I-Leukoplakia yomlomo wesibeletho iyisilonda se-membrane yamangqamuzana yelungu. Emkhatsini wawo, kuvela imiphakathi, okuyizinyathelo ezisheshayo zokwelashwa kungabonakala ngokuhlolwa kulesi sihlalo somzimba. Ingozi yalesi sifo ingozi enkulu yokuguga ibe ngumdlavuza.
Ingabe umdlavuza wesibeletho se-leukoplakia noma cha?
Ebona ukuphefumula okunjalo esiphethweni sesidokotela, abesifazane abahlale becabanga ukuthi i-leukoplakia iyini. Ungaqonda umsuka wegama lesifo ngokuzama ukuhumusha leli gama. Ekuhunyushweni okuvela esiGrekini, "i-leukoplakia" "i-plaque emhlophe". Ama-formations anjalo angabonakala ebusweni bendwangu yamangcwaba yomlomo wesibeletho. Ziwumphumela wokuqina kwe-epithelium ye-integument, iphakama ngaphezu kwezinga lezicubu.
Ngokwemvelo yayo i-leukoplakia yomlomo wesibeletho akuyona eyakhelwe ngokwenkolo. Njengoba kunikezwe leli qiniso, odokotela ababheki lesi sifo kwi-oncology. Nokho, kunengozi yokuthi lesi sifo sibe umdlavuza. Kwezinye izimo, ukwakheka kungagcinwa emgodini wesibeletho somlomo wesibeletho. Ngokusho kwedatha, i-leukoplakia ilandisa ngamaphesenti angu-5 azo zonke izifo zomlomo wesibeletho.
I-Leukoplakia yomlomo wesibeletho cishe iyakuthinta abesifazane abakhulile ukubeletha, kepha izifo zokugula emantombazaneni nazo zingenzeka. Ngokuya ngesilinganiso somonakalo we-mucosal, isakhiwo samaseli, izinhlobo ezilandelayo ze-leukoplakia ziyahlukaniswa:
- okulula;
- i-atypical.
I-Leukoplakia yomlomo wesibeletho ngaphandle kwe-atypia
Ngokuvamile leli fomu le-pathology libhekwa njengenqubo yasemuva. Kwezinye izimo, odokotela basebenzisa elinye igama - i-leukoplakia elula yomlomo wesibeletho. Kuyini - iziguli ngokuvamile azi. Lokhu kuxilongwa kwenziwa ngenkathi kuhlolwa ebusweni bendwangu ebomvu entanyeni kukhona ukuhlanganiswa, ukuqina kwesendlalelo se-epithelial kwenzeka. Okuvelele yiqiniso lokuthi amangqamuzana e-basal ne-parasal layers awenzi izinguquko.
I-Leukoplakia ene-atypia ye-cervix uteri
Ngemva kokubhekana nencazelo ethi "i-leukoplakia yomlomo wesibeletho", kusho ukuthini, kubalulekile ukutshela ngohlobo oluthile - ifomu elisezingeni eliphezulu. Kubonakala ngalezi zinguquko, lapho ebusweni bokukhula okumhlophe okuqala ukuqala ukuhlangana. Ngenxa yalokho, ubuso bentamo buba bunpy, kanti i-foci ye-leukoplakia iphakama ngaphezu kwekhanda elimangalisa. Izinguquko ezinjalo zibonakala ngesikhathi sokuhlolwa kwesikhala esihlalweni somzimba.
Uma isampuli encane yezincubu ezithintekayo, odokotela bathola amangqamuzana ashukunyisiwe we-mucosa. Sinesayizi enkulu, isakhiwo esihlukile. Uma kungekho ukwelashwa, ukukhula okusheshayo kokugxila ngenxa yokuhlukaniswa kweseli kubonakala. Ama-plaque ama-Whitish ahlanganisa kancane kancane yonke intamo yentamo, aphazamise ukusebenza kwawo, okwenza isithombe esifanayo somtholampilo.
Iyini i-leukoplakia yomlomo wesibeletho eyingozi?
Ukuchazela abesifazane ukuthi yini eyenza i-leukoplakia yomlomo wesibeletho, imiphumela yalesi sifo, odokotela banikeze ingozi enkulu yokuguqulwa kwayo ibe ngumdlavuza . Ngaphezu kwalokho, izilonda zomlomo wesibeletho zingaphazamisa umsebenzi wesibeletho ngokwawo - ngokuvamile kubesifazane abanesifo esifanayo sokuhlola ukungasebenzi, ukulimala kokuzala. Ngaphezu kwalokho, kunengozi enkulu yokutheleleka, okungafani nokuthuthukiswa kwesibalo esincane.
I-leukoplakia yesibeletho - izimbangela
Ukuzama ukuthola ukuthi kungani i-leukoplakia yomlomo wesibeletho isakhiwe, izimbangela zesifo, odokotela baqala ukuzama ukukhipha izici ezingapheli. Ukuphulwa kwe-hormonal kanye nesistimu yomzimba omzimba ngokuvamile kuthinta ukuphazanyiswa kobudlelwane obusebenzayo phakathi kwe-hypothalamus, i-pituitary gland kanye nesistimu yokuzala. Ngenxa yalokho, izinqubo ezithinta umzimba ziqala ezithombeni zobulili.
Ngaphezu kwalokho, ngokusho odokotela, ngokuvamile i-leukoplakia yomlomo wesibeletho iqala ngenxa yezinqubo ezithathelwanayo nokuvuvukala:
- i-endometritis ;
- i-adnexitis ;
- i-salpingo-oophoritis.
Ngokuvamile, i-pathology ivela njengenqubo yasemuva nezifo ezilandelayo zesistimu yokuzala:
- i-chlamydia ;
- i-mycoplasmosis;
- ureaplasmosis;
- i-herpes;
- i-papillomavirus yabantu .
Ukuthuthukiswa kwe-leukoplakia kunikezwa izilonda ezibuhlungu zekhanda elingenalutho lomlomo wesibeletho:
- ukukhipha isisu;
- ukuhlunga;
- ukusebenza esibelethweni.
Izimpawu ze-leukoplakia yomlomo wesibeletho
Izimpawu ezicacile, izibonakaliso ze-leukoplakia yomlomo wesibeletho, ngokusho ukuthi lesi sifo sinqunywa kalula kangakanani, ngokuvamile azikho. Ezimweni eziningi, lesi sifo sitholwa udokotela esihlolweni esilandelayo sokuzivikela. Kuphela kwezinye izimo kukhona izimpawu ezingase zibonise i-leukoplakia:
- ukwandisa umthamo wokukhulelwa kwesisu;
- ukuvela kokuphuma kwegazi kusuka kwesifazane emva kwesondo;
- ubuhlungu esiswini esingaphansi;
Uma i-agent ephathekayo ijoyina uphawu oluthile luvela:
- ukutshaya nokushisa emgodini;
- ubuhlungu ngesikhathi socansi;
- ukukhishwa kwamagciwane kusuka emaseni ngephunga elimnandi.
I-Leukoplakia yomlomo wesibeletho - yini okufanele uyenze?
Emva kokutholakala kwe-leukoplakia yomlomo wesibeletho, ukwelashwa kuyadingeka ukuba kuqale ngokushesha. Njengoba kunikezwe ingozi enkulu yokuguqulwa ibe umdlavuza, odokotela bayelulekwa ukuba bafune usizo ngamacala okuqala okugula. Ekuqaleni, odokotela baqondisa ukwelashwa ukuqeda inqubo yokuvuvukala, uma ikhona, nezinye izici ezicasulayo. Ngokuqondene nekhanda elimangalisa ngokwalo, odokotela bazama ukuwuthonya futhi bakhiphe ukusabalalisa okuqhubekayo. Ukususwa kungenziwa nge:
- i-laser;
- amagagasi omsakazo;
- ukungenelela kokuhlinzwa.
Ukususwa kwemisakazo yomsakazo we-leukoplakia yomlomo wesibeletho
I-focal leukoplakia yesisu somlomo wesibeletho singelashwa nge-radiation therapy. Okuyinhloko yale nqubo ingumthelela ongathintana naso kulesi sifo nge-electrode ekhethekile. Udokotela ungena emgodini womlomo wesibeletho futhi asebenze izicubu ezithintekayo. Njengomphumela wokushisa, uketshezi olukhipha amanzi luvela emangqamuzaneni we-pathological futhi lubhujiswa. Le ndlela inenzuzo eminingi:
- ubuhlungu;
- ukukhipha umonakalo emathisini enempilo;
- ukungabi khona kwezibazi endaweni yesipiliyoni ngemuva kokuphulukiswa.
I-leukoplakia yomlomo wesibeletho - ukwelashwa kwama-laser
Ukuchaza indlela yokwelapha i-leukoplakia yesibeletho esimweni esithile, odokotela bavame ukukhetha ukwelashwa kwelase njengendlela. Inqubo yenziwa ngaphandle kokuxhumana esigabeni sokuqala somjikelezo wesimiso futhi ayidingi i-anesthesia ngaphambi. Udokotela uthumela ibhamera laser endaweni ephethwe ngedivayisi ekhethekile. Iphefumula ngokuphelele amangqamuzana angama-pathological avela ebusweni be-membrane enamaqabunga, kuyilapho evala uphawu lwegazi. I-Cauterization ye-leukoplakia yomlomo wesibeletho yenziwa.
Kungenzeka ukuphuma kwegazi ngemuva kwenqubo kukhishwe. Ifilimu ye-coagulation yenziwa phezulu, okuvimbela ukutheleleka. Izinzuzo zendlela zihlanganisa:
- ubuhlungu;
- ukusebenza kahle;
- ukungabi khona kwezicubu ezibomvu endaweni yokuhlinzwa;
- ukuvuselelwa okusheshayo.
I-Leukoplakia ye-cervix uteri - ukwelashwa ngamakhambi abantu
Isifo se-leukoplakia esibelethweni asikwazi ukwelashwa ngosizo lwezindlela zomuntu. Ukubonga, ukusungulwa kwama-tampons ngamakhambi akulethi izinzuzo, kodwa kunomthelela ekusabalaleni kwenqubo ye-pathological kanye nokwakhiwa kwamaseli ase-atypical. Ucwaningo lwezesayensi luye lwafakazela ukuthi amakhambi okwelapha, ama-infusions kanye nama-decoctions asetshenziselwa ukuthinta ukuxubha kwamathambo ezinhlobonhlobo, okwenza ukwanda kwamangqamuzana e-pathological, okwenza ukuba kuthuthukiswe i-dysplasia.
I-Leukoplakia ye-cervix uteri - operation
Ukuntuleka komphumela wokwelapha, ukutholakala kwezilonda ezinkulu kuyisibonakaliso sokungenelela kokuhlinzwa. Ukwelashwa komlomo wesibeletho nge-leukoplakia ungenye yezindlela zokwelapha ukwelashwa. Kuhilela ukungabi nalutho kwezicubu ezithintekayo eduze nomkhawulo wesilonda. Ngenxa yalokho, udokotela ususa isayithi, ngendlela ekhumbuza i-cone - ngakho igama lomsebenzi. Ukususwa okufanayo kwe-leukoplakia yomlomo wesibeletho kwenziwa ngomonakalo omkhulu wendikimba. Lapho kukhona amangqamuzana angama-atypical aqala ukukhipha ingxenye yesibeletho.