Wambonzwa here nezvekukura kwemasero mumuromo wechibereko kusina kujairika? (Cervical Dysplasia) Usazvidya moyo, ngatitaurei nezvazvo!

Zvakajairika kuti unzwe kutya kana bvunzo yako yePap test ikati pane shanduko mumasero emuromo wechibereko chako. Ungafunga kuti, "Handizivi kana iri kenza." Asi usazvidya moyo. Kazhinji, chirwere ichi chinonzi 'cervical dysplasia' hachisi kenza, asi chirwere chisati chatanga kenza. Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi cervical dysplasia?

Zvichitaurwa zviri nyore, kukura kwemasero asina kujairika pamusoro pemuromo wechibereko chako. Unoziva, muromo wechibereko ndiwo musuwo wechibereko chako, uyo wakabatana nepamusoro penhengo yako yemukadzi. Unonziwo cervical intraepithelial neoplasia, kana (CIN). 'Intraepithelial' zvinoreva kuti masero asina kujairika ari muchikamu che epithelial chemuromo wechibereko chete, uye haana kupararira kupfuura iwoyo. 'Neoplasia' zvinoreva kukura kwemasero kusina kujairika.

Fungidzira izvi sekuchinja kudiki paganda redu. Dzimwe nguva zvinogona kunaya zvega, kana kuti zvinogona kurapwa nekurapwa kudiki.

Mamiriro ezvinhu aya akakomba zvakadii? Tinofanira kutya here?

Ichokwadi kuti izwi rekuti "precancer" rinogona kutyisa. Asi chakakosha ndechekuti havasi vese vane cervical dysplasia vanozowana cancer. Kuonekwa uine chirwere ichi zvinoreva kuti kana ukasawana kurapwa kwakakodzera, unogona, uye ndinoreva chete, kuwana cancer yemuromo wechibereko. Kunyangwe cancer ikakura, zvinotora makore kuti ikure. Saka chiremba wako ane nguva yakawanda yekuwana nzvimbo idzi dzine dambudziko uye kudzibvisa. Saka zvakakosha kuti usatye uye uteedzere zano rachiremba wako.

Ndedzipi nzira dzekuisa muzvikamu kukura uku kusina kujairika kwemasero?

Kare, chirwere ichi chaiiswa muchikamu che'mild', 'medium', kana 'severe', zvichienderana nekuti masero asina kujairika angashanduka kuita kenza. Asi ikozvino kwava nenzira itsva yekuisa muchikamu chehukuru hwacho. Zvinoenderana nekuti masero asina kujairika akawanda sei akapararira kupfuura pamusoro pechitunha chemuromo wechibereko chako. Izvi zvinonzi ``CIN'' classification. Chikero chinotangira pachimwe kusvika pazvitatu.

• CIN 1: Izvi zvinoreva kuti kune masero asina kujairika muchikamu chimwe muzvitatu cheukobvu hwenyama yepamusoro pemuromo wechibereko.
• CIN 2: Pano, masero asina kujairika anogona kupararira munzvimbo ine chikamu chimwe muzvitatu kusvika zviviri muzvitatu zvekukora kwenyama.
• CIN 3: Muizvi, masero asina kujairika anofukidza zvinopfuura zvikamu zviviri kubva muzvitatu zvekukora kwenyama.

Zvino, tarisa, chirwere che`(CIN 1)` hachiwanzova chegomarara muzviitiko zvakawanda. Zvakare, chinowanzova nani chega. Zvisinei, chirwere che`(CIN 2)` uye `(CIN 3)` chine mukana wekuda kurapwa kudzivirira kenza kuti isatange.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Chirwere checervical dysplasia chinokanganisa vakadzi vanoita zvepabonde. Chinonyanya kuitika kuvakadzi vane hutachiona hweHuman Papillomavirus (HPV). Waizviziva here kuti HPV ndeimwe yezvirwere zvepabonde zvakajairika pasi rose?

Dambudziko iri rinonyanya kuitika kuvakadzi vari pakati pemakore makumi maviri nemashanu kusvika makumi matatu nemashanu, zvichireva kuti vasvika pazera rekubereka vana.

Ndezvipi zviratidzo zveizvi? Unozviziva sei?

Kazhinji , cervical dysplasia haikonzeri zviratidzo. Chiremba wako achangowana masero aya asina kujairika panguva yekuongororwa kwePap nguva dzose. Ndosaka zvichikosha kuti uedze Pap test yako nenguva. Zvisinei, dzimwe nguva unogona kuona zvinhu zvakaita semavanga kana kubuda ropa mushure mebonde.

Sei izvi zvichiitika? Chikonzero chikuru ndechei?

Chikonzero chikuru cheizvi hutachiona hwe `(HPV)`. Hutachiona uhwu hunopararira kuburikidza nekuita zvepabonde. Kazhinji, masoja emuviri wako anogona kubvisa hutachiona uhwu. Kune marudzi anopfuura zana akasiyana e `(HPV)`. Pamhando idzi, mamwe marudzi, akadai se `(HPV-16)` uye `(HPV-18)`, ane mukana wekutapukira masero ekubereka uye kukonzera kukura kwemasero mumuromo wechibereko (Cervical Dysplasia).

Masayendisiti anofungidzira kuti vakadzi vanopfuura 75% vanoita zvepabonde vachabatwa neHPV pane imwe nguva muhupenyu hwavo. Nguva inowanzoonekwa yehutachiona uhwu ndeyepakati pemakore gumi nemashanu nemakumi maviri nemashanu. Zvisinei, hutachiona uhu huzhinji hunopera hwega pasina kukonzera matambudziko asingaperi. Kashoma, masero asina kujairika anokura nekufamba kwenguva, zvichikonzera chirwere chinonzi cervical dysplasia.

Zvakakosha: Kubatwa neHPV hazvirevi hazvo kuti uchava nechirwere chemuromo wechibereko chinonzi cervical dysplasia.

Chikonzero chaicho chinoita kuti vamwe vakadzi vabatwe nechirwere checervical dysplasia kana vabatwa neHPV uye vamwe vasingabatwi hachisati chazivikanwa. Zvisinei, mamwe marudzi eHPV ane njodzi huru uye kuti hutachiona hunogara kwenguva yakareba sei zvinogona kuita basa racho. Pamusoro pezvo, kune zvimwe zvinhu zvakawanda zvinokonzera njodzi:

• Vanopfuura makore 55 ekuberekwa: Ongororo dzakaratidza kuti hutachiona hweHPV hunogara kwenguva refu mumadzimai anopfuura makore 55. Utachiona uhwu hunopera nekukurumidza kune vari pasi pemakore 25.
• Kusvuta: Vanhu vanosvuta fodya uye vanoshandisa zvigadzirwa zvefodya vanogona kuwedzera mukana wavo wekuva nemasero asina kujairika emumuromo wechibereko.
• Kusasimba kwemuviri: Kana uri kutora mishonga inoderedza simba remuviri, muviri wako ungave nenguva yakaoma yekurwisa hutachiona hweHPV. Zvakare, kana uine hutachiona hweHuman Immunodeficiency Virus (HIV), zvinogonawo kuderedza kugona kwemuviri wako kurwisa hutachiona. Kana uine hutachiona husina simba uye ukawana HPV, unogona kutanga chirwere checervical dysplasia.

Chirwere ichi chinoonekwa sei? (Kuongororwa)

Zvingangoita kuti chiremba wako aone zviratidzo zvechirwere ichi panguva yekuongororwa kwePap nguva dzose. Kana mhedzisiro yekuongororwa kwePap isina kujeka kana kuratidza masero asina kujairika, danho rinotevera ringave colposcopy, inova bvunzo yekuongorora muromo wechibereko chako.

Bvunzo iyi ye "(colposcopy)" inogona kuitwa muhofisi yachiremba wako. Mubvunzo iyi, chiremba anoshandisa mudziyo une chiedza unonzi "colposcope" kuti aone masero asina kujairika pamuromo wechibereko chako kana pamadziro emukadzi.

Chiremba anogonawo kutora sampuli yenyama (biopsy) oitumira kurabhoritari kuti adzidze zvakawanda nezvemasero aya. Dzimwe nguva, bvunzo yeDNA inogona kuitwa kuti vaone kana paine mhando dzeHPV dzine njodzi huru.

Ndeapi marapirwo eizvi? (Kurapwa)

Kurapwa kunoenderana nezvinhu zvakawanda. Kuoma kwe cervical dysplasia yako, zera rako, hutano hwako, uye nzira dzaunofarira dzekurapa. Rangarira kuti mamwe marapirwo e cervical dysplasia anogona kukanganisa kugona kwako kubata pamuviri mune ramangwana. Saka, kana uine pamuviri kana kuti uchironga kubata pamuviri mune ramangwana, taura nachiremba wako nezvesarudzo dzako dzekurapa.

Kutarisa masero asina kujairika

Kana uine chirwere chisina kunyanya kukomba chinonzi `Cervical Dysplasia` (CIN 1), pamwe hauzodi kurapwa. Kazhinji, chirwere ichi chinozopora chega. Chikamu chidiki chezvirwere izvi chinozopedzisira chava kenza yemuromo wechibereko, inenge 1%. Saka, chiremba wako anogona kukurudzira kuongororwa kwePap nguva dzose kuti aongorore shanduko dzisina kujairika dzemasero.

Kubvisa kana kuparadza masero asina kujairika

Kana cervical dysplasia yako yakanyanya kuipa (CIN 2 kana CIN 3), chiremba wako anogona kubvisa kana kuparadza masero asina kujairika anogona kuita kenza.

Kune nzira dzakasiyana siyana dzinoshandiswa pakuita izvi:

• Maitiro Ekubvisa Kuvhiyiwa Kwemudumbu Nemagetsi (LEEP): Mukuita uku, waya diki, ine simba remagetsi inoshandiswa kubvisa nyama dzisina kurongeka. Maitiro aya anogonawo kutora sampuli dzenyama kuti dziongororwe zvakare. Pakati pe1% ne2% yevakadzi vanogona kuva nematambudziko mushure mekuita uku, akadai sekunonoka kubuda ropa kana kutetepa kwemuromo wechibereko (stenosis).
• Kuongororwa kweganda rebanga rinotonhora (conization): Mukuita uku, chiremba anobvisa chidimbu chenyama chakaita sekoni chine masero asina kujairika. Maitiro aya aimboshandiswa kurapa cervical dysplasia, asi ikozvino anoshandiswa kune dzimwe nyaya dzakakomba. Maitiro aya anogonawo kutora sampuli yenyama kuti iongororwe zvakare. Zvisinei, ane njodzi yakakura zvishoma yematambudziko, akadai sekutetepa kwemuromo wechibereko uye kubuda ropa mushure mekuvhiyiwa.
• Kubviswa kwechibereko: Uku kubviswa kwechibereko zvachose. Kana chibereko chikaramba chiripo kana kuti chikasavandudzika mushure memamwe marapirwo, kubviswa kwechibereko kunogona kuva sarudzo.

Dambudziko iri rinogona kurapwa zvachose here?

Ehe, zvechokwadi! Zvinenge 90% yezviitiko zvese zve `(Cervical Dysplasia)` zvinogona kurapwa nekubvisa kana kuparadza masero asina kujairika. `(Cervical Dysplasia)` haiwanzo kufambira mberi kuita kenza. Kunyangwe zvikaitika, inofambira mberi zvishoma nezvishoma. Saka pane nguva yakakwana yekuti chiremba apindire uye arapwe.

Ungazvidzivirira sei kubva mumamiriro ezvinhu aya? (Kudzivirira)

Nzira chete yekudzivirira cervical dysplasia ndeyekudzivirira hutachiona hweHPV. Kana uine HPV kare, kuongororwa kwePap nguva dzose kunogona kubatsira kuderedza njodzi yako yekubatwa nekenza yemumuromo wechibereko. Kuongororwa kwePap hakugone kudzivirira cervical dysplasia, asi kunogona kubatsira kuona cervical dysplasia nekukurumidza uye kudzivirira kuti isakure kuita kenza.

Heano zvimwe zvinhu zvaunogona kuita:

• Tora mushonga weHPV: Nzira yakanakisa yekudzivirira HPV ne cervical dysplasia ndeyekubaiwa nhomba. FDA yakabvumidza majekiseni matatu anodzivirira kubva kumhando dzeHPV dzinowanzobatanidzwa ne cervical dysplasia: Gardasil®, Gardasil 9®, uye Cervarix®. CDC inokurudzira kuti munhu wese ari pakati pemakore mapfumbamwe nemakumi maviri nematanhatu awane mushonga wekudzivirira. Kana uri pakati pemakore makumi maviri nemanomwe nemakumi mana nemashanu, taura nachiremba wako nezvemabhenefiti ekuwana mushonga wekudzivirira. Mushonga wekudzivirira haugone kurapa vanhu vatova neHPV kana cervical dysplasia, asi unogona kubatsira kudzivirira hutachiona mune ramangwana mune dzimwe nguva.
• Kudzivisa bonde kana kuita bonde rakachengeteka: Unogona kudzivirira hutachiona hweHPV nekudzivisa kusangana pabonde, kusanganisira zvepabonde zvechikadzi, zvekumashure, uye zvemuromo. Unogonawo kuderedza njodzi yako nekuita bonde rakachengeteka. Shandisa makondomu kana madhamu emazino panguva yebonde. Deredza huwandu hwevanhu vanoita zvepabonde.
• Wana bvunzo dzePap nguva dzose: Unofanira kuita bvunzo yako yekutanga yePap uine makore makumi maviri nerimwe. Kana bvunzo dzako dzePap dzakajairika, zvinokurudzirwa kuti uedze Pap makore matatu ega ega kubva pamakore makumi maviri nerimwe kusvika makumi maviri nemapfumbamwe. Kana uri pakati pemakore makumi matatu nemakumi matanhatu nemashanu, unofanirwa kuita bvunzo dzePap uye bvunzo dzeHPV makore mashanu ega ega.
• Dzivisa kusvuta uye kushandisa zvigadzirwa zvefodya: Kana uri munhu anosvuta, une mukana wekutapukirwa nehutachiona hweHPV, kunyanya cervical dysplasia, chirwere chakakomba.

Chii chinoitika kana ndikava nechirwere ichi?

Kana zvikaonekwa nekukasika, mwero wekurapwa kwe cervical dysplasia wakakwira zvikuru. Muvakadzi vane dysplasia ine njodzi huru, njodzi yekubatwa nekenza yemumuromo wechibereko inoderedzwa ne95% mukati memakore masere ekutanga mushure mekurapwa.

Mushure mekunge maonekwa kuti mune cervical dysplasia, chiremba wenyu achanyatsoongorora hutano hwenyu kuti aone kana masero asina kujairika achikura zvakare kana kuti achava kenza. Muchafanirawo kuongororwa Pap tests uye HPV nguva dzose. Mushure mekurapwa, chiremba wenyu anogona kukurudzira kuti muongororwe Pap test mwedzi mitatu kusvika mitanhatu yega yega kwegore rimwe kana maviri. Mushure meizvozvo, munogona kuongororwa Pap test gore rega rega.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana ukaona kuti une cervical dysplasia, zvakajairika kuva nemibvunzo yakawanda mupfungwa dzako. Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Ndinofanira here kuwana mushonga weHPV?
• Dambudziko rangu re'(Cervical Dysplasia)' rakakomba zvakadini?
• Ndiri panjodzi yakakura yekuva negomarara remumuromo wechibereko here?
• Chirwere ichi `(Cervical Dysplasia)` chichakanganisa sei pamuviri pangu? (Kana uine pamuviri kana kuti uchitarisira kubata pamuviri)
• Ndedzipi bvunzo dzandinofanira kuita kuti ndiongorore mamiriro angu? Ndinofanira kuzviita kangani?
• Kurapwa kwe `(Cervical Dysplasia)` kuchakanganisa sei kugona kwangu kubata pamuviri mune ramangwana?

Yeuka, usatya kubvunza chiremba wako nezvemibvunzo yako, zvisinei nekuti midiki sei. Zvakakosha zvikuru kuziva nezvehutano hwako.

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kuti utye kana ukaona kuti une chirwere chisati chatanga kuita kenza chinonzi ``Cervical Dysplasia'' pamuromo wechibereko chako. Zvisinei, yeuka kuti izvi hazviwanzo kukonzera kenza . Kana zvikaonekwa nekukurumidza uye zvikarapwa nemazvo, kenza yechibereko inogona kudzivirirwa.

Saka, zvidzivirire kubva kuhutachiona hweHPV. Tora mushonga weHPV. Ita bonde rakachengeteka. Usambofa wakapotsa bvunzo yePap. Chengetedza hutano hwako! Hausi wega, chiremba wako aripo kuti ataure naye uye awane rubatsiro.

Kusashanda zvakanaka kwemumuromo wechibereko , masero emumuromo asina kujairika, HPV, Pap test, hutano hwevakadzi, mamiriro ekenza asati asvika, kenza yemumuromo wechibereko