Zomwe Muyenera Kudziwa Pankhani ya Pap Smear Mawu Othandizira Mungayang'ane pa Lipoti Lanu
Azimayi ambiri amapanga mapepala awo a mapepala omwe sagwiritsidwe ntchito nthawi zonse. Ngati alandira zotsatira zowonongeka, amayi awo sangathe kuwaitana. Koma kodi zikutanthauzanji pamene mulandira zotsatira zapap smear zosavomerezeka? Kodi mungadziwe bwanji zotsatira zomwe dokotala akukufotokozerani?
Kodi Mau awa pa Lipoti langa losavomerezeka la Pap Smear likutanthauza chiyani?
ASCUS : Izi zikuyimira maselo a Atypical Squamous of Signeded Significance.
Izi zikutanthauza kuti pali maselo osakanikirana omwe samawoneka bwino, koma iwo sali achilendo mokwanira kuti aziwoneka ngati dysplasia. ASCUS ikhoza kuyambitsa matenda opatsirana a HPV, kapena kukhumudwa ndi kugonana. Palibe zofunikira zowonjezera, pomwe nkhaniyi idzakonzekera. Muyenera kulandira mapepala a Pap pamapeto pa miyezi isanu ndi umodzi kuti mutsimikizire kuti zonse zakubwerera.
SIL: Izi ndizo zotsatira zina zofala zapap smear. Chimaimira chotupa chachikulu chotchedwa intraepithelial lesion. Awa ndi maselo osokoneza omwe asinthidwa m'njira yomwe amasonyeza kuti pamapeto pake akhoza kukhala ndi khansa. Komabe, ambiri amatha kudzisankhira okha.
LSIL / CIN 1 : Kuima pafupipafupi m'magulu otchedwa scraous intraepithelial zilonda (LSIL), izi nthawi zonse zimakhala chizindikiro chakuti mayi ali ndi kachilombo ka HIV. Zimatanthauzanso kuti dokotala wowerenga Pap smear kapena chiopsezo amatha kuona zizindikiro zomwe zimawoneka ngati asanatengere kansa. Matenda a LSIL ndi ofanana, ndipo nthawi zambiri amakonza okha popanda mankhwala.
Azimayi achichepere amafunsidwa kuti azitsatira. Kwa amayi achikulire, malangizo a American College of Obstetrics ndi Gynecology (ACOG) amasonyeza colposcopy kuti adziwe kuchuluka kwa kuwonongeka.
HSIL / CIN 2-3 : Maphunziro apamwamba kwambiri omwe amagwiritsa ntchito khansa yapachilombo kuposa LSIL; Komabe, ambiri mwa zilondazi akudzipangira okha.
Malangizo akunena kuti mkazi aliyense amene amapezeka ndi HSIL amapeza colposcopy. Panthawi ya colposcopy ndondomeko, zilonda zingayambe kugwiritsidwa ntchito, kapena zikhoza kuchitidwa ndi LEEP, conization, cryzingrapy, kapena laser therapy.
ASC-H : Ichi chimaimira "maselo oopsa, sangathe kupatula HSIL" ndipo amatanthawuza kuti madokotala akuvutika kuti adziwe. Kutsatiridwa ndi colposcopy kumalimbikitsidwa.
AGC : maselo amtundu wambiri (AGC) amatanthauza kusintha kwa chiberekero chomwe sichipezeka mu squamous epithelium. M'malo mwake, maselo osadziwika owonetsetsa amapezeka mu chitsanzocho, chomwe chimasonyeza kuti pangakhale khansara kumtunda kwa chiberekero kapena chiberekero. Kuwongolera kungaphatikizepo colposcopy, kuyezetsa HPV, ndi zitsanzo za chikhomo cha chiberekero ndi chiberekero. Kuchiza, ngati kuli kofunikira, ndi kovuta kwambiri kuposa kukhala ndi maselo osokoneza bongo.
Khansara : Ngati mwapezeka kuti muli ndi khansara ya chiberekero, zikutanthauza kuti kuwonongeka kwa chiberekero sikungowonjezeratu. Mwinamwake mudzatumizidwira kwa oncologist kuti mupitirize kutsata ndi chithandizo.
Kuwerenga Kwambiri
Kodi magawo a khansara ya chiberekero ndi chiyani? Khansara ya Chiberekero ili ndi magulu asanu osiyana siyana m'magulu ake. Phunzirani za magawo awa mozama.
Pap Yanu Yoyamba Smear . Mafunso ambiri omwe amayi amakhala nawo ali ndi mapepala a Pap.
ASCUS Pap Smear Results . Mapulogalamu a Pap angauze dokotala wanu za maselo okayikitsa omwe ali ndi kachilombo koyambitsa matenda omwe akusowa kupimidwa kapena kuchipatala.