IPap Smear

-Delile

• Yini iPap smear?
• Kusetshenziselwa ini?
• Kungani ngidinga iPap smear?
• Kwenzekani ngesikhathi sePap smear?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngePap smear?
• Izinkomba

Yini iPap smear?

I-Pap smear ukuhlolwa kwabesifazane okungasiza ekutholeni noma ekuvimbeleni umdlavuza wesibeletho. Ngesikhathi kwenziwa le nqubo, kuqoqwa amaseli emlonyeni wesibeletho, okuyisisekelo esiphansi, esincane sesibeletho esivuleka esithweni sangasese sowesifazane. Amaseli ahlolelwa umdlavuza noma izimpawu zokuthi angahle abe ngumdlavuza. Lawa abizwa ngokuthi amaseli angaphambi kwesikhathi. Ukuthola nokwelapha amaseli angaphambi kwesikhathi kungasiza ekuvikeleni umdlavuza wesibeletho. IPap smear iyindlela ethembekile yokuthola umdlavuza kusenesikhathi, lapho welapheka kakhulu.

Amanye amagama we-Pap smear: Ukuhlolwa kwe-Pap, i-cytology yomlomo wesibeletho, ukuhlolwa kwe-Papanicolaou, ukuhlolwa kwe-Pap smear, inqubo ye-smear yesitho sangasese sowesifazane

Kusetshenziselwa ini?

I-Pap smear iyindlela yokuthola amangqamuzana omlomo wesibeletho angajwayelekile ngaphambi kokuba abe ngumdlavuza. Kwesinye isikhathi amaseli aqoqwe kwiPap smear abuye ahlolwe i-HPV, igciwane elingadala ushintsho kumaseli angaholela kumdlavuza. I-Pap smears, kanye nokuhlolwa kwe-HPV, kubhekwa njengokuhlolwa kokuhlolwa komdlavuza womlomo wesibeletho. Ukuhlolwa komdlavuza wesibeletho kukhonjiswe ukuthi kusinciphise kakhulu isibalo samacala amasha womdlavuza wesibeletho kanye nokufa kwabantu ngenxa yalesi sifo.

Kungani ngidinga iPap smear?

Iningi labesifazane abaphakathi kweminyaka engama-21 nengama-65 kufanele babe nePap smear ejwayelekile.

• Abesifazane abaphakathi kweminyaka engama-21 nengama-29 kufanele bahlolwe njalo eminyakeni emithathu.
• Abesifazane abaneminyaka engama-30-65 bangahlolwa njalo eminyakeni emihlanu uma ukuhlolwa kuhlanganiswa nokuhlolwa kwe-HPV. Uma kungekho ukuhlolwa kwe-HPV, iPap kufanele yenziwe njalo eminyakeni emithathu.

Ukuhlola kuyinto hhayi Kunconyelwe abesifazane noma amantombazane angaphansi kweminyaka engama-21 Kuleli qembu lobudala, amathuba okuba nomdlavuza womlomo wesibeletho aphansi kakhulu. Futhi, noma yiziphi izinguquko kumaseli omlomo wesibeletho kungenzeka zihambe zodwa.

Ukuhlola kunganconywa uma unezici ezithile zobungozi. Ungaba sengozini enkulu uma:

• Ngibe nePap smear engajwayelekile esikhathini esedlule
• Yiba ne-HIV
• Yiba namasosha omzimba abuthakathaka
• Bachayeka kumuthi obizwa nge-DES (Diethylstilbestrol) ngaphambi kokuzalwa. Phakathi kweminyaka ka-1940-1971, i-DES yanikezwa abesifazane abakhulelwe njengendlela yokuvikela ukuphuphunyelwa yizisu. Kamuva kwaxhunyaniswa nengozi eyengeziwe yomdlavuza othile ezinganeni zesifazane ezivezwa kuwo ngesikhathi sokukhulelwa.

Abesifazane asebekhulile kuneminyaka engama-65 asebenze iPap smear ejwayelekile iminyaka eminingana noma abahlinzwa ukuze kukhishwe isizalo nomlomo wesibeletho kungenzeka bangabe besadinga ukwenza ama-Pap smear. Uma ungaqiniseki ukuthi uyayidinga yini iPap smear, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Kwenzekani ngesikhathi sePap smear?

I-Pap smear ivame ukuthathwa ngesikhathi sokuhlolwa kwe-pelvic. Ngesikhathi sokuhlolwa kwe-pelvic, uzolala etafuleni lokuhlola ngenkathi umhlinzeki wakho wezokunakekelwa kwempilo ehlola isitho sakho sangasese, isitho sangasese sowesifazane, umlomo wesibeletho, i-rectum kanye ne-pelvis ukuhlola noma ikuphi ukungajwayelekile. Kwi-Pap smear, umhlinzeki wakho uzosebenzisa insimbi yepulasitiki noma yensimbi ebizwa ngokuthi i-speculum ukuvula isitho sangasese sowesifazane, ukuze kubonakale umlomo wesibeletho. Umhlinzeki wakho uzobe esesebenzisa ibhulashi elithambile noma i-spatula yeplastiki ukuqoqa amaseli emlonyeni wesibeletho.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Akufanele ube ne-Pap smear ngenkathi usaya esikhathini. Isikhathi esihle sokuhlolwa cishe izinsuku ezinhlanu ngemuva kosuku lokugcina lokuya esikhathini. Izincomo ezingeziwe ukugwema imisebenzi ethile ezinsukwini ezimbalwa ngaphambi kwe-Pap smear yakho. Izinsuku ezimbili kuya kwezintathu ngaphambi kokuhlolwa kwakho akufanele:

• Sebenzisa amathamponi
• Sebenzisa amagwebu wokulawula ukubeletha noma amanye okhilimu besitho sangasese sowesifazane
• UDouche
• Yenza ucansi

Ingabe zikhona izingozi esivivinyweni?

Ungazizwa ungakhululekile phakathi nenqubo, kepha azikho izingcuphe ezaziwayo kwi-Pap smear.

Isho ukuthini imiphumela?

Imiphumela yakho ye-Pap smear izokhombisa ukuthi amangqamuzana akho omlomo wesibeletho ajwayelekile noma ajwayelekile. Ungase futhi uthole umphumela ongacaci.

• I-Pap smear ejwayelekile. Amaseli wesibeletho sakho ayejwayelekile. Umhlinzeki wakho wezokunakekelwa kwempilo uzoncoma ukuthi ubuye uyohlolwa futhi eminyakeni emithathu kuya kwemihlanu kuye ngeminyaka yakho kanye nomlando wezokwelapha.
• Imiphumela engacacile noma engagculisi. Kungenzeka ukuthi awekho amaseli anele kusampula sakho noma kungenzeka kube nenye inkinga eyenza kube nzima ukuthi ilebhu ithole ukufundwa okunembile. Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi ungene kokunye ukuhlolwa.
• I-Pap smear engajwayelekile. Kutholakale izinguquko ezingajwayelekile kumaseli akho omlomo wesibeletho. Iningi labesifazane elinemiphumela engajwayelekile alinawo umdlavuza wesibeletho. Kepha, umhlinzeki wakho wokunakekelwa kwezempilo angancoma ukuhlolwa kokulandelela ukuqapha amaseli akho. Amaseli amaningi azobuyela kokujwayelekile ngokwawo. Amanye amaseli angaphenduka amangqamuzana omdlavuza uma engelashwa. Ukuthola nokwelapha la maseli kusenesikhathi kungasiza ekuvimbeleni umdlavuza ukuthi ungakhuli.

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ukuze ufunde ukuthi imiphumela yakho ye-Pap smear isho ukuthini.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngePap smear?

Izinkulungwane zabesifazane e-U.S. Zibulawa ngumdlavuza womlomo wesibeletho minyaka yonke. I-Pap smear, kanye nokuhlolwa kwe-HPV, kungenye yezindlela ezisebenza kakhulu zokuvimbela umdlavuza ukuthi ungakhuli.

Izinkomba

1. I-American Cancer Society [Inthanethi]. I-Atlanta: I-American Cancer Society Inc.; c2017. Ingabe Umdlavuza Wesibeletho Ungavinjelwa ?; [kubuyekezwe ngo-2016 Dec 5; kukhonjiwe ngo-2017 Feb 3]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.org/cancer/cervical-cancer/causes-risks-prevention/prevention.html
2. I-American Cancer Society [Inthanethi]. I-Atlanta: I-American Cancer Society Inc.; c2017. Izinkombandlela ze-American Cancer Society for the Prevention and Detection Early of Cancer Cancer; [kubuyekezwe ngo-2016 Dec 9; kukhonjiwe ngo-2017 Mar 10]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.cancer.org/cancer/cervical-cancer/prevention-and-early-detection/cervical-cancer-screening-guidelines.html
3. I-American Cancer Society [Inthanethi]. I-Atlanta: I-American Cancer Society Inc.; c2017. Ukuhlolwa kwePap (Papanicolaou); [kubuyekezwe i-2016 Dec 9; kukhonjiwe ngo-2017 Feb 3]; [cishe izikrini eziyi-6]. Kutholakala kusuka: https://www.cancer.org/cancer/cervical-cancer/prevention-and-early-detection/pap-test.html
4. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Imininingwane Eyisisekelo Ngomdlavuza Wesibeletho; [kubuyekezwe i-2014 Oct 14; kukhonjiwe ngo-2017 Feb 3]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cdc.gov/cancer/cervical/basic_info/index.htm
5. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Yini Okufanele Ngiyazi Ngokuhlola ?; [kubuyekezwe 2016 Mar 29; kukhonjiwe ngo-2017 Feb 3]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.cdc.gov/cancer/cervical/basic_info/screening.htm
6. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isichazamazwi seNCI Semigomo Yomdlavuza: umlomo wesibeletho; [kucashunwe ngo-2017 Feb 3]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=46133
7. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. I-Diethylstilbestrol (DES) neCancer; [kubuyekezwe ngo-2011 Okthoba 5; kukhonjiwe ngo-2017 Feb 3]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.cancer.gov/about-cancer/causes-prevention/risk/hormones/des-fact-sheet
8. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isichazamazwi seNCI Semigomo Yomdlavuza: Ukuhlolwa kwePap; [kucashunwe ngo-2017 Feb 3]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=45978
9. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa kwe-PAP ne-HPV; [kucashunwe ngo-2017 Feb 3]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.cancer.gov/types/cervical/pap-hpv-testing-fact-sheet
10. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isichazamazwi seNCI Semigomo Yomdlavuza: esheshayo; [kucashunwe ngo-2017 Feb 3]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms?search=precancerous
11. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuqonda Izinguquko Zesibeletho: Umhlahlandlela Wezempilo Wabesifazane; 2015 Ephreli 22; [kucashunwe ngo-2017 Feb 3]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.cancer.gov/types/cervical/understanding-cervical-changes
12. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: iPap; [kucashunwe ngo-2017 Feb 3]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=pap

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.