Tiyeni tiphunzire za kusintha kwa maselo a thupi lathu. Kodi Squamous Metaplasia ndi chiyani?

Kodi munayamba mwaganizapo kuti ngakhale maselo ang'onoang'ono kwambiri mkati mwa matupi athu nthawi zina amatha kusintha? Izi zitha kukhala zachilendo, ndipo nthawi zina zingakhale chinthu chodetsa nkhawa nacho. Kusintha kwina kwa maselo kotereku kumatchedwa `(Squamous Metaplasia)`. Lero, tikambirana izi mosavuta, mwanjira yomwe mungamvetse.

Kodi `(Squamous Metaplasia)` kwenikweni ndi chiyani?

Mwachidule, Squamous Metaplasia ndi kusintha kosavulaza, kosakhala khansa m'maselo a squamous a epithelium ya thupi lanu. Tangoganizani kuti epithelium iyi ili ngati khungu lathu, nembanemba yoteteza yomwe imaphimba tiziwalo ndi ziwalo zathu.

Tsopano n'kosavuta kuyang'ana matanthauzo a mawu awiriwa padera:

• Squamous: Awa ndi maselo ang'onoang'ono, athyathyathya omwe amafanana ndi mamba. Awa ndi omwe amapanga epithelium.
• `(Metaplasia)`: Izi zikutanthauza kuti mtundu wina wa selo umasintha ndikukhala mtundu wina wa selo. Chinthu chapadera ndichakuti mtundu watsopano wa selo womwe umapangidwa ndi womwe nthawi zambiri sumapezeka mu minofu imeneyo.

Kotero, mu `(Squamous Metaplasia)`, maselo abwinobwino a `(squamous)` amalowedwa m'malo ndi maselo a `(squamous)`. Koma nthawi zambiri izi si khansa. Koma nthawi zina, vutoli limatha kukhala khansa `(yoopsa).`

Kodi pali mitundu ya `(Squamous Metaplasia)`?

Inde, madokotala amaika maselo awa mu gulu la ``Squamous Metaplasia'' kutengera momwe amasinthira. Pali mitundu iwiri ikuluikulu:

1. `Keratinizing Squamous Metaplasia` kapena `(Leukoplakia)`:

• Mu mtundu uwu, maselo anu amapanga puloteni yambiri yotchedwa keratin pamene akuyenda kuchokera ku gawo limodzi la epithelium kupita ku lina.
• Mu maselo abwinobwino a squamous, puloteni iyi yotchedwa keratin imathandiza kumanga minofu yathu, tsitsi, khungu, ndi misomali. Imathandizanso kupanga mkati mwa ziwalo ndi ma glands.
• Koma mu mtundu uwu, `(keratin)` yambiri imasonkhana.

2. `Nonkeratinizing Squamous Metaplasia`:

• Chomwe chimachitika pamenepa n'chakuti, monga tanenera kale, kuchuluka kwa mapuloteni (ndiko kuti, `(keratin)`) sikumasonkhana mkati mwa maselo. Keratinization simachitika.

Mwa mitundu iwiri iyi, imodzi imayenera kuganiziridwa.

Kodi izi ndi zotsatira za khansa? Kodi ndi vuto la ``precancerous``?

Ichi ndiye chinthu chofunikira kwambiri.

• Nonkeratizing Squamous Metaplasia si khansa. Izi zikutanthauza kuti sidzasanduka khansa. Choncho palibe chodetsa nkhawa.
• Komabe, 'Keratinizing Squamous Metaplasia'Mtunduwu nthawi zina ungakhale "wosayambitsa khansa". Izi zikutanthauza kuti ngati sunalandire chithandizo choyenera, ukhoza kukhala khansa pakapita nthawi.

Ndicho chifukwa chake madokotala amaika chidwi kwambiri pa izi ngati apeza `(Keratinizing Squamous Metaplasia)'.

Kodi chimachitika ndi chiyani ngati Squamous Metaplasia yakhala khansa?

Funso labwino. Ngati vuto lomwe talitchula kale, ``Keratinizing Squamous Metaplasia'', silichiritsidwa, lidzakhala vuto lotchedwa ``Dysplasia .'' ``Dysplasia'' ndi kuwonjezeka kwachilendo kwa chiwerengero cha maselo m'thupi kapena ziwalo. Taganizirani ngati gulu la maselo omwe akuchita zinthu kunja kwa lamulo.

Kenako, ngati vuto la `(Dysplasia)` silinachiritsidwe, likhoza kukhala `(Neoplasia)` (neoplasia) . Kenako, chomwe chimachitika ndichakuti, maselo osakhazikikawo amakula mofulumira popanda kulamuliridwa, ndikupanga `(neoplasm)` (neoplasm), kutanthauza `(chotupa).` Chotupachi chikhoza kukhala khansa kapena chosakhala khansa.

Maselo a squamous akayamba kudwala khansa, timatcha squamous cell carcinoma . Mwina munamvapo dzinali ngati mtundu wa khansa ya pakhungu. Koma khansa ya pakhungu ndi mtundu umodzi wokha. Maselo a squamous amenewa amapezekanso m'maselo a mkamwa mwathu, m'mphuno, m'njira zopumira, komanso m'chibelekero.

Kodi Cervical Squamous Metaplasia ndi chiyani?

Ngakhale vutoli, lotchedwa Squamous Metaplasia, limatha kuchitika kulikonse mu epithelium yathu, limapezeka kwambiri m'maselo opanga mamina a endocervix, gawo la njira yoberekera ya akazi. Endocervix ndi njira yomwe imadutsa mkati mwa chiberekero yomwe imalumikiza chiberekero ndi nyini.

Chofunika kwambiri, Nonkeratinizing Cervical Squamous Metaplasia ndi yofala kwambiri mwa akazi. Amaonedwa ngati kusintha kwachibadwa. Azimayi pafupifupi asanu ndi atatu mwa khumi aliwonse a msinkhu wobereka ali ndi vutoli. Limapezekanso mwa amayi atatu mwa anayi aliwonse omwe adapita kusamba. Kusintha kwa maselo kumeneku sikuwonjezera chiopsezo cha khansa.

Komabe, anthu ena omwe ali ndi kachilombo ka Human Papillomavirus (HPV) amatha kukhala ndi matenda otchedwa Squamous Metaplasia, omwe amatha kukhala khansa. Monga mukudziwa, HPV ndi matenda opatsirana pogonana omwe amafala kwambiri. Squamous Metaplasia, yomwe imayamba chifukwa cha HPV, imatha kukhala matenda otchedwa Cervical Dysplasia kapena Cervical Intraepithelial Neoplasia. Ngati sanalandire chithandizo, kusintha kwa maselo kumeneku kungayambitse khansa ya pachibelekero.

Ndicho chifukwa chake madokotala nthawi zonse amauza akazi kuti akapimidwe ngati ``Pap Smear''. Ngati kusinthaku kwapezeka msanga, zimakhala zosavuta kuchiza.

Kodi Squamous Metaplasia ingachitike kuti?

Squamous Metaplasia imathanso kufalikira m'malo ena awa:

• Chikhodzodzo ndi dongosolo la mkodzo
• Dongosolo la m'mimba
• Ma tonsils mkamwa, lilime, ndi mmero
• Mapumulo
• Khungu

Kodi ndi zifukwa ziti za Squamous Metaplasia?

Akatswiri sakudziwabe chifukwa chake maselo ena amasintha motere, zomwe zimayambitsa `(Squamous Metaplasia)`. Komabe, pali zinthu zingapo zomwe zapezeka zomwe zimawonjezera chiopsezo cha mitundu ina ya `(Squamous Metaplasia).` Mwachitsanzo:

• Chithandizo cha mahomoni ndi chithandizo cha radiation cha khansa ya prostate mwa amuna zingayambitse squamous metaplasia mu urethra (chubu chomwe chimanyamula mkodzo kuchokera ku chikhodzodzo kupita kunja kwa thupi).
• Matenda a HPV angayambitse matenda a cervical squamous metaplasia.
• Anthu omwe akhala akulandira chithandizo cha mkodzo kwa nthawi yayitali, omwe ali ndi matenda a urinary tract (UTIs) pafupipafupi, kapena omwe ali ndi miyala ya impso amatha kukhala ndi vuto la chikhodzodzo.
• Anthu osuta fodya komanso omwe ali ndi matenda a m'mapapo otchedwa Chronic Obstructive Pulmonary Disease (COPD) ali pachiwopsezo chachikulu chotenga matenda a bronchial squamous metaplasia.
• Kusowa kwa Vitamini A kungayambitse Squamous Metaplasia m'njira yopumira.

Pakhoza kukhala zifukwa zingapo za izi, koma sitinganene kuti zonsezo zimachitika chifukwa cha zifukwa izi.

Kodi zizindikiro za `(Squamous Metaplasia)` ndi ziti?

Zizindikiro za vutoli zimasiyana malinga ndi gawo la thupi lomwe lakhudzidwa ndi vutoli (Squamous Metaplasia). Anthu ambiri sangakhale ndi zizindikiro zooneka. Izi zikutanthauza kuti vutoli likhoza kukhalapo pathupi popanda kuyambitsa kusasangalala kulikonse.

Koma anthu ena akhoza kukhala ndi zizindikiro.

• Anthu omwe ali ndi vuto la chikhodzodzo chotchedwa squamous metaplasia amatha kukhala ndi vuto la kusadziletsa (kufunikira kukodza mwadzidzidzi).
• Matenda a Cervical Squamous Metaplasia angayambitse kutupa kwa chiberekero, komwe kumatchedwa cervicitis. Matendawa nthawi zambiri samayambitsa zizindikiro. Komabe, ngati zizindikirozo zichitika, zitha kuphatikizapo:
• Kutuluka kwa nyini konunkha kapena kuyabwa kapena kutentha m'nsikazi.
• Ululu panthawi yogonana (dyspareunia).

Kotero mukuona, zizindikiro zimatha kusiyana malinga ndi munthu, ndipo nthawi zina sipangakhale zizindikiro konse.

Kodi mungazindikire bwanji vutoli?

Njira yoyezera Squamous Metaplasia imasiyananso malinga ndi gawo la thupi lomwe lakhudzidwa.

• Madokotala amagwiritsa ntchito ma Pap smears kuti aone kusintha kwa maselo a chiberekero ndi endocervix. Amayesanso HPV kuti aone ngati mudadwalapo kale HPV. Ngati zotsatira za mayesowa zikusonyeza kuti muli ndi chiopsezo chotenga khansa ya chiberekero, mutha kutumizidwa ku colposcopy . Izi zimaphatikizapo kufufuzanso maselo omwe ali m'chiberekero.

• Mu mitundu ina ya squamous metaplasia, dokotala wanu angatenge chitsanzo cha maselo kuchokera m'dera lomwe lakhudzidwa ndikuchita biopsy . Katswiri (wotchedwa pathologist) adzayang'ana maselowa pansi pa maikulosikopu kuti awone ngati pali kusintha kulikonse kapena zizindikiro za matenda.

Kotero ngati muli ndi vuto lililonse, kapena dokotala akukayikira vuto ngati ili, adzakuyesani mayeso oyenera.

Kodi Squamous Metaplasia imachiritsidwa bwanji?

Mukukumbukira kuti tinalankhula za mtundu wotchedwa ``Nonkeratinizing Squamous Metaplasia''? Mtundu umenewo nthawi zambiri sufuna chithandizo chifukwa susanduka khansa.

Komabe, mtundu wotchedwa `(Keratinizing Squamous Metaplasia)` ukhoza kuwonjezera chiopsezo cha khansa, kotero muyenera kusamala nazo.

Dokotala wanu nthawi zonse amachita mayeso kuti aone ngati pali zizindikiro zilizonse za khansa. Ngati kusintha kulikonse kwa maselo kukuwonetsa vuto, dokotala wanu adzasankha chithandizo chabwino kwambiri kutengera gawo la thupi lomwe lakhudzidwa.

Njira yochizira imadalira momwe vutoli lilili lalikulu, komwe lili, komanso thanzi lanu lonse.

Kodi ndifunse dokotala wanga chiyani?

Ngati mwapezeka ndi matenda a Squamous Metaplasia, mungakhale ndi mafunso ambiri. Izi ndi zachilendo. Nazi zina zomwe mungafunse dokotala wanu:

• Kodi chifukwa chake ndinapanga `(Squamous Metaplasia)` nchiyani?
• Kodi ndili pachiwopsezo chotenga khansa?
• Kodi ndingatani kuti ndichepetse chiopsezochi?
• Kodi ndikufunika chithandizo? Ngati ndi choncho, ndi cha mtundu wanji?
• Kodi ndiyenera kuyesedwa kangati?
• Kodi pali zovuta zilizonse zomwe ndiyenera kuda nazo nkhawa?

Musaope kufunsa mafunso awa. Ndikofunikira kwambiri kuti mumvetse bwino momwe zinthu zilili.

Uthenga Wopita Nawo Kunyumba

Squamous Metaplasia ndi kusintha kosakhala khansa m'maselo a epithelium, minofu yomwe imaphimba ziwalo zathu ndi ma glands. Anthu ambiri, makamaka akazi, ali ndi mtundu wotchedwa Nonkeratinizing Cervical Squamous Metaplasia. Izi sizikuwonjezera chiopsezo cha khansa.

Komabe, mtundu wotchedwa ``Keratinizing Squamous Metaplasia'' ukhoza kusanduka ``Dysplasia'' ndipo mwina ngakhale khansa. Choncho dokotala wanu nthawi zonse amafufuza maselo anu kuti awone ngati pali kusintha kulikonse kuti aone zizindikiro za khansa.

Chofunika kwambiri ndichakuti ngati muli ndi kukayikira kapena kusasangalala, kapena ngati dokotala watchula izi, musaope kufunsa, pezani chidziwitso choyenera, ndipo pezani mayeso ndi chithandizo chofunikira (ngati pakufunika). Nthawi zonse tsatirani upangiri wa dokotala wanu.

Squamous Metaplasia, kusintha kwa maselo, epithelium, keratin, precancerous, chiberekero, HPV