Kuyini Okushoyo I-Pap Smear Engavamile?

Izimbangela zivela ekuvuvukala okuncane kuya komdlavuza

Uma utshelwe ukuthi unePap smear engavamile, isisindo sakho sokuqala singase sibe ukwesaba noma ukwesaba okubi kakhulu. Kuyinto impendulo yemvelo.

Kodwa ukuthi "okungavamile" kusho ngempela ngaphakathi komongo wePap smear, futhi yini okudingeka uyenze uma unayo?

Ukuqonda ama-Pap Smears angavamile

I-Pap Smear engavamile imane nje isho ukuthi ukuhlolwa okuncane kwamangqamuzana athathwa emlonyeni wakho wesibeletho kwakungekho njengoba ochwepheshe welebhu bekulindele.

Kungaba nezizathu eziningi zalokhu, ukugijima umdlalo ngokuvuvukala okuncane kumdlavuza womlomo wesibeletho.

Ekugcineni, konke okusitshela ngempela ukuthi isibeletho sakho sidinga ukuhlolwa okuqhubekayo. Kwezinye izimo, ungase uphumelele ekuhlolweni kwe-colposcopic ne-biopsy; Ngesinye isikhathi, ungase ucelwe ukuthi ubuyele emuva kweP Pap smear eminyakeni emithathu.

I-Pap smears engavamile ngempela iyinto evamile. Ngokwezikhungo zokulawulwa nokuvimbela izifo (CDC), cishe abesifazane abayizigidi ezintathu bathola imiphumela engavamile yeP Pap smear ngonyaka ngamunye. Kulezi, cishe 12,000 (noma cishe eyodwa kuma-250) kuzoqhubeka nomdlavuza wesibeletho.

Ukukhubazeka Kwamaselula kanye Nokuthuthukiswa Kwe-Cancer

Ukungafani kwamangqamuzana kuthiwa yi-dysplasia. Ukuhlukaniswa kwangempela kwamaseli angama-dysplastic kufaka:

• I-ASCUS (amangqamuzana angama-atypical squamous of importance not specified)
• I-LGSIL (i-loweron squamous intraepithelial lesion)
• I-HGSIL (i-high grade squamous intraepithelial lesion)

• I-AGC (amaseli e-atypical glandular ku-Pap smear)

Iningi lama-dysplastic cells alishintshi noma lidala izinkinga. Kulabo abashintshayo, abanye bazoba ngqangi , okusho ukuthi kukhona ithuba lokuthi bazoba nomdlavuza.

Amanye alawa maseli azoqhubekela phambili esiteji sesifo esibizwa ngokuthi i- carcinoma in situ lapho amangqamuzana eba umdlavuza kodwa eboshwe kulokho okubizwa ngokuthi i-membrane eyisisekelo (ungqimba ohlukanisa izicubu zomlomo wesibeletho ezivela ezingxenyeni ezingaphansi kwesisindo).

Kuyinto kuphela lapho isakazeka ngaphesheya kwesigqebhezana esingaphansi komhlaba ukuthi lesi sifo sihlukaniswa ngokomzimba njengomdlavuza wesibeletho.

ASCUS Pap Smears

I-ASCUS (amangqamuzana angama-atypical squamous okubaluleka okungagunyaziwe) yiluhlobo oluvame kakhulu lokungajwayelekile, lokubalwa ngamaphesenti angama-75 azo zonke ukufundwa okungavamile.

Amangqamuzana angama-squamous asiza ukwakha izicubu zangaphandle zomlomo wesibeletho okuthiwa ungqimba lwe-intraepithelial. I-ASCUS isho nje ukuthi amangqamuzana ashintshile kodwa awasiphakamisi ngaphambili komdlavuza. Izinguquko zingabangelwa ukutheleleka kwesisu noma, ngokuvamile, isifo socansi esithathwa ngokuthi i-papillomavirus yabantu (HPV).

I-SIL Pap Smears

I-SIL (i-lesion e-intraepithelial lesi-squamous) ibhekisela ekushintsheni okungavamile kuma-cell squamous ayenze i-lesion. I-SIL ayitholakali isifo se-precancer noma umdlavuza. Ziyizinto ezingavamile ezigciniwe ngobukhulu bawo, ukuma kwazo, nezici zomzimba, kanje:

• I-LGSIL ( amangqamuzana aphansi we-intraepithelial cells) aphansi ngokungavamile, ngokuvamile ngenxa yokutheleleka kwe-HPV. Eziningi zalezi zifo zihamba ngaphandle kokwelashwa.
• I-HSIL ( amangqamuzana aphezulu e-intraepithelial cells) abhekisela ezingashintsheni ezingase zihlotshaniswe nokuthuthukiswa kwamaseli angenakuqapha.

I-AGC Pap Smears

I-AGC (amangqamuzana e-atypical glandular) ingenye uhlobo lweseli elihlanganisa ingxenyeni yangaphakathi yomlomo wesibeletho kanye nesisu.

Umphumela we-AGC usho ukuthi ushintsho kulawa maseli luphakamisa ukukhathazeka mayelana nokuba khona kwe-precancer noma umdlavuza.

Kwenzekani Uma Unep Pap Smear Engavamile

Udokotela wakho angase ancoma izivivinyo ezengeziwe uma umphumela we-Pap smear ongajwayelekile ungamukelwa. Kuzoxhomekeka ngokuyinhloko ngokuhlelwa kwelebhu, impilo yakho yamanje, nokuhlangenwe nakho nodokotela wakho wokwelapha.

Izindlela ezingenzeka zingabandakanya:

• Ukuqapha okuqaphayo ngokuphindaphindiwe kohlelo lwe-Pap smear ukuhlola
• Ukuhlolwa kwe-HPV (kubandakanya ukuhlolwa kwe-HPV ye-reflex esebenzisa amaseli avela ku-Pap smear)
• i-colposcopy ne- biopsy yanoma yisiphi isisindo esingavamile
• sampling endocervical (inqubo lapho umlenze wamangqamuzana womsele womlomo wesibeletho uchitheka usebenzisa isitsha esenziwe nge-spoon okuthiwa i-curette)

• sampling endometrial (ukususwa kwesampula yamathambo esibelethweni uma udokotela wakho esolwa ukuthi amangqamuzana angavamile avela esibelethweni)
• Ukwelashwa okucabangelayo (i- cone biopsy ) ukususa isilonda noma ukukhula

Imihlahlandlela yokulandelwa iyahlukahluka ngobudala, isigaba se-dysplasia, nesimo se-HPV sowesifazane:

> Umthombo:

> I-American College ye-Obstetrics ne-Gynecology (i-ACOG). "Imiphumela Ehlolwayo Yokuhlolwa Kwekhanda Lomlomo Wesibeletho." Washington, DC; ibuyekeziwe ngoJanuwari 2016; I-FAQ 187.