Pap xeem

Pap kuaj xyuas kab mob khees xaws ncauj tsev menyuam. Cov hlwb txiav los ntawm qhov qhib ntawm lub ncauj tsev menyuam yog kuaj hauv lub tshuab tsom. Lub ncauj tsev menyuam yog qhov qis dua ntawm lub tsev menyuam (lub tsev menyuam) uas qhib rau ntawm qhov chaw mos.

Qhov kev sim no qee zaum hu ua Pap smear.

Koj pw ntawm ib lub rooj thiab muab koj ob txhais taw tso rau hauv cov nqaij ntshiv. Koj tus kws kho mob maj mam muab ib qho twj hu ua speculum rau hauv chaw mos los qhib nws me ntsis. Qhov no tso cai rau tus kws kho mob pom sab hauv lub paum thiab lub ncauj tsev menyuam.

Cov xoos ntawm lub ncauj tsev menyuam maj mam muab khawb los ntawm thaj chaw thaj tsam. Cov qauv ntawm cov qog xa mus rau chav kuaj ntshav rau kev kuaj mob.

Qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv. Qee cov tshuaj noj txwv kom tsis txhob muaj estrogen lossis progestin yuav cuam tshuam cov txiaj ntsig sim.

Thiab qhia koj tus kws khomob yog tias koj:

• Tau muaj kev ntsuam xyuas Pap txawv txav
• Tej zaum yuav xeeb tub

TSIS TXHOB ua cov hauv qab no rau 24 teev ua ntej kev xeem:

• Douche (douching yuav tsum tsis txhob ua)
• Muaj kev sib deev
• Siv tampons

Sim tsis txhob teem sijhawm rau koj li kev kuaj Pap thaum koj muaj lub sijhawm (coj khaub ncaws). Ntshav yuav ua rau kev ntsuas Pap tsis raug. Yog tias koj muaj qhov ua tsis pom kev los ntshav, tsis txhob ncua koj kev kuaj mob. Koj tus kws kho mob yuav txiav txim siab seb qhov kev sim Pap tseem tuaj yeem ua tiav.

Muab koj lub zais zis ua ntej mus kuaj.

Kev ntsuam xyuas Pap ua rau me ntsis kom tsis muaj mob rau cov poj niam feem ntau. Nws tuaj yeem ua rau qee qhov tsis xis nyob, zoo ib yam li coj khaub ncaws. Koj yuav hnov ​​zoo ib qho siab thaum xeem.

Koj yuav los ntshav me ntsis tom qab kuaj.

Kev kuaj tsev Pap yog qhov tshuaj ntsuam kab mob khees xaws ncauj tsev menyuam. Feem ntau cov mob khees xaws ncauj tsev tuaj yeem kuaj tau ntxov yog tus poj niam muaj kev ntsuam xyuas Pap txhua hnub.

Kev kuaj mob yuav tsum pib thaum muaj hnub nyoog 21 xyoos.

Tom qab thawj zaug kuaj:

• Koj yuav tsum muaj kev ntsuam xyuas Pap txhua 3 xyoos los kuaj mob ncauj tsev me nyuam.
• Yog tias koj muaj hnub nyoog tshaj 30 xyoos thiab koj kuj tau kuaj HPV, thiab ob qho kev kuaj Pap thiab HPV kuaj tsis zoo, koj tuaj yeem kuaj txhua 5 xyoos. HPV (tib neeg papillomavirus) yog tus kab mob uas ua rau muaj pob ntawm chaw mos thiab mob khees xaws ncauj tsev menyuam.
• Feem ntau ntawm cov poj niam tuaj yeem tsum tsis txhob kuaj Pap tom qab lub hnub nyoog 65 txog 70 ntev npaum li lawv tau muaj 3 qhov kuaj tsis pom nyob hauv 10 xyoo dhau los.

Tej zaum koj tsis tas yuav mus kuaj Pap yog tias koj muaj tag nrho hysterectomy (lub tsev me thiab lub ncauj tsev menyuam tshem tawm) thiab tsis tau kuaj Pap txawv txav, mob khees-xaws ncauj tsev menyuam, lossis mob qog nqaij hlav cancer. Tham nrog koj tus kws kho mob.

Ib qho txiaj ntsig tshwm sim txhais tau hais tias tsis muaj qhov txawv txav ntawm lub hlwb. Kev ntsuam xyuas Pap tsis muaj tseeb 100%. Cervical cancer yuav ploj mus raws li qee feem me. Feem ntau, mob khees-xaws ncauj tsev menyuam loj hlob qeeb qeeb, thiab kev rov qab los kuaj Pap yuav tsum pom muaj kev hloov pauv rau lub sijhawm rau kev kho.

Cov qhab nia txawv txav yog pawg raws li hauv qab no:

ASCUS lossis AGUS:

• Qhov txiaj ntsig no txhais tau hais tias muaj cov atypical hlwb, tab sis nws tsis paub tseeb lossis tsis paub xyov cov kev hloov no txhais li cas.
• Cov kev pauv yuav yog vim HPV.
• Lawv yuav yog vim o ntawm cov tsis paub.
• Lawv yuav yog vim tsis muaj cov tshuaj estrogen raws li muaj tshwm sim hauv lawm.
  
• Lawv kuj tseem txhais tau tias muaj cov kev hloov uas yuav ua rau mob qog noj tau.
• Cov kab mob no tuaj yeem yog qhov xwm txheej thiab nws tuaj yeem yog los ntawm sab nraud ntawm lub ncauj tsev menyuam lossis sab hauv lub tsev menyuam.

QIB QIB-QIB DYSPLASIA (LSIL) LOSSIS SIAB LOJ-QIB DYSPLASIA (HSIL):

• Qhov no txhais tau tias cov kev hloov uas tuaj yeem ua rau mob qog noj ntshav yog tam sim no.
• Txoj kev pheej hmoo ntawm kev muaj mob mus rau mob khees xaws ncauj tsev menyuam yog ntau dua nrog HSIL.

CARCINOMA HAUV SITU (CIS):

• Qhov tshwm sim no feem ntau txhais tau tias qhov txawv txav yuav ua rau mob qog nqaij hlav yog tias tsis kho

ATYPICAL SQUAMOUS CELLS (ASC):

• Cov kev hloov txawv txav tau pom thiab yuav yog HSIL

ATYPICAL GLANDULAR CELLS (AGC):

• Cov kev hloov ntawm tes yuav ua rau mob cancer yog pom nyob rau sab saud ntawm lub ncauj tsev menyuam lossis hauv lub tsev menyuam.

Thaum kev ntsuam xyuas Pap qhia tau txawv txav txawv txav, yuav tsum tau kuaj ntxiv lossis rov qab ua tiav. Cov kauj ruam tom ntej yog nyob ntawm cov txiaj ntsig ntawm kev kuaj Pap, koj li keeb kwm dhau los ntawm kev ntsuam xyuas Pap, thiab kev pheej hmoo koj yuav muaj mob qog nqaij hlav rau ncauj tsev menyuam.

Txog kev hloov pauv ntawm tes me, cov kws zov me nyuam yuav kom pom zoo ntsuam xyuas Pap dua lossis rov qab kuaj HPV dua li ntawm 6 txog 12 hlis.

Rov qab soj ntsuam lossis kho mob tuaj yeem suav nrog:

• Colposcopy-based biopsy - Colposcopy yog ib qho txheej txheem uas lub ncauj tsev menyuam tau txais qhov loj nrog lub ntsej muag zoo li qhov cuab tam hu ua colposcope. Kev kuaj me me feem ntau tau txais thaum lub sij hawm tus txheej txheem no los txiav txim siab ntawm qhov teeb meem.
• Kev kuaj mob HPV los kuaj xyuas seb puas muaj HPV yam kab mob uas ntxim yuav ua rau mob qog nqaij hlav.
• Cervix cryosurgery.
• Ua li lub pob txha.

Papanicolaou xeem; Pap smear; Cervical cancer soj ntsuam - Pap kuaj; Mob ncauj tsev menyuam mob leeg nqaij hlav neapasia - Pap; CIN - Pap; Qhov kev hloov pauv ua ntej ntawm ncauj tsev menyuam - Pap; Cervical cancer - Pap; Cov nqaij mob khov khov ua paug - Pap; LSIL - Pap; HSIL - Pap; Tsawg Pap Qib; High-grade Pap; Carcinoma hauv situ - Pap; CIS - Pap; ASCUS - Pap; Atypical glandular cov hlwb - Pap; LAG LUAM - Pap; Atypical squamous hlwb - Pap; HPV - Pap; Tus kab mob rau tib neeg papilloma - Pap ncauj tsev menyuam - Pap; Kev Xam Xim - Pap

• Poj niam deev aub
• Pap smear
• Uterus
• Ncauj tsev menyuam yaig

American College ntawm Obstetricians thiab Gynecologist. Siv cov ntawv no. 140: tswj kev soj ntsuam mob khees-xaws ncauj tsev menyuam thiab kuaj mob khees-xaws ncauj tsev menyuam tau teev tseg. (Rov Pom Dua Tshiab 2018) Obstet Gynecol. 2013; 122 (6): 1338-1367. PMID: 24264713 pubmed.ncbi.nlm.nih.gov/24264713/.

American College ntawm Obstetricians thiab Gynecologist. Siv cov ntawv no. 157: tshuaj ntsuam mob ncauj tsev menyuam thiab kev tiv thaiv. Obstet Gynecol. 2016; 127 (1): e1-e20. PMID: 26695583 pubmed.ncbi.nlm.nih.gov/26695583/.

American College ntawm Obstetricians thiab Gynecologists lub website. Cov kev tawm tswv yim: kev soj ntsuam mob ncauj tsev me nyuam (hloov tshiab). Lub Yim Hli 29, 2018. www.acog.org/Clinical-Guidance-and-Publications/Practice-Advisories/Practice-Advisory-Cervical-Cancer-Screening-Update. Tshaj tawm Lub Yim Hli 29, 2018. Rov Pom Dua Lub Kaum Ib Hlis 8, 2019. Nkag rau Lub Peb Hlis 17, 2020.

Newkirk GR. Pap smear thiab lwm yam txuj ci kev kuaj mob khees-xaws ncauj tsev menyuam. Hauv: Fowler GC, ed. Pfenninger thiab Fowler Cov Txheej Txheem rau Thawj Tus Saib Xyuas. 4 tug ed. Philadelphia, PA: Elsevier; 2020: cha 120.

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 Hlawv. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 28.

Saslow D, Solomon D, Lawson HW, li al. American Cancer Society, American Society rau Colposcopy thiab Cervical Pathology, thiab American Society for Clinical Pathology tshuaj xyuas cov txheej txheem qhia txog kev tiv thaiv thiab kuaj ntxov ntxov txog mob khees xaws ncauj tsev menyuam. CA Cancer J Cl. Xyoo 2012; 62 (3): 147-172. PMID: 22422631 pubmed.ncbi.nlm.nih.gov/22422631.

Kev Pabcuam Tiv Thaiv Pab Pawg Meskas lub vev xaib. Cov lus pom zoo kawg. Cervical cancer: kuaj xyuas. www.uspreventiveservicestaskforce.org/uspstf/re អនុសាសន៍ation/cervical-cancer- tshuaj ntsuam xyuas. Hloov kho thaum Lub Yim Hli 21, 2018. Nkag mus Lub Ib Hlis 22, 2020.