Ithetha Ntoni Ukuba Uvavanyo Lwam lwePap Smear aluqhelekanga?

Umxholo

• Yintoni onokuyilindela kuvavanyo lwakho lwePap
• Ukuqonda iziphumo zakho
• Amanyathelo alandelayo
• Ngubani omele afumane uvavanyo lwePap?
• Ngaba ndingalwenza uvavanyo lwePap ngelixa ndikhulelwe?
• Imbonakalo
• Iingcebiso zokuthintela

Yintoni iPap smear?

Uvavanyo lwePap smear (okanye uvavanyo lwePap) yinkqubo elula ejonga utshintsho kwiiseli ezingaqhelekanga kumlomo wesibeleko. Umlomo wesibeleko lelona candelo lisezantsi lesibeleko, elibekwe phezulu kwilungu lobufazi.

Uvavanyo lwePap smear lunokubona iiseli ezinokubakho kwangaphambili. Oko kuthetha ukuba iiseli zinokususwa ngaphambi kokuba zibe nethuba lokukhula libe ngumhlaza womlomo wesibeleko, elenza ukuba olu vavanyo lube ngumsindisi onokubakho.

Kule mihla, kunokwenzeka ukuba uyive ibizwa ngokuba luvavanyo lwePap kunokuba yenze iPap smear.

Yintoni onokuyilindela kuvavanyo lwakho lwePap

Nangona kungekho lungiselelo lokwenyani luyimfuneko, kukho izinto ezimbalwa ezinokuchaphazela iziphumo zePap. Ukufumana iziphumo ezichanekileyo, thintela ezi zinto kangangeentsuku ezimbini ngaphambi kovavanyo lwakho olucwangcisiweyo:

• iisampulu
• suppositories lobufazi, izithambiso, amayeza, okanye douches
• umgubo, ukutshiza, okanye ezinye iimveliso zokuya exesheni
• isondo

Uvavanyo lwePap lunokwenziwa ngexesha lakho, kodwa kungcono ukuba uyicwangcisile phakathi kwamaxesha.

Ukuba uke wakha uviwo lwe-pelvic, uvavanyo lwePap alufani kakhulu. Uya kulala etafileni kunye neenyawo zakho kwi-stirrup. I-speculum iya kusetyenziselwa ukuvula ubufazi bakho kwaye uvumele ugqirha wakho ukuba abone umlomo wakho wesibeleko.

Ugqirha wakho uya kusebenzisa i-swab ukususa iiseli ezimbalwa kumlomo wakho wesibeleko. Baya kubeka ezi seli kwisilayidi seglasi esiya kuthunyelwa elebhu ukuvavanywa.

Uvavanyo lwePap lusenokungonwabi, kodwa ngokubanzi alunantlungu. Inkqubo yonke akufuneki ithathe ngaphezu kwemizuzu embalwa.

Ukuqonda iziphumo zakho

Kuya kufuneka ufumane iziphumo zakho kwiveki enye okanye ezimbini.

Kwiimeko ezininzi, isiphumo “sesiqhelo” sePap smear. Oko kuthetha ukuba abukho ubungqina bokuba uneeseli zomlomo wesibeleko ezingaqhelekanga kwaye ngekhe ufune ukucinga ngako kwakhona de kuvavanywe uvavanyo olulandelayo.

Ukuba awufumani iziphumo eziqhelekileyo, oko akuthethi ukuba unomdlavuza. Akuthethi nokuba akukho nto iphosakeleyo.

Iziphumo zovavanyo zinokungangqinelani. Esi siphumo ngamanye amaxesha sibizwa ngokuba yi-ASC-US, nto leyo ethetha ukuba iiseli ezinobungqingili ngokubaluleka okungamiselwanga. Iiseli zazingakhange zibonakale zifana neeseli eziqhelekileyo, kodwa zazingenakho ukwahlulwa njengezingaqhelekanga.

Ngamanye amaxesha, isampulu engalunganga inokukhokelela kwiziphumo ezingathandekiyo. Oko kunokwenzeka ukuba usandul 'ukuba neentlobano zesini okanye usebenzise imveliso yokuya exesheni.

Iziphumo ezingaqhelekanga zithetha ukuba ezinye iiseli zomlomo wesibeleko zitshintshile. Kodwa oko akuthethi ukuba unomhlaza. Ngapha koko, uninzi lwabasetyhini abanesiphumo esingaqhelekanga abanaso umhlaza womlomo wesibeleko.

Ezinye izizathu zesiphumo esingaqhelekanga zezi:

• ukudumba
• usulelo
• iherpes
• itrichomoniasis
• I-HPV

Iiseli ezingaqhelekanga zikwinqanaba eliphantsi okanye kwinqanaba eliphezulu. Iiseli ezikumgangatho ophantsi ziqhelekile kancinci. Iiseli ezikumgangatho ophakamileyo zijongeka zincinci njengeeseli eziqhelekileyo kwaye zinokukhula zibe ngumhlaza.

Ubukho beeseli ezingaqhelekanga ziyaziwa njenge-dysplasia yomlomo wesibeleko. Iiseli ezingaqhelekanga ngamanye amaxesha zibizwa ngokuba yi-carcinoma in situ okanye ngaphambi komhlaza.

Ugqirha wakho uya kuba nakho ukucacisa iinkcukacha zesiphumo sePap, ukubakho kwe-positive-positive okanye ubuxoki-negative, kwaye ngawaphi amanyathelo ekufuneka ethathwe ngokulandelayo.

Amanyathelo alandelayo

Xa iziphumo zePap zingacacanga okanye zingahambelani, ugqirha wakho unokufuna ukucwangcisa uvavanyo oluphindaphindiweyo kungekudala.

Ukuba awunalo uvavanyo lwe-Pap kunye ne-HPV, uvavanyo lwe-HPV lunoku-odolwa. Yenziwa ngokufanayo kuvavanyo lwePap. Akukho lonyango oluthile lwe-HPV ye-asymptomatic.

Umhlaza womlomo wesibeleko nawo awunakufunyanwa ngovavanyo lwePap. Kuthatha uvavanyo olongezelelweyo ukuqinisekisa umhlaza.

Ukuba iziphumo zakho zePap azicacanga okanye azingqinelani, inyathelo elilandelayo liya kuba yicolposcopy. I-colposcopy yinkqubo apho ugqirha wakho esebenzisa i-microscope ukuhlola umlomo wakho wesibeleko. Ugqirha wakho uya kusebenzisa isisombululo esikhethekileyo ngexesha le-colposcopy ukunceda ukwahlula iindawo eziqhelekileyo kwizinto ezingaqhelekanga.

Ngexesha le-colposcopy, iqhekeza elincinci leethishu ezingaqhelekanga linokususwa kuhlalutyo. Oku kubizwa ngokuba yi-cone biopsy.

Iiseli ezingaqhelekanga zingatshatyalaliswa ngumkhenkce, owaziwa ngokuba yi-cryosurgery, okanye ususwe kusetyenziswa inkqubo ye-loop electrosurgical excision (LEEP). Ukususa iiseli ezingaqhelekanga kunokuthintela umhlaza womlomo wesibeleko ekubeni ukhule.

Ukuba i-biopsy iqinisekisa umhlaza, unyango luya kuxhomekeka kwezinye izinto, ezinje ngebakala kunye nebakala le-tumor.

Ngubani omele afumane uvavanyo lwePap?

Uninzi lwabasetyhini phakathi koba kufuneka bafumane uvavanyo lwePap rhoqo kwiminyaka emithathu.

Unokufuna uvavanyo rhoqo ukuba:

• usemngciphekweni omkhulu womhlaza womlomo wesibeleko
• uneziphumo zePap ezingaqhelekanga ngaphambili
• unamajoni omzimba abuthathaka okanye une-HIV
• Umama wakho wabhencwa kwi-diethylstilbestrol ngexa ukhulelwe

Kananjalo, abasetyhini abaphakathi kweminyaka engama-30 nama-64 kufuneka bafumane uvavanyo lwePap rhoqo kwiminyaka emithathu, okanye uvavanyo lwe-HPV rhoqo kwiminyaka emithathu, okanye uvavanyo lwePap kunye ne-HPV kunye rhoqo kwiminyaka emihlanu (ebizwa ngokuba kukuvavanywa ngokudibeneyo).

Isizathu soku kukuba kuvavanyo lwentsebenziswano kulindeleke ukuba lubambe okungaqhelekanga kunokuvavanywa kwePap kuphela. Ukuvavanywa kwendibaniselwano kukwanceda ukufumanisa okungaphezulu kweseli okungaqhelekanga.

Esinye isizathu sovavanyo lokudibana kukuba umhlaza womlomo wesibeleko uhlala ubangelwa yi-HPV. Kodwa uninzi lwamabhinqa ane-HPV awusoze ube nomhlaza womlomo wesibeleko.

Abanye abantu basetyhini banokungadingi kuvavanyo lwePap ekugqibeleni. Oku kubandakanya abasetyhini abangaphezu kweminyaka engama-65 abaye baneemvavanyo ezintathu eziqhelekileyo zePap ngokulandelelana kwaye khange babe neziphumo zovavanyo ezingaqhelekanga kule minyaka ili-10 idlulileyo.

Kananjalo, abasetyhini abaye basuswa isibeleko kunye nomlomo wesibeleko, esaziwa njenge-hysterectomy, kwaye abanayo imbali yovavanyo lwePap engaqhelekanga okanye umhlaza womlomo wesibeleko abanakubafuna, nokuba.

Thetha nogqirha wakho malunga nokuba kufuneka kangakanani kuvavanyo lwePap.

Ngaba ndingalwenza uvavanyo lwePap ngelixa ndikhulelwe?

Ewe, unokufumana uvavanyo lwePap ngelixa ukhulelwe. Unokuba nayo icolposcopy. Ukuba nePap engaqhelekanga okanye icolposcopy ngelixa ukhulelwe akufuneki ichaphazele umntwana wakho.

Ukuba ufuna unyango olongezelelweyo, ugqirha wakho uya kukucebisa ukuba kufuneka alinde de umntwana wakho azalwe.

Imbonakalo

Emva kovavanyo lwePap olungaqhelekanga unokufuna uvavanyo rhoqo rhoqo kangangeminyaka embalwa. Kuxhomekeka kwisizathu sesiphumo esingaqhelekanga kunye nomngcipheko wakho kumhlaza wesibeleko.

Iingcebiso zokuthintela

Esona sizathu siphambili sovavanyo lwePap kukufumana iiseli ezingaqhelekanga ngaphambi kokuba zibe nomhlaza. Ukunciphisa amathuba akho okufumana i-HPV kunye nomhlaza womlomo wesibeleko, landela ezi ngcebiso zokuthintela:

• Gonya. Kuba umhlaza womlomo wesibeleko uhlala ubangelwa yi-HPV, uninzi lwabasetyhini abangaphantsi kweminyaka engama-45 ubudala kufuneka bagonyelwe i-HPV.
• Ziqhelise ngesondo elikhuselekileyo. Sebenzisa iikhondom ukunqanda i-HPV kunye nezinye izifo ezosulela ngokwabelana ngesondo.
• Ishedyuli yovavanyo lonyaka. Tshela ugqirha wakho ukuba ukhulisa iimpawu zesibeleko phakathi kotyelelo. Landela njengoko ucebisile.
• Vavanywa. Ishedyuli yovavanyo lwePap njengoko kucetyisiwe ngugqirha wakho. Cinga uvavanyo lwePap-HPV. Xelela ugqirha wakho ukuba usapho lwakho lunembali yomhlaza, ngakumbi umhlaza womlomo wesibeleko.