Izinsumpa zesitho sangasese, ama-condylomas, ama-plantar warts, ama-stalk warts
Izinsumpa ezithweni zangasese zibukeka njengezimila ezincane, amathegi esikhumba, izinsumpa ezinobuso obuqinile. Izinsumpa zangasese, ama-condylomas azizwa eqinile futhi angakhula ku-rectum, ku-rectum, esithweni sangasese noma epipini. Zenzeka ematheni ezinyawo noma ezithendeni I-Plantar warts (izinsumpa ze-plantar noma i-verrucae plantares) , okungase kuvele phakathi kwezinzwane. Izinsumpa ezivamile esikhumbeni nazo zibangelwa amagciwane. Amafindo aqinile anomahhadlahhadla, aklwebheka. Ngakolunye uhlangothi, kukhona Ama-warts ama-Pedunculated noma ama-fibromas mhlophe futhi ibe nobuso obushelelezi. Ama-warts avamile nama-warts awalimazi futhi awathelelani. Kodwa-ke, izinsumpa zangasese kanye nama-condylomas abuhlungu futhi ayathelelana. Izinsumpa zangasese (ama-condylomas) zibangelwa amagciwane angatholakala ngocansi noma endlini yangasese yomphakathi. Izinsumpa zangasese zivame ukukhula futhi zisakazeke. Izinsumpa zangasese zingase zisakazeke endaweni ebanzi futhi ziphazamise ngokuphelele indawo eseduze. Izinsumpa zangasese kanye nezinsumpa ze-stalk zaziwa nangokuthi yiBuschke – Löwenstein tumor. Abantu baphinde bakhulume ngama-condylomas anal atholakele (lat. Condyloma acuminata) noma i-condyloma yezitho zangasese.
Enzeka kuphi ama-condylomas?
I-anal condyloma:
Ama-condylomas enza i-rectum, endaweni ye-anal kanye nasemseleni we-anal. Ngakho-ke, ukuhlolwa okuphelele kwe-proctological nge-proctoscopy / mirroring / kuyadingeka ukuze kutholakale izinga lokutheleleka / ukutheleleka kwegciwane. Kufanele ama-hemorrhoids akhona, khona-ke ukwelashwa kwe-laser kuyanconywa.
I-Penile condyloma 
Ama-Condylomas akhula kuwo womabili umphini wepipi kanye ne-glans. Ikakhulukazi ukususwa okuthambile nokunomsebenzi kuyadingeka lapha ukuze ulondoloze ubuqotho bomthondo, ugcine ukuzwela futhi uvimbele izibazi. Ama-condylomas nawo asakazeka ku-scrotum.
I-condyloma yangasese
I-Condylomas ingasakazeka ku-labia encane kanye ne-majora kanye nasemnyangweni wesitho sangasese sowesifazane. Ngakho-ke, ukuhlolwa kwesitho sangasese sowesifazane kanye nezibuko kusetshenziselwa ukuxilongwa kwabesifazane. Ama-condylomas angaphakathi kwe-intravaginal athinta i-labia futhi mhlawumbe ne-clitoris kufanele akhishwe kuphela nge-laser. Udokotela ohlinzayo we-laser uzobe esebeka umthamo okhethekile, omnene we-laser beam kuye ngobukhulu, ukusabalala nendawo ethintekile, okuqinisekisa ukususwa okuphelele kwe-condyloma ngokuvikela okuphezulu kwendawo esondelene ethintekile.
IZIMBANGELA zama-condylomas
Kuze kube manje, zingaphezu kuka-200 izinhlobo zegciwane le-HPV ezitholiwe ezingadala izinsumpa zangasese, i-condylomata, izinsumpa ezicushiwe kanye nezinsumpa ze-plantar. Ngenxa yokuguqulwa kwezakhi zofuzo, kuvela izinhlobo ezintsha ezingathinta ulwelwesi lwamafinyila noma esikhunjeni. Lawa magciwane angabangela nezinsumpa ezivamile kwenye indawo esikhunjeni. Izinsumpa zangasese - ezenzeka endaweni esondelene (isitho sangasese kanye nendawo yangemuva) - imvamisa kubangwa izinhlobo ze-HPV 6 no-11. Izinhlobo ze-HPV ezibanga izinsumpa nama-condylomas ziyingxenye yeqembu ingozi encane (ingozi encane) izinhlobo. Izinhlobo 6, 11, 42, 43, 54, 57, 70, 72 kanye 90 ziwela kuleli qembu.
Kodwa-ke, zikhona nezinye izinhlobo ze-HPV ezingaholela kumdlavuza esikhunjeni esithelelekile noma endaweni yolwelwesi lwamafinyila. Izinhlobo ezisengozini enkulu yizinhlobo ezingu-16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68, 73 kanye no-82, ezenzeka uma kwenzeka ukutheleleka isikhathi eside izitho zangasese (imomozi, i-labia, intamo yomlomo wesibeletho, i-glans penis, njll.) noma ezindaweni ezisekhanda nentamo nakho kungadala umdlavuza. Kodwa kufanele babe khona iminyaka eminingi. Ofika ku-70% womdlavuza womlomo wesibeletho ubangelwa izinhlobo ze-HPV 16 no-18.
Amagciwane adala izinsumpa zangasese abizwa nge-HPV 6 kanye ne-HPV 11, kodwa amagciwane anezinhlobo ezingamakhulu. Indlela yokuxhumana ucansi. Ingozi yokuwohloka komdlavuza we-condyloma iphansi; asikaze silibone icala elinjalo eminyakeni engama-20. Kodwa-ke, ngesimo samanje sezokwelapha eJalimane, iziguli azivumeli izinsumpa zangasese zisakazeke.Abantu baya kudokotela kusenesikhathi futhi bakhishwe ama-condylomas amancane - ngendlela efanele. Lokhu kuvimbela ukukhula komdlavuza.
Ukuxilongwa kwezinsumpa zangasese
Izinsumpa zangasese zitholwa yiziguli ngokwazo njengamaqhuqhuva amancane, aqinile anendawo engajwayelekile, eqinile njengokukhula “kwangaphandle”. Udokotela uphinde enze ukuxilongwa ngokuhlola kanye ne-palpation futhi anqume ukujula kwe-ingrowth esikhumbeni esebenzisa ukuhlolwa kwe-ultrasound enesinqumo esiphezulu. Kodwa-ke, noma ubani angaba umthwali wamagciwane ngaphandle kokwakhiwa kwe-condyloma, izinsumpa zangasese. Ama-condylomas abe esevame ukukhula uma amasosha omzimba ebuthakathaka. Izinhlobo zegciwane Izinhlobo ze-HPV 6 no-11 zibeka engcupheni encane yomdlavuza, i-HPV 16 kanye ne-18 idala umdlavuza. Ungenza ukuhlolwa kwegciwane le-HPV kwenziwe, kodwa ngokuvamile awanalo iqiniso ngamanga.
Ukwelashwa kwezinsumpa zangasese: Kunconywe i-laser
Ngokombono ongokoqobo, ukususwa kokuqala kwezinsumpa zangasese kuyinto ebaluleke kakhulu.
Electrotherapy / radio wave therapy nguye omdala. Lezi zingahlanganiswa namafutha e-caustic nezixazululo - i-Condylox - ukuvimbela ingozi yokuphindaphinda. Odokotela besikhumba bavame ukunikeza amafutha okugcoba anciphisa izinsumpa zangasese kodwa angalokothi aphele.
Yingakho singakuncomi lokhu. Ngaphezu kwakho konke ngoba i-genital warts nentsha I-Diode laser 1470 nm I-wavelength ingasuswa ngokushesha, ngokuphelele futhi, ngaphezu kwakho konke, ngaphandle kokulimaza isikhumba futhi ngaphandle kwezibazi, ngisho nangaphansi kwe-anesthesia yendawo. Ukwelashwa nge-laser kubaluleke kakhulu lapho ama-condylomas, ukukhula esithweni sangasese noma esithweni sangasese sowesifazane, kwenzeka ekuvulekeni kwesitho sangasese sowesifazane. Ngoba ukwenza ukwelashwa okulimazayo ngezinye izindlela futhi ngaleyo ndlela kubangele ukuphindeka, izibazi nokuvuvukala cishe kungagwenywa uma usebenzisa i-1470 nm diode laser esiyincomayo. I-condyloma inokuzwela okukhethekile, okukhethayo kulo mgoqo we-laser, ukuze ukukhula kushiswe ngokushesha, kufakwe umhwamuko, kodwa isikhumba esingaphansi sihlala sinjalo, singenakulimala. Ukujula kokungena kwe-laser beam kulawulwa ngokunembile udokotela ohlinzayo we-laser onolwazi. Sicela ubheke izithombe namavidiyo wethu wangaphambili nangemuva, okukhombisa ngokumangazayo ukuthi ngemuva kokukhishwa nge-laser kwezinsumpa ezithweni zangasese epipini nakwi-glans uqobo, isikhumba sihlala singokwemvelo ngokuphelele futhi singonakalisiwe. Lokhu ukuthuthuka okukhulu kunezindlela zamaza kagesi noma zomsakazo zangaphambili. Ukwelashwa kwe-laser nakho kunenzuzo yokuvimbela ukusabalala kwamagciwane, okwenzeka ngeshwa nezinye izindlela. Ngoba amagciwane ayancibilika, ayahwamuka futhi abhujiswe kanye nezicubu lapho aqukethwe khona. Ngakho-ke ukubhujiswa kwamagciwane kuyisivikelo esingcono kakhulu ekusakazekeni nasekusakazekeni kwendawo.
Izindleko zokwelapha insumpa zangasese
Emsebenzini wethu wangasese, sikhokhisa ngokweshejuli yemali kadokotela. Lokhu-ke kuhlanganisa ukuhlolwa kokuqala, ukuhlinzwa, izinzwa nezinto zokwakha. Ngenxa yokusetshenziswa kwe-laser, inkampani yomshuwalense wezempilo ezimele ingafuna ukuthethelelwa futhi ihlole ukubuyiselwa kwezindleko ezimeni ezingazodwana. Ngakho-ke asikho isiqinisekiso esingu-100% sokuthi zonke izinto ze-invoyisi zizothathwa; kufanele ucabangele izindleko ezingaba ngu-220-300 EUR uma isikhwama sakho sangasese singakutholi. Labo abanomshwalense wezempilo osemthethweni bakhokha inani eliphelele le-invoyisi - kuye ngenani lama-condylomas - njengabantu abazikhokhelayo. Noma kunjalo, labo abanenketho ye-laser bayelulekwa kahle ngoba iqinisekisa ukususwa okuphelele ngaphandle kokusabalalisa amagciwane, kodwa ngokuvikelwa okuphezulu kwesikhumba esingaphansi, isikhumba somthondo, isikhumba sangemuva, isikhumba esithweni sangasese.
Ukuvimbela i-condyloma
Kukhona futhi Immunotherapy ngokusebenzisa imigomo ngokumelene nokubuyela emuva. I-Immunotherapy ayisebenzi kuzo zonke izinhlobo zamagciwane e-HPV. Kodwa sekuvele kunemithi emihle yokugoma okuhlukile okubaluleke kakhulu HPV 6 no-11 futhi ivikele ezinhlobonhlobo zengozi yomdlavuza i-HPV 16 kanye ne-18.
Ukubikezelwa kwezinsumpa zangasese
Uma ama-warts e-genital esusiwe, ukubikezelwa okuphelele kuhle. Ngemuva kwe-electrotherapy siye sabona ukuphindaphinda, okudinga ukwelashwa kokulandelwa kwe-Condylox. Kusukela ku-laser vaporization - ukubhujiswa kwe-condyloma, asibonanga neze ukuphinda, nakuba ulwazi lwethu luhlehlela emuva cishe eminyakeni emi-2. Izifundo ezinkulu ezinezinkulungwane ezimbalwa zabahlanganyeli ziyadingeka ukuze ukwazi ukucacisa imvamisa yengozi ngokwezinhlobo zokwelashwa kwe-condyloma ngokunembe kakhudlwana. Okwamanje azikho izifundo ezinkulu kangaka zokwelashwa nge-laser. Kodwa-ke, ukususwa okuphelele, okusheshayo nokuphelele ngaphandle kwanoma iyiphi insalela kuyilapho ngesikhathi esifanayo kuvikela isikhumba nolwelwesi lwamafinyila olune-condyloma kukhulumela ukwelapha nge-laser kwe-condyloma.
Uma usola i-condyloma, wonke umuntu kufanele axhumane ngokushesha nochwepheshe we-condyloma kanye ne-laser wendawo eseduze, abahlole futhi bakhiphe ama-condyloma ngokushesha ngaphambi kokuba asakazeke futhi acekele phansi indawo eseduze futhi abe yingozi.
Izinsumpa kanye nezinsumpa plantar, stalked warts
Ama-warts onyaweni abizwa ngokuthi ama-plantar warts, avela kaningi ematheni onyawo noma esithendeni noma phakathi kwezinzwane. Bathola igama labo - ama-warts e-plantar - kusukela ekubukeni kwabo okufana nameva, okubonakala njengamaqhuqhuva esikhumba esiqinile, okuvame ukubangela ubuhlungu bengcindezi, ikakhulukazi lapho egijima. Ama-warts e-plantar - njengama-warts ajwayelekile kwezinye izindawo - aphumela kude ezicubu ezingaphansi kwesikhumba futhi angene kuwo, ngakho "izimpande" zawo zibe kude ngaphansi kwesikhumba.
Amagciwane e-HPV nawo ayimbangela yezinsumpa nama-plantar warts. Njengoba Ama-warts e-Plantar, ama-warts e-plantar noma ama-warts abhobozayo zibizwa nangokuthi izinsumpa ze-plantar. Zingabonakala njenge-mosaic ekhula ndawonye, bese sikhuluma ngayo Izinsumpa zikaMose.
Ukwelashwa kwama-warts nama-warts plantar kanye nama-warts stalked
Ukwelashwa nge-laser kufakazelwe ukuthi kungcono kakhulu. I-laser ihwamula ngokuphelele zonke izinhlobo zezinsumpa ziye ongqimbeni olunempilo lwesikhumba. Ngokusebenzisa i-laser beam enkulu Temizinga lokushisa, wonke amagciwane abhujiswa ngokuphelele, ngisho nangaphansi kwesilonda. Kodwa-ke, ukuphulukiswa kwezinsumpa ezingene ekujuleni kwezicubu ezingaphansi kwesikhumba kudinga isikhathi eside - amasonto angama-5-8 - futhi kufanele kuqashelwe futhi kusheshiswe ngokuhlolwa kwamanxeba okwelashwa okuvamile.