi ukunyanzelwa nayiphi na imeko. Inyaniso kukuba esi sifo sikwandisa kakhulu amathuba okuhlaselwa kwesisu kunye nokuphuhliswa komhlaza esikhathini esizayo.

Izizathu ezibalulekileyo zesifo

Kukho ezinye izinto eziphantsi kwefuthe lezo zifo ezingathandekiyo kwaye eziyingozi ezingakhulayo, njenge-leukoplakia. Yintoni ekhoyo kwimizimba yobunzima? Ukuqala oko kuyimfuneko ukuthetha ukuba imbangela yeenguqu zezicubu zinokuba yimpembelelo yendalo engaphandle nangaphakathi.

Iimbangela zangaphakathi ziquka ukuphazamiseka kwinkqubo ye-endocrine. Ukuphululwa kwemvelaphi ye-hormonal kungaholela ekuthambiseni, i-hyperestrogenia, ukwehla okubukhali kwinqanaba leprogesterone, ngenxa yoko kukho iinkqubo ze-hyperplastic in the tisses.

Ngokuphindaphindiweyo i-leukoplakia yesibeleko sisiphumo somsebenzi osulelayo kunye nokuvuvukala. Ngokukodwa, izinto ezinobungozi ngaphambili zihanjiswe i-adnexitis, i-endometritis, irregularity of cycle. Ukongeza, iinguqu zezicubu ziyakhula ngokusuka kwimvelaphi yezifo, kuquka i-herpes, ureaplasmosis, i-cytomegalovirus kunye ne-papillomavirus ukusuleleka, i-mycoplasmosis, i-chlamydia, njl. Izifo ezingaxhaphakiyo (umzekelo, i-cervicitis, colpitis) ingaba yingozi.

Ukulimala kwemichiza kunye nomonakalo wezicubu ze-uterine, ezibangelwa ukukhipha isisu, iinkqubo zokuxilonga okanye unyango (ukutshitshiswa, ukwenziwa kwe-cuterization) kunye negalelo ekuphuhlisweni kwesi sifo. Imiba yengozi iquka ukwehla kumsebenzi we-immune system, ubomi bokuziphatha ngokwesini.

Iintlobo ze-leukoplakia

Kukho iintlobo ezininzi zesifo esibizwa ngokuba yi-leukoplakia. I-Gynecology iyahlula ezintathu, kodwa eneneni kukho izicwangciso ezininzi. Nangona kunjalo, ngokuxhomekeka kwiimpawu zesifundo sesi sifo, umfazi unokuhlakulela ezi zilandelayo:

• Ifomu elula ye-leukoplakia. Kucatshangelwa enye yenguqu yenguqu. Inkqubo enjalo ibonakaliswa ngokukhenkcela kunye nokuhamba kancinci koluhlaza lwe-epithelium - ngelixa i-basal kunye ne-parasal layers ayichaphazeleka yiyo ngxaki.
• Iifom ezininzi zesifo. Zihamba kunye nokuphulwa kwezinto eziqhelekileyo zokuhlukana kwezicubu, okubangela ukuba utshintsho kuzo zonke izalathisi zesalathisi kunye nokwakhiwa kancane kwezakhiwo ze-atypical. Le fomu yesifo ithathwa njengengqungquthela.

Ngokuxhomekeka kwinqanaba le sifo, i-flat flat one (iifomati ezicokisekileyo ezisezantsi kwi-epithelium), i-scaly (iyakwazi ukubona iindawo ezinokhenkethi), i-scaly (utshintsho kwiiseli ezihambisane nokukhukhula), i-warty kunye nezinye iilkoplakia.

Ziziphi iimpawu ezihambelana nesi sifo?

Abasetyhini abaninzi banomdla kwiimbuzo malunga nokuba ziphi iimpawu ezihamba kunye neukoplakia. Ukuphononongwa koogqirha kunye nezigulane, kunye neenkcukacha ezivela kwiingcaphephe zophando zibonisa ukuba isininzi esi sifo sisenzeka ngaphandle kweempawu. Ngokuqhelekileyo, utshintsho olusisigxina kunye ne-keratinization yeeseli lufunyenwe ngugqirha kwi-test routination gynecological.

Ngamanye amaxesha i-leukoplakia ibangele ukuphazamiseka okubonakalayo - ngokuqhelekileyo kuphela xa kwenzeka malunga nesiqhelo sokuvuvukala. Abasetyhini abaneengxaki ezifanayo zikhalaza ngokubonakala kwincinci yabamhlophe abanombala ongatshatanga. Ngamanye amaxesha kukho ukubethelwa kwamagama angaphandle. Ezinye izigulane zikhalaza ngesisu esibuhlungu kunye nentlungu ngexesha lokulala.

Yintoni ebonakalayo kwinkqubo yokuxilonga?

Izigulane ezimbalwa ngoku sele zinomdla kumbuzo malunga nento eyenza i-leukoplakia. Iimpawu kunye nokunyangwa kwesi sifo, iingxaki ezinxulumene nayo, nazo zinomdla kubasetyhini. Kodwa akukho nkcazelo engabalulekanga yinkqubo yokuxilongwa.

Njengoko sele kuthethwe ngaye, ugqirha unokugxekta ubukho be-leukoplakia ngexesha lokuhlolwa rhoqo kwesibeleko ngoncedo lwezibuko. Ekubeni kwimihlaba emhlophe kunye nama-kristinised tissues, ukwenziwa kwezicubu zenziwa (ngendlela, le mimandla ingaba enye okanye ininzi).

Ngexesha loviwo lwebhubhoratri, ingcali ingaqaphela ukuba khona kweeseli ngeparakeratosis kunye ne-hyperkeratosis. Kwezinye iimeko, i-biopsy eyongezelelweyo kunye neempendulo ze- hertological ze-tissu zangaphandle-oku kwenza kube lula ukucacisa ubuninzi befuthe kunye ne-atypia yeeseli.

Kwixesha elizayo, i-colposcopy eyandisiweyo yenziwa, ngexesha apho ugqirha angayihlola ngokufanelekileyo iiplati ezenziwe kwiiscupu. Ukongezelela, kubaluleke kakhulu ukucacisa isizathu sesifo, ngoko ke izigulane zivame ukuba zichazwe i-hormonal, i-bacteriological, izifundo ze-immunological kunye nezinye iimvavanyo. Ngamanye amaxesha ukubonisana okongeziweyo kwe-endocrinologist kunye ne-oncologist kuyadingeka.

Unyango lwe-leukoplakia

Ugqirha kuphela onokubeka umfazi ofumana i-leukoplakia yesisu. Unyango kulolu khetho lukhethwe ngabanye, njengoko apha konke kuxhomekeke kwimo kunye nokubandezeleka kwesi sifo, izizathu zokuvela kwayo, kunye nobudala besigulane kunye neempawu zomzimba wakhe.

Ukunyangwa kweziyobisi kucebise xa kwenzeka ukuba i-leukoplakia yesibeleko idibene nokusuleleka okanye ukuvuvukala. Kwiimeko ezinjalo, izigulane zichazwe ngokuchasene nokutshaya, izigulana ze-antibacterial okanye i-anti-antial. Ukuba unengxaki ye-immune system, kufuneka uthathe i-immunomodulators, i-vitamin complexes, njl. Ukuba eso sifo senzekile ngokuchasene nesimo sokuphazamiseka kwinkqubo ye-endocrine, unokufuna unyango ngeziyobisi ze-hormone.

Ulwaphulo, njengomthetho, luhlala malunga neenyanga ezimbini. Ngeli xesha, ibhinqa kufuneka lilandele ngokucophelela zonke iingcebiso zogqirha. Ngendlela, ngexesha lokunyanga kufuneka unqume bonke oonxibelelwano bezesondo - oku kuya kukhawulezisa inkqubo yokubuyisela i-epithelium evamile.

Ezinye iindlela zonyango lwe-leukoplakia

Ukwangoku, kukho iindlela ezininzi zokususa i-foci yekristatini kunye nokwanda kwamathambo. Kodwa kwakhona kuyimfuneko ukuthetha ukuba okokuqala kubaluleke kakhulu ukufumanisa nokuphelisa imbangela yesifo, kwaye emva koko uqhubeke ususe izilonda. Kuza kubekho, kukho iindlela ezininzi ezidumile:

• I-coagulation yokugulisa inikeza i-cauterization yezilonda ngoncedo lwamachiza enonya, umzekelo, "uSolkovagin." Inkqubo ayibuhlungu, inqabile ihamba neengxaki. Ukongezelela, malunga ne-75-96% emva kokuba i-cauterization ibuyiswe kwakhona.
• I-Electrocoagulation yinkqubo apho iinqununu ze-leukoplakia zichithwa ngoncedo lombane wamandla. Le nqubo ihambelana nezinye iingxaki ezinzulu, ngokukodwa, ukukhupha i-HIV kunye nesifo sofayo, ngoko ke akunakudla ngokusetyenziswa kwimizimba yabantu.
• Enye indlela esebenzayo yinkqubo yokukhawuleza, ebuye isinike nesiphumo sama-96%. Ngethuba le nkqubo, iindawo eziguqulwayo zibonakaliswe kwi-nitrojeni egazini, ebangela ukuba ukufa kwenyama kunye nokugatywa.
• Eyona ndlela isebenzayo kwaye iphephile namhlanje ithathwa njengotshiso lwe-laserplakia. Le nqubo ikuvumela ukuba ususe ngokukhawuleza iindawo eziguqukileyo kwaye ngexesha elifanayo ugweme ukudibana negazi kunye nezicubu, ukunciphisa amathuba okusuleleka kumngcipheko. Ngendlela, phambi kwezilonda ezinkulu, inqubo iqhutyelwa amaxesha amaninzi, ade aphele ngokupheleleyo.
• Kwiimeko ezinzima kakhulu, umlomo wesibeleko uchithwa ngokuphinda uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphumelele.

Leukoplakia kunye nokukhulelwa

Kwamanye amabhinqa, i-leukoplakia ifunyenwe kakade ngexesha lokukhulelwa. Ngokukhawuleza kubalulekile ukuthetha ukuba isifo asisongelo ngqo kumntwana. Ewe, kukho umngcipheko wokubeleka kwangaphambi kokuzalwa, ngoko ke isiguli kufuneka sibe phantsi kolawulo lwezonyango rhoqo.

Nangona kunjalo, i-leukoplakia ngexesha lokukhulelwa kuyingozi yowesifazane. Inyaniso kukuba ukuguqulwa kwimiba ye-hormonal kunye nokutshintsha kwindlela yokusebenza yenkqubo yokuzivikela komzimba kungabangela ukubola. Yingakho kubaluleke kakhulu ukuxilonga nokuphelisa eso sifo ngethuba lokukhulelwa.

Amanyathelo okukhusela

Ngelishwa, akukho nkunkuma inokukwazi ukukhusela ngokusisigxina eso sifo. Ngenxa yoko, ukukhusela i-leukoplakia kuncitshiswa kwiimviwo ezikhusela rhoqo kwi-gynecologist. Kunconywa ukuba kusetyenziswe izixhobo zokukhusela ngexesha lokwabelana ngesondo, ukwenza iimvavanyo kunye nokukhawuleza kwixesha kwiintsholongwane ezahlukeneyo kunye nezifo ezivuthayo, kwaye, ukuba zifunyenwe, ukuba ziqhube izifundo zonyango ngexesha. Ngokwemvelo, uyamkela ukuqiniswa kwe-immune system, kunye nesondlo esifanelekileyo, indlela yokuphila ngokunyanisekileyo kunye neminye imisebenzi yokuzonwabisa.

Ukuhlaselwa kwezigulane

Ngokungabikho kokuhlaselwa kakubi kwezicubu, unyango luyakwenzeka - kubaluleke kakhulu ukucacisa nokuphelisa imbangela ye-leukoplakia kwaye kuphela ukususa indawo eguqulelwe. Ulwaphulo olunjalo, njengomthetho, luphela ngokubuyisela ngokupheleleyo. Iminyaka emibili yokuqala emva kokunyanga, isigulane sinyanzelekile ukuba sibe ne-colposcopy rhoqo kwiinyanga ezintandathu-oku kwenza ukuba kube lula ukujonga ukuphindaphinda kwangoko. Ngelishwa, ukuba isizathu esisisifo sesifo asizange sichithwe, ngoko kwenzeka ukuba isifo esiya kuba ngumhlaza wesibeleko siphezulu.

I-Leukoplakia (unyango): ukuphononongwa koogqirha kunye nezigulane

Namhlanje, abaninzi abasetyhini bahamba kwinkqubo yokuphathwa kwesi sifo. Kwenzeka ngokukhawuleza kangakanani ukubuyiswa komzimba emva kokufumanisa ukuba une-leukoplakia yomlomo wesibeleko? I-Feedback ibonisa ukuba ukususwa kweendawo ezinokhatyathwa yiyona ndawo ihamba ngokukhawuleza kwaye elula kakhulu yonyango. Ixesha elininzi kunye nemigudu ithathwa yinkqubo yokuchonga nokuphelisa izizathu zesifo (unyango lwe-hormonal, ukulungiswa kwe-immunity, unyango lwezifo ezivuthayo kunye nezifo). Imilinganiselo yokubambisana, abaninzi abafazi banokukwazi ukujamelana nesifo ngoku, ngokukodwa ukuba inkqubo yokuguqulwa kwamathambo ichongiwe kwiinqanaba zokuqala. Emva kokuphilisa, isiguli sisoloko sinokuthembela ekukhuliseni, ukukhulelwa okuqhelekileyo kunye nobomi obugcwele ngokwesondo.