IPap Smear (Ukuhlolwa kwePap): Ongakulindela
-Delile
- Ngubani odinga i-Pap smear?
- Uyidinga kangaki iPap smear?
- Ungayilungiselela kanjani iPap smear
- Q:
- A:
- Kwenzekani ngesikhathi sePap smear?
- Isho ukuthini imiphumela ye-Pap smear?
- I-Pap smear ejwayelekile
- I-Pap smear engajwayelekile
- Inembe kangakanani imiphumela?
- Ingabe ukuhlolwa kwe-Pap smear kwe-HPV?
Ukubuka konke
I-Pap smear, ebizwa nangokuthi iPap test, inqubo yokuhlola umdlavuza wesibeletho. Ihlola ukutholakala kwamangqamuzana anomdlavuza noma umdlavuza emlomo wesibeletho sakho. Umlomo wesibeletho ukuvulwa kwesibeletho.
Ngesikhathi senqubo ejwayelekile, amaseli wesibeletho sakho asuswa ngobumnene ahlolwe ukukhula okungavamile. Inqubo yenziwa ehhovisi likadokotela wakho. Kungahle kungaphatheki kahle, kepha akuvamisile ukudala ubuhlungu besikhathi eside.
Qhubeka ufunda ukuze ufunde kabanzi mayelana nokuthi ngubani odinga iPap smear, ukuthi yini ongayilindela ngenkathi kwenziwa inqubo, ukuthi kufanele uvivinywe kangaki iPap smear, nokuningi.
Ngubani odinga i-Pap smear?
Ukuncoma kwamanje ukuthi abesifazane bathole ama-Pap smear avamile njalo eminyakeni emithathu kusukela eminyakeni engama-21. Abanye besifazane bangaba sengozini enkulu yomdlavuza noma yokutheleleka. Ungadinga ukuvivinywa kaningi uma:
- une-HIV
- unamasosha omzimba abuthakathaka avela ekhemotherapy noma ekufakweni komzimba
Uma usuneminyaka engaphezu kwengama-30 futhi awukaze ube nokuhlolwa okungajwayelekile kwe-Pap, buza udokotela wakho mayelana nokuba neyodwa njalo eminyakeni emihlanu uma ukuhlolwa kuhlangene nokuhlolwa komuntu kwe-papillomavirus (HPV).
I-HPV igciwane elibanga izinsumpa futhi lenyusa amathuba okuba nomdlavuza womlomo wesibeletho. Izinhlobo ze-HPV 16 no-18 yizimbangela eziyinhloko zomdlavuza womlomo wesibeletho. Uma une-HPV, ungahle ube sengcupheni yokuthola umdlavuza wesibeletho.
Abesifazane abangaphezu kweminyaka engama-65 abanomlando wemiphumela ejwayelekile yePap smear bangakwazi ukuyeka ukuhlolwa esikhathini esizayo.
Kusamele uthole ama-Pap smear ajwayelekile asuselwa eminyakeni yakho, ngaphandle kwesimo somsebenzi wakho wezocansi. Lokho kungenxa yokuthi igciwane le-HPV lingahlala isikhathi eside iminyaka bese ngokuzumayo lisebenza.
Uyidinga kangaki iPap smear?
Uyidinga kangaki iPap smear kunqunywa yizici ezahlukahlukene, kufaka phakathi iminyaka yakho nobungozi bakho.
Ubudala | Imvamisa yePap smear |
<Iminyaka engu-21, | akekho owayedinga |
21-29 | njalo eminyakeni emithathu |
30-65 | njalo eminyakeni emithathu noma ukuhlolwa kwe-HPV njalo eminyakeni emihlanu noma iPap test ne-HPV ndawonye ndawonye njalo eminyakeni emihlanu |
65 nangaphezulu | kungenzeka ungabe usadinga ukuhlolwa kwe-Pap smear; khuluma nodokotela wakho ukuthola izidingo zakho |
Lezi zincomo zisebenza kuphela kwabesifazane abanesibeletho. Abesifazane abake bakhishwa isisu ngokukhishwa komlomo wesibeletho futhi abanawo umlando womdlavuza wesibeletho abadingi ukuhlolwa.
Izincomo ziyehluka futhi kufanele zihlukaniswe ngabesifazane abanamasosha omzimba abekeke engozini noma umlando wezilonda ezingapholi, noma ezinomdlavuza.
Ungayilungiselela kanjani iPap smear
Q:
Ngineminyaka engaphezu kwengama-21 futhi ngiyintombi nto. Ngabe ngidinga i-Pap smear uma ngingalwenzi ucansi?
A:
Iningi lomdlavuza womlomo wesibeletho kungenxa yokutheleleka okuvela kwigciwane le-HPV, elidluliselwa ngocansi. Kodwa-ke, akuwona wonke umdlavuza womlomo wesibeletho ovela ezifweni ezibangelwa amagciwane.
Ngalesi sizathu, kunconywa ukuthi bonke abesifazane baqale ukuhlolwa kwabo komdlavuza wesibeletho nge-Pap smear njalo eminyakeni emithathu kusukela eminyakeni engama-21.
UMichael Weber, Izimpendulo ze-MDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.Ungahlela iPap smear ngokuhlolwa kwakho kwaminyaka yonke kwabesifazane noma ucele ukuqokwa okuhlukile nodokotela wakho wezifo zabesifazane. Ama-pap smear ambozwe yizinhlelo eziningi zomshuwalense, yize kungadingeka ukuthi ukhokhe ngokubambisana.
Uma uzoya esikhathini ngosuku lwe-Pap smear yakho, udokotela wakho angafuna ukuhlela kabusha isivivinyo, ngoba imiphumela kungenzeka ingabi nembile kangako.
Zama ukugwema ukuya ocansini, douching, noma ukusebenzisa imikhiqizo ye-spermicidal ngosuku olwandulela ukuhlolwa kwakho ngoba lokhu kungaphazamisa imiphumela yakho.
Ezimweni eziningi, kuphephile ukwenza iPap smear emasontweni angama-24 okuqala okukhulelwa. Ngemuva kwalokho, ukuhlolwa kungaba buhlungu kakhulu. Kufanele futhi ulinde kuze kube amasonto ayi-12 ngemuva kokubeletha ukukhulisa ukunemba kwemiphumela yakho.
Njengoba iPap smear ihamba ngokushelela uma umzimba wakho ukhululekile, kubalulekile ukuthi uhlale uzolile futhi uphefumule kakhulu ngesikhathi senqubo.
Kwenzekani ngesikhathi sePap smear?
Ama-pap smears angangakhululeki, kepha isivivinyo sishesha kakhulu.
Ngesikhathi senqubo, uzolala ngomhlane etafuleni lokuhlola unabe imilenze yakho izinyawo zakho ziphumule ezisekelweni ezibizwa ngama-stirrups.
Udokotela wakho uzofaka kancane kancane idivayisi ebizwa ngokuthi i-speculum esithweni sakho sangasese. Lo mshini ugcina izindonga zangasese zivulekile futhi unikeza ukufinyelela komlomo wesibeletho.
Udokotela wakho uzokhipha isampula elincane lamaseli wesibeletho sakho. Kunezindlela ezimbalwa udokotela wakho angathatha lesi sampuli:
- Abanye basebenzisa ithuluzi elibizwa nge-spatula.
- Abanye basebenzisa i-spatula nebhulashi.
- Abanye basebenzisa umshini obizwa nge-cytobrush, oyingxubevange ye-spatula nebhulashi.
Iningi labesifazane lizwa ukucindezelwa okuncane nokucasuka ngesikhathi sokukhuhla okufushane.
Isampula lamaseli omlomo wesibeletho wakho lizogcinwa futhi lithunyelwe ebhodini ukuze lihlolwe ukutholakala kwamaseli angajwayelekile.
Ngemuva kokuhlolwa, ungazizwa ungakhululeki okuncane kusuka ekuqothulweni noma ekucingeni kancane. Ungase futhi uzwe ukuphuma kwegazi lesitho sangasese sowesifazane okukhanyayo ngokushesha okukhulu ngemuva kokuhlolwa. Tshela udokotela wakho uma ukungaphatheki kahle noma ukopha kuqhubeka ngemuva kosuku lokuhlolwa.
Isho ukuthini imiphumela ye-Pap smear?
Kunemiphumela emibili engenzeka evela kwi-Pap smear: ejwayelekile noma engajwayelekile.
I-Pap smear ejwayelekile
Uma imiphumela yakho ijwayelekile, lokho kusho ukuthi awekho amaseli angajwayelekile akhonjwe. Imiphumela ejwayelekile kwesinye isikhathi ibizwa nangokuthi ayi-negative. Uma imiphumela yakho ingejwayelekile, kungenzeka ukuthi awudingi iPap smear eminye iminyaka emithathu.
I-Pap smear engajwayelekile
Uma imiphumela yokuhlolwa ingajwayelekile, lokhu akusho ukuthi unomdlavuza. Kusho nje ukuthi kunamaseli angajwayelekile emlomo wesibeletho sakho, amanye awo angahle abonakale. Kunamazinga amaningi amaseli angajwayelekile:
- i-atypia
- imnene
- ngokulinganisela
- i-dysplasia enzima
- i-carcinoma in situ
Amaseli angajwayelekile ajwayelekile ajwayelekile kunokungajwayelekile okunamandla.
Kuye ngokuthi imiphumela yokuhlolwa ikhombisa ini, udokotela wakho angancoma:
- ukwandisa imvamisa yama-Pap smears akho
- · ukubhekisisa izicubu zakho zomlomo wesibeletho ngenqubo ebizwa nge-colposcopy
Ngesikhathi sokuhlolwa kwe-colposcopy, udokotela wakho uzosebenzisa ukukhanya nokukhulisa ukubona izicubu zangasese nezomlomo wesibeletho ngokucacile. Kwezinye izimo, bangathatha nesampula yezicubu zomlomo wesibeletho enkambisweni ebizwa nge-biopsy.
Inembe kangakanani imiphumela?
Ukuhlolwa kwePap kunembile kakhulu. Ukuhlolwa njalo kwePap kunciphisa amazinga omdlavuza wesibeletho nokufa kwabantu ngoku. Kungakhathaza, kepha ukungakhululeki okufushane kungasiza ukuvikela impilo yakho.
Ingabe ukuhlolwa kwe-Pap smear kwe-HPV?
Inhloso enkulu yokuhlolwa kwePap smear ukukhomba ushintsho kumaselula emlomo wesibeletho, olungadalwa yi-HPV.
Ngokuthola amangqamuzana omdlavuza womlomo wesibeletho kusenesikhathi nge-Pap smear, ukwelashwa kungaqala ngaphambi kokuba kusabalale futhi kube ukukhathazeka okukhulu. Kungenzeka futhi ukuthi uhlolele i-HPV kusuka kusifanekiso se-Pap smear, futhi.
Ungayithola i-HPV ngokuya ocansini nabesilisa noma nabesifazane. Ukwehlisa ingozi yokuthola igciwane, zijwayeze ukwenza ucansi ngekhondomu noma enye indlela yokuvimbela. Bonke abesifazane abahlanganyela ocansini basengozini yokuthola i-HPV futhi kufanele bathole iPap smear okungenani njalo eminyakeni emithathu.
Ukuhlolwa akuboni ezinye izifo ezithathelwana ngocansi (ama-STI). Ngezikhathi ezithile ingathola ukukhula kweseli okukhombisa amanye umdlavuza, kepha akufanele ithembele kuleyo nhloso.