Funda kabanzi mayelana nendima ye-Cervix ekuzaleni owesifazane
Abesifazane bavame ukukhuluma ngomlomo wesibeletho ngokuphathelene nokubeletha, noma ngokuphathelene nokuba ne- Pap smear . Kodwa-ke, abaningi abazi ukuthi yimuphi umlomo wesibeletho nokuthi isebenza kanjani. Thola okwengeziwe mayelana nokuthi umlomo wesibeletho udlala kanjani indima ebalulekile ohlelweni lokukhiqiza abesifazane.
Okudingeka Ukwazi Nge-Cervix Yakho
Umlomo wesibeletho yingxenye engezansi yesibeletho.
Kungaba amasentimitha amabili ubude ubude, futhi bubukeka bunobuso.
Ikhulisa ngesikhathi sokubeletha ukuvumela ukuhamba kwengane. Ibuye ivumele ukuthi kube khona ukuhamba esikhathini esibelethweni esibelethweni, futhi isidoda sidinga ukuhamba ngomlomo wesibeletho ukuze sifinyelele esibelethweni.
Umlomo wesibeletho usengozini yezimo eziningana zezempilo, njengokuvuvukala okungapheli, i- polyps , i- dysplasia , nomdlavuza. Ngeshwa, izimo zomlomo wesibeletho zivame ukuveza izimpawu ezinkathini zokuqala; Ngakho-ke, i-Pap smear ejwayelekile evela kumgogeni wezinzwa zibalulekile. I-Pap smear ingakwazi ukubona izinguquko ezingavamile zomlomo wesibeletho eside ngaphambi kokuba zibe nomdlavuza.
Imikhombandlela yokuhlola umdlavuza wesibeletho eyavuselelwa yi-American Congress of Obstetricians kanye neGynecologists (ACOG) ngoFebruwari 2016 isikisela:
- Abesifazane kufanele babe ne-Pap smear yabo yokuqala eneminyaka engu-21 ubudala. (Imikhombandlela endala yatusa ukuthi abesifazane babe nePap yabo yokuqala eminyakeni emithathu ngemuva kokuya ocansini noma abaneminyaka engu-21-noma yikuphi ukufika kuqala.)
- Abesifazane abaneminyaka yobudala engama-21-29 kumele babe nokuhlolwa kwePap kuphela iminyaka emithathu. Ukuhlolwa kwe-HPV akukhuthazwa.
- Abesifazane abaneminyaka engama-30-65 kufanele babe nokuhlolwa kwePap kanye nokuhlolwa kwe- HPV (ukuhlolwa kokuhlola) njalo eminyakeni emihlanu (ethandwayo). Kuyamukeleka nokuba ne-Pap test kuphela yodwa eminyakeni emithathu.
- Abesifazane abaneminyaka engama-65 noma ngaphezulu kufanele bayeke ukuhlolwa komdlavuza wesibeletho uma bengenalo umlando wamaseli omlomo wesibeletho ongajwayelekile noma omdlavuza womlomo wesibeletho, futhi uma babe nemiphumela emithathu yokuhlolwa yePap embi emgqeni noma emibili imiphumela emibi yokuhlola ngokulandelana phakathi neminyaka eyishumi edlule, ngokuhlolwa okwedlule okwenziwe eminyakeni emihlanu eyedlule.
- Abesifazane abanesifo se- hysterectomy kufanele bacele udokotela wabo ukuthi ngabe basadingeka yini ukuhlolwa. Impendulo ixhomeke ezintweni eziningana, kufaka phakathi ukuthi isisu sesibeletho sisusiwe, kungani i-hysterectomy iyadingeka, nokuthi ngabe kukhona umlando wegciwane lesandulela ngculazi elilinganayo noma elibi noma umdlavuza wesibeletho. Ngisho noma umlomo wesibeletho ususwe ngesikhathi se-hysterectomy, amaseli womlomo wesibeletho angase abe khona phezulu kwesithandani. Uma unomlando wesibeletho somlomo wesibeletho noma ushintsho lweseli lomlomo wesibeletho, kufanele uqhubeke nokuhlola iminyaka engu-20 ngemuva kwesikhathi sokuhlinzwa kwakho.
I-Anatomy ye-Cervix
Izingxenye eziningana ezibalulekile zenza umsebenzi wesibeletho. Lezi zindawo zomlomo wesibeletho zivame ukuxoxwa ngesikhathi sokukhulelwa, i-Pap smears, kanye nezivivinyo ze-colposcopy . Kubalulekile ukuba ujwayelane nazo ukuze ukwazi ukushintsha izinguquko ezenzeka emlonyeni wakho wesibeletho. Lolu lwazi luzokusiza ukuthi uqonde ukuhlolwa, njengePap smear noma i-colposcopy.
- I-Endocervical Canal: Lesi sikhala esingaba khona phakathi kwebhubhisi lezincuba eziwumlomo wesibeletho. Phakathi ne-colposcopy, udokotela angathatha isampula yamaseli ku-canal endocervical. Lokhu kubizwa ngokuthi i- endocervical curettage (ECC).
- I-Ectocervix: Le yingxenye engezansi yomlomo wesibeletho ohamba emgodini.
- I-Os yangaphakathi: Le ngxenye yomlomo wesibeletho iseduze kwesibeletho . Ngesikhathi ukhulelwe nokubeletha, ungase uzwe udokotela akhulume nge "os."
- I-Os yangaphandle: Lokhu kuvulwa kwe-ectocervix.
- Indawo yokuguqula: Lokhu kubizwa nangokuthi "TZ" okwesikhashana. Lona yindawo yomlomo wesibeletho lapho i-dysplasia yomlomo wesibeletho ivela khona. Ushintsho lwendawo luvame ukuxoxwa ngesikhathi sokuhlolwa kwe-colposcopy.
Nakulokhu, ukuba neP Pap smears evamile kubalulekile ukubona noma yikuphi ushintsho olusha emangqamuzaneni omlomo wesibeletho ongaholela emdlalweni wesibeletho somlomo wesibeletho; Kodwa-ke, kufanele wazi ukuthi iningi lama- pap smears angavamile ngenxa yokuvuvukala noma ukutheleleka.
> Umthombo:
> Ukuhlolwa kwesifo somdlavuza wesibeletho. https://www.acog.org/Patients/FAQs/Cervical-Cancer-Screening