HPV mu akazi: zotsatira zoopsa za kufala kwa kachilombo

Papillomavirus (HPV) mu akazi nthawi zambiri wapezeka yekha chifukwa cha mkumano ndi gynecologist zimayendetsa zonse kuposa powasamalira zizindikiro zoipa komanso nkhawa. Akukhulupirira kuti choyamba kugonana kumaonjezera ngozi ya HIV ndi 60-70% ndipo zaka 30 ndi mwayi wapamwamba matenda.

Zizindikiro ndi ntchito papilloma kachilombo

Nthawi yeniyeni kufala kwa HPV mu akazi ndi kovuta kudziwa: kutenga miyezi itatu kapena pamaso maonekedwe zizindikiro kunja. Mwa mazana a mitundu odziwika HPV makumi atatu zimachititsa kusintha mu thupi mkazi;

1. mawonetseredwe cutaneous, monga njerewere wamba, plantar, kuphwa kapena zowombetsa mkota matuza - kanthu za mtundu woyamba, wachiwiri ndi wachitatu wa HPV ndi mitundu ina layamba.

2. totupa ku maliseche kwa - maliseche ndi lathyathyathya njerewere - HPV udindo chimodzi ndi khumi. Dysplastic ndi pathologies khansa khomo lachiberekero kusintha khansa maliseche kunja imfayo oncogenic subtypes 16, 18, 31, 33 ndi 35.

3. mucous nembanemba mkamwa, mphuno, ndi njira khansa m'kamwa ndi kukhosi chifukwa cha mitundu kugwirizana ndi njerewere ndi condyloma ndi mtundu HPV 13.

Matendawa Papillomavirus

HPV imapezeka mu akazi ndi njira yapamwamba-mwandondomeko ngati limakhudza DNA mavairasi, matupi chimene akachita mu mapuloteni capsid. Ozama mu minofu, izo zimayambitsa neoplasia intraepithelial, ndiyeno kuphatikiza ndi DNA ku maselo.

Kuyezetsa magazi ndi HPV mu akazi kawirikawiri kugwirizana ndi Kupenda khomo pachibelekeropo pansi simungathe kutiona - colposcopy. Pa ndondomeko mucosa ankachitira ndi yankho ofatsa a viniga ndi ayodini, ndendende kumatanthauza m'madera pathological kuti sachedwa alibe.

Mayesero kwa HPV monga kuphunzira zinthu ma:

1. PCR diagnostics imakhala pokhala kuchipala kwa chiberekero kuti azindikire pamaso pa HPV ndi mtundu wake. Kuyeza kumeneku anatchula ntchito za kachilombo ndi chiopsezo alibe za khansa.

2. Colposcopy likugwirizana kusanthula aliyense wa HPV mu akazi, monga izo zikusonyeza mlingo wa alibe maselo mchikakamizo cha HIV. Malinga ndi gulu la kuipitsa mbiri lili magawo asanu kusintha: choyamba - maselo wabwinobwino, wachiwiri - pang'ono zizindikiro za kutupa, wachitatu - kuoneka maselo ndi mtima lalikulu, wachinayi - kuwonjezeka mtima cytoplasm maonekedwe zopindika ndi DNA, wachisanu - khansa kusintha.

3. Biopsy - kuphunzira chitsanzo mucosa kapena njerewere pansi maso ndi kudziwa kusintha oopsa.

Matenda makamaka papillomavirus

50 Only% ambiri amene kachilombo HPV kuwonetseredwa mwa zizindikiro kunja kuti atsogolere akazi gynecologist ndi:

1. njerewere maliseche kuphimba khonde ndi chotulukira, abwenzi azitaya matenda. Ndi bwino kuchotsa asafe, laser, mafunde magetsi.

2. amagazi ukazi kumaliseche ndi kupweteka ululu pamimba m'munsi - ndi chizindikiro chosowa cha kukokoloka (ectopia) wa khomo pachibelekeropo, nthawi zambiri zimapangitsa lokha anamva.

3. Lathyathyathya njerewere mbali lamkati la ziwalo zoberekera kuchotsedwa ndikatha kumfunsafunsa mosamala cytology ndi histology. Iwo akhoza kuyambitsa kuyabwa ndi kumaliseche nthenda.

4. dysplasia, amene anakhudzidwa minofu khomo lachiberekero ndipo anapezeka Papanicolaou kuipitsa mbiri kungasonyeze kuti conization (kukameta ubweya epithelium). Mwatsoka, ndondomeko izi asymptomatic.

Zonse tizipima pa gynecologist ya akhoza oterewa matenda oyambirira ndi kusiya chitukuko.