ama-papillomas ezinjeni

Igciwane le-papillomatosis lisakazwa ngendlela eqondile (ngokulunywa, ngamathe) nangendlela engaqondile (ngezinto zokunakekela). Lesi sifo sizibonakalisa ezinyangeni ezingu-1-2 ngemva kokuxhumana, futhi ama-papillomas ngokwawo angaphikelela kusukela ezinyangeni ezimbalwa kuya onyakeni. Khona-ke ama-warts angase anyamalale ngokuzumayo njengoba avela.

I-Papillomas inja - into eyinhloko

• Kunezinhlobo ezahlukene zegciwane elithelela izinja;

• Kukhona izinhlobo ezisengozini yokugula;

• Igciwane livame kakhulu ezinjeni ezisencane;

• Njengomthetho, lesi sifo sixazulula ngokuzenzakalelayo ngemva kwezinyanga ezimbalwa;

• I-Malignancy, okungukuthi, ukuguquka kusuka efomini elibi kuya kwelinye elibi, akuvamile kule pathology.

Izimbangela zokubukeka

Ama-papillomaviruses asakazeke kabanzi amagciwane aqukethe i-DNA abangela ukukhula kwezimila eziyingozi ezinhlobonhlobo zezilwane. Kunezinhlobo eziningi zezinhlobo zaleli gciwane emhlabeni, futhi uhlobo lwesilwane ngasinye lubonakala ngokungenwa yizinhlobo ezahlukene zegciwane. Kuyisici sokuthi leli gciwane liyakwazi ukwanda kuphela ezicutshini ze-epithelial, okungukuthi, amangqamuzana esikhumba kanye nolwelwesi lwamafinyila. Okwamanje, kunezinhlobo ezi-5 ze-papillomavirus ezinjeni, ngayinye ehlukile endleleni yayo kanye nokubonakaliswa komtholampilo.

Njengoba ukutheleleka kungenzeka ngokuthintana, uma ukutholakala kwegciwane kusolwa, isilwane kufanele sihlukaniswe nezinye izinja.

Kukholakala ukuthi ama-moles angashadile angenzeka kunoma iyiphi inja enempilo futhi ngokuvamile ahlotshaniswa nokutheleleka ngengozi. Ngokuvamile, ama-papillomas anjalo esikhumbeni adlula ngokushesha, futhi ukwakheka kwe-mucous kungase kungabonakali. Ukuthuthukiswa kwama-papillomas amaningi kuvame ukuhlotshaniswa nokuzivikela okubuthakathaka kwesilwane esifuywayo kanye nokubikezelwa kohlobo (isibonelo, inkambo enzima ye-papillomavirus ijwayelekile kumabhokisi, ama-rottweilers, ama-doberman, abelusi baseJalimane, ama-labradors). Futhi, izifo zesistimu isikhathi eside, ukucindezeleka okukhulu, ukwelashwa kwe-hormonal kanye ne-chemotherapy kungaholela ekukhuleni okusebenzayo kwama-papillomas.

Izimpawu

Ngakho-ke, ingabe izinja zinama-moles? Ingabe ukukhula ekhaleni lenja kuyi-papilloma? Ingabe ukukhula kwejwabu leso noma eduze kweso lenja kungaba i-papilloma? Yonke le mibuzo ingaphendulwa - yebo! Kunezinhlobo ezihlukahlukene zokubonakaliswa kwama-warts ezinja, okuncike ohlotsheni lwegciwane, indlela kanye nendawo yokungena kwayo emzimbeni wesilwane esifuywayo kanye nesimo sokuzivikela. Cabangela ukubonakaliswa okuyinhloko kwangaphandle kwalesi sifo:

1. I-Papillomas yomlomo womlomo - uhlobo olusabalele lokubonakaliswa kwe-papillomavirus ezinjeni ezincane. Lesi sifo sizibonakalisa ezinhlobonhlobo zamafomu emgodini womlomo, kodwa akugcini kuwo. Ngokuvamile kubonakala ngama-warts afana ne-cauliflower exophytic, kodwa ama-benign tumors angase abe ne-fringe noma ama-nodular. Izicubu eziyinhloko ezithintekayo yi-mucosa yomlomo, kuhlanganise nezindebe kanye ne-mucocutaneous junctions. Ngakho-ke, insumpa eyodwa enjeni emlonyeni ingase ibe i-papilloma yomlomo womlomo. Ulimi kanye nomminzo akuvamile ukuthi kuthinteke. Kwezinye izimo, amajwabu amehlo nawo ayathinteka. Ngokuvamile lawa ma-papillomas avela ngamanani amancane, kodwa ngezinye izikhathi ukwakheka okuningi okubucayi kuyabonwa. Izilonda zixazulula ngokuzenzekelayo phakathi nezinyanga ezimbalwa, kodwa ukwelashwa ngokuhlinzwa ngokuvamile kuyadingeka, njengoba ukukhula okunjalo kungase kuphazamise izinga lokuphila kwesilwane esifuywayo.

2. Ama-papillomas esikhumba – Lolu hlobo lwama-papillomas luvame kakhulu ezilwaneni ezindala. Ngokuvamile, ama-papillomas anjalo ezinjeni akhula ekhanda, amajwabu amehlo nezidladla njengokukhula okukodwa noma okuningi okungenazinwele emlenzeni.

3. I-Transitional cell papillomas - uhlobo olukhethekile lwe-papillomavirus yezinja ezincane, ezingavamile kakhulu, ezibonakala ngezilonda eziningi esiswini nasemakhwapheni esilwane. Isici esihlukile isimo sokukhula kwalawa ma-papilloma kusuka ngaphandle kuya ngaphakathi, okuholela ekwakhekeni kwamaqhuqhuva abushelelezi anembobo emaphakathi egcwele ikeratin.

4. Ama-plaque anemibala - ukubukeka kwesici sama-papillomas ama-pugs kanye nama-schnauzers amancane, azibonakalisa njengama-plaque amaningi ane-pigmented esiswini nasemathangeni. Ngokuvamile ziyisicaba kakhulu, kodwa zingaphakanyiswa kancane ngaphezu kwesikhumba. Ama-papillomas anjalo angathuthukela esikalini esinamandla futhi kwezinye izimo abe yingozi - athuthuke abe i-squamous cell carcinoma.

5. Ifomu le-Venereal - uhlobo olungavamile, luzibonakalisa njengama-warts e-voluminous ezithweni zangasese zezinja.

Diagnostics

Ngaphandle, kungaba nzima ukuhlukanisa i-papilloma kunoma yikuphi ukwakheka okubi, ngakho-ke, kunoma yikuphi ukubonakala kwanoma yikuphi ukwakheka kwesikhumba esikhumbeni noma ulwelwesi lwamafinyila esilwaneni, kuyadingeka ukukhombisa isilwane ku-oncologist wezilwane. Udokotela esikhungweni sokwamukela izivakashi uzohlola isilonda ngokubuka, athathe isilonda ukuze ahlaziywe okuphoqelekile - i-histology, futhi ukuze uqinisekise ukuxilongwa, ungathatha igazi ku-PCR (lokhu kuhlaziya kuthola i-antigen yegciwane). Kumele kuqashelwe ukuthi kukhona nokuwohloka kwe-papilloma engenabungozi ekubunjweni okulimazayo, ngakho-ke ukuxilongwa akufanele kunganakwa.

Ama-papillomas ahlukaniswa ngokuyinhloko ku-sarcoma ye-venereal edluliselwayo, i-squamous cell carcinoma, i-fibromatous epulis, namanye ama-neoplasms esikhumba. Ukuqinisekiswa kokuxilongwa kwenziwa kuphela nge-biopsy yendawo ethintekile, kulandelwa ukulethwa kwezinto ze-histology.

Ukwelashwa

Njengoba kushiwo ngenhla, ama-warts ezinja ajwayele ukuhlehla, okungukuthi, ahamba ngokwawo. Kodwa uma amasosha omzimba esilwane ebuthakathaka noma kukhona ezinye izifo, lesi sifo singathuthuka, ama-papillomas abe ngaphezulu, futhi angalimaza ngisho nekhwalithi yokuphila yesilwane esifuywayo uma sikhula emgodini womlomo.

Okulandelayo, sicabangela ngokuningiliziwe izindlela ezingenzeka zokwelapha i-papillomatosis ezinjeni. Kodwa kufanele ukhumbule njalo ukuthi akunconywa ukuphatha ama-papillomas enja, njenganoma iyiphi enye i-neoplasms, ekhaya; kufanele ngaso sonke isikhathi uthintane nodokotela wezilwane ngaphambi kokusebenzisa noma yiluphi uhlobo lwemithi yokwelapha.

Kunenqwaba yezincwadi ezifakazela ukuguquguquka okuhle kwalesi sifo ngokumelene nesizinda sokusetshenziswa kwe-azithromycin, isidakamizwa esilwa namagciwane esibanzi. Kodwa futhi kukhona inani elikhulu lobufakazi bokungasebenzi kwayo.

• Ukukhipha ngokuhlinzwa kungenye yezindlela zokwelapha ezilula nezisebenza ngempumelelo, ikakhulukazi uma izimila zenja ziyihlupha – isibonelo, uma inesimila ezinsinini. Kule ndlela yokwelashwa, abanikazi abaningi besaba isidingo sokunikeza isilwane sabo sokubulala izinzwa jikelele, kodwa lapho benza ukuhlolwa okuphelele kwenja ngaphambi kokuhlinzwa (ukuhlolwa kwegazi, i-echocardiography, ukubonisana nodokotela wenhliziyo) futhi uma kukhona i-anesthesiologist enekhono emtholampilo, izingozi zincane.

• Ukwakheka okukodwa kususwa kalula nge-nitrogen ewuketshezi (okungukuthi, i-cryodestruction), kodwa kufanele kukhunjulwe ukuthi uma kunenani elikhulu lokwakheka, inqubo ingase ibize kakhulu kunokuhlinzwa futhi idinga i-anesthesia ejwayelekile. Ngaphezu kwalokho, kubalulekile ukucabangela ukuthi lapho usebenzisa i-nitrogen ewuketshezi, ukwelashwa kabusha kokwakheka ngemuva kwezinsuku eziyi-14 kuvame ukudingeka.

• Amaphepha amaningi esayensi afakazela umsebenzi wezidakamizwa ezihlukahlukene ze-immunostimulating kanye ne-immunomodulatory, njenge-interferon, i-fosprenil nabanye. Kodwa emithi yesimanje yezilwane, odokotela abaningi ngokwengeziwe bayenqaba izindlela ezinjalo zokwelapha, besho ukungasebenzi kwabo.

• Futhi, inani elikhulu lamakhambi esintu, i-autohemotherapy, kanye nokusetshenziswa kwamafutha ahlukahlukene zisathandwa, kodwa ngaphambi kokusebenzisa noma iyiphi yalezi zindlela, kubalulekile ukubonana nodokotela wezilwane.

Ngokuvamile, ukufingqa, ukubikezelwa kwezifo kuhle, izimpi eziningi ezinjeni azidingi ukwelashwa futhi zihamba zodwa. Kodwa ezimweni ezingavamile, kukhona neziqephu ezimbi ze-papillomas ngokwakhiwa kwe-squamous cell carcinoma, yingakho kuzo zonke izimo zokwakheka kwezilonda zesikhumba, ukubonisana nokubhekwa nguchwepheshe wezilwane kuyimpoqo. Ungathola ukubonisana kokuqala nodokotela wezilwane ngaphandle kokushiya ikhaya lakho - ohlelweni lweselula lwePetstory, odokotela bezilwane benza ukubonisana nge-inthanethi. Ungalanda uhlelo lokusebenza kusixhumanisi.

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Mashi 9 2021

Kubuyekezwe: 10 Mashi 2021