Cervical cancer - tshuaj ntsuam thiab tiv thaiv

Cervical cancer yog mob qog pib rau lub ncauj tsev menyuam. Lub ncauj tsev menyuam yog qhov qis dua ntawm lub tsev menyuam (lub tsev menyuam) uas qhib rau ntawm qhov chaw mos.

Muaj ntau yam koj tuaj yeem ua los txo qis koj txoj kev muaj mob khees xaws ncauj tsev menyuam. Tsis tas li, koj tus kws saib xyuas kev noj qab haus huv tuaj yeem kuaj ua ntej kom pom cov kev hloov ntxov uas yuav ua rau mob cancer, lossis nrhiav pom kabmob kheesxaws ncauj tsev menyuam thaum ntxov.

Yuav luag txhua yam mob khees-xaws ncauj tsev menyuam yog tshwm sim los ntawm HPV (tib neeg papilloma virus).

• HPV yog ib tus kab mob uas kis los ntawm kev sib deev.
• Qee hom HPV feem ntau ua rau mob khees-xaws ncauj tsev menyuam. Cov no yog hu ua hom kev pheej hmoo siab mob HPV.
• Lwm yam ntawm HPV ua rau mob pob ntawm chaw mos.

HPV tuaj yeem kis ntawm ib tug neeg mus rau lwm tus txawm tias tsis pom muaj pob cos lossis lwm yam tsos mob tshwm.

Muaj ib cov tshuaj tiv thaiv los tiv thaiv tus mob HPV uas ua rau muaj mob khees-xaws ncauj tsev menyuam feem ntau rau cov pojniam. Cov tshuaj tiv thaiv yog:

• Pom zoo rau cov ntxhais thiab poj niam hnub nyoog 9 txog 26.
• Muab 2 koob txhaj rau cov menyuam ntxhais hnub nyoog 9 txog 14, thiab li 3 koob rau cov menyuam yaus hnub nyoog 15 xyoos lossis tshaj rod saud.
• Qhov zoo tshaj plaws rau cov menyuam ntxhais ua ntej hnub nyoog 11 lossis ua ntej sib deev. Txawm li cas los xij, cov menyuam ntxhais thiab cov pojniam hluas uas twb tau sib deev lawm tuaj yeem tuaj yeem tuaj yeem tiv thaiv tau los ntawm cov tshuaj tiv thaiv yog tias lawv tsis tau kis kabmob dua.

Cov kev pw ua ke kom muaj kev nyab xeeb dua tuaj yeem pab txo koj kom txhob mob HPV thiab mob ncauj tsev menyuam:

• Txhua zaus yuav tsum siv hnab looj. Tab sis nco ntsoov tias hnab looj yuav tiv thaiv tsis tau koj tag nrho. Qhov no yog vim tus kabmob virus lossis mob cos tuaj yeem nkag rau ntawm daim tawv nqaij ze.
• Tsuas muaj ib tus khub sib deev nkaus xwb, uas koj paub yog tsis muaj tus kab mob.
• Txwv tsawg tus naj npawb ntawm cov neeg sib deev koj muaj sijhawm dhau los.
• TSIS TXHOB koom nrog cov neeg koom tes uas koom nrog hauv kev sib deev muaj feem.
• TSIS TXHOB haus luam yeeb. Kev haus luam yeeb ua rau muaj feem ua mob khees-xaws ncauj tsev menyuam.

Cervical cancer feem ntau muaj qeeb qeeb. Nws pib ua kev hloov pauv uas hu ua dysplasia. Dysplasia tuaj yeem kuaj pom los ntawm kev kuaj mob hu ua Pap smear.

Dysplasia yog tshuaj kho tau. Vim li ntawd nws yog ib qho tseem ceeb rau cov poj niam kom tau txais Pap smears tsis tu ncua, yog li ntawd lub hlwb yuav tsum tau muab tshem tawm ua ntej lawv tuaj yeem mob qog noj ntshav.

Kev tshuaj xyuas Pap smear yuav tsum pib thaum muaj hnub nyoog 21. Tom qab kev sim thawj:

• Cov poj niam hnub nyoog 21 txog 29 yuav tsum muaj Pap smear txhua 3 xyoos. Kev ntsuam xyuas HPV tsis pom zoo rau pawg neeg no.
• Cov poj niam hnub nyoog 30 txog 65 xyoo yuav tsum tau kuaj ib qho Pap smear txhua 3 xyoos los yog kuaj HPV txhua 5 xyoos.
• Yog tias koj lossis koj tus khub muaj kev sib deev nrog lwm tus neeg tshiab, koj yuav tsum muaj Pap smear txhua 3 xyoos.
• Cov poj niam hnub nyoog 65 txog 70 tuaj yeem nres muaj Pap smears ntev li ntev tau lawv tau muaj 3 qhov kev ntsuam xyuas tsis pub dhau 10 xyoo dhau los
• Cov poj niam uas tau txais kev kho tus mob voos (mob ncauj tsev menyuam) yuav tsum muaj tus kabmob Pap smears mus li 20 xyoo tom qab tau kho lossis txog hnub nyoog 65 xyoos, saib qhov twg ntev dua.

Nrog koj tus kws kho mob tham hais tias koj yuav tsum tau kuaj Pap smear lossis HPV npaum li cas.

Kheesxaws ncauj tsev menyuam - kuaj mob; HPV - tshuaj xyuas mob ncauj tsev menyuam; Dysplasia - kuaj mob khees-xaws ncauj tsev menyuam; Cervical cancer - Tshuaj tiv thaiv HPV

• Pap smear

Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob lub vev xaib. Tib neeg papillomavirus (HPV). Cov caij txhaj tshuaj tiv thaiv HPV thiab koob tshuaj. www.cdc.gov/hpv/hcp/schedules-ibxavxwm.html. Hloov kho tshiab Lub Peb Hlis 10, 2017. Nkag mus Lub Yim Hli 5, 2019.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia ntawm qis qis hauv qhov chaw mos (ncauj tsev menyuam, qhov chaw mos, qhov chaw mos): kev ntsuas mob, tshuaj ntsuam, ntsuas mob, tswj hwm. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 28.

American College ntawm Obstetricians thiab Gynecologist, Pawg Saib Xyuas Kev Noj Qab Haus Huv Rau Cov Hluas, Kev Txhim Kho Cov Kws Txawj Ua Haujlwm. Pab Pawg Tswv Yim Tus Tswv Yim 704, Lub Rau Hli 2017. www.acog.org/Clinical-Guidance-and- Republicans/Commtees-Opinions/Commtees-on-Adolescent-Health-Care/Human-Papillomavirus-Vaccination. Nkag mus rau Lub Yim Hli 5, 2019.

Asmeskas Cov Kev Pabcuam Tiv Thaiv Cov Haujlwm, Curry SJ, Krist AH, Owens DK, li al. Kev kuaj mob ncauj tsev menyuam: Asmeskas Cov Kev Pabcuam Tiv Thaiv Cov Haujlwm xav kom muab lus tshaj tawm. JAMACov. 2018; 320 (7): 674-686. PMID: 30140884 www.ncbi.nlm.nih.gov/pubmed/30140884.

• Cervical Cancer
• Kev Kuaj Mob Hlwb Menyuam
• HPV
• Kev kuaj mob rau poj niam