Umhlaza wesibeleko wawusisinye sezizathu ezibangela umdlavuza ukufa kuma-American. Oku kuye kwatshintshwa ngokufumaneka kwendawo yokuhlola i-cervical. Xa kuthathwa kwangaphambili, umdlavuza wesibeleko udla unyango.
Ngelishwa, ukuhlolwa kwesifo somhlaza wesibeleko asikho ngaso sonke isikhathi. Oku kubaluleke kakhulu kumazwe amaninzi athuthukayo, nakwiindawo ezinemithombo yamancinci yemali yokuvavanywa kwezonyango kunye nonyango.
I-smears yePap ibonwa njengomgangatho wegolide wovavanyo lwentliziyo. Ngelishwa, bafuna ootitshala abanezakhono kunye neelabhoratri ezifanelekileyo ukuba ziphumelele. Iimvavanyo ze-HPV zikulungele ukuchonga abasetyhini abasengozini yomhlaza. Nangona kunjalo, abayihlolisi impawu zomhlaza baze bafike ngexabiso elingelona elincinci. Yingakho oogqirha baye bavelisa uvavanyo olubizwa ngokuba luhlolo olubonakalayo kunye ne-acetic acid (VIA). Aphantsi, kulula, kwaye isebenzayo.
Yiyiphi iView Inspection neAcetic Acid?
Uhlolo lokuVeza ngeAcetic Acid, okanye i-VIA, luvakala njengendlela eyoyikisayo yokuvavanya umhlaza wesibeleko. Enyanisweni kulula. Iimvavanyo ze-HPV zikhangele i-HPV DNA, kwaye zifuna ochwepheshe abanezakhono. I-Pap smears ikhangele iinguqu ezincinci zamaselula kwi-cervix, kwaye ifuna i-pathologist eqeqeshiwe, i-VIA ivumela oogqirha ukuba babone ngokuthe ngqo izilonda kunye nezinye iinguqu kwi-cervix enkulu ngokwaneleyo, mhlawumbi, ifuna unyango.
Inqubo yeVIA ichanekile.
Umboneleli wezempilo uyasusa iviniga, oko kukuthi i-acetic acid, kwisibeleko somlomo. Emva koko ba khangela indawo ezitshintsha umbala. Iimpawu eziqhelekileyo zentsholongwane zihlala zingaphazamiseki i-acetic acid. Ngokwahlukileyo, izicubu ezinobungozi - ezifana nezo zifumaneka kwiilonda zangaphambi komhlaza okanye umdlavuza - ziphenduka ezimhlophe. Umniki unako ukususa izicubu ezonakalisiwe kwindawo usebenzisa i-cryotherapy okanye ezinye iindlela .
Bayakwazi ukwenza i-biopsy ukuze ulandele phambili.
Uninzi lweziphumo zifumene ukuba i-VIA, kunye nomzala wayo i-VLI - ukuhlolwa ngokubonakalayo nge-ididi ye-Lugol - ingaphantsi kwee-Pap smears, kodwa iyancipha . Ngendlela ecacileyo, oko kuthetha ukuba ngokubanzi bafumanisa izilonda ezisekuqaleni kodwa banamathuba amaninzi. Oku kungakhokelela ekubeni unyango olungaphezulu. Kwiindawo ezincinci zenkxaso-mali apho amaninzi amabhinqa asasafa ngumhlaza wesibeleko, abanye oorhulumente banqume ukuba kukho ukurhweba.
Ngokubanzi, i-VIA ibonakala iyindlela ephezulu yokuhlola umhlaza wesibeleko ekusebenziseni kwisetyenziselwano esisezantsi. Isebenza kakuhle kwiimeko apho iip smears nee-HPV iimvavanyo ezingalunganga ngenxa yokungabi na buchule okanye iindleko zokuhlola eziphezulu. Ukuvumelana ngokubanzi kukuba i-VIA ifanelekileyo njenge-Pap smear. Kuphela nje umcimbi wokugqiba ukuba yeyiphi efanelekileyo nakweyiphi na imeko. Oku kuxho mekeke kwiimeko zemali kunye nokufumaneka kwabasebenzi abaqeqeshiwe ukuhlola nokulandela.
Kuyafaneleka ukuba uqaphele ukuba i-VIA inenzuzo kwizigulane ezingasetyenziswa phantsi ngokwezithethe ezingenakho ukufumana ubunzima bokungenelwa kwinkathalo. I-VIA, i-screening kunye nonyango zenziwa kweso sihlandlo esifanayo.
Akukho mfuneko yokulinda iziphumo uze ubuyele kudokotela. Kukho abantu abaninzi kwihlabathi ekungena kuyo ugqirha kufuna ixesha elikhulu, iindleko kunye noxoxiswano. Ukuze bakwazi ukujongana nokuhlolwa kunye nonyango ngetyelelo olulodwa kunokunciphisa kakhulu imithwalo yemfanelo kunye nemali yempilo yononophelo.
Imithombo:
UChumworathayi B, uLimpaphayom K, uSrisupundit S, uLumbiganon P. VIA kunye ne-cryotherapy: ukwenza okulungileyo. J Med Assoc Thai. 2006 Agasti; 89 (8): 1333-9.
UGaffikin L, uLauterbach M, Blumenthal PD. Ukusebenza kokuhlola okubonakalayo kunye ne-acetic acid yomhlaza wesibeletho somlomo wesibeleko: isishwankathelo sokwenza ubungqina kuze kube yimhla. I-Obstet Gynecol Surv. 2003 Agasti; 58 (8): 543-50
> Shiferaw N, Salvador-Davila G, Kassahun K, Brooks MI, Weldegebreal T, Tilahun Y, Zerihun H, Nigatu T, Lulu K, Ahmed I, Blumenthal PD, Asnake M. Indlela yokuTyelela omnye-nje njengeCarcer's Prevention Strategy Phakathi kwabasetyhini abane-HIV e-Ethiopia: Impumelelo kunye nezifundo ezifundwayo. Glob Health Sci Pract. 2016 uMar 25; 4 (1): 87-98. i-doi: 10.9745 / GHSP-D-15-00325
> Sinha P, Srivastava P, Srivastava A. Ukuthelekiswa koVavanyo loVavanyo ngeAcetic Acid kunye nePap Smear yeCercer Cancer Screening. Acta Cytol. 2018; 62 (1): 34-38. i-doi: 10.1159 / 000484036.
Qureshi S, Das V, Zahra F. Ukuvavanywa kokuhlola okubonakalayo kunye ne-actic acid kunye ne-Lugol ye-iodine njengamathuluzi okuhlola umhlaza wesibeleko kwisixhobo esisezantsi. Inkohlakalo enkulu. NgoJan 2010; 40 (1): 9-12.