Èse ‘Pap smear’ ŋu nya kpɔa? Alo ɖe nèse be ƒu sue aɖe le wò kɔ ŋu kpɔ, eye ɖɔkta tsɔ aŋe nyui aɖe tsɔ eƒe kpɔɖeŋu sue aɖe ɖo ɖa be ‘woadoe kpɔ’a? Emae nye nusi ŋu míaƒo nu tsoe egbea, si woyɔna be lãmenugbagbeviwo ŋuti nunya. Togbɔ be adze nu sue aɖe le ŋkume gbã hã la, esia nye dodokpɔ si ŋu asixɔxɔ gã aɖe le si kpena ɖe mía ŋu míedea dzesi dɔlélewo le míaƒe ŋutilã me kaba. Mina míaƒo nu tso eŋu bɔbɔe.
Nukae nye Cytology le nya bɔbɔewo me?
Kpuie ko la, lãmenugbagbeviwo ŋuti nunya nye alesi míeléa ŋku ɖe lãmenugbagbevi siwo le míaƒe ŋutilã me ŋu le nusuekpɔmɔ̃ me tsɔ dia dɔlélewo. Ele abe nyagɔmekula nyenye ene. Eŋutinunyala bibi aɖe, si woyɔna be dɔléleŋutinunyala, léa ŋku ɖe lãmenugbagbevi siwo le tsi alo lãkusi sue aɖe ŋutɔ si woɖe tso wò ŋutilã me ŋu.
Tɔtrɔ ɖesiaɖe si mesɔ o le lãmenugbagbevi siawo me koŋue wòdia. Tɔtrɔ siawo ate ŋu anye kansa ƒe dzesi . Alo woate ŋu anye dɔléle si do ŋgɔ na kansa si ate ŋu azu kansa . Menye ema ɖeɖeko o, wozãa dodokpɔ sia hã tsɔ dea dzesi dɔlékuiwo abe dɔlékuiwo, dɔlékuiwo, fungiwo, alo dɔlékuiwo ene.
Nukatae ɖɔkta aɖe gbe be woawɔ dodokpɔ sia tɔgbe?
Susu vevi geɖewo li siwo tae wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ lãmenugbagbeviwo ŋuti dodokpɔ.
- Abe kansa dodokpɔ kple dɔléle didi ene: Dodokpɔ sia ate ŋu akpe ɖe ame ŋu woade dzesi kansa ƒomevi aɖewo hafi dzesiwo nadze. Ele vevie hã be woaɖo kpe edzi nenye be ƒunukpeƒetetedɔ alo nusi mesɔ o nye kansa alo menyee o.
- Be woanya dɔléle siwo xɔa ame me: Wozãa esia tsɔ nyaa nugbagbevi suesue si na dɔlékui aɖe va le ŋutilãa ƒe akpa aɖe.
- Be woade dzesi dɔdzẽ ƒe nɔnɔmewo: Dodokpɔ sia kpena ɖe ame ŋu hã be woade dzesi dɔdzẽ ƒe nɔnɔme aɖewo le ŋutilãa me, abe sarcoidosis ene.
Mɔnu vovovo kawoe wozãna tsɔ doa lãmenugbagbevi siawo kpɔna?
Woate ŋu ama lãmenugbagbeviwo ŋuti dodokpɔ siawo ɖe hatsotso vevi etɔ̃ me, le alesi ɖɔktaa xɔa lãmenugbagbeviwo ƒe kpɔɖeŋu aɖe le asiwò nu. Mina míalé ŋku ɖe esia ŋu le mɔ bɔbɔe aɖe nu be míase egɔme.
| Dodokpɔ ƒomevi | Alesi woawɔ akpɔ lãmenugbagbeviwo | Kpɔɖeŋuwo |
|---|---|---|
| Lãmenugbagbeviwo Ŋuti Nunya (Exfoliative Cytology). | Lãmenugbagbevi siwo ŋutilãa kɔna le dzɔdzɔme nu alo ɖea wo ɖe go la me dzodzro. Esiawo le ŋutilã me tsiwo me. | - Aɖuɖɔ me lãmenugbagbeviwo ŋuti nunya - Ʋuʋudedi - Tsi si dona tso ŋku, nyɔnu ƒe vidzidɔ, alo no me - Ahɔhɔ̃ me tsi le ahɔhɔ̃ kple aklã me - Tsi si ƒo xlã lãkusi, dzi, alo ƒodo ƒe do |
| Abrasive Lãmenugbagbeviwo Ŋuti Nunya | Wokpɔa lãmenugbagbeviawo to wo tutu alo wo tutu me to mɔ̃ aɖe zazã me. Ɣeaɖewoɣi la, wozãa tsi aɖe hã klɔa lãmenugbagbeviawo. | - Pap smear: Esiae nye vidzidɔ ƒe smear ƒomevi si bɔ wu. - Le bronchoscopy me: Be woaklɔ lãmenugbagbeviwo alo akɔ wo ŋu tso yaƒoƒomɔ̃wo alo lãkusiwo me. - Le endoscopy me: Lãmenugbagbeviwo ɖeɖe tso teƒewo abe nuɖuɖutome kple dɔgbo ene. - Ŋutilã me lãmenugbagbeviwo ɖeɖeɖa tso ʋuʋudedi alo abi me. |
| Nudede Nyawo Me / Aspiration Cytology (FNA) . | Aŋe si le sue ŋutɔ zazã atsɔ ato ŋutigbalẽa me ahaɖe lãmenugbagbevi siwo me tsi le ɖa le ƒunukpeƒetetedɔ alo dɔdzẽ aɖe me. Woyɔa esia be Fine-Needle Aspiration (FNA) . | - Lãmetsiŋusẽ ƒe dzidziɖedzi le kɔ kple akɔta - Thyroid ƒe lãkusiwo - No ƒe ƒuƒoƒo - Aɖuɖɔ ƒe agbɔsɔsɔme |
Aleke wowɔa lãmenugbagbeviwo dodokpɔe?
Enyo, azɔ mina míakpɔ alesi ɖoɖo sia katã wɔa dɔe ɖa. Afɔɖeɖe vovovowo li woawɔ le esia wɔwɔ me.
1. Kpɔɖeŋua xɔxɔ: Gbã la, wò ɖɔkta atsɔ mɔnu si sɔ (abe lãmenugbagbeviwo ƒoƒo, tsilele, alo aŋe ɖeɖe ene) atsɔ axɔ lãmenugbagbeviwo ƒe kpɔɖeŋu tso wò ŋutilã me.
2. Eɖoɖo ɖe dodokpɔxɔa me: Eyome, wotsɔa kpɔɖeŋu sia sina ɖe glass slide dzi alo wotsɔnɛ dea aŋetu sue aɖe me heɖonɛ ɖe dodokpɔxɔa me.
3. Kpɔɖeŋu dzadzraɖo:Le dodokpɔxɔa me la, lãmenugbagbeviwo dzadzraɖo ŋuti mɔ̃ɖaŋudɔwɔla aɖe dzraa kpɔɖeŋua ɖo hena dodokpɔ. Le afisia la, wodea amadede vovovowo be lãmenugbagbeviawo nadze nyuie wu. Woyɔa esia be ‘ɖiƒoƒo’.
4. Nusuekpɔmɔ̃ ƒe dodokpɔ: Fifia akpa vevitɔ kekeake va. Lãmenugbagbeviŋutinunyala kple dɔléleŋutinunyala léa ŋku ɖe kpɔɖeŋu sia si wodzra ɖo ŋu le nusuekpɔmɔ̃ me. Woléa ŋku ɖe lãmenugbagbeviawo ƒe nɔnɔme, woƒe lolome, alesi lãmenugbagbeviawo ƒo ƒu ɖekae, nucleus ƒe nɔnɔme, kple nu bubu geɖewo ŋu. Wodia tɔtrɔ ɖesiaɖe si mebɔ o alo nugbagbevi suesue siwo xɔa dɔlékuiwo ƒe anyinɔnɔ.
5. Nyatakakaa dzadzraɖo: Mlɔeba la, dɔléleŋutinunyala la wɔa nyatakaka blibo si me nusi wòkpɔ kple dɔléle si wokpɔ le eŋu hã le. Nyatakaka siae nye nusi wò ɖɔkta xɔna.
Nukae dzɔna do ŋgɔ na dodokpɔa kple emegbe?
Zi geɖe la, mehiã be woawɔ dzadzraɖo tɔxɛ aɖeke ɖe lãmenugbagbeviwo ŋuti dodokpɔ ŋu o. Gake dodokpɔ aɖewo (le kpɔɖeŋu me, ne woɖe eƒe kpɔɖeŋu to dɔlékuiwo me toto me) ate ŋu abia mɔfiame tɔxɛwo. Eyata anyo wu be nàbia wò ɖɔkta ne nu tɔxɛ aɖe li si wòle be nàwɔ hafi adoe kpɔ.
Le dodokpɔa megbe la, ne wò ɖɔkta xɔ dɔléleŋutinunyala ƒe nyatakaka la, adzro emetsonuwo me kpli wò eye wòatso nya me le nusi wòawɔ kplɔe ɖo ŋu.
Viɖe kawoe le lãmenugbagbeviwo dodokpɔ ŋu? Aleke wòto vovo tso ŋutilã ƒe akpa aɖewo ɖeɖeɖa gbɔe?
Viɖe gã geɖe le lãmenugbagbeviwo dodokpɔ ŋu, vevietɔ ne wotsɔe sɔ kple dodokpɔmɔnu bubu, si nye lãmenugbagbeviwo ƒe dɔwɔwɔ.
- Kpɔɖeŋu sue aɖe ŋutɔ sɔ gbɔ na esia.
- Mevea ame boo o wu ŋutilã ƒe akpa aɖewo ɖeɖeɖa.
- Alesi wòdzea ŋutilãa dzii la le sue ŋutɔ .
- Afɔku si le kuxiwo me la le sue ŋutɔ .
Vovototo si le Lãmenugbagbeviwo Ŋuti Nunya Kple Lãmenugbagbeviwo Ŋuti Nusɔsrɔ̃ dome: Bu lãmenugbagbeviwo ŋuti nunya be enye anyikpe kakɛ aɖe si ge tso anyikpe ƒe gli ŋu tsɔtsɔ doe kpɔ. Nusi ko míate ŋu akpɔe nye alesi brik la le. Biopsy nye gli la ƒe akpa sue aɖe ɖeɖe hele alesi anyikpeawo kple aŋɔawo katã wɔ ɖeka kple wo nɔewoe me dzrom. Eyae nye be le lãmenugbagbeviwo ŋuti nunya me la, míeléa ŋku ɖe lãmenugbagbevi ɖekaɖekawo alo lãmenugbagbeviwo ƒe hatsotsowo ŋu. Le ŋutilã ƒe akpa aɖe ɖeɖe me la, míeléa ŋku ɖe lãmenugbagbevi blibo aɖe ƒe wɔwɔme ŋu.
Gɔmesese kae le nyatakaka si woxɔ ŋu?
Nusiwo nàkpɔ tso eme anɔ te ɖe susu si ta wowɔ dodokpɔa ɖo kple ŋutilã ƒe akpa si me woɖe dodokpɔa tsoe dzi. Nusiwo dona tso eme zi geɖe dometɔ aɖewoe nye:
| Nusi dona tso eme ƒe nɔnɔme | Gɔmesese bɔbɔe |
|---|---|
| Nusi sɔ / Negative | Efia be womekpɔ nusiwo mesɔ o alo kansa lãmenugbagbevi aɖeke le lãmenugbagbevi siwo wodo kpɔ me o. Ne wokpɔ dɔlékui aɖe la, efia be dɔlékui aɖeke menɔ anyi o. |
| Womeɖoe kplikpaa o / Medzea ame ŋu o | Esia fia be lãmenugbagbeviwo mesɔ gbɔ le kpɔɖeŋua me be woate ŋu aƒo nya ta nyuie o. Ðewohĩ ahiã be woagawɔ dodokpɔa ake. |
| Nusi mesɔ o / Nu Nyui | Efia be lãmenugbagbeviawo ƒe dzedzeme to vovo na lãmenugbagbevi siwo sɔ. Gake esia mefia kokoko be kansa le ŋuwò o. Ate ŋu anye dɔlékui alo tɔtrɔ sue bubu aɖe. Nyawo abe dysplasia, hyperplasia, alo metaplasia ate ŋu anɔ nyatakakaa me. Wò ɖɔkta aɖe esia me. |
Nukae adzɔ emegbe ne emetsonua mesɔ o?
Mègatsi dzodzodzoe ne emetsonua mesɔ o. Wò ɖɔkta anɔ te ɖe nusi mesɔ o ƒe nɔnɔme dzi atso nya me le nusi nàwɔ azɔ ŋu. Ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo abe ŋutilã ƒe akpa aɖewo ɖeɖe ene, alo aɖo aɖaŋu be woadze atikewɔwɔ gɔme. Nu vevitɔe nye be nàƒo nu tso eŋu na wò ɖɔkta eye nàwɔ ɖe eƒe mɔfiamewo dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Lãmenugbagbeviŋutinunya nye dodokpɔ bɔbɔe aɖe si le dedie, eye vevesese aɖeke mele eŋu o, si me wodzroa ŋutilã ƒe lãmenugbagbeviwo me tsɔ dea dzesi dɔlélewo.
- Esia nye kpekpeɖeŋu gã aɖe le kansa kple dɔlékui vovovowo didi kaba me.
- Pap smear, si nye dodokpɔ si wowɔna zi geɖe le nyɔnuwo dome, hã nye lãmenugbagbeviwo ŋuti dodokpɔ ƒomevi aɖe.
- Ne wò dodokpɔ me tsonu ‘mesɔ o’ la, mefia ɣesiaɣi be kansa le ŋuwò o. Eyata mègatsi dzi o.
- Ne nyabiase alo ɖikeke aɖe le ŋuwò le dodokpɔa alo emetsonuwo ŋu la, dzro eme kple wò ɖɔkta gaglãa.
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