Cytology. Nta urogenital tsom xam

Lub ntsiab diagnostic txoj kev kom tau thaum ntxov ntawm precancerous txhab thiab mob cancer ntawm lub ncauj tsev menyuam yog tam sim no pathology cytology. Qhov no hom ntawm kev tsom xam yog tsis tshua muaj zoo txij li thaum nws tso cai rau kom raws sij hawm ntes ntau yam kev hloov endo- thiab ectocervix epithelium nyob rau hauv thaum ntxov ua sawv. Raws li LEEJ TWG statistics ncauj tsev menyuam Oncology yog ib tug ntawm peb ntawm feem ntau cov kab mob ntawm cov ntau yam ntawm cov poj niam txoj kev mob qog nqaij hlav. Qhov no pathology tshwm sim nyob rau hauv hais txog 25 cov neeg sawv cev ntawm lub ncaj ncees txiv neej pw ntawm txhua pua pua txhiab.

Lub rov tshwm sim ntawm phem hlav ntawm lub ncauj tsev menyuam raug feem ntau cov poj niam uas muaj hnub nyoog 35 mus 55 xyoo. Uas yog vim li cas cytology yog incredibly tseem ceeb heev. Nws yog pom zoo kom yuav tsum tau muaj txhua xyoo rau cov poj niam nyob ib qho khaus kev sib deev lub neej. Ua muaj tej yam tsim ntawm mob lub tsev me nyuam tus kab mob cov kws txawj hu kis txawv tsiaj ntawm cov papillomavirus, haus luam yeeb, chlamydia thiab herpes, gynecological kab mob ntawm tus kab mob xwm, ntev-lub sij hawm siv ntau yam contraceptives, nquag hloov ntawm kev sib deev nrog ib tug neeg, cov tsis muaj cov ntsiab lus nyob rau hauv lub cev ntawm cov vitamins A thiab C, immunodeficiency.

Tam sim no, nyob rau hauv ntau tsim lub teb chaws, muaj kev tshwj xeeb pab tiv thaiv thiab diagnostic cov kev pab cuam (tas nrog cytology), uas tso cai rau los mus tiv thaiv cov kev loj hlob ntawm lub tsev me nyuam mob cancer. Lavxias teb sab Cancer Society pom zoo hais tias cov poj niam ntau tshaj nees nkaum-tsib xyoo dhau zoo li kuaj mob tsawg kawg ib zaug txhua txhua peb lub xyoos. Tej yuav tsum tau zaus yuav txo tau txoj kev pheej hmoo ntawm kev tsim tus mob cancer.

Cytology tso cai ib tug high degree ntawm kev cog qoob loo mus tshawb tag nrho cov yam ntxwv ntawm cov cellular qauv ntawm lub tsev me nyuam cov hniav thiab hnov mob nyob rau hauv lub sij hawm mus rau lub pathological kev hloov nyob rau hauv nws cov qauv. Cov kev nws tus kheej raws li ib tug meej tsom xam ntawm cyclical hloov nyob rau hauv lub paum epithelium. Cytological kev soj ntsuam ntawm lub tsev me nyuam smears, ib tug laj kab uas yog ua raws li cov uas yuav tsum tau ntawm peb sib txawv paum feem thaum lub sij hawm gynecological xeem nrog ib tug duav thiab tshwj xeeb expander daim iav qhia me me kev tshawb ratios ntawm peb cell hom (ces, intermediate, parabasal) thiab lawv morphological yam ntxwv.

Qhov no txoj kev exhibits lub siab tshaj plaws rhiab heev nrog hwm rau ntau yam precancerous hloov nyob rau hauv cov qauv ntawm cov lub squamous epithelium. Pathological transformation cervico-uterine qog kuaj channel me ntsis zuj zus. Lub ntsiab drawback ntawm no txoj kev ntawm kev tsom xam - cov impossibility txiav txim adenocarcinomas feem ntau tshwm sim nyob rau hauv lub aforementioned channel thiab uas ua rau ib tug mob lub tsev me nyuam pathology yuav luag nees nkaum feem pua ntawm cov neeg mob, raws li tsis ntev los no statistics.

Cytological kev soj ntsuam ntawm smears npaj los ntawm tus xovtooj ntawm ncua kev kawm ntawv, nyob rau hauv niaj hnub Gynecology yog tau siv tshwj xeeb automatic analyzer. Soj ntsuam qhov kev tshwm sim ntawm lub thiaj li hu ua system ntawm Maryland, lub ntsiab kom zoo dua ntawm cov uas yog hais tias nws tso cai rau koj kom meej meej paub qhov txawv ntawm benign hloov (kab thiab inflammatory xwm, reactive thiab reparative xwm) thiab muaj tseeb atypical phenomenon. Ntau yam kev hloov nyob rau hauv tus qauv ntawm cov mob stroke yog feem ntau tshwm sim los ntawm tsis tsuas yog tus mob txhab ntawm lub ncauj tsev menyuam. Tej zaum lawv ua qhov ua rau ntawm dysplasia, mos cancer pathology thiab (puav) mob txeeb zig.