Pap bvunzo

Iyo Pap test inoongorora gomarara remuchibereko. Masero akakwenenzverwa kubva pakuvhurika kwemuromo wechibereko anoongororwa pasi pe microscope. Cervix chikamu chepazasi chechibereko (chibereko) chinovhurika kumusoro kwemukadzi.

Muedzo uyu dzimwe nguva unonzi Pap smear.

Iwe unorara patafura uye unoisa tsoka dzako mukati mekutenderera. Mubatsiri wako wezvehutano anoisa zvinyoro nyoro mudziyo unonzi speculum mukati memukadzi kuti uvhure zvishoma. Izvi zvinobvumidza mupi kuona mukati memukadzi nemuromo wechibereko.

Masero anokwenenzverwa zvinyoro nyoro kubva munzvimbo yechibereko. Muenzaniso wemasero unotumirwa kubazi kuti riongororwe.

Udza mupiki wako nezveese mishonga yauri kutora. Mamwe mapiritsi ekudzivirira kubereka ane estrogen kana progestin anogona kukanganisa mhedzisiro yekuedzwa.

Uyezve udza mupi wako kana iwe:

• Wakave neakajairika Pap bvunzo
• Unogona kunge uine pamuviri

Usaite zvinotevera kwemaawa makumi maviri nemaviri usati waedzwa:

• Douche (douching haifanire kuitwa)
• Itai zvepabonde
• Shandisa matamponi

Edza kusaronga yako Pap bvunzo iwe uchinge uine nguva yako (uri kuenda kumwedzi). Ropa rinogona kuita kuti miedzo yePap ibude zvishoma. Kana iwe uchinge uine ropa risingatarisirwe, usabvisa bvunzo yako. Wako mupi anoona kana bvunzo dzePap dzichiri kugona kuitwa.

Durura dundira rako nguva pfupi usati waedzwa.

Iyo Pap bvunzo inokonzera kushoma kune kusagadzikana kune vakawanda vakadzi. Zvinogona kukonzera kusagadzikana, kwakafanana nekurumwa nekuenda kumwedzi. Iwe unogona zvakare kunzwa kumwe kumanikidzwa panguva yebvunzo.

Unogona kubuda ropa zvishoma mushure mekuedzwa.

Iyo Pap test bvunzo yekuongorora gomarara remuchibereko. Gomarara rakawanda remuchibereko rinokwanisa kuonekwa nekukurumidza kana mukadzi aine ongororo dzePap.

Kuongorora kunofanira kutanga pazera remakore makumi maviri nerimwe.

Mushure mekuedzwa kwekutanga:

• Unofanirwa kuita ongororo yePap makore matatu ega-ega kuti uone gomarara remuchibereko.
• Kana iwe uchipfuura makore makumi matatu uye uine zvakare kuongororwa kweHPV, uye zvese bvunzo dzePap neHIVV zvakajairika, unogona kuyedzwa makore ese mashanu. HPV (human papillomavirus) hutachiona hunokonzeresa maronda ekurara uye gomarara remuchibereko.
• Vakadzi vazhinji vanokwanisa kumira kuita bvunzo dzePap mushure memakore makumi matanhatu nemakumi manomwe kusvika makumi manomwe sekureba kwavakaita bvunzo nhatu dzisina kunaka mukati memakore gumi apfuura

Ungangodaro usingade kuve nePap bvunzo kana iwe uine hysterectomy yakazara (chibereko uye chibereko chakabviswa) uye usina kumboitwa zvisina kujairika Pap bvunzo, gomarara remuromo wechibereko, kana imwe gomarara repamuviri. Kurukura izvi nemupi wako.

Mhedzisiro mhedzisiro zvinoreva kuti hapana masero asina kujairika aripo. Iyo Pap bvunzo haina 100% chaiyo. Gomarara remuromo wechibereko rinogona kushaikwa mune mashoma kesi. Kazhinji yenguva, gomarara remuchibereko rinokura zvishoma nezvishoma, uye kutevedza kwePap bvunzo kunofanira kuwana chero shanduko munguva yekurapwa.

Mhedzisiro isina kujairika yakarongedzwa seinotevera:

ASCUS kana AGUS:

• Mhedzisiro iyi inoreva kuti kune atypical maseru, asi haina chokwadi kana kujeka kuti shanduko idzi dzinorevei.
• Shanduko dzinogona kunge dzakakonzerwa neHPV.
• Zvinogona kunge zvichikonzerwa nekuzvimba kwechikonzero chisingazivikanwe.
• Zvinogona kunge zvichikonzerwa nekushaikwa kwesrogen sezvinoitika mukuguma kuenda kumwedzi.
  
• Zvinogona zvakare kureva kuti pane shanduko dzinogona kukonzeresa kugomarara.
• Aya maseru anogona kunge achifungidzira uye anogona kunge achiuya kubva kunze kwechibereko kana mukati mechibereko.

PASI-Giredhi DYSPLASIA (LSIL) KANA DZIMWE-Giredhi DYSPLASIA (HSIL):

• Izvi zvinoreva shanduko dzinogona kukonzera cancer.
• Ngozi yekufambira mberi kune kenza yemuromo wechibereko yakakura neHSIL.

CARCINOMA MU SITU (CIS):

• Mhedzisiro iyi kazhinji zvinoreva kuti shanduko dzisina kujairika dzinogona kutungamira kugomarara remuchibereko kana ikasarapwa

MANGUA ANOKWANANA ANOGARA (ASC):

• Shanduko dzisina kujairika dzawanikwa uye dzinogona kunge dziri HSIL

NZVIMBO DZENYAYA DZENYAYA (AGC):

• Sero shanduko dzinogona kukonzeresa kugomarara dzinoonekwa muchikamu chepamusoro chemukaka wechibereko kana mukati mechibereko.

Kana bvunzo yePap ikaratidza shanduko dzisina kujairika, kumwezve kuyedzwa kana kuteedzera kunodiwa. Nhanho inotevera inoenderana nezvabuda paPap bvunzo, yako yapfuura nhoroondo yePap bvunzo, uye njodzi zvinhu iwe zvaungave uine zvecancer yechibereko.

Kune madiki maseru shanduko, vanopa vanokurudzira imwe bvunzo yePap kana kudzokorora kuyedzwa kweHIVV mumwedzi mitanhatu kusvika gumi nemiviri.

Kutevera-kuongorora kana kurapwa kunogona kusanganisira:

• Colposcopy-inotungamirwa biopsy - Colposcopy maitiro mune iyo cervix inosimudzwa ne binocular senge chishandiso chinonzi colposcope. Zvidiki biopsies zvinowanzo kuwanikwa panguva iyi maitiro kuona kukura kwedambudziko.
• Kuongororwa kweHIVV kutarisa kuvapo kwemhando dzehutachiona hweHIVV dzinogona kukonzera cancer.
• Cervix cryosurgery.
• Cone biopsy.

Papanicolaou bvunzo; Pap smear; Kenza yemukondombera kuongorora - Pap bvunzo; Remuromo intraepithelial neoplasia - Pap; CIN - Pap; Precancerous shanduko yemuromo wechibereko - Pap; Gomarara remuromo wechibereko - Pap; Squamous intraepithelial lesion - Pap; LSIL - Pap; HSIL - Pap; Papasi-yegiredhi Pap; Yakakwira-giredhi Pap; Carcinoma in situ - Pap; CIS - Pap; ASCUS - Pap; Atypical glandular maseru - Pap; AGUS - Pap; Atypical squamous masero - Pap; HPV - Pap; Utachiona hwevanhu papilloma - Pap cervix - Pap; Colposcopy - Pap

• Mukadzi wekubereka anatomy
• Pap smear
• Uterus
• Kukanganiswa kweCervical

American College yeVadzvinyiriri uye Gynecologists. Dzidzira bulletin kwete. 140: manejimendi yeasina kujairika gomarara remuromo wechibereko kuongorora mhedzisiro uye epamberi gomarara remuromo wechibereko. (Yakasimbiswazve 2018) Obstet Gynecol. 2013; 122 (6): 1338-1367. PMID: 24264713 pubmed.ncbi.nlm.nih.gov/24264713/.

American College yeVadzvinyiriri uye Gynecologists. Dzidzira bulletin kwete. 157: kuongorora gomarara remuchibereko nekudzivirira. Obstet Gynecol. 2016; 127 (1): e1-e20. PMID: 26695583 pubmed.ncbi.nlm.nih.gov/26695583/.

American College yeVadzvinyiriri uye Gynecologists webhusaiti. Dzidzira zano: remuromo wechibereko kuongorora (kugadzirisa). Nyamavhuvhu 29, 2018. www.acog.org/Clinical-Guidance-and-Publications/Practice-Advisories/Practice-Advisory-Cervical-Cancer-Screening-Update. Yakabudiswa Nyamavhuvhu 29, 2018. Yakasimbiswazve Mbudzi 8, 2019. Yakasvika March 17, 2020.

Newkirk GR. Pap smear uye nehunyanzvi hunyanzvi hwekuongorora gomarara remuromo wechibereko. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chap 120.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia yepasi genital turakiti (cervix, vagina, vulva): etiology, kuongorora, kuongororwa, manejimendi Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 28.

Saslow D, Solomon D, Lawson HW, et al. American Cancer Society, American Society yeColposcopy uye Cervical Pathology, uye American Society yeClinical Pathology yekuongorora mirayiridzo yekudzivirira uye kutanga kuona gomarara remuchibereko. CA Kanzera J Clin. 2012; 62 (3): 147-172. PMID: 22422631 pubmed.ncbi.nlm.nih.gov/22422631.

US Yekudzivirira Services Task Force webhusaiti. Chirevo chekupedzisira chekukurudzira. Gomarara remuromo wechibereko: kuongorora. www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening. Yakagadziridzwa Nyamavhuvhu 21, 2018. Yakasvika munaNdira 22, 2020.