Hmeichhe tam tak chuan he "Pap Smear" test chungchang hi an hriat hian an hlauthawng deuh a, an zak deuh a, an zak deuh bawk. "Aw, nikum khan buaina a awm lo, engvangin nge an tih leh ang?" Mahse, he fiahna awlsam tak, minute tlemte chhung awh hi i nunna chhanhim thei khawpa thiltithei leh hlu tak a ni tih i hria em? Chuvangin vawiinah hian he thil chungchanga hlauhthawnna leh zawhna awm zawng zawng hi paih chhuakin, i thianpa nen inbia ang maiin awlsam takin sawi ila.
A awlsam zawngin Pap smear tih hi eng nge ni?
Pap smear, a then chuan Pap test an tih hi cervical cancer enfiah nan an ti ber a ni . Cervix hi i uterus hawnna a ni. He test hi cervix chunglam atanga cell sample te tak te lak a, microscope hmanga enfiah a ni.
Hemi chungchanga thil lian ber leh pawimawh ber chu cancer a awm leh awm loh hriat ai chuan cancer lo ni thei tur precancerous cells te chu a hmuchhuak thei a ni In chhunga meikhu te tak te hmuhchhuah hian kangmei lian tak a veng thei ang bawkin. Heng cell pangngai lote hi hriat hmasak a nih chuan cancer an nih hmain enkawlna awlsam tak hmangin tihdam vek theih a ni.
He test hi American doctor Dr. George Papanicolaou chawimawina atan "Pap" tia vuah a ni.
He test hian eng nge a zawn tak tak?
Pap test hian point pawimawh engemaw zat a ngaihtuah a.
- Cervical Cancer: Hei hi serh chhunga cancer cell awmte direct-a zawn atanga tih a ni.
- Dysplasia: Hei hi a pawimawh ber a ni. Cancer vei thei cell inthlak danglamna a zawng thin . Hengte hi hriat hmasak a nih chuan enkawl a awlsam zawk hle.
- Human Papillomavirus (HPV): A chang chuan, HPV test hi Pap test nen tih a ni. HPV hi mipat hmeichhiatna hmanga kai theih hrik a ni. He HPV virus chi thenkhat hi serh cancer thlentu ber an ni.
Pawimawh: Pap test hian mipat hmeichhiatna hmanga kai theih natna dang (STI) Gonorrhea emaw chlamydia emaw a hmu thei lo. Chungte chu a hranpaa test a ngai a ni. Mahse, a châng chuan trichomonas, bacteria, yeast infection ang chi infection chungchâng ngaihtuahna engemaw zat a pe thei a ni.
Kum engzat nge Pap test tih tur leh engzat nge tih tur?
Hei hi i kum, i hriselna chanchin leh i test result hmasaah a innghat a ni. Hengte hi a tlangpuiin a rawt thin chu a ni:
| Kum hrang hrang | Hun hman dan tur ruahman |
|---|---|
| Kum 21 - 30 inkar a ni | Kum thum danah Pap test neih thin ang che. |
| Kum 30 - 65 inkar a ni | Kum nga danah Pap test leh HPV test neih dun (co-test) emaw, kum thum danah Pap test chauh emaw neih i thlang thei bawk. Hemi chungchang hi i doctor nen in sawi dun thei a, i tana tha ber tur chu i rel thei bawk. |
| Kum 65 chunglam a ni | I test result hmasa zawng zawng chu a pangngai vek a, risk factor bik i neih loh chuan i doctor chuan test tihtawp a rawt fo ang. |
Tute nge test fo ngai?
Thil bik thenkhatah chuan i doctor chuan he test hi he test hi tih hmasak phawt turin a rawt thei che a, kum 65 i tlin hnuah pawh tih a rawt thei bawk.Chutiang case-ah chuan:
- HIV kai i nih chuan, emaw, cancer enkawlna (chemotherapy) emaw, damdawi lam thil dang emaw avanga immunocompromised i nih chuan.
- I nuin a pum chhunga a phurh laiin Diethylstilbestrol (DES) tih damdawi a ei a nih chuan (hei hi kum 1971 vel thlenga nu naupai hnena pek thin damdawi a ni).
- Cervical cancer i lo vei tawh a nih chuan.
- Pap test hmasa result a dik lo a nih chuan .
Test hmain engtin nge i inbuatsaih thin?
Results dik ber hmuh theih nan test hma ni hnih vel atanga heng step te hi zawm a pawimawh hle.
- Test hma ni hnih chhung chu vaginal intercourse hman loh tur a ni.
- Ni hnih chhung chu tampon, vaginal cream emaw damdawi emaw, birth control foam emaw jelly emaw, lubricant emaw, douche emaw hmang suh .
- I period a zawh hnuah test neih hun tur ruahman la a tha ber . Test ni-a i period i neih chuan i doctor hnenah eng nge i tih tur tih zawt la. Ni chu i thlak a ngai mai thei, thisen chhuah nasa hian result a nghawng thei a ni.
Test tih dan - hlauh tur engmah a awm lo!
He test hi doctor room-ah tih a ni. Heng zawng zawng hi minute tlemte chauh a ni. Hlauhna leh mualphona tur i nei lo. Doctor leh nurse te hian nasa takin an pui ang che.
1. Pakhatnaah chuan i thawmhnaw kawr hnuai lam phelh emaw, thlak kim vek tur leh hospital gown ha turin an ti ang che.
2. Chumi hnuah chuan special examination table-ah mu turin an siam ang che a, i ke chu stirrup-ah dah tir i ni ang. I ke khuh nan puan emaw lehkha emaw pek i ni ang.
3. A dawtah chuan doctor chuan zawi zawiin plastic emaw thir hmanrua ‘speculum’ an tih chu i vagina chhungah a dah lut ang. Hetih lai hian pressure tlem i nei mai thei. He instrument hmang hian vagina chu tlem a hawng a, cervix chu chiang takin a en thei bawk.
4. Tichuan, brush emaw spatula emaw nêm tak, te tak te hmangin serh chunglam atanga cell thenkhat chu zawi zawiin scrape rawh. Hei hi a pawi lo.
5. Cell sample lakkhawm chu tui bik awmna bottle te tak teah dahin, speculum chu lakchhuah a ni.
Chu chu a ni. A kalphung zawng zawng hi minute 5 aia rei lo a ni.
Test zawhah thisen tlemte tlemte i tla thei. Hei hi thil pangngai a ni a, lungngai suh. Amaherawhchu, thisen chhuah hi darkar 24 aia rei a nih chuan emaw, natna emaw, hrehawmna emaw i neih chuan doctor hnenah hriattir tur a ni.
Results i hmuh hunah... chu chu eng nge a awmzia?
I cell sample chu lab-ah test turin an thawn a. A result a lo chhuah leh theih nan kar thum vel a ngai thei. Results hi chi thum a awm a.
| Result chi hrang hrang | A awmzia awlsam tak |
|---|---|
| Normal / Negative tak a ni | Chanchin lawmawm tak! I serh chhungah hian cell pangngai lo hmuh tur a awm lo. Engkim hi a hrisel a ni. Kum 3-5 hnuah i test leh tur chu i nei leh ang. |
| A chiang lo (A chiang lo / Atypical) . | A châng chuan, lab hian cell sample tlem emaw, infection emaw ang chi thil vangin cell-te chu a pangngai leh pangngai lo tih chiang takin a hre thei lo. Chutiang hunah chuan i doctor chuan thla engemaw zat hnuah test neih leh turin a ti ang che. |
| Thil pangngai lo (A pangngai lo / Positive) . | Chumi awmzia chu serh chhunga cell-ah hian inthlak danglamna engemaw zat hmuh a ni tawh tihna a ni. He result hian hlauthawng suh! Hei hian cancer i vei tihna a ni lo. Vawi tam tak chu hengte hi cancer an nih hmaa inthlak danglamna a ni. Doctor chuan he natna hi chhui chian lehzual turin test dang (colposcopy) nei turin a ti ang che. |
Results pangngai lo a awm chuan eng nge thleng leh ang?
I result a dik lo a nih chuan i doctor chuan colposcopy tih test neihpui turin a rawt thei che a ni.
Hei pawh hi Pap test ang maia awlsam a ni. Heta i tih tur chu i serh (cervix) chu ngun takin magnifying device bik (colposcope) hmangin i en a ni. Cell pangngai lo awm nia i rinhlelhna hmunte chu chiang takin i hmu thei. A tul chuan chu hmun atang chuan tissue (biopsy) te tak te tak te chu la chhuakin lab-ah test belh turin an thawn thin. Hei hi cell-a inthlak danglamna dik tak chu i chiang thei ang.
Ṭhenkhat chuan zawhna an zawt fo ṭhin
Hysterectomy hnuah Pap test neih a ngai em?
Hei hi i surgery chi hrang hrang leh a chhanah a innghat a ni.
- I surgery lai khan i serh (cervix) lakchhuah a nih loh chuan Pap test i neih chhunzawm zel tur a ni.
- Operation laiin i cervix chu lakchhuah vek a nih a, cancer vangin operation tih a nih loh chuan (entir nan fibroids ang chi condition atan), Pap test i mamawh leh tawh lo mai thei.
- Mahse, cervical, uterine, ovarian cancer avanga i cervix lakchhuahna tur operation i neih tawh chuan, i doctor chuan i vagina chunglam atanga cancer cells lo awm theihna tur a awm leh awm loh enfiah turin test chhunzawm zel turin a rawt thei ang. Hemi chungchang hi Doctor nen inbiak a tha ber.
Virgin hian Pap test a mamawh em?
Awle. Cervical cancer percentage tlemte chauh hi mipat hmeichhiatna hman loh vang a ni. Tin, serh cancer thlentu ber HPV hi a chang chuan sex hman lohvin vun leh vun inzawmna hmangin a kai thei bawk. Chuvangin, kum 21 i tlin hnuah, mipat hmeichhiatna hmanpui emaw nei lo emaw pawh nise , a hun tur ruahman angin Pap test neih a pawimawh hle .
Pap test i neih loh chuan eng nge thleng ang?
Hei hi cell inthlak danglamna chu cervical cancer-a a lo chan hmaa hriat theihna kawng tha ber leh awmchhun a ni. He test hi i tih loh chuan i taksaah cancer cell a lo thang lian tih i hre lo mai thei. Cancer a lo thang lian a, a natna lan chhuah hun chuan enkawl a tlai tawh mai thei.
Hriat tur chu a hmaa hmuhchhuah hi nunna chhanhimna tha ber a ni a, chutiang ti tur chuan Pap test hi hun remchang pawimawh tak a ni.
Take-Home Thuchah a ni
- Pap Smear hi nunna chhanhim thei test a ni a, cervical cancer a veng thei a ni. Chumi chungchangah chuan hlau lo la, zak suh.
- Hei hi a thatna lian ber chu cancer a lo awm hmain cell inthlak danglamna a hriatchhuah theih vang a ni.
- He test hi i doctor-in a rawt schedule angin, i kum leh hriselna dinhmun nena inmil takin tih ngei ngei tur a ni.
- Test result "abnormal" a nih vang mai mai chuan cancer i nei tihna a ni lo. Hlau suh la, i doctor thupek zawm rawh.
- Hemi chungchangah hian zawhna, hlauhna, rinhlelhna i neih chuan i doctor nen zalen takin sawipui rawh.
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