Pap Yanu Yoyamba Smear: Zimene Muyenera Kudziwa ndi Kuyembekezera

by Lisa Fayed; Yofotokozedwa ndi Doru Paul, MD

Mayankho omwe mumakonda kufunsa mafunso pomuyeso wanu woyamba wa pap

Zimakhala zachilendo kuti amayi azidera nkhaŵa kuti akhale ndi mapepala awo oyambirira, chifukwa chakuti sadziwa zomwe zimachitika pa mapepala a Pap. Dziwani kuti, Pap smear ndi yophweka, yopweteka, ndipo imatenga mphindi zochepa zokha - koma komabe, nthawi zambiri mumakhala ndi mafunso ambiri okhudza zomwe mungayembekezere pazinthu zomwe mwasankha, monga zomwe zili pansipa.

Kodi Pap Smear ndi chiyani?

Pap smear ndi mayeso osavuta omwe amawoneka ngati khansa ya pachibelekero.

Chiyesocho chimaphatikizapo kusonkhanitsa maselo a m'chiberekero kuti afufuzidwe pogwiritsa ntchito microscope. Sikoyezetsa matenda, komabe, ndipo ngati pali vuto linalake, kuyesa kungakhale kotheka.

Chifukwa chiyani mayesero ali ofunika kwambiri?

Mapulogalamu a Pap akhoza kuona kusintha kosasintha kwa mimba asanakhale ndi khansa. Ndicho chida chothandiza kwambiri pakuyezetsa khansa ya chiberekero ndi kupewa.

Kodi Ndi Nthawi Yanji Imene Muyenera Kukhala ndi Pap Yanu Yoyamba?

Mu 2009, malangizo adasinthidwa ndi American College of Obstetricians ndi Gynecologists (ACOG). Ndondomeko yosinthidwa imasonyeza kuti amayi ayenera kukhala ndi mapepala awo oyambirira pazaka 21. Zotsatira zakale zimalimbikitsa amayi kukhala ndi Pap yawo yoyamba patatha zaka zitatu atayamba kugonana kapena ali ndi zaka 21 - iliyonse yomwe idabwera poyamba. Ngati muli ndi zaka zoposa 21 ndipo simunawonedwepo, dziwani kuti sikuchedwa kwambiri kuti mupange Pap smear yanu yoyamba.

Kodi Ndingakonzekere Bwanji Machitidwe?

Yesetsani kukonza mapepala anu a Pap pamene mulibe msambo.

Ngati ulendo wanu sungadziwike, ndipo mutayamba nthawi yanu ngati izi zikugwirizana ndi zomwe mwasankha, pitani ku ofesi ya dokotala mwamsanga kuti muwone ngati dokotala angapangire kuti azikonzanso.

Kuti mutsimikizire kuti mumapeza zotsatira zolondola kwambiri , ndibwino kuti mupewe kugonana, kugwiritsira ntchito mankhwala odzola, komanso kuthamanga maola 48 musanayambe kukonza mapepala.

Spermicidal foams, creams, kapena inserts ayenera kupewedwanso.

Kodi Ndiyenera Kuyembekezera Chiyani Pa Chisankhidwe?

Pa nthawi yanu yoyamba, muyenera kuyembekezera kuti mndandanda wa zinthu izi zichitike:

Choyamba, mudzafunsidwa kuti muchotsere m'chiuno pansi. Mudzapatsidwa pepala kuti liyike pamwamba pa magawo ndi mapewa anu, kotero simudzawonekera.
Kenaka, mudzafunsidwa kuti muyike pa tebulo ndikuyesa mapazi anu, ndikuyendetsa mapazi anu panthawi yopenda. Mitengo imakhala yozizira, kotero mungafune kubweretsa masokosi kuti muzivala.
Fulumusi yowonongeka idzaikidwa m'mimba . Kumbukirani kuti mutenge mpweya wokwanira ndi kumasuka. Izi zidzathandizanso kuti minofu ikhale yotetezeka, ndikupangitsanso kuti zovuta zisamakhale zovuta.
Pogwiritsa ntchito burashi kapena swab yaing'ono, dokotala atenga maselo angapo kuchokera pachibelekero . Izi zimachitidwa ndi kukakamiza kwambiri kuperekera chiberekero ndi burashi kapena swab. Azimayi ena samva chisoni pamene izi zatha, pamene ena amavutika kwambiri, ngati kupweteka kwa msambo .
Chitsanzocho chimayikidwa mu chubu chokhala ndi chidziwitso chapadera kapena chojambulidwa ndikutumizidwa ku labu yogwiritsira ntchito.
Pambuyo pa nyembayo, speculum imachotsedwa mwachangu kuchokera mukazi. Mutha kukhala pansi ndikuyamba kuvala. Pap smear tsopano yadutsa!

Ndiziyembekezera Nthawi Yanji?

Musanakhale ndi mapepala a Pap, funsani dokotala zomwe ndondomeko ya apolisi ikudziŵira odwala zotsatira zawo. Zotsatira zimakhala mkati mwa masabata awiri kapena atatu. Ofesi ya madokotala ambiri amauza amayi omwe ali ndi zotsatira zabwino mwa makalata. Zotsatira zosayembekezereka nthawi zina zimafuna kutsatila ndipo nthawi zambiri zimakambidwa mu ofesi. Ngati simunalandire zotsatira zanu patatha masabata atatu, mungafune kuonana ndi ofesi yanu.

Kodi Kawirikawiri Ndiyenera Kukhala ndi Pap Smear?

Kodi nthawi zambiri mumakhala ndi pap smear kumadalira zaka zanu komanso zotsatira za Pap smear zomwe zapitazo. Malangizo atsopano kuchokera kwa ACOG amati:

Azimayi omwe ali ndi zaka za m'ma 20 ayenera kukhala ndi mapepala a Pap nthawi iliyonse zaka zitatu.
Azimayi omwe ali ndi zaka zapakati pa makumi atatu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi ziwiri (65) ayenera kuyang'anitsitsa zaka 3-5.
Azimayi a zaka zapakati pa 65 ndi 70, omwe ali ndi mapepala atatu omwe amawagwiritsira ntchito apamapu komanso osapeza zachilendo m'zaka khumi, akhoza kusiya kuwonedwa ngati akusankha.
Azimayi amene adzizidwa ndi hysterectomy chifukwa cha chikhalidwe chosagwira ntchito ndipo sanakhalepo ndi mapepala a Pap omwe sali otheka amatha kulepheretsanso kuwunika.

Kumbukirani kuti izi ndizomwe mukutsatira . Nthawi zonse mutsatire ndondomeko ya dokotala wanu yokhudzana ndi kayendedwe ka kansa ya pachibelekero . Malinga ndi zotsatira zapambuyo za Pap ndi ziwopsezo zina, dokotala wanu angafune kuti muyesedwe kawirikawiri.

_Zotsatira:

_{"Zowonjezera Guide: Khansara ya Chiberekero."} _{Zambiri Zokhudza Kansa ya Chiberekero.} _{American Cancer Society.}

_{"Mayeso a Pap (Papanicolaou)".} _{American Cancer Society.}

_{"Pap Smear (Pap Test): Kuwunika Zambiri".} _{American College of Obstetricians ndi Gynecologists.}

_{"Njira Zatsopano Zowonetsera Khansa ya M'chiberekero, September 2013". Amayi a American College of Obstetricians and Gynecologists.}