Yintoni Ethetha NgamaPm Smear?

Iimbangela zivela ekuvukeni komzimba kumhlaza

Ukuba uxelelwe ukuba unepsmear engavumelekanga, isisiseko sakho sokuqala sinokusazela okanye ukwesaba kakhulu. Impendulo yendalo.

Kodwa yintoni "engavamile" ekuthethwa ngayo ngaphakathi kwimeko yePap smear, kwaye kufuneka uyenze ntoni ukuba unayo?

Ukuqonda iiP Pap Smears ezingaqhelekanga

I-Pap Smear engaqhelekanga ithetha nje ukuba uvavanyo oluncinci lweeseli ezithathwe kwintsholongwane yakho aluzange lube ngolu hlobo lwezobugcisa obuza kulindela.

Kukho uninzi lwezizathu zolu, uqhuba i-gamut ngokuvuvukala komzimba kumhlaza womlomo wesibeleko.

Ekugqibeleni, konke oko kusitshoyo kukuba umlomo wakho wesibeleko ufuna iimvavanyo ezongezelelweyo. Kwezinye iimeko, unokuthi uqhutywe kwi-test colposcopic kunye ne-biopsy; ngamanye amaxesha, unokucelwa ukuba ubuyele ukuphinda iP smear kwiminyaka emithathu.

I-smears engavumelekanga i-Pap smears yinto eqhelekileyo. Ngokutsho kwamaziko okuLawula nokuLawula (i-CDC), malunga namabhinqa angamazigidi amathathu athola iziphumo ezingavamile zeP-smear ngonyaka ngamnye. Kule ndawo, malunga ne-12,000 (okanye malunga nanye kuma-250) iya kuqhubeka nomhlaza wesibeleko.

Izilwanyana ezingenziwayo kunye noPhuhliso lweCancer

Izifo ezingaqhelekanga zibizwa ngokuba yi-dysplasia. Ulwahlulo olukhoyo lwamaseli e-dysplastic lubandakanya:

• I-ASCUS (iiseli ezinama-squamous ezingundoqo ezingabalulekanga)
• I-LGSIL (i-lesion ye-lower squamous intraepithelial lesion)
• I-HGSIL (i-lesi-grade squamous intraepithelial lesion)

• I-AGC (ii-atypical cells) kwi-Pap smear)

Uninzi lweeseli ze-dysplastiki alitshintshi okanye aluyi kubangela iingxaki. Kulabo batshintshileyo, abanye baya kuba ngqangi , oku kuthetha ukuba kukho ithuba lokuba babe ngumhlaza.

Ezinye zala maseli ziya kuqhubela phambili kwisigaba sesifo esibizwa ngokuba yi- carcinoma in situ apho iiseli ziba nomhlaza kodwa zigcinwe kwizinto ezibizwa ngokuba yi-membrane yesiseko (uluhlu oluhlukanisa izicubu zomlomo wesibeleko).

Kuphela xa usasazeka ngaphaya komgca wendlu engaphantsi kokuba isifo sifakwe ngokwasemthethweni njengomhlaza womlomo wesibeleko.

I-ASCUS Pap Smears

I-ASCUS (iiseli ezinama-squamous ezingundoqo ezingabalulekanga) zihlobo oluqhelekileyo lokungaqhelekanga, ukubalwa malunga neepesenti ezingama-75 zazo zonke iimvavanyo ezingavamile.

Iiseli ze-squamous zinceda ukwenza izicubu zangaphandle zengculazi ebizwa ngokuba yi-intraepithelial layer. I-ASCUS ithetha nje ukuba iiseli zatshintshile kodwa azikhokelisi zengaphambi komhlaza. Utshintsho lunokubangelwa usulelo lwangasese okanye, ngokuqhelekileyo, isifo esithathelwana ngesondo esibizwa ngokuba yi-papillomavirus yabantu (HPV).

IPS Smears

I-SIL (i-lesi-squamous intraepithelial lesion) ibhekisela kwiinguqu ezingavumelekanga kwiiseli ezigubungeleyo ezenze i-lesion. I-SIL ayiyixilongo ye-precancer okanye umdlavuza. Ziyinto nje engafanelekiyo ehlanganisiweyo ngokubaluleka ngobukhulu bayo, imilo kunye neziphathekayo, njengendlela elandelayo:

• I-LGSIL ( amangqamuzana angaphantsi kwe-intraepithelial cells) aqhelekanga, ngokuqhelekileyo ngenxa yokusuleleka kwe-HPV. Uninzi lwezi zifo luphuma ngaphandle kwonyango.
• I-HSIL (iiseli eziphezulu ze-intraepithelial cells) zibhekisela kwiinguqu ezinokudityaniswa nokuphuhliswa kweeseli ezinqabileyo.

IPC Papme Smears

I-AGC (iisypical cell cells) yile nhlobo yeselfu ejongene nomsele ongaphakathi womlomo wesibeleko kunye nesisu.

Umphumo we-AGC uthetha ukuba utshintsho kwezi zisele ziphakamisa uxhalabo malunga nobukho be-precancer okanye umdlavuza.

Yintoni eyenzekayo Ukuba Unayo iP Smear engavumelekanga

Ugqirha wakho unokuncoma iimvavanyo ezongezelelweyo ukuba umphumo weP Pap smear ongaqhelekanga ufunyenwe. Kuya kuxhomekeka ngokukodwa kumgangatho webholo, impilo yakho yangoku, kunye namava ogqirha wakho wokunyanga.

Izindlela ezinokwenzeka ziquka:

• Ukubeka iliso ngokujonga ngokuphindaphindiweyo ukuphenywa kweP Pap smear
• Ukuhlolwa kwe-HPV (kubandakanywa nokuhlola i-HPV yokuhlola okusebenzisa iiseli kwi-Pap smear)
• i-colposcopy kunye ne- biopsy yiphina isisindo esingavamile
• sampling endocervical (inqubo apho umlenze womlenze womsele wentsholongwane uchithwa usebenzisa isixhobo esenziwe nge-spoon esibizwa ngokuba yi-curette)

• isampuli ye-endometrial (ukususwa kwesampuli yamathambo ukusuka kwisibeleko ukuba ugqirha wakho uxolisa iiseli ezingaqhelekanga zisuka kwisibeletho)
• Unyango olusisigxina (i- cone biopsy ) ukususa isilonda okanye ukukhula

Izikhokelo zokulandelelana ziyahluka ngobudala, ukuhlenga i-dysplasia, kunye nesimo se-HPV somfazi:

> Umthombo:

> I-American College ye-Obstetrics kunye ne-Gynecology (ACOG). "Iziphumo zoVavanyo lweCercer Canvas Unimaginari." EWashington, DC; hlaziywa ngoJanuwari 2016; FAQ 187.