Njengomama, umfazi, nowesifazane osebenzayo, siyazi ukuthi umatasa kangakanani usuku lonke. Njengoba kunemisebenzi yasekhaya, izingane, kanye nomsebenzi wasehhovisi, kunezikhathi eziningi lapho uzikhohlwa khona. Kodwa phakathi kwakho konke lokhu, udinga futhi ukucabanga ngempilo yakho. Ngoba kuphela uma uphilile lapho unganakekela kahle wonke umndeni wakho. Yingakho, namuhla sizokhuluma ngesihloko abesifazane abaningi abesaba ukukhuluma ngaso, kodwa okufanele nakanjani usiqaphele. Lowo umdlavuza wesibeletho kanye nokuhlolwa okwenziwa ukuze utholakale kusenesikhathi.
Kuyini ngempela ukuhlolwa komdlavuza wesibeletho?
Kalula nje, lena inqubo yokuhlola ehlola umdlavuza womlomo wesibeletho noma izinguquko zamaseli ezingaba umdlavuza esikhathini esizayo, ngaphambi kokuba ube nezimpawu. Lokhu kufana nokuhlola isisekelo sendlu ngaphambi kokuthi uyakhe ukuze ubone ukuthi ayinayo yini imifantu noma izikhala. Umgomo lapha ukuthola imbangela yenkinga ngaphambi kokuba iqale.
Kunezindlela ezintathu eziyinhloko zokuhlola lokhu. Udokotela wakho uzoncoma indlela efaneleka kakhulu kuwe.
- Ukuhlolwa kwe-HPV: Lokhu kuhlola ukuba khona kwe-human papillomavirus (HPV), okuwuhlobo lomdlavuza oluyingozi kakhulu olungaholela kumdlavuza womlomo wesibeletho. I-HPV iyimbangela eyinhloko yomdlavuza womlomo wesibeletho ezimweni eziningi.
- Ukuhlolwa kwe-Pap (i-Pap smear): Lokhu kuhilela ukuhlola isampula yamaseli avela emlonyeni wakho wesibeletho ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini ukukhubazeka kulawo maseli, noma ukuthi angamaseli anomdlavuza noma angaphambi komdlavuza.
- Ukuhlolwa kwe-HPV/Pap: Njengoba igama lisho, lokhu kuhlolwa kuhlanganisa kokubili ukuhlolwa okungenhla. Lokhu kusho ukuthi isampula efanayo ihlolwa ukuba khona kwegciwane le-HPV kanye nokukhubazeka emaseli.
Kungani kudingeka senze lezi zivivinyo? Ubani okufanele azenze?
Umbuzo abantu abaningi abanawo uthi, "Anginazo izinkinga, pho kungani ngingenza isivivinyo esinjengalesi?"
Into ebaluleke kakhulu yile. Umdlavuza wesibeletho awubonisi zimpawu ezigabeni zawo zokuqala. Ngesikhathi kuvela izimpawu, umdlavuza kungenzeka ukuthi usuvele uthuthukile. Yingakho ukuhlolwa ngesikhathi, noma ngabe azikho izimpawu, kuyindlela yokusindisa impilo.
Ngokuvamile, kubalulekile kubo bonke abesifazane abaneminyaka ephakathi kuka-21 no-65 ukuthola lezi zivivinyo. Ngisho noma usuthole umuthi wokugomela i-HPV, kufanele uwenze ngesikhathi. Lokhu kungenxa yokuthi, nakuba umuthi wokugomela uvikela ezinhlotsheni eziyinhloko ze-HPV ezibangela umdlavuza, awuvikeli kuzo zonke izinhlobo.
Uma ukuleli banga leminyaka futhi ungakakwenzi lokhu kuhlolwa, akukephuzi kakhulu. Ungesabi noma ungabi namahloni. Khuluma nodokotela wakho namuhla bese uhlela isikhathi sokubonana nalokhu. Lokhu kuhlolwa kungabona futhi kwelaphe amathuba okuba nomdlavuza kusenesikhathi. Lokho kusho ukuthi sinethuba elihle lokuvimbela umdlavuza ukuthi ungenzeki .
Lezi zivivinyo zisebenza kanjani?
Le nqubo ayinzima noma ayibuhlungu njengoba ungase ucabange. Udokotela wakho (udokotela wezifo zabesifazane noma udokotela womndeni) uzosebenzisa ibhulashi elithambile kakhulu ukuthatha isampula yamaseli ebusweni besibeletho sakho. Lokhu kuzothatha imizuzu embalwa kuphela. Ungase uzizwe ungakhululekile, kodwa akubuhlungu.
Le sampula yeseli ibe isithunyelwa elabhorethri (`ilebhu`). Yilapho kwenziwa khona ukuhlolwa okufanele (i-HPV, i-Pap, noma kokubili) bese kunikezwa imiphumela.
Kufanele ngithathe lesi sivivinyo kangaki?
Lokhu kuncike eminyakeni yakho kanye nezinga lengozi yempilo. Ithebula elingezansi linikeza umhlahlandlela olula wezincomo zabesifazane abasengozini ejwayelekile. Kodwa-ke, uma unesifo esicindezela amasosha omzimba wakho, noma uma uke waba nomphumela ongavamile ekuhlolweni kwangaphambilini, kungadingeka ukuthi uhlolwe kaningi . Udokotela wakho uzoba umuntu ongcono kakhulu wokukweluleka ngalokhu.
| Iqembu Lobudala | Ukuhlolwa Okunconyiwe kanye Nokuvama |
|---|---|
| Ubudala obuphakathi kweminyaka engu-21 kuya kwengu-29 | Ukuhlolwa kwe-Pap kuphela. Uma imiphumela ijwayelekile, kufanele kwenziwe njalo eminyakeni emi-3 . Ukuhlolwa kwe-HPV akukhuthazwa njalo kuleli qembu leminyaka, njengoba ukutheleleka kwe-HPV kuvame ukuphela ngokwako. |
| Ubudala obuphakathi kweminyaka engama-30 kuya kwengama-65 ubudala | Kunezinketho eziningana wena nodokotela wakho eningakhetha kuzo:
|
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Ukuze uthole umphumela onembile, kunezinto ezimbalwa okudingeka uzazi ezinsukwini eziholela ekuhlolweni. Udokotela wakho uzokweluleka ngalokhu, kodwa nansi imihlahlandlela ejwayelekile:
- Gwema ukuya ocansini lwesitho sangasese sowesifazane izinsuku ezimbili ngaphambi kokuhlolwa.
- Gwema ukufaka noma yini esithweni sangasese sowesifazane izinsuku ezimbili ngaphambi kokuhlolwa. Isibonelo, ama-tampon, ama-creams esithweni sangasese sowesifazane, kanye nezinto zokugcoba.
- Zama ukuhlela ukuhlolwa ngosuku lapho isikhathi sakho sokuya esikhathini sesiphelile .
Kwezinye izimo, ukuhlolwa kungenziwa ngisho nangesikhathi sokuya esikhathini. Ngakho-ke, kungcono ukuxoxa ngalokhu nodokotela wakho lapho uhlela i-aphoyintimenti.
Iyini imiphumela futhi isho ukuthini?
Kungathatha cishe amasonto amathathu ukuthola imiphumela yokuhlolwa. Sizobona ukuthi isho ukuthini uma ibuya.
| Uhlobo Lomphumela | Incazelo Elula |
|---|---|
| Okuvamile / Okubi | Lezi izindaba ezinhle kakhulu! Ilebhu ayitholanga zinkinga emaseli akho. Uma uhlolwe i-HPV, lokho kusho ukuthi igciwane alitholakalanga. |
| Okungavamile / Okuhle | Lokhu kusho ukuthi ilebhu ithole izinguquko ezingavamile emaseli. Ukuhlolwa kwe-HPV okuhle kusho ukuthi igciwane likhona emzimbeni. Ungakhathazeki ngalo mphumela. Akusho ukuthi unomdlavuza. |
| Akucacile / Akwanelisi | Lokhu kusho ukuthi akunakwenzeka ukusho ngokuqinisekile ukuthi amaseli ajwayelekile noma awajwayelekile, kungaba ngoba isampula yamaseli athathwe yayinganele noma ngesizathu esithile. Cishe kuzodingeka wenze olunye uhlolo lwe-Pap. |
Khumbula, isikhathi esiningi, umphumela 'ongajwayelekile' awusho umdlavuza. Izinguquko zamaseli zingabangelwa nayizimo ezingezona ezomdlavuza, njengokutheleleka noma ukuvuvukala. Ngakho-ke kubalulekile ukungesabi ngomphumela bese ulandela izinyathelo ezilandelayo udokotela wakho akutshela ukuthi uzithathe.
Kwenzekani ngokulandelayo uma umphumela 'uyi-Abnormal'?
Uma imiphumela yakho ingajwayelekile, udokotela wakho uzoncoma ezinye izivivinyo ukuze athole imbangela eqondile.
- Ukuhlolwa komzimba: Udokotela uzohlola izimpawu zomdlavuza, njengezinhlayiya ze-lymph ezivuvukele.
- I-Colposcopy: Lokhu kuhilela ukusebenzisa ithuluzi elikhethekile lokukhanya nokukhulisa (i-'colposcope') ukuhlola ngokucophelela ubuso bomlomo wesibeletho ukuze kutholakale amangqamuzana angavamile. Lokhu kufana nokuhlolwa okuvamile kwezokwelapha.
- I-Biopsy: Uma indawo engavamile itholakala ngesikhathi se-colposcopy, kuthathwa ingxenye encane kakhulu yezicubu bese ithunyelwa ukuze iyohlolwa ngaphansi kwe-microscope. Yilokhu okuvumela ukuthi kufezwe isiphetho sokugcina nesicacile - kungakhathaliseki ukuthi amangqamuzana angavamile angumdlavuza, amangqamuzana akhula abe umdlavuza, noma ushintsho olubangelwa esinye isizathu.
Ngokulandela lezi zinyathelo, noma iyiphi inkinga ingabonakala esigabeni sokuqala futhi ilapheke ngokuphelele ngokwelashwa okulula.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa komdlavuza wesibeletho kumayelana nokuvimbela umdlavuza kunokuwuxilonga. Lesi ngesinye sezipho ezibaluleke kakhulu ongazinika zona.
- Ngisho noma ungenazo izimpawu, uma uneminyaka ephakathi kuka-21 no-65 , yenza lokhu kuhlolwa njalo. Lokhu kuyimpoqo ngisho noma usuthole umuthi wokugomela i-HPV.
- Lena inqubo ephephile kakhulu futhi elula ethatha imizuzu embalwa nje. Ungazibeki engcupheni impilo yakho yonke yokuphazamiseka.
- Ungakhathazeki uma uthola umphumela 'ongajwayelekile'. Akusho njalo ukuthi unesifo somdlavuza. Kusho ukuthi kudingeka ukuhlolwa okwengeziwe.
- Beka eceleni ukwesaba kwakho namahloni ngalokhu bese ukhuluma ngokukhululekile nodokotela wakho. Buza imibuzo yakho. Lokhu kuhlolwa okulula kungasindisa impilo yakho.
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