A American College of Obstetricians and Gynecologists (ACOG) adawongolera ndondomeko yawo yowunikira khansa ya chiberekero kwa amayi mu 2009, ndipo zinawonjezeredwa mu 2012.
Mapepala a Pap Smear
- Akazi onse ayenera kukhala ndi mapepala oyambirira a Pap pamsinkhu wa zaka 21. Zotsatira zotsatilazi zimalimbikitsa amayi kukhala ndi Pap yawo yoyamba patatha zaka zitatu atagonana kapena ali ndi zaka 21 - chilichonse choyamba. Tsopano tikulimbikitsanso palibe kale kusiyana ndi zaka 21 ngakhale atayamba kugonana. Zaka 21 ndi zaka zoyenera mosasamala kanthu ndipo akhala akuchita chiwerewere.
- Akazi omwe ali ndi katemera wa HPV ayenera kutsata ndondomeko zomwezo.
- Azimayi azaka zapakati pa 21 ndi 30 ayenera kukhala ndi pap smear zaka zitatu. Izi zinakonzedwanso kuchokera kuzinthu zoyambirira zomwe ziyenera kuchitidwa chaka ndi chaka ndikusinthidwa kuchokera ku ndondomeko zomwe zichitike pakatha zaka ziwiri. Kwa zaka zino, kuyesa kwa HPV sikugwiritsidwe ntchito poyesa, koma kungagwiritsidwe ntchito kutsatila zotsatira zowonongeka za Pap.
- Azimayi azaka zapakati pa 30 ndi 65 ayenera kukhala ndi mayeso a Pap komanso kafukufuku wa HPV panthawi yomweyo, ndi zaka zisanu pakati pa mayesero. Ngati ali ndi mayeso a Pap okha, ayenera kukhala nawo kamodzi pakatha zaka zitatu.
- Azimayi oposa 65 mpaka 70 omwe akhala ndi zotsatira zitatu zofanana za Pap smear ndipo palibe zotsatira zosayembekezereka zaka khumi zapitazi zitha kusiya zonsezi. Ngati atakhala ndi khansa yapadela (CIN2 kapena CIN3) ayenera kupitiliza kuyesedwa kwa zaka 20 mutatha kupeza.
- Azimayi amene adzizidwa ndi hysterectomy chifukwa chokhala opanda chikhalidwe ndipo sanakhalepo ndi Pap smears omwe sali ozolowereka amatha kulepheretsanso kuwunika.
Malingaliro a American Cancer Society (ACS) amasiyana kwambiri ndi malangizo awa mu 2009, koma pofika mu 2015 amavomereza nawo ndandanda yonse pamwambapa.
Onse ACOG ndi ACS amalimbikitsa kuti mayi akhale ndi mapepala a Pap ali ndi zaka 21. ACOG ndi ACS zonse zimapatsidwa ulemu, mabungwe odalirika. Ngati muli ndi mafunso ena okhudza mmene malangizowa akugwirira ntchito, funsani dokotala wanu. Iye akhoza kuyesa bwino momwe mungayambe kukhala ndi mapepala a Pap pogwiritsa ntchito umoyo wanu ndi mbiri ya kugonana.
Kumbukirani kuti mosasamala kuti nthawi zambiri mumakhala ndi pap smear, mukufunika kukhala ndi mayeso a pachaka. Kuyezetsa uku kudzawonekera pazinthu zina zomwe ziri zofunika pa umoyo wanu wobereka komanso thanzi lanu lonse. Kuzindikira koyambirira kwa mavuto ndi njira yabwino kwambiri yotetezera thanzi lanu.
Zotsatira:
American Cancer Society. Khansa yachiberekero: Kupewa ndi Kutulukira Kwambiri.
Kalasi ya American of Obstetricians ndi Gynecologists (ACOG). Kuyeza kansa ya pachibelekero. Washington (DC): American College of Obstetricians ndi Gynecologists (ACOG); 2012 Nov. 17 p. (ACOG zolemba zikalata; ayi 131).