Steps to take for papsmear test

This is an automatically translated article.


The article was written by Doctor Tran Thi Thanh Huong - Medical Department, Vinmec Times City International General Hospital.

The PAP test is a test in which cells are removed from the cervix and vagina and then stained and observed under a microscope. This test is a screening method that can help detect abnormal cells and cancer through the analysis of cell samples, thanks to this test the mortality rate from cervical cancer is significantly reduced. tell.

1. Implementation steps


Prepare the client The client was instructed to urinate cleanly, not during a menstrual cycle, not to insert pills and douche or have previous intercourse. The customer changes her dress and takes off her underwear. Prepare Speculum, clean gloves, gel, swab, fully recorded slide (name, date of birth and PID), 96-degree alcohol or Sell-Fixx spray.
How to proceed Instruct the client to lie on the table in the gynecological position, the doctor disinfects clean hands, wears gloves, disinfects the external genitals, places the speculum, fixes the speculum and exposes the entire neck uterus: observe and evaluate the status of vaginal discharge, cervix, then take samples for testing.

Hình ảnh lấy bệnh phẩm làm xét nghiệm
Hình ảnh lấy bệnh phẩm làm xét nghiệm

How to proceed Instruct the client to lie on the table in the gynecological position, the doctor disinfects clean hands, wears gloves, disinfects the external genitals, places the speculum, fixes the speculum and exposes the entire neck uterus: observe and evaluate the status of vaginal discharge, cervix, then take samples for testing.
Take specimens with flat stick Place the stick perpendicular to the cervix, the short end is placed on the outside of the cervix, rotate 360o to take the specimen in the transition area of ​​the outer neck, then turn the long end upside down and place the inner neck again. 360o for clear neck specimen.
Spread on the slide: Half spread on the short end, half on the long end, it is required to spread evenly in one direction. Fixing: By spraying the Sell-Fixx solution at a ratio of 1-1, to 20-30 cm from the slide. Take the specimen with a brush Rotate 2-3 times around the cervix, then spread on the slide by rotating the brush cuff along the length of the slide, while rotating and gently pressing, spread the second layer on the first layer and then fix it. specimens.
Remove the speculum gently, instruct the customer to dress. Discuss with the customer the examination results and answer if the customer asks. Make an appointment to get the results, when the results are available, call to consult the results. PAP results are usually available in 1-3 weeks. Most of the results are normal and no abnormal cells are found, and sometimes the results are not clear. Your doctor may order additional tests to monitor cell changes. If the results are abnormal, you can continue immediately after or before 6 months.

Xét nghiệm Pap giúp tầm soát ung thư cổ tử cung
Xét nghiệm Pap giúp tầm soát ung thư cổ tử cung

Cervical cancer is a common cancer in Vietnam, before developing into cancer, cervical cells undergo abnormal changes that can be detected by a PAP test.
With early diagnosis and appropriate treatment, the survival rate for cervical cancer is very high. If cervical cancer is at its earliest stage, the chance of survival is 93% in 5 years. If cervical cancer is at its most advanced stage, survival is reduced by 15%.
Experts recommend: to prevent cervical cancer, you should have regular checkups, cervical cancer screening and complete HPV vaccination.
Screening and early detection of cervical cancer is the key to a woman's happy life, remember that screening needs to be done periodically, don't be subjective if you only have 1 test result normal.
Paying attention to abnormal signs, having regular gynecological exams and performing cervical cancer screening are things women should do to protect their health.
Cervical cancer screening package helps customers perform clinical examinations to detect increased risk factors for cervical cancer, detect suspected cancer lesions, and inflammatory lesions in the cervix. bow.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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