Indlela Yokunquma Umphumela Wokuhlola Ongavamile
I-Pap smear ingabonisa udokotela wakho ukuba abe khona amangqamuzana asolisayo esibelethweni sakho esidinga ukuhlolwa okuqhubekayo noma ukwelashwa, yingakho kunconywa ukuba uhlolwe njalo.
Kuyini i-Pap Smear?
I- Pap smear , ebizwa nangokuthi i-Pap test, inqubo yokuhlola umdlavuza womlomo wesibeletho kwabesifazane. Kuhilela ukuqoqa amaseli kusuka kulesiswini sakho nesisu somlomo wesibeletho - umkhawulo ophansi, omncane wesibeletho sakho esiphezulu kwesiswini sakho.
I-Pap smear ivame ukwenza ngokubambisana nokuhlolwa kwe-pelvic . Kulaba besifazane abaneminyaka engama-30 noma ngaphezulu, i-Pap smear ingahlanganiswa nokuhlolwa komuntu we-papillomavirus (HPV) - isifo esithathelwanayo socansi esingaba nomdlavuza wesibeletho kwabanye besifazane.
Imiphumela evamile yeP Pap Smear
Uma kuphela amaseli womlomo wesibeletho atholakele ngesikhathi seP Pap smear, kuthiwa unomphumela omubi. Ngeke udinge ukwelashwa okunye noma ukuhlolwa kuze kube yilapho ufanele ukuhlolwa kweP Pap yakho kanye nokuhlolwa kwe-pelvic.
Imiphumela yeP Pap Smear engavamile
Uma amaseli angavamile noma angavamile athola ngesikhathi seP Pap smear, kuthiwa unomphumela omuhle.
Umphumela omuhle awusho ukuthi unomdlavuza wesibeletho. Ukuthi kusho ukuthini imiphumela emihle kuxhomeke kuhlobo lwamaseli atholakele ekuvivinyweni kwakho.
Nazi ezinye izindlela udokotela wakho angase azisebenzise nokuthi iyiphi inkambo yakho yesinyathelo esilandelayo engase ibe:
Ama-Atypical Squamous Amaseli Wokubaluleka Okungenqunyelwe (ASCUS)
Umphumela owodwa ongajwayelekile ongayithola ubizwa ngokuthi "amangqamuzana angama-atypical okubaluleka okungagunyaziwe" (owaziwa nangokuthi i-ASCUS). Amangqamuzana amancane anomzimba omncane futhi aqinile futhi akhule emgodleni wesibeletho enempilo .
Endabeni ye-ASCUS, i-Pap smear yembula amangqamuzana amancane angavamile, kodwa izinguquko azikhombisi ngokucacile ukuthi amangqamuzana angama-precancerous akhona.
Eqinisweni, ngenkathi umphumela we-ASCUS Pap smear ungase uzwakale uvalo, kubhekwa njengokungavamile okwejwayelekile futhi empeleni yiP-smear engavamile kakhulu ongayithola. Empeleni, kungase kube khona ingozi yomdlavuza womlomo wesibeletho ehambisana nomphumela wakho we-ASCUS Pap smear.
Izimbangela ezivame kakhulu ze-ASCUS Pap smear imiphumela yizimo ezingenangqondo (ezinobungozi), ezifana nezifo noma ukuvuvukala. Lezi zimo zingabangela ukuthi amaseli wesibeletho avele angavamile. Kodwa ekugcineni, amangqamuzana amaningi abuyela ekubukeni okujwayelekile ngesikhathi.
Kwabesifazane abathile, umphumela we-ASCUS ungenxa yezinguquko kumaseli omlomo wesibeletho obangelwa ukutheleleka kwe-HPV. Njengoba uhlolo lwe-pap smear olusekelwe ketshezi, udokotela wakho angaphinda abuyele isampula ukuze ahlole ukuthi kunezinhlobo ezithile zegciwane lesandulela ngculaza le-HPV. Lezi zinhlobo eziphezulu ze-HPV ziyaziwa ukuthi zikhuthaza ukuthuthukiswa kwamanqamu njengomdlavuza wesibeletho.
Uma kungekho amagciwane aphezulu kakhulu, amaseli angavamile atholakele ngenxa yokuhlolwa akukhathazeki kakhulu. Uma ngabe amagciwane ahluphayo, uzodinga ukuhlolwa okwengeziwe.
Lokhu kuthiwa, ezimweni eziningi, lezi zinguquko zomlomo wesibeletho aziqhubeki emdlalweni wesibeletho somlomo wesibeletho kodwa zidinga ukuqapha okuqhubekayo nokwelashwa okungenzeka ukuvimbela ingozi eyengeziwe yomdlavuza wesibeletho.
I-Lesion Intraepithelial Lesion
Leli gama lisetshenziselwa ukukhombisa ukuthi amangqamuzana aqoqwe eP Pap smear angase abe yinqaba.
Uma izinguquko zingaphansi kwebanga, kusho ukuthi usayizi, ukuma, kanye nezinye izici zamaseli ziphakamisa ukuthi uma i- lesion eqondile ikhona, cishe kuyoba iminyaka engakabi nomdlavuza.
Uma izinguquko ziphezulu ebangeni, kunethuba elikhulu lokuthi lesi sifo singase sibe ngumdlavuza ngokushesha. Kulesi sibonelo, ukuhlolwa okungeziwe kuyadingeka.
Amaseli Glandular Atypical
Amangqamuzana amancane akhiqiza i-mucus bese ekhula ekuvuleni kwesibeletho sakho nangaphakathi kwesibeletho sakho.
Amaseli angama-glyular actyular angase abonakale engavamile, okuphakamisa ukukhathazeka ngokuba khona kwe-precancer noma umdlavuza.
Ukuhlolwa okuqhubekayo kuyadingeka ukucacisa umthombo wamaseli angajwayelekile nokubaluleka kwawo.
I-Squamous Cancer Cell noma Amaseli Adenocarcinoma
Lo mphumela usho ukuthi amaseli aqoqwe nge-Pap smear avela engavamile ukuthi i-pathologist cishe cishe umdlavuza ukhona.
"Umdlavuza wesikhumba esincane" ubhekisela emangqamuzaneni avela emaqenjini angaphansi kwesiguli noma umlomo wesibeletho. "I-Adenocarcinoma" ibhekisela emangqamuzaneni avela emangqamuzaneni amancane. Uma amaseli anjalo atholakele, udokotela wakho uzotusa ukuhlolwa okusheshayo.
Ukulandelela Ngemuva Kwendlela Engakajwayelekile YeP Pap Smear
Ukulandelwa kuxhomeke kuhlobo lokungajwayelekile olubonwe. Ngezinye izikhathi, kuphela ukuphinda ukuhlolwa kuyadingeka. Kwezinye izimo, udokotela wakho angenza inqubo ebizwa ngokuthi i- colposcopy esebenzisa insimbi ekhethekile yokukhulisa (i-colposcope) ukuhlola izicubu zomlomo wesibeletho, ubulili nesisu.
Udokotela wakho naye angathatha isampula yesikhumba (i- biopsy ) kusuka kunoma yiziphi izindawo ezibonakala zingavamile. Isampula yamathambo sithunyelwa ebhokisatri ukuze kuhlaziywe kanye nokuxilongwa okucacile. Ngokusekelwe kule miphumela, ungadinga ukwelashwa ukususa noma yiliphi amangqamuzana angavamile. Ngemuva kokwelashwa, kuzodingeka uqhubeke ulandela ukuhlolwa komdlavuza womlomo wesibeletho.
Izwi elivela
Ukuthola umdlavuza womlomo wesibeletho kuqala ngePap smear kukunika ithuba elikhulu emtholampilo. Hlala ufundiswa ngempilo yakho yomlomo wesibeletho futhi uqhubeke ne-pap smears yakho. Enye i-tidbit kufanele ikhumbule ukungabi nobulili, u- douche , noma ukusebenzisa ama-tampon noma amanye amakhemikhali okuhlanza ubulili amahora angu-48 ngaphambi kokuhlolwa kwe-Pap smear, njengoba lokhu kunganikeza imiphumela yamanga.
Imithombo:
I-American College ye-Obstetrics ne-Gynecology. (NgoJanuwari 2016). Imibuzo Evame Ukubuzwa: Izivivinywa Zesivivinyo Esingajwayelekile Zomdlavuza wesibeletho.
I-American College ye-Obstetrics ne-Gynecology. (February 2016). Imibuzo Evame Ukubuzwa: Ukuhlolwa Kwesifo Sekhanda Lomlomo.