A hysterectomy inoreva kubviswa kwechibereki uye dzimwe nguva chibereko chechirwere . Mune zviitiko zvakawanda, hysterectomy inobatwa nokuda kwechiremera (kwete chekenza) mamiriro akadai sewe uterine fibroids kana kushaya ropa rinokonzera ropa. Asi dzimwe nguva zvakaitwa kurapa kenza.
Kuziva kuti sei iwe wakanga uine hysterectomy inokosha, sekuziva kana chivharox yako yakabviswa nechibereko chako uye kana iwe une nhoroondo yemukenza wechibereki kana chero Pap smear isina kukodzera.
Izvi ndezvikonzero izvi zvinogadzirisa kana iwe uchida kupfuurira Pap smears mushure mekuvhiyiwa kwako.
Kunyange zvazvo chiremba wako achifanira kunge ane ruzivo urwu zvose, zvakakunakira iwe kuti uzvizive zvakare-nenzira iyi hapana chinodonha kuputika, uye kana zviri nani, unogona kunzwa zvakanaka pamusoro pekuve pamusoro pehutano hwako.
Pap Smear Mushure Mokunge Total Hysterectomy
Vakadzi vane chirwere chakakwana kana chakazara (zvinoreva kuti chibereko chechirwere chechirwere zvose zvakabviswa) hazvifaniri kutora pap smears-kunze kwekuti, uye ichi chikuru chevhaveat, hysterectomy yakaitwa semushonga wepervical pre -cancer kana kenza.
Muchiitiko ichi, pachinogona kuve nemasero emiromo yepervical aripo pamusoro pemukadzi, saka kuongororwa kwekenza yemucheche maererano nemirairo yenguva dzose inofanira kuitwa.
Chechivhavha yechipiri ndechokuti kunyange kana mukadzi aine hysterectomy, anoramba achitsvaga Pap smears kana ane nhoroondo yekenza yemucheche kana nhoroondo yekervical cell shanduko, kunyanya chibereki intraepithelial neoplasia II kana III (inonzi CIN2 kana CIN3 ) -kuenzanisira kusvika zvakanyanya kusina masero ekukura mumuviri wechibereko.
CIN2 kana CIN 3 inorapwa munguva ye colposcopy ne biopsy (kana chiremba wako akatora samuti yemukirini wako uye anotarisa pasi pema microscope).
Maererano neAmerican College of Obstetrics uye Gynecologists (ACOG), mukadzi ane nhoroondo yekenza yemukondombera kana kervical cell change (CIN2 kana CIN3) inofanira kupfuurira pap smears kwemakore makumi maviri mushure menguva ye hysterectomy.
Pap Smear Mushure mekudzivirira kweHysterectomy
Kune rumwe rutivi, vakadzi vanobata hysterectomy umo murwere wechibereko wakasara munzvimbo (zvinonzi sechisarudzo che hysterectomy, subtotal hysterectomy , kana supra-cervical hysterectomy) inofanira kutevera mapepa ep smear sezvaanoita.
Mune mamwe mazwi, kune avo vane hutachiona hwehutachiona hwehutano, mitsara yakafanana nemukadzi asina kumboita hysterectomy, sezvo chibereko chechibereko chiripo.
Iyo Pap Smears Inoitwa Kana Chigodo Chave Chibviswa
A Pap smear inzira inobatsira zvikuru yekuongorora kenza yemukomana, kunyange kana chivharocho chabviswa. Munguva yePeap smear, mushure mekunge chivharocho chabviswa, chiremba anounganidza sampuko kubva mumudzimai wevakadzi, iyo yakakwirira iyo iyo chibereko chechivharo chaimbove chiripo.
Kunyange zvazvo izvi zvingava zvakaoma kuputira musoro wako zvakapoteredza (uye ndizvo Zvakanaka), chinonyanya kukosha ndechokuti kunyange kana chibereko chako chechivharo chakabviswa, kervical cells (izvo zvisingaoneki) dzinogona kuramba dzichiri pamusoro pemudzimai-uye seimwe sero, vanogona kuchinja uye kuva kenza, saka kuedza kwavo nguva dzose ndicho chinokosha.
Purogiramu yePelvic Yese yegore negore Inenge ichidikanwa Mushure meHysterectomy
Kuongorora kwepelvic gore negore, uyewo kunonzi semukadzi akanaka-kutarisa, inguva yekuti vanachiremba vasangoita Pap smear asiwo muchengeti kune mamwe matambudziko edzimai, ose ane kenza uye kwete.
Semuenzaniso, panguva yekushanyirwa kwemukadzi, chiremba angangoita mazamu kuongororwa, pamwe nekuongororwa pamashizha, anonzi kuongorora bimanual.
Mukuwedzera, kushanyira mukadzi akanaka kunopa mukana kuvanachiremba kupa zano pamusoro pokurarama hutano hwakanaka, kutarisira majekiseni anodikanwa, uye kurukura nhamo chero ipi zvayo kana zvinetso mukadzi angave (semuenzaniso, kubuda kwechikadzi chisina kuchena kana kurwadziwa nekuita zvepabonde).
Shoko Rinobva
Yeuka, chiremba wako ndiyo yako yakanakisisa inopa ruzivo rwehutano. Mushure mokunge uine hysterectomy, bvunza kana chivharox yako yakachengetedzwa kana kubviswa. Kunyange zvazvo chiremba wako angangodaro akajekesa izvi zvisati zvambovhiyiwa, pane dzimwe nguva apo chiremba anofunga kubvisa kana kuchengeta chibereko chechirwere panguva yekuvhiya chaiye.
Uyewo, usanetseka kana usina chokwadi kana chibereko chechirwere chako chakabviswa. Chiremba wako anogona kuita mutsara wepilvic kuti uone.
Pakupedzisira, ipe simba uye uite zvakanaka uye uone chiremba wako kumukadzi wako akanaka, anosvika pachirwere ichi kana kwete.
> Sources:
> America Cancer Society. (2012). Cervical Cancer Screening Guidelines.
> American College of Obstetrics uye Gynecologists. (2016). Cervical Cancer Screening.
> American College of Obstetrics uye Gynecologists. (2016). Mutsara weKomiti: Well-Woman Visit.
> Feldman S, Goodman A, Peipert JF. Kuongorora kwekenza yemumuromo wechibereko. Goff B, Elmore JG, eds. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Sawaya GF. Kudzokorora-kutaridzika gore rakanaka-mukadzi anoshanyira. Obstet Gynecol . 2015 Nha.; 126 (4): 695-96.