Indlela yokwenza isigqibo seSiphumo esingavamile
I-Pap smear inokuyilumkisa ugqirha wakho ekubeni kukho iiseli ezinokusola kwi- cervix yakho efuna ukuvavanywa okanye unyango olongezelelweyo, kungenxa yoko kunconywa ukuba uhlolwe rhoqo.
Yintoni i-Pap Smear?
I- Pap smear , ebizwa ngokuba yi-Pap vavanyo, yinkqubo yokuvavanya umhlaza wesibeleko kubasetyhini. Kubandakanya ukuqokelela iiseli kwisisu sakho nesisu somlomo wesibeleko - umgca ongezantsi, onqamlezileyo wesibeletho sakho esiphezulu kwesisu sakho.
I-Pap smear ivame ukuqhutywa ngokubambisana nokuhlolwa kwe-pelvic . Kubasetyhini abaneminyaka engama-30 ubudala okanye ngaphezulu, i-Pap smear inokudibaniswa novavanyo lwe- papillomavirus yabantu (HPV) - isifo esifana nesondo esisasazekayo esingabangela umdlavuza wesibeleko kwabanye besetyhini.
Iziphumo zePap Smear eziqhelekileyo
Ukuba kuphela iiseli zesibeleko eziqhelekileyo zafunyanwa ngexesha lakho lePap smear, kuthiwa unempembelelo embi. Awuyi kufuna enye yonyango okanye uvavanyo kuze kube yilapho ufanelekile kwi-Pap smear yakho kunye novavanyo lwe-pelvic.
Iziphumo zePap Smear ezingavumelekanga
Ukuba iiseli ezingaqhelekanga okanye ezingavamile zifunyenwe ngexesha lakho lwePap smear, kuthiwa unemiphumo emihle.
Isiphumo esihle asithi ukuba unomdlavuza wesibeletho. Yisiphi isigqibo esiphumelelayo sithetha kuxhomekeke kulolu hlobo lweseli efunyenwe kuvavanyo lwakho.
Nazi ezinye izigulana akho ugqirha angayisebenzisa kunye nokuba yintoni ikhondo lakho elilandelayo lingaba li:
Iimpawu zeStymic Squamous ze-Importance Unedermined (ASCUS)
Esinye isiphumo esingavumelekanga ukuba ungayifumana kuthiwa "iiselpical cell cells" ezingenakunqunywa "(eyaziwa ngokuba yi-ASCUS). Amaseli e-Squamous ayanqabileyo kwaye ahlambele kwaye akhule emlonyeni womlomo wesibeleko .
Kwimeko ye-ASCUS, i-Pap smear ibonisa iiseli ezincinane ezingavamile, kodwa utshintsho alucacisi ngokucacileyo ukuba iiseli ezinqabileyo zikhoyo.
Enyanisweni, ngelixa isiphumo se-ASCUS Pap smear sinokuvakala, sisicatshulwa nje ngokungaqhelekanga kwaye ngokwenene isiphumo sikaPsmmear esingaqhelekanga ongayifumana. Kukho, ekunokwenzeka, kungekho mngcipheko wesibeleko somhlaza wesibeleko ohambelana nomphumo wakho we-ASCUS Pap smear.
Izizathu eziqhelekileyo zeziphumo ze-ASCUS Pap smear ziimeko ezingenanto (ezinobungozi), ezifana nezifo okanye ukuvuvukala. Ezi meko zingenza iiseli zesibindi zibonakala zingavamile. Ekugqibeleni, ke, ininzi iiseli zibuyela kumbonakalo oqhelekileyo kunye nexesha.
Kubafazi abathile, umphumo we-ASCUS ngenxa yeenguqu kwiiseli zomlomo ezibangelwa usulelo lwe-HPV. Ngokuhlolwa kovavanyo lwe-pap smear, ugqirha wakho unokuhlaziya isampuli ukujonga ubungqina beentlobo ezinobungozi obuphezulu begciwane le-HPV - ezi ntlobo eziphezulu zengozi ye-HPV ziyaziwa ngokukhuthaza ukuphuhliswa kweekhensi ezifana nomhlaza wesibeleko.
Ukuba akukho zintsholongwane ezinobungozi obuphezulu zikhoyo, iiseli ezingaqhelekanga ezifunyenweyo ngenxa yesigqibo asizixhalabisi kakhulu. Ukuba iifayile ezibuhlungu zikhoyo, uzakufuna iimvavanyo ezingaphezulu.
Oko kuthetha, kwiimeko ezininzi, utshintsho lwentsholongwane aluqhubela phambili kumhlaza wesibeleko kodwa lufuna ukubeka iliso kunye nokunyanga okunokwenzeka ukukhusela ingozi yomhlaza wesibeleko.
I-Squamous Intraepithelial Lesion
Eli gama lisetyenzisiweyo ukubonisa ukuba iiseli eziqokelelwe kwiPap smear zingenakucacisa.
Ukuba utshintsho lusezingeni eliphantsi, lithetha ubungakanani, ukuma kunye nezinye iimpawu zeseli zibonisa ukuba ukuba i- lesion precancerous ikhona, kungenzeka ukuba iminyaka ingabi nomhlaza.
Ukuba utshintsho lukwinqanaba eliphezulu, kukho ithuba elikhulu lokuba lesi sifo singakhula sibe ngumhlaza ngokukhawuleza. Kulo mzekelo, uvavanyo olongezelelweyo lokuhlola luyimfuneko.
Amaseli e-Atypical Glandular
Iiseli ezinobunzima zivelisa i-mucus kwaye zikhule ngokuvulwa komlomo wakho wesibeleko nangaphakathi kwesibeletho sakho.
Amaseli angamaqhinga angabonakala engaqhelekanga, aphakamisa ukhathazeka ngenxa yobungqina be-precancer okanye umhlaza.
Ukuhlolwa okuqhubekayo kuyadingeka ukucacisa umthombo weeseli ezingaqhelekanga kunye nokubaluleka kwazo.
I-squamous Cancer okanye ii-Adenocarcinoma
Esi siphumo sithetha ukuba iiseli eziqokelelwe kwi-Pap smear zibonakala zingavamile ukuba i-pathologist cishe inomdlavuza.
"Umdlavuza weselmous squamous" ubhekisela kwii-cancer ezivela kwiindawo ezicwangcisiweyo zelungu okanye umlomo wesibeleko. "I-Adenocarcinoma" ibhekisela kuma-cancer avela kwiiseli ezigwenxa. Ukuba ezo zisele zifunyenwe, ugqirha wakho uya kuncomela ukuhlolwa kokukhawuleza.
Ukulandelelana Emva kweP Pap Smear engavumelekanga
Ukulandelelana kuxhomekeke kuhlobo olungabonakaliyo olubonwayo. Ngamanye amaxesha, kuphela ukuphinda uvavanyo olufunekayo. Kwamanye amaxesha, ugqirha wakho angenza inqubo ebizwa ngokuba yi- colposcopy esebenzisa isicatshulwa esikhethekileyo (i-colposcope) ukuhlola izicubu zomlomo wesibeleko, isondo kunye ne- vulva .
Ugqirha wakho naye unokuthatha isampuli yesishubhu (i- biopsy ) kuyo nayiphi na indawo ebonakala engavamile. Isampuli yesistim iya kuthunyelwa kwibhubhoratri ukwenzela ukuhlalutya nokuxilongwa ngokucacileyo. Ngokusekelwe kwezi ziphumo, ungadinga unyango ukususa naziphi na iiseli ezingaqhelekanga. Emva kokunyanga, kuya kufuneka uqhubeke ulandelelwano lomhlaza wesibeleko somlomo wesibeleko.
ILizwi
Ukufumana umdlavuza wesibeleko kusasa ngePap smear kukunika ithuba elikhulu ekunyangeni. Hlalani ufundiswe ngempilo yakho yomlomo wesibeleko kwaye uqhubeke neep smears zakho. Enye i-tidbit kukukhumbuza ukungabi ngesondo, i- douche , okanye ukusebenzisa i-tampon okanye ezinye iimveliso zangasese zangasese emva kwamayeza angama-48 phambi kovavanyo lwakho lwe-Pap smear, njengoko ezi zinokunika iziphumo ezingamanga.
Imithombo:
Ikholeji yase-American ye-Obstetrics kunye neGynecology. (NgoJanuwari 2016). Imibuzo ebuzwa rhoqo: Iimvavanyo eziqhelekanga zeCervical Cancer Screening.
Ikholeji yase-American ye-Obstetrics kunye neGynecology. (NgoFebruwari 2016). Imibuzo ebuzwa ngokuphindaphindiweyo: Ukuhlolwa kweCercer Cancer Screening.