Na míasrɔ̃ nu tso tɔtrɔ si va le míaƒe ŋutilã ƒe lãmenugbagbeviwo me ŋu. Nukae Nye Squamous Metaplasia?

Èsusui kpɔ be lãmenugbagbevi suetɔ kekeake siwo le míaƒe ŋutilã me gɔ̃ hã ate ŋu atrɔ ɣeaɖewoɣia? Esia ate ŋu anye nusi sɔ, eye ɣeaɖewoɣi ate ŋu anye nusi ŋu wòle be woatsi dzi ɖo. Woyɔa lãmenugbagbeviwo ƒe tɔtrɔ mawo dometɔ ɖeka be `(Squamous Metaplasia)`. Egbea, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nuka tututue nye `(Squamous Metaplasia)`?

Kpuie ko la, Squamous Metaplasia nye tɔtrɔ nyui aɖe si menye kansa o le wò ŋutilã ƒe lãkusi ƒe squamous cells me . Bu eŋu kpɔ be lãkusi sia le abe míaƒe ŋutigbalẽ ene, si nye ametakpɔnu si tsyɔa míaƒe lãkusiwo kple ŋutinuwo dzi.

Fifia ele bɔbɔe be míalé ŋku ɖe nya eve siawo ƒe gɔmesesewo ŋu ɖe vovo:

• Squamous: Esiawo nye lãmenugbagbevi sue siwo le gbadzaa siwo ɖi ƒuƒu. Esiawoe nye nusiwo wɔa lãkusia.
• `(Metaplasia)`: Esia fia be lãmenugbagbevi ƒomevi ɖeka trɔna eye wòzua lãmenugbagbevi ƒomevi bubu kura. Nu tɔxɛae nye be lãmenugbagbevi yeye sia ƒomevi si dzɔna la nye esi mele lãmenugbagbevi ma me le dzɔdzɔme nu o.

Eyata, le `(Squamous Metaplasia)` me la, wotsɔa `(squamous)` lãmenugbagbevi siwo sɔ la ɖɔlia `(squamous)` lãmenugbagbevi siwo sɔ. Gake zi geɖe la, esia menye kansa o. Gake le go aɖewo siwo mebɔ o me la, nɔnɔme sia ate ŋu azu kansa `(malignant).`

Ðe `(Squamous Metaplasia)` ƒomevi aɖewo lia?

Ẽ, ɖɔktawo bua lãmenugbagbevi siawo ɖe hatsotsowo me be ``Squamous Metaplasia'' le alesi wotrɔnae nu. Wole ƒomevi vevi eve:

1. `Keratinizing Squamous Metaplasia` alo `(Leukoplakia)`: Nusiwo wotsɔna ƒoa ƒui`.

• Le ƒomevi sia me la, wò lãmenugbagbeviwo wɔa protein si woyɔna be keratin geɖe wu ne wole ʋuʋum tso lãkusi ƒe akpa ɖeka yi bubu dzi.
• Le lãmenugbagbevi siwo le lãmesẽ me siwo sɔ me la, protein sia si woyɔna be keratin kpena ɖe mía ŋu míetua míaƒe lãkusiwo, taɖa, ŋutigbalẽ, kple ɖawo ɖo. Ewɔa ŋutinuwo kple lãkusiwo hã.
• Gake le ƒomevi sia me la, `(keratin)` sɔ gbɔ akpa ƒoa ƒu.

2. `Squamous Metaplasia si mewɔa dɔ o`:

• Nusi dzɔna le esia me enye be, abe alesi míegblɔe va yi ene la, protein agbɔsɔsɔ gã aɖe (si nye `(keratin)`) meƒoa ƒu ɖe lãmenugbagbeviwo me o. Keratinization medzɔna o.

Le ƒomevi eve siawo dome la, ɖeka dze be woalé ŋku ɖe eŋu vie.

Eyata ɖe esia nye kansa ƒe ŋgɔdonyaa? ``Nɔnɔme si do ŋgɔ na kansa``?

Esiae nye nu vevitɔ kekeake.

• Nonkeratinizing Squamous Metaplasia nye dɔléle si menye kansa o. Esia fia be matrɔ azu kansa o. Eyata naneke meli si ŋu woatsi dzi ɖo o.
• Ke hã, `Keratinizing Squamous Metaplasia`Ƒomea ateŋu anye ``do ŋgɔ na kansa'' ɣeaɖewoɣi. Esia fia be ne womedae nyuie o la, ate ŋu ava zu kansa le ɣeyiɣi aɖe megbe.

Esia tae ɖɔktawo léa ŋku ɖe eŋu wu ne wokpɔ `(Keratinizing Squamous Metaplasia)'.

Nukae dzɔna ne Squamous Metaplasia va zu kansa?

Nyabiase nyui aɖe. Ne womewɔ atike na nɔnɔme si míeyɔ va yi, ``Keratinizing Squamous Metaplasia'', o la, atrɔ gbã azu nɔnɔme si woyɔna be ``Dysplasia .'' ``Dysplasia'' nye lãmenugbagbeviwo ƒe xexlẽme ƒe dzidziɖedzi si mesɔ o le lãkusiwo alo ŋutinuwo me. Bu eŋu abe lãmenugbagbevi gbogbo aɖewo siwo le dɔ wɔm le se godo ko ene.

Emegbe ne womeda `(Dysplasia)` nɔnɔme sia o la, ate ŋu ava zu `(Neoplasia)` (neoplasia) . Emegbe, nusi dzɔna enye be, lãmenugbagbevi mawo siwo mewɔ ɖeka o la tsina kabakaba eye womekpɔa wo dzi o, wowɔa `(neoplasm)` (neoplasm), si fia be, `(tumor).` Dɔdzẽ sia ate ŋu anye kansa alo menye kansa o.

Ne lãmenugbagbevi siwo le lãkusi me va zu kansa la, míeyɔnɛ be lãmenugbagbevi siwo le lãkusi me ƒe dɔdzẽ . Ðewohĩ èse ŋkɔ sia be enye ŋutigbalẽ me kansa ƒomevi aɖe. Gake ŋutigbalẽ me kansa nye ƒomevi ɖeka ko. Lãmenugbagbevi siawo siwo nye squamous cells hã le míaƒe nu, ŋɔti, yaƒoƒomɔ, kple vidzidɔ ƒe lãkusiwo me.

Nukae Nye Vidzidɔ me Squamous Metaplasia?

Togbɔ be nɔnɔme sia si woyɔna be Squamous Metaplasia ate ŋu adzɔ le míaƒe lãkusi ƒe akpa ɖesiaɖe hã la, edzena zi geɖe le lãmenugbagbevi siwo wɔa ʋuʋudedi le vidzidɔa me, si nye nyɔnuwo ƒe vidzidzi ƒe akpa aɖe, me. Endocervix nye mɔ si to vidzidɔa me si ƒoa vidzidɔa kple vidzidɔa nu ƒu.

Vevietɔ la, Nonkeratinizing Cervical Squamous Metaplasia bɔ ɖe nyɔnuwo me ŋutɔ. Wobunɛ be enye tɔtrɔ si sɔ. Nyɔnu siwo xɔ ƒe si woate ŋu adzi vi dometɔ siwo ade enyi ye le vidzidzi ƒe ƒewo me. Wokpɔnɛ le nyɔnu etɔ̃ le ene ɖesiaɖe me siwo to dzinukpɔkpɔ me hã ŋu. Lãmenugbagbeviwo ƒe tɔtrɔ sia si bɔ menaa kansa ƒe afɔkua dzina ɖe edzi o .

Gake ame aɖewo siwo ŋu Human Papillomavirus (HPV) le ate ŋu axɔ dɔléle aɖe si woyɔna be Squamous Metaplasia, si ate ŋu anye kansa ƒe ŋgɔdonya. Abe alesi nènyae ene la, HPV ye nye gbɔdɔdɔ ƒe dɔléle (STD) si bɔ wu. Squamous Metaplasia, si HPV hena vɛ, ate ŋu ava zu nɔnɔme si woyɔna be Cervical Dysplasia alo Cervical Intraepithelial Neoplasia. Ne womewɔ atike na lãmenugbagbeviwo ƒe tɔtrɔ siawo o la, ate ŋu ahe vidzidɔ me kansa vɛ.

Esia tae ɖɔktawo gblɔna na nyɔnuwo ɣesiaɣi be woawɔ dodokpɔwo abe ``Pap Smear'' ene. Ne wokpɔ tɔtrɔ siawo kaba la, edada anɔ bɔbɔe wu.

Afikae Squamous Metaplasia ate ŋu adzɔ le?

Squamous Metaplasia ate ŋu adzɔ le teƒe bubu siawo hã:

• Tsinyegoe kple aɖuɖɔtoe ƒe ɖoɖo
• Nuɖuɖumeŋusẽ ƒe dɔwɔwɔ
• Tonsils le nu, aɖe, kple ŋɔti me
• Yagbɔgbɔ ƒe ɖoɖo
• Ŋutigbalẽ

Nukawoe hea Squamous Metaplasia vɛ?

Eŋutinunyalawo menya nusita tututu lãmenugbagbevi aɖewo trɔna alea, si hea `(Squamous Metaplasia)` vɛ haɖe o. Ke hã, wode dzesi nu geɖe siwo dzia afɔku si le `(Squamous Metaplasia) ƒomevi aɖewo xɔxɔ me ɖe edzi.` Le kpɔɖeŋu me:

• Lãmetsiŋusẽtike kple keklẽŋusẽ ƒe atikewɔwɔ na ŋutsuwo ƒe ʋumenugbagbeviɣidɔ ate ŋu ana squamous metaplasia le tsinyegoe me (mɔ̃ si tsɔa aɖuɖɔ tso tsinyegoe me yia ŋutilãa godo).
• HPV dɔlékui ate ŋu ana vidzidɔ me squamous metaplasia.
• Ame siwo wodo aɖuɖɔtoe me ʋu na ɣeyiɣi didi aɖe, amesiwo ŋu aɖuɖɔtoedɔléle (UTI) le enuenu, alo amesiwo ŋu ayiku me kpewo le ate ŋu axɔ tsinyegoe me squamous metaplasia.
• Atamanolawo kple amesiwo ŋu aklãdɔléle si woyɔna be Chronic Obstructive Pulmonary Disease (COPD) le la le afɔku me be woaxɔ aɖuɖɔtoe me squamous metaplasia.
• Vitamin A ƒe anyimanɔmanɔ ate ŋu ahe Squamous Metaplasia vɛ le gbɔgbɔtsixe me.

Ðewohĩ susu vovovowo tae esia tso, gake womate ŋu agblɔ be susu siawo gbɔe wo katã tso o.

Nukae nye `(Squamous Metaplasia)` ƒe dzesiwo?

Nɔnɔme sia ƒe dzesiwo toa vovo le ŋutilã ƒe akpa si dɔlélea gblẽ nu le nu (Squamous Metaplasia). Ðewohĩ dzesi aɖeke manɔ ame geɖe ŋu si woate ŋu akpɔ o. Esia fia be nɔnɔmea ate ŋu anɔ ŋutilãa dzi evɔ mahe vevesese aɖeke vɛ o.

Gake ame aɖewo ate ŋu akpɔ dzesiwo.

• Ame siwo ŋu tsinyegoe me squamous metaplasia le ate ŋu akpɔ urge incontinence (aɖuɖɔtoe ƒe hiahiã kpata).
• Cervical Squamous Metaplasia ate ŋu ana vidzidɔa naxɔ abi, si woyɔna be cervicitis. Menye ɣesiaɣie nɔnɔme sia hea dzesiwo vɛ o. Gake ne dzesiawo dze la, woate ŋu anye:
• Vidzidɔ me tsi si ʋẽna lilili alo ʋuʋudedi alo dzobibi le nyɔnu ƒe vidzidɔ me.
• Vevesese le gbɔdɔdɔ me (dyspareunia).

Eyata èkpɔe be dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye ɣeaɖewoɣi la, dzesi aɖeke mate ŋu anɔ wo ŋu kura o.

Aleke woawɔ anya dɔléle sia?

Mɔ si dzi woato ado Squamous Metaplasia kpɔ hã toa vovo le ŋutilã ƒe akpa si ŋu dɔlélea le nu.

• Ðɔktawo zãa Pap smear tsɔ dia tɔtrɔ siwo va le vidzidɔa kple vidzidɔa ƒe lãmenugbagbeviwo me. Wodoa HPV hã kpɔna be HPV dɔlékui aɖe le ŋuwò va yi hã. Ne dodokpɔ siawo me tsonu ɖee fia be afɔku le eme be nàxɔ vidzidɔ me kansa la, woate ŋu aɖo wò be woawɔ dɔ na wò le ʋuka me . Esia bia be woagalé ŋku ɖe lãmenugbagbevi siwo le vidzidɔa me ŋu.

• Le squamous metaplasia ƒomevi bubuwo me la, wò ɖɔkta ate ŋu axɔ lãmenugbagbeviwo ƒe kpɔɖeŋu tso teƒe si dɔlélea le eye wòawɔ biopsy . Emegbe eŋutinunyala bibi aɖe (si woyɔna be dɔléleŋutinunyala) alé ŋku ɖe lãmenugbagbevi siawo ŋu le nusuekpɔmɔ̃ me akpɔe ɖa be tɔtrɔ alo dɔléle ƒe dzesi aɖewo le wo ŋu hã.

Eyata ne vevesese aɖe le ŋuwò, alo ɖɔkta aɖe ɖi ɖase le nɔnɔme sia tɔgbe ŋu la, woawɔ dodokpɔ siwo sɔ.

Aleke wodaa Squamous Metaplasiae?

Èɖo ŋku edzi be míeƒo nu tso ƒomevi si woyɔna be ``Nonkeratinizing Squamous Metaplasia'' ŋua? Zi geɖe la, mehiã be woawɔ atike ma ƒomevi o elabena metrɔna zua kansa o.

Ke hã, ƒomevi si woyɔna be `(Keratinizing Squamous Metaplasia)` ate ŋu ana kansa ƒe afɔkua nadzi ɖe edzi, eyata ele be nàɖɔ ŋu ɖo le eŋu.

Wò ɖɔkta awɔ dodokpɔwo edziedzi be yeakpɔe ɖa be kansa ƒe dzesi aɖeke hã le ye ŋu hã. Ne lãmenugbagbeviwo ƒe tɔtrɔ aɖewo ɖee fia be kuxi aɖe li la, wò ɖɔkta anɔ te ɖe ŋutilã ƒe akpa si ŋu wògblẽ nu le dzi atso nya me le atike nyuitɔ si nàwɔ ŋu.

Atikewɔwɔ ƒe mɔnu nɔ te ɖe alesi dɔlélea nu sẽe, afisi wòle, kple wò lãmesẽ bliboa dzi.

Nukae wòle be mabia nye ɖɔkta?

Ne wokpɔe be Squamous Metaplasia le ŋuwò la, nyabiase geɖe ate ŋu anɔ asiwò. Esia sɔ. Nu aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• Nukae ateŋu anye nusita mexɔ `(Squamous Metaplasia)` sia ɖo?
• Ðe wòle afɔku me be kansa nadze dzinyea?
• Nukae mate ŋu awɔ atsɔ aɖe afɔku sia dzi akpɔtɔ?
• Ðe mehiã atikewɔwɔa? Ne nenemae la, ke ka ƒomevie?
• Zi nenie wòle be woawɔ dodokpɔ nam?
• Ðe kuxi aɖewo li siwo ŋu wòle be matsi dzi ɖoa?

Mègavɔ̃ be yeabia nya siawo o. Ele vevie ŋutɔ be nàse wò nɔnɔmea gɔme nyuie.

Gbedasi si Wotsɔ Yi Aƒeme

Squamous Metaplasia nye tɔtrɔ si menye kansa o le lãmenugbagbevi siwo le lãkusi me, si nye lãkusi si tsyɔa míaƒe ŋutinuwo kple lãkusiwo dzi. Ame geɖe, vevietɔ nyɔnuwo, ƒe ƒomevi aɖe si woyɔna be Nonkeratinizing Cervical Squamous Metaplasia le wo ŋu. Esia menaa kansa xɔxɔ ƒe afɔkua dzina ɖe edzi o.

Ke hã, ƒomevi aɖe si woyɔna be ``Keratinizing Squamous Metaplasia'' ateŋu atrɔ azu ``Dysplasia'' eye ɖewohĩ kansa gɔ̃ hã. Eyata wò ɖɔkta alé ŋku ɖe wò lãmenugbagbeviwo ŋu edziedzi be tɔtrɔwo le wo ŋu hã be yeadi kansa ƒe dzesiwo.

Nu vevitɔe nye be ne ɖikeke alo vevesese aɖe le ŋuwò, alo ne ɖɔkta aɖe ƒo nu tso esia ŋu la, mègavɔ̃ be yeabia o, xɔ nyatakaka nyuitɔ, eye nàwɔ dodokpɔ kple atikewɔwɔ siwo hiã (ne ehiã). Wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi ɣesiaɣi.

` Squamous Metaplasia, lãmenugbagbeviwo ƒe tɔtrɔ, lãkusi, keratin, do ŋgɔ na kansa, vidzidɔ, HPV