Smear kwiiseli ezingaqhelekanga

Namhlanje, i-smear yamaseli e-atypical yenziwa phantse rhoqo xa umfazi ehambela umfazi we-gynecologist. Ngokufanelekileyo, kufuneka iqhutywe rhoqo ngonyaka, ngoko kukuvumela ukuba uwafumene kwaye uphathe unyango ngexesha elifanelekileyo, elingabandakanyi uphuhliso lomhlaza wesibeleko.

Olu hlalutyo lulula kwaye alubiza. Kwintetho yabasetyhini, yenziwa ngaphandle kwentlawulo. Kwakhona kuthiwa yi- smear ye-cytology okanye uvavanyo lwe-PAP. Ucingo uthathwa ngumzimba wezifo zengqondo xa isigulane sisesihlalo soviwo. Emva koko uyifaka kwiglasi kwaye uyithumele ebhokisini.

Kukho ugqirha uphawula izinto kwaye uyayihlola phantsi kwe-microscope. Umsebenzi weengcali ukuhlola iibhalana zobungakanani, imilo kunye nesakhiwo seeseli ukuba ziqheleke. Ukuba konke kulungelelwano, uhlalutyo lubi. Ukuba kukho iisypiki ze-atypical ezikhoyo kwi-smear, umphumo uthathwa njengento efanelekileyo.

Nangona kunjalo, oku akuthethi ukuba isigulane sinomdlavuza. Utshintsho kwiiseli lunokuvela phambi kovalo, oku kungabangela, umzekelo, ngama-STD. Ngoko, i-cytogram ingaba yimiba e-5:

• I-ngaphandle kwemisebenzi;
• II - ukuvuvukala okubangelwa yi-trichomonads, i-fungi, i-banal flora, i-gonococci, i-chlamydia, i-gardnerella, i-HPV kunye / okanye i-HSV;
• I-III - i-dysplasia ye-epithelium esicacileyo okanye isicilisi (inqongophala, i-moderation, inzima);
• IV - unomdlavuza;
• Ngumhlaza.

Isiphumo sohlalutyo kwiiseli ezi-atypical zixhomekeke kumgangatho wezinto eziphathwayo, kwakunye nokusebenza komntu ohlalutya isilayidi. Ngoko ke, iimpazamo zenzeka rhoqo. Emva kokuba ufumene umphumo omhle wesigulane, kuyimfuneko ukuba ungacasuli, kodwa ukuwubuyisela kwaye uphumelele uviwo olujulile. Kule meko, i-colposcopy iyimfuneko, uviwo lokusuleleka, kuquka ukugunyazwa kwe-HPV, kwaye xa kuyimfuneko, i-biopsy.

Kwakhona, ukuze ufumane umphumo onokwethenjelwa, kuyimfuneko ukupasa ngokuchanekileyo uhlalutyo. I-smear ayikwazi ukuyenza ngexesha lokuya esikhathini, ngokufanelekileyo kufuneka iqhutywe ukusuka ngomhla we-7 ukuya kwe-11 womjikelezo. Kwiintsuku ezimbini ngaphambi kokuba ufunde ukufunwa ukuba ungabandakanyi ubulili, ukusebenzisa i-suppositories ye-vaginal, iipilisi, i-douching. Kucetyiswa ukuba ungasayi kuhlamba, kodwa kuphela ukuhlamba.

Ukusetyenziswa okukhulu kohlalutyo lwamaseli e-atypical kuye kwanciphisa izinga lokufa emdlalweni wesibeleko ngo-70%. Ngokukodwa, kwiinkqubo ezinobungozi zomlomo wesibeleko, izigulana ziyafa ezingazange zenze olu hlalutyo okanye zidlulele kakhulu. Kuza kube namhlanje, umdlavuza walolu lungu kubasetyhini ngowona oqhelekileyo emva kwe-oncology yeengqungquthela zamathambo.

Indima ye-HPV ekuphuhliseni i-pathologies ye-oncological ye-cervix isenzululwazi. Eyona nengozi kakhulu iindidi zayo ezinamaqabane aphezulu, ezona zixhaphakileyo kwaye ezinokuqhayisa zazo ezi-18 no-16.

Abasetyhini abaye bachongwa kwi-smears ne-PCR kufuneka babe nokuhlolwa kwe-cytologic kabini ngonyaka. Kubo ubunokwenzeka bokuphuhliswa komhlaza kumaxesha angama-400 ngaphezulu, kunabanye.

Kukholelwa ukuba ukuvela kwesifo somhlaza wesibeleko kunceda kwi-herpes yofuzo. Ingozi ngakumbi yi-HSV uhlobo 2. Ikakhululekayo ukudibanisa ne-HPV yokuvuselela. Ukutshaya kwakhona kuyisimo esichukumisayo sokuphuhliswa komhlaza wesibeleko.

Kufuneka kukhunjulwe ingqalelo ukuba iikhondom, nangona zinciphisa amathuba okusulelwa yi-HPV kunye ne-HSV, kodwa ungayixhasi. Inyaniso kukuba iintsholongwane zincinci kangangokuba zingena kwii-pores zazo. Ngoko ke, kuyinqweneleka ukuba ube nomlingani osisigxina kwaye uhlolisiswe rhoqo ngumgulane wezilwanyana. Kufuneka ukhunjulwe ukuba i-HPV ingaqala ukubonakalisa emva kweminyaka emininzi.

Ngoko, iisypiki ze-smear zesifo somlomo ziyimpawu eziphazamisayo kwaye zifuna iimviwo ezongezelelweyo. Ukuba isigulane asidluli ngexesha lonyango, ukuphuhliswa komhlaza akupheli. Nangona kunjalo, izifundo ze-cytological ziqhutywe rhoqo zikunceda ukuchonga utshintsho ngendlela efike ngexesha, xa ukukhubazeka kusekunjalo.