Ese raporo y'ikizamini cya Pap yawe yavuze SIL? Ntugahangayike, reka tubiganireho! (Squamous Intraepithelial Lesion - SIL)

Ni ibisanzwe kumva ufite ubwoba n'impagarara iyo ubonye ijambo 'SIL' cyangwa 'Squamous Intraepithelial Lesion' kuri raporo nyuma yo gupimwa na Pap. Ibintu nk'ibi "Iki ni iki? Mfite kanseri?" bishobora guhita bigaruka mu mutwe. Ariko ntugatinye. Fata umwuka mwinshi maze utuze. SIL si kanseri. Ariko ni ikintu tugomba kumenya. Rero, uyu munsi turaganira ku buryo bworoshye ku cyo SIL ari cyo, impamvu itera, n'icyo twakora kuri yo.

Mu magambo make, iyi SIL ni iki?

SIL, cyangwa Squamous Intraepithelial Lesion , ni indwara aho uturemangingo turi ku ruhu rw'umubiri wacu, cyane cyane uturemangingo two mu ruhu duto dutwikiriye ingingo zimwe na zimwe, dukura mu buryo butandukanye gato, butari busanzwe. Ijambo "intraepithelial" ubwaryo risobanura ko iyi mpinduka iba gusa mu ruhu/ururabyo, kandi ntijya mu bwiyongere.

Tekereza uruhu rwacu nk'urukuta rw'amatafari rwashyizwe neza. Muri SIL, ni nk'aho umurongo wo hejuru w'amatafari muri uru rukuta rw'amatafari wakuwemo ibice kandi ufite imiterere itandukanye. Urukuta ruracyakomeye, ariko hari itandukaniro rito mu cyiciro cyo hejuru.

Ubwo bwoko bw'impinduka mu turemangingo bushobora kubaho mu bice byinshi bitandukanye by'umubiri wacu. Ibimenyerewe cyane ni ibi bikurikira:

• Inkondo y'umura
• Igituba
• Agace k'inyuma k'igitsina (Igituba)
• Innyo
• Imboro
• Inyuma y'umuhogo wawe

Hari ubwoko bubiri bw'ingenzi bwa SIL:

Abaganga bareba utwo turemangingo twahinduwe bakoresheje mikorosikopi maze bagagabanya SIL mo ubwoko bubiri bw'ingenzi, bitewe n'uburyo utwo turemangingo dutandukanye n'utundi turemangingo dusanzwe.

Ni iyihe mpamvu nyamukuru y’iterambere rya SIL?

Impamvu nyamukuru kandi ikunze gutera SIL ni virusi ya Human Papillomavirus , cyangwa HPV , indwara zandurira mu mibonano mpuzabitsina (STI). HPV ni yo itera hafi 90% by'abarwayi ba SIL.

Iyo virusi ya HPV yinjiye mu mubiri wacu, igira ingaruka ku turemangingo tumwe na tumwe, bigatuma twigabanyamo kabiri vuba kandi mu buryo butandukanye n’uko bisanzwe. Iyi ni yo mpamvu ya SIL.

Ariko iki ni iki: Hari ubwoko burenga 100 bwa HPV.

• Hari ubwoko bumwe na bumwe (urugero: HPV 6, 11) bufite ibyago bike. Ubu bwoko bushobora gutera ibintu nk'ibisebe byo mu gitsina n'indwara za LSIL.
• Hari ubundi bwoko bw'indwara (urugero: HPV 16, 18) bufatwa nk'ubwoko bw'indwara ziterwa n'akaga gakomeye. Ubwo bwoko bw'indwara ziterwa n'akaga gakomeye bushobora gutera HSIL na kanseri.

Akenshi, ubudahangarwa bw'umubiri wacu bushobora kurwanya ubwandu bwa HPV no kubukuraho mu mubiri mu mezi make cyangwa umwaka umwe cyangwa ibiri. Ariko rimwe na rimwe, cyane cyane ubwoko bw'indwara zikomeye, bushobora kuguma mu mubiri buhoro buhoro bigatuma uturemangingo duhinduka mu myaka myinshi, bigatera SIL.

Ni ibihe bimenyetso by'iyi ndwara?

Kimwe mu bibazo bikomeye hano ni uko nta bimenyetso byihariye bya SIL bihari . Abantu benshi basanze iyi ndwara bayirwaye binyuze mu gupimwa Pap smear cyangwa gupimwa indwara z’abagore kubera indi mpamvu.

Ariko, hari igihe ibimenyetso bikurikira bishobora kugaragara. Niba ubibonye, ​​ugomba kujya kwa muganga wawe.

Ku bijyanye n'agace k'igitsina:

• Kuva amaraso cyangwa kuva amaraso mu gitsina bidasanzwe (cyane cyane hanze y'imihango cyangwa nyuma y'imibonano mpuzabitsina)
• Kugaragara kw'ibibyimba cyangwa uduheri mu gitsina
• Kumva ubushye cyangwa uburyaryate
• Ububabare
• Ubutukura bw'agace

Iyo SIL igaragaye inyuma mu muhogo:

• Kubabara ugutwi
• Ijwi rituje
• Kubabara iyo uri kumira ikintu
• Kubabara mu muhogo igihe kirekire
• Utunyangingo tw'ijosi twabyimbye

Niyo mpamvu ari ngombwa cyane ko umugore apimwa Pap smear buri gihe , nubwo nta bimenyetso agaragaza.

Ni nde uri mu kaga gakomeye ko kwandura SIL?

Nubwo umuntu wese wanduye HPV ashobora kurwara SIL, hari abantu bafite ibyago byinshi byo kurwara.

• Abantu bafite ubudahangarwa bw'umubiri budakomeye: Abantu bafite agakoko gatera SIDA, abahabwa izindi ngingo z'umubiri, cyangwa abafite ubudahangarwa bw'umubiri bugabanutse bitewe n'izindi ndwara bagorwa no kurwanya virusi ya HPV.
• Abanywi b'itabi: Imiti iri mu itabi yangiza uturemangingo twacu kandi igatuma ubudahangarwa bw'umubiri wacu bugabanuka, bigatuma bigoye ku banywi b'itabi kurwanya ubwandu bwa HPV.
• Imyitwarire idahwitse mu mibonano mpuzabitsina: Kugira abafatanyabikorwa benshi mu mibonano mpuzabitsina no kudakoresha uburyo bwo kwirinda nk'udukingirizo byongera ibyago byo kwandura HPV.

Ni gute umuganga asuzuma indwara ya SIL?

Hari ibizamini byinshi byo gusuzuma SIL.

1. Pap Smear: Iki ni cyo kizamini cy'ingenzi kandi gikunze gukoreshwa. Muri iki kizamini, hafatwa ingero nto z'uturemangingo twavuye mu mura w'inkondo y'umura hanyuma hagasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba hari ibitagenda neza. Pap smear yo mu kibuno ishobora kandi gukoreshwa mu gusuzuma SIL mu kibuno.

2. Colposcopy: Niba raporo yawe ya Pap smear igaragaza SIL, muganga wawe ashobora gutegeka iki kizamini. Ibi bisaba gukoresha indorerwamo yihariye yo gukuza yitwa colposcope kugira ngo urebe umura n'igitsina. Iyo hari ikintu kidasanzwe, gishobora kugaragara neza.

3. Isuzuma ry'umubiri: Iyo muganga abonye ahantu hakekwa mu gihe cyo gupima indwara ya colposcopy, agace gato cyane k'umubiri karakurwaho kakoherezwa muri laboratwari kugira ngo gapimwe. Ibi byitwa isuzuma ry'umubiri. Ibi nibyo bigaragaza niba ari SIL, LSIL, HSIL, cyangwa ikindi kintu gikomeye kurushaho.

'Negative for squamous intraepithelial lesion' bivuze iki?

Niba raporo yawe ya Pap smear ivuga ngo ``(NILM - Negative for Intraepithelial Lesion or Malignancy)``, ayo ni amakuru meza. Bivuze ko nta busembwa cyangwa ibimenyetso bya kanseri byabonetse mu turemangingo twa nyababyeyi yawe mbere yo kurwara kanseri. Ariko nubwo ibi byagaragaye neza, ni ngombwa gukurikirana muganga wawe mu bihe byagenwe.Ni ngombwa gukomeza gupimwa Pap smear.

Ni ubuhe buryo bwo kuvura SIL?

Uburyo bwo kuvura buterwa n'uko ufite LSIL cyangwa HSIL, aho iherereye, n'imyaka yawe n'ubuzima bwawe.

• Kuri LSIL: Indwara nyinshi za LSIL, cyane cyane ku bagore bakiri bato, zikemuka ubwazo nta muti. Bityo rero, muganga wawe akunze gukurikiza uburyo bwo "gutegereza witonze". Ibyo bivuze ko ugomba kwipimisha Pap smear buri mezi 6 kugeza ku mwaka kugira ngo barebe niba ingirabuzimafatizo zihinduka cyangwa zirushaho koroherwa.

• Kuri HSIL: HSIL isanzwe ikenera kuvurwa kuko ifite ibyago byinshi byo kurwara kanseri kurusha LSIL. Hari uburyo butandukanye bwo kuvura:

Ni amahirwe angahe yo kurwara kanseri niba ufite HSIL?

Ibi ni ubwoba bukomeye ku bantu benshi. Kuba raporo ivuga ko HSIL atari bivuze ko urwaye kanseri. Bisobanura gusa ko hari uturemangingo dushobora guhinduka kanseri.

Ubushakashatsi bugaragaza ko iyo bitavuwe, abarwayi ba HSIL bafite amahirwe make yo guhinduka kanseri ya 2% gusa. Ariko ntawe ushobora kuvuga igihe bizatwara kugira ngo ibyo bibeho. Bishobora gufata imyaka 10, bishobora gufata amezi 10.

Ese SIL ishobora kwirindwa?

Uburyo bwiza kandi bwiza bwo kwirinda SIL ni ukwirinda kwandura virusi ya HPV, ari nayo mpamvu nyamukuru itera.

1. Fata urukingo rwa HPV: Iki ni cyo kintu cy'ingenzi cyane. Urukingo rwa HPV rurinda 90% by'ubwoko bw'ingenzi bwa HPV butera kanseri na SIL. Kubona uru rukingo mu myaka ikwiye (ubusanzwe ku bakobwa n'abahungu bari hagati y'imyaka 9-14) bishobora kugabanya cyane ibyago byo mu gihe kizaza. Niba urengeje iyo myaka, baza muganga wawe niba uru rukingo rukwiranye n'imyaka yawe.

2. Imibonano mpuzabitsina itekanye: Gukoresha agakingirizo neza igihe cyose ukoze imibonano mpuzabitsina bishobora kukurinda indwara zandurira mu mibonano mpuzabitsina, harimo na HPV.

3. Kugabanya abafatanyabikorwa mu mibonano mpuzabitsina: Ibyago byo kwandura HPV biriyongera uko umubare w'abafatanyabikorwa wiyongera.

4. Kora isuzuma rya Pap ku gihe: Nubwo nta bimenyetso ufite, kora isuzuma rya Pap ku gihe muganga agusaba, bitewe n'imyaka yawe n'ibyago byawe. Iyo habayeho impinduka, ishobora gufatwa ku rwego rwa LSIL mbere yuko igera ku ndwara ikomeye nka HSIL.

Ni ibisanzwe kugira ubwoba iyo umenye ko ufite SIL. Ariko si iherezo ry'isi. Ni umuburo w'umubiri wawe, uvuga uti: "Dore akantu gato, reka twite kuri ibi." Vugana na muganga wawe nta guhishanya kandi wumve icyo raporo isobanura. Menya neza icyo ugomba gukora nyuma yaho. Iyo igaragaye hakiri kare kandi ikavurwa neza, iyi ni indwara ishobora gukira burundu.