Dzidza Zvakawanda Nezve Basa reChirvix Mukuberekwa Kwemadzimai
Vakadzi vanowanzotaura nezvechirwere maererano nekuberekwa, kana kuti pakuve neP Pap smear . Zvisinei, vazhinji havazivi kuti chivharox chii uye kuti chinoshanda sei. Tsvaga zvimwe zvekuti murwere wechibereko unoita sei basa rinokosha munharaunda yekuberekwa kwevakadzi.
Zvamunoda Kuziva Pamusoro Pechigumbu Chako
Muchibereko chemukati chikamu chemukati chechibereko.
Iyo inenge inenge masendimita masendimita yakareba, uye inotyisa mumamiriro.
Inowedzera panguva yekuberekwa kubvumira kudarika kwechecheche. Iko inobvumirawo kupera kwekuenda kwemwedzi kubva muchibereko, uye chirume chinoda kufamba mukati memuchivi kuitira kuti uwane chibereko.
Chirwere chechivharo chinokonzerwa nezvinetso zvehutano zvakasiyana-siyana, zvakadai sokuputika kwenguva refu, polyps , dysplasia , uye kenza. Zvinosuruvarisa, mamiriro emudzimai haasati aita zviratidzo mumatangiro ekutanga; saka, chirwere cheP Pap smear chinobva kune gynecologist chinokosha. Apap smear inogona kuratidza kushanduka kwechirwere chechibereki vasati vasvika pakuva nekenza.
Mushonga wekenza wechikwereti kuongororwa kwakaitwa neAmerican Congress of Obstetricians uye Gynecologists (ACOG) muna February 2016 inoratidza kuti:
- Vakadzi vanofanira kuva neP premi smear yavo pazera remakore 21. (Mhemberero yekare yakaratidza kuti vakadzi vane Pap yavo yekutanga makore matatu mushure mekuita zvepabonde kana vava nemakore 21-chero yakasvika pakutanga.)
- Vakadzi vane makore makumi maviri nemakumi maviri nemaviri nemakumi maviri nemakumi maviri nemashanu vanofanira kuva nePap test oga oga kwemakore matatu. Kuongorora kweHIVV hakubatsiri.
- Vakadzi vane makore 30-65 vanofanira kuva nePe test uye kuongororwa kweVHV (co-test) makore mashanu (anosarudzwa). Izvo zvinogamuchirwa kuva nePap test oga oga makore matatu.
- Vakadzi vane makore 65 kana kupfuura vanofanira kurega kuva nechirwere chekenza chemukati chekenza kana vasina nhoroondo yekuenzanisa kana kuti yakakomba masero emukondomu kana chirwere chepervical, uye kana vakave nemitemo mitatu yakaipa yePap mutsara mumutsara kana miviri yakaipa mhinduro mumutsara mukati memakore gumi apfuura, pamwe nemuedzo wekupedzisira wakaitwa mukati memakore mashanu apfuura.
- Vakadzi vanga vane hysterectomy vanofanira kubvunza chiremba wavo kana kana vachiri kuda kuongorora. Mhinduro yacho inotsamira pane zvimwe zvinhu, kusanganisira kana chivharox yakabviswa, nei hysterectomy yaidiwa, uye kana pane nhoroondo yekuenzanisa kana yakanyanya kervical cell inoshandura kana kenza yemukomana. Kunyange kana chivharox ichibviswa panguva ye hysterectomy, masero emukondomu anogona kunge aripo pamusoro pemukadzi. Kana uine nhoroondo yemukenza wechibereki kana kervical cell inoshanduka, unofanira kuramba uine kuongorora kwemakore makumi maviri mushure mekurohwa kwako.
Anatomy yeCarvix
Zviverengeka zvakakosha zvinoita kuti zvive nehutachiona hwebasa. Iyi nharaunda yemukirini inowanzokurukurwa panguva yekuzvitakura, Pap smears, uye miviri yepolposcopy . Zvakakosha kuti uzive navo kuitira kuti unzwisise kuchinja kunogona kuitika mumuviri wako. Idzi ruzivo ruchakubatsirawo kunzwisisa zvirwere, kufanana nePap smear kana colposcopy.
- Endocervical Canal: Iyi ndiyo nzvimbo inogona kuitika mukati mehubhu yeiviri iyo ndiyo chivharox. Munguva ye colposcopy, chiremba angatora sampu yemasero mumugero we endocervical. Izvi zvinonzi " endocervical curettage" (ECC).
- Ectocervix: Iyi ndiyo chikamu chepakati chechirwere chinopinda mukati memudzimai.
- Mukati Os: Iyi chikamu chechirwere chinoswedera pedyo nechibereko . Panguva yekuzvitakura uye kubereka, unogona kunzwa chiremba achitaura nezve "os."
- Kunze Os: Uyu ndiwo mukova we ectocervix.
- Transformation Zone: Izvi zvinonziwo "TZ" yepfupi. Iyi ndiyo nzvimbo yemukatidzi apo kervical dysplasia inowanzoitika. Iyo inoshandurwa nzvimbo inogara ichikurukurwa panguva yekuongorora colposcopy.
Zvakare, kuva nePap smear nguva dzose kunobatsira kuona chero kushanduka kupi kwepakutanga mumasero emakemikari anogona kutungamirira kumuchirwere wechibereki; zvisinei, iwe unofanira kuziva kuti ruzhinji rwemap smear asingakanganisi ndewekuputika kana utachiona.
> Kwakabva:
> Cervical Cancer Screening. https://www.acog.org/Patients/FAQs/Cervical-Cancer-Screening