Uvavanyo lwePap, Ngethamsanqa, akunakwenzeka ukuba kuqhube umtshato
Yintoni iP Pap Smear?
Uninzi oogqirha bancoma ukufumana i-Pap smear (eyaziwa ngokuba nguvavanyo lwe-Pap) ekukhulelweni kokuqala njengenxalenye yokunakekelwa kokubeleka kwangaphambili. Ngokuqhelekileyo kuthatha imizuzu embalwa nje. Iziphumo zovavanyo zithunyelwa ebhokisini ehlola iiseli ezingavumelekanga zentsholongwane, ubukho bokuba kunokuthi umhlaza wesibeleko. Ukuba uvavanyo lwePap lubonisa ukuba uneselenceli esingaqhelekanga, ngoko ugqirha wakho angenza uvavanyo lwesibini olubizwa ngokuba yi-colposcopy, oluya kumvumela ukuba abuke umlomo wakho wesibeleko ngokusondeleyo.
(Qaphela: Kwakhona ingcamango enhle ukufumana i-Pap smears rhoqo xa ungakhulelwe. Ugqirha wakho uya kucetyiswa ukuba uvavanyo lwakho lokuqala lwePap uneminyaka engama-21 okanye iminyaka emithathu emva kokuqala ukulala ngesondo-kwaye ufumana enye yesithathu kwiminyaka engama-29 ubudala. Ngokuqhelekileyo kunconywa ukuba abafazi abaneminyaka engama-30 ukuya kuma-65 bafumane uvavanyo lwe-Pap kunye ne-HPV vavanyo-minyaka emihlanu. Kodwa buza ugqirha wakho ukuba yintoni imvama efanelekileyo kuwe.)
Yintoni eyenzekayo ngexesha lovavanyo lwePap?
Ngexesha le-Pap smear, lo mfazi uphazamisa esinqeni, elala etafileni, esasaza imilenze yakhe, kwaye ubeke iinyawo zakhe. Ishidi libekwe phezu kwamathanga akhe. Ugqirha usebenzisa isixhobo sezokwelapha esibizwa ngokuba yi-speculum, kunye ne-lubrication, ukuhlola umlomo wesibeleko uze usebenzise i-brush encane okanye i-spatula ukuze ususe isampuli yamaseli avela kwisibeleko somlomo. Abanye abesetyhini abazivekanga ngelixa abanye bevakalelwa kukunyamezela ngolu hlobo lovavanyo.
Okugqithiseleyo ukuba ukhulule umzimba wakho kunye nezihlunu zesisu, ulunge ngakumbi uvavanyo lwePap luqhelekile.
Ngaba i-Pap Smear ibangela umtshato?
Abanye abafazi banokubona ukukhanya okulula emva kokuvavanywa, ngenxa yobubele bomlomo wesibeleko ngexesha lokukhulelwa, kodwa akunakwenzeka ukuba uvavanyo lwePap luyakwazi ukudala ukungahambi kakuhle.
Kanjani? Ngokuqhelekileyo, iqanda elikhulelweyo lifakwe phezulu kwi-uterus kwaye ingasondelene nomlomo wesibeleko. Nangona kwenzeka ukuba umntwana uzaliswe ngaphantsi kwesibeleko kwaye sisondele kumlomo wesibeleko, umlomo wesibeleko unzima kakhulu kwi-trimester yokuqala, ngoko ukukhanya kokukhanya okuvela kwisivivinyo sePap akuyi kuphazamisa iqanda elichumayo.
Ngelishwa, kunikwa ukuba malunga ne-15 ukuya kwe-20% yokukhulelwa okuqinisekileyo iphelile ekuphumuleni komzimba, abanye abafazi bayaphoswa ngokukhawuleza emva kokuba babe nePap smear. Abanye banokuqala ukufumana iimpawu zokuphuphuma kwesisu emva kokuba babe nePap smear ngaphambili ngaloo mini. Izibonakaliso zokuphuphuma komzimba zingabandakanya ukuphuma kwegazi ngesibhakabhaka ebomvu okanye obomvu, ukuxubha okanye ubuhlungu besemva, kunye nokudlula izicubu ngokusebenzisa isisu. Kodwa gcinani engqondweni: Oku akuthethi ukuba iP-smear ibangele ukuba ilahlekile. Kukho ngakumbi ukuba iimpawu zokuphuphuma komzimba zenzeke ngokuqinisekileyo ukuba zivele emva kokuvavanywa.
Nangona kunjalo, ukuba unenkxalabo yokufumana uvavanyo lwePap ngexesha lokukhulelwa kwangaphambili, xubusha iingxaki zakho nomboneleli wakho wokunakekelwa kwabantwana. Kungenzeka ukuba ugqirha okanye umbelethisi wakho uyavuma ukuyeka ukuvavanya uvavanyo lwePap kuze kube yilapho ukuhlolwa kwakho kwithuba emva kokuphuma, ikakhulukazi ukuba unembali yeziphumo eziqhelekileyo zePap.
Imithombo:
IPap Smear. Umama waseMelika wokukhulelwa. http://www.americanpregnancy.org/womenshealth/papsmear.html
Buchmayer, S., Sparén, P., Cnattingius, S. "Izibonakaliso zentsholongwane kwi-Pap smears kunye nomngcipheko wokukhulelwa okungahambiyo." I-Paediatr Perinat Epidemiol. 2003 Oct; 17 (4): 340-6. http://cervicalcancer.about.com/od/screening/a/papsmearexpect.htm