Kuyesa kwa HPV DNA
Kuyezetsa kwa HPV DNA kumagwiritsidwa ntchito poyang'ana ngati ali ndi chiopsezo chotenga kachilombo ka HPV mwa amayi.
Matenda a HPV kuzungulira maliseche ndiofala. Zitha kufalikira panthawi yogonana.
- Mitundu ina ya HPV imatha kuyambitsa khansa ya pachibelekero ndi khansa zina. Izi zimatchedwa mitundu yowopsa kwambiri.
- Mitundu yotsika pang'ono ya HPV imatha kuyambitsa njerewere kumaliseche, khomo pachibelekeropo, ndi pakhungu. Tizilombo toyambitsa matenda titha kufala pogonana. Kuyezetsa kwa HPV-DNA nthawi zambiri sikulimbikitsidwa kuti muzindikire matenda omwe ali ndi chiopsezo cha HPV. Izi ndichifukwa choti zotupa zambiri zomwe sizili pachiwopsezo chazindikirika bwino.
Kuyezetsa kwa HPV DNA kumatha kuchitika pa Pap smear. Ngati zachitika limodzi, amatchedwa "kuyesa-limodzi."
Mumagona patebulo ndikuyika mapazi anu maphokoso. Wothandizira zaumoyo amayika chida (chotchedwa speculum) kumaliseche ndikutsegula pang'ono kuti muwone mkati. Maselo amatengedwa mokoma kuchokera kuberekero. Khomo lachiberekero ndilo gawo lotsika la chiberekero (chiberekero) lomwe limatsegukira kumtunda kwa nyini.
Maselo amatumizidwa ku labotale kukayesedwa ndi microscope. Woyeserera uyu amafufuza ngati ma cell ali ndi zinthu zina (zotchedwa DNA) kuchokera ku mitundu ya HPV yomwe imayambitsa khansa. Mayesero ena atha kuchitidwa kuti adziwe mtundu wa HPV.
Pewani zotsatirazi maola 24 mayeso asanachitike:
- Kutulutsa
- Kugonana
- Kusamba
- Kugwiritsa ntchito tampons
Thirani chikhodzodzo chanu mayeso anu asanayesedwe.
Mayesowa atha kubweretsa mavuto ena. Amayi ena amati zimamveka ngati kupweteka kwa msambo.
Muthanso kumva kukakamizidwa panthawi yamayeso.
Mutha kutuluka magazi pang'ono mutayesedwa.
Mitundu yowopsa kwambiri ya HPV imatha kubweretsa khansa ya pachibelekero kapena khansa ya kumatako. Kuyezetsa kwa HPV-DNA kumachitika kuti muwone ngati muli ndi kachilombo koyambitsa matendawa. Mitundu ina ya chiopsezo chochepa imathanso kudziwika ndi mayeso.
Dokotala wanu atha kuyitanitsa mayeso a HPV-DNA:
- Ngati muli ndi mtundu wina wazotsatira zapa Pap zosavomerezeka.
- Pamodzi ndi Pap smear yowunikira azimayi azaka zapakati pa 30 ndi kupitilira khansa ya pachibelekero.
- M'malo molemba Pap kuti muwonetse azimayi azaka makumi atatu ndi makumi atatu za khansa ya pachibelekero. (Chidziwitso: Akatswiri ena amati njirayi kwa amayi azaka 25 kapena kupitilira apo.)
Zotsatira za mayeso a HPV zimathandiza dokotala kusankha ngati kuyesa kwina kapena chithandizo chofunikira pakufunika.
Zotsatira zabwinobwino zikutanthauza kuti mulibe mtundu wa chiopsezo cha HPV. Mayeso ena adzaonanso kupezeka kwa HPV omwe ali pachiwopsezo chochepa, ndipo izi zitha kunenedwa. Ngati muli ndi chiyembekezo cha HPV yomwe ili pachiwopsezo chochepa, omwe amakuthandizani adzakutsogolerani posankha zamankhwala.
Zotsatira zosazolowereka zikutanthauza kuti muli ndi mtundu wa chiopsezo cha HPV.
Mitundu yowopsa kwambiri ya HPV imatha kuyambitsa khansa ya pachibelekero ndi khansa yapakhosi, lilime, anus, kapena nyini.
Nthawi zambiri, khansa ya pachibelekero yokhudzana ndi HPV imachitika chifukwa cha mitundu iyi:
- HPV-16 (chiopsezo chachikulu)
- HPV-18 (chiopsezo chachikulu)
- Zamgululi
- HPV-33
- Zamgululi
- HPV-45
- HPV-52
- Zamgululi
Mitundu ina yowopsa ya HPV siyodziwika kwenikweni.
Kachilombo ka papilloma - kuyesa; Zachilendo Mat smear - Kuyesedwa kwa HPV; Kuyesa kwa LSIL-HPV; Low-grade dysplasia - kuyesa kwa HPV; HSIL - Kuyesedwa kwa HPV; Dysplasia yapamwamba - kuyesa kwa HPV; Kuyesedwa kwa HPV mwa akazi; Khansa ya pachibelekero - mayeso a HPV DNA; Khansa ya chiberekero - Kuyesedwa kwa HPV DNA
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Yesetsani nkhani ya 157: kuyezetsa magazi ndi kupewa khansa ya pachibelekero. Gynecol Woletsa. 2016; 127 (1): e1-e20. PMID: 26695583 www.ncbi.nlm.nih.gov/pubmed/26695583.
Gulu Lankhondo Laku US Lodzitchinjiriza, Curry SJ, Krist AH, Owens DK, et al. Kuunikira khansa ya pachibelekero: Ndemanga za US Preventive Services Task Force. JAMA. 2018; 320 (7): 674-686. PMID: 30140884 www.ncbi.nlm.nih.gov/pubmed/30140884.
Wang ZX, Peiper SC. Njira zodziwira za HPV. Mu: Bibbo M, Wilbur DC, olemba. Cytopathology Yokwanira. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: mutu 38.