Cervical Cancer Treatment While Pregnant

every year half a million women are diagnosed with cervical cancer and over half of these women will die medical aid films has produced this film to explain how many of these lives could be saved through screaming early detection prevention and treatment let's hear from an expert in cervical cancer screening to explain how this works in practice it is important to be

aware that nearly all cervical cancer is caused by a genital infection with the HPV or human papilloma virus and this is sexually transmitted HPV infections can be prevented by giving a course of HPV vaccinations two young girls exposure to high risk HPV can increase with the number of sexual partners a woman may have so it's important to vaccinate girls before they become sexually active. 

Cervical Cancer Treatment

 

HPV infections are extremely common in women under the age of 35 but only a small number of women go on to develop abnormal or precancerous changes in the cells of the cervix these changes can be found through screening screening is not a test for cancer it is a method for detecting precancerous changes in women which if left untreated may lead to cancer in most countries screening is recommended for women between the ages of 30 and 49.

In some countries such as uganda screening starts at the age of 25 the world health organization recommends that women are screened once every five years there in some countries they

recommend every three years. HIV positive patients should be screened, once a year as HIV women have a higher risk of contracting HPV infection and a higher risk of developing cervical cancer is our health worker who will describe some different screening tests now we're going to look at the four main tests visual inspection with acetic acid VI a visual inspection with Lugo's ID ein test really happened nicolau Pap test and the HPV DNA test which chest you use depends on the equipment you have available in your community.

The first two tests involve looking at the service so the results are available right away the last two tests require laboratory analysis so you have to wait for the results this test is also known as the vinegar. Tess as normal household vinegar can be used instead of acetic acid for this test five percent vinegar or five percent acetic acid solution is applied to the cervix and after one minute. The health worker checks to see if it changes color when vinegar is applied to abnormal cervical tissue white spots will appear so you can make an immediate assessment of a positive or negative result white spots occur because the precancerous cells have increased

protein normal cells do not change color, the remain pink in this test.

I didn't is applied to the cervix if cervical precancerous changes are present they will appear well defined thick and mustard or golden yellow in color while the normal cells of the cervix stains brown or black the results from these tests are

reported as negative or normal positive. for pre-cancer or suspicious for cancer a negative result means the woman has a normal cervix a positive result means the cervix has pre-cancer cells which if not treated early can develop into cancer and results reading suspicious. for cancer means the woman has changes visible on her cervix that causes you to suspect cancer she will need to be referred for diagnosis and treatment.

The test cannot confirm a cancer diagnosis or the stage of cancer this has to be done by a call pasta p biopsy and examination if a positive pre cancer diagnosis is made then treatment can take place in the same visit as part of the screen and treat approach this is more convenient for the woman the visual screening tests are simple give immediate results and are easy to perform this means they can be carried out by nurses or a health worker. These methods are very effective for

premenopausal women but less suitable for postmenopausal women this is because the transformation zone of these women is often inside the cervical canal and therefore not visible the transformation zone is part of the cervix where precancerous changes often occur due to the occurrence of false positives.

Cervical Cancer Treatment While Pregnant

Some woman who test positive do not have the disease this means that some women will get treated unnecessarily if we caused them anxiety however VI a and really produce very few false negatives so many women will be saved from developing cancer with these relatively simple safe tests and treatment now it's time to hear about the other two screening methods. First the Papanikolaou or Pap test the Pap test involves collecting cells of the cervix using a spatula or brush these are then smeared onto a glass

slide and immediately faced with a solution to preserve the cells the sample must be carefully labeled and sent to the laboratory, where it is stained and examined by a trained health worker using a microscope this determines whether the cells are

normal or abnormal and the extent of the abnormality perhaps have been used for a long time. in some countries however they require good laboratory resources and quality controls they have fewer false positives than the visual test but they have more false negatives which means they are most useful in areas where animal screaming.

as possible as samples have to be sent to the laboratory it can be costly and the results are not immediate the results will come back as negative positive for high-grade ore low-grade lesions all suspicious for cancer the Pap test cannot confirm the final diagnosis of the stage of cancer the fall screening test is the HPV DNA screening. while all the other tests are detecting precancerous changes in the cervix this method is used to detect the DNA of high-risk HPV in vagina or cervical smears a sample of cells is collected from the cervix all vagina using a swab or a small brush and plays in a container with a preservative solution.

The specimen can be collected by the healthcare worker or by the woman herself by inserting a swab deep into the vagina until it meets resistance and then turning it three times, the sample is then sent to a laboratory for analysis. detection of high-risk HPV does not necessarily mean that pre cancer or cancer is present it indicates simply that the woman has a huge bv infection and that this if left. Untreated can lead to cancer HPV testing has fewer false positives and false negatives so the test will tell you more accurately who is at risk if the results are positive the woman will still need to undergo one of the other cervical.

Screening tests to establish if the HPV infection has led to the development of cervical pre-cancer or cancer so those are the four screening tests used to detect abnormalities on the cervix, now we will hear about what happens next all woman should receive the results of the test well the negative or positive and effective system for follow-up and treatment of women who test positive is an important component for successful. cervical cancer prevention after a positive result some women may require a car pasta p if there is one available alka pasta p is the visual examination of the cervix vagina and vulva with a special type of microscope which provides elimination and magnification allowing the seller person to be examined application of dilute acetic acid highlights abnormal areas and a visual analysis of the extent of the precancerous lesions can be carried out if needed a biopsy can be performed at the same time using a punch

biopsy forceps small pieces of tissue removed from the abnormal areas of the cervix.

The sample is placed in a preservative labeled and then sent to the laboratory for analysis this will confirm whether there is pre cancer or cancer and the severity and extent so that appropriate treatment can be given , pasta p.m. biopsies should be performed by properly trained health professionals once clearly diagnosed small precancerous lesions can be treated with cryotherapy as part of the screen and trees approach a woman with large. Lesions found with VI a of valley or high grade lesions cloud with pap tests or coupee should be referred to a gana colleges for procedures requiring more expertise before doing the cryotherapy Presidio and VI a or a very test will need to be performed in order to identify the abnormal tissue for removal sometimes both tests are carried out cryotherapy eliminates precancerous areas on the cervix by freezing them.

This simple procedure takes about 15 minutes and can be performed without anesthesia by trained professionals who

are skilled in public examination and cryotherapy to perform cryotherapy a speculum is inserted into the vagina and abnormal areas of the cervix are identified by applying either acetic acid or I adine that a highly cool metal discs called a cryoprobe is applied to the cervix this freezes the surface

using carbon dioxide or nitrous oxide gas the crier probe is applied to the cervix twice lasting for three minutes each time with a five-minute saw or rest in between this is called the double fries technique or the 353 freeze formula

Cryotherapy has a success rate of around ninety percent for the treatment of small lesions cryotherapy preserves the uterus and cervix so women can still have children in the future for big

lesions are those thought to be more serious than a loop electrosurgical excision procedure or leap is used. Before any treatment it is important that the health worker discusses the procedure and the potential side effects with the patient

after treatment, the woman may experience mild pain and

cramping and a watery discharge we should disappear within two weeks the cervix takes a month to heal and it's important that the woman either abstains from sex or use a condom during this

time the woman should report to the health facility for investigation and treatment is she experiences fever

severe abdominal pain.

Foul smelling discharge or lower back pain a follow up review should take place for weeks after the procedure and

a further check out a year later treatment by cryotherapy and leap is appropriate for precancerous conditions if screening suggest there is a suspicion of cervical cancer then the woman should be referred on for further investigation and treatment treatment. would depend on the stage of the cancer the age and the general health of the woman treatment options could include surgery and radiotherapy, finally we hear about how important it

is to keep records records should include every woman's clinical record appointments that have been scheduled and those that have been kept or missed this can be a simple paper record or computer-based with the exception of the Pap test, there are no permanent samples of the screen test that can be reviewed later.

So it's important that all screenings and results are recorded in a log book it is also important to make sure that women receive their results whether they're positive or negative and that women with positive results are followed up for treatment

remember screening alone does not prevent cervical cancer

this Article has introduced you to the principles behind cervical screening test treatments and prevention and the

second film in the series you will see a step-by-step guide to

perform in the visual screening tests and remember screaming alone does not prevent cervical cancer follow up and treatment are key to the prevention of cervical cancer yeah