Enye nusi sɔ be nàvɔ̃ vie eye nàtsi dzimaɖi ne èkpɔ nya ‘SIL’ alo ‘Squamous Intraepithelial Lesion’ le nyatakakaa dzi le Pap dodokpɔ megbe. Nuwo abe "Nukae nye esia? Ðe kansa le ŋunyea?" ate ŋu ava susu me nam enumake. Gake mègatsi dzodzodzoe o. Gbugbɔ gbɔgbɔ sesĩe eye wò dzi nadze eme. SIL menye kansa o. Gake enye nusi ŋu wòle be míanɔ ŋudzɔ ɖo. Eyata, egbea míele nu ƒom bɔbɔe ŋutɔ tso nusi SIL nye, nusita wòdona, kple nusi woawɔ tso eŋu ŋu.
Kpuie ko la, nukae nye SIL sia?
SIL, alo Squamous Intraepithelial Lesion , nye nɔnɔme si me lãmenugbagbevi siwo le míaƒe ŋutilã ƒe ŋutigbalẽ ƒe anyime, vevietɔ lãmenugbagbevi siwo le lãkusi tsɛ siwo tsyɔ ŋutinu aɖewo dzi la, tsina le mɔ si to vovo vie, si mewɔ ɖeka kple ɖoɖo o vie wu alesi wòle dzɔdzɔmee nu. Nya "intraepithelial" ŋutɔ fia be tɔtrɔ sia le ŋutigbalẽ/lãmeka ƒe gota gome ko , eye megena ɖe eme wu o.
Bu míaƒe ŋutigbalẽ be enye gli si wotsɔ anyikpe tu si woɖo ɖe ɖoɖo nu nyuie. Le SIL me la, ɖeko wòle abe ɖe woɖe anyikpe siwo le etame le anyikpegli sia me la ɖa eye woƒe nɔnɔme to vovo ene. Gli la gakpɔtɔ sesẽ, gake vovototo vi aɖe le etame ƒuƒoƒoa me.
Lãmenugbagbeviwo ƒe tɔtrɔ siawo ƒomevi ate ŋu adzɔ le míaƒe ŋutilã ƒe akpa vovovo geɖe. Wo dometɔ siwo bɔ wue nye:
- Vidzidɔ ƒe lãkusi
- Vagina ƒe vidzidɔ
- Vidzidɔ ƒe akpa si le gota (Vulva) .
- Anus ƒe akɔta
- Ŋutsu ƒe vidzinu
- Wò kɔ ƒe megbe
Nu vevitɔe nye be SIL menye kansa o . Gake míeyɔnɛ be do ŋgɔ na kansa . Ema fia be ne míeda dɔ na lãmenugbagbeviwo ƒe tɔtrɔ siawo helé ŋku ɖe wo ŋu ɣeyiɣi didi o la, mɔnukpɔkpɔ li be woatrɔ azu kansa le etsɔme. Esia tae wòle vevie ŋutɔ be woade dzesii kaba ɖo.
SIL ƒomevi vevi eve li:
Ðɔktawo léa ŋku ɖe lãmenugbagbevi siawo siwo ŋu wotrɔ asi le ŋu le nusuekpɔmɔ̃ me eye womaa SIL ɖe hatsotso vevi eve me, le alesi lãmenugbagbeviawo to vovo tso lãmenugbagbevi siwo sɔ gbɔ nu.
| SIL ƒomevi | Numeɖeɖe bɔbɔe |
|---|---|
| SIL (LSIL) si ƒe dzeside mede o . (Dysplasia si nu mesẽ o) . | Esia nye tɔtrɔ sue aɖe si va lãmenugbagbeviwo me. Ðeko wòle abe gbe wuwlui siwo miena le abɔ me ene. Mía ŋutɔwo ƒe dɔlélenutsiŋutete ate ŋu akpɔ nusiawo ƒe akpa gãtɔ dzi. Ema fia be woate ŋu ahaya le wo ɖokui si atike aɖeke mawɔmawɔe. Afɔku si le wo me be woatrɔ azu kansa la le sue ŋutɔ. |
| SIL (HSIL) si ƒe nyonyome de ŋgɔ . (Dsplasia si sɔ gbɔ/Esesẽ) . | Tɔtrɔ ɖedzesi aɖe si me kɔ le lãmenugbagbeviwo me le afisia. Le kpɔɖeŋu ma ke si tso abɔa me me la, esiawo lolo vie, abe gbe siwo ƒo ke ɖe to hemie ene. Woƒe lãme mesẽna le wo ɖokui si o . Eyata be woaxe mɔ na wo be woagatrɔ azu kansa le etsɔme o la, zi geɖe la, ele be nàwɔ atike aɖe ƒomevi . |
Nukae nye susu vevitɔ si ta SIL va dzɔ ɖo?
Nu vevitɔ si gbɔ SIL tsona wue nye Human Papillomavirus , alo HPV , si nye gbɔdɔdɔ ƒe dɔléle (STI). HPV gbɔe SIL ƒe dɔléle siwo ade 90% tsona.
Ne HPV dɔlékuia ge ɖe míaƒe ŋutilã me la, egblẽa nu le lãmenugbagbevi aɖewo ŋu, si wɔnɛ be womana kabakaba eye wòtoa vovo na alesi wòle dzɔdzɔmee. Esiae nye nusi gbɔ SIL tsona.
Gake nya lae nye esi: HPV ƒomevi siwo wu 100 ye li.
- Ƒomevi aɖewo (e.g. HPV 6, 11) nye ƒomevi siwo me afɔku mele o. Esiawo ate ŋu ahe nuwo abe vidzinuwo ƒe ʋuʋudedi kple LSIL ƒe nɔnɔmewo vɛ wu.
- Wobua ƒomevi bubu aɖewo (e.g. HPV 16, 18) be wonye ``afɔku gã`` ƒomeviwo. Afɔku gã ƒomevi siawo ate ŋu ahe HSIL kple kansa vɛ.
Zi geɖe la, míaƒe ŋutilã ƒe dɔlélenutsiŋutete ate ŋu awɔ avu kple HPV dɔlékui eye wòaɖee ɖa le ŋutilãa me le ɣleti ʋɛ aɖewo alo ƒe ɖeka alo eve me. Gake ɣeaɖewoɣi, vevietɔ esiwo me afɔku le ŋutɔ, woate ŋu anɔ ŋutilãa me eye vivivi la, woana lãmenugbagbeviwo natrɔ le ƒe geɖe me, si ana SIL nadze ame dzi.
Nukae nye nɔnɔme sia ƒe dzesiwo?
Kuxi gãtɔ siwo le afisia dometɔ ɖekae nye be dzesi aɖeke koŋ kloe mele SIL ŋu o . Ame geɖe kpɔnɛ be dɔlélea le yewo ŋu to Pap smear alo nyɔnuwo ƒe dodokpɔ si wowɔ le susu bubu aɖe ta me.
Gake ɣeaɖewoɣi la, dzesi siwo gbɔna ate ŋu adze. Ne ède dzesi esiawo la, ele be nàkpɔ wò ɖɔkta godoo.
Ku ɖe vidzinuwo ƒe akpa si nye:
- Tsi si dona le vidzidɔ me alo ʋu si mebɔ o (vevietɔ le dzinukpɔkpɔ godo alo le gbɔdɔdɔ megbe) .
- Kuku alo vidzinuwo ƒe ʋuʋudedi ƒe dzedzeme
- Dzobibi alo ʋuʋudedi
- Vevesese aɖe
- Nutoa ƒe dzodzro
Ne SIL dzɔ le ŋɔti ƒe megbe la:
- To ƒe vevesese
- Gbe ƒe ɖiɖi
- Vevesese ne èle nane mimi
- Kɔmeve si nɔa anyi didi
- Lãmetsi siwo vuvu le kɔ me
Esia tae wòle vevie ŋutɔ be nyɔnu nawɔ Pap smear dodokpɔ edziedzi , ne dzesi aɖeke mele eŋu o gɔ̃ hã.
Amekawoe le afɔku gã me be woaxɔ SIL?
Togbɔ be amesiame si ŋu HPV le ate ŋu axɔ SIL hã la, ame aɖewo le afɔku me vie.
- Ame siwo ƒe dɔlélenutsiŋutete gbɔdzɔ: Esesẽna na amesiwo ŋu HIV dɔlékuia le, amesiwo wodo ŋutinuwo na, alo amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ le atikewɔwɔ me nɔnɔme bubuwo ta.
- Atamanolawo: Atike siwo le sigaret me gblẽa nu le míaƒe lãmenugbagbeviwo ŋu eye wogbɔdzɔa míaƒe dɔlélenutsiŋutete, si wɔnɛ be esesẽna na atamanolawo be woaɖu HPV dɔlékui aɖe dzi.
- Gbɔdɔdɔ ƒe nuwɔna si mele dedie o: Gbɔdɔdɔ ƒe zɔhɛ geɖe ƒe amesinɔnɔ kple ametakpɔmɔnu abe kɔndɔm ene mazãmazã dzia HPV dɔlékui ƒe afɔkua ɖe edzi.
Aleke ɖɔkta wɔa anya SIL?
Dodokpɔ geɖe li woatsɔ anya SIL.
1. Pap Smear: Esiae nye dodokpɔ vevitɔ kekeake si wozãna wu. Le dodokpɔ sia me la, woɖea lãmenugbagbeviwo ƒe kpɔɖeŋu sue aɖe tso vidzidɔa me hedoa wo kpɔ le nusuekpɔmɔ̃ me be woakpɔe ɖa be nanewo mesɔ o hã. Woate ŋu azã anal Pap smear hã atsɔ ade dzesi SIL le aɖuɖɔtoe me.
2. Colposcopy: Ne wò Pap smear ƒe nyatakaka ɖee fia be SIL la, anɔ eme be wò ɖɔkta aɖe gbe be yeado dodokpɔ sia kpɔ. Esia bia be woazã ŋkumeɖonu tɔxɛ aɖe si lolona si woyɔna be colposcope atsɔ alé ŋku ɖe vidzidɔa kple vidzidɔa ŋu. Ne nane li si mebɔ o la, woate ŋu akpɔe nyuie.
3. Biopsy: Ne ɖɔktaa kpɔ teƒe aɖe si ŋu ɖikeke le le colposcopy me la, woɖea lãkusi sue aɖe ŋutɔ ɖa heɖonɛ ɖe dodokpɔxɔa me be woadoe kpɔ. Woyɔa esia be biopsy. Esiae afia nenye be SIL, LSIL, HSIL, alo nane si le vevie wue.
Nukae ‘Negative for squamous intraepithelial lesion’ fia?
Ne wò Pap smear nyatakaka gblɔ be ``(NILM - Negative for Intraepithelial Lesion or Malignancy)`` la, nya nyui aɖee nye ema. Efia be womekpɔ nusiwo mesɔ o alo dzesi aɖeke si fia do ŋgɔ na kansa le wò vidzidɔ me lãmenugbagbeviwo me o. Gake ne emetsonu sia nyo hã la, ele vevie be nàkplɔ wò ɖɔkta ɖo le ɣeyiɣi siwo woɖo ɖi me.Ele vevie be woayi edzi awɔ Pap smear dodokpɔwo.
Nukawoe nye SIL ƒe atikewo?
Atikewɔwɔ ƒe mɔnu nɔ te ɖe ne LSIL alo HSIL le ŋuwò, afisi wòle, kple ƒe si nèxɔ kple wò lãmesẽ dzi.
- Le LSIL gome: LSIL ƒe dɔléle akpa gãtɔ, vevietɔ le ɖetugbuiwo gome, nu tsona le wo ɖokui si atike aɖeke manɔmee. Eyata zi geɖe la, wò ɖɔkta awɔ ɖe "ŋudzɔnɔnɔ ƒe lala" ƒe mɔnu dzi. Ema fia be woawɔ Pap smear ɣleti 6 va ɖo ƒe ɖeka ɖesiaɖe be woakpɔe ɖa be lãmenugbagbeviawo ƒe tɔtrɔwo gblẽna ɖe edzi alo woƒe lãme sẽna hã.
- Le HSIL gome: Zi geɖe la, HSIL hiãa atikewɔwɔ elabena afɔku le eme be wòazu kansa wu LSIL. Atikewɔwɔmɔnu vovovowo li:
| Atikewɔwɔ ƒe mɔnu | Ale si woawɔe |
|---|---|
| Atikewɔwɔ siwo wozãna ɖe ŋutilã ŋu | Le go aɖewo me la, wotsɔa kreme dea teƒe si lãmenugbagbevi siwo mesɔ o la le. Esiawo wua lãmenugbagbevi siwo mesɔ o alo doa ŋusẽ ŋutilãa ƒe dɔlélenutsiŋutete. |
| Cryotherapy ƒe atikewɔwɔ | Wozãa nusi fa miamiamia ŋutɔ, abe nitrogen si nye tsi ene, tsɔ tsia tsikpe me hegblẽa lãmenugbagbevi siwo me lãmenugbagbevi siwo mesɔ o le. |
| Laser-dɔdamɔnu | Wofiaa mɔ laser-ya sesẽ aɖe be wòatɔ dzo lãmeka si mesɔ o la ahaɖee ɖa. |
| Amekoko si woɖena le lãme na ame | Esiae nye mɔnu si wozãna wu. LEEP (Loop Electrosurgical Excision Procedure) alo Cone Biopsy hena HSIL si le vidzidɔa meLe mɔnu siawo tɔgbe zazã me la, akpa si me lãmenugbagbevi siwo mesɔ o le koe wotsona wòzua kɔnu ƒe nɔnɔme eye woɖenɛ ɖa. |
Mɔnukpɔkpɔ kae li be kansa nadze dziwò ne HSIL le ŋuwò?
Esia nye vɔvɔ̃ gã aɖe na ame geɖe. Esi nyatakakaa gblɔ be HSIL ta la, mefia be kansa le ŋuwò o. Ðeko wòfia be lãmenugbagbevi aɖewo li siwo ate ŋu atrɔ azu kansa.
Le numekukuwo nu la, ne womewɔ atike na HSIL dɔnɔwo o la, mɔnukpɔkpɔ sue aɖe koe li be woatrɔ azu kansa 2%. Gake ame aɖeke mate ŋu agblɔ ɣeyiɣi didi si wòaxɔ hafi ema nava eme o. Ate ŋu anye ƒe 10, ate ŋu anye ɣleti 10.
Esia tae míetsɔa mía ɖokui dea afɔku aɖeke me o, eye ne wonya ɖo kpe edzi be HSIL le mía ŋu ko la, míeɖea lãmenugbagbevi mawo siwo mesɔ o la ɖa to atikewɔwɔ si sɔ si ɖɔktaa kafu la dzi. To esia wɔwɔ me la, míate ŋu atɔ te kansa xɔxɔ ƒe afɔkua keŋkeŋ kloe.
Ðe woate ŋu axe mɔ ɖe SIL nua?
Mɔ nyuitɔ kple esi wɔa dɔ wu si dzi woato axe mɔ ɖe SIL nue nye be woaƒo asa na HPV dɔlékui si nye nusi koŋ gbɔ wòtsona la xɔxɔ.
1. Na HPV Vaccine: Esiae nye nu vevitɔ kekeake. HPV ƒe atike la kpɔa ame ta tso HPV ƒomevi vevi siwo hea kansa kple SIL vɛ la ƒe 90% me. Atike sia xɔxɔ le ƒe si sɔ me (zi geɖe la, na nyɔnuviwo kple ŋutsuvi siwo xɔ tso ƒe 9-14) ate ŋu aɖe afɔku siwo ate ŋu ado tso eme le etsɔme dzi akpɔtɔ ŋutɔ. Ne èxɔ wu ƒe ma la, bia wò ɖɔkta nenye be atike sia sɔ na wò ƒexɔxɔ.
2. Gbɔdɔdɔ si le dedie: Kɔndɔm zazã nyuie ɣesiaɣi si nèdɔ kple ame ate ŋu akpɔ tawò tso gbɔdɔdɔ ƒe dɔlélewo me, siwo dome HPV hã le.
3. Seɖoƒe ɖoɖo na gbɔdɔdɔ ƒe zɔhɛwo: Afɔku si le HPV dɔlékui xɔxɔ me dzina ɖe edzi ne zɔhɛwo le xexlẽme dzi.
4. Na woawɔ Pap smear na wò ɖe game dzi: Ne dzesi aɖeke mele ŋuwò o hã la, wɔ Pap smear le dometsotso siwo wò ɖɔkta kafu na wò, le ƒe si nèxɔ kple afɔku si le eme nu. Ne tɔtrɔ aɖe va la, woate ŋu alée le LSIL ƒe ɖoɖo nu hafi wòayi ŋgɔ ava ɖo nɔnɔme si nu sẽ wu abe HSIL ene me.
Enye nusi sɔ be nàvɔ̃ ne wokpɔ SIL le ŋuwò. Gake menye xexeame ƒe nuwuwue o. Enye wò ŋutilã ƒe nuxlɔ̃ame, be, "Nu sue aɖee nye esi, na míalé to ɖe esia ŋu." Ðo dze kple wò ɖɔkta gaglãa eye nàɖo to gɔmesese si le nyatakakaa ŋu. Na nu si nàwɔ akplɔe ɖo la me nakɔ. Ne wokpɔe kaba eye wodae nyuie la, esia nye dɔléle si woate ŋu ada keŋkeŋ.
Gbedasi si Wotsɔ Yi Aƒeme
- SIL (Squamous Intraepithelial Lesion) menye kansa o. Enye dɔléle si do ŋgɔ na kansa si ate ŋu ava zu kansa.
- Nusi koŋ gbɔ esia tsonae nye HPV dɔlékui si woxɔna to gbɔdɔdɔ me.
- SIL ƒomevi eve li: LSIL (tɔtrɔ fafɛ, zi geɖe la, ekpɔa egbɔ le eɖokui si ) kple HSIL (tɔtrɔ si de ŋgɔ ŋutɔ, ebia atikewɔwɔ).
- Zi geɖe la, dzesi aɖeke menɔa SIL ŋu o, eyata ele vevie ŋutɔ be woawɔ Pap dodokpɔ ɖe game dzi.
- Ne HSIL li gɔ̃ hã la, ekpɔkpɔ kaba kple edada nyuie (e.g., LEEP) ate ŋu axe mɔ ɖe kansa ƒe dzɔdzɔ nu keŋkeŋ kloe.
- HPV ƒe atike xɔxɔ kple gbɔdɔdɔ dedie wɔwɔ nye mɔ nyuitɔ siwo dzi woato axe mɔ ɖe SIL nu.
- Ne ètsi dzi alo ɖikeke aɖe le wò nyatakakaa ŋu la, bia wò ɖɔkta be wòana eme nakɔ wò.
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