Kuwonongeka kwa chiberekero ndi matenda ofala kwambiri pa chiwerewere chachikazi. Ndi matendawa, zilonda zing'onozing'ono zimayambira pamphuno ya chiberekero. Kawirikawiri, kukokoloka ndi chilonda ndipo kumasiyana ndi malo ofiira pa pinki mucosa. Ndipo ngati palibe chithandizo cha matendawa, kusintha kwa zoona kumakhala kusokonezeka kwa nthaka. Kawirikawiri, chiberekero ndi kugwirizana pakati pa chiberekero ndi chiberekero chokha, chomwe chiri chigoba chosakanikirana chomwe chimakhala mkati mwake. Ndipo ngati maselo a "chibadwidwe" a mu chiwalo cha chiberekero amaloledwa ndi mitsempha ya chiberekero, ndiye wina amalankhula za ectopia, kapena kukopa kwa chiberekero cha chiberekero. Eplindrical epithelium imakula osati pamwamba, komanso m'matumbo amodzi, kupanga mapuloteni ambiri. Gawoli la matendawa limatchedwa kupweteka kwa chiberekero cha chiberekero. Komabe, kuwonjezera pa zofiira zovuta kwambiri, kukula kwa papillary kumachitika pa kutentha kwa nthaka, ndipo mkaziyo amapanga mphulupulu ya piritsi, yomwe ingakhalepo kwa miyezi ingapo kapena zaka. Pambuyo pake, kutukusira kumatha, ndipo kuphulika kwachinyengo kumachitika, momwe maselo am'thupi amatha kuponyedwa ndipo amachotsedwa ndi epithelium. Kawirikawiri, pamene kutsekemera kwa pseudo ndi epidermis kumachitika, madontho a glands amatha kusungidwa, ndipo kenaka amachitika, zomwe zimapangitsa kuti chiberekero chisawonongeke.
Kuchokera kwa chilakolako cha chiberekero: zimayambitsa
Kawirikawiri, matendawa amapezeka kwa atsikana ndi atsikana, popeza epithelium ya chiberekero cha chiberekero zimakhala zovuta kusintha kwa ma hormoni m'magazi makamaka kwa estrogens. Chifukwa cha izi, maselowa nthawi zonse amalumikiza panja ndikugwiritsira ntchito chiberekero cha khola lachiberekero, ndipo kenako "chikhalidwe" chimapezeka kachiwiri - epithelium flat. Choncho, chifukwa chachikulu cha maonekedwe a ectopia ndi kusintha kwa mahomoni, chifukwa cha pseudoerosion ingawoneke pakutha msinkhu, atsikana aang'ono, pathupi kapena pogwiritsira ntchito mankhwala opatsirana pogonana. Komabe, matendawa angakhale chifukwa cha kutupa m'mimba (matenda, colpitis, vaginitis, vaginosis) kapena kuwonongeka kwa mawonekedwe (pa nthawi yobereka, kugonana kovuta, kuchotsa mimba).
Kuchuluka kwa chidziwitso kwa chiberekero: zizindikiro
Nthawi zambiri matendawa sadziwonetsera mwa njira iliyonse, ndipo palibe chomwe chimasokoneza mkaziyo. Pankhaniyi, amaphunzira ectopy pamene akuyezetsa magazi. Komabe, nthawi zambiri, zizindikiro za kutentha kwachinyengo zimaphatikizapo maonekedwe a bulauni kapena pinki, makamaka pambuyo pa kugonana, komanso kumverera zowawa.
Kuchuluka kwa chidziwitso cha chiberekero: mankhwala
Ngati matenda apezeka, mayesero otsatirawa ndi ovomerezeka:
- Kufufuza kwa PCR kwa matenda;
- Chopiritsikiti, kutanthauza kachilombo koyambitsa matenda a chiberekero pamakina kakang'ono kakang'ono kuti asatengere khalidwe loipa la kusintha;
- smear kwa cytology;
- nthawi zina, biopsy.
Chithandizo cha kusowa kwachinyengo ndi mankhwala komanso osakhala mankhwala. Kwa dokotala woyamba nthawi zambiri amasankhidwa
Ndi njira zosagwiritsira ntchito mankhwala, mankhwala okonzekera mankhwala amagwiritsidwa ntchito poyambitsa malo okhudzidwa ndi chiberekero ñ nayitrogeni (cryodestruction), mafunde a wailesi, laser (laser destruction), electroradiative. Njirayi imasankhidwa ndi dokotala ndikuganizira zomwe zimachitika pa matendawa. Pambuyo pa chithandizo chotero, kupuma kwa kugonana kumawonetsedwa kwa miyezi 1-3. Amayi oyembekezera ndi amayi omwe ali ndi pakati nthawi zambiri savomerezedwa ndi zotsatira za mankhwala pachibelekero: ndi bwino kuchiza pseudoerosion pambuyo pa kubadwa.