Momwe Kuopsa kwa Khansa ya M'chiberekero Kunandipangitsa Kutenga Thanzi Langa Pogonana Kwambiri

Zamkati

• Onaninso za

Ndisanapime mayeso a Pap zaka zisanu zapitazo, sindinkadziwa kuti zikutanthauza chiyani. Ndakhala ndikupita ku gyno kuyambira ndili wachinyamata, koma sindinaganizepo za zomwe Pap smear inali kuyesa. Ndinkangodziwa kuti ndikadakhala ndi "kusokonekera", monga momwe doc anga amanenera nthawi zonse, kenako zimatha. Koma dotolo wanga atandiimbira kuti andiuze kuti ndikufunika kuti ndibwererenso kukayesedwa, ndinali ndi nkhawa kwambiri. (Apa, pezani zambiri zamomwe mungafotokozere zotsatira zanu zachilendo za Pap smear.)

Ananditsimikizira kuti ma Paps achilendo ndi abwinobwino, makamaka kwa amayi omwe ali ndi zaka za m'ma 20. Chifukwa chiyani? Chabwino, mukakhala ndi zibwenzi zambiri zomwe mumagonana nazo, m'pamenenso mumatha kutenga kachilombo ka papillomavirus (HPV), yomwe ndiyomwe imayambitsa zotsatira zachilendo. Ndinazindikira mwamsanga kuti chinali chifukwa changa, inenso. Nthawi zambiri, HPV imatha yokha, koma nthawi zina imatha kukhala khansa ya pachibelekero. Zomwe sindimadziwa panthawiyo ndikuti pali njira zingapo pakati pa kuyezetsa kuti ali ndi kachilombo ka HPV ndikukhala ndi khansa ya pachibelekero. Mutakhala ndi ma colposcopies angapo, njira zomwe zimachotsedwa pang'onopang'ono pachibelekero chanu kuti mufufuze bwino (inde, sizimamveka bwino momwe zimamvekera), tinazindikira kuti ndinali ndi zotupa zomwe zimadziwika kuti squamous intraepithelial zilonda zam'mimba. Imeneyi ndi njira yongonena kuti HPV yomwe ndinali nayo inali yotsogola kwambiri ndipo imatha kusintha khansa kuposa mitundu ina. Ndinachita mantha, ndipo ndinachita mantha kwambiri nditazindikira kuti ndiyenera kukhala ndi njira yochotsera minofu yanga pachibelekeropo yomwe idakhudzidwa, ndikuti iyenera kuchitidwa ASAP-isanafike poipa. (Malinga ndi kafukufuku watsopano, khansa ya pachibelekero ndiyabwino kuposa momwe idaganizidwira kale.)

Patangotha ​​milungu iwiri nditadziwa za Pap yanga yosadziwika bwino, ndinali ndi chinthu chotchedwa loop extrosurgical excision process, kapena LEEP mwachidule. Kumaphatikizapo kugwiritsa ntchito waya woonda kwambiri wokhala ndi mphamvu yamagetsi kuti muchotse minyewa ya khomo pachibelekeropo. Nthawi zambiri, izi zimatha kuchitika ndi mankhwala ochititsa dzanzi am'deralo, koma pambuyo poyesera komwe kudasokonekera (zikuwoneka kuti, mankhwala oletsa ululu am'deralo sathandiza aliyense momwe amayenera kukhalira, ndipo ndidapeza kuti njira yovuta ...), ndinali kupanga ulendo wachiwiri kuchipatala kukachita. Nthawi ino, ndidakhala pansi. Pambuyo pa masabata asanu ndi limodzi, ndidadziwika kuti ndili wathanzi ndipo ndili wokonzeka kupita, ndipo adauzidwa kuti ndiyenera kukachita Pap smear miyezi itatu iliyonse chaka chamawa. Kenako, ndinkabwerera kukakhala nawo kamodzi pachaka. Tingonena kuti sindine wodwala wamkulu, ndiye pambuyo pa zonse zomwe zidanenedwa ndikuchitidwa ndidadziwa kuti sindimafunanso kuti ndidutsenso njirayi. Popeza pali mitundu yopitilira 100 ya HPV, ndidadziwa kuti kunali kotheka kuti nditha kuyitenganso. Ndi mitundu yochepa chabe ya mitundu ina imene imayambitsa khansa, koma panthawiyi sindinkafuna kuchita mwayi uliwonse.

Nditafunsa dokotala wanga momwe angaletsere vutoli kuti lisachitikenso, malangizo ake adandidabwitsa kwambiri. "Khalani ndi mkazi mmodzi," adatero. "Awo ndi anga kokha "Ndinaganiza.Ndinali kuthana ndi zoopsa za chibwenzi cha New York City panthawiyo, ndipo panthawiyi sindinathe kulingalira kuti ndingakumane ndi munthu yemwe ndikufuna kupita naye masiku opitilira asanu, osaleka kupeza mnzanga wamoyo wonse. Nthawi zonse ndimakhala ndikumaganiza kuti bola ndikadakhala otetezeka zokhudzana ndi kugonana, kusankha kuti ndisakhazikike sikungasokoneze thanzi langa. Nthawi zambiri ndimagwiritsa ntchito kondomu ndikuyesedwa matenda opatsirana pogonana pafupipafupi.

Ngakhale mutagwiritsa ntchito kondomu nthawi zonse pogonana, mutha kutenga HPV chifukwa makondomu samapereka. wathunthu chitetezo pa izo. Ngakhale mutagwiritsidwa ntchito moyenera, mutha kukhudzana ndi khungu ndi khungu mukamagwiritsa ntchito kondomu, momwemonso HPV imapatsirana kuchokera kwa munthu kupita kwa wina. Wopenga kwambiri, sichoncho? Sindinaganize kuti panali cholakwika chilichonse posafuna kukhala amuna okhaokha (ndipo osatero), kotero zinali zovuta kumvetsetsa kuti malingaliro anga okhudzana ndi kugonana anali otsutsana mwachindunji ndi zomwe zinali zabwino pa thanzi langa lachiwerewere. Kodi njira yanga yokhayo ndiyokhazikikirira zaka 23 ndikuganiza zogonana ndi munthu m'modzi moyo wanga wonse? Sindinali wokonzeka kutero.

Koma malinga ndi dokotala wanga, yankho linali loti inde. Kwa ine, izi zimawoneka ngati zopitilira muyeso. Anandiuza mobwerezabwereza kuti ocheperako omwe muli nawo, amachepetsa chiopsezo chotenga HPV. Ndithudi, iye anali wolondola. Ngakhale mutha kupeza HPV kuchokera kwa mnzanu wanthawi yayitali zomwe zingatenge zaka kuti ziwonekere, thupi lanu likangotsuka zovuta zilizonse zomwe muli nazo, simudzatha kuzipezanso. Bola inu ndi okondedwa wanu mukungogonana ndi wina ndi mzake, ndi bwino kuti mutengerenso kachilomboka. Panthawiyo, ndinali wodabwitsika ndichakuti chinthu chabwino kwambiri chomwe ndikadachita kuti nditeteze thanzi langa ndikugonana kwenikweni sikunayenera kugonana mpaka nditapeza "ameneyo." Bwanji ngati sindinamupeze munthu ameneyo? Ndingokhala mbeta mpaka kalekale!? Kwa zaka zingapo zotsatira nthawi iliyonse ndikaganiza zogonana ndi munthu, ndimayenera kudzifunsa kuti, "Kodi izi ndi izi kwenikweni ndizofunika?" Lankhulani za kupha munthu. (FYI, matenda opatsirana pogonanawa ndi ovuta kwambiri kuchotsa kusiyana ndi kale.)

Zowona, sizinakhale chinthu choyipa chonchi. Nthawi zonse ndikaganiza zogonana ndi munthu wina zaka zingapo pambuyo pake, sikuti ndimatsatira njira zogonana zotetezeka m'kalata, komanso ndimadziwa kuti ndinali ndi malingaliro amphamvu okhudza munthu winayo kuti ndiyenera kukhala pachiwopsezo chomwe ndinali nacho. moyang'anizana. Kwenikweni, izi zikutanthauza kuti ndinali wotanganidwa kwambiri ndi munthu aliyense yemwe ndimagona naye. Ngakhale ena anganene kuti ndi momwe ziyenera kukhalira nthawi zonse, sindimalembetsa nawo kusukulu yolingalira. Mwachizoloŵezi, komabe, ndinadzipulumutsa ndekha mavuto ambiri. Popeza ndinali ndi zibwenzi zochepa zomwe ndimazidziwa bwino, ndidakhala ndi vuto locheperako pambuyo pa kugonana. Anthu ena sangasangalale nazo, koma ngakhale sindinali ndi ndalama zambiri mwa munthu wina, gawo lamatsenga nthawi zonse limayamwa.

Tsopano, patatha zaka zisanu, ndimakhala pachibwenzi chokhalitsa chokha. Ngakhale sindinganene kuti zidachitika mwachindunji chifukwa cha zomwe ndidakumana nazo kapena upangiri wa dokotala wanga, ndizotsitsimula pomwe zomwe mtima wanu ukufuna komanso zomwe zingakuthandizeni kuti mukhale ndi thanzi labwino zichitike. Ndipo osasowa kuda nkhawa za HPV momwe ndimachitira kale? Chikondi.

Onaninso za