Dalili ne daga mummunan ƙumburi ga ciwon daji
Idan an gaya muku cewa kuna da wani abu marar kyau na Pap, ƙwaƙwalwarku ta farko zata iya zama tsoro ko kuma ku ji tsoron mafi mũnin. Yana da amsawar halitta.
Amma menene "mahaukaci" ainihin ke nufi a cikin mahallin rubutun Pap, kuma menene ya kamata ka yi idan kana da daya?
Fahimci maras kyau Pap Smears
Wani abu maras kyau Pap Smear yana nufin cewa nazarin kwayoyin halitta da aka cire daga cervix ba kamar yadda ma'aikacin gidan yasa ya sa ran ba.
Akwai dalilai na dalilai na wannan, suna gudu daga gamuwa daga mummunan ƙumburi ga ciwon sankarar mahaifa.
A ƙarshe, duk abin da yake gaya mana shi ne cewa cervix na bukatar ƙarin kimantawa. A wasu lokuta, ana iya tafiya har zuwa jarrabawa da kuma biopsy; a wasu lokuta, ana iya tambayarka ka dawo don sake maimaita Pap a cikin shekaru uku.
Abubuwa mara kyau Pap smears ne ainihin quite na kowa. Bisa ga Cibiyoyin Kula da Cututtuka da Cututtuka (CDC), kimanin mata miliyan uku sun sami sakamako maras kyau na Pap a kowace shekara. Daga cikin wadannan, kimanin 12,000 (ko fiye da ɗaya a cikin 250) zai cigaba da ciwon ciwon sankarar mahaifa.
Abubuwa masu launi na jiki da kuma Ci gaban Cancer
Ana kiran ƙwayoyin mahaukaci kamar dysplasia. Ainihin ƙayyade na ƙwayoyin dysplastic sun haɗa da:
- ASCUS (ƙananan suturar ƙwayoyin ƙwayoyin ƙaƙƙarfan mahimmanci)
- LGSIL (ƙananan lalacewar kututtukan intraepithelial)
- HGSIL (kututtukan launi na intraepithelial)
- AGC (Kwayoyin glandular kwayoyin a kan ginin Pap)
Mafi rinjaye na kwayoyin dysplastic ba sa canzawa ko kuma haifar da matsaloli. Daga wadanda suka canza, wasu za su zama daidai, ma'ana cewa akwai damar da za su zama m.
Wasu daga cikin wadannan kwayoyin zasu ci gaba zuwa mataki na cutar da ake kira carcinoma a cikin wuri inda kwayoyin zasu zama ƙyama amma an tsare su ga abin da ake kira membrane mai tushe (Layer wanda ke raba jiki mai kwakwalwa daga nama mai haɗawa).
Abin sani kawai lokacin da yake yadawa fiye da ƙwayar maɓallin rufi cewa cutar ta kasance an tsara shi a matsayin ƙwayar ciwon sankara.
ASCUS Pap Smears
ASCUS (ƙananan ƙwayoyin ƙwayoyin ƙwayoyin ƙaƙƙarfan mahimmanci) shine mafi yawan nau'i na nau'i, ƙididdiga kimanin kashi 75 cikin dari na kowane mawuyacin karatun.
Kwayoyi masu sutsi zasu taimaka wajen gyara abin da ke waje na cervix da ake kira intraepithelial Layer. ASCUS kawai yana nufin cewa kwayoyin sun canza amma basu nuna damuwa game da ciwon daji ba. Ana iya haifar da canje-canje ta hanyar kamuwa da cutar ta jiki ko kuma, mafi yawancin lokuta, kamuwa da cutar ta hanyar jima'i da ake kira furoltavirus na mutum (HPV).
SIL Pap Smears
SIL (launi na intraepithelial) yana nufin komawar canje-canje a cikin kwayoyin sifa wanda suka zama cikin lahani. SIL ba ƙididdigar precancer ko ciwon daji ba. Su ne kawai abubuwan da ke damuwa a kan girman su, siffar su, da halaye na jiki, kamar haka:
- LGSIL (ƙananan ƙwayoyin intraepithelial) ba su da mawuyacin hali, sau da yawa saboda kamuwa da cutar HPV. Yawancin wadannan cututtuka sun tafi ba tare da magani ba.
- HSIL (ƙananan ƙwayoyin intraepithelial) suna nuna zuwa canje-canje waɗanda zasu iya hade da ci gaba da kwayoyin da suka dace.
AGC Pap Smears
AGC (ƙwayoyin glandular kwayoyin halitta) wani nau'in tantanin halitta wanda yake rufe ɗakunan ciki na ciki da na mahaifa.
Wani sakamako na AGC yana nufin cewa canje-canje a cikin wadannan kwayoyin sun haifar da damuwarsu game da kasancewar ko dai ta hanyar rigakafi ko ciwon daji.
Abin da ke faruwa idan kuna da matsala mara kyau
Kwararka na iya bada shawara ƙarin gwaje-gwaje idan an sami sakamako mara kyau Pap. Zai dogara ne a kan ƙididdigar lab, lafiyarku na yanzu, da kuma kwarewar likitanku.
Abubuwan yiwuwa yiwuwar sun hada da:
- saka idanu tare tare da maimaitawa akai-akai
- Gwajin HPV (ciki har da jarrabawar HPV ta reflex wanda ke amfani da sel daga ginin Pap)
- da kuma kwayoyin halitta na kowane nau'i na mahaukaci
- samfurin endocervical (hanyar da ake amfani da membrane mucous na canal na kwakwalwa ta amfani da kayan aiki mai cokali wanda ake kira curette)
- samfurin samfuri (samfurin samfurin nama daga cikin mahaifa idan likitanku wanda ake zargi da cewa kwayoyin mahaukaci daga cikin mahaifa ne)
- Yin jiyya ta jiki ( magungunan kwalliya ) don cire launi ko girma
Sharuɗɗa don bin biyo baya ya bambanta da tsufa, rarraba dysplasia, da matsayin HPV na matar:
Shekaru 21-24 | Shekaru 25-29 | Fiye da 30, HPV-korau | Fiye da 30, HPV-tabbatacce | |
ASCUS | Maimaita Pap a watanni 12 (fi so) Reflex HPV (m) | Reflex HPV (fi so) Maimaita Pap a watanni 12 (m) | Maimaita Furo da gwajin HPV cikin shekaru 3 | Colposcopy |
LSIL | Maimaita Pap a watanni 12 | Colposcopy | Maimaita Pap a watanni 12 (fi so) Colposcopy (m) | Colposcopy |
ASC-H | Colposcopy | Colposcopy | Colposcopy | Colposcopy |
HSIL | Colposcopy | Gyare-gyare na banki ko ɓoye | Gyare-gyare na banki ko ɓoye | Gyare-gyare na banki ko ɓoye |
AGC | Dangane da tsarin ƙungiyar AGC | Dangane da tsarin ƙungiyar AGC | Dangane da tsarin ƙungiyar AGC | Dangane da tsarin ƙungiyar AGC |
> Source:
> Cibiyar Koyon Harkokin Kwayoyi ta Amirka da Gynecology (ACOG). "Sakamakon Maganin Ciwon Cutar Kwayoyin Cutar Canjin Cutar." Washington, DC; sabunta Janairu 2016; Tambayoyi 187.