Squamous carcinoma o ka cervix: prognosis, lapaʻau

Wahi a ka 'ikepili helu, cervical neoplasia (CIN), oa maʻi' aʻai, o ke alakaʻi i loko o ka 'ole o ka maʻi' aʻai. Loa pinepine, i ka degeneration o maʻamau'aʻaʻa i loko o kaʻeho ua ike ia ma ka cervix. O ke kumu ho i ka epithelium. No ka mea, squamous carcinoma o ka cervix pili ia i ka na ano o ka maʻi 'aʻai maʻi, hoʻomaka kona kokeʻike. Me ka hiki ke loaʻa ka Hekikai o kūikawā loiloi papahana i wale ma na kuʻina ka loiloi mua o kaʻeho, akā, i ka moku'āina mamua atypia. Iʻike, a me ka hana ana o cervical Ka maʻi 'aʻai e ka mea e hiki ai ke hoola i ka hailona o na wahine. No laila, pathology kēla no keia mea emi disastrous.

Squamous carcinoma o ka cervix - He aha ka mea?

Cervical Ka maʻi 'aʻai ua manaoia e e he wela kumuhana ole wale no na kahuna lapaau, aka, no hoi no na wahine. Mai ka hoʻomaka 'anaʻeleu Kāohiʻana o ka maʻi a me konaʻike, a ua ike no ka mea, alahula pālākiō o keia maʻi. Ka loa, he pono ole Ka maʻi 'aʻai mea cervical squamous. Kēiaʻano o kaʻeho ua ike ia atypical hehee wale ikeia maiʻiliahi multilayered epithelium i laina i ka ectocervix. Ma na olelo e ae, i kēia 'ano o ka maʻi' aʻai o Nyos i loko o ka wahi, kahi a ke cervix komo i ka vagina.

I keia la o ka honua i kēia maʻi ua pili i kekahi o ka loa, he pono ole oncological pathologies. Ektotserviksa mea hiki wale mai o ka maʻi 'aʻai, he 15 no 100.000 heluna. I loko nō o ka makahiki mahuahua ma ka palaho, mai keia maʻi, maʻi prognosis mālama i ka hoʻoikaika 'ana. Inā mua i ka maʻi 'aʻai mea squamous cervical diagnosed wale i loko o nā kuʻina hope o ka iapaau ana i keia manawa e hoomaka ana i kekahi, mai ka manawa hookahi i loaʻa predisposing kumumea.

Like a pau gynecological Ka maʻi 'aʻai maʻi, cervical neoplasia lōʻihi manawa aole lapaʻau hoike ana. He nolaila, nui nō ia e lohe i ka loli iki 'ia i loko o ke kino, e like me ka pono i papa'āweʻaweʻa kemika kipa i ka gynecologist.

Kumu o ka maʻi 'aʻai cervical

Keʻano o ka squamous neoplasia pili me ka okoa etiological aʻe. Ma kekahi pili keia i ka 'aʻe' ana i ka endocrine nenoaiu. Ua Ua manaoio ia he mea he pololei pilina ma waena o gynecological Ka maʻi 'aʻai pathology a me hormonal moku'āina o ka wahine kino. Pinepine i ka ka loaʻaʻana o ka cervical Ka maʻi 'aʻai mea he mahuahua ma ka estrogen pae. Mau hormones i hua mai la e na ovaries. E hoomahuahua oe a emi iho i ko lakou 'ilikai ua noho mana ana ma ka hypothalamus. Ua haawiia i ka pilina o ka maʻi me ka endocrine kāna hana, i nā kēia iʻike kumu o cervical Ka maʻi 'aʻai Lanai:

1. Lōʻihi-makahiki hoʻohana o contraceptives. Ka hapanui o contraceptives ua haku o estrogens. No laila, ma o ka hoʻohana a COCs mea pono mai ka manawa i ka manawa e ike i kekahi kauka, e hooholo i ka nui o ka hormones.
2. Iapaau ana me "Tamoxifen" a me kona analogues. Ke medicament hoʻohana ma o ka iapaau ana o ka umauma Ka maʻi 'aʻai. Aka hoi, i ka lāʻau e hoʻohana me ka lōʻihi mālama nui, no ka mea, o kekahi he hōmona.
3. thyroid (hypothyroidism), obesity a me ka maʻi. Mau Hawaii no hoi he hoʻonui i ka pae ana o estrogen a me ka hooulu ana o cervical Ka maʻi 'aʻai.

Eia hou kekahi, he mea'ē aʻe ka hoʻopukaʻana aʻe. I waena o lākou: maʻi wahine nā mea palahēhē, abortion, he nui helu o pregnancies, a hanau, a me kā lākou piha e kaawale. Cervical squamous aeea carcinoma nui ia lŘlŘ ku ei ke kāʻei kua o pathologies e like me polyps, ka'aʻaiawā, leukopenia a me ka erythroplakia dysplasia. Ma nā makahiki, ka maʻi pili i HPVʻAno 16 a me 18. ka noiʻi i hele mai i keia hopena, no ka mea, ua loaʻa i kēia pathogen i aneane pau loa nā mea maʻi e loaa ana mai ka cervical neoplasia.

ʻano likeʻole o ka squamous aeea carcinoma

Ua haawiia i ke ano o ka epithelial aeee i undergo atypia, hōʻike kekahi mauʻano o cervical neoplasia:

1. Adenocarcinoma. Kēiaʻano mea emi, he pono ole 'ē aʻe.
2. Keratinizing squamous carcinoma o ka cervix. Wehewehe aku ma ke kahua o ka keratin granules ma epithelial ili. PalekanaEND_LINK hiʻona o keia maʻi e manaoia "Ka maʻi 'aʻai na momi." Smears e lauwili ma ka nānā aku, nui kukū keena.
3. Low-papaʻeho. He mea hiki ole ke hooholo i ke kelepona hele hehee wale i undergone atypia. Kēiaʻano mea, ke'ōlelo mai noho lakou malaila.
4. Neorogovevayuschy squamous cervical Ka maʻi 'aʻai. Wehewehe aku ma ka nele o ka keratin. Ke haukaʻe i hiki nui ka'ololaha kino i loaʻa ka eosinophilic cytoplasm.

Ke degere o ka cervical neoplasia

Ma ka loaʻaʻana o ka neoplasia (CIN) mea pono e alakai i kekahi anamanaʻo e loaʻa mai i ka nui o kona hoolaha aku. E noonoo pono i ka hooulu ana o atypical keena, he 4 ke kahua maʻi. Ka mahele i loko o nā degere he leie aku oe e koho kūpono lapaau a me ka hooholo prognosis. Ke kahua 0 pili i 'ole-invasive Ka maʻi' aʻai,ʻo ia hoʻi, ka'āno'ē aeee i loaʻa ma luna o ka ili o ka epithelium, akā, i i komo iloko i loko o ke Keena Kalaiaina o cervical'aʻaʻa. First ka papahelu -ʻeho prorosla hohonu kekahi mau mm o. Ma keia mea i manaoia i ka ulu invasive squamous aeea cervical Ka maʻi 'aʻai, hele ma o aku o na palena o ke kino. Ma ka lua o ke kahua neoplasia kŰlń ao i ka aiao a me ka luna o ka vagina. Ke kolu o ka papahelu Ua wehewehe aku ma ke ano o ka maʻi 'aʻai aeee i loko o nā paia o nā pelvis. I makeʻana i ka haʻahaʻa o ka vagina, ka 'āina' lymph aka wahi. I ka anu u 4 i loaa mai i kaʻeho bladder a liʻiliʻi. Aia i mamao metastases.

Ka lapaʻau kiʻi o cervical Ka maʻi 'aʻai

Kēia CIN paʻakikī, e like me ia mea kokoke i ano hiʻona. Initially, i ka maʻi 'aʻai' aʻole i hōʻike 'ole i symptoms e like me ole menstruation,ʻeha i loko o ka hookuuia abdomen, a malalo hoʻi, akaka, mai ke vagina. A ano hiʻona o ka hui 'manaoia e kahe ana ke koko i ka ike i ka moe ke keakea ole. Hope symptom noonoo haʻahaʻa nuku edema, haʻahaʻa-kaha kuni. Ma ka hope kahua o na hiohiona kaumaha poino, nawaliwali, poho o ka ikaika loa ka makemake a me ka pehu lymph aka wahi i loko o ka groin.

ʻike, o squamous aeea cervical Ka maʻi 'aʻai

'Ike o squamous aeea carcinoma ua lawe like me ka manawa o ka hoopii, e like me loiloi. He He kūikawā Ka Ikepili, a ua laweʻia swab o ka vagina a me ka cervix (Pap-ho'āʻo). Me keia hana ia mea hiki e hooholo ole wale Ka maʻi 'aʻai, akā, i dysplasia - loli liʻiliʻi ma ke kelepona hele haku mele' ana. I ka equivocal colposcopy ua hana ka hoʻohana aceticʻakika a me ka iodine (e kuhikuhi i hana kupua mau mea o ka epithelium). Inā maʻi 'aʻai ua kēia, he biopsy o ka cervix ua pono. Kekahi like mea e kālailai i ka manao paa o HPV.

Cervical Cancer iapaau ana

squamous cervical Ka maʻi 'aʻai lapaʻau kikowaenaʻoki lāʻau lapaʻau ana o kaʻeho, chemotherapy a me ka pāhawewe Inc. I ka buke o keʻoki kino hilinaʻi nui ma luna o ke kahua, e like me ka makahiki o ka hoʻomanawanui. Ka wā 'ole-invasive neoplasia, a 1 ka papahelu pana aku au i hysterectomy, e waiho ana i ka ovaries. Keia hana ua hōʻike nā mea maʻi hiki o ka hapai ana. Inā i ka hoʻomanawanui i loko o menopause, laila, i ka hysterectomy, ana o appendages, a oi aku omentum. Oia ka buke ana ua pono ai no ka mea, o ka mea i loaʻa o ka pilikia o ka metastasis aʻeho recurrence. I ike i ka Inc me hormonal konohiki. I ka hope ka anu u ua lawe mai wale symptomatic lapaau.

Squamous cervical Ka maʻi 'aʻai: prognosis

I loko nō o ka kiʻekiʻe make ana, ke ola me ke kūʻokoʻa. Ua pili i nā mea maʻi me ka neoplasia, diagnosed ma ke kakahiaka nui kahua o ka hoʻonaʻauao. Five-makahiki ola ana ma hope o lapaʻau averages ma kahi o 55%. Index loli aie i kaʻeho ke kahua (ma 1 ka papahelu o 78%, a me 4 - 7,8%).

Kāohi ana e pale maʻi 'aʻai

I ka papa kuhikuhiE kāohi ana mea e kipa i ka gynecologist i ka liʻiliʻi 1 manawa no ka makahiki. Ua mea i nui i ka manawa e hana wahine nā mea palahēhē,ʻaʻole e hoʻohana i hoʻohui pū ku una contraceptives no ka oi mamua o 5 makahiki, ma ke kamepiula hooholo i ka nui o hormones. Ma ke alo o ka predisposing kumumea (cervical ka'aʻaiawā, polyp, leukoplakia) pono e undergo colposcopy. I ka wā e hiki mai, ke kauka, e hooholo i ka iapaau ana o ke kāʻei kua maʻi. Ma nā makahiki, e hoʻomohala kekahi Kāohiʻana o cervical Ka maʻi 'aʻai - vaccination pahuna ma HPVʻAno 16 a me 18. Ua ua paa ma ka adolescence. Ma mua o vaccination, oe e kukakuka pu me kou kauka.