Smear for cytology

Ukuze uthole imiphumela enokwethenjelwa, kuyisifiso sokunamathela ezidingo ezilandelayo ngaphambi kokudlula ukuhlolwa:

• Hamba izinsuku ezingu-1-2 ngokuya ocansini;
• wenqaba ukuthatha imithi, i-douching (uma kungavunyelwanga nodokotela);
• ukuvota kokugcina ngaphambi kokuba i-swab ithathwe okungenani amahora amabili;
• I-smear ayizinikeli ngesabelo esikhulu sokuvuvukala.

Kunconywa ukuthatha smear for cytology cishe ngosuku lwesine-5 lwenyanga yokuya esikhathini.

Ikhono lokuthatha isisindo se-cytology

Inqubo yokuthatha isisindo ayibuhlungu futhi ithatha imizuzwana embalwa. I-smear ye-cytological ithathwe ebusweni bomlomo wesibeletho, kanye nasemgodini wesibeletho somlomo wesibeletho. Kulokhu, kusetshenziswa i-spatula ekhethekile. Amasampula afakwa esibukweni bese athunyelwa ebhokisithri. Lapho, izinto zidaywe ngokwe-Pap smear, zomisiwe, zihlolwe ngaphansi kwe-microscope.

Ukutadisha nokuhlehlisa imiphumela ku-cytology

Uma kuhlaziywa i-smear ye-cytology, ukuhlolwa kwenziwa ngesayizi, ukuma, nemodi yendawo yeseli. Ngokungeziwe ekuhloleni izifo ezingavamile, ukucacisa isisindo se-cytology kungabonisa ukuba khona kwezinambuzane ezinobungozi eziningana.

I-cervix ihlanganiswe nezinhlobo ezimbili ze-epithelium: i-flat (multilayered) ihlanganisa ingxenye yayo yangasese, kanye nengxenyana ye-cylindrical (eyodwa-layered) engxenyeni yomlomo wesibeletho ehlanganisa isibeletho esibelethweni.

Umkhuba we-smear we-cytology umphumela omubi. Okokuthi, wonke amaseli anesimo esivamile, usayizi nendawo, awekho amangqamuzana atypical (pathological).

Ake sizame ukuthola ukuthi i-smear ye-cytology ibonisa yini. Kunezigaba ezinhlanu zemiphumela yalokhu kuhlaziywa (ngokusho kohlolo lwe-Pap):

1. Isakhiwo se-cell evamile, i-cytology ngaphandle kokubambisana. Lokhu kusho ukuthi owesifazane uphilile.
2. Uhlobo lokuvuvukala lwe-smear ye-cytology. Kulesi simo, kunezinguquko ezincane kwisakhiwo samaseli ngenxa yokuvuvukala okubhebhethekayo. Ukutholakala kokuvuvukala ku-smear ku-cytology kubonisa isidingo sokuthola izivivinyo ezengeziwe ukukhomba i-pathogen.
3. Ukuba khona kwenani elincane lamaseli ane-nuclei eguquguqukayo (i-dysplasia elula, elinganisiwe noma enamandla). Kulesi simo, kudingeka uphinde uthathe isitifiketi noma ukuhlolwa kwe-hertological wezingcuba eziguquliwe.
4. Izinguquko ezibonakalayo ku-nucleus, i-chromosome ne-cytoplasm yamaseli amaningana (okusolakala ukuthi ayenziwe umdlavuza). I-colposcopy ene-biopsy ye-piece of suspicious iyadingeka.
5. Ukuthola inombolo enkulu yamangqamuzana omdlavuza ku-smear. Isiguli sithunyelwa ngokushesha ku-oncologist.

Ngokuvamile imiphumela yokuhlaziywa isilungele usuku lwesibili ngemuva kokuthatha isisindo se-cytology. Lokhu kuhlaziywa kulula futhi kwazisa ukuxilongwa komdlavuza. Ezikhathini zokuqala zanamuhla, lesi sifo siphulukiswa ngokuphelele, ngakho kubaluleke kakhulu ukunikeza njalo isisindo ku-cytology.

Smear kusuka ekhaleni kuya ku-cytology

Uma kutholakala uhlobo lwe-rhinitis, i-cytology ye-secretion yangasese iyenziwa-i-smear esuka ekhaleni. Ngombhalo we-microscopy wembula, yiziphi amangqamuzana eziwelayo ekhaleni elimnandi. I-predominance ye-neutrophils ibonisa ukuvuvukala okuthelelekile. Uma ngaphezulu kwama-15% wamaseli ku-smear amelwa ama-eosinophil, khona-ke i-rhinitis ye-allergen. I-predominance yamaseli e-epithelial ibonisa ukunyuka kwe-mucosa okwandayo.