Izikhokelo zeCerical Cancer Screening Guidelines ezivela kwi-ACS kunye ne-ACOG
Kusenokwenzeka ukuba uye wakuva malunga neengqungquthela ezijikeleza ukuba ngabafazi baninzi kangakanani kufuneka bafumane iP smears. Nangona abesifazana abasempilweni basebenzisa iP-smear kanye ngonyaka, iindawo zonyango (umzekelo, i-American Cancer Society) ngoku ziye zahlukanisa ixesha ukuya kwiminyaka emithathu.
Kukho izikhokelo ezisetyenzisiweyo kwindawo kunye neliphi ixesha umfazi kufuneka ahlolwe ngayo i-HPV.
Uvavanyo lwe- HPV lubonakalisa oomama abanesifo esinomngcipheko omkhulu we-HPV ongakhokelela kumhlaza wesibeleko xa ungashiywanga okanye ungakhange ulandelwe.
Ngaloo, nantsi isishwankathelo seengcebiso ezivela kwiinkampani ezimbini zonyango: i-American Cancer Society (ACS) kunye ne-American College of Obstetricians kunye neGynecologists (ACOG).
Izikhokelo zeCerical Cancer Screening Guidelines for Women's Health
Umfazi kufuneka aqalise ukuhlolisisa umdlavuza womlomo wesibeleko, oku kuthetha ukuba uphantsi kwe-Pap smear yokuqala, eneminyaka engama-21, kungakhathaliseki ukuba unesondo. Emva koko, phakathi kweminyaka engama-21 no-30, ibhinqa kufuneka liqhube i-Pap smear yonke iminyaka emithathu.
Ngamanye amagama, ukuba iphepha lakho lokuqala le-pap smear lineminyaka engama-21 ubudala, elilandelayo liza kuba lineminyaka engama-24 ubudala, emva kweminyaka engama-27, kwaye emva kweminyaka engama-30. Ngeli xesha, ukuhlolwa kwe-HPV akukhuthazwa.
Xa uneminyaka engama-30, umfazi unelungelo lokuhlola i-HPV kunye ne-Pap smear yakhe.
Ukuba umfazi ukhetha ukuba uvavanyo lwe-Pap smear kunye ne-HPV, unokulinda iminyaka emihlanu phakathi kovavanyo. Ukuba ukhetha ukuba neP Pap smear kuphela, kufuneka iphindwe rhoqo emva kweminyaka emithathu.
Ewe, kubalulekile ukukhumbuza ukuba le nto ithatha i-pap smears yowesifazane eqhelekileyo kwaye inempilo. Abasetyhini ababenamaP smears angaphilileyo aphethwe yi-HPV, okanye abasengozini enkulu yomhlaza wesibeleko kufuneka bahlolwe rhoqo.
Ngokomzekelo, umfazi oneminyaka engama-21 ubudala onomdla wokuPsmmear ongaqhelekanga ngokokuqala ngqa (umzekelo, iziphumo zep pap smear zibonisa i- LSIL ) ziya kufuneka ziphindwe iP smear kunyaka owodwa, ngokuchasene nokulinda iminyaka emithathu.
Ekugqibeleni, kubalulekile ukulandela iziphakamiso zogqirha wakho, kwaye ukuba awuyi kucacisa, biza i-ofisi yakho ugqirha ukuqinisekisa ukuba uyazi ukulandelelana okufanelekileyo.
Izikhokelo zoKhenketho zeCervical Cancer Screening on Stopping Pap Smears
Ngokwe-American College of Obstetricians kunye nabaGynecologists, abaneminyaka engama-65 ubudala, abafazi ababenemilinganiselo emithathu ("eqhelekileyo") I-Pap smears ngokulandelelana okanye ezimbini iimvavanyo-mvavanyo ezingalunganga (eziqhelekileyo "eziqhelekileyo" zeP Pap smear kunye ne-HPV test) ukuyeka ukufumana ii-Pap smears rhoqo.
Oku kuthatha ukuba i-Pap smear yakutshanje yenziwa kwiminyaka emihlanu edlulileyo kwaye ukuba ibhinqa alikho imbali yeeseli zomlomo ezingaqhelekanga okanye ezinzima okanye imbali yomhlaza wesibeleko.
Izikhokelo zeCerical Cancer Screening Guidelines for Women's High Risk
Abasetyhini abasengozini enkulu yomhlaza wesibeleko bangadinga iP smears eziqhelekileyo ngokusekelwe kwiimeko zabo zempilo. Oku kungabangela umkhuhlane we-immunity, njengabasetyhini abane-HIV. Abasetyhini abonakaliswe kwi-DES kwi-utero banokufuna ukuba banomdlavuza wesibeleko kaninzi.
Ukuba iqela lakho lononophelo lwempilo licebisa ukuvavanywa rhoqo, xubusha ngezizathu zalo kunye nawe ukuze uqonde ukuba kutheni kwenziwa.
Izikhokelo zeCerical Cancer Screening Guidelines kwaBasetyhini ababenomdla we-Hysterectomy
Ngokutsho kwe-American Cancer Society, abafazi abanama-hysterectomy epheleleyo, oko kuthetha ukuba isisu kunye nomlomo wesibeleko besuswe, akudingeki ukuba baphinde bahlolwe. Nangona kunjalo, oku kusebenza kuphela kubasetyhini abangenayo i-hysterectomy njengonyango lomhlaza wesibeleko ngaphambi komhlaza okanye umhlaza. Ukuba kunjalo, ukucoca kufuneka kuqhutywe phambili, njengoko iiseli zomlomo zisenokuba zikhona ngaphezulu kwesini.
Abasetyhini abaye bafumana i-hysterectomy ye-supra-cervical (oku kuthetha ukuba isisu sisusiwe, kungekhona umlomo wesibeleko) kufuneka silandele izikhokelo njengesiqhelo.
ILizwi
Ukuthatha umyalezo wekhaya apha kukuba ukuba unempilweni, akudingeki ukuba ube ne-Pap smear ngonyaka. Kodwa usadinga ukuhlolwa kwesikhashana, njengeminyaka emithathu okanye kwiminyaka emihlanu, kuxhomekeke kwiminyaka yakho nokuba ngaba uvavanyo lwe-HPV.
Kungakhathaliseki, nangona, ukubona ugqirha wakho wezilwanyana okanye ugqirha wentsapho kanye ngonyaka ukwenzela ukutyelela umfazi obalulekileyo kubalulekile, nangona awukho ngenxa ye-Pap smear. Ngethuba lokutyelela, ugqirha wakho angenza uvavanyo lwe-pelvic kunye nokuhlolwa kwesifuba, kunye nokubonelela ngesikhokelo sokuphucula impilo yakho yonke.
> Imithombo:
> I-American Cancer Society. (2016). Izikhokelo zoMbutho we-American Cancer Society of Prevention and Detection of Early Cervical Cancer.
> Ikholeji yase-American College of Obstetricians kunye neGynecologists (ACOG). (2016). Ukuhlolwa kweCarcer Cancer.
> Ikholeji yase-American College of Obstetricians kunye neGynecologists (ACOG). (2012). Ukutyelela. Ingxelo ye Komiti.
> Chiarelli AM, Maipruz V, Brown P, Thėriault M, Shumak R, Mai V. Igalelo leemviwo zebele kliniki ukuchaneka kokuhlolwa kwebele. J Natl Cancer Inst. 2009 Septemba 16; 101 (18): 1236-43.
> Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Isahluko 88. I-Colposcopy-Normal and Noncercerous Findings. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. I-Atlas yombala weMithi yoLuntu, 2e . New York, NY: McGraw-Hill; 2013