Kuonongeka kwakukulu kumafunikira mu MSM monga kansa ya kansa yapamwamba
Kwazaka khumi, akazi akhala ndi mayeso omwe amathandiza kuti azindikire khansa ya pachibelekero pamayambiriro a matenda. Sayansi yamakono, yomwe imatchedwa Pap smear , yasunga miyoyo yambirimbiri poonetsetsa kuti anthu akuyang'ana ndikuyambanso kuchitapo kanthu, akuchepetsa kwambiri chiwerengero cha imfa mwa amayi.
Lero, luso wathandizidwa kuti athe kufotokoza koyambirira kwa khansa ya abambo mu amuna achiwerewere ndi amuna kapena akazi okhaokha, komanso amayi omwe ali pangozi.
Kodi Pap Pap Smear ndi chiyani?
Mankhwala a Pap Papaya ndi mayeso ofanana ndi mapepala a Pap azimayi monga kachigawo kakang'ono ka maselo amasonkhanitsidwa ku anus ndi rectum. Iwo amafufuzidwa pansi pa microscope kuti adziwe kusintha kulikonse kwa maselo. Kusintha kumeneku kumatchulidwa kuti ndi zotetezera khansa ya kansa, mtundu wa khansara womwe umakhudza amuna amodzi ndi amuna kapena akazi okhaokha.
HPV Link ndi Cancer
Kansalu ya khansa ndi khansara ya chiberekero zonse zimagwirizanitsidwa ndi papillomavirus ya munthu (HPV) , yomwe imayambitsa matenda opatsirana pogonana omwe amafalitsidwa mosavuta kwa munthu kudzera mu kugonana.
Amuna ogonana ndi amuna kapena akazi okhaokha omwe ali ndi kachilombo ka HIV ali pangozi chifukwa ali pa chiopsezo chachikulu cha matenda opatsirana a HPV, omwe angawonetsere kuwonjezeka kwa makumi anayi pangozi ya khansa ya khansa poyerekezera ndi anthu ambiri a US. Ndipo mosiyana ndi matenda ena opatsirana pogonana, makondomu sali othandiza kwambiri popewera kufala kwa kachilomboka.
Kafukufuku amasonyeza kuti chiwopsezo cha khansa ya ana ndi chapamwamba kwambiri mwa amuna omwe amagonana ndi amuna (MSM) omwe ali ndi kachilombo ka HIV, ali ndi umboni womwe ukusonyeza kuti
- 35 mwa MSM 100,000 iliyonse adzakhala ndi khansa ya ana.
- 8 mwa amayi 100,000 aliwonse adzapeza khansa ya pachibelekero,
Kawirikawiri, kachilombo ka HIV kokha kamagwiridwa ndi chiopsezo chachikulu cha kukula kwa mitundu yambiri ya khansa , onse omwe ali ndi kachilombo ka HIV ndi omwe alibe HIV.
Ndondomeko ya Pap Pap
Matenda a Pap Pap ndi ofulumira kwambiri, osapweteka komanso osavuta. Pogwiritsira ntchito swaac Dacron, wodwala amasonkhanitsa zitsanzo za selo kuchokera mumtsinje wa anal pogwiritsa ntchito malo onse a anus ndi rectum. Zitsanzo za maselowa zimatumizidwa ku labu komwe akatswiri akukonzekera zitsanzozo ndi kuzifufuza pansi pa microscope kuti adziwe kusintha kulikonse kwa ma cell omwe angasonyeze khansa. Kawirikawiri masiku angapo, dokotala adzakhala ndi zotsatira ndikukambirana nawo.
Pofuna kuonetsetsa kuti mayeserowa ali olondola, malangizo amasonyeza kuti odwala amatsata kuti zizindikiro zina ziyenera kutengedwa maola 24 chisanachitike kuti pulogalamu ya anal Pap ichitike:
- Musakhale ndi chilakolako cha kugonana
- Musayikane mafuta, mafuta kapena mankhwala mu anus yanu
- Musalowetse zolaula zamagonana kapena zinthu zina mu anus yanu
- Musati muwononge kapena mutenge
Kodi Kawirikawiri Mukusowa Pap Pap?
Sue Goldie, MD, MPH, yemwe analemba buku la anal PAP pa Harvard School of Public Health anapeza kuti kuyesa amuna amasiye ndi amuna kapena akazi okhaokha pakatha zaka zitatu kudzazindikira kuti matenda ambiri a khansa amayamba nthawi zambiri.
Komabe, madokotala ena amalimbikitsa anthu omwe ali ndi kachilombo koyambitsa matenda a HIV pamapiri a Pap Paps chaka chilichonse. Kwa iwo, ngakhalenso Centers for Disease Control and Prevention (CDC) kapena US Preventive Services Task Force (USPSTF) pakalipano amapereka malingaliro aliwonse okhudzana ndi kuwunika kwa Pap Paps mwa amuna kapena akazi.
Kuphatikiza pa MSM, anthu omwe ali ndi mbiri ya anogenital ndi vulvovaginal condylomas (warts) ayenera kufufuzidwa nthawi zonse. Onani chomwe chiwindi chabedi chikuwoneka .
Ngati pap smear ndi yachilendo, maselo omwe ali mumtsinje wa anal amapanga kusintha kosasintha, koyambirira koipa komwe kumatchedwa intraepithelial neoplasms . Kusintha kumeneku kumawonjezereka pang'onopang'ono ndipo, ngati sichikoledwa, kungakhale khansara yowonongeka.
Ngati kusintha kosasintha kukuchitika , kufufuza kwina kukuchitidwa ndipo, ngati kuwonetseredwa, kugwiritsira ntchito laser operesheni kungagwiritsidwe ntchito kuchotsa minofu yokhudzidwa.
Chitsime:
Dipatimenti ya US ya Veteran Affairs. "Anal Dysplasia ndi HIV: Chisamaliro chapamwamba kwa Omwe ali ndi HIV." October 8, 2011; Washington, DC; yafika pa February 9, 2016.