Kugadzirisa Mutauro Wemuedzo Wako Mhinduro
Zvinogona kutyisa kuwana Pap yako smear migumisiro kubva kuchiremba wako. "Kazhinji" iri nyore kunzwisisa. Zvisinei, kana uine Pap smear isina kukodzera , zvingava zvakaoma kuziva kana zvibereko zvachose iwe unoda kuva nehanya nazvo. Ichi chinyorwa chePas smear zvigumisiro zvingakubatsira kuti unzwisise kuti chiremba wako ari kuedza kukuudza chii. Kana iwe unowedzera kunzwisisa, zviri nyore kuti uite zvisarudzo zvine ruzivo pamusoro pekuchengetedza.
Kazhinji
Chimwe chiitiko cheP Pap smear chinoreva kuti masero ose ari muzamu akacherechedza nzira yaanofanira. Zvimwe zvinotevera hazviratidzi. Iwe unofanirwa kuenderera mberi kuongororwa maererano nemitemo yezvino.
ASCUS
ASCUS inomirira Atypical Squamous Cells yeUndetermined Significance . Mune mamwe mazwi, pane masero e squamous asingatarisi akajeka. Zvisinei, masero iwayo haasi asina kukwana zvokuti anonzi dysplasia .
ASCUS ndiyo yakajairika yakawanda yeP Pap smear. Kazhinji hazvina chinhu chokufunganya pamusoro. Kunyange zvazvo ASCUS inogona kukonzerwa nehutachiona hwepakutanga hweHVV, chirwere cheAASCUS chinogonawo kunge chikavapo nekutsamwiswa kubva pabonde kana kunyange yakaipa Pap smear technique. Kuongororwa kweAASUS kunowanzogadzirisa nguva nenguva pasina kupindira kana kurapwa.
Kutevera-ASCUS kazhinji kunodzokorora Pap smear pamwedzi mitanhatu. Kana izvozvo zvizere, saka hapana kuwedzera kutevera kunokosha. Panguva iyoyo, murwere anokwanisa kudzokera kunhepfenyuro yakarongwa yekuongorora.
Zvimwe, varwere vanorwara vane ASCUS vanogona kuongororwa neHIVV. Zvadaro, ani naani ane tariro yepamusoro-soro wechirwere angatumirwa kunowedzera kutevera, zvakadai seColposcopy kana LEEP . Mirayiridzo yekutevera inopesana nemakore nemamiriro ekudzivirira, asi ASCUS haiwanzodi kurwisa kutevera kana kurapa.
SIL
SIL imwe imwewo inowanzoitwa Pap smear. Izwi racho rinomiririra chirwere chinonzi squamous intraepithelial lesion. Zvipembenene zvinonzi squaous intraepithelial masero akawandisa akashandurwa nenzira inoratidza kuti vanozopedzisira vava kenza. Izvi, zvisinei, hazvirevi kuti vachave vane kenza. Kunyange pasina kurapwa, maitiro mazhinji eSIL achagadzirisa ivo pachavo.
Chirwere chinonzi squamous intraepithelial diagnosti inogona kugoverwa mumarudzi maviri: grade yepamusoro uye yepamusoro. Izvi zvakabatana kuCIN 1 neCIN 2 kana 3 kuongororwa, maererano.
LSIL / CIN 1: Kuderera kwechikwata chechigamu chinonzi intraepithelial lesions (LSIL) inenge nguva dzose chiratidzo chokuti mukadzi akabatwa neHIVV. Izvi zvinorevawo kuti chiremba achiverenga Pap smear kana biopsy aona zviratidzo zvinoita sepakutanga-danho risati rava nekenza.
LSIL zvirwere hazviwanzoitiki. Vanowanzozvigadzirisa pachavo pasina kurapwa. Muvakadzi vechidiki zvikuru, kutevera-kazhinji kunodzokorora Pap smear mumwedzi mitanhatu kana gumi nembiri. Kune vakadzi vakwegura, vakadzi vane makore ekuberekwa, maAmerican College of Obstetrics uye Gynecology (ACOG) mirayiridzo inoratidza kuti colposcopy inotarisa kuwanda kwekukuvara. Havaiti zvinoremekedza kurapwa. Pamusoro pevakadzi vanomira-menopausal, kutevera kunogona kudzokorora Pap smear, kuongorora HPV , kana colposcopy.
Nemhaka yokuti LSIL inogara ichirapa pachedu, vanachiremba vakawanda vanokurudzira nzira shomanana yekutsvaga-pane kurapa. Ichokwadi, iyo ACOG mirayiridzo inoti CIN 1 / LSIL haifaniri kutarisirwa kunze kwekunge yakaramba kwemakore anopfuura maviri, inopfuurira kuCIN 2 kana CIN 3, kana zvimwe zvipatara zvinosanganiswa. Kunyanya kurapwa, zvakadaro, kuchiri kuwanzana. Dzimwe nguva apo vanhu vanonzwa mutsara unoti "ma-cell-pre-cancer" vanofunga kuti vangave vakachengeteka kudarika kusuruvara, kunyange kana kurapa kunogona kuva nemigumisiro yakaoma.
HSIL / CIN 2-3: High grade squamous intraepithelial zilonda (HSIL) zvinowanzova chirwere chemukondombera kupfuura LSIL.
Zvisinei, dzakawanda zvezvipembenene izvi zvinoramba zvichizvidzorera pachavo. Carcinoma in situ, kana CIS, ndiyo inonyanya kukosha yeHSIL uye iyo inogona kufambira mberi nekenza. CIS inogonawo kuonekwa seCIN 3.
Mirayiridzo inotaura kuti mukadzi wese anoonekwa ane HSIL neP smear anofanira kuteverwa ne colposcopy. Munguva yekoroposcopy nzira , zvipembenene zvingave zvakasikwa, kana zvinogona kurapwa neLeEP , conization , kufungidza (cryotherapy), kana kuti laser therapy. Kune zviduku zvishoma zvakakwana, chirwere chinosungirirwa chinogona kunyanya kushandiswa semushonga.
ASC-H
Ichi chinyorwa chakaoma-chema chinomiririra kuti chiongororwe "masero eatypical squamous, haagoni kubvisa HSIL." Iro rinoreva kuti vanachiremba vane dambudziko rokuita kuongororwa. Iwe unogona kunge uine HSIL, iwe haungadaro. Vanachiremba havagoni kutaurira pasina imwezve miedzo. Kuitevera necolpcopyy inokurudzirwa.
AGC
Atypical glandular cells (AGC) inoreva kuchinja kumubereki wemukati usina kuitika mu squamous epithelium . Pane kudaro, masero asina kukodzera masero akaonekwa mumuenzaniso. Ichi chigumisiro chinoratidza kuti panogona kuva nekenza kumativi ekumusoro emukondombera kana chibereko.
Kutevedzera kweAAGC kunogona kusanganisira colposcopy, kuongororwa kweHVV, uye shanduro yemubhedha wemubereki wechiviri (endocervix) uye chibereko (endometrium). Kusarudzwa kwekutevera kunoenderana nemhando ipi yemasero asina kujairika akaonekwa mune smear. Mishonga ye AGC, kana zvichidikanwa, inonyanya kuipa kupfuura kurapwa kwechiremera chemasero esero.
Cancer
Kana wakamboonekwa kuti une kenza yemukomana , zvinoreva kuti mhirizhonga yemukirini wako haisati yanyanyisa. Iwe unogona kunge wakatumirwa kune oncologist kuti uwedzere kutevera uye kurapwa. Kuwanda kwekurapa kuchasiyana nekuoma kwekenza yako.
Sources:
> ACOG Komiti yeKubatsira Bulletins - Gynecology. ACOG Practice Bulletin no. 109: Cervical cytology kuongorora. Obstet Gynecol. 2009 Dec; 114 (6): 1409-20. doi: 10.1097 / AOG.0b013e3181c6f8a4.
> Corbelli J, Borrero S, Bonnema R, McNamara M, Kraemer K, Rubio D, Karpov I, McNeil M. Kusiyana pakati pevashandi vekuchengeta vana vavanotarisira muna 2009 ACOG mirayiridzo yekuongorora kenza yemukondombera. J Womens Health (Larchmt). 2014 May; 23 (5): 397-403. doi: 10.1089 / jwh.2013.4475.
> Munk AC, Kruse AJ, van Diermen B, Janssen EA, Skaland I, Gudlaugsson E, Nilsen ST, Baak JP. Cervical intraepithelial neoplasia grade 3 zvipembenene zvinogona kugadzirisa. APMIS. 2007 Dec; 115 (12): 1409-14. doi: 10.1111 / j.1600-0463.2007.00769.x.