Kenza yeMuromo weCervix
Tsananguro pfupi:
Gomarara remumuromo wechibereko, iro rinozivikanwawo segomarara remumuromo wechibereko, ndiro gomarara remadzimai rinonyanya kupararira munhengo dzekubereka dzevakadzi. HPV ndiyo inonyanya kukonzera njodzi yechirwere ichi. Gomarara remumuromo wechibereko rinogona kudzivirirwa nekuongororwa nguva dzose uye kubaiwa majekiseni. Gomarara remumuromo wechibereko rinorapwa zvakanyanya uye fungidziro yacho yakanaka.
Epidemiology
WHO yakaburitsa muna 2018 kuti huwandu hwevanhu vanobatwa negomarara remuchibereko pasi rose hunosvika vanhu gumi nevatatu pavanhu chiuru muWei gore rega rega, uye huwandu hwevanhu vanofa hunosvika vanhu vanomwe pavanhu chiuru vakafa negomarara remuchibereko. Muna 2018, paive nevanhu vatsva vanosvika 569000 vegomarara remuchibereko uye vanhu 311000 vakafa, uye 84% yavo yakaitika munyika dzisina kusimba dzekutengeserana.
Kurwara nekufa kwevanhu vanorwara negomarara remuchibereko pasi rose kwakadzikira zvakanyanya mumakore makumi mana apfuura, izvo zvine chekuita nekusimbiswa kwedzidzo yehutano, kubaiwa jekiseni reHPV uye kuongororwa kwegomarara remuchibereko.
Chirwere ichi chinowanzoitika kuvakadzi vane makore epakati nepakati (makore 35-55). 20% yevanhu vanobatwa nechirwere ichi vanodarika makore 65 uye hazviwanzoitiki kune vechidiki.
Nzira dzekuongorora kenza yemumuromo wechibereko:
1. Kuongororwa kwecytological kwe cervical curettage.
Nzira iyi inogona kuona maronda emumuromo wechibereko asati aita kenza uye kenza yemumuromo wechibereko yekutanga, nekuti pane mwero wenhema we5% mi 10%, saka varwere vanofanira kuongororwa nguva nenguva.
2. Kuongororwa kweAiodine.
Epithelium yemuromo wechibereko neyemukadzi ine glycogen yakawanda uye inogona kusvibiswa ne iodine solution, nepo cervical erosion uye abnormal squamous epithelium (kusanganisira atypical hyperplasia, carcinoma in situ uye invasive carcinoma) hazvipo uye hazvizosvibiswa.
3. Kuongororwa kwechibereko nepaburi remuromo wechibereko.
Kana cervical smear cytology iri grade Ⅲ ~ Ⅳ, asi cervical biopsy iri negative, matishu akawanda anofanira kutorwa kuti aongororwe pathological pathology.
4. Colposcopy