Kuongororwa kwechiremba uye tsvakurudzo zvinoita basa guru mukucherechedza zvirwere zvakasiyana-siyana. Zvirwere zvakawanda hazvipi zviratidzo, uye kungoongorora kwemairasi emasero pasi pekroscope kunogona kuratidza utachiona kana kuvapo kwehutachiona hunochinja muhutachi. Ndicho chikonzero nei vakadzi vose vane makore 19 kusvika ku65, zvakakosha kuratidza gynecologist kuti vaongorore.
Ko cervical smear inotorwa sei?
Chimwe chezvinhu zvakajeka, asi kubva pane izvi zvisingaiti zvishoma zvekugadzirisa gynecological is swab kubva kumuromo wechikwereti. Iyo inopiwa kumudzimai wese wezera rekubereka uyo asvika pakugamuchirwa kwekudzivirira kune gynecologist, panguva yekuongorora nguva dzose pachigaro. Iyo smear iri kubvisa kubva mumugero wemudzimai, iyo inotumirwa kuti ive cytology ku laboratori. Iyo yekupedzisira inoitwa, sekutonga, neimwe nzira mbiri: chengorora zvinhu zvehupenyu pasi pe microscope kana kuita bhakitiriya tsika. Cytology ye smear kubva kumuromo wemhondi inogona kupa mukana wekutonga nyika ye microflora, uye inobatsira kuziva zvirwere zvinopisa uye kunyange kuchinja kwehupenyu mumuviri wechibereko.
Cytological smear kubva munharaunda yemukati - hazvina kunetseka uye kwete kutyisa. Chiremba achinyatsotsvaga spatula yakasarudzwa, ndokubva aendesa kudivi rakachena. Izvi zvinotora mashomanana mashomanana. Kuongororwa ndiyo nheyo yekudzivirira zvirwere zvakawanda zvevakadzi, saka zvakakosha kuzvigadzirira: kana rimwe zuva risati rasvika kuna chiremba, kuita zvepabonde, douching, kushandiswa kwemadzimai ekunyadzisa, mapiritsi, nezvimwewo, hazvibvumirwi, kana zvisina kudaro kuongorora kuchave kusina kufanirwa. Mukuwedzera, hazvibviri kuita smear test kubva munharaunda yemudumbu panguva yekuenda kumwedzi.
Kugadziriswa kwemafuro kubva kumushonga wechibereki
Mune tafura iri pasi apa munoona zviratidzo izvo chiremba anotsanangura kuongorora uku. Uku ndiko kuvepo kana kusavapo mune smear ye leukocytes, gonococci, trichomonads, mbiriso fungus uye zvimwe zvakagadzirwa nesaga kubva mumuromo wemugodhi. Tsamba dzechiLatin V, C uye U zvinoreva kuremekedza mukadzi, chibereko chechirwere uye urethra (iyo mishonga apo mamwe majekesheni akawanika kana asina kuwanikwa).
Pazvakatsauka kubva pane zvakasikwa, zvinyorwa zvinotevera zvinoti:
- nhamba huru yemasero machena eropa, mucus kana epithelium (kuvhunika);
- kusabatwa kwe epithelium (kusakwana kweserogen hormone);
- kuvapo kwe gram-negative tsvimbo ( dysbacteriosis yemukadzi );
- gonococci ( gonorrhea muvakadzi );
- Trichomonas (trichomoniasis);
- chlamydia (chlamydia);
- mbiriso fungi (candidiasis);
- masero anokosha (vaginal candidiasis).
Panewo zvimwe zvakasiyana-siyana zvekujekesa Pap smear - nemubatsiro waro, chirwere chechibereki chechibereko chechirwere, kusanganisira mamiriro ekunze, anoratidzwa. Pane zvikamu zvishanu:
- Hapana kuchinja kwechirwere kwakawanikwa.
- Chirwere chekuputika chinowanikwa (chinorwara nokudarika chichena chemuropa ropa), izvo zvinoda kurapwa uye zvakare kudzokorora.
- Zviduku zvichishandurwa mumasero ezvinyama zvinoda kuongororwa zvakanyanya (biopsy) zvakaonekwa.
- Kuchinja kusina kunaka kwakawanikwa mune mamwe masero. Icho chiitiko hachiri chiitiko chekutaura zvakatendeka pamusoro pekuongororwa kwe "kenza", nokuti izvi zvinowedzera kuongororwa zvinodiwa.
- Chirwere chetachiona chinopupurirwa nenhamba yakawanda yemasero ane kuchinja kwemaatypiki.
Muzvikamu zvinopfuura makumi maviri zvezana zvezviitiko, mhinduro dzeyi cytological study ndeyechokwadi. Izvi zvinoitika kana musina kukwana kwemaitiro asina kupera. Nokudaro, kana iwe uchikava nekuvimbika kwechigumisiro chechirwere chechirwere chechibereki, unogona kuchiwana kana kukumbira chiremba kune colposcopy - tsanangudzo yakazara yemukirini, iyo inopa ruzivo rwakawedzerwa pamusoro pezvingaita zvirwere zvisingabvumirwi panguva yekuongorora.