Kuti mupeze zotsatira zowonjezereka, ndizofunika kutsatira zomwe mukuzifuna musanayambe kuyesa:
- pezani masiku 1-2 kuchokera kugonana;
- kukana kumwa mankhwala, douching (ngati sanagwirizane ndi dokotala);
- kumaliza kukodza usanayambe kusuta kwa maola awiri;
- Smear sadzipereka pamagazi ochulukirapo.
Ndibwino kuti mutenge kachilombo koyambitsa matendawa pa tsiku la 4th-5 la kusamba.
Njira yothetsera smear kwa cytology
Ndondomeko yotenga smear ndi yopweteka ndipo imatenga masekondi pang'ono. Chimake choyambira chimachotsedwa pamwamba pa kachilombo ka HIV, komanso kuchokera ku khola lachiberekero. Pachifukwachi, amagwiritsa ntchito spatula yapadera. Zitsanzo zimayikidwa pagalasi ndipo zimatumizidwa ku labotore. Kumeneko, zinthuzo zimavekedwa malinga ndi mapepala a Pap, zouma, zomwe zimafufuzidwa pogwiritsa ntchito microscope.
Phunziro ndi zotsatira zochepa pa cytology
Pofufuza smear ya cytology, kufufuza kumapangidwa ndi kukula, mawonekedwe, ndi momwe malo amalo. Kuphatikiza pa kupeza mankhwala osokoneza bongo, kufotokozera smear kwa cytology kungasonyeze kupezeka kwa tizilombo towononga.
Chiberekerochi chimakhala ndi mitundu iwiri ya epithelium: chiwalo chophatikizira chimaphatikiza mbali ya m'mimba, ndipo mbali imodzi yamakono yomwe imagwirizanitsa chiberekero ndi chiberekero.
ChizoloƔezi cha smear kwa cytology ndi zotsatira zoipa. Ndiko kuti, maselo onse ali ndi mawonekedwe abwino, kukula kwake ndi malo ake, palibe maselo achilengedwe.
Tiyeni tiyesetse kupeza zomwe smear ya cytology imasonyeza. Pali magulu asanu a zotsatira za kusanthula izi (malinga ndi mayeso a Pap):
- Mapangidwe a maselo ozolowereka, cytology popanda zongokhala. Izi zikutanthauza kuti mkaziyo ali wathanzi.
- Mtundu wotupa wa smear wa cytology. Pankhaniyi, pali kusintha kochepa mu mawonekedwe a maselo chifukwa cha kutupa kwapatsiku. Kuzindikira kwa kutupa mu smear pa cytology kumasonyeza kufunika kokhala ndi mayeso ena kuti mudziwe tizilombo toyambitsa matenda.
- Kukhalapo kwa maselo ang'onoang'ono omwe ali ndi mtima wosasinthika (wofatsa, wochepa kapena wovuta dysplasia). Mu mkhalidwe uno, muyenera kutenganso kachilombo kafukufuku kapena kufufuza kwake kwa minofu.
- Kusintha kwawoneka mu mtima, chromosome ndi cytoplasm ya maselo angapo (akuganiza kuti amapanga khansa). Chosakanikirana ndi chidziwitso cha minofu yokayikitsa ndi kofunika.
- Kuzindikira kwa chiwerengero chachikulu cha maselo a khansa mu smear. Wodwala akutumizidwa mwachangu kwa a oncologist.
Kawirikawiri zotsatira za kusanthula zili zokonzeka tsiku lachiwiri mutatha kumwa mankhwalawa. Kusanthula kumeneku ndi kosavuta komanso kumapereka chidziwitso cha matenda a kansa.
Smear kuchokera ku mphuno kupita ku cytology
Pozindikira kuti chikhalidwe cha rhinitis, cytology ya mpweya wotuluka pamphuno chimapangidwa - chimbudzi chochokera kumphuno. Pa kachipangizo kakang'ono kakang'ono kamasonyeza, ndi maselo ati omwe amapezeka mu mphuno yamkati. Nthenda yaikulu ya neutrophils imasonyeza kutupa kwapatsirana. Ngati maselo oposa 15% mu smear amaimiridwa ndi eosinophils, ndiye vuto la rhinitis. Makamaka maselo a epithelial amasonyeza kuwonjezeka kwa chiwerengero cha mucosa.