Mmea pii suro kakra, wɔn ani wu, anaasɛ wɔn ani wu bere a wɔte "Pap Smear" sɔhwɛ yi ho asɛm no. Mmere bi wɔ hɔ a wosusuw sɛ, "Oh, na ɔhaw biara nni hɔ bere a etwaam no, dɛn nti na wɔsan yɛ bio?" Nanso so wunim sɛ sɔhwɛ a ɛnyɛ den a egye simma kakraa bi yi wɔ tumi na ɛsom bo araa ma ebetumi agye wo nkwa? Enti ɛnnɛ, momma yenyi ehu ne nsɛmmisa a ɛfa eyi ho nyinaa mfi hɔ na yɛnka ho asɛm tiawa koraa, te sɛ nea wo ne w’adamfo bi rekasa.
Sɛ yɛbɛka no tiawa a, dɛn ne Pap smear?
Wɔyɛ Pap smear, a ɛtɔ mmere bi a wɔfrɛ no Pap nhwehwɛmu, titiriw de hwɛ sɛ ebia awotwaa mu kokoram anaa . Awotwaa no ne ɔkwan a wɔfa so bue kɔ w’awotwaa mu. Nea ɛka sɔhwɛ yi ho ne sɛ wobegye nkwammoaa ketewaa bi afi awotwaa no ani na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu.
Ade kɛse ne nea ɛho hia sen biara wɔ eyi ho ne sɛ sɛ́ anka ebehu sɛ kokoram wɔ hɔ anaa no, ebetumi ahu nkwammoaa a edi kokoram anim a ebetumi abɛyɛ kokoram . Te sɛ wusiw ketewaa bi a wubehu wɔ ofie mu no betumi asiw ogya kɛse ano no. Sɛ wohu saa nkwammoaa a ɛnteɛ yi ntɛm a, wobetumi de ayaresa a ɛnyɛ den asa wɔn yare koraa ansa na wɔabɛyɛ kokoram.
Wɔato saa sɔhwɛ yi din "Pap" de ahyɛ Oduruyɛfo George Papanicolaou, Amerikani oduruyɛfo bi a ɔyɛɛ no anuonyam.
Dɛn ankasa na sɔhwɛ yi rehwehwɛ?
Pap sɔhwɛ twe adwene si nsɛntitiriw pii so.
- Awotwaa mu Kokoram: Wɔhwehwɛ awotwaa no mu tẽẽ sɛ ebia kokoram nkwammoaa wɔ hɔ anaa.
- Dysplasia: Eyi ne ade a ɛho hia sen biara. Ɛhwehwɛ nsakrae a ɛba nkwammoaa a ebetumi abɛyɛ kokoram mu . Sɛ wohu eyinom ntɛm a, ɛnyɛ den koraa sɛ wɔbɛsa.
- Human Papillomavirus (HPV): Ɛtɔ da bi a, wɔyɛ HPV nhwehwɛmu ka Pap nhwehwɛmu ho. HPV yɛ ɔyare mmoawa a wɔtaa nya fi nna mu. HPV mmoawa yi ahorow bi na ɛde awotwaa mu kokoram ba titiriw.
Nea ɛho hia: Pap nhwehwɛmu ntumi nhu nyarewa afoforo a wonya fi nna mu (STIs) te sɛ akisikuru anaa chlamydia. Ɛsɛ sɛ wɔsɔ eyinom hwɛ wɔ ɔkwan soronko so. Nanso ɛtɔ mmere bi a ebetumi ama wɔanya nyarewa te sɛ trichomonas, mmoawa, anaa mmɔkaw mu yare ho adwene bi.
Mfe ahe na ɛsɛ sɛ wɔyɛ Pap nhwehwɛmu na mpɛn ahe na ɛsɛ sɛ wɔyɛ?
Eyi gyina mfe a woadi, w’akwahosan ho abakɔsɛm, ne nhwehwɛmu a woadi kan ayɛ so. Nea wɔtaa kamfo kyerɛ ni:
| Mfe a wɔadi | Bere ntamgyinafo a wɔkamfo kyerɛ |
|---|---|
| 21 - 30 mfeɛ | Yɛ Pap nhwehwɛmu mfe abiɛsa biara. |
| 30 - 65 mfeɛ | Wubetumi apaw sɛ wobɛyɛ Pap nhwehwɛmu ne HPV nhwehwɛmu abom (co-test) mfe anum biara anaasɛ Pap nhwehwɛmu kɛkɛ mfe abiɛsa biara. Wubetumi ne wo duruyɛfo akasa afa eyi ho na woasi nea eye ma wo ho gyinae. |
| Wɔadi bɛboro mfe 65 | Sɛ wo nhwehwɛmu a woadi kan ayɛ no nyinaa yɛ nea ɛfata na wunni asiane titiriw biara a, wo duruyɛfo bɛtaa akamfo akyerɛ sɛ gyae nhwehwɛmu no. |
Henanom na ɛsɛ sɛ wɔtaa sɔ wɔn hwɛ?
Wɔ nsɛm titiriw bi mu no, wo duruyɛfo betumi akamfo akyerɛ wo sɛ wobɛyɛ nhwehwɛmu yi ntɛm asen saa bere yi, anaasɛ mpo bere a woadi mfe 65. Nsɛm a ɛtete saa no bi ne:
- Sɛ wowɔ HIV, anaasɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no ayɛ basaa esiane kokoram ayaresa (chemotherapy) anaa ayaresa tebea foforo nti a.
- Sɛ wo maame nom aduru bi a wɔfrɛ no Diethylstilbestrol (DES) bere a na ɔso wo wɔ n’awotwaa mu (na eyi yɛ aduru a wɔde maa ɛnanom a wɔyem kosii bɛyɛ afe 1971).
- Sɛ woanya awotwaa mu kokoram pɛn a.
- Sɛ nea afi Pap nhwehwɛmu ahorow a atwam mu aba no nyɛ nea ɛfata a .
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Sɛnea ɛbɛyɛ a wubenya nea efi mu ba a ɛyɛ nokware sen biara no, ɛho hia yiye sɛ wudi anammɔn yi akyi fi bɛyɛ nna abien ansa na wɔayɛ sɔhwɛ no.
- Kwati nna abien ansa na wɔayɛ nhwehwɛmu no.
- Mfa tampon, aduru a wɔde hyɛ ɔbea awotwaa mu anaa nnuru, awo ano aduru a wɔde siw awo ano anaa jellies, srade, anaa nsu a wɔde gu nsu mu nni dwuma nna abien .
- Ɛyɛ papa sɛ wobɛyɛ sɔhwɛ no ho nhyehyɛe bere a wo nna awie no . Sɛ worekɔ nna mu da a wɔbɛyɛ nhwehwɛmu no a, bisa wo duruyɛfo nea ɛsɛ sɛ woyɛ. Ebia ebehia sɛ wosakra da no, efisɛ mogya a ɛtɔ kɛse betumi aka nea efi mu ba no.
Sɛnea wɔyɛ sɔhwɛ no - biribiara nni hɔ a ɛsɛ sɛ wosuro!
Wɔyɛ saa sɔhwɛ yi wɔ oduruyɛfo no dan mu. Eyi nyinaa gye simma kakraa bi pɛ. Wunni biribiara a enti ɛsɛ sɛ wusuro anaa w’ani wu. Oduruyɛfo ne ayarehwɛfo no bɛboa wo kɛse.
1. Nea edi kan no, wɔbɛka akyerɛ wo sɛ yi wo ntade a ɛwɔ w’asen ase anaasɛ sesa koraa na hyɛ ayaresabea atade.
2. Afei wɔbɛma woada sɔhwɛ pon titiriw bi so na wɔde wo nan ahyɛ stirrups mu. Wɔbɛma wo ntama anaa krataa a wode bɛkata wo nan so.
3. Afei, oduruyɛfo no de plastic anaa dade adwinnade bi a wɔfrɛ no ‘speculum’ bɛhyɛ wo awotwaa mu nkakrankakra. Ebia wobɛte nhyɛso kakra nka wɔ saa bere yi mu. Wɔde saa adwinnade yi bue ɔbea no awotwaa no kakra na wohu awotwaa no yiye.
4. Afei fa brɔs anaa spatula ketewaa bi a ɛyɛ mmerɛw yiye twitwiw nkwammoaa bi fi awotwaa no ani brɛoo. Eyi nyɛ yaw.
5. Wɔde nkwammoaa nhwɛsode a wɔaboaboa ano no gu toa ketewaa bi a nsu titiriw bi wom mu, na woyi speculum no fi hɔ.
Ɛno ne no. Adeyɛ no nyinaa gye nea ennu simma 5.
Ebia wobɛte mogya nketenkete kakraa bi wɔ nhwehwɛmu no akyi. Eyi yɛ ade a ɛfata, mma ɛnhaw wo. Nanso, sɛ mogya no kɔ so boro nnɔnhwerew 24 anaasɛ wote ɛyaw anaa wo ho nyɛ wo dɛ bi a, yɛsrɛ wo ka kyerɛ wo duruyɛfo.
Sɛ wonya nea efi mu ba a... ɛno kyerɛ dɛn?
Wɔde wo nkwammoaa nhwɛsode no kɔ lab kɔhwɛ. Ebetumi adi bɛyɛ adapɛn abiɛsa ansa na nea efi mu ba no asan aba. Nneɛma atitiriw abiɛsa na efi mu ba.
| Nea efi mu ba no su | Nkyerɛase a ɛyɛ mmerɛw |
|---|---|
| Normal / Nea enye | Asɛmpa! Wɔanhu nkwammoaa a ɛnyɛ ne kwan so biara wɔ w’awotwaa no so. Biribiara yɛ nea ahoɔden wom. Wobɛyɛ wo sɔhwɛ a edi hɔ wɔ mfe 3-5 mu. |
| Ɛnyɛ nea emu da hɔ (Ɛnyɛ nea emu da hɔ / Atypical) . | Ɛtɔ da bi a, lab no ntumi nhu no yie sɛ nkwammoaa no teɛ anaasɛ ɛnyɛ ne kwan so ɛnam nneɛma te sɛ nkwammoaa nhwɛsoɔ a ɛnnɔɔso anaasɛ ɔyareɛ bi nti. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo bɛka akyerɛ wo sɛ wosan nyɛ nhwehwɛmu no bio wɔ asram kakraa bi akyi. |
| Ɛnyɛ ne kwan so (Abnormal / Positive) . | Eyi kyerɛ sɛ wɔahu nsakrae bi wɔ awotwaa mu nkwammoaa mu. Mma nea afi mu aba yi nnyɛ wo hu! Eyi nkyerɛ sɛ wowɔ kokoram. Mpɛn pii no eyinom yɛ nsakrae a ɛba ansa na abɛyɛ kokoram. Oduruyɛfo no bɛka akyerɛ wo sɛ yɛ nhwehwɛmu foforo (colposcopy) mfa nhwehwɛ tebea yi mu kɔ akyiri. |
Sɛ wonya biribi a ɛnteɛ a efi mu ba a, dɛn na ɛba akyi?
Sɛ nea efi mu ba no nyɛ nea ɛfata a, ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ wɔnyɛ nhwehwɛmu bi a wɔfrɛ no colposcopy .
Eyi nso yɛ mmerɛw te sɛ Pap sɔhwɛ. Nea woyɛ wɔ ha ne sɛ wode afiri titiriw bi a ɛma wo ho yɛ den (colposcope) bɛhwɛ wo awotwaa no yiye. Wubetumi ahu mmeae a wususuw sɛ nkwammoaa a ɛnyɛ ne kwan so wɔ hɔ no pefee. Sɛ ɛho hia a, woyi ntini ketewaa bi (biopsy) fi saa beae no na wɔde kɔ aduruyɛdan mu ma wɔkɔhwehwɛ mu bio. Eyi ne ɔkwan a wubetumi afa so anya awerɛhyem wɔ nsakrae pɔtee a ɛba nkwammoaa no mu no ho.
Ná ebinom taa bisa nsɛm
So ɛho hia sɛ wɔyɛ Pap nhwehwɛmu bere a wɔatwa awotwaa no akyi?
Eyi gyina oprehyɛn ko a wɔyɛe ne nea enti a wɔyɛɛ no so.
- Sɛ wɔannyi wo awotwaa no bere a wɔreyɛ wo oprehyɛn no a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ so yɛ Pap nhwehwɛmu.
- Sɛ woyii wo awotwaa no koraa bere a wɔreyɛ wo oprehyɛn no, na wɔanyɛ oprehyɛn no amma kokoram (sɛ nhwɛso no, wɔ tebea bi te sɛ fibroids ho) a, ebia worenhia Pap nhwehwɛmu bio.
- Nanso, sɛ wɔayɛ wo oprehyɛn de ayi wo awotwaa no esiane awotwaa mu, awotwaa mu, anaa awotwaa mu kokoram nti a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ kɔ so nyɛ nhwehwɛmu na ama woahwɛ sɛ asiane a ɛwɔ hɔ sɛ wubenya kokoram nkwammoaa wɔ wo awotwaa no atifi no anaa. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho.
So ɔbaabun hia Pap nhwehwɛmu?
Aane. Awotwaa mu kokoram kakraa bi pɛ fi nna mu dwumadi a wɔnyɛ. Afei nso, ɛtɔ mmere bi a HPV, ade titiriw a ɛde awotwaa mu kokoram ba no, tumi nam honam ani honam ani a ɛne honam ani di nkitaho a wɔne obi nna. Enti, ɛho hia sɛ woyɛ Pap nhwehwɛmu wɔ nhyehyɛe a wɔkamfo kyerɛ no so bere a woadi mfe 21 akyi, sɛ́ ebia wo ne obi da anaasɛ wunnya nna mu kyɛfa no .
Sɛ woannyɛ Pap nhwehwɛmu a, dɛn na ɛba?
Eyi ne ɔkwan a eye sen biara ne ɔkwan biako pɛ a wɔfa so hu nkwammoaa mu nsakrae ansa na abɛyɛ awotwaa mu kokoram. Sɛ woannyɛ nhwehwɛmu yi a, ebia wunnim sɛ kokoram nkwammoaa renyin wɔ wo nipadua mu. Edu bere a kokoram no anyin na ne sɛnkyerɛnne ahorow ada adi no, ebia aka akyi dodo sɛ wɔbɛsa.
Kae sɛ, ntɛm a wobehu no ne ɔkwan a eye sen biara a wɔfa so gye nkwa, na Pap sɔhwɛ no yɛ hokwan a ɛho hia yiye a wɔde bɛyɛ saa.
Nkrasɛm a Wɔde Kɔ Fie
- Pap Smear yɛ sɔhwɛ a egye nkwa a ebetumi asiw awotwaa mu kokoram ano. Mma nsuro anaa n’ani nnwu wɔ ho.
- Mfaso kɛse a ɛwɔ eyi so ne sɛ etumi hu nsakrae a ɛba nkwammoaa mu a ɛde kokoram ba ansa na ayɛ.
- Hwɛ hu sɛ wobɛyɛ nhwehwɛmu yi sɛnea nhyehyɛe a wo duruyɛfo kamfo kyerɛ, a ɛfata wo mfe ne w’akwahosan tebea te.
- Esiane sɛ sɔhwɛ bi mu aba yɛ "abnormal" nti, ɛnkyerɛ sɛ wowɔ kokoram. Nsuro na di wo duruyɛfo akwankyerɛ akyi.
- Sɛ wowɔ nsɛmmisa, ehu, anaa adwenem naayɛ bi wɔ eyi ho a, wo ne wo duruyɛfo nsusuw ho pefee.

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