Na nɔmal tin fɔ fil smɔl frayd ɛn wɔri we yu si di wɔd ‘SIL’ ɔ ‘Squamous Intraepithelial Lesion’ na di ripɔt afta yu dɔn du Pap tɛst. Tin dɛm lɛk "Wetin na dis? A gɛt kansa?" kin kam na mi maynd wantɛm wantɛm. Bɔt nɔ panik. Tek dip briz ɛn kol yu at. SIL nɔto kansa. Bɔt na sɔntin we wi nid fɔ no bɔt. So, tide wi go tɔk rili simpul bɔt wetin na SIL, wetin mek i de divɛlɔp, ɛn wetin fɔ du bɔt am.
Simply put, wetin bi dis SIL?
SIL, ɔ Squamous Intraepithelial Lesion , na wan sik we di sɛl dɛn we de na wi bɔdi in skin, mɔ di sɛl dɛn we de na di tint mɛmbran dɛn we de kɔba sɔm ɔgan dɛn, de gro difrɛn smɔl, we nɔ de rɛgyula smɔl pas aw i nɔmal. di wכd "intraepithelial" insεf min se dis chenj de כnli insay di sכfa layεr na di skin/mεmbran, εn i nכ de go dip.
Tink bɔt wi skin lɛk brik wɔl we dɛn dɔn layt fayn fayn wan. Insay SIL, i tan lɛk se dɛn dɔn pul di brik dɛn we de ɔp na dis brik wɔl ɛn i gɛt difrɛn shep. Di wɔl stil strɔng, bɔt smɔl difrɛns de na di layt we de ɔp.
Dɛn kayn chenj ya na di sɛl kin apin na bɔku difrɛn pat dɛn na wi bɔdi. Di wan dɛn we bɔku pipul dɛn kin gɛt na:
- Di sεviks
- Vagina
- εkstεnshכnal vagina εria (Vulva) .
- Anus we de na di bɔdi
- Penis we de na di bɔdi
- Bak na yu trot
Di impɔtant tin na dat SIL nɔto kansa . Bɔt wi kin kɔl am prɛkansa . Dat min se if wi nɔ trit ɛn pe atɛnshɔn to dɛn chenj ya we de apin na di sɛl fɔ lɔng tɛm, chans de fɔ mek dɛn tɔn to kansa tumara bambay. Na dat mek i rili impɔtant fɔ no am kwik kwik wan.
Tu men kayn SIL dɛn de:
dכkta dεm de luk dεn sεl dεm ya we dεn chenj כnda maykroskכp εn dεn sheb SIL to tu men tכp dεm, dipכnt pan aw di sεl dεm difrεn frכm nכmal sεl dεm.
| SIL tayp | Simpul ɛksplen |
|---|---|
| SIL we gɛt lɔw gred (LSIL) . (Mild displasia) . | Dis na smɔl chenj we de apin na di sɛl dɛn. I tan lɛk se gras dɛn de gro na gadin. Bɔku pan dɛn tin ya na wi yon imyun sistɛm kin kɔntrol. Dat min se dɛn kin bɛtɛ fɔ dɛnsɛf if dɛn nɔ gɛt ɛni tritmɛnt. Di risk fɔ mek dɛn tɔn to kansa rili smɔl. |
| SIL we gɛt ay gred (HSIL) . (Mɔdarɛt/Siv displasia) . | wan big, klia chenj de na di sεl dεm ya. Insay di sem ɛgzampul frɔm di gadin, dɛn tin ya big smɔl, lɛk gras we dɔn tek rut ɛn gro. Dɛn nɔ kin bɛtɛ fɔ dɛnsɛf . So fɔ mek dɛn nɔ tɔn to kansa tumara bambay, bɔku tɛm yu fɔ du sɔm kayn tritmɛnt . |
Wetin na di men rizin fɔ di divɛlɔpmɛnt fɔ SIL?
Di men ɛn kɔmɔn tin we kin mek pɔsin gɛt SIL na di Human Papillomavirus , ɔ HPV , we na wan sik we pɔsin kin gɛt we i kam pan mami ɛn dadi biznɛs (STI). HPV na in de rispansabl fɔ lɛk 90% pan di SIL kes dɛm.
We di HPV vayrɔs kam insay wi bɔdi, i kin afɛkt sɔm sɛl dɛn, ɛn dis kin mek dɛn sheb kwik kwik wan ɛn difrɛn we pas aw dɛn kin sheb. Dis na di rizin fɔ SIL.
Bɔt dis na di tin: I pas 100 kayn HPV.
- Sɔm kayn (e.g. HPV 6, 11) na di kayn dɛn we nɔ gɛt bɔku risk. Dɛn tin ya kin mɔs mek tin dɛn lɛk jɛnɛral wɔt ɛn LSIL kɔndishɔn.
- sכm כda kayn dεm (e.g. HPV 16, 18) dεn kin tek dεm as ``high-risk`` tכp dεm. Dɛn kayn ay risk ya kin mek yu gɛt HSIL ɛn kansa.
Bɔrku tɛm, wi bɔdi in imyun sistɛm kin fɛt HPV infɛkshɔn ɛn klin am frɔm di bɔdi insay sɔm mɔnt ɔr wan ɔ tu ia. Bɔt sɔm tɛm, mɔ di kayn dɛn we gɛt ay risk, dɛn kin kɔntinyu fɔ de na di bɔdi ɛn smɔl smɔl dɛn kin mek di sɛl chenj fɔ bɔku ia, we kin mek i gɛt SIL.
Wetin na di sayn dɛm fɔ dis sik?
Wan pan di big chalenj dɛm ya na dat i nɔr kin gɛt ɛni patikyula sayn fɔ SIL . Bɔrku pipul kin no se dɛn gɛt dis sik tru Pap smear ɔr gaynecological exam we dɛn kin du fɔ ɔda rizin.
Bɔt sɔntɛnde, dɛn tin ya kin apin. If yu notis dɛn tin ya, yu fɔ rili go to yu dɔktɔ.
We i kam pan di say we di uman in bɔdi de:
- Dischaj ɔ blɔd we nɔ kɔmɔn na di vagina (espɛshali we yu nɔ gɛt mɔnt ɔ afta yu dɔn du mami ɛn dadi biznɛs) .
- Di apinɛns fɔ lumps ɔ genital wɔt
- Wan tin we kin mek pɔsin bɔn ɔ we i kin it
- Wan pen we de mek pɔsin fil pen
- Ridnɛs na di eria
If SIL apin na di bak pat na di trot:
- I de pen na yu yes
- Di vɔys we de ala lawd wan
- Pen we yu de swɛla sɔntin
- Trot we kin at fɔ lɔng tɛm
- Gland dɛn we dɔn swel na di nɛk
Dis na di rizin we mek i rili impɔtant fɔ mek uman du Pap smear tɛst ɔltɛm , ivin if i nɔ gɛt ɛni sayn.
Udat de pan ay risk fɔ gɛt SIL?
Pan ɔl we ɛnibɔdi we gɛt HPV kin gɛt SIL, sɔm pipul dɛn kin gɛt di risk smɔl.
- Pipul dɛn we gɛt wik imyun sistɛm: Pipul dɛn we gɛt HIV, pipul dɛn we gɛt ɔgan transplant, ɔ di wan dɛn we dɛn imyun sistɛm wik bikɔs ɔf ɔda mɛrɛsin, kin gɛt prɔblɛm fɔ fɛt di HPV vayrɔs.
- Pipul dɛn we de smok: Di kemikal dɛn we de insay sigrɛt de pwɛl wi sɛl dɛn ɛn mek wi imyun sistɛm wik, ɛn dis kin mek i nɔ izi fɔ di wan dɛn we de smok fɔ kɔntrol wan HPV infɛkshɔn.
- Mami ɛn dadi biznɛs we nɔ sef: We yu gɛt bɔku pipul dɛn we yu de du mami ɛn dadi biznɛs wit ɛn nɔ yuz tin dɛn we go protɛkt yu lɛk kɔndɔm, dat kin mek yu gɛt HPV infɛkshɔn.
Aw dɔktɔ kin no se i gɛt SIL?
Bɔku tɛst dɛn de fɔ no if pɔsin gɛt SIL.
1. Pap Smear: Dis na di tɛst we impɔtant pas ɔl ɛn we dɛn kin yuz. insay dis tεst, dεn de tek sכm sכm sεl dεm frכm di sεviks εn dεn de egzamin am כnda maykroskכp fכ si if εnitin we nכ de. yu kin yuz anal Pap smear bak fכ no SIL na di an.
2. Kɔlposkɔpi: If yu Pap smear ripɔt sho SIL, i go mɔs bi se yu dɔktɔ go ɔda dis tɛst. dis min se yu de yuz wan spεshal magnifying lens we dεn kכl kolposkop fכ luk di sεviks εn di vagina. If ɛnitin de we nɔ kɔmɔn, yu kin si am klia wan.
3. Bayopsi: If di dɔktɔ si ɛni say we dɛn tink se dɛn de du di kolposkopi, dɛn kin pul wan rili smɔl tisu ɛn sɛn am na di lɛb fɔ mek dɛn tɛst am. Dɛn kɔl dis bayɔpsi. Dis na wetin de sho if na SIL, LSIL, HSIL, ɔ sɔntin we siriɔs pas am.
Wetin ‘Nɛgitiv fɔ squamous intraepithelial lesion’ min?
If yu Pap smear ripɔt se ``(NILM - Negative for Intraepithelial Lesion or Malignancy)``, dat na fayn nyus. I min se dɛn nɔ bin fɛn ɛni abnɔmal tin ɔ sayn fɔ prɛ-kansa na yu sɛvikal sɛl dɛn. Bɔt ivin if dis rizɔlt fayn, i impɔtant fɔ fala yu dɔktɔ di tɛm we dɛn se yu fɔ fala.I impɔtant fɔ kɔntinyu fɔ du Pap smear tɛst.
Wetin na di tritmɛnt dɛm fɔ SIL?
Di we aw dɛn de trit yu dipen pan if yu gɛt LSIL ɔ HSIL, usay i de, ɛn yu ej ɛn wɛlbɔdi.
- Fɔ LSIL: Bɔku pan di LSIL kes dɛm, mɔ pan yɔŋ uman dɛm, kin sɔlv fɔ dɛnsɛf we dɛn nɔ gɛt ɛni tritmɛnt. So bɔku tɛm yu dɔktɔ go fala "watchful waiting" we. Dat min se yu fɔ du Pap smyul ɛvri 6 mɔnt to wan ia fɔ si if di sɛl chenj dɛn de wɔs ɔ i de bɛtɛ.
- Fɔ HSIL: HSIL kin nid tritmɛnt bikɔs i gɛt ay risk fɔ divɛlɔp to kansa pas LSIL. Bɔku tritmɛnt dɛn de we yu kin pik:
| Di we aw dɛn kin trit am | Aw fɔ du am |
|---|---|
| Tritmɛnt dɛn we dɛn kin put pan pɔsin in bɔdi | Sɔntɛnde, dɛn kin put krim na di say we di nɔmal sɛl dɛn de. dis dεm de kil di abnכmal sεl dεm כ de mek di bכdi in imyun sistεm wok. |
| Krayotɛrapi | wan tin we rili kol, lεk likwid naytrojen, dεn kin yuz fכ friz εn pwεl di tisu we gεt abnכmal sεl dεm. |
| Laser tritmɛnt | Wan pawaful laser bim de dayrɛkt fɔ bɔn ɛn pul di abnɔmal tisu. |
| Ɔpreshɔn we dɛn kin du fɔ pul di bɔdi | Dis na di we aw dɛn kin yuz mɔ. LEEP (Loop Electrosurgical Excision Procedure) כ Kכn Bayopsi fכ HSIL fכ di sεvikswit di mεtכd dεm lεk dis, na di pat nכmכ we gεt abnכmal sεl dεm dεn kin kכt insay kכn shep εn pul am. |
Wetin na di chans fɔ gɛt kansa if yu gɛt HSIL?
Dis na big tin we bɔku pipul dɛn kin fred. Jɔs bikɔs di ripɔt se HSIL nɔ min se yu gɛt kansa. I jɔs min se sɔm sɛl dɛn de we kin tɔn to kansa.
Akɔdin to risach, if dɛn nɔ trit am, di HSIL kes dɛm nɔmɔ gɛt smɔl 2% chans fɔ tɔn to kansa. Bɔt nɔbɔdi nɔ go ebul fɔ tɔk aw lɔng i go tek fɔ mek dat apin. I kin bi 10 ia, i kin bi 10 mɔnt.
Na dat mek wi nɔ de tek ɛni risk, ɛn jɔs afta dɛn dɔn kɔnfyus wi se wi gɛt HSIL, wi kin pul dɛn abnɔmal sɛl dɛn de wit di rayt tritmɛnt we di dɔktɔ tɛl wi fɔ du. We wi du dat, i go lɛf smɔl fɔ lɛ wi stɔp di risk fɔ gɛt kansa kpatakpata.
Yu tink se dɛn kin ebul fɔ stɔp SIL?
Di bɛst ɛn fayn we fɔ mek yu nɔ gɛt SIL na fɔ avɔyd fɔ gɛt di HPV vayrɔs, we na di men tin we kin mek yu gɛt am.
1. Gɛt di HPV Vaysin: Dis na di tin we impɔtant pas ɔl. Di HPV vaysin de protɛkt frɔm 90% pan di men kayn HPV we de mek pɔsin gɛt kansa ɛn SIL. If yu gɛt dis vaysin na di rayt ej (bɔku tɛm fɔ gyal pikin ɛn bɔy pikin dɛn we ol bitwin 9-14 ia) i kin ridyus di prɔblɛm dɛn we go apin tumara bambay bad bad wan. If yu dɔn pas da ej de, aks yu dɔktɔ if dis vaysin fit fɔ yu ej.
2. Sef sɛks: If yu yuz kɔndɔm kɔrɛkt wan ɛvri tɛm we yu de du mami ɛn dadi biznɛs, dat kin protɛkt yu frɔm sik dɛn we pɔsin kin gɛt frɔm mami ɛn dadi biznɛs, lɛk HPV.
3. Fɔ stɔp pɔsin fɔ du mami ɛn dadi biznɛs: Di risk fɔ gɛt HPV kin bɔku wit di nɔmba fɔ di patna dɛn.
4. Mek dɛn du Pap smear di rayt tɛm: Ivin if yu nɔ gɛt ɛni simptom, tek Pap smear di intaval dɛn we yu dɔktɔ se, i go dipen pan yu ej ɛn risk. If ɛni chenj de, dɛn kin kech am na di LSIL lɛvɛl bifo i go bifo to mɔ siriɔs kɔndishɔn lɛk HSIL.
Na nɔmal tin fɔ fred we yu gɛt diagnosis fɔ SIL. Bɔt nɔto di ɛnd fɔ di wɔl. Na yu bɔdi in wɔnin, se, "Na smɔl tin ya, lɛ wi pe atɛnshɔn to dis." Tɔk wit yu dɔktɔ opin wan ɛn lisin to wetin di ripɔt min. Tɔk klia wan bɔt wetin fɔ du nɛks. If dɛn no am kwik ɛn trit am fayn, dis na sik we pɔsin kin mɛn ɔltogɛda.
Mɛsej we dɛn kin kɛr go na os
- SIL (Squamous Intraepithelial Lesion) nɔto kansa. Na wan sik wae kin kam bifo yu gɛt kansa ɛn kin tɔn to kansa.
- Di men tin we kin mek dis apin na di HPV vayrɔs we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.
- Tu kayn SIL de: LSIL (mɛl chenj, bɔku tɛm i kin sɔlv fɔ insɛf ) ɛn HSIL (hay-grɛd chenj, nid fɔ gɛt tritmɛnt).
- Bɔku tɛm, SIL nɔ kin gɛt ɛni sayn, so i rili impɔtant fɔ mek dɛn du Pap tɛst di rayt tɛm.
- ivin if HSIL de, if yu no am kwik kwik wan εn trit am fayn fayn wan (e.g., LEEP) i kin kכlכsכl fכ mek di kεnsar nכ divεlכp.
- Fɔ gɛt di HPV vaysin ɛn fɔ praktis sef sɛks na di bɛst we fɔ mek yu nɔ gɛt SIL.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ dawt bɔt yu ripɔt, aks yu dɔktɔ fɔ mek i klarify.
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