Cervix Cancer
Tsanangudzo Pfupi:
Gomarara remuchibereko, iro rinozivikanwawo segomarara remuchibereko, ndiro gomarara remuchibereko rinonyanyozivikanwa muchikamu chemukadzi.HPV ndiyo inonyanya kukosha yengozi yechirwere.Gomarara remuchibereko rinogona kudzivirirwa kuburikidza nekuongororwa nguva nenguva uye kubaiwa.Gomarara rekare remuromo wechibereko rinorapwa zvakanyanya uye fungidziro yacho yakanaka.
Epidemiology
WHO yakaburitsa muna 2018 kuti pasi rose chirwere chegomarara remuromo wechibereko chinosvika gumi nevatatu kubva pavanhu 100000 muWei gore rega rega, uye huwandu hwevanhu vanofa vangangosvika vanomwe pa100000 vanhu vakafa negomarara remuromo wechibereko.Muna 2018, paive ne569000 nyaya nyowani dzegomarara remuchibereko uye 311000 vakafa, izvo makumi masere neshanu muzana zvakaitika munyika dzisina kusimukira.
HONDO nekufa kwegomarara remuromo wechibereko pasi rose zvadzikira zvikuru mumakore makumi mana adarika, izvo zvine chekuita nekusimbaradzwa kwedzidzo yezveutano, kubaiwa kweHIVV uye kuongororwa gomarara remuchibereko.
Chirwere ichi chinowanzoitika muvakadzi vezera repakati (35-55y).20% yezviitiko zvinowanzoitika pamusoro pemakore makumi matanhatu nemashanu uye hazviwanzoitiki muhuduku.
Diagnostic nzira dzegomarara rechibereko:
1. Cytological kuongorora kwekervical curettage.
Iyi nzira inokwanisa kuona maronda emuchibereko precancerous uye kenza yekutanga yechibereko, nekuti kune manyepo asina kunaka mwero we5% mi 10%, saka varwere vanofanirwa kuongororwa nguva nenguva.
2. Iodine bvunzo.
Normal cervical uye vaginal squamous epithelium yakapfuma muglycogen uye inogona kusvibiswa neodhini mhinduro, nepo cervical erosion uye abnormal squamous epithelium (kusanganisira atypical hyperplasia, carcinoma in situ uye invasive carcinoma) haipo uye haizosvibiswa.
3. Biopsy yekervix uye cervical canal.
Kana cervical smear cytology iri giredhi Ⅲ ~ Ⅳ, asi cervical biopsy haina kunaka, matishu akawanda anofanira kutorwa kuti aongorore pathological.
4. Colposcopy