Kusho Ukuthini Uma Ukuhlolwa Kwami KwePap Smear Kungavamile?

-Delile

• Yini ongayilindela ngesikhathi sokuhlolwa kwakho kwe-Pap
• Ukuqonda imiphumela yakho
• Izinyathelo ezilandelayo
• Ngubani okufanele athole ukuhlolwa kwePap?
• Ngingahlolwa iPap ngenkathi ngikhulelwe?
• Umbono
• Amathiphu okuvimbela

Yini i-Pap smear?

I-Pap smear (noma i-Pap test) inqubo elula ebheka izinguquko zeseli ezingajwayelekile emlomo wesibeletho. Umlomo wesibeletho yingxenye ephansi yesibeletho, etholakala phezulu esithweni sakho sangasese.

Ukuhlolwa kwe-Pap smear kungathola amaseli angaphambi kwesikhathi. Lokho kusho ukuthi amaseli angasuswa ngaphambi kokuba abe nethuba lokukhula libe ngumdlavuza womlomo wesibeletho, okwenza lokhu kuhlolwa kube ngumsindisi wokuphila ongaba khona.

Kulezi zinsuku, maningi amathuba okuthi uzwe kuthiwa yiPap test kunePap smear.

Yini ongayilindela ngesikhathi sokuhlolwa kwakho kwe-Pap

Ngenkathi kungekho ukulungiselela kwangempela okudingekayo, kunezinto ezimbalwa ezingathinta imiphumela yePap. Ukuze uthole imiphumela enembile, gwema lezi zinto izinsuku ezimbili ngaphambi kokuhlolwa kwakho okuhleliwe:

• ama-tampons
• ama-suppositories esitho sangasese sowesifazane, okhilimu, imithi, noma ama-douches
• izimpushana, izifutho, noma eminye imikhiqizo yokuya esikhathini
• ucansi

Ukuhlolwa kwe-Pap kungenziwa ngesikhathi sakho, kodwa kungcono uma uyihlela phakathi kwezikhathi.

Uma ngabe uke waba nokuhlolwa kwe-pelvic, ukuhlolwa kwe-Pap akuhlukile kakhulu. Uzolala phezu kwetafula izinyawo zakho zixubene. Kuzosetshenziswa i-speculum ukuvula isitho sakho sangasese bese uvumela udokotela wakho ukuthi abone umlomo wakho wesibeletho.

Udokotela wakho uzosebenzisa i-swab ukususa amaseli ambalwa emlomo wesibeletho sakho. Bazobeka la maseli kusilayidi sengilazi esizothunyelwa ebhodini lokuhlola.

Ukuhlolwa kwePap kungahle kungakhululeki, kepha ngokuvamile akunabuhlungu. Yonke inqubo akufanele ithathe ngaphezu kwemizuzu embalwa.

Ukuqonda imiphumela yakho

Kufanele uthole imiphumela yakho kungapheli isonto noma amabili.

Ezimweni eziningi, umphumela uyi-Pap smear "ejwayelekile". Lokho kusho ukuthi abukho ubufakazi bokuthi unamaseli omlomo wesibeletho angajwayelekile futhi ngeke udinga ukucabanga ngawo futhi kuze kube ukuhlolwa kwakho okuhleliwe okulandelayo.

Uma ungatholi umphumela ojwayelekile, akusho ukuthi unomdlavuza. Akusho ngisho nokuthi kukhona okungahambi kahle.

Imiphumela yokuhlolwa ingaqondakali. Lo mphumela kwesinye isikhathi ubizwa nge-ASC-US, okusho ukuthi amaseli we-squamous atypical wokubaluleka okunganqunyelwe. Amaseli awazange abukeke njengamaseli ajwayelekile, kepha abengeke abekwe njengangajwayelekile.

Kwezinye izimo, isampula elibi lingaholela emiphumeleni engafinyeleleki. Lokho kungenzeka uma usanda kuhlanganyela ocansini noma usebenzise imikhiqizo yokuya esikhathini.

Umphumela ongajwayelekile usho ukuthi amanye amaseli omlomo wesibeletho ashintshile. Kodwa akusho ukuthi unomdlavuza. Eqinisweni, iningi labesifazane elinomphumela ongajwayelekile alinawo umdlavuza wesibeletho.

Ezinye izizathu zomphumela ongajwayelekile yilezi:

• ukuvuvukala
• ukutheleleka
• i-herpes
• trichomoniasis
• I-HPV

Amaseli angajwayelekile angabanga eliphansi noma aphezulu. Amaseli ebanga eliphansi ajwayelekile nje kancane. Amaseli ebanga eliphakeme abukeka njengamaseli ajwayelekile futhi angahle abe ngumdlavuza.

Ukuba khona kwamaseli angajwayelekile kwaziwa njenge-dysplasia yomlomo wesibeletho. Amaseli angajwayelekile kwesinye isikhathi abizwa ngokuthi i-carcinoma in situ noma pre-cancer.

Udokotela wakho uzokwazi ukuchaza imininingwane yemiphumela yakho ye-Pap, amathuba okuba ne-positive noma okungelona iqiniso, nokuthi yiziphi izinyathelo okufanele zithathwe ngokulandelayo.

Izinyathelo ezilandelayo

Lapho imiphumela yePap ingacacile noma ingacaciswanga, udokotela wakho angafuna ukuhlela ukuhlolwa okuphindayo kungekudala.

Uma ungenakho ukuhlolwa kwe-Pap ne-HPV, ukuhlolwa kwe-HPV kungahle ku-odwe. Kwenziwa ngokufana nokuhlolwa kwePap. Akukho ukwelashwa okuqondile kwe-HPV engenazimpawu.

Umdlavuza wesibeletho nawo awutholakali ngokuhlolwa kwePap. Kuthatha ukuhlolwa okwengeziwe ukuqinisekisa umdlavuza.

Uma imiphumela yakho ye-Pap ingacacile noma ingaqondakali, isinyathelo esilandelayo kungenzeka kube yi-colposcopy. I-colposcopy inqubo lapho udokotela wakho esebenzisa i-microscope ukuhlola umlomo wakho wesibeletho. Udokotela wakho uzosebenzisa isisombululo esikhethekile ngesikhathi se-colposcopy ukusiza ukuhlukanisa izindawo ezijwayelekile kokungajwayelekile.

Ngesikhathi se-colposcopy, isiqeshana esincane sezicubu ezingavamile singasuswa ukuze sihlaziywe. Lokhu kubizwa ngokuthi yi-cone biopsy.

Amaseli angavamile angonakaliswa ngokuqandisa, okwaziwa ngokuthi i-cryosurgery, noma asuswe kusetshenziswa inqubo ye-loop electrosurgical excision procedure (LEEP). Ukususa amaseli angajwayelekile kungavimbela umdlavuza womlomo wesibeletho ukuthi ungakhuli.

Uma i-biopsy iqinisekisa umdlavuza, ukwelashwa kuzoncika kwezinye izinto, ezinjengebanga lesiteji kanye nebanga lesimila.

Ngubani okufanele athole ukuhlolwa kwePap?

Iningi labesifazane phakathi kuka kufanele bahlolelwe iPap njalo eminyakeni emithathu.

Ungadinga ukuhlolwa kaningi uma:

• usengozini enkulu yomdlavuza wesibeletho
• ube nemiphumela yokuhlolwa kwePap engajwayelekile esikhathini esedlule
• unamasosha omzimba abuthakathaka noma une-HIV
• unyoko wavezwa i-diethylstilbestrol ngenkathi ekhulelwe

Futhi, abesifazane abaphakathi kweminyaka engama-30 nengama-64 ubudala bathola ukuhlolwa kwePap njalo eminyakeni emithathu, noma ukuhlolwa kwe-HPV njalo eminyakeni emithathu, noma iPap ne-HPV ihlolwa ndawonye njalo eminyakeni emihlanu (ebizwa ngokuthi ukuhlola ndawonye).

Isizathu salokhu ukuthi ukuhlolwa ngokubambisana kunamathuba amaningi okubamba okungajwayelekile kunokuhlolwa kwePap kuphela. Ukuhlola ndawonye kusiza ekutholeni ukungajwayelekile kwamaseli amaningi.

Esinye isizathu sokuhlolelwa ngokubambisana ukuthi umdlavuza wesibeletho cishe njalo ubangelwa yi-HPV. Kepha abesifazane abaningi abane-HPV abakaze babe nomdlavuza womlomo wesibeletho.

Abanye besifazane kungenzeka bangadingi ukuhlolwa kwePap ekugcineni. Lokhu kufaka phakathi abesifazane abangaphezu kweminyaka yobudala engama-65 abathole izivivinyo ezijwayelekile ze-Pap zilandelana futhi abangazange babe nemiphumela yokuhlolwa engajwayelekile eminyakeni eyishumi edlule.

Futhi, abesifazane abakhishwe isibeletho nomlomo wesibeletho, okwaziwa njenge-hysterectomy, futhi abangenayo umlando wokuhlolwa okungajwayelekile kwe-Pap noma umdlavuza womlomo wesibeletho kungenzeka bangazidingi, nazo.

Khuluma nodokotela wakho mayelana nokuthi kufanele uhlolwe iPap nini futhi kangaki.

Ngingahlolwa iPap ngenkathi ngikhulelwe?

Yebo, ungahlolwa iPap ngenkathi ukhulelwe. Ungaba ne-colposcopy. Ukuba ne-Pap engavamile noma i-colposcopy ngenkathi ukhulelwe akufanele kuthinte ingane yakho.

Uma udinga ukwelashwa okwengeziwe, udokotela wakho uzokweluleka uma kufanele alinde kuze kuzalwe ingane yakho.

Umbono

Ngemuva kokuhlolwa okungajwayelekile kwePap ungadinga ukuhlolwa kaningi iminyaka embalwa. Kuya ngesizathu somphumela ongajwayelekile kanye nengozi yakho yonke yomdlavuza womlomo wesibeletho.

Amathiphu okuvimbela

Isizathu esikhulu sokuhlolwa kwePap ukuthola amaseli angajwayelekile ngaphambi kokuba abe nomdlavuza. Ukwehlisa amathuba akho okuthola i-HPV nomdlavuza womlomo wesibeletho, landela lezi zeluleko zokuvimbela:

• Goma. Njengoba umdlavuza womlomo wesibeletho uvame ukubangelwa yi-HPV, iningi labesifazane abangaphansi kweminyaka engama-45 kufanele bagonyelwe i-HPV.
• Zijwayeze ukwenza ucansi oluphephile. Sebenzisa amakhondomu ukuvikela i-HPV nezinye izifo ezithathelwana ngocansi (STIs).
• Hlela ukuhlolwa konyaka. Tshela udokotela wakho uma uba nezimpawu zabesifazane phakathi kokuvakashelwa. Landelela njengoba welulekwe.
• Hlola. Hlela izivivinyo zePap njengoba kunconywe udokotela wakho. Cabanga ngokuhlolwa ngokubambisana kwePap-HPV. Tshela udokotela wakho uma umndeni wakho unomlando womdlavuza, ikakhulukazi umdlavuza wesibeletho.