Yu dɔktɔ dɔn se sɔntin nɔ fayn wit yu Pap tɛst? Ɔ sɔntɛnde yu kin gɛt smɔl smɔl blɔd we de kɔmɔt na yu sɛviks? Dɛn tin ya kin mek yu fred smɔl ɛn wɔri. Bɔt nɔ wɔri. Bɔku tɛm, dɛn tin ya nɔ kin siriɔs. Wan simpul tritmɛnt we dɔktɔ dɛn kin advays pan dɛn kayn tin ya, dɛn kɔl am ‘krayo ɔpreshɔn.’ Pan ɔl we di nem kin tan lɛk big tin, fɔ tru, i rili simpul. Fɔ tɔk di kɔrɛkt tin, i min fɔ yuz kol pasmak, lɛk ays, fɔ pwɛl di sɛl dɛn we nɔmal. Lɛ wi tɔk bɔt dis klia wan ɛn simpul we.
Fɔ tɔk am simpul wan, wetin na krayosɔj?
Okay, mek wi ɔndastand dis wit wan rili simpul ɛgzampul. Imajin se yu gɛt smɔl wɔt na yu an. Sɔntɛnde, dɔktɔ dɛn kin yuz wata we rili kol fɔ pul di wɔt. Di kol kin kil di sɛl dɛn we de na di wɔt. di sem tin kin apin na krayosujεri fכ di sεviks.
wetin kin apin ya na dat di dכkta de yuz kεmikכl we rili kol, lεk likid naytrojen, fכ ‘friz’ כ friz di abnכmal sεl dεm we de na yu sεviks. Di kol we kin kol pasmak kin mek di sɛl dɛn day. Dɔn, di we aw wi bɔdi kin wɛl kin mek nyu sɛl dɛn we gɛt wɛlbɔdi kin gro na da say de. Dɛn kin kɔl dis tritmɛnt bak krayotɛrapi.
Trade, dis we ya bin rili pɔpul fɔ pul di nɔmal sɛl dɛn na di sɛviks. Bɔt naw, na Sri Lanka ɛn bɔku ples dɛn na di wɔl, dɛn de yuz nyu we dɛn we go wok fayn lɛk LEEP (Loop Electrosurgical Excision Procedure). Bɔt insay sɔm spɛshal kes dɛn, sɔm ɔspitul dɛn kin stil du dis krayosɔjɛri tritmɛnt.
Udat nid dis tritmɛnt?
Bɔku tin dɛn de we dɔktɔ kin tɛl yu bɔt dis tritmɛnt. Lɛ wi tek wan luk pan wetin dɛn bi.
- di sεl dεm we nכ nכmal na di sεviks: If yu Pap tεst sho se yu sεvikal sεl dεm nכ nכmal, כ i gεt hεvi risk fכ divεlכp to kansa (sεvikal displasia), dεn kin rεkomεnd fכ pul dεn sεl dεm de.
- Sεvisayt: Sɔntɛnde, di sεviks kin gɛt infεkshכn, swεla, εn rεd. Dɛn kin yuz dis we fɔ du tin pan sɔm kes dɛm we nɔ kin ansa to mɛrɛsin.
- di wכt na di jεnital: dεn kin yuz dis tritmεnt bak fכ pul di wכt dεm we de fכm na di sεviks sכfayz bikoz fכ di HPV vayrus.
- di blɔd we de kɔmɔt na di sεvikal we nɔ ɛksplen: sכmtεm, sכm sכm bכdi kin kכmכt bikoz fכ di fayn fayn bכdi we de na di sεviks. Sɔntɛnde, dɛn kin du dis tritmɛnt bak.
Wetin kin apin bifo dɛn trit am?
Dis nɔto big ɔpreshɔn. Yu nɔ go nid fɔ de na ɔspitul. Dɛn kin du am na di dɔktɔ in rum (OPD). Dɛn kin du am we yu de tink. Nɔ nid nɔ de fɔ mek dɛn tek jenɛral anestezi.
- Numbness: Sɔntɛnde di dɔktɔ kin injekt smɔl lokal anestesia insay di sɛviks. bכt bכku tεm, dat nכ nכ nid biכs di sεviks gεt bכku sכm nεv sεns.
- Fɔ mek yu at kol: If yu de fred bad bad wan ɛn wɔri, dɛn kin gi yu smɔl mɛrɛsin fɔ mek yu at kol.
- Fɔ pripia yusɛf: Yu dɔktɔ go tɛl yu fɔ avɔyd fɔ du mami ɛn dadi biznɛs ɛn nɔ put ɛnitin na yu vagina fɔ 24 to 48 awa bifo yu gɛt tritmɛnt.
Wetin kin apin we dɛn de du di tritmɛnt? Step by step
Di ɔltin we dɛn kin du kin tek less dan 10 minit , so nid nɔ de fɔ wɔri. I kin fil jɔs lɛk fɔ gɛt Pap smear.
1. Pozishɔn: Fɔs, dɛn go aks yu fɔ ledɔm pan bed, we dɛn kin yuz fɔ ɛgzamin uman dɛn, wit yu leg dɛn we spre to di sayd dɛn.
2. Fɔ put di Speculum insay: Neks, mɛmba di inschrumɛnt we yu de yuz we yu gɛt Pap smear? sכm kayn instrכmεnt (speculum) dεn de put insay di vagina εn i de push di vagina wכl dεm jכnt fכ apat so dat dεn go si di sεviks klia wan.
3. Krayoprob: Neks, di dכkta de put wan lכng, tint, mεtal instrכmεnt we lεk pensil (dεn kכl am krayoprob) insay di vagina. Wan wata we rili kol de flɔ tru dis inschrumɛnt, ɛn dis kin mek di inschrumɛnt in tip kol lɛk ays.
4. Fɔ friz di sɛl dɛn: Naw di dɔktɔ kin put di tip pan di inschrumɛnt we kol lɛk ays jɔs usay di sɛl dɛn we nɔ nɔmal de na yu sɛviks ɛn ol am de fɔ sɔm sɛkɔn ɔ minit. Dis kol pasmak (lεk -20 to -50 digri sεlshiכs) de friz di sεl dεm.
5. Thaw ɛn ripit: Dɔn pul di divays ɛn lɛ di eria thaw smɔl. If nid de, friz di sɛl dɛn bak di sem we. Na dat.
Bɔku tɛm, dis nɔ kin mek pɔsin fil pen. Yu kin fil smɔl diskɔmfɔt, lɛk we yu de fil pen na yu bɛlɛ. Bɔt yu nɔ fɔ fil ɛni pen. Sɔm pipul dɛn kin fil smɔl diziz afta dɛn dɔn gɛt di tritmɛnt.
Wetin fɔ ɛkspɛkt afta dɛn dɔn trit yu?
Yu kin go na os jɔs afta di tritmɛnt dɔn. No nid fɔ de na di ɔspitul.
- Wan wata we de kɔmɔt na yu vagina: Afta yu dɔn trit yu, yu kin bigin fɔ gɛt wata we de kɔmɔt na yu vagina fɔ sɔm wiks . Dis na tin we rili nɔmal, so nɔ wɔri.Dis kin apin bikɔs di sɛl dɛn we dɔn frɔz kin day, dɛn kin tɔn, ɛn kɔmɔt na di bɔdi. Yu kin yuz sanitayz pad fɔ dis. Nɔ yuz tampon fɔ ɛni rizin .
- Pen: If yu gɛt smɔl bɛlɛ pen, yu kin tek wan jenɛral pen kil lɛk paracetamol.
- Tin dεm we yu fכ avכyd: Nɔ du mami ɛn dadi biznɛs te yu sεviks wɛl kכmplit wan, we go tek lεk 2-3 wik . כlso, avכyd fכ put εnitin insay yu vagina (e.g. tampon, douches). Dis kin ɛp fɔ mek yu nɔ gɛt di sik.
- Fɔ fala: Dis rili impɔtant . Di dɔktɔ go gi yu wan de fɔ kam bak. da tεm de, i go chεk fכ si if di abnכmal sεl dεm dכn kכmplit εn if di sεviks dכn hεl fayn fayn wan. Da tɛm de, yu kin du ɔda Pap tɛst ɔ if nid de, dɛn kin du bayɔpsi.
Wetin na di bɛnifit ɛn bad tin dɛn we dis tritmɛnt gɛt?
Lɛk ɛni ɔda tritmɛnt, dis tritmɛnt we dɛn kin du we dɛn de kray wit krayosɔjɛri gɛt bɛnifit ɛn bad tin dɛn. Lɛ wi tek tɛm luk dɛn gud gud wan.
| Di bɛnifit dɛn we pɔsin kin gɛt | Di bad tin dɛn we kin apin |
|---|---|
| Nɔto ɔpreshɔn: Bikɔs dɛn nɔ de kɔt di bɔdi, di risk fɔ mek i fil pen, fɔ mek i blɔd, ɛn fɔ mek i gɛt prɔblɛm dɛn, nɔ kin rili bɔku. | Nɔ ebul fɔ tɛst di sɛl dɛn: Bikɔs di sɛl dɛn dɔn pwɛl, dɛn nɔ kin ebul fɔ sɛn di pat we dɛn pul na lɛb fɔ si if kansa sɛl dɛn de. |
| Kwik ɛn izi: I kin tek lɛk 10 minit fɔ dɔn. Nɔ nid fɔ de na ɔspitul. | Les accurate: Nɔto kɔrɛkt lɛk ɔda we dɛn (lɛk LEEP). Sɔntɛnde, dɛn kin mis di sɛl dɛn we nɔmal. |
| Lɔw kɔst: Di kɔst nɔ kin bɔku we yu kɔmpia am to ɔda ɔpreshɔn dɛn. | Nɔ ebul fɔ go dip dip wan:i de wok כnli pan sεl dεm we de na di sεviks. dis mכtכd nכ go wok if di sεl dεm dכn go dip insay di sεviks. |
| Nɔ ifɛkt pan fεtiliti: Dis tritmɛnt jɔs nɔ de afɛkt di ebul fɔ gɛt bɛlɛ tumara bambay. | nכ fayn fכ siriכs kכndyushכn dεm: Dis mεtכd nכ fayn fכ pul sεl dεm we de pan hכy risk fכ tכn to kεnsar (e.g. CIN 3). |
Aw dis tritmɛnt kin wok fayn?
Dis tritmɛnt kin wok lɛk 90% . Dat min se pan 90 pan ɔl 100 pipul dɛn we dɛn trit, di sɛl dɛn we nɔ de wok fayn nɔ go kam bak. Bɔt, na smɔl pipul dɛn nɔmɔ kin gɛt sɛl dɛn we nɔ fayn bak. If dat apin, dɛn go gɛt fɔ yuz ɔda tritmɛnt lɛk LEEP.
Us tɛm yu nid fɔ tɔk to di dɔktɔ?
Pan ɔl we i nɔmal fɔ gɛt sɔm prɔblɛm ɛn wata we de kɔmɔt na yu bɔdi afta yu dɔn trit yu, sɔm sayn dɛn kin bi sayn fɔ infekshɔn ɔ ɔda prɔblɛm dɛn. If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm. Ɔ go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| 🌡️ Fiva | If di bɔdi in tɛmpracha na 100.4 Fahrenheit (38 Sɛlshiɔs) ɔ pas dat. |
| 🩸 Ebi ebi blɔd de kɔmɔt | If yu blɔd pas di nɔmal mɔnt we yu kin gɛt. |
| 😖 Siriɔs bɛlɛ pen | Wan pen we yu nɔ go ebul fɔ bia na yu bɛlɛ we nɔ de stɔp ivin afta yu tek parasetamol. |
| 👃 Na dischaj we de smɛl fayn | If di vagina dischaj gɛt dɔti smel (dis na sayn fɔ infɛkshɔn). |
Fɔ dɔn, fɔ krayo ɔpreshɔn na di sɛvikal na wan tin we nɔ tu te yet, bɔt i stil simpul, sef, ɛn fayn tritmɛnt we dɛn stil de yuz insay sɔm kes dɛm. If yu dɔktɔ tɛl yu fɔ du dis tritmɛnt, nɔ fred fɔ du am. Yu fɔ mɛmba di tin dɛn we de insay dis atikul, ɛn tɔk to yu dɔktɔ opin wan if yu gɛt ɛni kwɛstyɔn. Yu ɛn yu dɔktɔ na di wan dɛn we de disayd bɔt yu wɛlbɔdi togɛda.
Mɛsej we dɛn kin kɛr go na os
- Krayosɔjri na simpul tritmɛnt we de yuz kol pasmak fɔ pwɛl di sɛl dɛn we nɔ de na di sɛviks.
- Dis nɔto big ɔpreshɔn. I kin tek lɛk 10 minit so. No nid fɔ de na di ɔspitul.
- Di tritmɛnt nɔ kin rili mek pɔsin fil pen. Yu kin fil smɔl kramp, we tan lɛk we yu de gɛt kramp we yu de gɛt mɔnt.
- I nɔmal fɔ mek yu gɛt wata we de kɔmɔt na yu vagina fɔ sɔm wiks afta yu dɔn trit yu. Nɔ wɔri bɔt am.
- Nɔ du mami ɛn dadi biznɛs ɛn yuz tampon te i wɛl ɔl (2-3 wik).
- Mek shɔ se yu go na di fɔlɔp apɔntinmɛnt we di dɔktɔ gi yu. I rili impɔtant.
- If yu gɛt ay fiva, yu gɛt bɔku blɔd, yu de fil pen we yu nɔ go ebul fɔ bia, ɔ yu gɛt dɔti smel, tɛl yu dɔktɔ wantɛm wantɛm.
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