Ka tuyige ddala Pap smear kye ki era lwaki kikulu eri obulamu bwo.

Oboolyawo owulidde ku "Pap smear" oba Pap test. Mpozzi omusawo akugambye n’okufuna emu. Mu butuufu kigezo kikulu nnyo eri abakyala bangi naddala bwe kituuka ku bulamu bw’okuzaala. Wadde abantu bangi bakisanga nga kitiisa katono ate nga tekinyuma, emigaso gyakyo mingi. Kale, leero tugenda kwogera ku kugezesebwa kuno okwa Pap mu bujjuvu, mu ngeri ennyangu ennyo, era mu ngeri gy’osobola okutegeera.

Pap smear kye ki?

Mu ngeri ennyangu, okukebera Pap kwe kukebera okuyamba okuzuula kookolo w’omumwa gwa nnabaana nga bukyali nnyo. Okusinga enoonya obutoffaali bwa kookolo mu nnabaana wo, oba obutoffaali obutali bwa bulijjo (obutoffaali obusooka kookolo) obuyinza okufuuka kookolo mu biseera eby’omu maaso, obuyitibwa dysplasia . Oluusi, okukebera kuno era kusobola okuzuula yinfekisoni ezimu ez’ekikaba (STIs) n’okuzimba omumwa gwa nnabaana.

Bino bye bibaawo mu kukeberebwa Pap: Omusawo wo n’obwegendereza aggya obutoffaali obutonotono mu nnabaana wo. Oluvannyuma, sampuli y’obutoffaali yeekebejjebwa wansi wa microscope okulaba oba waliwo ekintu kyonna ekitali kya bulijjo. Okukebera kuno kwasooka kuleetebwa Dr. George Papanicolaou, omusawo Omumerika. Eno y'ensonga lwaki kiyitibwa "Pap."

Lowooza ku kino, tugezaako okuzikiza omukka omutono mu nnyumba, tetulinda muliro munene. Bw’etyo ekigezo kya Pap bwe kiri. Ayamba okukwata kookolo ku kabonero akatono nga tannafuuka kanene.

Mirundi emeka gye nnina okwekebeza Pap?

Kino ddala kisinziira ku bintu ebitonotono, gamba ng’emyaka gyo, ebyafaayo by’obulamu bwo, n’ebyava mu kukeberebwa kwa Pap oba okukeberebwa HPV okwasooka. Kyokka waliwo enkola ey’awamu egobererwa:

• Abakyala abali wakati w’emyaka 21 ne 30: Okutwalira awamu kirungi okwekebeza Pap buli luvannyuma lwa myaka 3 .
• Abakyala abali wakati w’emyaka 30 ne 65: Ku bakyala abali mu kibinja ky’emyaka kino, kirungi okukeberebwa Pap n’okukeberebwa HPV (co-test) buli luvannyuma lwa myaka 5 oba okukeberebwa Pap yokka buli luvannyuma lwa myaka 3. Omusawo ajja kukubuulira ekisinga obulungi.

Abasawo batwala okukebera kwa Pap nga "omutindo gwa zaabu" ogw'okuziyiza kookolo w'omumwa gwa nnabaana kubanga kusobola okuzuula enkyukakyuka mu butoffaali bw'omumwa gwa nnabaana nga tebunnafuuka kookolo, oba nga tannafuna kookolo. Embeera gy’ekoma okuzuulibwa amangu, emikisa gy’okuwona mu bujjuvu ng’ofunye obujjanjabi gye gikoma okubeera emirungi.

Okugenda okukeberebwa Pap kiyinza okulabika ng’ekikutawaanya. Kyangu okukyewala, ng'olowooza nti, "Oh, kyali kirungi emabegako, lwaki okuddamu okukikola?" Naye kyetaagisa nnyo eri obulamu bwo obw’okuzaala.Bw’ogiyimirizaawo, enkyukakyuka ez’akabi mu butoffaali ziyinza okubaawo nga tokitegedde. Bw’oba ​​tokakasa ddi lwe kulina okukeberebwa Pap okuddako, kakasa nti obuuza omusawo wo.

Abantu abamu beetaaga okwekebeza Pap emirundi mingi?

Yee, mu mbeera ezimu ez’enjawulo, abasawo bayinza okukuwa amagezi okukeberebwa Pap emirundi mingi. Oba bayinza okukuwa amagezi okugenda mu maaso n’okuzifuna oluvannyuma lw’emyaka 65. Emisango ng’egyo mulimu:

• Singa abaserikale b’omubiri bo banafuye olw’obulwadde bwa siriimu (Human Immunodeficiency Virus) oba embeera endala ey’obujjanjabi (e.g. chemotherapy for cancer).
• Singa wali ofunye eddagala eriyitibwa diethylstilbestrol (DES) mu kiseera ky’omwana ali mu lubuto (kwe kugamba, ng’oli mu lubuto lwa maama wo). (Eddagala lino lyaweebwa bamaama abali embuto okutuusa nga mu mwaka gwa 1971.)
• Bw’oba ​​obaddeko kookolo w’omumwa gwa nnabaana emabegako.
• Bw’oba ​​obadde n’ebivuddemu ebitali bya bulijjo okuva mu kukeberebwa kwa Pap okwasooka (irregular Pap smears).

Kiki ddala ekikebera Pap kinoonya?

Ekigezo kya Pap okusinga kikebera:

• Kookolo w’omumwa gwa nnabaana.
• Obutoffaali obutali bwa bulijjo mu nnabaana obuyitibwa dysplasia busobola okukula ne bufuuka kookolo.
• Akawuka ka Human Papillomavirus (HPV). Buno bulwadde bwa kikaba (STI). Ebika bya HPV ebimu byongera obulabe bwa kookolo w’omumwa gwa nnabaana.

Wabula okukebera kwa Pap tekusobola kuzuula ndwadde za kwegatta nga kabootongo ne chlamydia . Bino byetaaga okukeberebwa okwawukana. Wabula oluusi okukebera Pap kuyinza okuzuula yinfekisoni nga trichomonas , obuwuka okukula ennyo, oba yinfekisoni z’ekizimbulukusa.

Okukebera Pap n’okukebera ekisambi kintu kimu?

Kino abantu bangi kye basoberwa. Okukebera ekisambi kwe kukebera nnabaana, enkwaso n’ebitundu ebirala eby’enkola yo ey’okuzaala. Pap smear tetera kukolebwa mu kiseera ky’okukeberebwa ekisambi. Wabula okukebera ekisambi kitera okukolebwa mu kiseera kye kimu n’okukebera Pap smear. Pap smear eyinza okuba ekitundu ku kukeberebwa mu kifuba.

Njawulo ki eriwo wakati w’okukebera Pap n’okukebera HPV?

Okukebera HPV kukebera ebika bya HPV ebitongole ebyongera ku bulabe bw’okufuna kookolo w’omumwa gwa nnabaana. Ebika bya HPV bingi era si byonna nti bireeta kookolo.

Abasawo basobola okukola okukebera Pap n’okukebera HPV mu kiseera kye kimu. Kino kiyitibwa "okugezesebwa awamu."Zombi zikolebwa mu ngeri y’emu – sampuli y’obutoffaali eggyibwa mu nnabaana. Bwe kinaasindikibwa mu laabu, omusawo ajja kukubuulira oba oyagala okukeberebwa Pap, okukeberebwa HPV, oba byombi (co-tests) okukolebwa ku sampuli eno. Obudde wakati w’okukebera kuno kwombi buyinza okwawukana katono okusinziira ku oba okola okukeberebwa kwa Pap oba okukeberebwa awamu.

Nze nnalongoosebwa nnabaana. Nze nneetaaga okukeberebwa Pap?

Kino kisinziira ku kika ky’okuggyamu nnabaana n’okumanya oba kyakolebwa lwa kookolo oba ensonga endala.

• Bw’oba ​​olina omumwa gwa nnabaana gwonna oba ekitundu ekitaliiko kamogo , olina okugenda mu maaso n’okukeberebwa Pap.
• Singa omumwa gwa nnabaana gwo guggyiddwawo ddala , oyinza obuteetaaga kukeberebwa Pap kulala, naye ekyo nakyo kisinziira ku nsonga lwaki olongoosezza nnabaana.

Okugeza abantu abalongooseddwa nnabaana olw’enkwaso, nnabaana oba kookolo w’omumwa gwa nnabaana bayinza okwetaaga okugenda mu maaso n’okukeberebwa Pap okukebera obubonero bwa kookolo mu bitundu by’obukyala. Kyokka singa wali olongoosezza nnabaana olw’embeera endala, gamba ng’okuzimba nnabaana , omusawo wo ayinza okusalawo nti oli mu bulabe bwa kookolo obutono era teweetaaga kukeberebwa Pap okusingawo. Kale, kirungi okwogera n’omusawo wo ku nsonga eno.

Oteekateeka otya okukeberebwa Pap?

Ebintu ebimu by’okola mu nnaku nga tebannaba kukola Pap smear bisobola okukosa ebyava mu kukeberebwa. Okusobola okufuna ebivaamu ebisinga obutuufu, beera mwegendereza ebintu bino:

• Weewale okwegatta mu bukyala okumala ennaku bbiri nga tebannaba kukeberebwa.
• Tokozesa tampons, ebizigo by’obukyala oba eddagala, ebiwujjo oba jelly ebiziyiza okuzaala, ebizigo oba douches okumala waakiri ennaku bbiri nga tonnakeberebwa.
• Gezaako okuteekawo enteekateeka y'okukeberebwa kwo olunaku oluddirira ng'ensonga ziwedde . Bw’oba ​​ogenda mu nsonga ku lunaku lw’okukeberebwa, oba bw’oba ​​olowooza nti ojja kugenda, kuba essimu y’omusawo omubuuze eky’okukola.

Nsobola okwekebeza Pap mu kiseera ky’okugenda mu nsonga?

Kirungi okwewala okukeberebwa Pap ng’ogenda mu nsonga, kuba kino kiyinza okukyusa ebyavaamu. Abasawo abamu bakola Pap tests mu nnaku ezisembayo mu nsonga zo (nga okuvaamu omusaayi mutono). Kirungi okusaba omusawo akuwe amagezi ku nsonga eno, oba okwongezaayo okukebera okutuusa olunaku lw’oba ​​togenda mu nsonga.

Okukebera Pap kukolebwa kutya?

Okukebera Pap kukolebwa mu ofiisi y’omusawo wo ddala. Tekitwala bbanga ddene, eddakiika ntono zokka okukikola.

1. Okusooka, ojja kusabibwa okuggyamu engoye zo okuva mu kiwato okukka wansi oba okweyambula ddala n’oyambala gomesi y’eddwaaliro.

2. Ekiddako, ojja kugalamira ku mmeeza y’ebigezo ng’amagulu gazisanyizza ate ebisinziiro mu biwujjo. Ojja kuweebwa drape oba empapula okubikka amagulu.

3. Olwo, omusawo ajja kukola okukebera bwati:

• Ekyuma ekiyitibwa speculum kiyingizibwa mpola mu bukyala bwo. Mu kiseera kino oyinza okuwulira ng’olina puleesa entonotono. Kino kivuga kya kyuma oba kya pulasitiika. Kikozesebwa okusumulula obukyala omusawo asobole okulaba obulungi omumwa gwa nnabaana.
• Olwo nga bakozesa ekintu nga bbulawuzi entono oba spatula, bajja kusenya mpola nnyo obutoffaali obutonotono okuva waggulu ku nnabaana wo.
• Bbulawuzi oba ekijiiko ekirimu obutoffaali bw’omumwa gwa nnabaana kiteekebwa mu ttanka oba akabbo akatono akalimu amazzi ag’enjawulo.
• Mu nkomerero, ekiwujjo (speculum) kiggyibwawo.

Ekyo kye kiri! Okugezesebwa kuwedde.

Okukebera Pap kiruma?

Okukebera Pap ebiseera ebisinga tekuluma , naye kiyinza okukutawaanya katono . Abantu abamu bayinza okuvaamu omusaayi katono oluvannyuma lw’okukeberebwa. Naye tolina kuba na bulumi bwonna oba okuzimba olubuto. Bw’oba ​​owulira obuzibu bwonna okumala eddakiika ezisukka mu ntono, oba ng’ovaamu omusaayi okumala essaawa ezisukka mu 24, kakasa nti otegeeza omusawo wo.

Kiki ky’osuubira oluvannyuma lw’okukeberebwa Pap?

Omusawo wo ajja kusindika sampuli y’obutoffaali mu laabu, omukugu mu by’endwadde , omukugu mu butoffaali, gy’agenda okwekebejja obutoffaali buno wansi w’ekipimo ekitono okulaba oba bulina kookolo oba nga bulina obutoffaali obutali bwa bulijjo obukwatagana n’akawuka ka HPV.

Waliwo ebizibu byonna ebiri mu kukebera Pap?

Pap smears kigezo kya bulabe nnyo era kyesigika nnyo. Wayinza okubaawo okuvaamu omusaayi oluvannyuma lw’okukeberebwa, naye tewalina kubaawo bulumi oba obutabeera bulungi. Tekitera kubaawo, ebivaamu eby’obulimba-obubi , oba ebivaamu eby’obulimba-obulungi, bisobola okubaawo. Naye kino tekitera kubaawo nnyo.

Nnafuna ddi ebyava mu kukeberebwa kwange?

Kiyinza okutwala wiiki ssatu omusawo wo okufuna ebyava mu laabu. Ebyava mu kunoonyereza bwe binaabeera mu, omusawo wo ajja kukutegeeza ddi lw’osaanidde okukeberebwa Pap okuddako, oba oba waliwo okukeberebwa okulala okwetaagisa.

Ebyava mu kukeberebwa kwa Pap bitegeeza ki?

Bw’ofuna ebyavaamu, bisobola okugabanyizibwamu bwe biti:

• Normal: Tewali butoffaali obutali bwa bulijjo bwazuulibwa. Kino kitegeeza nti tewaaliwo kintu kya njawulo mu sampuli. Kino oluusi kiyitibwa "ekivaamu ekibi." Bwe kiba bwe kityo, ojja kwetaaga okukeberebwa Pap okuddako mu myaka nga esatu (nga omusawo bw’akulagidde).
• Tekitegeerekeka/Ekitali kya bulijjo:Abakozi ba laabu tebasobola kumanya bulungi oba obutoffaali buno bwa bulijjo oba si bwa bulijjo. Mu kiseera kino, omusawo ayinza okukusaba okuddayo okukeberebwa Pap okulala mu nnaku ntono, oba ayinza okukusaba okukeberebwa HPV.
• Ebitali bya bulijjo: Enkula n’enkula y’obutoffaali bibufuula ng’obutakwatibwa kookolo. Abasawo bongera okussa obutoffaali buno mu kibinja kya "low-grade" oba "high-grade."
• Obutoffaali obw’omutindo ogwa wansi butegeeza nti kiyinza okutwala emyaka mingi kookolo okukula. Bino bitera okuva ku bulwadde bwa HPV era nga bisobola okulongoosebwa abaserikale b’omubiri bennyini.
• Obutoffaali obw’omutindo ogwa waggulu kitegeeza nti obutoffaali buno butera okufuuka kookolo amangu. Mu kiseera kino, okwongera okukebera n’okujjanjaba kyetaagisa nnyo.

Ekikulu nti ebyava mu kukeberebwa Pap nga tebitegeerekeka oba nga si bya bulijjo tekitegeeza nti olina kookolo w’omumwa gwa nnabaana! Kitegeeza kyokka nti waliwo ekintu ekirala ekyetaaga okutunuulirwa. Omusawo ajja kwogera naawe ku bivudde mu kukeberebwa n’eky’okuddako. Kale tosattira.

Biki ebiddako okukolebwa singa wabaawo ebyava mu kukeberebwa kwa Pap ebitali bya bulijjo?

Singa ebyava mu kukeberebwa kwa Pap tebiba bya bulijjo, omusawo ayinza okukuwa amagezi okukeberebwa okuyitibwa colposcopy . Abantu abamu basooka kukebera Pap endala okulaba oba ebyavaamu bye bimu nga bwe byali edda.

Okukebera kwa Pap kwe kukebera kwokka – tekusobola kuzuula kookolo mu ngeri enkakafu. Okuzuula obukakafu oba olina kookolo w’omumwa gwa nnabaana, omusawo ajja kukukola ‘colposcopy’. Okugezesebwa kuno kujja:

• Omusawo akozesa ekintu eky’enjawulo ekikuza omubiri ekiyitibwa colposcope (nga lenzi ennene) okwekenneenya n’obwegendereza kungulu w’omumwa gwa nnabaana n’obukyala.
• Singa wabaawo ebitundu byonna ebirabika ng’ebitali bya bulijjo, sampuli emu oba eziwera ez’ebitundu ebitonotono (biopsies) zijja kuggyibwa awo.
• Sampuli z’ebitundu bino zisindikibwa mu laabu okukeberebwa obutoffaali bwa kookolo oba obutoffaali obusooka kookolo.

Nze nneetaaga okwekebeza Pap bwemba ndi mbeerera?

Yee. Si kookolo w’omumwa gwa nnabaana yenna nti ava ku kwegatta. Ne bw’oba ​​tolina kaboozi, kikulu okukeberebwa Pap bw’oba ​​olina emyaka 21 n’okudda waggulu. Kino kiri bwe kityo kubanga HPV y’esinga okuvaako kookolo w’omumwa gwa nnabaana, era asiigibwa mu kwegatta. Wabula kookolo w’omumwa gwa nnabaana asobola okubaawo nga talina HPV, era HPV oluusi esobola okusiigibwa okuyita mu kwegatta okutali kwa kwegatta (kutera nnyo). N’olwekyo, kirungi n’ogoberera ebiragiro by’omusawo.

Osobola okugamba nti nedda ku kukeberebwa kwa Pap?

Yee, olina eddembe okugaana okukeberebwa kwonna okw’abasawo. Wabula okunoonyereza kulaga bulijjo nti okukeberebwa Pap y’engeri esinga okuziyiza kookolo w’omumwa gwa nnabaana. N’olwekyo, kikulu okulowooza ennyo ku nsonga eno n’okwogera n’omusawo wo nga tonnaba kusalawo.

Kiki ekibaawo singa tokeberebwako Pap?

Olw’okuba okukebera Pap y’engeri enkulu ey’okuzuula enkyukakyuka mu butoffaali eziyinza okufuuka kookolo, bw’oba ​​tokeberebwako Pap, oyinza okuba ne kookolo w’omumwa gwa nnabaana n’otomumanyi. Bw’okola bw’otyo, kookolo asobola okukula n’aleeta ebizibu eby’amaanyi, n’ebiyinza okutta omuntu. Kookolo bw’amala okutandika okukula, era kiba kizibu nnyo okujjanjaba. Bulijjo kirungi okukwata obulwadde buno nga bukyali. Okukebera kwa Pap y'engeri abasawo gye bayinza okuzuula kookolo w'omumwa gwa nnabaana nga bukyali .

Abantu bangi tebagala katono oba batya okukola Pap smear. Ekyo kya bulijjo. Wabula kikulu nnyo eri obulamu bw’obukyala n’omumwa gwa nnabaana. Ekirungi, okusiiga Pap smear kitwala eddakiika ezitakka wansi wa 10 , era obutabeera bulungi bugenda mangu.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Okukebera Pap kikulu nnyo mu kuzuula obutoffaali obutali bwa bulijjo obuyinza okuvaako kookolo w’omumwa gwa nnabaana.

• Bw’oba ​​oli wakati w’emyaka 21 ne 65, saba omusawo okukakasa nti okeberebwa Pap mu budde.
• Bw’ozuula obutoffaali obusooka kookolo oba kookolo mu nnabaana nga bukyali, oyongera nnyo emikisa gyo egy’okuwangula olutalo lw’okulwanyisa kookolo w’omumwa gwa nnabaana. Okunoonyereza kulaga nti abantu 95% abajjanjabwa obutoffaali obusooka kookolo tebafuna kookolo wa nnabaana oluvannyuma.
• Ebyava mu kukeberebwa kwa Pap ebitali bya bulijjo tekitegeeza nti olina kookolo. Kitegeeza kyokka nti kyetaagisa okwongera okugezesa. Tosattira era goberera amagezi g'omusawo.

Obulamu bwo buli mu mikono gyo. Obutabuuka bigezo bikulu nga bino kijja kugenda wala mu bulamu obulungi.

` Pap_smear, Kookolo_y'omumwa gwa nnabaana, Obulamu bw'abakyala, HPV, Obutoffaali_obutabaawo kookolo, Okukeberebwa_ebyobulamu, Obulwadde bw'abakyala