Ukuvavanywa kunokuxhatshazwa ngesini, ubudala, kunye noBuchule boBuchule
Ukuxilongwa kwe-HPV akubandakanyi nje ukufumana intsholongwane kuphela, kodwa ukukhetha ukuba yeyiphi iindiza ezingaphezu kwe-150 ezihambelana ne-HPV ezikhoyo. Nangona uninzi luba lubi, kubaluleke kakhulu ukufumanisa ukuba usulelo lubandakanya enye yeengxaki ezingaphezulu kwama-30 eziphezulu ezinxulumene nomdlavuza. Oogqirha baya kusebenzisa i-Pap smear, uvavanyo lwe-HPV, okanye i-biopsy-kunye nesigwebo sabo sekliniki-ukuba bafumane ukuxilongwa kwaye banethemba lokubamba naziphi na iingozi ezinobungozi obuphezulu ngaphambi kokuba babe yingxaki.
Indlela umntu ahlolwe ngayo kwaye ahlolwe ngayo iyahlukahluka ngokubhekiselele kwisini, ubudala, kunye nokuqhelana ngesondo.
Umngeni ngokuxilongwa, nangona kunjalo, i-HPV kaninzi ayivelisi iimpawu ezibonakalayo zentsholongwane, ezinokubangela ukuba abantu balinde ukuvavanya. Kwezinye iimeko, abantu ngaboku bafumaneke ukuba bafumana i-HPV xa bafumanisa ukuba banomhlaza ochaphazelekayo.
Uvavanyo lwaBasetyhini
Enye yezona ndlela ezilungileyo zokufumana ukusuleleka kwe-HPV kwabasetyhini kunye nePap smear . Oku kunokwenziwa ngexesha lovavanyo lwesiganeko okanye ngokukodwa kuba i-HPV ikhunjulwa. Ngethuba le-Pap smear, iiseli zicatshulwa kakuhle kwi-cervix kwaye zihlolwe phantsi kwe-microscope ukujonga iimpawu ze-dysplasia. Uvavanyo olubonwayo luya kwenziwa kwakhona ukufumanisa iilts zempilo (eziqhelekileyo zibonakala ngathi zibonakala njengekholifulawa, kodwa zinokuba zibala kunye nendawo enemibala). Khumbula ke, ukuba ukungabikho kweemfazwe akuthethi ukuba uyacaca nge-HPV.
Olunye uvavanyo, olubizwa ngokuba luvavanyo lwe-HPV , luhlola i-virus yangempela kunokuba lutshintshe kwiiseli zomlomo.
It isetyenziswe kubafazi abangama-30 nangaphezulu, nokuba iphendule kwi- Pap smear engavumelekanga okanye njengenxalenye yesiqhelo sokuhlola. Ingenziwa ngexesha elifanayo-kwaye kunye ne-swab efanayo-njengePap smear (isenzo esibizwa ngokuba yi-co-test).
Iingcebiso
Iingcebiso zokuhlola i-HPV ziyakwazi ukuhluka ngohlobo lomfazi kunye nezinye izinto:
- Kwabesetyhini abangaphantsi kwe-30 , iP smear iyacetyiswa minyaka emithathu. Nangona kunjalo, uvavanyo lwe- HPV alukwaziswa, njengoko ukusuleleka kwe-HPV kuqhelekileyo kubasetyhini babo kuma-20s kwaye akufuneki ukukhokelela kumhlaza. Ngeli xesha, izifo ezininzi ze-HPV ziya kuba zifutshane kwaye zizenzele isigqibo ngokwazo kungekho miphumo emide.
- Kubafazi abaya ku-30 ukuya ku-65 , nokuba iP-smear iyakwenziwa rhoqo emva kweminyaka emithathu okanye ukuvavanywa ngokubambisana novavanyo lwe-Pap smear kunye ne-HPV.
- Abantwana abangaphantsi kwe-30 abanentsholongwane kaGawulayo kufuneka babe nePap smear nganye iinyanga ezili-12 xa bafumanisa okokuqala. Emva kweziphumo ezintathu eziqhelekileyo, uvavanyo luya kwandiswa kuvavanyo olulodwa lwePap emva kweminyaka emithathu, nje kuphela ukuba iziphumo ziqhelekileyo.
Iimvavanyo zePap ne-HPV zithatha imizuzu embalwa ukwenza. Iziphumo zePap zivame ukubuyela kwiiveki ezimbini; Iziphumo zovavanyo lwe-HPV zingathatha ixesha elide. Bobabini bahlaselwa yi-inshorensi.
Enye yeyona mingcipheko enkulu yomhlaza wesibeleko kungabikho kokuhlola rhoqo. Ukuze ugweme iingxaki ze-HPV, abasetyhini kufuneka balandele ishedyuli yesicatshulwa ngasentla kwaye bacebise oogqirha babo nayiphina imirts, izilonda, okanye ezinye izinto ezingaqhelekanga eziye zaveliswa kwizitho zangasese okanye i-anus.
Uvavanyo lweMadoda
Uninzi lwezifo ze-HPV kumadoda zibonakaliswa ngumbonakalo omnye okanye ngaphezulu kweemfestile kwi-penis, scrotum, namathanga, ubuhlungu, okanye i-anus.
Nangona kunjalo, ukuba i-wart iqhutywe ngaphakathi, iyakwazi ukuchongwa ngokujonga isalathisi sokudala kunye ne-aricope kunye / okanye usebenzisa iP smear yesilwane .
I-Pap smear ebhaliweyo isebenzisa iteknoloji enye njengesibeleko sePerv smear kwaye isetyenziselwa ukuchonga i-dysplasia kwiiseli ezithathwe kwi-anus. Uvavanyo luba yinto ebalulekileyo yamadoda abandakanyekayo kwisondo esilumkileyo esilumkileyo , kuba iifempi zangaphakathi azivakala.
Iingcebiso
Nangona kunjalo, iZiko loLawulo lokuLawula nokuVimbela (i-CDC) ngoku iluleka malunga nesicatshulwa esilungelelaniso se-Pap kumadoda njengoko kungaziwa ukuba unyango lwe-high-grade dysplasia luvimbela umhlaza womhlaza.
Ngaphezu koko, ngokungafani neemvavanyo ze-HPV ezisetyenziswe kwabasetyhini, akukho mvavanyo ekhoyo ngoku ekhoyo ukuqinisekisa ukuba ulwaphulo lomlomo okanye lomlomo.
Kule nto, i-CDC ikhuphe icebo lokuba i-anal Pap smear ingenziwa ngamadoda abelana ngesondo kunye namadoda (MSM) abandakanyekayo kwisini esilumkileyo sesilumkiso, nangona kungekho migaqo ecacileyo yokucoca. Eli qela linomngcipheko omkhulu wama-40 womhlaza womhlaza xa ufaniswa nomntu jikelele. I-MSM enesifo se-HIV ingakumbi engozini. Xa kungabikho izikhokelo zokuhlola, kufuneka ube ngummeli wakho kwaye, xa kuyimfuneko, ufuna unyameko kumgqirha okanye kwiklinikhi ekhethekileyo kwimpilo yamadoda okanye unyango oluthile lwe-MSM.
Ngokuqhelekileyo, le mvavanyo ayixutywanga yinshuwalense.
I-Biopsy ye-Genital Warts
Ukuba i-wart ibonakala iyakrokra okanye inzima ukuyichonga, ugqirha unokuyenza i- biopsy ukususa isampula yeesisindo ukuhlalutya kwibra. Nangona ijoyi ye-anesthétic isetyenziselwa ukuphazamisa ulusu ingaba bubuhlungu, inqubo ngokwayo ayinjalo.
Xa isusiwe, izicubu zinokuhlolwa phantsi kwe-microscope. Lebhu iya kubaxelela ukuba akukho iiseli ezingaqhelekanga (intsingiselo yokuba konke kulungile) okanye ukuba kukho iiseli ezingaqhelekanga ezibizwa ngokuba yi-koilocytes. I-Koilocytes iza kubonakala ingafi okanye i-concave phantsi kwe-microscope kwaye ibonisa ukusuleleka kwe-HPV.
I-biart wart biopsy ingaboniswa ukuba:
- Ukuxilongwa kwe-HPV akuqinisekanga
- I-wart iphuma, ivuke, okanye ifumaneka kwindlela ebonakala ngayo
- Umntu unentsholongwane kaGawulayo okanye unogonyamelo olukhuselweyo
- Kuye kwanda ukwanda komqathango ukususela kumviwo odlulileyo
Ukuba uVavanyo lwe-HPV ulungile
Ngendlela efanayo ukuba ukungabikho kweemfazwe akuthethi ukuba uyacaca nge-HPV, ubukho bendoda yesisu akuthethi ukuba uya kuba nomhlaza.
Ngaphandle kokuba kukho ubungqina be- neoplasia (ukukhula okungaqhelekanga, ukukhula kweeseli), ugqirha uya kuthatha isiphumo esihle seskrini se-HPV sokuba "iiflegi ebomvu" kwaye uqhubeke nokubeka iliso kwimeko.
Nangona i-dysplasia ingaqhubela phambili kumhlaza emva kwexesha, umngcipheko uguquke kakhulu. I-dysplasia ebanga eliphantsi ngokuqhelekileyo ihamba yodwa ngaphandle kwonyango. Ngokwahlukileyo, i-dysplasia ephakamileyo ephezulu ingakhula ibe yindlela yokuqala yomhlaza obizwa ngokuba yi- carcinoma in situ (CIS) .
Kwiimeko ezingalindelekanga ukuba umdlavuza okanye i- precancer ifunyenwe , uya kuthunyelwa kwi-oncologist ukuze usulele isifo kwaye ugqibe isigqibo malunga nekhosi efanelekileyo yeyeza. Ngethamsanqa, ukuxilongwa kwexesha eliphantse kukusoloko kunika impumelelo enkulu yonyango.
> Imithombo:
> Amasebe okuLawula nokuVimbela (iCCDC). "I-HPV Cancer Screening." Atlanta, Georgia; ihlaziywe ngoDisemba 20, 2016.
> CDC. "Ukuphonononga | Imibuzo & Izimpendulo | Izikhokelo Zonyango lwe-STD ka-2015." Ukuhlaziywa ngoFebruwari 10, 2016.
> Leeds, I. kunye noFang, S. "Umhlaza wesifo kunye ne-intraepithelial neoplasia yokuhlola: Ukuhlolwa." I- World J I-Gastrointest Surg. 2016; 8 (1): 41-51. INGXELO: 10.4240 / wjgs.v8.i1.41.