Imikhombandlela Yokuhlola Ngomdlavuza wesibeletho kusuka ku-ACS ne-ACOG
Cishe uzwile nge-hype ezungeze ukuthi abesifazane badinga kaningi kangakanani ukungena ngaphansi kwama-Pap smears. Ngenkathi abesifazane abaphilile bevame ukusebenzisa i-Pap smear kanye ngonyaka, imiphakathi yezokwelapha (isibonelo, i-American Cancer Society) manje isesifake isikhathi sokusebenza njalo eminyakeni emithathu.
Kubuye kubekwe iziqondiso endaweni lapho futhi owesifazane okufanele ahlole ukuhlolwa kwe-HPV kungakanani ubudala.
Ukuhlolwa kwe- HPV kubonisa abesifazane abathintekile ngezinkinga eziphezulu ze -HPV ezingaholela emdlalweni wesibeletho somlomo uma kungashiywa ngaphandle kokuboniswa noma kungaphenduliwe.
Ngalokho, nansi isifingqo sezincomo ezivela emiphakathini emibili yezokwelapha: i-American Cancer Society (ACS) kanye ne-American College of Obstetricians kanye neGynecologists (ACOG).
Imikhombandlela Yokuhlola Ingculaza yomlomo wesibeletho yabesifazane abaphilile
Owesifazane kufanele aqale ukuhlola umdlavuza womlomo wesibeletho, okusho ukuthi uthola iPake smear yokuqala, eneminyaka engu-21, kungakhathaliseki ukuthi usebenza ngokocansi noma cha. Khona-ke, phakathi kweminyaka engama-21 no-30, owesifazane kufanele afunde i-Pap smear njalo eminyakeni emithathu.
Ngamanye amazwi, uma i-pap smear yakho yokuqala ineminyaka engama-21, okulandelayo kuzoba neminyaka engu-24, bese uneminyaka engu-27 ubudala, bese uneminyaka engama-30. Phakathi nalesi sikhathi, ukuhlolwa kwe-HPV akukhuthazwa.
Lapho uneminyaka engama-30, owesifazane unelungelo lokuhlola i-HPV kanye ne-Pap smear yakhe.
Uma owesifazane ekhetha ukuba nombili i-Pap smear ne-HPV test, angalinda iminyaka emihlanu phakathi kokuhlolwa. Uma ekhetha ukuba neP Pap smear kuphela, kufanele iphindwe njalo njalo eminyakeni emithathu.
Yiqiniso, kubalulekile ukukhumbula ukuthi lokhu kuthatha ama-pap smears wesifazane ajwayelekile nokuthi unempilo. Abesifazane abaye babhekana nama-pap smears angaphambilini abathintekile nge-HPV, noma abasengozini enkulu yomdlavuza wesibeletho kungadingeka bahlolwe kaningi.
Isibonelo, owesifazane oneminyaka engu-21 ubudala onesi-Pap smear engavamile okokuqala (isibonelo, imiphumela ye-pap smear yembula i- LSIL ) kuzodingeka ukuthi iphinde iphinde iphele ngonyaka owodwa, ngokumelene nokulinda iminyaka emithathu.
Ekugcineni, kubalulekile ukulandela izincomo zikadokotela wakho, futhi uma ungacacile, shayela ihhovisi lakho udokotela ukuqinisekisa ukuthi uyazi ukulandela okulandelayo.
Imikhombandlela Yokuhlola Ingculaza yomlomo wesibeletho ekumiseni ama-Smears e-Pap
Ngokusho kwe-American College of Obstetricians and Gynecologists, eneminyaka engu-65 ubudala, abesifazane abaye baba nezinkinga ezintathu ("ezijwayelekile") zePap smears ngokulandelana noma emibili yokuhlolwa okungekho embi (okusho "ukujwayelekile" kweP Pap smear nokuhlolwa kwe-HPV okungalungile) unqamuke ukuba neP Pap smears evamile.
Lokhu kuthatha ukuthi iPsmmear yakamuva kakhulu yenziwa eminyakeni emihlanu edlule nokuthi owesifazane akanalo umlando wamaseli omlomo wesibeletho ongajwayelekile noma omlando noma umlando wesibeletho somlomo wesibeletho.
Imikhombandlela Yokuhlola Ngomdlavuza wesibeletho yabesifazane abaphezulu
Abesifazane abasengozini enkulu yomdlavuza womlomo wesibeletho bangadinga ama-smears amaningi aphindaphindiwe asekelwe esimeni sabo sezempilo. Lokhu kungabangela umkhuhlane we-immunity, njengabesifazane abane-HIV. Abesifazane abadalulwe ku-DES ku-utero bangadinga futhi ukuthi bahlolwe kaningi ngomdlavuza womlomo wesibeletho.
Uma ithimba lakho lokunakekelwa kwezempilo licebisa ukuhlolwa okuvamile, xoxisana ngezizathu zalo nawo ukuze uqonde ukuthi kungani kwenziwa.
Imikhombandlela Yokuhlola Ngomdlavuza wesibeletho yabesifazane ababenayo i-Hysterectomy
Ngokusho kwe-American Cancer Society, abesifazane abene-hysterectomy esiphelele, okusho ukuthi lesi sibeletho nomlomo wesibeletho basuswa kokubili, akudingeki ukuba bahlolwe futhi. Nokho, lokhu kusebenza kuphela kwabesifazane abangenayo i-hysterectomy njengokwelashwa komdlavuza wesibeletho ngaphambi komdlavuza noma umdlavuza. Uma kunjalo, ukuhlolwa kufanele kuqhubeke, njengoba amaseli womlomo angase abe khona phezulu kwesifazane.
Abesifazane abaye babhekana ne-hysterectomy engaphezu komlomo (okusho ukuthi isibeletho sisusiwe, hhayi umlomo wesibeletho) kufanele silandele imihlahlandlela njengokujwayelekile.
Izwi elivela
Umlayezo womkhaya wokuthatha ekhaya lapha ukuthi uma unempilo, akudingeki ukuba ube nesip smear ngonyaka. Kodwa usadinga ukuhlolwa kwesikhashana, njengawo wonke iminyaka emithathu noma emihlanu, kuye ngokuthi uneminyaka yakho nokuthi ngabe uhlolwa yini i-HPV.
Nokho, kungakhathaliseki ukuthi ukubona udokotela wakho wezifo noma udokotela womndeni kanye ngonyaka ukuvakashelwa owesifazane obalulekile kubalulekile, noma ngabe awufanelekile i-Pap smear. Phakathi nalolu hambo, udokotela wakho angenza ukuhlola kwe-pelvic nokuhlolwa kwebele, kanye nokunikeza isiqondiso sokwenza ngcono impilo yakho yonke.
> Imithombo:
> I-American Cancer Society. (2016). Izinkombandlela ze-American Cancer Society for the Prevention and Early Detection of Cancer Cervical.
> I-American College yezidakamizwa namaGynecologists (ACOG). (2016). Ukuhlolwa kwesifo somdlavuza wesibeletho.
> I-American College yezidakamizwa namaGynecologists (ACOG). (2012). Uvakashele kahle. I-Committee Opinion.
> Chiarelli AM, Maipruz V, Brown P, Thėriault M, Shumak R, Mai V. Iminikelo yokuhlolwa kwebele emtholampilo ngokunemba kokuhlolwa kwebele. J Natl Cancer Inst. 2009 Sep 16; 101 (18): 1236-43.
> Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Isahluko 88. Ukutholakala kwe-Colposcopy-Normal and Noncancerous. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Umbala Atlas of Family Medicine, 2e . ENew York, NY: McGraw-Hill; 2013