Okuqukethwe
I-papillomavirus yomuntu. Ividiyo
I-human papillomavirus (HPV), ethinta ubuso bomzimba futhi ithinte amangqamuzana e-epithelial, iyingozi hhayi nje ngombono wobuhle.
Ezinye izinhlobo zaleli gciwane eliqukethe i-DNA liyi-oncogenic futhi lingavusa ukuthuthukiswa kwe-benign pathologies yesikhumba kuphela, kodwa futhi kubangele izifo eziyingozi zesistimu yokuzala, kanye ne-squamous cell carcinoma.
Uhlolojikelele lwe-Human Papillomavirus
Namuhla, odokotela sebevele bahlonze cishe izinhlobo eziyikhulu zaleli gciwane, okuthi, lapho litholwa, zivele zinikezwe izinombolo ze-serial.
Zonke zihlukaniswa ngezinhlobo ezintathu:
okungezona i-oncogenic, lezi zihlanganisa izinhlobo ezinenombolo 1, 2, 3, 5
amagciwane anezinga eliphansi lengozi ye-oncogenic - izinhlobo ezibalwe ku-6, 11, 42, 43, 44
amagciwane anezinga eliphakeme lengozi ye-oncogenic - izinhlobo ezibalwe ku-16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 kanye no-68
Yilezo zinhlobo ezivame kakhulu kuphela ezishiwo.
Leli gciwane libuye libe yingozi ngoba, uma kwenzeka ukutheleleka, isikhathi esiningi kungase kungabonakali nganoma iyiphi indlela, ngaphandle kokunikeza ukuba khona kwayo ngesibonakaliso esisodwa. Ingangenwa igciwane hhayi kuphela ngokocansi, kodwa futhi ngokuthintana noma indlela yokuxhumana nomkhaya, futhi ngesikhathi esifanayo, igciwane, licasha emzimbeni, okwamanje lizoziphatha ngokuthula, lisebenze ngesikhathi esithile esihambisana nokuncipha noma ukulahlekelwa. wokungavikeleki.
Ukutheleleka okunjalo kwe-asymptomatic akudingi ukwelashwa, nakuba leli gciwane lizohlala esikhumbeni nasemifuleni yamafinyila, lisuka komunye umuntu liye komunye.
Ngakho-ke, i-HPV etholakele ayisona isizathu sokusola umlingani wakho wokungathembeki, ingane esanda kuzalwa ingangenwa yigciwane, idlula emgodini wokuzalwa kamama. Ukutheleleka kungenzeka ukuthi kwenzeka esemncane kakhulu, futhi izimpawu zavela eminyakeni eminingi ngemva kwalokho. Sekuvele kunezimo ezaziwayo lapho ukutheleleka ngaleli gciwane kwenzeka ngomzila wokuphefumula lapho izinhlayiya zalo zihogelwa udokotela ohlinzayo owenza ukuhlinzwa ukuze ahwamuke izinsumpa zangasese nge-laser. Izinsana ezitheleleka kumama zine-condylomatosis ye-larynx, futhi izingane ezinesifo esineminyaka engu-5 ubudala zine-papillomatosis yokuphefumula, ethinta izintambo zezwi futhi ibangele ukuhogela.
Ukuba khona kwegciwane emphinjeni kungadala umdlavuza
Izimpawu zangaphandle zokutheleleka nge-HPV
Imvamisa, ukutheleleka nge-papillo-viral kuzibonakalisa njengezinsumpa ezithweni zangasese - ama-papillary angabodwa noma ama-multiple papillary kulwelwesi lwamafinyila. Kwabesifazane, indawo yokukhishwa kwabo ngokuvamile ingaphakathi langaphakathi le-labia minora, i-vagin, i-cervix, indawo ezungeze ukuvulwa kwe-urethra. Kwabesilisa, i-groin iyathinteka, ama-condylomas agxila eduze kwe-glans penis ngisho nangaphakathi kwejwabu. Kunzima ukuzibona emzimbeni, kodwa lapho zigezwa, zingabonwa ngokuthinta njengendawo engalingani yolwelwesi lwamafinyila. Abesifazane abaningi babona lokhu njengesici sokuphila komzimba wabo futhi abanaki le pathology.
Ubuqili baleli gciwane buphinde bunqume ukusabalala okukhulu kwalesi sifo. Abantu abaningi bangenwe yiyo futhi abazi ngisho ngayo, beqhubeka nokuthelela amalungu omndeni wabo kuphela, kodwa futhi nabantu abangabazi. Odokotela bangase bamangale ngokungabi khona kwaleli gciwane emzimbeni wesiguli kunokuba khona kwalo.
Imvamisa, ubuso bolwelwesi lwamafinyila kufanele bulingane futhi bushelelezi, uma kutholakala ama-roughness, thintana nodokotela.
I-HPV ingavela futhi njengezinsumpa esikhumbeni ezinombala ofanayo nowomzimba. Kodwa, ngokungafani nama-papillomas ama-benign avamile, angavela futhi anyamalale kuye ngokuthi isimo sokuzivikela sinjani okwamanje. Ebusheni, lapho ukuzivikela komzimba kunamandla ngokwanele, isilwane esinegciwane singakwazi ukubhekana negciwane ngokwaso futhi singashiyi umkhondo walo ngemva kwezinyanga ezingu-2-3. Ngeshwa, ngokuya ngeminyaka, amathuba alokhu ehla kakhulu.
Izinsumpa zangasese zingaba nefomu elihlangene, zenze ama-outgrowth amaningi emzimbeni ngendlela ye-cauliflower, kanye ne-flat, evame ukutholakala emlonyeni wesibeletho.
I-Flat warts iwuphawu lokutheleleka okuhlala isikhathi eside osekuvele kuthathe ifomu elingapheli futhi kubangele izinguquko kumaseli e-epithelial omlomo wesibeletho.
Lezi zinguquko ngokuhamba kwesikhathi zingathola imvelo ye-oncological, ngakho-ke, lapho lolu hlobo lwe-HPV lutholwa, i-biopsy kanye ne-histology iboniswa, okuzosiza ekucaciseni ukuxilongwa. Kusukela ku-pathology yomlomo wesibeletho, umdlavuza ungakhula, osanda kuba mncane. Isilinganiso seminyaka yabesifazane abaphethwe yilesi sifo sesisondele eminyakeni engama-40.
Ezifweni ze-oncological zesitho sangasese, umdlavuza womlomo wesibeletho usendaweni yesibili ngemva komdlavuza webele
Indlela yokwelapha i-papillomavirus yabantu
Uma uphakathi kwalabo abangu-90% abantu abatholakala bene-HPV, akufanele uphelelwe ithemba, nakuba kungeke kwenzeke ukususa ngokuphelele igciwane nomzimba, izidakamizwa ezilwa namagciwane zizosiza ukumisa ukuthuthukiswa kokubonakaliswa kwayo kwangaphandle. Izinsumpa zangasese, ama-papillomas emvelo yegciwane, kanye ne-cervicitis engapheli noma i-squamous cell metaplasia, evezwe ngesikhathi socwaningo lwe-histological, iyakwazi ukwelashwa nge-antiviral, futhi kwezinye izimo ngisho ayidingeki. Kodwa uma ukwelashwa okunjalo kubonakala kungenamandla ngokumelene nama-warts flat, njengasesimweni sokutholwa kwe-oncology yomlomo wesibeletho, kufanele ucabange ngokukhipha izicubu ezithintekile ngokuhlinzwa.
Ungazivikela kanjani egciwaneni?
I-Obstetrician-gynecologist yesigaba esiphezulu.
– Odokotela bezifo zabesifazane bavamise ukwenza amahlaya ngokuthi indlela ethembekile yokungangenwa yigciwane ukungayi ocansini. Akukho okunikeza ezinye iziqinisekiso ezingu-100%.
Njengoba ngishilo, akulungile ukukholelwa ukuthi ikhondomu iyikhambi lazo zonke izifo, kuhlanganisa ne-HPV. Ivala ingxenye yesitho sangasese sowesilisa kuphela. Kodwa-ke, lokhu akusho ukuthi awukwazi ukusebenzisa lolu hlobo lokuvimbela inzalo! Amakhondomu kunoma yikuphi anciphisa ingozi yezifo zesistimu yokuzala, izifo kanye namagciwane.
Ukugoma kuyindlela ephumelelayo yokuvikela izinhlobo ezithile zegciwane le-oncogenic kakhulu ngokumelene ne-HPV. Emazweni amaningi athuthukile, le nqubo ifakiwe kuKhalenda Likazwelonke Lokugoma. ERussia akukho. Kodwa, yiqiniso, umuthi wokugoma uwusizo kakhulu ngaphambi kokuqala komsebenzi wocansi, futhi hhayi lapho sekudingekile kakade ukukhala i-alamu futhi uphathe isifo esikhona.