Ukucacisa uLwimi lweZiphumo Zakho zoVavanyo
Kungesabisa ukufumana iziphumo zakho zePap smear kugqirha wakho. "Okuqhelekileyo" kulula ukuyiqonda. Nangona kunjalo, ukuba unayo iP smear engavumelekanga , kunokuba nzima ukuba ukwazi ukuba iziphumo nantoni na ukuba ufuna ukukhathazeka ngazo. Esi sikhokelo kwiziphumo ze- Pap smear ezingavumelekanga ziya kunceda uqonde oko ugqirha wakho uzama ukukuxelela. Xa uqonda ngakumbi, kuya kuba lula ukwenza izigqibo ezinolwazi malunga nokunyamekela ukulandelwa.
Eziqhelekileyo
Isiphumo esiqhelekileyo sePap smear sithetha ukuba zonke iiseli kwisampuli zikhangele indlela abafanele ngayo. Ulandelelwano olongezelelweyo alubonwanga. Kufuneka uqhubeke nokuvavanywa ngokwezikhokelo ezikhoyo.
ASCUS
I-ASCUS imele i- Atypical Squamous Cells ye-Significance engapheliyo . Ngamanye amazwi, kukho iiseli ezinqabileyo ezingakhange zibukeke ziqhelekileyo. Nangona kunjalo, ezo iiseli aziqhelekanga ngokwaneleyo ukuba ziqwalaselwe njenge- dysplasia .
I-ASCUS yiphumo eliqhelekileyo likaPap smear. Ngokuqhelekileyo akukho nto yokukhathazeka ngayo. Nangona i- ASCUS ingabangelwa yintsholongwane yokuqala ye- HPV , ukuxilongwa kwe-ASCUS kusenokubangelwa ukucaphukiswa kwesini okanye isenzo se-Pap smear. Ukuxilongwa kwe-ASCUS kuya kuqhelana ukuxazulula ngokukhawuleza ngexesha elingenamngenelo okanye unyango.
Ukulandelelwa kwe-ASCUS kudla ngokuphindaphinda iP smear ezintandathu ezintandathu. Ukuba oko kuqhelekileyo, akukho mfuneko yokulandelela imfuneko. Ngelo xesha, isiguli sinokubuyela kwishedyuli yesiqhelo yokuhlola.
Ngaphandle koko, izigulane ezifunyaniswe ne-ASCUS zingahlolwa i-HPV. Emva koko, nabani na okhuthazayo ngoluhlobo olunobungozi obuphezulu baya kuthunyelwa ukulandelwa okuqhubekayo, njenge- colposcopy okanye i- LEEP . Izikhokelo zokulandelelana ziyahluka kunye nobudala kunye nesimo sokukhulelwa, kodwa i-ASCUS ayidingi ukulandelelana okanye unyango olunefuthe.
SIL
I-SIL yinto enye engavumelekanga yePap smear. Isichazamazwi sibhekisela kwisilonda se-intraepithelial squamous. Izilonda ze-intraepithelial squamous ziyi -cell squamous ezitshintshiwe ngendlela ebonisa ukuba ekugqibeleni ziba nomhlaza. Oku, ke, akuthethi ukuba baya kuba ngumhlaza. Ngaphandle kwonyango, amaninzi amanqaku e-SIL aya kulungisa.
Izifo zesifo se-intraepithelial lesi sifo singahlula zibe zimbini iintlobo: ibanga eliphezulu kunye nezantsi. Ezi zidibeneyo kwiCIN 1 kunye neCIN 2 okanye 3 ukuxilongwa, ngokulandelanayo.
I-LSIL / I-CIN 1: Izilonda ze-intraepithelial ze-lower squamous (LSIL) ezincinane zihlala zibonakalisa ukuba umfazi osulelekile nge-HPV. Olu xilongo lithetha ukuba ugqirha ofunda iP smear okanye i- biopsy uye wabona iimpawu ezibukeka njenge-pre-stage pre-cancer.
Uvavanyo lwe-LSIL aluqhelekanga. Bahlala bezisombulula ngokwabo ngaphandle kokonyango. Kwintombi ebancinci, ukulandelelana ngokuqhelekileyo kukuphinda iPap smear ezintandathu okanye kwiinyanga ezili-12. Kwabadala, abafazi abaneminyaka engama-reproductive, i-American College of Obstetrics kunye ne-Gynecology (ACOG) izikhokelo zibonisa i- colposcopy ukufumana ubungakanani bomonakalo. AZIQINISELELI ukunyanga unyango. Kubafazi besithuba se-menopausal, ukulandelelana kunokuphindaphinda iP smear, uvavanyo lwe-HPV , okanye i-colposcopy.
Ngenxa yokuba i-LSIL idla ngokuziphilisa ngokwabo, oogqirha abaninzi baxhasa indlela engaphantsi kokulandelelana kunokunyanga. Enyanisweni, izikhokelo ze-ACOG zichaza ukuba i-CIN 1 / LSIL ayifanele iphathwe ngaphandle kokuba iqhubeka iminyaka engaphezu kwembini, iqhubela phambili kwi-CIN 2 okanye kwi-CIN 3, okanye ezinye izinto zonyango zibandakanyeka. Noko ke, unyango olungaphezulu, luyafana. Ngamanye amaxesha xa abantu beva ibinzana elithi "iiseli zangaphambi komhlaza" banquma ukuba banokuzikhusela kunokuba baxolise, nangona xa unyango lunokuba nemiphumo emibi.
I-HSIL / i-CIN 2-3: Izilonda eziphezulu ze-intraepithelial lesions (HSIL) ziyakwazi ukuba ngumhlaza wesibeleko kuneLSIL.
Nangona kunjalo, ezininzi zezi zilonda ziyaqhubeka zizibuyisa ngokwazo. I-Carcinoma in situ, okanye i-CIS, yiyona ndlela ifom ye-HSIL kunye neyona nto inokuthi iqhubele umhlaza. I-CIS ingafumaneka kwakhona njengeCIN 3.
Izikhokelo zithetha ukuba wonke umfazi ofunyaniswa ne-HSIL ngePap smear kufuneka alandelwe yi-colposcopy. Ngethuba le- colposcopy inkqubo , izilonda zinokuthi zenziwe nge-biopsied, okanye zingaphathwa nge- LEEP , i- conization , i- congress (cryotherapy), okanye i-laser. Kwizilwanyana ezincinci ezaneleyo, i-biopsy punch ingasetyenziswa njengonyango.
ASC-H
Le ngcamango ekhangelekileyo ibhekisele ekuxilongweni "kwii cell squamous cells, ayikwazi ukukhuphela i-HSIL." Ngokuyisiseko kuthetha ukuba oogqirha banenkathazo yokwenza ukuxilongwa. Unokuba no-HSIL, akunjalo. Oogqirha abakwazi ukuthetha ngaphandle kokuvavanya. Ukulandelelwa nge- colposcopy kunconywa.
AGC
Amaseli angama-atypical glandular (AGC) abhekisela kwiinguqu kwi-cervix engenziyo kwi- epithelium ye-squamous . Kunoko, iiseli ezingaqhelekanga zibonwa kwisampuli. Esi siphumo sibonisa ukuba kunokuba nomhlaza kwiindawo eziphezulu zomlomo wesibeleko okanye isisu.
Ukulandelelwa kwe-AGC kunokuquka i-colposcopy, ukuhlolwa kwe-HPV kunye nesampula kwimbombo yomlomo wesibeleko (endocervix) kunye nesisu (i-endometrium). Ukukhethwa kokulandelwa kuxhomekeke kwiintlobo ezithile zeeseli ezingaqhelekanga zibonwe kwi-smear. Unyango lwe-AGC, ukuba kuyimfuneko, ininzi kakhulu kunokuba unyango lwezilonda zeselum squamous.
Cancer
Ukuba uye wafumanisa ukuba unomdlavuza wesibeleko , kuthetha ukuba umonakalo wakho wesibeleko awusekho. Mhlawumbi uzothunyelwa kwi- oncologist ukuze ulandelelwano olongezelelweyo kunye nonyango. Ubungakanani bonyango buyahlukahluka ngenxa yobunzima bomhlaza wakho.
Imithombo:
> Ikomiti ye-ACOG kwi-Practice Bulletins - iGynecology. I-ACOG Yenza i-Bulletin ayikho. 109: Ukuhlolisisa i-cervical cytology. Gstecol Obstet. 2009 Dec; 114 (6): 1409-20. i-doi: 10.1097 / AOG.0b013e3181c6f8a4.
> Corbelli J, Borrero S, Bonnema R, McNamara M, Kraemer K, Rubio D, Karpov I, McNeil M. Ulwahlulo phakathi kokunakekelwa koogqirha bamaziko oogqirha kwi-ACOG izihlandlo ze-ACOG ze-screen disease. J Womens Health (Larchmt). 2014 Meyi; 23 (5): 397-403. i-doi: 10.1089 / jwh.2013.4475.
> Munk AC, Kruse AJ, van Diermen B, Janssen EA, Skaland I, Gudlaugsson E, Nilsen ST, Baak JP. Izilonda ze-3 zezilonda ze-intraepithelial neoplasia zingakwazi ukulungisa. APMIS. 2007 Dec; 115 (12): 1409-14. i-doi: 10.1111 / j.1600-0463.2007.00769.x.