Kansarka xubinta taranka dumarka - baaritaanka iyo kahortaga

Kansarka ilmo galeenka waa kansar ka bilaabma makaanka afkiisa. Afka ilmagaleenku waa qaybta hoose ee makaanka (minka) oo ka furma dusha sare siilka.

Waxaa jira waxyaabo badan oo aad sameyn kartid si aad u yareyso fursaddaada kansarka xubinta taranka dumarka. Sidoo kale, bixiyaha xanaanada caafimaadkaaga wuxuu sameyn karaa baaritaano si loo helo isbadalo hore oo u horseedi kara kansarka, ama inuu helo kansarka ilmo galeenka ee marxaladaha hore.

Ku dhowaad dhammaan kansarka xubinta taranka dumarka waxaa sababa HPV (virus papilloma human).

• HPV waa fayras guud oo ku faafa galmada.
• Noocyada qaar ee HPV waxay u badan tahay inay keenaan kansarka xubinta taranka dumarka. Kuwaan waxaa lagu magacaabaa noocyada halista badan ee HPV.
• Noocyada kale ee HPV waxay sababaan burooyinka xubnaha taranka.

Fayraska HPV waa la isugu gudbin karaa qof ilaa qof xitaa haddii aysan jirin burooyin muuqda ama astaamo kale.

Tallaal ayaa la heli karaa si looga hortago noocyada HPV ee sababa inta badan kansarka xubinta taranka dumarka. Tallaalku waa:

• Waxaa lagula taliyay gabdhaha iyo haweenka jira 9 ilaa 26.
• Waxaa loo bixiyaa 2 tallaal oo gabdhaha 9 ilaa 14 jir ah, iyo sida 3 duritaan oo dhalinyarada ah 15 sano ama ka weyn.
• Gabdhaha ayaa ugu fiican inay gaaraan da'da 11 ama kahor intaanay galmo firfircooneyn. Si kastaba ha noqotee, gabdhaha iyo haweenka da'da yar ee horeyba ugu firfircoonaa galmada wali way ku difaaci karaan tallaalka haddii aysan waligood qaadin.

Dhaqamadaan galmada ee nabdoon waxay sidoo kale kaa caawin karaan yareynta halista aad ugu jirtid HPV iyo kansarka xubinta taranka dumarka:

• Had iyo jeer isticmaal kondhom. Laakiin la soco in kondhomku uusan si buuxda kuu difaaci karin. Tani waa sababta oo ah fayraska ama burooyinka sidoo kale waxay ku dhici karaan maqaarka u dhow.
• Hayso hal lammaane oo galmo ah, oo aad ogtahay inuusan infakshan lahayn.
• Xaddid tirada lammaanayaasha galmada ee aad leedahay waqti ka dib.
• HA KU lug la yeelan lamaanayaasha ka qayb qaata nashaadaadka galmada ee halista sare leh.
• SIGAAR ha cabin. Sigaarka Sigaarku wuxuu kordhiyaa halista inuu ku dhaco kansarka xubinta taranka dumarka.

Kansarka afka ilmo-galeenka badanaa si tartiib ah ayuu u kobcayaa. Waxay ku bilaabataa isbeddello hordhac ah oo loo yaqaan 'dysplasia'. Dysplasia waxaa lagu ogaan karaa baaritaan caafimaad oo loo yaqaan Pap smear.

Dysplasia si buuxda ayaa loo daaweyn karaa. Taasi waa sababta ay muhiim ugu tahay haweenku inay yeeshaan baaritaanka Pap smears ee joogtada ah, si unugyada hordhaca ah looga soo saaro kahor intaysan noqon kansar.

Baaritaanka Pap smear waa inuu bilaabmaa da'da 21. Baaritaanka ugu horreeya ka dib:

• Haweenka da'doodu tahay 21 illaa 29 waa inay maraan baaritaanka Pap smear 3dii sanaba mar. Tijaabada HPV laguma talinayo kooxdan da'da ah.
• Haweenka da'doodu tahay 30 ilaa 65 waa in laga baaraa baaritaanka Pap smear 3dii sanoba mar ama baaritaanka HPV 5tii sanaba mar.
• Haddii adiga ama lammaanahaaga galmada aad leedahay lamaanayaal kale oo cusub, waa inaad iska qaaddaa Pap smear 3dii sanoba mar.
• Haweenka da'doodu tahay 65 ilaa 70 way joojin karaan baaritaanka Pap smears inta ay ka gaarayaan 3 baaritaan oo caadi ah 10kii sano ee la soo dhaafay.
• Haweenka lagu daweeyay precancer (afka ilmogaleenka dysplasia) waa inay sii wadaan baaritaanka Pap smears muddo 20 sano ah daaweynta ka dib ama ilaa da'da 65, mid kastoo dheer.

Kala hadal bixiyahaaga inta jeer ee ay tahay inaad iska qaado baaritaanka Pap smear ama HPV.

Afka ilmagaleenka kansarka - baaritaanka; HPV - baaritaanka kansarka xubinta taranka dumarka; Dysplasia - baaritaanka kansarka xubinta taranka dumarka; Kansarka ilmo galeenka - tallaalka HPV

• Pap smear

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Human papillomavirus (HPV). Jadwalka tallaalka HPV iyo qiyaasta. www.cdc.gov/hpv/hcp/schedules-recommendations.html. La cusbooneysiiyay Maarso 10, 2017. La helay Ogosto 5, 2019.

MP Salcedo, Baker ES, Schmeler KM. Neoplasia Intraepithelial ee xubinta taranka hoose (makaanka afkiisa, siilka, xubinta taranka): etiology, baaritaanka, ogaanshaha, maamulka Gudaha: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Cilmiga Haweenka oo dhameystiran. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 28.

Kuleejka Mareykanka ee Dhakhaatiirta Haweenka iyo Dhakhaatiirta Haweenka, Guddiga Daryeelka Caafimaadka Dhallinta Yaryar, Kooxda Shaqada Khabiirka Tallaalka. Lambarka Aragtida Guddiga 704, Juun 2017. www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Human-Papillomavirus-Vaccination. La helay Ogosto 5, 2019.

Xoogagga Adeegyada Ka-hortagga ee Mareykanka, Curry SJ, Krist AH, Owens DK, iyo al. Baadhitaanka kansarka xubinta taranka dumarka: Bayaanka talobixinta ee Kooxda Kahortagga Adeegyada ee Mareykanka. JAMA. 2018; 320 (7): 674-686. PMID: 30140884 www.ncbi.nlm.nih.gov/pubmed/30140884.

• Kansarka afka ilmo-galeenka
• Baaritaanka Kansarka Ilmo-galeenka
• HPV
• Baaritaanka Caafimaadka Haweenka