\u00c7do vit, 500.000 gra n\u00eb mbar\u00eb bot\u00ebn jan\u00eb diagnostikuar me kancer t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs, i cili \u00ebsht\u00eb nj\u00eb nga llojet m\u00eb t\u00eb zakonshme t\u00eb kancerit dhe ndikon n\u00eb organet gjenitale fem\u00ebrore. Pas kancerit t\u00eb gjirit, ky lloj kanceri \u00ebsht\u00eb shkaku i dyt\u00eb m\u00eb i zakonsh\u00ebm i vdekjes n\u00eb mesin e grave. N\u00eb vitet e fundit numri i grave me k\u00ebt\u00eb diagnoz\u00eb \u00ebsht\u00eb rritur \u00a0n\u00eb m\u00ebnyr\u00eb t\u00eb konsiderueshme.<\/h4>\n\n\n\n

 <\/h4>\n\n\n\n

\u00c7far\u00eb p\u00ebrfaq\u00ebson?<\/h4>\n\n\n\n

Ky lloj kanceri prek pjes\u00ebn e poshtme t\u00eb mitr\u00ebs, dometh\u00ebn\u00eb pjes\u00ebn e qaf\u00ebs e cila bashkon vagin\u00ebn me mitr\u00ebn. Kanceri shfaqet at\u00ebher\u00eb kur n\u00eb pjes\u00ebn sip\u00ebrfaq\u00ebsore e qaf\u00ebs s\u00eb mitr\u00ebs shfaqen qeliza anormale t\u00eb cilat quhen \u2018prekursor\u00eb t\u00eb kancerit\u2019. B\u00ebhet fjal\u00eb p\u00ebr struktura parakanceroze t\u00eb cilat n\u00ebse nuk diagnostikohen n\u00eb faz\u00eb fillestare, shnd\u00ebrrohen n\u00eb kancer t\u00eb mitr\u00ebs. Faktori kryesor p\u00ebrgjegj\u00ebs p\u00ebr k\u00ebt\u00eb ndryshim HPV, i njohur si virusi human papiloma. HPV \u00ebsht\u00eb virus i cili transmetohet n\u00ebp\u00ebrmjet marr\u00ebdh\u00ebnies seksuale dhe shkakton lythat gjenital.<\/p>\n\n\n\n

Gjinekolog\u00ebt, k\u00ebshillojn\u00eb \u00e7do grua t\u00eb pakt\u00ebn nj\u00eb her\u00eb n\u00eb vit t\u00eb b\u00ebjn\u00eb PAP test, pasi vet\u00ebm me an\u00eb t\u00eb k\u00ebtyre testeve mund t\u00eb zbulohen \u00e7far\u00ebdo lloj ndryshimesh n\u00eb qaf\u00ebn e mitr\u00ebs. PAP testi i njohur si testi Papanicolaou, mund\u00ebson diagnostikimin e hersh\u00ebm t\u00eb qelizave anormale n\u00eb qaf\u00ebn e mitr\u00ebs, para se ato t\u00eb fillojn\u00eb t\u00eb shnd\u00ebrrohen n\u00eb struktura para kanceroze apo n\u00eb kancer t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs. N\u00eb vendet e zhvilluara, ku femrat b\u00ebjn\u00eb rregullisht PAP test, \u00ebsht\u00eb reduktuar ndjesh\u00ebm norma e pacient\u00ebve me kancer n\u00eb qaf\u00ebn e mitr\u00ebs.<\/p>\n\n\n\n

Cil\u00ebt jan\u00eb faktor\u00ebt e rrezikut?<\/h4>\n\n\n\n

Faktor\u00ebt e rrezikut t\u00eb cil\u00ebt mund t\u00eb jen\u00eb shkak i ndryshimeve t\u00eb qelizave n\u00eb qaf\u00ebn e mitr\u00ebs jan\u00eb:<\/p>\n\n\n\n

\u2022 Infeksioni HPV
\u2022 Mosha
\u2022 Marr\u00ebdh\u00ebnia e par\u00eb seksuale n\u00eb mosh\u00eb t\u00eb re
\u2022 Ndryshimi i m\u00eb shum\u00eb partner\u00ebve seksual\u00eb
\u2022 Shtatz\u00ebnit\u00eb e shum\u00ebfishta
\u2022 Kushtet e k\u00ebqija ekonomiko-sociale
\u2022 Pirja e duhanit
\u2022 Higjena jo e mir\u00eb gjenitale
\u2022 Pilulat kontraceptive, mungesa e vitaminave A, C, E n\u00eb ushqim, si dhe mungesa e acidit folik.<\/p>\n\n\n\n

Kur shfaqet?<\/h4>\n\n\n\n

Kanceri i qaf\u00ebs s\u00eb mitr\u00ebs zakonisht shfaqet tek grat\u00eb e mosh\u00ebs s\u00eb mesme si dhe tek grat\u00eb m\u00eb t\u00eb vjetra.
Cilat jan\u00eb simptomat?<\/p>\n\n\n\n

Zakonisht simptomat e para p\u00ebr zbulimin e kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs jan\u00eb: gjak\u00ebderdhje vaginale gjat\u00eb marr\u00ebdh\u00ebnies seksuale, rrjedhje vaginale jo e past\u00ebr, dhimbje gjat\u00eb urinimit apo parehati vaginale. Kanceri i qaf\u00ebs s\u00eb mitr\u00ebs mund t\u00eb prek\u00eb nj\u00eb sip\u00ebrfaqe m\u00eb t\u00eb madhe, duke p\u00ebrfshir\u00eb dhe hap\u00ebsir\u00ebn e mitr\u00ebs, posht\u00eb n\u00eb vagin\u00eb dhe n\u00eb murin e pelvisit. Me presionin e vet mund t\u00eb pushtoj\u00eb edhe fshik\u00ebz\u00ebn e urin\u00ebs dhe rektumin, duke shkaktuar kapsll\u00ebk, shenja gjaku n\u00eb urin\u00eb, bllokim t\u00eb uretr\u00ebs dhe hidrouretr\u00ebs ( zgjerim i tubit urinar) apo hidronefroz\u00ebs (zgjerim i veshkave), gjithashtu, n\u00eb var\u00ebsi t\u00eb prekjes s\u00eb murit t\u00eb pelvisit, mund t\u00eb p\u00ebrfshihen edhe simptoma t\u00eb tjera shtes\u00eb, si dhimbje t\u00eb k\u00ebmb\u00ebve, edem\u00eb dhe hidronefroz\u00eb.<\/p>\n\n\n\n

Si diagnostikohet?<\/h4>\n\n\n\n

\u2022 PAP test<\/strong> – gjat\u00eb aplikimit t\u00eb k\u00ebtij testi merret bris (kampion) nga vagina, i cili ekzaminohet nga patolog\u00eb, dhe b\u00ebhet klasifikimi i qelizave normale dhe jo normale. Sot, me kontrollet e rregullta t\u00eb PAP testit, pritet q\u00eb numri i vdekshm\u00ebris\u00eb t\u00eb pacient\u00ebve t\u00eb s\u00ebmur\u00eb nga kanceri i qaf\u00ebs s\u00eb mitr\u00ebs t\u00eb zvog\u00eblohet me 70%. Metod\u00eb tjet\u00ebr e cila lejon v\u00ebzhgimin e drejtp\u00ebrdrejt\u00eb t\u00eb lezioneve, \u00ebsht\u00eb kolposkopia. Me ndihm\u00ebn e k\u00ebtij instrumenti optik, qafa e mitr\u00ebs mund t\u00eb zmadhohet nga 6 deri n\u00eb 40 her\u00eb.n\u00ebse n\u00eb rezultatin e PAP testit gjenden struktura anormale, at\u00ebher\u00eb p\u00ebrdoret kolposkopia ose biopsia.
\u2022 ADN HPV<\/strong> \u2013 gjat\u00eb rezultateve t\u00eb dyshimta, rekomandohetn metodat e ADN HPV. N\u00ebse rezultati i PAP testit \u00ebsht\u00eb i paqart\u00eb nd\u00ebrsa ADN HPV \u00ebsht\u00eb pozitiv, at\u00ebher\u00eb \u00ebsht\u00eb e nevojshme q\u00eb t\u00eb b\u00ebhet m\u00eb shpesh monitorimi i gjendjes s\u00eb pacientit.<\/p>\n\n\n\n

Si trajtohet?<\/h4>\n\n\n\n

Radioterapia \u00ebsht\u00eb metod\u00eb e cila mund t\u00eb p\u00ebrdoret n\u00eb \u00e7do faz\u00eb t\u00eb kancerit n\u00eb qaf\u00ebn e mitr\u00ebs. N\u00eb faz\u00ebn fillestare t\u00eb kancerit, p\u00ebrhapja e s\u00ebmundjes \u00ebsht\u00eb shum\u00eb e ul\u00ebt, prandaj si nj\u00eb plan i par\u00eb p\u00ebrdoret trajtimi kirurgjik, n\u00eb fazat e avancuara, si form\u00eb themelore e trajtimit \u00ebsht\u00eb radioterapia. Trajtimi kirurgjik ka p\u00ebr q\u00ebllim heqjen e kancerit nga zona n\u00eb t\u00eb cil\u00ebn gjendet kanceri primar i qaf\u00ebs s\u00eb mitr\u00ebs, dhe vendeve n\u00eb t\u00eb cilat \u00ebsht\u00eb e mundur p\u00ebrhapja e kancerit. Trajtimi kirurgjik, p\u00ebrve\u00e7 madh\u00ebsis\u00eb s\u00eb tumorit, mund t\u00eb dallohet edhe n\u00eb var\u00ebsi t\u00eb vendit t\u00eb kryerjes s\u00eb intervenimit: qaf\u00ebs s\u00eb mitr\u00ebs, t\u00eb gjith\u00eb mitr\u00ebn dhe nyjet limfatike, mund t\u00eb ndryshoj\u00eb sipas madh\u00ebsis\u00eb s\u00eb teknikave kirurgjike.<\/p>\n\n\n\n

\u2022LEEP<\/strong> (Loopelectrosurgicalprocedur) \u2013 LEEP \u00ebsht\u00eb nj\u00eb teknik\u00eb e re p\u00ebr diagnostikimin dhe trajtimin e ndryshimeve n\u00eb qaf\u00ebn e mitr\u00ebs me ndihm\u00ebn e lazerit. P\u00ebrdoret tension i ul\u00ebt i energjis\u00eb, e cila n\u00eb t\u00eb njejt\u00ebn koh\u00eb prerja dhe mpiksja e gjakderdhjes \u00ebsht\u00eb e minimizuar.<\/p>\n\n\n\n

Krioterapia – \u00ebsht\u00eb metod\u00eb p\u00ebr heqjen e kancerit , lythave ose nishan\u00ebve.k\u00ebto ndryshime t\u00eb indit, ngrihen me an\u00eb t\u00eb procesit t\u00eb ftohjes gjat\u00eb s\u00eb cilit humbasin funksionin e tyre dhe vdesin.<\/p>\n\n\n\n

Mbrojtja<\/h4>\n\n\n\n

Rekomnandohet kryerja e PAP testit brenda nj\u00eb afati prej tre vitesh pas kryerjes s\u00eb aktivitetit t\u00eb par\u00eb seksual, nd\u00ebrsa pas mosh\u00ebs 30 vje\u00e7are, PAP testi mund t\u00eb kryhet \u00e7do 2 deri n\u00eb 3 vjet. N\u00ebse pacientja ka rrezik t\u00eb lart\u00eb, at\u00ebher\u00eb PAP testi duhet t\u00eb b\u00ebhet dy her\u00eb n\u00eb vit.<\/p>\n\n\n\n

Vaksinimi HPV<\/h4>\n\n\n\n

Thelb\u00ebsore p\u00ebr parandalimin e k\u00ebtij kanceri \u00ebsht\u00eb vaksinimi i HPV, i cili b\u00ebhet para fillimit t\u00eb marr\u00ebdh\u00ebnieve seksuale. Q\u00ebllimi \u00ebsht\u00eb q\u00eb t\u00eb mbrohen pacientet nga para cervikaldiplaza, neoplazia, kanceri i mitr\u00ebs, lythat gjenital (condylomat\u0430accuminat\u0430) dhe lezionet parakarcinomogjenitale. Madje edhe aplikimi i vaksin\u00ebs HPV dduhet t\u00eb vazhdoj\u00eb me ekzaminimin e qaf\u00ebs s\u00eb mitr\u00ebs, dometh\u00ebn\u00eb, me an\u00eb t\u00eb PAP testit. P\u00ebr t\u00eb parandaluar virusin gjat\u00eb aktit seksual, si nj\u00eb metod\u00eb mbrojt\u00ebse rekomandohet p\u00ebrdorimi i prezervativit.<\/p>\n\n\n\n

Disa lloje t\u00eb HPV shkaktojn\u00eb kancer<\/h4>\n\n\n\n

Mendohet se infeksionet HPV kan\u00eb nj\u00eb ndikim t\u00eb madh n\u00eb zhvillimin e kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs. 99,7% t\u00eb kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs, p\u00ebrmbajn\u00eb ADN HPV. Ekzistojn\u00eb 200 lloje t\u00eb k\u00ebtij virusi i cili \u00ebsht\u00eb zbuluar n\u00eb l\u00ebkur\u00eb dhe n\u00eb membranat mukozale, dhe 40% e tyre jan\u00eb gjetur n\u00eb epitelin e anusit dhe organet gjenitale. Forma m\u00eb e zakonshme e transmetimit t\u00eb virusit, \u00ebsht\u00eb n\u00ebp\u00ebrmjet marr\u00ebdh\u00ebnies seksuale.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00c7do vit, 500.000 gra n\u00eb mbar\u00eb bot\u00ebn jan\u00eb diagnostikuar me kancer t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs, i cili \u00ebsht\u00eb nj\u00eb nga llojet m\u00eb t\u00eb zakonshme t\u00eb kancerit dhe ndikon n\u00eb organet gjenitale fem\u00ebrore. Pas kancerit t\u00eb gjirit, ky lloj kanceri \u00ebsht\u00eb shkaku i dyt\u00eb m\u00eb i zakonsh\u00ebm i vdekjes n\u00eb mesin e grave. N\u00eb vitet e […]<\/p>\n","protected":false},"author":1,"featured_media":8458,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[367],"tags":[],"doktori":[],"class_list":["post-8447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kancer-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8447","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=8447"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8447\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/8458"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=8447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=8447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=8447"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=8447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}