Ukutshatyalaliswa komzimba wesibeleko, ngokwemiqathango yeziphumo, kuphazamisa ukuya kuma-44% wabasetyhini bokubeletha. Inyaniso yokuba ukukhulelwa komlomo wesibeleko xa kukho inkqubo engasebenziyo ikwazi ukukhokelela ekuphuhliseni umdlavuza wesibeleko uye waboniswa.
Ukukhulelwa komzimba kuyiphutha elingenasiphelo kwi-epithelium. Ekuqaleni, xa kwakungenakwenzeka ukuhlolisana nomlomo wesibeleko kunye nezixhobo zokuhamba, ukuguguleka kwabizwa ngokuba yiyiphi na iphosakelo kwicandelo lomfazi lomlomo wesibeleko, kubonakaliswe ngokubonakala kwebala elibomvu elibomvu elincinci.
Xa i-colposcope yabonakala, kwafunyanwa ukuba kukho ezininzi iziganeko ezingaphaya komzimba wesibeleko, kwakungenako ukuguguleka kwangempela, kodwa ukusabalala kweethambo ze-epithelial ze-cervical part to the vaginal part. Ngenxa yoko, kwizinyathelo zemizimba yanamhlanje, igama elithi "ukuguguleka komlomo wesibeleko" lisetyenzisiweyo kakhulu, kwaye latshintshwa ligama elithi "i- ectopia yomlomo wesibeleko " okanye "ukuguguleka komzimba".
Yintoni ukukhutshwa komlomo wesibeleko?
Kukho ukunyuka kokunyaniseka kwanokwenyaniso komlomo wesibeleko. Ngokwesayizi, ukukhukuliswa komlomo wesibeleko kuyahluka kwi-0.2 cm ukuya kwi-2 centimeters okanye ngaphezulu.
- Ukunyuka kwenene komlomo wesibeleko kuyisiphako esingenangqondo kwiiseli ze-epithelium (efana nesifo esincinci), esilungele ukuphilisa emva kokupheliswa kwezinto ezibangelwa yiyo. Ukuguguleka okwenyaniso kuchazwa njengamabala ombala obomvu obomvu kwicandelo lomfazi lomlomo wesibeleko.
- Ukuguguzwa kwamanga komlomo wesibeleko ( ukuguguleka kwamanzi , i-ectopia) kubonakala kwiptithelium emininzi yelungu le-vaginal ye-cervix yeeseli ze-epithelium yeclindrical, evame ukufumaneka kuphela kwintsholongwane. Ngaloo ntsholongwane, akukho siphene kwi-epithelium ngokwayo. Iiseli eziqhelekileyo "azikho endaweni yazo."
Kwi-colposcopy, i-pseudo-erosion ichazwa njengengxube yesimo esingaqhelekanga, umbala obomvu obomvu, ogqutywe ngamapilisi amade okanye ajikelezayo (unobomi "obonakalayo"). Umbala obomvu obomvu uzuzwa yimithambo yegazi egxuma kwi-epithelium ye-cylindrical. Kujikeleze ukuguguleka kwamanzi, njengommiselo, imimandla yombala obomvu (i-platelium flat platelium).
Amaseli e-cylindrical and multi-colored epithelium planar ayimifundo eqhelekileyo yomlomo wesibeleko, kodwa kwimiba yamathambo: iindawo ezingekho iodine, indawo ezimhlophe (i-leukoplakia), izakhiwo ezinjenge-mosaic zingabonakala. Ukuqulunqwa kwamathambo kuyisayinwa esingathandekiyo kwaye sinokuhlutha kakubi.
Ukubonakala kweentlobo ezahlukeneyo kuxhomekeka kuxhomekeke kubukhulu besiphene:
- ukukhukhula okuncinci (akukho ngaphaya kwe-1 cm ububanzi);
- ububanzi (ububanzi ukusuka kwi-1 ukuya kweyesi-2 cm);
- ukukhukuliseka okukhulu (ngaphezulu kwama-2 cm).
Ukwahlula ukukhutshwa kwamanzi ngotya kubaluleke kakhulu kwiiklinikhi, kuba ukhetho lwenkqubo lonyango luxhomekeke kulo. Izilonda ezincinci ze-mucosa zingadlulela ngokuzimela, kwaye ukukhula kwamanzi kwindalo ephakathi kunye nobukhulu kudla ixesha ludinga unyango oluyinkimbinkimbi, kubandakanywa ukugqitywa kokugonywa kwincutshana ekhutshiwe yomlomo wesibeleko.