Ukuhlolwa kwe-HPV DNA

Ukuhlolwa kwe-HPV DNA kusetshenziselwa ukuhlola ukutheleleka kwe-HPV okuyingozi kwabesifazane.

Ukutheleleka nge-HPV ezungeze izitho zangasese kuvamile. Kungasakazwa ngesikhathi socansi.

• Ezinye izinhlobo ze-HPV zingadala umdlavuza womlomo wesibeletho neminye imidlavuza. Lezi zibizwa ngokuthi izinhlobo ezinobungozi obukhulu.
• Izinhlobo ezinobungozi obuphansi be-HPV zingadala izinsumpa esithweni sangasese sowesifazane, umlomo wesibeletho nasesikhumbeni. Igciwane elibanga izinsumpa lingasakazeka uma uya ocansini. Ukuhlolwa kwe-HPV-DNA ngokuvamile akunconyelwa ukuthola izifo ezinobungozi obuphansi be-HPV. Lokhu kungenxa yokuthi izilonda eziningi ezinobungozi obuphansi zingabonakala ngokubonakalayo.

Ukuhlolwa kwe-HPV DNA kungenziwa ngesikhathi sePap smear. Uma zenziwe ndawonye, ​​ibizwa ngokuthi "ukuhlolwa ngokubambisana."

Ulala phezu kwetafula bese ubeka izinyawo zakho ezinyakazweni. Umhlinzeki wezokunakekelwa kwempilo ubeka ithuluzi (elibizwa ngokuthi i-speculum) esithweni sangasese bese elivula kancane ukuze libone ngaphakathi. Amaseli aqoqwa ngobumnene endaweni yomlomo wesibeletho. Umlomo wesibeletho yingxenye engezansi yesibeletho (isibeletho) evuleka ngaphezulu kwesitho sangasese sowesifazane.

Amaseli athunyelwa elabhorethri ayohlolwa ngaphansi kwesibonakhulu. Lo mhloli ubheka ukuthi amaseli aqukethe yini izakhi zofuzo (ezibizwa nge-DNA) ezivela ezinhlotsheni ze-HPV ezibanga umdlavuza. Ukuhlolwa okuningi kungenziwa ukuthola uhlobo ngqo lwe-HPV.

Gwema okulandelayo amahora angama-24 ngaphambi kokuhlolwa:

• Ukuqhafaza
• Ukuya ocansini
• Ukugeza
• Kusetshenziswa amathamponi

Thulula isinye sakho ngaphambi nje kokuhlolwa.

Ukuhlolwa kungadala ukungaphatheki kahle okuthile. Abanye besifazane bathi kuzwakala njengokuqaqamba kokuya esikhathini.

Ungase uzwe nengcindezi ethile ngesikhathi sokuhlolwa.

Ungopha kancane ngemuva kokuhlolwa.

Izinhlobo ezinobungozi obukhulu be-HPV zingaholela kumdlavuza womlomo wesibeletho noma umdlavuza wendunu. Ukuhlolwa kwe-HPV-DNA kwenziwa ukuthola ukuthi ngabe ungenwe yini ngenye yalezi zinhlobo ezinobungozi obukhulu. Izinhlobo ezithile ezinobungozi obuphansi zingakhonjwa ngokuhlolwa.

Udokotela wakho anga-oda ukuhlolwa kwe-HPV-DNA:

• Uma unohlobo oluthile lwemiphumela yokuhlolwa kwePap engajwayelekile.
• Kanye ne-Pap smear ukuhlola abesifazane abaneminyaka engama-30 nangaphezulu ngomdlavuza wesibeletho.
• Esikhundleni sePap smear ukuhlola abesifazane abaneminyaka engama-30 ngomdlavuza wesibeletho. (Qaphela: Abanye ochwepheshe baphakamisa le ndlela yabesifazane abaneminyaka engama-25 nangaphezulu.)

Imiphumela yokuhlolwa kwe-HPV isiza udokotela wakho anqume ukuthi ngabe okunye ukuhlolwa noma ukwelashwa kuyadingeka yini.

Umphumela ojwayelekile usho ukuthi awunalo uhlobo lwengozi ephezulu ye-HPV. Olunye uvivinyo luzobheka nokuthi kukhona yini i-HPV enobungozi obuncane, futhi lokhu kungabikwa. Uma uqinisekile nge-HPV enobungozi obuphansi, umhlinzeki wakho uzokuqondisa ekwenzeni izinqumo mayelana nokwelashwa.

Umphumela ongajwayelekile usho ukuthi unohlobo lwe-HPV enobungozi obukhulu.

Izinhlobo ezinobungozi obukhulu be-HPV zingadala umdlavuza womlomo wesibeletho nomdlavuza womphimbo, ulimi, indunu, noma isitho sangasese sowesifazane.

Isikhathi esiningi, umdlavuza womlomo wesibeletho ohlobene ne-HPV kungenxa yalezi zinhlobo ezilandelayo:

• I-HPV-16 (uhlobo lwengozi ephezulu)
• I-HPV-18 (uhlobo lwengozi ephezulu)
• I-HPV-31
• I-HPV-33
• I-HPV-35
• I-HPV-45
• I-HPV-52
• I-HPV-58

Ezinye izinhlobo ezinobungozi be-HPV azivamile kangako.

Igciwane le-papilloma lomuntu - ukuhlola; Ukuhlolwa okungajwayelekile kwe-Pap smear - ukuhlolwa kwe-HPV; Ukuhlolwa kwe-LSIL-HPV; I-dysplasia esezingeni eliphansi - ukuhlolwa kwe-HPV; HSIL - Ukuhlolwa kwe-HPV; I-high-grade dysplasia - ukuhlolwa kwe-HPV; Ukuhlolwa kwe-HPV kwabesifazane; Umdlavuza wesibeletho - Ukuhlolwa kwe-HPV DNA; Umdlavuza wesibeletho - ukuhlolwa kwe-HPV DNA

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Zijwayeze umbiko omfishane ongunombolo 157: ukuhlolwa komdlavuza wesibeletho nokuvikela. Isikhubekiso seGynecol. 2016; 127 (1): e1-e20. I-PMID: 26695583 www.ncbi.nlm.nih.gov/pubmed/26695583.

I-US Preventive Services Task Force, uCurry SJ, uKrist AH, u-Owens DK, et al. Ukuhlolisiswa umdlavuza womlomo wesibeletho: Isitatimende sezincomo se-US Preventive Services Task Force. JAMA. 2018; 320 (7): 674-686. I-PMID: 30140884 www.ncbi.nlm.nih.gov/pubmed/30140884.

U-Wang ZX, uPeiper SC. Amasu wokuthola we-HPV. Ku: Bibbo M, Wilbur DC, ama-eds. I-Cytopathology ephelele. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 38.