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Ngabe izilonda zomlomo wesibeletho zidinga ukwelashwa ngokushesha?

Yabelana ngalokhu okuthunyelwe

Kwezilonda zomlomo wesibeletho ezilinganiselwe-amangqamuzana angajwayelekile ebusweni bomlomo wesibeletho (ovame ukubizwa ngokuthi i-cervical intraepithelial neoplasia grade 2 noma i-CIN2), ukuqapha okujwayelekile ("ukuqapha okusebenzayo") kunokwelashwa ngokushesha kuyaziwa. Okutholakele kufanele kusize abesifazane nodokotela benze izinqumo ezinolwazi.

I-CIN ihlukaniswe ngebanga 1, 2 noma 3 ngokobukhulu bezilonda ezingaphambi kwesikhathi, kepha i-CIN ayiwona umdlavuza womlomo wesibeletho. Ingathuthukela kumdlavuza, kepha ingabuyela kokujwayelekile (iwohloke) noma ihlale ingashintshiwe. Ukuxilongwa kwe-CIN2 okwamanje kuyindawo yokungena yokwelashwa. Kodwa-ke, olunye ucwaningo luye lwabonisa ukuthi izilonda ze-CIN2 ngokuvamile zixazulula ngokuphelele ngaphandle kokwelashwa futhi kufanele ziqashelwe, ikakhulukazi abesifazane abasebasha, ngoba ukwelashwa kungase kube yingozi ekukhulelweni kwesikhathi esizayo.

Ucwaningo luhlaziye imiphumela yezifundo ezingama-36 ezibandakanya abesifazane abangu-3,160 abatholakala ukuthi bane-CIN2 obekuqashwe ngenkuthalo okungenani izinyanga ezintathu. Eminyakeni emibili kamuva, ama-50% ezilonda axazululwa ngokuzenzekelayo, ama-32% aphikelela, kwathi kuphela u-18% wadlulela ku-CIN3 noma okubi kakhulu. Kubesifazane abangaphansi kweminyaka engama-30, izinga lokwehliswa kwesithunzi laliphezulu (60%), 23% ligcinwa, kwathi i-11% yathuthuka.

Izilonda eziningi ze-CIN2, ikakhulukazi abesifazane abangaphansi kweminyaka engama-30 ubudala, zizowohloka ngokuzenzakalelayo, ngakho ukuqapha okusebenzayo kunokungenelela ngokushesha kunengqondo, ikakhulukazi kwabesifazane abasebasha abangaphikelela ekuqapheni. Ithuba lokuwohloka lingama-50-60%, noma ngabe ingozi yomdlavuza incane (0.5% kulolu cwaningo), isengenzeka. Ukugadwa kubambezela ukwelashwa kuphela, futhi abanye abantu abakwamukeli. Ezinye izici kufanele zicatshangelwe okuhlanganisa ukusebenza kahle kokwelashwa, ukuphazamiseka kokuvakashelwa njalo kanye nokwenzeka kwezinkinga zokukhulelwa.

Izinga lokucekelwa phansi kwe-CIN2 liyaduduza, kepha izinga lokwehla kwe-CIN2 kufanele lithulwe ngendlela ezwakalayo futhi linikeze imininingwane ecacile mayelana nokusebenza kokuqapha nokwelashwa ukuze abesifazane bakwazi ukwenza izinqumo ezinolwazi oluphelele.

https://medicalxpress.com/news/2018-02-regular-treatment-cervical-lesions.html

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