Reka twige ku mpinduka mu turemangingo tw'umubiri wacu. Squamous Metaplasia ni iki?

Ese wigeze utekereza ko n'uturemangingo duto cyane mu mibiri yacu dushobora guhinduka rimwe na rimwe? Ibi bishobora kuba ibisanzwe, kandi rimwe na rimwe bishobora kuba ikintu cyo guhangayikishwa. Imwe muri izo mpinduka z'uturemangingo yitwa `(Squamous Metaplasia)`. Uyu munsi, turaganira kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

`(Squamous Metaplasia)` ni iki mu by'ukuri?

Mu magambo make, Squamous Metaplasia ni impinduka nziza kandi idatera kanseri mu turemangingo tw’inyuma tw’umubiri wawe. Tekereza ko iyi epithelium imeze nk'uruhu rwacu, urugingo rurinda uruhu rutwikiriye imyakura n'ingingo zacu.

Ubu biroroshye kureba ibisobanuro by'aya magambo abiri ukwayo:

• Squamous: Utu tunyangingo duto, duto kandi dusa n'udusimba. Utu ni two tugize epithelium.
• `(Metaplasia)`: Ibi bivuze ko ubwoko bumwe bw'ingirabuzimafatizo buhinduka bukaba ubwoko butandukanye rwose bw'ingirabuzimafatizo. Ikintu cyihariye ni uko ubwo bwoko bushya bw'ingirabuzimafatizo bukorwa ari bumwe busanzwe butaboneka muri ubwo bwoko bw'ingirabuzimafatizo.

Rero, muri `(Squamous Metaplasia)`, uturemangingo dusanzwe `(squamous)` dusimburwa n'uturemangingo `(squamous)`. Ariko akenshi iyi si kanseri. Ariko mu bihe bimwe na bimwe bidasanzwe, iyi ndwara ishobora kuba kanseri `(itera indwara mbi).`

Ese hari ubwoko bwa `(Squamous Metaplasia)`?

Yego, abaganga bashyira izi selile mu byiciro bya ``Squamous Metaplasia'' bitewe n'uburyo zihinduka. Hari ubwoko bubiri bw'ingenzi:

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

• Muri ubu bwoko, uturemangingo twawe dukora poroteyine nyinshi yitwa keratin uko tugenda tuva ku gice kimwe cya epithelium tujya ku kindi.
• Mu turemangingo dusanzwe dufite ubuzima bwiza, iyi poroteyine yitwa keratin ifasha mu kubaka ingingo zacu, umusatsi, uruhu, n'inzara. Inakora utwenge tw'ingingo n'uturemangingo.
• Ariko muri ubu bwoko, `(keratin)` nyinshi cyane irarundana.

2. `Nonkeratinizing Squamous Metaplasia`:

• Ikibaho muri ibi ni uko, nk'uko byavuzwe mbere, poroteyine nyinshi (ni ukuvuga `(keratin)`) itirundanya mu turemangingo. Keratinization ntibaho.

Muri ubwo bwoko bubiri, bumwe bukwiye kwitabwaho.

None se ibi ni intandaro ya kanseri? Ese ni indwara "itarafata kanseri"?

Iki nicyo kintu cy'ingenzi kurusha ibindi.

• Nonkeratizing Squamous Metaplasia si kanseri. Ibi bivuze ko itazaba kanseri. Rero nta kintu na kimwe cyo guhangayikishwa nacyo.
• Ariko, 'Keratinizing Squamous Metaplasia'Ubwoko bw'iyi ndwara bushobora rimwe na rimwe kuba "butarafata kanseri". Ibi bivuze ko iyo idavuwe neza, ishobora guhinduka kanseri uko igihe kigenda gihita.

Niyo mpamvu abaganga babyitaho cyane iyo babonye `(Keratinizing Squamous Metaplasia)'.

Bigenda bite iyo Squamous Metaplasia ibaye kanseri?

Ikibazo cyiza. Iyo indwara yavuzwe haruguru, "Keratinizing Squamous Metaplasia", itavuwe, izabanza guhinduka indwara yitwa "Dysplasia ." "Dysplasia" ni ukwiyongera kudasanzwe k'umubare w'uturemangingo mu ngingo cyangwa mu ngingo. Tekereza nk'agatsiko k'uturemangingo dukora ibintu bitari mu mategeko.

Hanyuma, iyo iyi ndwara ya `(Dysplasia)` idavuwe, ishobora guhinduka `(Neoplasia)` (neoplasia) . Hanyuma, ikibaho ni uko utwo turemangingo tudakora neza dukura vuba nta garuriro, tugakora `(neoplasm)` (neoplasm), ni ukuvuga `(ikibyimba).` Iyi ndwara ishobora kuba kanseri cyangwa idafite kanseri.

Iyo uturemangingo tw’umukara tubaye kanseri, tuyita kanseri y’ururenda rwa squamous . Ushobora kuba warumvise iri zina nk’ubwoko bwa kanseri y’uruhu. Ariko kanseri y’uruhu ni ubwoko bumwe gusa. Utu turemangingo tw’umukara tuboneka no mu ruhu rw’umunwa, mu mazuru, mu myanya y’ubuhumekero no mu nkondo y’umura.

Metaplasia ya Cervical Squamous ni iki?

Nubwo iyi ndwara yitwa Squamous Metaplasia, ishobora kugaragara ahantu hose mu ruhu rwacu, ikunze kugaragara mu turemangingo dukora amacandwe twa endocervix, igice cy'imyanya myibarukiro y'abagore. Endocervix ni inzira iri mu mura w'inkondo y'umura ihuza nyababyeyi n'igitsina gore.

Icy'ingenzi ni uko Nonkeratinizing Cervical Squamous Metaplasia ikunze kugaragara cyane ku bagore. Ifatwa nk'impinduka zisanzwe. Abagore bagera ku munani kuri icumi bari mu kigero cyo kubyara bafite iyi ndwara. Igaragara kandi ku bagore batatu kuri bane bagiye mu gihe cyo gucura. Iyi mpinduka isanzwe y'uturemangingo ntiyongerera ibyago byo kurwara kanseri.

Ariko, bamwe mu bantu banduye virusi ya Human Papillomavirus (HPV) bashobora kurwara indwara yitwa Squamous Metaplasia, ishobora kuba imbarutso ya kanseri. Nkuko mubizi, HPV ni yo ndwara ikunze kugaragara mu mibonano mpuzabitsina (STD). Squamous Metaplasia, iterwa na HPV, ishobora kuvamo indwara yitwa Cervical Dysplasia cyangwa Cervical Intraepithelial Neoplasia. Iyo itavuwe, izi mpinduka mu turemangingo zishobora gutera kanseri y'inkondo y'umura.

Niyo mpamvu abaganga bahora babwira abagore gupimwa nka "Pap Smear". Iyo izi mpinduka zibonetse hakiri kare, biroroha kuvura.

Ni hehe handi Squamous Metaplasia ishobora kugaragara?

Squamous Metaplasia ishobora no kugaragara muri utu duce tubiri:

• Inkari n'uruhago rw'inkari
• Sisitemu yo gugogora
• Amagufwa yo mu kanwa, ku rurimi no mu muhogo
• Uruhushya rwo guhumeka
• Uruhu

Ni izihe mpamvu zitera Squamous Metaplasia?

Impuguke ntizimenya neza impamvu zimwe na zimwe zihinduka muri ubu buryo, bigatuma habaho `(Squamous Metaplasia)`. Ariko, hari ibintu byinshi byagaragaye byongera ibyago byo kurwara ubwoko bumwe na bumwe bwa `(Squamous Metaplasia). Urugero:

• Uburyo bwo kuvura kanseri ya prostate hakoreshejwe imisemburo n'imirasire y'amaraso ku bagabo bishobora gutera indwara ya squamous metaplasia mu muyoboro w'inkari (umuyoboro utwara inkari ziva mu ruhago zijya hanze y'umubiri).
• Kwandura HPV bishobora gutera metaplasia y'inkondo y'umura.
• Abantu bamaze igihe kinini bakorerwa catheterization y'inkari, barwaye indwara zifata imiyoboro y'inkari kenshi (UTIs), cyangwa bafite amabuye mu mpyiko bashobora kurwara metaplasia y'uruhago.
• Abanywa itabi n'abafite indwara y'ibihaha yitwa Chronic Obstructive Pulmonary Disease (COPD) bafite ibyago byinshi byo kurwara bronchial squamous metaplasia.
• Kubura Vitamine A bishobora gutera Squamous Metaplasia mu nzira y'ubuhumekero.

Hari impamvu nyinshi zishobora gutera ibi, ariko ntabwo byavugwa ko zose ziterwa n'izi mpamvu.

Ni ibihe bimenyetso bya `(Squamous Metaplasia)`?

Ibimenyetso by'iyi ndwara biratandukanye bitewe n'igice cy'umubiri cyagizweho ingaruka n'iyi ndwara (Squamous Metaplasia). Abantu benshi bashobora kutagira ibimenyetso bigaragara. Ibi bivuze ko iyi ndwara ishobora kugaragara ku mubiri nta kibazo itera.

Ariko hari abantu bashobora kugira ibimenyetso.

• Abantu bafite ikibazo cyo kugabanuka k'umuhago mu gihe cy'inkari bashobora kugira ikibazo cyo kudakora imibonano mpuzabitsina (gushaka kunyara mu buryo butunguranye).
• Indwara ya cervical Squamous Metaplasia ishobora gutera kubyimba k'umura w'inkondo y'umura, izwi nka cervicitis. Iyi ndwara ntabwo itera ibimenyetso buri gihe. Ariko, niba ibimenyetso bigaragaye, bishobora kuba birimo:
• Amavuta anuka mu gitsina cyangwa kurira cyangwa gushya mu gitsina.
• Kubabara mu gihe cy'imibonano mpuzabitsina (dyspareunia).

Urabona rero ko ibimenyetso bishobora gutandukana bitewe n'umuntu ku wundi, kandi rimwe na rimwe ntibigaragare na gato.

Ni gute wasuzuma iyi ndwara?

Uburyo bwo gupima Squamous Metaplasia nabwo buratandukanye bitewe n'igice cy'umubiri cyafashwe.

• Abaganga bakoresha Pap smears kugira ngo barebe impinduka mu tunyangingo tw’inkondo y’umura n’utunyangingo tw’umura. Banapima HPV kugira ngo barebe niba warigeze kwandura HPV mbere. Niba ibisubizo by’ibi bizamini bigaragaza ko ushobora kurwara kanseri y’inkondo y’umura, ushobora koherezwa kwa muganga w’inkondo y’umura . Ibi bikubiyemo gusuzuma cyane utwo tunyangingo tw’inkondo y’umura.

• Mu bundi bwoko bwa squamous metaplasia, muganga wawe ashobora gufata icyitegererezo cy'uturemangingo two mu gace kagize ikibazo maze akadupima . Inzobere (yitwa pathologist) izasuzuma utwo turemangingo akoresheje mikorosikopi kugira ngo irebe niba hari impinduka cyangwa ibimenyetso by'indwara.

Niba rero ufite ikibazo nk'iki, cyangwa muganga akeka ko hari ikibazo nk'iki, azagukorera ibizamini bikwiye.

Indwara ya Squamous Metaplasia ivurwa ite?

Wibuka ko twavuze ku bwoko bwitwa ``Nonkeratinizing Squamous Metaplasia''? Ubwo bwoko akenshi ntibukenera kuvurwa kuko ntibuhinduka kanseri.

Ariko, ubwoko bwitwa `(Keratinizing Squamous Metaplasia)` bushobora kongera ibyago byo kurwara kanseri, bityo ugomba kubyitondera.

Muganga wawe azajya akora ibizamini buri gihe kugira ngo arebe niba hari ibimenyetso bya kanseri. Iyo hari impinduka mu turemangingo zigaragaza ikibazo, muganga wawe azagena uburyo bwiza bwo kuvura hashingiwe ku gice cy'umubiri cyagize ikibazo.

Uburyo bwo kuvura buterwa n'uburemere bw'indwara, aho iherereye, ndetse n'ubuzima bwawe muri rusange.

Ni iki ngomba kubaza muganga wanjye?

Niba urwaye Squamous Metaplasia, ushobora kuba ufite ibibazo byinshi. Ibi ni ibisanzwe. Dore bimwe mu bintu ushobora kubaza muganga wawe:

• Ni iyihe mpamvu ishobora kuba yaratumye ngira iyi `(Squamous Metaplasia)`?
• Ese ndi mu kaga ko kurwara kanseri?
• Nakora iki kugira ngo ngire icyo nkora kugira ngo ngire icyo nkora?
• Ese nkeneye kuvurwa? Niba ari byo, ni ubuhe bwoko?
• Ni kangahe nkwiye kwipimisha?
• Ese hari ingorane nagombye guhangayikishwa nazo?

Ntutinye kubaza ibi bibazo. Ni ngombwa cyane ko usobanukirwa neza uko umerewe.

Ubutumwa bwo kujyana mu rugo

Squamous Metaplasia ni impinduka idaterwa na kanseri mu turemangingo tw’inyuma, ari na yo ngingo itwikiriye ingingo zacu n’uturemangingo. Abantu benshi, cyane cyane abagore, bafite ubwoko bwitwa Nonkeratinizing Cervical Squamous Metaplasia. Ibi ntibyongera ibyago byo kurwara kanseri.

Ariko, ubwoko bwitwa ``Keratinizing Squamous Metaplasia'' bushobora guhinduka ``Dysplasia'' ndetse wenda na kanseri. Bityo muganga wawe azahora asuzuma uturemangingo twawe kugira ngo arebe ibimenyetso bya kanseri.

Igikuru ni uko niba ufite gushidikanya cyangwa ububabare, cyangwa niba muganga abivuze, ntutinye kubaza, shaka amakuru akwiye, kandi ubone ibizamini n'ubuvuzi bikenewe (nibiba ngombwa). Buri gihe kurikiza inama za muganga wawe.

Metaplasia ya Squamous , impinduka mu turemangingo, epithelium, keratin, mbere yo kurwara kanseri, inkondo y'umura, HPV