Izivivinyo zep pap njalo zomdlavuza wesibeletho zisadingeka
Emva kokugonywa ngenye yemithi yokugoma ye-HPV (Gardasil, Gardasil 9, noCervarix), ungase uzibuze ukuthi usadingeka yini ukuthi ube nama- Pap smears avamile. Phela, imishanguzo iyavikela emphakathini we- papillomavirus (HPV) , igciwane elidala umdlavuza wesibeletho. Akufanele yini lokho kuqede isidingo sePap smear? Nakuba lokho kungase kubonakale njengokucabanga okunengqondo, kwakungeke kube khona iqiniso.
Ukuhlolwa kwesifo somdlavuza wesibeletho njalo kuyadingeka kubo bonke abesifazane, ngabe ngabe banemigomo ye-HPV noma cha. Le migomo ayihloselwe ukufaka esikhundleni sePap smear, kodwa kunalokho ukusiza ukuvimbela i-HPV. Noma kunjalo, imishanguzo ayivikeleki kuzo zonke izinhlobo ze-HPV ezingabangela umdlavuza womlomo wesibeletho, futhi izici eziningana zingathonya izinga lokuvikelwa ozithola emtholampilo.
I-HPV ikhubaza ukuvikelwa kokunikezwa kwamaningi emdlavuza wesibeletho
I-Gardasil ne-Cervarix, imishanguzo emibili ye-HPV eyatholakala kuqala, ivikele emiphakathini emibili ye-HPV eyenza u-70% wabo bonke amacala omdlavuza womlomo wesibeletho, kanye nama-warts omzimba. Umuthi wokugoma awukuvikela nakwezinye izinkinga ezibangelwa umdlavuza. Lezo ezinye izinhlanzi zinomthwalo we-30% wazo zonke izinhlobo zomdlavuza womlomo wesibeletho, okwamanje uyinani elibalulekile.
I-Gardasil 9, eyatholakala ngo-2015, ivikela izinhlobo eziyisishiyagalolunye ze-HPV, kufaka phakathi kokubili i-Gardasil yasekuqaleni eyayivikelayo, ihlinzekela ingculazi kumaphesenti angama-90 emdlavuza wesibeletho ngenkathi ivikela ngokumelene nemilenze yomzimba.
Kodwa ngoba ngisho neGadiasil 9 ayivikeleki kumaphesenti angu-100 ekhanda lomlomo wesibeletho, ama-pap smears avamile ayadingeka.
Ezinye Izizathu Okwamanje Udinga njalo iP Smears
Akubona bonke abesifazane abafumana ukuvikeleka okufanayo emithonjeni. Njengamanye emithi yokugoma, abanye besifazane bangase bavikeleke ngokugcwele ngomgomo we-HPV, ikakhulukazi labo abanamasosha omzimba obuthakathaka s.
Kumele ube nesimiso sokuvikela omzimba esisebenzayo ukuze uphendule kumgomo wokugoma bese ukhiqiza imishanguzo egciwane.
Abanye besifazane bangase bangaqedi uchungechunge lokugoma. I-Gardasil idinga uchungechunge lwezibhamu ezintathu ezinikezwe ngaphezu kwezinyanga eziyisithupha. Abanye besifazane bangase bangaqedele uchungechunge noma bangabathola ngesikhathi esingalungile, okungabangela ukuba bangavikelwe ngokugcwele.
Abanye besifazane bangenwe igciwane ngaphambi kokugoma. Kungenzeka ukuthi owesifazane angazi ukuthi usethelelekile nge-HPV. Abesifazane abane-HIVV ngaphambi kokutheleleka kungenzeka bangatholi izinga elifanayo lokuvikeleka emithonjeni njengabesifazane abangakaze bahlolelwe i-HPV.
Ukuzivikela Okungcono Kwezifo Zomlomo We-Cervical Cancer
Umgomo wokuvikela i-HPV uhlangene nokuhlolwa kwesifo somdlavuza wesibeletho ukuvikela ngokuphumelelayo umdlavuza wesibeletho. Ungathembeli engxenyeni eyodwa kuphela yalesi sikhwama esisodwa-ezimbili.
I-Pap smear iyithuluzi lokuhlola ngokuphumelela kakhulu kwabesifazane. Ingakwazi ukuthola izinguquko ezingavamile zomlomo wesibeletho eside ngaphambi kokuba zibe nomdlavuza. Uma kuhlanganiswe nomgomo we-HPV, abesifazane bavikelekile kakhulu ekuhlaleni umdlavuza womlomo wesibeletho.
Ngaki kaningi owesifazane ophethe i-Pap smear kuncike ezintweni eziningana, ezifana nobudala, isimo se-HPV samanje, nomphumela wezivivinyo zangaphambili zomlomo wesibeletho. Imikhombandlela yokuhlolwa komdlavuza wesibeletho yamanje iphakamisa ukuthi abesifazane baqala ukuba nama-pap smears ajwayelekile eneminyaka engu-21.
Khumbula ukuthi izivivinyo zonyaka we-pelvic zinconywa, ngisho noma ungatholi i-Pap smear njalo ngonyaka. Izivivinyo zama-pelvic zizobona ezinye izimo zezokwelapha ngaphandle komdlavuza wesibeletho. Ziyingxenye ebalulekile yokuhlolwa kwezempilo kwabesifazane ukugcina impilo yakho yokuzala nokuthola izinkinga ekuqaleni.
> Imithombo:
> I-American Cancer Society. I-FDA ivumela i-Gardasil 9 I-HPV Vaccine. Jan 8, 2015.
I-American Cancer Society. I-HPV Imithi. NgoJulayi 12, 2016.
"I-HPV Vaccine Information for Young Women," Izikhungo Zokulawula Nokuvimbela Izifo. Mashi 26, 2015