Kwiimeko ezininzi, umdlavuza wesibeleko sisifo esiqhubekayo esicothayo esoloko sithatha iminyaka ukukhula. Ngaphambi kokuba nayiphi na umdlavuza uphuthuke, umlomo wesibeleko (intamo emncinci yombeleko wesifazane) ufumana utshintsho olungavamile olubizwa ngokuba yi-dysplasia yomlomo wesibeleko. Xa kubanjwe kwinqanaba lokuqala, umdlavuza womlomo wesibeleko ulula ukuyiphatha kwaye izinga lokusinda liphezulu. Yingakho abasetyhini bafumana iimviwo zePap smear rhoqo ukuze bakhenkisele nayiphi na inguqu engaqhelekanga kwisibeleko somlomo.
Xa iziphumo ze- Pap smear zibuyele ezingavamile , kukho iindidi eziliqela ezichaza ukuba kutheni kubonakala kungavamile:
- I-ASCUS ( iiseli ezinama-squamous ezingundoqo ezingabalulekanga)
- I-LGSIL (i-lesion infamous squamous intraepithelial lesion)
- HGSIL (i-lesi-high grade grade squamous intraepithelial lesion)
- I-AGC (ii-atypical cells) kwi-Pap smear)
Nangona i-dysplasia engaphendulwanga yintsholongwane ingakhokelela kumhlaza wesibeleko kwezinye iimeko, ukuba i-dysplasia yengcango ayithethi ukuba umntu unomdla okanye akayi kuhlakulela eso sifo. Ngokuqhelekileyo iphathwa ngokuqala ngokubeka iliso ukuba ibone ukuba iqhubeka, kwaye emva kweenkqubo zonyango kwiofisi yegqirha.
Ziyintoni i-HGSIL Pap Smear Result Means
Isiphumo se-HGSIL seP smear sibonisa ukuba utshintsho oluthe lwachazwa ngokubanzi ngobukhulu kunye nokubunjwa kweeseli zomlomo, sele-njengoko kuchazwe ngasentla-ibonisa ukuba i-dysplasia yomlomo wesiqhelo. I-HGSIL ayisona umdlavuza wesibeleko, kodwa xa ishiywe ingaphatyathwa kwaye ingabonakaliswa, oko kungakhokelela kumhlaza wesibeleko.
Ukuqinisekisa isiphumo seHGSIL
Ukuba iziphumo ze-Pap smear zibuya njenge-HGSIL, uvavanyo lwekholcopysi lwenziwa ngoko ukuqinisekisa iziphumo. Uvavanyo lwe- colposcopy yinkqubo ye-ofisi evumela ugqirha ukuba ahlolisise umlomo wesibeleko ngesixhobo esikhanyisiweyo esibizwa ngokuba yi-colposcope. Ngethuba loviwo, i-colposcope ihlala ngaphandle kwesini.
Isebenza njenge-microscope, ivumela imbonakalo ejulile yomlomo wesibeleko . Ngethuba le-colposcopy, ugqirha unokwenza i- biopsy yomlomo wesibeleko , inqubo ekhupha iincinci ezincinci zesisu. Iisampuli zamathambo zithunyelwa kubhal Cinga nge-colposcopy nje nge-Pap smear.
Iintlobo Zonyango
Ukuba iziphumo zomlomo wesibeleko ziqinisekisa i-HGSIL, ngoko unyango lokususa iisisu ezingavumelekile zentsholongwane kubalulekile ukwenzela ukuthintela ukuba umhlaza womlomo wesibeleko uza kusasa. Ionyango ezinokufumaneka kwiHGSIL ziquka:
- Inkqubo ye-Loop Electrosurgical Excision Procedure (LEEP): Ngethuba le- LEEP , umbane wamandla uthunyelwa ngomgca wocingo. I-wire loops isebenza njengesandla, isusa iiseli ezingavamile zeseli.
- I-Cryotherapy: I- Cryotherapy yindlela eyenziwa ukutshabalalisa izicubu ezingaqhelekanga ngokuyiqanda. Kwakhona kuthiwa yi-cryosurgery.
- Ikhonkco: Ebizwa ngokuba yi- cone biopsy , i-conization isusa isampula enkulu, esakhiwe ngumbono weethambo ezingaqhelekanga.
- I-Laser Therapy: Ngethuba lonyango lwe-laser, umbane omncinane wokukhanya usetyenziswa ukutshabalalisa iiseli ezingaqhelekanga.
Ukunyamekela Ukunyamekela Emva Kwonyango
Ukulandela emva kokuba unyango lwe-HGSIL luyimfuneko kakhulu. Iiselingi zingaba yinto engavamile, nangona unyango, kwaye unokufuna unyango olungaphezulu.
Ukulandela kuqulethwe ngama-Pap smears kunye nee-colposcopy iimviwo zexesha elide.