Khansara ya chiberekero inali imodzi mwa zifukwa zazikulu za khansa yakufa ku America. Zomwe zasintha ndi kupezeka kwopezera machitidwe a chiberekero. Akagwidwa msanga, khansara ya chiberekero nthawi zambiri imatha kuchiritsidwa.
Mwatsoka, kuyang'ana khansa ya chiberekero sikupezeka nthawi zonse. Izi zikuchitika makamaka m'mayiko ambiri omwe akutukuka, komanso m'madera omwe ali ndi ndalama zambiri zowonetsera ndi kuchipatala.
Mapuloteni a Pap amaonedwa kuti ndi golide woyang'anira machitidwe a chiberekero. Mwatsoka, amafuna akatswiri aluso ndi ma laboratories abwino kuti agwire ntchito. Mayeso a HPV ndi abwino kuzindikira amayi omwe ali pachiopsezo cha khansa. Komabe, iwo sadziwa kwenikweni kuti ali ndi khansa ndipo amabwera ndi ndalama zochepa. Nchifukwa chake madokotala apanga mayeso odziwika ngati kuyang'anitsitsa zithunzi ndi acetic acid (VIA). Ziri zotsika mtengo, zosavuta, komanso zothandiza.
Kodi Kuwonekera Kwambiri ndi Acetic Acid ndi chiyani?
Kuyang'anitsitsa kwa Acetic Acid, kapena VIA, kumveka ngati njira yowopsya yoyezetsa khansa ya pachibelekero. Zoona zake ndi zophweka. Mayeso a HPV amayang'ana HPV DNA, ndipo amafuna akatswiri aluso. Mapuloteni a Pap amayang'ana kusintha kwa maselo ang'onoang'ono m'thupi, ndipo amafuna odwala matenda opatsirana pogonana, VIA amalola madokotala kuti awone bwinobwino zilonda ndi zina zomwe zimachitika pachibelekero chomwe chili chachikulu, mwina, chosowa chithandizo.
Mchitidwe wa VIA ndi wowongoka.
Wopereka chithandizo chamankhwala amangoswa vinyo wosasa, mwachitsanzo asidi asidi, pamimba. Kenako amayang'ana malo omwe amasintha mtundu. Matenda a chiberekero sangakhale osakhudzidwa ndi asidi acetic. Mosiyana, minofu yowonongeka - monga yomwe imapezeka mu chisanadze khansa kapena khansa - imatembenuka yoyera. Wothandizira angathe kuchotsa minofu yowonongeka pomwepo pogwiritsa ntchito cryotherapy kapena njira zina .
Angathe kupanga chidziwitso chotsatira.
Kafukufuku ambiri apeza kuti VIA, ndi msuweni wake VLI - kuyendera maonekedwe ndi ayodini a Lugol - ali ochepa kwambiri kuposa mapepala a Pap, koma ndi ovuta kwambiri . Mwachidule, izo zikutanthauza kuti nthawi zambiri amazindikira zilonda zoyambirira koma amakhalanso ndi chinyengo chachinyengo . Izi zingawathandize kupeza mankhwala. M'madera osauka omwe amai ambiri akufabe ndi khansa ya pachibelekero, maboma ena aganiza kuti ndizofunikira malonda.
Zonsezi, VIA zikuwoneka kuti ndi njira yabwino kwambiri yowunikira khansa ya chiberekero yogwiritsidwa ntchito muzokhazikitsa zochepa. Zimagwira ntchito bwino pamene zolemba za Pap ndi ma HPV siziyenera chifukwa cha kusowa kwa luso kapena mtengo wapamwamba. Chimodzimodzinso ndi chakuti VIA ndi yothandiza kwambiri monga Pap smear. Ndi nkhani yodziwa kuti ndi yani yomwe ili yoyenera muzochitika zilizonse. Izi zimadalira zachuma komanso kupezeka kwa ogwira ntchito ophunzitsidwa kuti ayese kufufuza ndikutsata.
Ndiyeneranso kukumbukira kuti VIA ali ndi mwayi kwa odwala omwe athandizidwa kale omwe angakhale ndi vuto loti athandizidwe. WIth VIA, kufufuza ndi chithandizo zikuchitidwa paulendo womwewo.
Palibe chifukwa chodikirira zotsatira ndikubwerera kwa dokotala. Pali anthu ambiri padziko lapansi amene kupita kwa dokotala amafuna nthawi yambiri, ndalama, ndi kukambirana. Kwa iwo kukwanitsa kuthana ndi kuwonetsetsa ndi chithandizo pa ulendo umodzi mukhoza kuchepetsa kwambiri mavuto aumwini ndi achuma a chithandizo chamankhwala.
Zotsatira:
Chumworathayi B, Limpaphayom K, Srisupundit S, Lumbiganon P. VIA ndi cryotherapy: kuchita zomwe ziri bwino. J Med Assoc Thai. 2006 Aug, 89 (8): 1333-9.
Gaffikin L, Lauterbach M, Blumenthal PD. Kuchita kawonekedwe kawonekedwe ndi acetic asidi kwa kuyang'anira kansa ya chiberekero: chidule cha umboni mpaka lero. Chosowa Gynecol Surv. 2003 Aug; 58 (8): 543-50
> Shiferaw N, Salvador-Davila G, Kassahun K, Brooks MI, Weldegebreal T, Tilahun Y, Zerihun H, Nigatu T, Lulu K, Ahmed I, Blumenthal PD, Asnake M. Njira Yodzichezera Yoyenda ngati Khwangwala wa Khansara Pakati pa Akazi Omwe Ali ndi HIV ku Ethiopia: Zopindulitsa ndi Zophunzira Zaphunzira. Glob Health Sci Pemphani. 2016 Mar 25; 4 (1): 87-98. onetsani: 10.9745 / GHSP-D-15-00325
> Sinha P, Srivastava P, Srivastava A. Kuyerekezera Kuwunika Kwambiri ndi Acetic Acid ndi Pap Smear kwa Kuyeza Khansa ya M'kamwa. Acta Cytol. 2018; 62 (1): 34-38. lembani: 10.1159 / 000484036.
Qureshi S, Das V, Zahra F. Kufufuza kwa kuyang'anitsitsa maso ndi asidi acetiki ndi ayodini a Lugol monga zida zowononga khansa ya pachibelekero. Chiphunzitso Chachidwi. 2010 Jan; 40 (1): 9-12.