Squamous carcinoma of cervix: fungidziro, kurapwa

Maererano nenhamba, muromo wechibereko neoplasia (nezvaCin), kureva kenza, ari mutungamiri sechivako kenza. Kakawanda, degeneration kuti kwagara zvinyama mu bundu iri kuchengetwa pamusoro cervix. Izvi nokuda epithelium. Nekuti squamous carcinoma pamusoro cervix rinoreva zvakafanana siyana zvirwere kenza, vakayambusa yayo mangwanani kuongorora chirwere. With veMubatanidzwa chinokosha kuongorora zvirongwa zvinogona kuwanikwa kwete chete pane kwokutanga nzendo bundu, asi hurumende isati atypia. Early chirwere uye vabatwe gomarara zvigoneke kuponesa yakawanda nevakadzi. Naizvozvo zvokurwara for nhasi shoma inoparadza.

Squamous carcinoma of cervix - chii?

Gomarara iri kuonekwa rinopisa nyaya kwete chete nokuda kuvarapi, asiwo mukadzi ose. Sezvo vakatanga kushingaira kudzivirira chirwere uye ayo Diagnostics, akaziva guru kukura chirwere. The inonyanya kenza ndiyo remuromo squamous. Izvi rworudzi bundu zvinozivikanwa kuti atypical zvinhu kuonekwa kubva saibva multilayered epithelium kuti mitsetse yacho ectocervix. Nemamwe mashoko, kwakadai kenza iri panzvimbo apo cervix anopinda nyinyo.

Munyika yanhasi chirwere ichi kwakabatana zvikuru zvakafanana oncological pathologies. Ektotserviksa kuitika kenza 15 paminiti 100,000 kwevanhu. Pasinei wepagore kuwedzera munyama kubva chirwere ichi, fungidziro chirwere ruchigona kuvandudza. Kana yapfuura kenza riri squamous remuromo chirwere chete okupedzisira nzendo kurapwa vava kutanga mumwe kubva vakambowana predisposing zvinokonzera.

Kufanana zvose gynecological kenza chirwere, remuromo neoplasia refu nguva hakuna zvekuchipatara kuratidzwa. Saka zvinokosha kuti unyatsoteerera kuchangotanga kuchinja kuitika mumuviri, uyewo nguva nenguva uchishanyira vanhu gayinakorojisiti.

Zvinokonzera gomarara

The pakuonekwa squamous neoplasia chokuita zvakasiyana etiological zvinhu. Zvikurukuru azvinoita kutyorwa kuri kwemakemikari anobudiswa hurongwa. Zvinofungidzirwa kuti pane rakananga ukama pakati gynecological kenza zvokurwara uye hormone mamiriro munhukadzi muviri. Kazhinji kuziva miedzo gomarara iri kuwedzera inonzi estrogen mumatunhu. mahormone aya neve ovaries. Wedzerai kana kuderera aenzane inotongwa hypothalamus. Kupiwa ukama chirwere pamwe kwemakemikari anobudiswa zvinetso, zvinotevera zviri anozivikanwa zvinokonzera gomarara poppies:

1. kushandiswa Long-rokuti pamuviri. nhumbu Most rinoumbwa estrogens. Naizvozvo, kushandisa COCs chinodiwa nguva nenguva kuona chiremba kuti aone pachiyero mahormone.
2. Treatment ne "Tamoxifen" uye ayo analogues. The medicament inoshandiswa pakurapa kenza yemazamu. Kunyange zvakadaro, kuti mushonga anofanira kushandiswa nokungwaririra akaipisisa, sezvo kuri hormone.
3. thyroid (hypothyroidism), kufutisa uye zvirwere. inoti izvi vanobatsirawo kwevari inonzi estrogen uye kukura gomarara.

Uyezve, pane zvimwe zvinokonzera. Pakati pavo: chisingaperi dzokubereka zvirwere, pamuviri, vakawanda pamuviri uye kuzvarwa, uye avo kusavapo zvizere. Remuromo squamous Sero carcinoma kazhinji kunoitika pamusoro yaitwa pathologies zvakadai polyps, kukurwa kwevhu, leukopenia uye erythroplakia dysplasia. Mumakore achangopfuura, chirwere chokuita HPV mhando 16 uye 18. vanotsvakurudza vakasvika mhedziso iyi, nekuti utachiona hwakakura ichi rinowanikwa zvinenge zvose varwere vanenge remuromo neoplasia.

Mhando dzakasiyana-siyana squamous muchitokisi carcinoma

Akapiwa yezvakaita epithelial masero kuti vanosangana atypia, kudoma marudzi anoverengeka remuromo neoplasia:

1. Adenocarcinoma. Iyi mhando ndiyo ishoma vamwe.
2. Keratinizing squamous carcinoma yacho cervix. Dzinoratidzwa paumbwe puroteni granules pamusoro epithelial penyika. Chirwere chepfungwa chirwere ichi vanonzi "kenza namaparera." Smears dzaisiyana chitarisiko, kukura kuenzana masero.
3. bundu Low-mugiredhi. Hazvibviri kuona izvo cellular zvinhu kunge inini atypia. musimboti Izvi saka zvisingafadzi..
4. Neorogovevayuschy squamous gomarara. Dzinoratidzwa kushaya puroteni. The zodzera inooneka huru denderedzwa miviri ane eosinophilic cytoplasm.

The mwero remuromo neoplasia

Pamusoro kuziva miedzo neoplasia (nezvaCin) Zvakakodzera kuti kuitisa kuongorora kuti azive rwakadini ayo akapararira. Kufunga kukura masero atypical, tiri 4 pechikuva chirwere. Divide nokuda dhigirii ambotirega kusarudza zvakakodzera kurapwa uye ona fungidziro. Stage 0 inotaura kuvasiri invasive kenza, kureva kuti hakusi masero anowanika pamusoro pemvura epithelium, asi haana kupinda mumba richienda remuromo tishu. First dhigirii - bundu prorosla kudzika wandei mm. By izvi zvaireva kuti dzakabudirira invasive squamous muchitokisi gomarara, zvinopfuura mwero muviri. In yechipiri Danho neoplasia kunosvika kune parameter kana huyo chikamu nyinyo. The dhigirii yechitatu kunoratidzwa pakuonekwa kenza masero pamadziro chiuno. Uyewo kukundwa pachena rezasi chikamu nyinyo, kuti remunharaunda node nodes. In danho 4 yacho kuti bundu dundira kana ura. Pane metastases kure.

The kunotoda mufananidzo gomarara

Vanofungidzirwa nezvaCin yakaoma, sezvo iye akapotsa hapana chinoratidza zvinhu. Pakutanga, kenza hariwaniki kana ane zviratidzo zvakadai semugari kumwedzi, marwadzo mudumbu uchingodzikira shure, akajeka zvinoyerera kubva nyinyo. A maitiro chinhu vaiona kuonana ropa, kureva kuitika panguva zvepabonde. Papera chiratidzo vaiona yakaderera kumugumo edema, fivha shoma-mugiredhi. Pakupedzisira padariro nemuumbi uremu, utera, kurasikirwa kudya uye kuzvimba node nodes ari muhudyu.

Chirwere pamusoro squamous muchitokisi gomarara

Kuziva squamous sero carcinoma achaendeswa sezvo nyaya zvichemo, uyewo kuongorora. Chaiwo pachisara iyo chinobviswa swab pamusoro nepanhengo uye cervix (pap-bvunzo). With nzira iyi zvinokwanisika kuziva kwete kenza chete, asiwo dysplasia - kuchinja diki iri cellular sezvamunoita. Kana equivocal colposcopy rinoitwa kushandisa acetic asidhi uye ayodhini (kuziva kufungira nzvimbo epithelium). Kana kenza ari vanofungidzirwa, mumwe biopsy pamusoro cervix chinodiwa. Chimwe chidzidzo ndechokuti kuongorora kutsunga HPV.

Gomarara Treatment

squamous gomarara kurapwa kunosanganisira kuvhiya kubviswa bundu, mishonga uye nemwaranzi mishonga. Vhoriyamu wokuvhiya kunoenderana pachikuva, uyewo nemakore murwere. Kana dzisiri invasive neoplasia, kana 1 dhigirii kupedza chibereko, tichisiya ovaries. oparesheni Izvi zvinoratidzwa varwere vanokwanisa pamuviri. Kana murwere ari kubereka, ipapo akaita chibereko, kubviswa zvinoshandiswa uye mukuru omentum. mumwe vhoriyamu mashandiro kwakadaro unodiwa nokuda kuti pane njodzi metastasis kana bundu dzokororo. Uyewo ona mushonga chete hormone nevamiririri. Mumakore nhano rinoitwa chete symptomatic kurapwa.

Squamous gomarara: fungidziro

Pasinei mukuru mwero wokufa kwevanhu, kupora zvinokwanisika. Izvi zvinoshanda varwere neoplasia, akaonekwa mukutanga nezvishoma. -Gore mashanu wokurarama pashure kurapwa Avharenji vanenge 55%. Index kuchinja nokuda bundu rwakazara (pana 1 dhigirii ndiyo 78%, pamwe 4 - 7.8%).

Matanho kudzivisa kenza

The chikuru chokudzivirira kwazvo kushanyira gayinakorojisiti dzinenge 1 nguva pagore. Zvinokoshawo panguva kubata dzokubereka zvirwere, kwete kushandisa yaisanganisa dzaiita pamuviri kuti anopfuura 5 makore, nguva nenguva kuona pachiyero mahormone. In pamberi predisposing zvinhu (remuromo kukurwa kwevhu, polyp, leukoplakia) vanofanira achiona colposcopy. Mune ramangwana, chiremba Uchasarudza mishonga yezvirwere background. Mumakore achangopfuura, izvozvo inoitiranwa zvakananga kudzivirira gomarara - kubaya zvainanga HPV mhando 16 uye 18. It inoitwa kuyaruka. Usati kubaya, unofanira bvunza chiremba wako.