Smear ku amaseli atypical

Namuhla, smear phezu amaseli angavamile wenziwa cishe njalo eyofundela owesifazane othile ukuba udokotela wezifo zabesifazane. Kahle kahle, kufanele enziwa minyaka yonke, bese-ke ikuvumela ukuba bawathole futhi aphathwe ngendlela esifike ngesikhathi, okwenza kungabi emdlavuzeni wesibeletho.

Lokhu kuhlaziya ilula futhi ezishibhile. Emtholampilo yabakhulelwe iqalisa khulula. Ibizwa nangokuthi smear Cytology noma PAP test. Fence impahla zokuqhuba ucwaningo wezifo zabesifazane, lapho isiguli amanga esitulweni luhlolo. Khona-ke wasibeka phezu ingilazi nabanye futhi wathumela kuJehowashi elabhorethri.

Kube okokusebenza udokotela Umbala kuhlolwa ngesibonakhulu. umsebenzi Specialist ukuhlola ukuhambisana isayizi, simo kanye nesakhiwo kwamaseli ijwayelekile. Uma konke kuhamba kahle, ukuhlaziya ezimbi. Uma ekhona amaseli smear normal, umphumela kubhekwa omuhle.

Nokho, lokhu akusho ukuthi isiguli umdlavuza. Izinguquko kungenzeka kumaseli e khona ukuvuvukala ukuthi kungahle kubangelwe, isib, wengulamakhwa. Ngakho cytogram kungaba 5 izinhlobo:

• Mina - ngaphandle izici;
• II - kwamathambo okubangelwa yi-trichomonads, isikhunta flora banal, gonococcus, chlamydia, gardnerellami, HPV kanye / noma HSV;
• III - dysplasia epithelium flat noma columnar (imnene, ngokulinganisela, ezinzima);
• IV - okusolakala umdlavuza;
• V - umdlavuza.

Waba yini umphumela wesibindi ukuhlaziya amaseli atypical incike izinga material bamba futhi kusukela professional ezingabantu ezingahlala ihlaziya slide. Ngakho-ke, amaphutha zenzeka njalo. Emva kokuthola umphumela omuhle isiguli, akumelwe awuphathekile kahle, futhi thatha futhi bamba futhi ke uhambe luhlolo ezijulile. Kulokhu ngempela labetibambile colposcopy, kuthiwa ukuhlolwa kwezinsana izifo, kuhlanganise i-HPV ngempela WRC, futhi uma kudingekile, a biopsy.

Futhi, ukuthola imiphumela okuthembekile, kubalulekile ukuba nginikeze ukuhlaziya ngendlela efanele. Smear asikwazi ukwenziwa esesikhathini, kungakuhle kakhulu-ke kufanele ubanjwe kusuka 7 kuya ku-11 ngosuku umjikelezo. Ezinsukwini ezimbili ngaphambi cwaningo ukuba ngakususi ubulili, ukusetshenziswa suppositories lwesitho sangasese sowesifazane, amaphilisi, douching. Kungcono yini ukuthatha okugeza, futhi okunomkhawulo kuphela eshaweni.

Ukusetshenziswa okukhulu ukuhlaziywa amaseli angavamile kunciphise ukufa somdlavuza ngo-70%. Ikakhulu kusukela izinqubo abulalayo wesibeletho ka izigulane ezifayo abangakaze usukwenzile lokhu ukuhlaziywa, noma sekudlule ke kakhulu kuyaqabukela. Kuze kube manje, i-umdlavuza yomzimba abesifazane uwuhlobo lomdlavuza oluvamile kakhulu ngemva webele.

Ngokwesayensi kungase kutholakale indima HPV e wesibeletho umdlavuza pathologies. Ikakhulukazi iyingozi vysokoongennye izinhlobo zayo, okuvame kakhulu kanti okusongela zazo 18 futhi 16.

Abesifazane ababekwa zikhonjwe smear nge-PCR, kumelwe ibhekane Luhlolo cytological kabili ngonyaka. umdlavuza Bona Kungenzeka izikhathi 400 kunakunoma nabanye.

Futhi kunenkolelo ukuthi nesenzakalo yomdlavuza wesibeletho kunomthelela samabhamuza ezithweni zangasese. Okuningi esiyingozi uhlobo HSV 2. Ikakhulukazi efiselekayo inhlanganisela yayo nge-HPV SRS. Ngenxa isici ayeke ukunisa sokuthuthukiswa umdlavuza wesibeletho kuyinto ukubhema.

Khumbula ukuthi amakhondomu, yize unciphise amathuba HPV kanye HSV ukutheleleka, kodwa musa ngaphandle kwalo. Iqiniso lokuthi amagciwane ezincane ukuze zingene ngokusebenzisa ikhule ezimbotsheni. Ngakho-ke efiselekayo ukuba nomlingani owaziwayo kanye njalo uhlolwa udokotela wezifo zabesifazane. Sicela uqaphele ukuthi i-HPV ungaqala ukuzibonakalisa phakathi neminyaka eminingi.

Ngakho, amaseli okungavamile smear wesibeletho kuwuphawu ekhathazayo, futhi zidinga kwenziwe uphenyo olunzulu. Uma isiguli akuthathi indawo ngesikhathi yokwelapha, esikhathini esizayo kungenzeka emdlavuzeni. Nokho, luhlolo cytological eyenziwa njalo, ukusiza ukuthola izinguquko ngendlela esifike ngesikhathi lapho zokugula has iyelapheka ngokuphelele.