Ngokwezibalo, abesifazane abangama-70% abaneminyaka yobudala yokubeletha babhekana nenkinga yokwelapha ukuguguleka komlomo wesibeletho. Izimbangela zokubonakala kokukhukhula ziyiziningi, kodwa okuyinhloko yi-virus yamagciwane e-papilloma, engena emangqamuzaneni e-epithelium yomlomo wesibeletho futhi ibangela inqubo engavamile yokuvuvukala. Lokhu, kuholela ekuguqulweni kwesakhiwo se-epithelium (esikhundleni se-planar epithelium enezinhlobo eziningi ezinama-cylindrical one). Esihlokweni sethu, sizocubungula izindlela ezinjalo zokwelapha njenge-cauterization ebusweni bomlomo wesibeletho esinomlenze.
Indlela yokulungiselela i-laser cauterization yokuguguleka komlomo wesibeletho?
Ngaphambi kokunikeza le ndlela engavamile yokwelapha ukukhukhula komkhuhlane, owesifazane kufanele ahlolwe. Ukuhlolwa kwama-vaginal usebenzisa indlela ephakeme ye-colposcopy kuvumela ukuthola ukuguguleka ngokwayo, ukulinganisa ukuthi sekuyisikhathi eside kangakanani (ukwelashwa kwemibono ye-"young" yomlomo wesibeletho kungenzeka ngendlela engavamile). Udokotela kumele athathe i-biopsy endaweni yokukhuphuka komhlaba ukuze abone isimo sezinguquko zeseli kanye nokuba khona kwamaseli ase-atypical.
Udokotela ozoya khona uzothuma lo wesifazane eklabhutri ye-PCR-diagnostics (i-polymerase chain reaction) ukuze ifakwe ezinambuzaneni eziningana (mycoplasma, chlamydia, igciwane lesifo se-papilloma esengozini ephezulu ye-oncogenic). Ngomphumela omuhle wokuhlaziywa, isiguli simisiwe ukwelashwa. Ukwehlisa ukuguguleka komlomo wesibeletho nge-laser kungenzeka kuphela emva kokudlula ukwelashwa okhethiwe.
Isibalo sokuhlolwa okugunyazayo ngaphambi kokuhamba kwe-laser therapy kuhlanganisa: ukuhlolwa kwegazi kwamagciwane okulwa ne-treponema ephukile (ukusabela kwe-Wasserman), iqembu legazi kanye nesimiso se-cytology esibelethweni somlomo wesibeletho.
Iyini inqubo ye-cauterization laser yokuguguleka komlomo wesibeletho?
Inqubo yokwelashwa kwelaser ye-cervix idlula cishe ngokungenabuhlungu futhi ayidingi i-anesthesia ejwayelekile. Nge-anesthesia yendawo, udokotela uphatha umlomo wesibeletho ngesisombululo se-anesthetic yendawo. Phakathi nenqubo, lona wesifazane usegumbini elikhethekile esihlalweni somzimba. Udokotela ususa izicubu ezishintshiwe (indawo ekhishwe ngamanzi) ngommese we-laser. Inqubo yenziwa ngosuku lwesi-5-6 lwenyanga yokuya esikhathini. Kubalulekile ukugcizelela ukuthi le ndlela kufanele ikhethwe ekwelapheni ukuguguleka komzimba kwabesifazane abangenalutho.
Isikhathi sokubuyisela emva kokucutshungulwa kokuguguleka komlomo wesibeletho nge-laser
Ngemuva kwe-cauterization yokuguguleka kwe-laser, ukuqina kwentamo kuyisilonda esidinga ukuphulukiswa. Lokhu kuzothatha izinyanga ezingaba ngu-1.5 (ukuhlanzwa okusebenzayo kweso lesilonda kwenzeka ezinsukwini zokuqala ezingu-5). Ngemuva kokuphulukiswa kwesilonda, intamo kufanele ibe bushelelezi, ngaphandle kwezibazi (lokhu kubonisa ukuthi inqubo yenziwa ngendlela efanele). Ukusheshisa izinqubo zokuvuselela, udokotela uzokukhuthaza kakhulu owesifazane ukuba ahlukane nobulili besifazane ngaphakathi kwezinsuku ezingu-30, futhi futhi kungakapheli izinsuku ezingu-10 ukubeka ama-suppository okuvimbela isisu nge-methyluracil.
Ngemuva kwe-cauterizing laser-laser erosion laser, owesifazane angaba nokulahlwa okucacile, amanzi ngaphandle kwenhunga.
Ngakho-ke, isifo se-dysplasia yomlomo wesibeletho sikhula kancane. Yiqiniso, lokhu kungenxa yokulimala kwesimo semvelo nokunciphisa izinga lokuziphatha (ubulili obungavamile). Ukwehla kwesisu somlomo wesibeletho kungathatha isikhathi eside ngaphandle kokubangela umnikazi wayo ukuthi abe nezinkinga. Kodwa-ke, akufanele sikhohlwe ukuthi i-dysplasia ingaba ukuqala kokuthuthukiswa kwesifo sofuba somlomo wesibeletho, ngakho-ke kuyadingeka ukuyiphatha. Futhi indlela enhle kunazo zonke yokwelapha ukuguguleka komuntu wesifazane izokwaziswa ngumgogodokotela wezifo ezifanele.