I-American College of Obstetricians and Gynecologists (i-ACOG) ibuyekeze isimiso sabo sokuhlolwa komdlavuza wesibeletho somlomo wesibeletho sabesifazane ngo-2009, ngokuqhubeka nokubuyekezwa ngo-2012.
Iziphakamiso ze-Pap Smear
- Bonke abesifazane kufanele babe ne-Pap smear yabo yokuqala eneminyaka engu-21. Iziqondiso zangaphambili zanconywa abesifazane ukuthi babe nePap yabo yokuqala eminyakeni emithathu ngemuva kokuba bahlanganyele ngokocansi noma baneminyaka engu-21 - noma yikuphi okufika kuqala. Manje kunconywa ukuthi kungaphambilini kuneminyaka engama-21 kungakhathaliseki ukuthi baqala ukuthatha ucansi. Ubudala beminyaka yobudala engama-21 ubudala kungakhathaliseki ukuthi bebeneminyaka engakanani futhi bebeneminyaka yobulili.
- Abesifazane abaye babe nomgomo we- HPV kufanele balandele imihlahlandlela efanayo yokuhlola.
- Abesifazane abaneminyaka engama-21 no-30 kufanele babe ne-Pap smear njalo eminyakeni emithathu. Lokhu kwabuyekezwa kusukela ezinconyweni zangaphambilini ukuthi kwenziwe njalo ngonyaka futhi kubuyekezwe kusukela ezincomeni ezenziwa njalo eminyakeni emibili. Kuleli qembu lobudala, ukuhlolwa kwe-HPV akusetshenziswanga ukuhlola, kepha kungasetshenziswa ukulandelela umphumela wokuhlola ongajwayelekile we-Pap.
- Abesifazane abaneminyaka engama-30 no-65 kufanele babe nokuhlolwa kwePap kanye nokuhlolwa kwe-HPV ngesikhathi esifanayo, neminyaka emihlanu phakathi kokuhlolwa. Uma benokuhlolwa kwePap kuphela, kufanele babe nayo yonke iminyaka emithathu.
- Abesifazane abaneminyaka engama-65 kuya kwabangu-70 abaye babhekana nemiphumela emibili elandelanayo yePap smear futhi akukho okungajwayelekile eminyakeni eyishumi eyedlule bangakwazi ukuyeka ukuhlolwa. Uma babe nesandulela ngculaza engakafiki (CIN2 noma CIN3) kufanele baqhubeke nokuhlolwa iminyaka engu-20 ngemva kokuthola lokho.
- Abesifazane abaye bathola i- hysterectomy esiphelele ngenxa yesimo esingenakunqamula futhi abangakaze babe nama-pap smears angavamile bangakwazi futhi ukuyeka ukuhlolwa.
Izincomo ze-American Cancer Society (ACS) zahlukahluka kakhulu kulezi ziqondiso ngo-2009, kodwa ngo-2015 ziyavumelana nazo zonke izimiso ezingenhla.
Kokubili i-ACOG ne-ACS batusa ukuthi owesifazane kufanele abe ne-Pap smear ngaminyaka engu-21. I-ACOG ne-ACS zombili zihlonishwa kakhulu, izinhlangano ezithembekile. Uma unemibuzo eminye mayelana nokuthi lezi ziqondiso zisebenza kanjani kuwe, cela udokotela wakho. Angenza ukuhlolwa okungcono kakhulu uma kufanele uqale ukwenza ama-pap smears ngokusekelwe empilweni yakho siqu nomlando wobulili.
Khumbula ukuthi kungakhathaliseki ukuthi uthola iP Pap smear kaningi kangakanani, usadingeka ube nokuhlolwa kwe-pelvic yonyaka. Lokhu kuhlolwa kuzothola ezinye izimo eziningi ezibalulekile empilweni yakho yokuzala kanye nempilo yakho yonke. Ukutholwa kwezinkinga zakuqala kuyindlela yakho engcono yokuvikela impilo yakho.
Imithombo:
I-American Cancer Society. Umdlavuza wesibeletho: Ukuvimbela Nokutholwa Okuqala.
I-American College of Obstetricians and Gynecologists (ACOG). Ukuhlolwa kwesifo somdlavuza wesibeletho. I-Washington (DC): I-American College of Izidakamizwa NeziGynecologists (ACOG); 2012 uNksz. 17 k. (Umbiko we-ACOG wokuqhuba umkhuba; cha. 131).