Ukuhlolwa kwePap, ngenhlanhla, akunakwenzeka ukuthi kubangelwe ukuhlukaniswa
Iyini i-Pap Smear?
Odokotela abaningi bancoma ukuthola i-Pap smear (eyaziwa nangokuthi i-Pap test) ekukhulelweni kokuqala njengengxenye yesimiso sokunakekela izingane ngaphambi kokubeletha. Ngokuvamile kuthatha imizuzu embalwa nje. Imiphumela yokuhlolwa ithunyelwa ebhokisini ehlola amangqamuzana angavamile wesibeletho, okukhona okungathi umdlavuza wesibeletho. Uma ukuhlolwa kwe-Pap kubonisa ukuthi unama-cell ajwayelekile wesibeletho, udokotela wakho angase enze ukuhlolwa kwesibili okubizwa ngokuthi i-colposcopy, okuzomvumela ukuba abuke umlomo wesibeletho sakho eduze.
(Qaphela: Kungumqondo omuhle ukuthola ama-Pap smears njalo uma ungakhulelwe. Udokotela wakho uzotusa ukuba uhlole ukuhlolwa kwePap eneminyaka engama-21-noma eminyakeni emithathu emva kokuqala ukuya ocansini-bese uthola eyodwa yesithathu iminyaka eminingi kuze kube neminyaka engu-29. Ngokuvamile kunconywa ukuthi abesifazane abaneminyaka engama-30 kuya ku-65 bathole ukuhlolwa kwe-Pap-kanye nokuhlolwa kwe-HPV-njalo eminyakeni emihlanu. Kodwa cela udokotela wakho ukuthi imvamisa enhle ingani.)
Kwenzekani Ngesikhathi Sokuhlolwa KwePap?
Ngesikhathi seP Pap smear, lo wesifazane uphazamisa esikhwameni phansi, ulale etafuleni lakhe, uhlakaze imilenze, futhi ubeke izinyawo zakhe. Ishidi libekwa phezu kwamathanga akhe. Udokotela usebenzisa ithuluzi lezokwelapha elibizwa ngokuthi i-speculum, kanye ne-lubrication, ukuhlola umlomo wesibeletho bese besebenzisa ibhulashi elincane noma i-spatula ukuze ususe isampula yamaseli avela esibelethweni sokuhlola. Abanye besifazane abazizwa kuyilapho abanye bezwa ukungakhululeki kahle phakathi nalolu hlobo lokuhlolwa.
Uma ukhulula umzimba wakho kanye nemisipha yomzimba wesisu, ukhululekile kakhulu ukuhlolwa kwePap ngokuvamile.
Ingabe i-Pap Smear Ingabangela Ukuthatha Isisu?
Abanye besifazane bangase babone ukukhanya okulula emva kokuhlolwa, ngenxa yobuzwe bomlomo wesibeletho ngesikhathi sokukhulelwa, kodwa kungenzeka ukuthi ukuhlolwa kwePap kuzokwazi ukudala ukungahambi kahle ngokungahambi kahle.
Kanjani? Ngokuvamile, iqanda elikhulelwe lifakwe phezulu esibelethweni hhayi eduze komlomo wesibeletho. Ngisho noma kwenzeka ukuthi ingane isetshenziswe ngaphansi kwesibeletho futhi isondelene nomlomo wesibeletho, umlomo wesibeletho ukhulu kakhulu ku-trimester yokuqala, ngakho ukukhanya kokukhanya okuvela ekuhlolweni kwe-Pap kungaphazanyiswa iqanda elifakwe umanyolo.
Ngeshwa, kunikezwe ukuthi cishe cishe ku-15 kuya ku-20% kokukhulelwa okuqinisekisiwe kuqeda ukukhulelwa kwesisu, abanye besifazane bahlukumezeka ngemuva kokuthola i-Pap smear. Abanye bangase baqale nokuthola izimpawu zokukhulelwa kwesisu ngemuva kokuthola i-Pap smear ekuqaleni kwalolo suku. Izimpawu zokukhulelwa kwesisu zingase zibandakanye ukuphuma kwegazi okwesibhakabhaka okubomvu noma okubomvu, ukuchoboza noma ubuhlungu emuva, nokudluliswa kwezicubu ngaphakathi kwesisu. Kodwa khumbula: Lokhu akusho ukuthi i-Pap smear ibangele ukuthi isisu siphume. Kungenzeka kakhulu ukuthi izimpawu zokukhulelwa komzimba zivele zivele ngemuva kokuhlolwa.
Noma kunjalo, uma ukhathazekile ngokuthola ukuhlolwa kwePap ngesikhathi ukhulelwe, xoxani ngezinto ozikhathazayo nomhlinzeki wakho wokunakekelwa kokubeletha. Kungenzeka ukuthi udokotela noma umbelethisi wakho uzovuma ukuhlehlisa ukuhlolwa kwePap kuze kube yilapho ukuhlolwa kwakho kwe-postpartum, ikakhulukazi uma unomlando wePP imiphumela evamile.
Imithombo:
I-Pap Smear. I-American Association Ukukhulelwa. http://www.americanpregnancy.org/womenshealth/papsmear.html
Buchmayer, S., Sparén, P., Cnattingius, S. "Izimpawu zokutheleleka kuma-pap smears kanye nengozi yokukhulelwa okungahambi kahle." I-Paediatr Perinat Epidemiol. 2003 Oct; 17 (4): 340-6. http://cervicalcancer.about.com/od/screening/a/papsmearexpect.htm