Oncocitology: ukuthi kuyini, futhi noma kunjalo kubalulekile ukuze nginikeze ukuhlaziywa?

Umsebenzi salowo nalowo muntu wesifazane yesimanje wanoma yimuphi yobudala, ukuqapha ngokucophelela impilo yabo, futhi izifo zabesifazane, yebo, futhi. Ukuze wenze lokhu kanye ngonyaka liyadingeka ukudlula dispanzerizatsiyu egcwele, thatha konke ukuvivinywa Kunconywa, kuhlanganise afeze cwaningo ezifana oncocitology. Kuyini futhi kungani kuba nomphumela obaluleke kangaka lokhu ukuhlaziywa? Lokhu kuzoxoxwa ngakho kulesi sihloko.

Oncocitology-kuyini na?

Umdlavuza womlomo wesibeletho ingenye izifo ezivame kakhulu izifo zabesifazane, okuyinto bayehluleka odokotela nososayensi emhlabeni wonke. Ukuthatha smear onkotsitologiyu kungathola amaseli precancerous, futhi kusenesikhathi ukuze uqale ukwelashwa ezifanele, yingakho le ukuhlaziywa kubaluleke kakhulu.

Onkotsitologichesskoe ucwaningo lubonisa ukuthatha swab esithweni sangasese futhi wesibeletho, kanye wokuhlola kanye nokuhlaziywa epithelium ezimbili ungqimba ukumboza umlomo wesibeletho.

Isendlalelo lokuqala epithelium, cylindrical isendlalelo esisodwa, ihlanganisa wesibeletho by komsele wesibeletho. Isendlalelo yesibili, futhi Planar multilayer ihlanganisa esithweni sakho sangasese.

Ukuphenywa isakhiwo izingqimba we epithelium ngaphansi ngesibonakhulu ikuvumela ukubona amaseli indlela enempilo, futhi ukunquma ukuthi iyiphi yalezi soguquko lwegciwane singalawuleka, umdlavuza isb.

Ukuhlaziya onkotsitologiyu wesibeletho kuthola hhayi kuphela khona amaseli angavamile, kodwa futhi libonisa khona iyiphi ukuvuvukala, noma iziphi ezinye izinguquko ku epithelium. Izifo eziningi kutholwa ngendlela efanele usaqala, amenable eyinhloko yokwelashwa okuphumelelayo.

Izinkomba ngokuthatha ukuhlaziywa onkotsitologiyu

Smear ku onkotsitologiyu oboniswa bonke abesifazane ukuqala eneminyaka engu-18.

Ngokwezibalo, ngisho nabesifazane abangenazo Nokho babe imikhuba emibi, ukuzivocavoca futhi ehola ngendlela enempilo, ukungenwa umdlavuza.

Ngakho-ke, thatha wesibeletho onkotsitologiyu ukuhlaziywa idingwa zonke ubulili fair, yobudala. Lokhu kumele kwenziwe kokubili nge ukubukeka ukusolana, kanye nokuvinjelwa.

Phezu ukuthola isifo wesibeletho, ukuhlaziya besamukela esingaphansi 2 izikhathi ngonyaka. Njengoba isilinganiso izifo eyodwa kuphela cwaningo kwezinyanga ezingu-12.

Papillomavirus Human kuyinkomba kuphoqelekile onkotsitologicheskogo cwaningo, njengoba leli gciwane ngokuvamile kubangela ukwakheka izinqubo anomdlavuza.

Ngaphezu ukufunda eziyisisekelo, smear wesibeletho ku onkotsitologiyu ayabele abesifazane nge ukuphazamiseka kokuya esikhathini, ukungazali, izikhalo ubuhlungu besisu, ukwelashwa isikhathi eside kwama-hormone. Engozini futhi abesifazane izihlobo zabo eduze wahlushwa umdlavuza.

Oncocitology kwabesifazane amadala

Kukhona akulona iqiniso ukuthi abesifazane ngemva kokuma ukuya esikhathini nezinkinga zangasese zinyamalale. Lokhu kahle kuholela yokuthi odokotela ukuthola umdlavuza dengwane ngokujulile, ukwelapha ngezinye izikhathi akwenzeki. Ngakho, ningazifanisi kahle ukukhumbuza omama nogogo ukuthi ukuhlaziywa onkotsitologiyu edingekayo ukuze kudlule unyaka ngamunye, naphezu ukuguga futhi isimo sezempilo.

Oncocitology kwabesifazane abakhulelwe

Eqaphela isidingo esinjalo ukuhlaziywa njengoba oncocitology, kuyini futhi ukwenza lokho, ukuba yilowo nalowo wesifazane esikhathini bekuhlela sokukhulelwa.

I oluyilo kakhulu kuzodlula ngaphambi ukuhlaziya yesikhathi esisodwa ukukhulelwa nezinsolo, ikakhulukazi kosikazi finyelela engu-amathathu nangaphezulu. Eqinisweni, ngesikhathi ekhulelwe, zonke izifo bavame ukwandisa kakhulu, okungaholela ukulahleka umbungu kanye nezinkinga ezihlukahlukene.

Ngesikhathi ekhulelwe, udokotela ekunika onkotsitologicheskoe ukufunda kathathu. Nokho, esimweni isisu udokotela ezisengozini Ungakwazi ukukhansela inqubo, kusukela bamba yalolu hlobo sokuhlaziya edinga abanye ukuthi kungalimaza sokukhulelwa. Esimweni ngasinye, udokotela enquma ngamunye.

Njengoba ukuhlaziywa esithathwayo onkotsitologiyu?

Fence yokuhlaziya okwenziwe e egumbini ukwelashwa e izifo zabesifazane esihlalweni obelethisayo.

Ukuqoqwa amaseli kuveza inombolo encane epithelium otschipyvaniya nge ebusweni wesibeletho. Ngenxa yalesi umbelethisi Lisebenzisa isethi amathuluzi oyinyumba, ehlanganisa emabhulashini akhethekile spatula.

Inqubo akudingi ekuphathweni izidakamizwa izinzwa ngokuphelele kobuhlungu. Nokho, iziguli eziningi besaba ezinye ukusonteka we epithelium surface futhi ubuhlungu, kodwa sibi.

isitho sangasese somuntu wesifazane esifundeni kabana epithelium isakhiwo ihleli, kusukela ukuhlaziywa kocingo akabashiyi ngokuphelele noma yimiphi iminonjana. Ukuhlaziywa ngokuphelele hhayi kuhlasimulise futhi ayenzi owesifazane azizwe ubuhlungu noma kabi.

Emva kokuthatha phezu ukuhlaziywa ezinsukwini elilodwa noma amabili lungase lubonwe zokubona ukuthi ihlolwe ngaphandle kokwelashwa.

ukuhlaziywa ohlanganisiwe ivuliwe ucezu oyinyumba ngengilazi, izibuko lingafika 3 izicucu. Babe iphathwa ukulungisa isixazululo bese yengezwa umbala izixazululo.

Ngo-laboratory, udokotela-sezifo uhlola amaseli ngesibonakhulu futhi kunikeza umbono walo. Ngokusho imiphumela esiphethweni cytologic udokotela ukuya lunquma ukwelashwa okufanele.

Ukulungiselela inqubo

Kusukela imiphumela yanoma yimuphi umgomo wokuhlaziya impilo nokuphila esiguli, iyathinteka kanye smear ku onkotsitologiyu. Imiphumela yokuhlaziya kuzoncika, kuhlanganise indlela owesifazane ulungiselela inqubo.

Ngokushesha kuwufanele Yishoni ukuthi ukuhlaziya hhayi izophela ngesikhathi umjikelezo wokuya esikhathini, kanye phambi kwabanye ukopha. Ngokushesha ngaphambi ukuqala kokuya esikhathini noma ngokushesha ngemva kokuqedwa kwalo, isikhathi esingcono, uma kutuswa ukuba nginikeze i-smear ku onkotsitologiyu. Ukuvuvukala umthondo zangaphandle uyophinde abe contraindication.

Ukuze uthole imiphumela othembeke kunabo bonke, ezinsukwini ezimbili ngaphambi luhlolo Kunconywa ukuba ngakususi sexual douching isusiwe, musa ukusebenzisa Tampon, iyiphi okhilimu yokugcoba futhi suppositories lwesitho sangasese sowesifazane.

Ngaphambi ahambise uhlu smear ku onkotsitologiyu, imiphumela okuzokwenza kakhulu zincike uzilungiselele kahle indlela owesifazane emahoreni alandelayo angu-48 is hhayi Kunconywa ukuba uvakashele udokotela futhi enze noma yimuphi manipulations esitulweni izifo zabesifazane. Zonke kudokotela kufanele ashukumiseleke ukuba noma nini emva kosuku ukuhlaziywa.

okugeza reception futhi hhayi lephakanyiselwe izinsuku ezimbili ngaphambi cwaningo, kungcono ukwenza eshaweni.

izinhlobo oncocytology

Uhlobo ukuhlaziywa onktsitologiyu kungaba amafomu amabili:

• oncocytology Easy;
• oncocitology ketshezi.

Ekuqhubeni impahla ketshezi kuthathwe oncocytology hhayi ezigcotshwe ingilazi njengoba ngesikhathi oncocytology elula kanye ngamabhulashi akhethekile ngihlaliswa lo isitsha nge naphakathi ekhethekile. Ukuhlaziywa alondolozwe ngaphakathi uketshezi, kuphenduke i ngisho ungqimba kwamaseli wageza.

Lokhu indlela ukuthatha analysis ezintsha, ke alisetshenziswa yonke imitholampilo. oncocitology Liquid ivumela udokotela-cytologist uthole imiphumela enokwethenjelwa kakhulu.

ukuhlaziywa sokuqonda

Uma ekamelweni ukwelashwa oncocitology owawuse owesifazane okulotshiweyo ukuhlaziywa kwenziwa onguchwepheshe laboratory, Cytology, ngokuvamile kuthatha cishe amasonto amabili.

Kukhona namakilasi amahlanu athatha isimo wesibeletho:

1. Ikilasi lokuqala kuyinto evamile. Ngakho ngendlela smear is ayitholiwe iyiphi amaseli angavamile. Wonke amaseli bunjwa evamile kanye nosayizi.
2. Eyesibili ekilasini - kuphawulwe khona ukuvuvukala, ezifana lezinkinobho.
3. Ekilasini lesithathu - endaweni smear iqukethe amaseli angavamile e esincane. Liyadingeka ahlolisise nakanjani.
4. grade Okwesine - endaweni smear namangqamuzana ebulalayo.
5. ekilasini lesihlanu - zonke amaseli atypical smear. Amathuba okuba nomdlavuza ngokuphawulekayo kuphezulu.

Nokho, kufanele wazi ukuthi onkotsitologiyu ukuhlaziywa akuyona inkomba olunembile umdlavuza, wamane libhekisela izinguquko ezenzeka amaseli sesifundo somuntu kamuva ngokuphelele.

Imiphumela yaloku kuhlola okungenhla esichazayo ongudokotela emva eziningana ukuhlolwa futhi uphenyo, kanye nokuqaphelisisa izimpawu.

cwaningo Cytological iqukethe idatha elandelayo:

1. A smear wesibeletho wesiteshi - isimo elilinganisiwe epithelium squamous esithweni sangasese futhi ingxenye umsele wesibeletho.
2. A smear we lwesitho sangasese sowesifazane ingxenye - uhlola amaseli wakubo epithelium squamous, esehlanganise ingxenye yesitho sowesifazane sangasese wesibeletho.

Ukuze uthole imiphumela okuthembekile isamba elanele impahla edingekayo. Kungenjalo udokotela ababoshiwe kubonisa okungafanele (enganele isifundo) nenani izidakamizwa.

Oncocitology ngesikhathi ukuvuvukala

Njengoba isilinganiso izifo noma okusolwa udokotela isifo izifo zabesifazane esimisiwe oncocitology. Ukuvuvukala, uma ikhona, kungavimbela ukuhlonza zamangqamuzana omdlavuza.

Kulokhu-ke kuyadingeka ukuba kudlule smear elula ku miklofloru ukucacisa umthombo ukutheleleka futhi lwahlolwa ukuze izifo, izifo ezithathelwana ngobulili.

Ngemva ukwelashwa onkotsitologiyu ukuhlaziywa kufanele liphindwe. It sizobonisa ukuthi ukuphathwa bazosizwa futhi enokwethenjelwa ukuthola ubukhona amangqamuzana omdlavuza ku smear.

imiphumela engemihle

Uma ukuhlaziywa onkotsitologiyu ikhombisa khona amangqamuzana anomdlavuza, futhi ngaphezu kwakho konke, ningatatazeli. Ukuphambuka kusuka kuyinsakavukela kaningi akusho ukuthi abesifazane ukuthuthukisa izimila abulalayo nokuthi isimo ayikwazi ukulungiswa.

Ucwaningo luye lwabonisa ukuthi smear kabi ku onkotsitologiyu kwenzeka kaningi impela, futhi umdlavuza wesibeletho kwesibeletho kuvamile kakhulu.

A kudorhodere sizochaza onjani ngeziphambeko sezihlonziwe futhi linqume ukuhlolwa ezengeziwe ezifana colposcopy noma biopsy.

Kunoma ikuphi, khumbula ukuthi i smear normal ku onkotsitologiyu akuyona ubufakazi khona yomdlavuza kubantu besifazane njalo.

Wonke umuntu wesifazane yesimanje kufanele baziswe ukubaluleka ezifana ekuhlaziyweni njengoba oncocitology ukuthi kuyini nokuthi kungani ukuhlaziywa ngakho-kudingeka kangaka ukuba sisheshe umdlavuza.