Cervical intraepithelial neoplasia feem ntau hu ua cervical dysplasia ntawm gynecologists. Xws li ib tug pathology ntawm stratified squamous epithelium yog suav hais tias yog ib tug mob precancerous, qhov uas muaj feem yuav ntawm cell hloov yog siab. Tib lub sijhawm, tus kab mob no kho tau.
Feem ntau, tus poj niam lub cev tiv thaiv kab mob ntawm nws tus kheej thaum tsis kho. Tab sis qhov muaj peev xwm ntawm kev loj hlob ntawm tus kab mob no tsis suav nrog, uas, qhov tseeb, ua rau kev txhim kho ntawm cov txheej txheem oncological.
cov ntaub ntawv dav dav
hom kab mob ntawm poj niam cev xeeb tub yog dab tsi thiab qhov phom sij yog dab tsi? Txog xyoo 1975, tus kab mob muaj lub npe zoo heev - dysplasia. Nrog rau txoj kev loj hlob ntawm cov txheej txheem pathologicalCov yam ntxwv ntawm mitosis ntawm cell nucleus thiab cytoplasm ntawm lub epithelium tau hloov pauv tseem ceeb. Nyob rau tib lub sijhawm, daim nyias nyias thiab nws cov khaubncaws sab sauv tseem nyob tsis huv.
Nyob rau hauv qee qhov xwm txheej, lub ncauj tsev menyuam intraepithelial neoplasia yuav hloov mus rau qhov tsis zoo neoplasm. Thiab yog tias kev kho mob tsis pib raws sijhawm, kev txhim kho ntxiv ntawm tus kab mob ua rau muaj kev hem thawj rau lub neej. Tus mob precancerous yog tshwm sim los ntawm kev ua haujlwm ntawm human papillomavirus (HPV), uas muaj nyob rau hauv lub cev ntawm yuav luag txhua tus neeg. Nyob rau tib lub sijhawm, cov kws tshaj lij txheeb xyuas ntau yam ntawm tus kabmob, uas ua rau qhov xwm txheej hnyav ntxiv.
Ntau tus neeg feem ntau tsis meej pem ob lo lus, hu ua dysplasia yaig. Tab sis qhov no tsis yog qhov tseeb tag nrho, txij li lub sijhawm kawg tsis tau qhia tag nrho cov ntsiab lus ntawm qhov tshwm sim. Qhov tseeb yog tias yaig tshwm sim vim kev puas tsuaj rau cov ntaub so ntswg ntawm ib tug neeg kho tshuab xwm, thiab dysplasia twb ua txhaum ntawm lawv cellular qauv.
Txhua xyoo, kwv yees li 40 lab tus poj niam thoob ntiaj teb tau kuaj pom tias muaj qhov ncauj qhov ntswg intraepithelial neoplasia, suav txog 15 txog 18 feem pua ntawm tag nrho cov mob ntawm cov kab mob hauv lub cev xeeb tub. Nyob rau tib lub sijhawm, feem ntau, cov ntxhais hluas hnub nyoog 25-35 muaj kev pheej hmoo. Qhov kev tshwm sim yog qhov nruab nrab ntawm ob tus neeg ntawm ib txhiab tus neeg.
Lub ncauj tsev menyuam ua haujlwm li cas
Yuav kom nkag siab meej thiab paub txog kev phom sij ntawm pathology, koj yuav tsum muaj kev nkag siab zoo ntawm lub cev ntawm poj niam lub cev, hauvtshwj xeeb yog lub ncauj tsev menyuam. Lub sij hawm no yog hu ua qhov qis dua ntawm lub cev xeeb tub ntawm qhov nqaim thiab cylindrical zoo li. Ib feem nws nyob hauv thaj tsam plab thiab me ntsis txuas mus rau hauv qhov chaw mos, hauv lwm lo lus, nws nyob hauv ob qho tib si.
Gynecologists siv tsom iav tshwj xeeb los tshuaj xyuas qhov chaw mos. Nyob rau hauv ib feem ntawm lub caj dab yog nqaim kwj dej ntawm lub ncauj tsev menyuam 10-15 mm ntev. Cov os sab nraud nkag ncaj qha mus rau hauv qhov chaw mos, thaum lub sab hauv ntsib lub uterine kab noj hniav. Hauv lwm lo lus, nws yog ib yam ntawm qhov me me uas txuas qhov chaw mos mus rau lub cev xeeb tub. Txhawm rau tshuaj xyuas qhov chaw mos hauv qhov chaw mos txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws
Cov kwj dej ntawm ncauj tsev menyuam yog kab nrog ci liab cylindrical epithelial hlwb. Nyob rau hauv lawv muaj cov qog tshwj xeeb uas tso cov hnoos qeev, uas ua haujlwm tiv thaiv ntau yam kab mob.
Nyob rau thaj tsam ntawm lub tsev menyuam sab nraud, cov cylindrical cells hloov los ntawm cov tiaj tus. Tsis muaj qog nyob ntawm no, thiab ntxoov ntxoo twb pinkish. Ntxiv mus, qhov epithelium no yog tsim los ntawm ob peb txheej:
- Basal-parabasal - tus ciam teb qis tshaj plaws tsim, dhau los, los ntawm basal thiab parabasal hlwb. Nyob rau hauv cov ntaub so ntswg basal yog cov leeg nqaij, cov hlab ntsha, cov hlab ntsha. Tseem muaj cov tub ntxhais hluas nyob ntawm no tuaj yeem faib.
- Intermediate.
- Superficial (functional).
Nyob zoo basal hlwb tau sib npaugpuab, nyob rau hauv lawv yog ib tug loj nucleus. Maj mam ripening, lawv nce mus rau saum txheej. Nyob rau tib lub sijhawm, lawv cov duab yog flattened, thaum lub nuclei txo qhov loj me. Raws li cov hlwb tau mus rau txheej saum toj kawg nkaus, lawv ua flatter nrog cov nuclei me me.
Nrog lub ncauj tsev menyuam intraepithelial neoplasia ntawm 1, 2, 3 degrees, cov qauv ntawm cov hlwb twb txawv me ntsis - cov ntsiab lus atypical tshwm sim uas tsis muaj cov duab tshwj xeeb, thiab lawv qhov loj yog loj heev. Tsis tas li ntawd, txhua lub xov tooj ntawm tes muaj ob peb lub nuclei, thiab lawv qhov kev faib tawm sai dua.
Nyob rau hauv cov ntaub ntawv ntawm cov txheej txheem pathological, cov txheej txheem sib txawv ntawm cov epithelium raug cuam tshuam, tshwj tsis yog rau sab nraud. Hloov cov hlwb nquag loj hlob, thiab tawm tsam keeb kwm yav dhau los no, cov cim ntawm nuclear atypia raug tsim.
YKev faib tawm ntawm pathology
Neoplasia tau muab faib ua ob peb qib, nyob ntawm qhov hnyav ntawm cov kab mob thiab tus naj npawb ntawm cov hlwb sib koom ua ke ntawm epithelial koom nrog:
- I degree - me me (CIN1).
- II degree - nruab nrab (CIN2).
- III degree - hnyav (CIN3).
Ntawm thaj chaw ntawm Lavxias Federation, cov kws kho mob feem ntau siv qhov kev faib tawm no los ntawm I. A. Yakovleva thiab B. G. Kukute ntawm xyoo 1977.
mob neoplasia
Qhov no yog ib qho me me ntawm ncauj tsev menyuam intraepithelial neoplasia, uas cov ntaub so ntswg hloov me ntsis, cov koilocytes muaj. Kuj tseem muaj qhov me me ntawm kev loj hlob ntawm cov hlwb basal. Cov txheej txheem pathological cuam tshuam tsis pub ntau tshaj li ib feem peb ntawm lub thickness ntawm lub epithelium.
Moderate Dysplasia
Ntawm no loshais txog cov txheej txheem pathological ntau tshaj, uas twb npog txog 2/3 ntawm lub thickness ntawm lub mucous daim nyias nyias ntawm lub ncauj tsev menyuam. Atypical hlwb muaj nyob rau hauv qis thiab nruab nrab txheej ntawm epithelium.
mob hnyav
Hauv qhov no, yuav luag tag nrho cov tuab ntawm epithelium raug cuam tshuam. Nyob rau hauv cov ntaub ntawv no, ib tug meej faib mus rau hauv cov khaubncaws sab nraud povtseg yog tsis traceable. Tsis tas li ntawd, kev hloov pauv pathological hauv mitosis thiab acanthosis tuaj yeem kuaj pom.
Kev tshwm sim
Rau HPV los ua rau kev txhim kho cov txheej txheem mob qog noj ntshav, yuav tsum muaj ntau yam. Nws yog ib qho tsim nyog sau cia tias tus kab mob no tsis tuaj yeem ua rau cov tsos mob ntawm ncauj tsev menyuam intraepithelial neoplasia ntawm qib 1 hauv txhua tus poj niam. Raws li txoj cai, pib txij lub sijhawm kis tus kabmob HPV lossis nws qhov kev ua haujlwm thiab xaus nrog cov tsos mob ntawm tus kabmob precancerous, nws yuav siv sijhawm li 1.5 txog 5 xyoos. Cov txheej txheem oncological nws tus kheej yog tsim ntau xyoo lossis ntau xyoo.
Raws li kev loj hlob ntawm neoplasia ntawm lub ncauj tsev menyuam ntawm lub cev xeeb tub, cov tsos mob ntawm pathology tsis yog vim ib qho, tab sis rau ntau yam, xws li nyob rau hauv cov xwm txheej ntawm lwm yam mob precancerous. Ntawm no peb tab tom tham txog kev sib xyaw ua ke ntawm cov laj thawj provocative:
- Kev kis tus kab mob HPV tshwj xeeb.
- Kev siv tshuaj tiv thaiv kab mob rau lub sijhawm ntev (5 xyoos lossis ntau dua).
- Pib pib kev sib deev thaum ntxov (14-15 xyoo).
- Kev sib raug zoo nrog ntau tus neeg koom tes.
- Kev muaj tus cwj pwm phem (kev haus luam yeeb, tsis yog ua haujlwm xwb, tab sis kuj ua tsis tau).
- kev tiv thaiv tsis muaj zog.
- Kev phaiskev cuam tshuam thiab rho menyuam, ntau dua ib zaug.
- Hormonal imbalance.
- kab mob sib deev ntawm tus kab mob sib kis.
- Hereditary predisposition.
Tab sis raws li tau sau tseg saum toj no, nws feem ntau yog tus kab mob papillomavirus uas ua rau pom qhov tshwm sim ntawm ncauj tsev menyuam intraepithelial neoplasia. Ntxiv mus, tus kab mob tuaj yeem pib tsim yam tsis muaj tsos mob thiab, raws li txoj cai, nws yuav siv sijhawm txog 10 xyoo txij li qhov pib ntawm dysplasia mus rau qhov pib ntawm oncological neoplasm.
Txhua tus neeg raug tus kab mob no, tab sis tshwj xeeb tshaj yog cov poj niam uas muaj kev sib deev lub neej nrog ntau tus neeg koom tes. Kev tsis saib xyuas cov tshuaj tiv thaiv kab mob, nrog rau kev tsis quav ntsej txog kev kho mob ntawm cov txheej txheem inflammatory hauv lub cev ntawm lub cev xeeb tub - tag nrho cov no tsuas yog ua rau muaj kev pheej hmoo ntawm kev txhim kho pathology. Tsis tas li ntawd, kev yug me nyuam ntau zaus lossis rho menyuam tawm ua rau raug mob ntawm ncauj tsev menyuam.
Symptomatics
Qhov phom sij ntawm lub ncauj tsev menyuam intraepithelial neoplasia ntawm qib 2 lossis siab dua yog qhov feem ntau tus poj niam tsuas yog tsis hnov cov yam ntxwv ntawm qhov pib ntawm kev hloov pauv hauv lub epithelium. Nyob rau tib lub sijhawm, tus poj niam tsis hnov mob, tsis muaj qhov nce hauv lub cev kub, nrog rau kev tsis zoo.
Cov tsos mob, yog tias lawv tshwm sim, nws yuav tau qhia tias muaj tus kabmob sib kis, uas ua rau muaj ntau yam kabmob:
- Cov kab mob ntawm lub ncauj tsev menyuam (cervicitis).
- Cov txheej txheem mob ntawm lub genitourinary system vim raug rau Trichomonas(Trichomoniasis).
- Kab mob ntawm qhov chaw mos (colpitis).
Hauv qhov no, tus poj niam yuav khaus thiab kub hnyiab hauv qhov chaw mos, pom tom qab kev sib deev, douching lossis siv tampons. Leucorrhea kuj tseem tuaj yeem hloov pauv hauv kev ntxhib los mos, tsw, thiab xim (tuab, copious, thiab qias neeg). Nrog rau lub ncauj tsev menyuam loj intraepithelial neoplasia, qhov mob yuav tshwm sim hauv thaj tsam ntawm lub tsev menyuam ntawm qhov rub tawm.
Kev tshuaj xyuas gynecological tsis tu ncua ntawm cov poj niam uas siv cov cuab yeej, kuaj thiab soj ntsuam kev tshawb fawb yuav tso cai rau lub sijhawm tshawb nrhiav pathology thiab pib kho.
Diagnosis
Raws li peb tam sim no paub, neoplasia, nyob rau hauv qee qhov xwm txheej, hem kom txav mus rau kev loj hlob ntawm qog nqaij hlav cancer. Vim li no, kev kuaj mob ntxov yuav zam qhov teeb meem loj. Txhua tus poj niam uas muaj hnub nyoog 21 xyoos yuav tsum mus ntsib kws kho mob gynecologist kom kuaj xyuas txhua xyoo, thiab kuaj cytological txhua peb xyoos.
Cov txheej txheem kuaj mob tau zoo:
- kuaj gynecological.
- Colposcopy.
- Targeted biopsy.
- Histology ntawm biopsy.
- pap smear cytology.
Lub hom phiaj ntawm kev kuaj gynecological yog txhawm rau txheeb xyuas qhov pom kev hloov pauv hauv cov mucous membrane. Nyob rau tib lub sij hawm, nyob rau hauv tsawg zaus (3-4%), xws li kev ntsuam xyuas tsis muab qhov zoo. Tab sis feem ntau ntawm cov poj niam (20-24%), cov cim qhia ntawm lub ncauj tsev menyuam intraepithelial neoplasia ntawm qib 1 hauvLub ntsej muag ntawm kev khaws cov cyst, focal lossis diffuse hyperemia ntawm cov ncauj tsev menyuam. Nyob rau hauv ib tug heev los ntawm pathology, cov cim qhia muaj feem ntau (64-73%) qhia: yaig, leudo-qhia tawm, kev loj hlob, kev coj ua ntawm epithelium.
-colposcopy yog nqa nrog cov cuab yeej tshwj xeeb (coloscope), uas muaj peev xwm ntawm cov khoom ua kom loj hlob 10 zaug lossis ntau dua. Nrog nws cov kev pab, koj tsis tuaj yeem ua cov kev kuaj mob xwb, tab sis tseem ua cov ntawv xeem. Ntawd yog, kho lub caj dab ntawm qhov chaw mos uas muaj teeb meem nrog Lugol cov tshuaj lossis acetic acid.
Ib lub hom phiaj pooptsy yog ua thaum lub sij hawm Coloscopy. Hauv qhov no, ib qho qauv yog coj los ntawm kev txiav tawm ib daig ntawm cov ntaub so ntswg hauv thaj chaw muaj teeb meem.
historology ntawm cov hnoos qeev yog ib hom histological ntawm kev coj mus kuaj thaum lub sijhawm me me. Cov txheej txheem no yog qhov ua tau zoo tshaj plaws hauv kev tshawb xyuas pathology.
Pap smear yog tshuaj xyuas hauv qab lub tshuab tsom, qhov uas Atypical hlwb, qhia txog qib 2 lub ncauj tsev menyuam yaus Infaepithelial Neplasia.
Ib qho ntxiv, ib qho ultrasound scan ntawm tus poj niam caj ces yog yuav tsum tau ua. Thiab raws li kev ntsuas ntxiv, kev kuaj ntshav thiab kev sim ntshav rau kev tiv thaiv kab mob rau kev tiv thaiv kab mob.
Kev kho mob
Kev xaiv ntawm txoj kev kho mob feem ntau yog nyob ntawm ntau yam: -
- hnub nyoog ntawm tus neeg mob;
- mob hnyav ntawm pathology;
- thaj chaw cuam tshuam dab tsi;
- muaj ib yam dab tsi;
- muaj kev ua xua rau cov tshuaj.
Yog tias cov kab mob tsis muaj zognthuav tawm, tom qab ntawd cov kev soj ntsuam dynamic tau ua tiav, thiab yog tias pom muaj kab mob, kev kho tshwj xeeb raug sau tseg. Nws yog ib qho tsim nyog sau cia tias kev kho mob ntawm thawj theem ntawm neoplasia yog ua los ntawm kev siv tshuaj, txawm li cas los xij, thaum kuaj xyuas lub ncauj tsev menyuam intraepithelial neoplasia ntawm qhov hnyav 2 thiab 3, tsuas yog qhia txog kev phais..
Tshuaj siv tshuaj
Vim tias kev kho mob ntawm neoplasia yog ua tiav los ntawm kev phais, kev siv tshuaj yog siv los ua kev kho mob ntxiv.
Qhov no yog vim qhov tseeb tias thaum pib ntawm txoj kev loj hlob ntawm pathology, tsis muaj cov cim qhia. Txoj hauj lwm ntawm cov tshuaj nyob rau hauv cov ntaub ntawv no yog raws li nram no:
- Txhawb kev tiv thaiv lub zog.
- Normalize qhov chaw mos microflora.
- YKev tshem tawm ntawm hormonal tsis txaus.
- Txhim kho HPV kev ua haujlwm hauv lub cev.
- Kev kho mob rau kev sib deev kis kab mob (STIs).
Raws li cov tshuaj lawv tus kheej, tus kws kho mob feem ntau sau "Interferon", "Prodigiosan", "Cycloferon", "Groprinosin", "Kagocel", "Genferon" thiab lwm yam tshuaj. Muab ib qho tshwj xeeb ntawm HPV, uas yog txhawm rau txhawm rau tsim nws tus kheej interferon los ntawm leukocytes, thiab qhov tseem ceeb, tom qab ntawd kev xaiv cov tshuaj no rau kev kho mob ntawm ncauj tsev menyuam intraepithelial neoplasia (CIN 1) yog qhov ncaj ncees.
Raws li tus neeg saib xyuas zoo"Panavir" txawv nyob rau hauv efficiency. Nws yog ib qho ua tau kom normalize qhov chaw mos flora nrog kev pab los ntawm probiotics nrog bifidus thiab lactobacilli. Kev kho STI yog nqa tawm nrog kev siv tshuaj tua kab mob, raws li ntau yam ntawm cov kab mob pathogenic microorganisms. Tsis tas li ntawd, kev noj cov vitamins B, antioxidants, omega acids yog sau.
Tib lub sijhawm, nws tsis yog ib txwm ua tau kom kov yeej cov kab mob, thiab vim li no, feem ntau, cov kws kho mob tseem xa cov neeg mob mus rau kev phais. Tsuas yog ua ntej thiab tom qab cov txheej txheem no yog kev saib xyuas kev kho mob uas yuav tsum tau siv tshuaj.
Surgery
Nyob ntawm tus kheej tus yam ntxwv ntawm tus poj niam lub cev, daim ntawv teev cov contraindications, qhov loj ntawm thaj chaw cuam tshuam, kev kho mob phais yuav muaj ntau hom.
- Laser txiav. Cov txheej txheem no rau kev kho mob ntawm qib 3 cervical intraepithelial neoplasia yog ua los ntawm kev siv lub laser scalpel, uas tau tshem tawm cov ntaub so ntswg cuam tshuam.
- xov tooj cua kho mob. Nws raug suav hais tias yog ib qho txheej txheem tshiab uas cov cheeb tsam cuam tshuam raug tshem tawm los ntawm kev cuam tshuam rau cov xov tooj cua ntau zaus. Cov cuab yeej "Surgitron" koom nrog hauv kev ua haujlwm.
- Electroconization. Ntawm no cov txheej txheem yog ua los ntawm kev siv lub voj hlau, qhov twg cov khoom siv hluav taws xob tau muab. Nyob rau hauv rooj plaub no, qhov cuam tshuam cone-puab thaj tsam ntawm cov ntaub so ntswg cuam tshuam raug tshem tawm nrog kev suav nrog cov ntaub so ntswg noj qab haus huv. Kev ua haujlwm yog dav siv hauv kev kho mob ntawm ncauj tsev menyuam neoplasia. Nws tuaj yeem ua tau nrog txoj kev laser, uas tuaj yeem txo qhov kev pheej hmoo los ntshav. Kev ua haujlwm yog ua tom qab kev coj khaub ncaws.
- Photodynamic kho mob. Nws kuj yog ib txoj hauv kev niaj hnub ntawm kev kho neoplasia. Cov txheej txheem ua haujlwm raws li hauv qab no: tom qab kev taw qhia ntawm photosensitizer rau hauv lub cev, nws pib mus rau hauv cov neoplasm. Tib lub sijhawm, singlet oxygen raug tso tawm hauv cov ntaub so ntswg nrog cov qauv hloov, uas ua rau kev tuag ntawm cov hlwb atypical.
- Diathermocoagulation thiab cryodestruction. Cov txheej txheem ntawm qhov kub thiab txias raug cuam tshuam rau lub ncauj tsev menyuam intraepithelial neoplasia ntawm 3rd degree yog siv nyob rau hauv cov xwm txheej tsis tshua muaj, vim tsis muaj kev tswj xyuas qhov tob thiab qhov ntim ntawm qhov raug los ntawm tus kws kho mob. Thiab yog li cov tsos ntawm relapse nyob rau hauv cov ntaub ntawv no yuav tsis zam. Feem ntau, cauterization lossis khov yog siv rau cov kab mob keeb kwm yav dhau los, tsis yog cov kab mob precancerous.
Raws li cov ntaub ntawv tau los ntawm kev kuaj mob histological, tus kws tshaj lij tau txiav txim siab ntxiv lawm. Yog tias pom cov qog nqaij hlav cancer, kev phais ntxiv lossis kev kho hluav taws xob, cov kws khomob yuav xav tau.
Muaj feem cuam tshuam
Kev kho mob ntawm neoplasia ntawm thawj qib pib pab txhawm rau txhawm rau rov ua dua ntawm HPV, ua rau rov zoo. Txawm li cas los xij, qhov tsis muaj kev kho mob tsim nyog yuav ua rau muaj teeb meem loj. Kev tswj tsis tau ntawm pathology tsuas yog exacerbates nws cov chav kawm, thiab lub sijhawm hloov pauv ntawm theem I lossis II ntawm cov kab mob mus rau lub ncauj tsev menyuam intraepithelial neoplasia ntawm qib 3 ntawm lub ncauj tsev menyuam nyob ntawm tus kheej tus yam ntxwv ntawm tus neeg, nws lub zos thiab.kev tiv thaiv dav dav.
Cov theem nruab nrab ntawm cov kab mob tseem tab tom kho, tsuas yog qhov no txoj kev kawm yuav ntev dua, thiab kev ua haujlwm feem ntau tuaj yeem ua ntau dua ib zaug. Qhov kev mob hnyav tshaj plaws ntawm neoplasia tuaj yeem tsim rau hauv oncological neoplasm nrog qhov tshwm sim ntawm 50%.
Txawm li cas los xij, qhov teeb meem loj tshaj plaws yog qhov tsim ntawm daim ntawv mob qog noj ntshav. Thaum pib, cov txheej txheem zoo li tsis muaj mob. Nyob rau hauv lub mucous daim nyias nyias, qhov no manifests nws tus kheej nyob rau hauv daim ntawv ntawm redness. Thiab feem ntau nyob rau hauv cov chav kawm ntawm cov ncauj lus kom ntxaws kev kuaj mob, ib tug chaotic faib ntawm epithelial hlwb yog txiav txim. Thiab yog tias cov txheej txheem no tau tso cai kom tsim kho kom zoo, tom qab ntawd cov qog me me tau tsim, uas tom qab ntawd tsis muaj dab tsi tiv thaiv kev loj hlob, uas ua rau muaj kev sib kis ntawm metastases.
Qhov no tuaj yeem tshwm sim tom qab mob hnyav ntawm ncauj tsev menyuam intraepithelial neoplasia nrog kev kuaj mob lig lossis thaum kho tsis quav ntsej vim li cas.
Pathology thiab cev xeeb tub
Nrog neoplasia ntawm lub ncauj tsev menyuam ntawm lub cev xeeb tub, qhov no tsis yog qhov txwv tsis pub ua kom lub cev xeeb tub ntev, tab sis tib lub sijhawm, cov txheej txheem ntawm cov txheej txheem atypical yog qhov hnyav dua. Thaum lub sij hawm yug me nyuam, kev kho mob tseem ceeb dua puas tau, vim tias thaum HPV qhib, vim qhov txo qis hauv kev tiv thaiv ntawm tus poj niam lub cev, cov kab mob tuaj yeem ncav cuag tus me nyuam hauv plab, uas ua rau muaj kab mob hauv lub cev.
Tsis tas li ntawd, yuav luag txhua hom kab mob tom qab ua rau muaj kev cuam tshuam ntawm tus menyuam lub ntsws. Thaum yug me nyuam, muaj kev pheej hmoo ntawm HPV nkag mus rau hauvKev ua pa ntawm tus menyuam, vim muaj kab mob ua pa xws li papillomatosis.
Txoj kev hloov pauv
Peb txhua tus paub tias cov zaub mov zoo li cas rau kev kho mob ntau yam. Neoplasia ntawm lub ncauj tsev menyuam tsis muaj qhov tshwj xeeb, tab sis nws yog qhov zoo dua los sab laj koj tus kws kho mob ua ntej ua cov kev kho mob zoo li no. Tsuas yog nco ntsoov tias, ib yam li kev siv tshuaj, kev kho mob ntawm lub ncauj tsev menyuam qib siab intraepithelial neoplasia tsis zoo, thiab qee zaum txawm tias tsis muaj txiaj ntsig.
Koj tuaj yeem tawm tsam pathology nrog kev pab ntawm infusion los ntawm kev sau ntawm qee hom tshuaj ntsuab. Txhawm rau npaj nws, koj yuav tsum noj 1 tsp. Sweet clover, 2 tsp yarrow, 3 tsp. nettles, tib tus nqi ntawm rosehips, 4 tsp txhua. paj ntawm calendula thiab meadowsweet. Sib tov tag nrho cov khoom xyaw zoo, ces 1 tbsp. l. ncuav ib khob ntawm boiling dej tshaj qhov sib tov thiab cia nws brew rau 30 feeb. Nrog kev pab ntawm no infusion, douching nyob rau hauv thaum sawv ntxov thiab yav tsaus ntuj, thiab raws li ib qho ntxiv, tampons yuav tsum tau muab tso rau hauv qhov chaw mos los ntawm 30 mus rau 40 feeb, soaked nyob rau hauv tib txoj kev. Ua haujlwm rau ib hlis.
Hiav txwv buckthorn roj tsis muaj txiaj ntsig tsawg. Lawv kuj yuav tsum tau muab tso rau hauv ib lub tampon thiab muab tso rau ib hmos rau 60-90 hnub. Koj tuaj yeem siv kua txiv aloe rau cov laj thawj no, tsuas yog qhov no koj yuav tsum siv tampons ob zaug ib hnub, thiab chav kawm yog 1 hli.
