Chii Chinonzi Pap Smear Isina Kunakisisa?

Zvinokonzera zvinokonzerwa nekuputika kwakanyanya kune kenza

Kana wakamboudzwa kuti une Pap smear isina kukodzera, yako yekutanga inogona kunge iri kutyisa kana kutya zvakanyanya. Izvo zvinowanzoitika.

Asi chii "chisina kujairika" chaizvoizvo chinoreva mukati mechirevo cheP Pap smear, uye chii chaunoda kuita kana iwe uine imwe?

Kunzwisisa Pasina Kunaka Pap Smears

Pap Smear isinganzwisisi inongoreva kuti kuongorora kukuru kwemasero akatorwa kubva mumuviri wako wakanga usina kufanana neunyanzvi hwebasa angatarisira.

Ikoko kunogona kuva nezvikonzero zvizhinji zveizvi, kushandura gamba kubva mukudzikama kwechirwere kune kenza yemukomana.

Pakupedzisira, zvose zvinotitaurira ndezvekuti chibereko chechivivhisi chinoda kuongororwa. Mune zvimwe zviitiko, iwe unogona kuendeswa kuongorori wekolposcopic uye biopsy; pane imwe nguva, unogona kubvunzwa kudzoka kuti udzoke Pap smear mumakore matatu.

Abnormal Pap smears zvinyatsozivikanwa chaizvo. Maererano neCenters for Disease Control and Prevention (CDC), vakadzi vanenge mamiriyoni matatu vanogamuchira zvipembenene zveP smear gore negore. Pakati pezvi, zvakapoteredza 12 000 (kana zvinenge imwe chete muna 250) zvichaenderera mberi kune kenza yemukomana.

Nhamba Dzakaipa uye Kuvandudzwa kweCancer

Maitiro asina kunaka anonzi dysplasia. Iko chaiyo yekuenzanisa dysplastic masero inosanganisira:

• ASCUS (maatypical squamous cells asingazivikanwi zvisingazivikanwi)
• LGSIL (gorosi yakaderera checamous intraepithelial lesion)
• HGSIL (high grade squamous intraepithelial lesion)

• AGC (inypical maglandular cells paPap smear)

Iko huwandu hwemasero eDysplastic haupinduri kana kuti hunokonzera matambudziko. Pakati peavo vanochinja, vamwe vanozove vakananga , zvichireva kuti kune mukana wekuti vachava nekenza.

Zvimwe zvemasero acho zvinozofambira mberi kusvika padanga rechirwere chinonzi carcinoma in situ umo masero anova kenza asi akavharidzirwa kune izvo zvinonzi chidimbu chepasi (iyo yakatarisa inoparadzanisa mishonga yekervical kubva pasi pechipfuva chinogadzirwa).

Icho chete kana ichipararira kupfuura chikamu chepasi chepakati kuti chirwere chacho chinoratidzirwa sechirwere chemuchechi.

ASCUS Pap Smears

ASCUS (masayendisiti eatypical squamous asinganzwisisiki) isiri iyo yakajairika yakawanda yekusakosha, kuverenga kwevanenge 75 kubva muzana yezvose zvisingambofungi kuverengwa.

Masero ane masimba anobatsira kuita mhando dzomukati dzomukati unonzi intraepithelial layer. ASCUS inongoreva kuti masero akashanduka asi haasi kuratidza kusati-kenza. Kuchinja kunogona kukonzerwa nehutachiona hwehutachiwana kana, kazhinji kacho, utachiona hwepabonde hunonzi pillomavirus (HPV) yevanhu.

SIL Pap Smears

SIL (chirwere chinonzi squamous intraepithelial lesion) chinoreva kuchinja kusina kuchena mumasero anokanganisa akaumbwa neshungu. SIL haisi kuongororwa kwepamberi kana kenza. Zvinongova zvisiri izvo zvakagadziriswa pahukuru hwavo, maitiro, uye maitiro avo, sezvinotevera:

• LGSIL (masero emakiromita emakiromita emakiromita) anonyatsonaka, kazhinji nekuda kwehutachiona hweHIV. Zvakawanda zvezvirwere izvi zvinopera pasina kurapwa.
• HSIL (yakakwirira-grade intraepithelial cells) inoreva kuchinja kunogona kubatanidzwa nekufambiswa kwemasero akachengeteka.

AGC Pap Smears

AGC (atypical magnometic cells) ndeimwe rudzi rwechiremba rinofukidza mukana wemukati wemukirini pamwe nechiberekero.

Mhinduro ye AGC inoreva kuti kuchinja mumasero aya kunomutsa kushushikana pamusoro pekuvapo kwechirwere chekare kana kenza.

Chii Chinoitika Kana Iwe Une Papasipo Pap Smear

Chiremba wako anogona kukurudzira miedzo yakawedzerwa kana chiitiko chaP Pap smear chisina kuwanikwa chinogamuchirwa. Izvi zvichabva zvichienderana nekuraira kwebazi, hutano hwako huno, uye ruzivo rwechiremba wako kurapa.

Zvinogona kuitika zvinogona kusanganisira:

• kurindira kuongorora nekugara uchidzoka Pap smear kuongorora
• Kuongorora HPV (kusanganisira reflex HPV kuongorora inoshandisa masero kubva pap smear)
• colposcopy uye biopsy chero ipi zvayo isina kuchena
• endocervical sampling (iyo nzira iyo mucous membrane yechipical canal inogadzirwa uchishandisa chidimbu chakafanana neshinda inonzi curette)

• endometrial sampling (kubviswa kwemuenzaniso wezviviri kubva mumuviri kana chiremba wako achifungidzira masero asina kukwana anobva muchibereko)
• Kunyanya kusarudzwa ( cone biopsy ) kubvisa tsvina kana kukura

Mirayiridzo yekutevera inopesana nezera, dysplasia classification, uye mamiriro ehutachiona hweHIVV:

> Kwakabva:

> American College of Obstetrics uye Gynecology (ACOG). "Kuipa kweCervical Cancer Testing Results Results." Washington, DC; yakarongedzwa naJanuary 2016; FAQ 187.