Kodi Zimatanthauzanji Ngati Kuyesedwa Kwanga kwa Pap Smear Kungakhale Kwachilendo?

Zamkati

• Zomwe muyenera kuyembekezera mukamayesedwa Pap
• Kumvetsetsa zotsatira zanu
• Masitepe otsatira
• Ndani ayenera kuyezetsa Pap?
• Kodi ndingayezetse Pap ndili ndi pakati?
• Chiwonetsero
• Malangizo popewa

Kodi Pap smear ndi chiyani?

Pap smear (kapena Pap test) ndi njira yosavuta yomwe imayang'ana kusintha kwa khungu pamlomo wachiberekero. Khomo lachiberekero ndilo gawo lotsika kwambiri la chiberekero, lomwe lili kumtunda kwa nyini yanu.

Kuyesa kwa Pap smear kumatha kuzindikira ma cell omwe asanakhazikike. Izi zikutanthauza kuti ma cell atha kuchotsedwa asanakhale ndi mwayi wopanga khansa ya pachibelekero, zomwe zimapangitsa mayesowa kukhala opulumutsa moyo.

Masiku ano, mumangomva kuti kuyesedwa kwa Pap osati Pap smear.

Zomwe muyenera kuyembekezera mukamayesedwa Pap

Ngakhale palibe kukonzekera kwenikweni kofunikira, pali zinthu zingapo zomwe zingakhudze zotsatira za Pap. Kuti mupeze zotsatira zolondola, pewani zinthu izi masiku awiri musanayesedwe:

• matampu
• ukazi suppositories, mafuta, mankhwala, kapena douches
• ufa, opopera, kapena mankhwala ena akusamba
• kugonana

Kuyesedwa kwa Pap kumatha kuchitika nthawi yanu, koma ndibwino ngati mungakonze pakati pa nthawi.

Ngati mwakhala mukuyesedwa m'chiuno, mayeso a Pap siosiyana kwambiri. Mudzagona patebulo ndi mapazi anu mothinana. Speculum idzagwiritsidwa ntchito kutsegula nyini yanu ndikulola dokotala wanu kuti awone khomo lanu loberekera.

Dokotala wanu adzagwiritsa ntchito swab kuchotsa ma cell angapo kuchokera pachibelekero chanu. Adzaika ma cell awa pakapu yamagalasi yomwe itumizidwe ku labu kukayezetsa.

Kuyesedwa kwa Pap kungakhale kovuta, koma nthawi zambiri kumakhala kopweteka. Ndondomeko yonse siyenera kutenga mphindi zochepa.

Kumvetsetsa zotsatira zanu

Muyenera kulandira zotsatira zanu pasanathe sabata imodzi kapena ziwiri.

Nthawi zambiri, zotsatira zake zimakhala Pap "smear" yabwinobwino. Izi zikutanthauza kuti palibe umboni wosonyeza kuti muli ndi maselo abwinobwino a khomo lachiberekero ndipo simufunikira kuganiziranso za izi mpaka mutayesedwa.

Ngati simulandira zotsatira zabwinobwino, sizitanthauza kuti muli ndi khansa. Sizitanthauza kuti pali chilichonse cholakwika.

Zotsatira zoyesa zitha kukhala zosadziwika. Zotsatirazi nthawi zina zimatchedwa ASC-US, zomwe zikutanthauza kuti maselo am'magazi osafunikira osadziwika. Maselowa sankawoneka ngati maselo abwinobwino, koma samatha kuwerengedwa kuti ndi achilendo.

Nthawi zina, zitsanzo zoyipa zimatha kubweretsa zotsatira zosadziwika. Izi zikhoza kuchitika ngati posachedwapa mwagonana kapena munkagwiritsa ntchito mankhwala akusamba.

Zotsatira zosazolowereka zikutanthauza kuti maselo ena achiberekero asintha. Koma sizitanthauza kuti muli ndi khansa. M'malo mwake, azimayi ambiri omwe ali ndi zotsatira zachilendo alibe khansa ya pachibelekero.

Zifukwa zina pazotsatira zosadziwika ndi izi:

• kutupa
• matenda
• nsungu
• trichomoniasis
• HPV

Maselo achilendo amakhala otsika kapena apamwamba. Maselo otsika kwambiri ndi ochepa chabe. Maselo apamwamba kwambiri samawoneka ngati maselo abwinobwino ndipo amatha kukhala khansa.

Kukhalapo kwa maselo osadziwika amadziwika kuti chiberekero cha dysplasia. Maselo achilendo nthawi zina amatchedwa carcinoma in situ kapena pre-cancer.

Dokotala wanu adzatha kufotokoza tsatanetsatane wa zotsatira za Pap, mwayi wopezeka wabodza kapena wopanda pake, komanso zomwe mungachite pambuyo pake.

Masitepe otsatira

Zotsatira za Pap sizikudziwika bwino kapena zosadziwika, dokotala wanu angafune kuyesanso mayeso posachedwa.

Ngati mulibe kuyesa limodzi kwa Pap ndi HPV, mayeso a HPV atha kuyitanidwa. Zimachitikanso chimodzimodzi ndi mayeso a Pap. Palibe mankhwala enieni a HPV osadziwika.

Khansara ya chiberekero imapezekanso kudzera pa mayeso a Pap. Zimatengera kuyesedwa kwina kuti mutsimikizire khansa.

Ngati zotsatira zanu za Pap sizikudziwika bwino kapena zosadziwika, gawo lotsatira lingakhale colposcopy. Colposcopy ndi njira yomwe dokotala amagwiritsa ntchito microscope kuti ayang'anire chiberekero chanu. Dokotala wanu adzagwiritsa ntchito yankho lapadera pa colposcopy kuti athandizire kusiyanitsa malo abwinobwino ndi omwe si abwinobwino.

Pakati pa colposcopy, chidutswa chaching'ono chazinyalala chitha kuchotsedwa kuti chifufuzidwe. Izi zimatchedwa cone biopsy.

Maselo achilendo amatha kuwonongedwa ndi kuzizira, kotchedwa cryosurgery, kapena kuchotsedwa pogwiritsa ntchito loop electrosurgical excision process (LEEP). Kuchotsa maselo osadziwika kumatha kuteteza khansa ya pachibelekero kuti isamayambenso.

Ngati biopsy imatsimikizira khansa, chithandizo chimadalira pazinthu zina, monga gawo ndi chotupa.

Ndani ayenera kuyezetsa Pap?

Amayi ambiri pakati pa omwe amayenera kukayezetsa Pap zaka zitatu zilizonse.

Mungafunike kuyesedwa pafupipafupi ngati:

• muli pachiwopsezo chachikulu cha khansa ya pachibelekero
• mwakhala ndi zotsatira zachilendo za mayeso a Pap m'mbuyomu
• muli ndi chitetezo chamthupi chofooka kapena muli ndi kachilombo ka HIV
• Amayi anu adakumana ndi diethylstilbestrol ali ndi pakati

Komanso, azimayi azaka zapakati pa 30 ndi 64 amayenera kukayezetsa Pap zaka zitatu zilizonse, kapena kuyesa HPV zaka zitatu zilizonse, kapena mayeso a Pap ndi HPV limodzi zaka zisanu zilizonse (zotchedwa kuyesa-limodzi).

Chifukwa cha ichi ndikuti kuyesa limodzi kumatha kuthana ndi zovuta kuposa kuyesa kwa Pap okha. Kuyeserera limodzi kumathandizanso kuzindikira zovuta zina zamaselo.

Chifukwa china choyeserera limodzi ndikuti khansa ya pachibelekero nthawi zambiri imayambitsidwa ndi HPV. Koma akazi ambiri omwe ali ndi HPV samakhala ndi khansa ya pachibelekero.

Azimayi ena sangayesenso kuyesa Pap pambuyo pake. Izi zikuphatikiza azimayi azaka zopitilira 65 omwe adayesedwa mayeso abwinobwino a Pap motsatizana ndipo sanakhale ndi zotsatira zoyeserera zaka 10 zapitazi.

Komanso, amayi omwe adachotsedwa chiberekero ndi khomo pachibelekeropo, lotchedwa hysterectomy, ndipo alibe mbiri ya mayeso abwinobwino a Pap kapena khansa ya khomo lachiberekero mwina sangawafunenso, mwina.

Lankhulani ndi dokotala wanu za nthawi ndi kangati muyenera kuyezetsa Pap.

Kodi ndingayezetse Pap ndili ndi pakati?

Inde, mutha kuyezetsa Pap mukakhala ndi pakati. Mutha kukhala ndi colposcopy. Kukhala ndi Pap wamba kapena colposcopy muli ndi pakati sikuyenera kukhudza mwana wanu.

Ngati mukufuna chithandizo china, dokotala wanu akulangizani ngati ayenera kudikirira mpaka mwana wanu abadwe.

Chiwonetsero

Pambuyo pa mayeso osadziwika a Pap mungafunike kuyesedwa pafupipafupi kwa zaka zochepa. Zimatengera chifukwa cha zotsatira zosazolowereka komanso chiopsezo chanu chonse cha khansa ya pachibelekero.

Malangizo popewa

Chifukwa chachikulu choyeserera Pap ndi kupeza maselo osadziwika asanakhale ndi khansa. Kuti muchepetse mwayi wanu wopeza HPV ndi khansa ya pachibelekero, tsatirani malangizo awa:

• Pezani katemera. Popeza khansa ya pachibelekero nthawi zambiri imayambitsidwa ndi HPV, azimayi ambiri ochepera zaka 45 ayenera kulandira katemera wa HPV.
• Chitani zogonana motetezeka. Gwiritsani ntchito kondomu kupewa HPV ndi matenda ena opatsirana pogonana.
• Sanjani nthawi yoyendera chaka chilichonse. Uzani dokotala wanu ngati mukukula ndi matenda azimayi pakati pa kuchezera. Tsatirani monga mwalangizidwa.
• Kayezetseni. Sungani mayeso a Pap monga adokotala anu. Ganizirani za kuyesa kuyesa limodzi kwa Pap-HPV. Uzani dokotala wanu ngati banja lanu lili ndi khansa, makamaka khansa ya pachibelekero.