• 一个健康的身体,需要时时的保养注意,学习外国人科学的健康生活方式,营养补充疗法。看看美国人、日本人、英国人、法国人是怎么进行健康养生的。
  • 如果您觉得本站对您有帮助,那么赶紧使用Ctrl+D 收藏89养生网吧!
  • 人人知道一个人人都知道的常识性问答网站

女性应该每3到5年接受一次子宫颈抹片检查

健康 89xy 1周前 (11-21) 5次浏览

Women should be screened for cervical cancer every three to five years at most.

This recommendation came from the new guidelines issued today by The American College of Obstetricians and Gynecologists (The College), which also indicated that receiving the Pap test and the HPV (human papillomavirus) test at the same time is better than the Pap test alone
. However, this is only suggested to females ages 30 and older and used once every five years.

These new guidelines, published in Obstetrics & Gynecology
, are similar to the recommendations announced by the the American Society for Colposcopy and Cervical Pathology, American Cancer Society, and other medical associations earlier in the year.

David Chelmow, M.D., led the development of The College’s guidelines, explained:

“这些建议的改变对医生和患者都很重要。这将需要一些时间和大量的努力来重新教育每个人,年度人民行动计划不再是护理的标准。然而,至关重要的是,女性要明白,她们每年的女性健康访视对她们医疗保健的许多其他方面仍然非常重要。”

The majority of American women who have cervical cancer either never received testing prior, or were not tested efficiently. However, over the last three decades, the cervical cancer rate has decreased by over 50% in the United States due to general Pap testing
.

Although there is not one sole cause of this type of cancer, there are certain risk factors associated with the disease. The leading risk factor is cancer causing (oncogenic) strains of HPV, a common sexually transmitted infection.

The majority of females can destroy HPV infections on their own with a well-functioning immune system. However, cervical abnormalities will develop in a small percentage of women due to persistent HPV infection, eventually resulting in cancer.

Women ages 30 to 65 will see the biggest change in their screening guidelines. If they have negative results, they will be be co-tested with the Pap test (the traditional or liquid-based method) along with HPV test once every five years. If HPV screening is not accessible, a Pap test by itself is sufficient once every three years.

“We know that HPV infections are very common but most are transient and don’t progress to cervical cancer,” Dr. Chelmow explained. Most cervical cells that are precancerous can take years to develop into invasive cervical cancer, The College pointed out.

Dr. Chelmow continued:

“证据清楚地表明,应该减少宫颈癌筛查的频率。通过联合检测,每五年一次的筛查在实现极低的癌症发病率和避免不必要干预的潜在危害之间提供了一个极好的平衡。”

According to the guidelines, women under the age of 21, even if they have had sexual intercourse, should not be tested for cervical cancer or HPV. This is because invasive cervical cancer is unusual in females younger than 21, even though HPV is common among sexually active teens.

It normally takes about 8 months for the immune system in young women to successfully eliminate HPV infection. Most cervical abnormalities that are associated with HPV infection typically clear up on their own, making no treatment necessary.

The College recommends that women ages 21 to 29 should no longer be tested for cervical cancer every two years, but once every three years.

Both the traditional Pap and the liquid-based method are adequate ways to receive screening. However, females under the age of 30 should receive screening with co-testing.

“The new guidelines emphasize that there is no role for tests that look for low-risk types of HPV,” Dr. Chelmow said. “When co-testing, we should be using only tests for high-risk, oncogenic types of HPV.”

Women older than 65 should no longer receive screening for cervical cancer if:

  • 他们没有宫颈癌史
  • 无宫颈上皮内瘤变史(CIN) 2或CIN 3
  • 原位无腺癌病史
  • 连续三次巴氏试验阴性
  • 在过去10年中连续两次出现阴性联合检测结果,最近一次是在过去5年中
  • Women, no matter what age, should discontinue routine screening if they have no history of CIN 2 or CIN 3 and who have had a hysterectomy with removal of the cervix (total hysterectomy).

    HPV-vaccinated women should follow the same guidelines as those who are unvaccinated.

    The recommendations are not meant for women who are:

  • 免疫功能不全的
  • 艾滋病毒阳性
  • 在子宫内暴露于己烯雌酚
  • These females may need more to be tested more often – as frequently as recommended by their physician.

    Written by Sarah Glynn


    89养生网, 版权所有丨如未注明 , 均为原创丨本网站采用BY-NC-SA协议进行授权
    转载请注明原文链接:女性应该每3到5年接受一次子宫颈抹片检查
    喜欢 (0)