Ezimweni eziningi, umdlavuza wesibeletho yisifo esithuthuka kancane esithatha iminyaka ukuthuthukisa. Ngaphambi kokuba noma yimuphi umdlavuza ukhula, umlomo wesibeletho (intamo encane yesisu somfazi) uthola izinguquko ezingavamile okuthiwa i-dysplasia yesibeletho. Lapho ebanjwe esiteji sokuqala, umdlavuza womlomo wesibeletho ukwelashwa lula futhi izinga lokusinda liphakeme kakhulu. Yingakho abesifazane behlolwa ngezikhathi ezithile zePap smear ukuze bahlole noma yiziphi izinguquko ezingavamile emgodini wesibeletho.
Uma imiphumela ye- Pap smear ibuyele engavamile , kunezigaba eziningana ezichaza ukuthi kungani zitholakala zingavamile:
- I-ASCUS ( amangqamuzana angama- atypical squamous of importance not specified)
- I-LGSIL (i-lower-grade squamous intraepithelial lesion)
- I-HGSIL (i-high-grade squamous intraepithelial lesion)
- I-AGC (amaseli e-atypical glandular ku-Pap smear)
Nakuba i-dysplasia yomlomo wesibeletho engalashwa ingaholela emdlalweni wesibeletho kwezinye izimo, ukuba ne-dysplasia yomlomo wesibeletho akusho ukuthi umuntu unomdlavuza noma uzoke ahlakulele lesi sifo. Kuvame ukuphathwa kuqala ngokuqapha ukuze ubone ukuthi kuqhubeka yini, bese kusetshenziswa izinqubo zokwelapha ehhovisi likadokotela.
Yisho ukuthini imiphumela ye-HGSIL Pap Smear
Umphumela we-HGSIL weP Pap smear ubonisa ukuthi ushintsho oluthe xaxa ngobukhulu nokuma kwamaseli womlomo wesibeletho kuye kwatholakala, okushiwo ngenhla-kubonisa ukuthi i-dysplasia yomlomo wesibeletho isesimweni esincane. I-HGSIL akuyona umdlavuza womlomo wesibeletho okwamanje, kepha uma ishiywe ingalashwa futhi ingavunyelwanga, ingabangela umdlavuza wesibeletho.
Ukuqinisekisa imiphumela ye-HGSIL
Uma imiphumela ye-Pap smear ibuya njenge-HGSIL, ukuhlolwa kwe-colposcopy kwenziwa ngaleso sikhathi ukuze kuqinisekiswe okutholakele. Ukuhlolwa kwe- colposcopy kuyinkqubo ye-in-office evumela udokotela ukuba ahlole ngeso lengqondo umlomo wesibeletho ngensimbi ekhanyayo okuthiwa i-colposcope. Ngesikhathi sokuhlolwa, i-colposcope ihlala ingaphandle kwebesifazane.
Isebenza njenge-microscope, ivumela umbono ojulile womlomo wesibeletho . Phakathi ne-colposcopy, udokotela angenza futhi i- biopsy yomlomo wesibeletho , inqubo evimbela izingcezu ezincane zezicubu zomlomo wesibeletho. Amasampuli amathisimu abese athunyelwa ebhokisini ukuze ahlolwe ngokuqhubekayo. Cabanga nge-colposcopy njengeP-smear ejulile.
Izinhlobo zokwelashwa
Uma imiphumela yomlomo wesibeletho iqinisekisa i-HGSIL, khona-ke ukwelashwa ukususa izicubu ezingavamile zomlomo wesibeletho kuyadingeka ukuze kuvikelwe ukuthi kungenzeka umdlavuza wesibeletho esikhathini esizayo. Ukwelashwa okungenzeka okungenzeka ku-HGSIL kufaka:
- Uhlelo lwe-Loop Electrosurgical Excision Procedure (LEEP): Ngesikhathi se- LEEP , umshini kagesi uthunyelwa nge-loop wire. I-wire loops yenza ummese, isuse amaseli angavamile omlomo wesibeletho.
- I-Cryotherapy: I- Cryotherapy iyindlela esetshenziselwa ukubhubhisa izicubu ezingavamile ngokuyiqhwaza. Kubizwa nangokuthi i-cryosurgery.
- Ukukhwabanisa: Okubizwa nangokuthi i- cone biopsy , ukukhishwa kwe-conization kususa isampula esikhudlwana, esakhiwe ngesigqoko sezingcuba ezingavamile.
- I-Laser Therapy: Ngesikhathi ukwelapha i-laser, ukukhanya okuncane okusetshenziselwa ukubhubhisa amaseli angavamile.
Ukunakekelwa Okulandelwayo Ngemva Kokulashwa
Ukulandela emva kokwelashwa kwe-HGSIL kuyadingeka ngokuphelele. Amaseli angaba engavamile, naphezu kokwelashwa, futhi angadinga ukwelashwa okwengeziwe.
Ukulandela kuqukethe ama-Pap smears nezivivinyo ze-colposcopy isikhathi esithile.