Displasias cervico uterinas y virus del papiloma humano, en pacientes vih reactivas
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La Displasia cervical son cambios que se presentan en las células de la superficie del cuello uterino que no necesariamente pueden considerarse como un cáncer pero si como signos pre cancerígenos. Estos cambios celulares se pueden dar a cualquier edad por lo que es necesario realizar los controles recomendados, de igual manera establecer el diagnóstico e iniciar el tratamiento adecuado y oportuno para poder contrarrestar los efectos de la misma y así evitar que estas displasias evolucionen a cáncer de cuello uterino. Por lo general, la Displasia cervical es causada por el Virus del papiloma humano (VPH) que se contrae a través del contacto sexual mismo que presenta varias tipologías clasificadas como alto, medio ydebajo riesgo.
El Virus de inmunodeficiencia humana es un microorganismo que infecta y utiliza la célula de defensa CD4, para replicarse, con su destrucción causa depresión de la capacidad del sistema inmune de las personas dejándolo al individuo vulnerable ante otrasinfecciones que pueden poner en riesgo su salud.
Ante el conocimiento de que las neoplasias de cuello de útero tienen relación directa con la infección del VPH se realiza un estudio para identificar la salud de tracto genital inferior, mismas que presenten algún grado de alteración delcérvixdiagnosticado como displasia en cualquiera de sus grados.
La presente investigación tiene como objetivo Diseñar un mecanismo de atención priorizada a pacientes portadoras del VIH inmunocomprometidas para la prevención de neoplasias entre las que presentan displasias cervicales por el VPH en los servicios de ginecología.
Cervical Dysplasia comprises a group of changes that occur on the surface of the cervix which may not necessarily be considered a form of cancer but rather as precancerous agents. This disease can occur at any age so it is necessary to establish the appropriate and timely treatment to be able to counteract its effectsand thus prevent it from developing into cervical cancer. Cervical Dysplasia is usually caused by the human papillomavirus which is contracted through sexual contact presents several typologies classified as high, medium and low risk. Among the factors that can increase the disease is sexual intercourse before age 18, contact with several intimate partners, having a baby before age 16, smoking, having other types of diseases such as Diabetes or HIV and the use of drugs that inhibit the immune system. In most cases there are no symptoms. HIV is a virus that infects and uses the CD4 lymphocyte to replicate itself, this, in turn destroys the cell and causes a depression of the immunologic system, leaving the individual vulnerable to myriad infections that may put his life at risk. Therefore, in the knowledge that cervical neoplasms are directly related to HPV infection, a study is carried out to survey lower genital tract health in those whowere previously diagnosed with dysplasia of some degree. The present research aims to design a mechanism of prioritized attention to immuno compromised HIV-infected patients for the prevention of neoplasms among those who present HPV cervical dysplasias in gynecological services.
Cervical Dysplasia comprises a group of changes that occur on the surface of the cervix which may not necessarily be considered a form of cancer but rather as precancerous agents. This disease can occur at any age so it is necessary to establish the appropriate and timely treatment to be able to counteract its effectsand thus prevent it from developing into cervical cancer. Cervical Dysplasia is usually caused by the human papillomavirus which is contracted through sexual contact presents several typologies classified as high, medium and low risk. Among the factors that can increase the disease is sexual intercourse before age 18, contact with several intimate partners, having a baby before age 16, smoking, having other types of diseases such as Diabetes or HIV and the use of drugs that inhibit the immune system. In most cases there are no symptoms. HIV is a virus that infects and uses the CD4 lymphocyte to replicate itself, this, in turn destroys the cell and causes a depression of the immunologic system, leaving the individual vulnerable to myriad infections that may put his life at risk. Therefore, in the knowledge that cervical neoplasms are directly related to HPV infection, a study is carried out to survey lower genital tract health in those whowere previously diagnosed with dysplasia of some degree. The present research aims to design a mechanism of prioritized attention to immuno compromised HIV-infected patients for the prevention of neoplasms among those who present HPV cervical dysplasias in gynecological services.
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Displasias del cuello del útero, Virus del papiloma humano, Virus de inmunodeficiencia humana, Genotipo, Colposcopía, Planes y programas de salud, Hospital de Infectología Dr. José Daniel Rodríguez Maridueña, Cantón Guayaquil, Ecuador