We yu dɔktɔ tɛl yu se yu Pap smear ripɔt gɛt ‘abnormal cells’, yu go dɔn fil big big fred ɛn shɔk, nɔto so? Ɛnibɔdi kin fred we i yɛri wɔd lɛk "precancerous." Bɔt lɛ a tɔk fɔs, nɔ fred. Dis nɔ min se yu gɛt kansa. Dis na wan sik wae kin wɛl ɔl ɛn nɔr kin gɛt kansa if dɛn no am kwik. Lɛ wi tɔk bɔt dis simpul wan, klia wan, ɛn nɔ gɛt ɛni lod na yu maynd.
Wetin na di sɛvikal displasia?
Fɔ tɔk am simpul wan, dis na we di sɛl dɛn we nɔmal de gro na di say we yu de na yu sɛviks. Lɛ wi luk wetin na di sɛviks. na di lכw pat pan yu uterus, di pat we de opin insay yu vagina. So, insted fכ di hεlty sεl dεm we de na yu sεviks, wan difrεnt sכm kayn sεl we nכ nכmal de bigin fכ gro.
Tink bɔt am lɛk smɔl pɔt we de na di rod. If dɛn lɛf am da we de, i kin bi big pɔt as tɛm de go. Bɔt if wi mek am jɔs afta wi si am, i nɔ go ambɔg di rod, nɔto so? Na so i bi. Dɛn abnɔmal sɛl ya nɔto kansa sɛl. Bɔt if dɛn nɔ trit dɛn fɔ lɔng tɛm, chans de fɔ mek dɛn tɔn to sɛvikal kansa. Na dat mek wi kin kɔl am "precancerous."
Wan ɔda mɛrɛsin nem de fɔ dis, we na Cervical Intraepithelial Neoplasia (CIN) . Nɔ mek yu fred wit dɛn wɔd ya. "Intraepithelial" min se dεn abnכmal sεl dεm ya de כnli na di sכfa (epithelium) fכ di sεviks, εn dεn nכ spre insay. "Neoplasia" min se nyu sεl dεm de gro.
Stej dɛm de wae dis sik kin tranga?
yes, dכkta dεn kin klas dεn abnכmal sεl dεm ya insay tri stej dεm (CIN stej dεm) dipכnt pan aw dεn dכn spre dip insay di sεvikal tisu. Dɛn kin no dis bay we dɛn de chɛk di tisu ɔnda maykroskɔp.
| Stej | Minin ɛn ɛksplen |
|---|---|
| CIN 1. Di wan dɛn we de wok | Dis na di mכst bεsik εn lכs risk lεvεl.. na ya, di abnכmal sεl dεm de כnli na di tכp tכd pat pan di sεviks. Bɔku tɛm, di imyun sistɛm na wi bɔdi kin mɛn am fɔ insɛf. So, dɛn nɔ nid ɛni big tritmɛnt. |
| CIN 2. Di wan dɛn we de wok | Dis na wan kɔndishɔn we nɔ de du bɔku tin . di sεl dεm we nכ nכmal dεn dכn spre frכm wan tכd to tu tכd pan di sכfa layεr na di sεviks. |
| CIN 3. Di wan dɛn we de wok | Dis na di stej we siriɔs pas ɔl . di abnכmal sεl dεm de kכba mכr dan tu tכd pan di sכfa layεr. CIN 2 ɛn CIN 3 ɔl tu nid tritmɛnt fɔ mek dɛn nɔ gɛt kansa. |
Di impɔtant tin na dat CIN 1 nɔ kin rili bi kansa. Bɔt, CIN 2 ɛn 3 fɔ rili pe atɛnshɔn to ɛn trit am lɛk aw yu dɔktɔ tɛl yu.
Wetin na di sayn dɛm fɔ dis sik?
Na dis na wetin de mek bɔku pipul dɛn sɔprayz. Bɔrku tɛm, Cervical Dysplasia nɔr kin kɔz ɛni sayn. Yu nɔ go fil ɛni chenj, pen, ɔ nɔ fil fayn.
Na smɔl tɛm nɔmɔ, sɔm uman dɛn
- Blɔd we de kɔmɔt na di vagina we nɔ de ɔltɛm.
- Smɔl blɔd (spotting) afta yu dɔn du mami ɛn dadi biznɛs.
Tin dɛn lɛk dat kin apin.
Dis de sho aw i impɔtant fɔ gɛt Pap smear di rayt tɛm. Na de onli we fɔ no if yu gɛt dis sik bifo yu gɛt ɛni prɔblɛm, ɛn yu nɔr de wet fɔ mek di sayn dɛm apia.
Wetin mek dis de apin? Wetin na di rizin fɔ dis?
Di men ɛn di wangren tin we kin mek dis apin na di vayrɔs we dɛn kɔl HPV (Human Papillomavirus) . Dis na wan vayrɔs we kin kam pan mami ɛn dadi biznɛs.
Naw yu kin de wɔnda: "If a gɛt sɛvikal displasia, a gɛt HPV?" Yɛs, na tru. Bɔt di flip sayd fɔ dis nɔto tru. Dat min se nɔto ɔlman we gɛt di HPV vayrɔs go gɛt sɛvikal displasia. Bɔku tɛm, wi bɔdi in imyun sistɛm kin fɛt di vayrɔs ɛn klin am kɔmɔt na di bɔdi kpatakpata insay wan ɔ tu ia.
I pas 100 kayn HPV vayrɔs. Sɔm pan dɛn, mɔ di HPV-16 ɛn HPV-18, ."High-risk" tכp dεm, lεk dεn wan dεm we de mek chenj dεm na di sεl dεm na di sεviks εn we kin mek yu gεt sεvikal displasia.
Wetin na di tin dɛm wae kin mek di risk bɔku?
Pan ɔl we i nɔ pɔsibul fɔ tɔk klia wan wetin mek na sɔm pipul dɛn nɔmɔ we gɛt HPV kin gɛt sɛvikal displasia, dɛn dɔn no bɔku tin dɛn we kin mek di prɔblɛm bɔku.
- Smok: Uman dɛn we de smok ɔ yuz tabak kin gɛt dis sik tu tɛm pas dat. Smok kin mek di bɔdi in imyun sistɛm wik, ɛn dis kin mek i nɔ ebul fɔ fɛt HPV.
- Fɔ gɛt wik imyun sistɛm: If yu imyun sistɛm wik bikɔs ɔf ɔda sik dɛn (e.g. HIV) ɔ sɔm mɛrɛsin dɛn, i kin at fɔ mek yu bɔdi klin di HPV infɛkshɔn.
Aw yu go fɛn dis, Dɔktɔ?
dis diagnostik prכsεs de apin stεp bay stεp lεk aw i de kam.
1. Pap Smear: Dis na di fɔs tin we yu fɔ du. yu gaynikכlכg go tek wan sεmpl fכ sεl dεm frכm di sεl dεm we de fכm yu sεviks εn sεnd dεm to labכtכri fכ egzamin am כnda maykroskכp. dis na fכs fכ chεk fכ sεl dεm we nכ nכmal.
2. Kɔlposkɔpi: If yu Pap smear sho se yu nɔrmal sɛl, yu dɔktɔ kin tɛl yu fɔ du dis tɛst. dis involv fכ egzamin yu sεviks yuz spεshal layt εn magnifying divays (lεk tεliskop). Dis kin mek yu si ɛni sɛl we nɔ fayn klia wan.
3. Bayopsi: If di dɔktɔ si say we dɛn tink se dɛn de du di kolposkopi, dɛn go tek wan smɔl tisu ɛn sɛn am na di lab. Dɛn kɔl dis bayɔpsi. Di ripɔt go kɔnfɔm if yu gɛt CIN 1, 2, ɔ 3.
Yu dɔktɔ go ɛksplen ɔltin to yu pan ɛni step. No rizin nɔ de fɔ mek wi fred.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔrku tin kin sho aw fɔ trit yu, lɛk di stej wae yu gɛt CIN, yu ej, yu ɔl wɛl bɔdi, ɛn if yu de plan fɔ bɔn pikin.
Tritmɛnt fɔ CIN 1
If yu gɛt low-risk kɔndishɔn (CIN 1), yu nɔ go nid ɛni tritmɛnt. Dis na bikɔs i go mɔs bi se di kɔndishɔn go klia fɔ insɛf. Yu dɔktɔ go tɛl yu se, "Lɛ wi wet ɛn si." Dat min se yu fɔ gɛt Pap smyuɛl ɔltɛm (lɛk ɛvri 6 mɔnt ɔ wan ia) fɔ si if di abnɔmal sɛl dɛn chenj ɔ go.
Tritmɛnt fɔ CIN 2 ɛn CIN 3
If yu gɛt mɔdaret ɔ siriɔs kɔndishɔn lɛk CIN 2 ɔ CIN 3, yu dɔktɔ go se yu fɔ pul di sɛl dɛn we nɔ de wok. Dis gɛt 90% chans fɔ mɛn di kɔndishɔn kɔmplit wan. Bɔku men we dɛn de we dɛn kin yuz fɔ du dis.
- LEEP (Loop Electrosurgical Excision Procedure): Insay dis prosidur, dɛn kin yuz ilɛktrik waya lɔp fɔ kɔt fayn fayn wan ɛn pul di eria na di tisu we gɛt abnɔmal sɛl dɛn.
- Kol Naif Kכn Bayopsi / Kכnayzeshn: dεn de pul wan pat pan di tisu we lεk kכn frכm di sεviks we dεn de yuz כspitul naif. Dis kin pul ɔl di sɛl dɛn we nɔmal.
- Hysterectomy: Dɛn nɔ kin du dis bɔku tɛm. Na if ɔda tritmɛnt dɛn nɔ ɛp ɔ di sik kɔntinyu, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul di wan ol uterus ɛn di sɛviks, ɛn tink bɔt di nid fɔ bɔn pikin.
Ɛni wan pan dɛn tritmɛnt ya gɛt in gud ɛn bad tin dɛn. Yu dɔktɔ go tɔk to yu us tritmɛnt go fayn fɔ yu.
Aw fɔ protɛkt yusɛf frɔm dis kayn tin?
di bεst we fכ mek yu nכ gεt di sεvikal displasia na fכ avכyd fכ gεt di HPV vayrus we de mek i gεt am. Bɔku tin dɛn de we yu kin du fɔ ɛp.
- Gɛt di HPV Vaysin: Dis na di tin we impɔtant pas ɔl. Dis vaysin de ɛp fɔ protɛkt frɔm di men kayn HPV we de mek pɔsin gɛt kansa na di sɛvikal ɛn di wɔt na di bɔdi. If yu dɔn ɔlrɛdi gɛt HPV ɔ yu gɛt sɛvikal displasia, dis vaysin nɔ go ebul fɔ mɛn am. Bɔt i kin ɛp fɔ mek yu nɔ gɛt ɔda kayn HPV tumara bambay.
- Praktis sef sɛks: If yu yuz kɔndɔm, dat kin mek yu nɔ gɛt HPV.
- Fɔ gɛt Pap smear di rayt tɛm: Pan ɔl we dis nɔ kin ebul fɔ mek di sik nɔ kam, i kin gi yu big chans fɔ no di sik we i bigin ɛn trit am bifo i bi kansa. Afta yu dɔn ol 21 ia, i fayn fɔ mek yu du Pap smear at le ɛvri 3 ia.
- Nɔ smok kpatakpata: As wi bin dɔn tɔk bifo tɛm, fɔ smok kin mek yu gɛt dis sik bad bad wan.
Mɛsej we dɛn kin kɛr go na os
- Cervical Dysplasia nɔto kansa. Na jɔs wan sayn we de sho se pɔsin kin gɛt kansa.
- Di men tin we kin mek dis apin na di vayrɔs we rili kɔmɔn we dɛn kɔl HPV.
- Bɔrku tɛm, nɔr simptom nɔr kin apun pan dis sik.
- Di bɛst we fɔ no dis kwik na fɔ mek dɛn du Pap smear di rayt tɛm.
- If dɛn no am kwik ɛn trit am fayn, dɛn kin ebul fɔ protɛkt di sɛvikal kansa kpatakpata.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis, tɔk bɔt am opin wan wit yu dɔktɔ.
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