Pep Smear & Vaccine According to statistics from the National Health Bureau, cervical cancer is one of the most common cancers among women in China. About 2,000 people are diagnosed with cervical cancer every year, and about 800 people died from cervical cancer, demonstrating the importance of regular Pap smears and vaccinations. For new mothers who have just given birth to a baby, in addition to taking care of the baby, they must also pay attention to their own health, so that they can accompany the baby for a long time and continue the wonderful journey of life. Causes of Cervical Cancer
Many women may be infected with the human papillomavirus (HPV) after having sex, and this virus is the culprit of cervical cancer in the future. Not all people infected with this virus will develop cervical cancer. After infection, most people will excrete the virus through metabolism; however, people with poor resistance may be persistently infected, and the virus After lying dormant in the body for several years, it gradually causes malignant transformation of cells, and then progresses from precancerous lesions to cancer. Age for vaccination & whether vaccination can be done at the same time as smear test
Cai Mingsong, director of the Department of Obstetrics and Gynecology of Cathay General Hospital, said that receiving cervical smear examination and vaccination can actually be done at the same time, and there will be no difference. conflict. Research reports in recent years have shown that the correlation between human papillomavirus and the development of cervical cancer is as high as 95%. However, the proportion of women currently vaccinated against cervical cancer in Taiwan is relatively low, which is a pity. Protection should be developed as early as possible at a young age. It is best to receive the cervical cancer vaccine between the ages of 10 and 25. , the effect will be the best; if you have missed this age range but have not yet been vaccinated, you can still get the cervical cancer vaccine before the age of 45, which can still provide a considerable degree of protection and reduce the incidence of cervical cancer. You should receive Pap smear screening regularly
As for Pap smears, how important is it to receive Pap smears regularly? Director Cai Mingsong pointed out that cervical cancer used to be the number one cause of gynecological cancer. In recent years, the number of deaths and the incidence rate have dropped year by year. This is precisely because cervical smear examination has been widely implemented. Taking a Pap smear test is the only way to detect cell lesions early. Many women have been diagnosed with cell lesions before stage zero, allowing them to be controlled before they become cancer. Research shows that Pap smear examination can reduce the incidence and mortality of cervical invasive cancer by 60 to 90%. If you do not receive Pap smear screening regularly, you will lose the opportunity to detect cervical cancer and miss the opportunity for early detection and early treatment. Pap smear & vaccine Pap smear examination method
There are currently two methods of Pap smear examination, one is the traditional Pap smear examination, which is paid by the National Health Insurance; the other is self-paid Thin-layer smear examination. The traditional smear test is to use a smear brush to brush some cells on the surface of a woman's cervix for examination. There is no pain during the process, it is very safe, and the examination is also very fast. The sampling method of thin-layer smear examination is the same as the traditional method. The difference is that during processing, the specimen is stored in a liquid suspension and then passed through Automated instruments remove impurities and create thin cell smears. This processing process will collect 5 to 10 times more cells than the traditional method, and the interpretation effect will be more accurate. Director Cai Mingsong suggested that when traditional inspection methods are not sure whether there is a problem with the cells, thin-layer smears can be used for further confirmation. Even if you use a condom, you still need to undergo a smear test
Some people may be confused. Since human papillomavirus is transmitted and infected through sexual intercourse, then if condoms are used during sexual intercourse, it will not Do I still have to undergo a smear test? The answer is yes, because condoms are not 100% safe and you may still be infected with human papillomavirus. The recommended frequency of receiving smears is once a year. Although currently health insurance only requires those over 30 years old and those who have had sexual intercourse to undergo smear examination, in fact, if the financial situation permits, it is recommended that as long as you have had sexual intercourse, it is best to undergo smear examination every year.
Things to note a few days before the smear test
The timing of the test is about 3 to 4 days after all menstrual periods have been discharged. There is no limit for those who have stopped menstruating. Sexual intercourse should be avoided for 3 days before the examination, and the use of vaginal suppositories or vaginal irrigation solutions should be avoided.
It is more convenient to wear a skirt as much as possible on the day of the examination; it is normal if there is a small amount of vaginal bleeding within about 1 or 2 days after the examination. Pap smears & vaccines can be taken at the right time after delivery.
From a public health perspective, it is recommended that mothers who have just given birth can take the opportunity to return for follow-up visits 42 days after delivery. Have a Pap smear test and discuss with your doctor whether to get the cervical cancer vaccine to achieve double protection. New mothers should also pay attention to their own health while taking care of their babies. Comparison of cervical cancer vaccines currently on the market
Bivalent vaccine
Quadrivalent vaccine
Adjuvant
ASO4 patented adjuvant system Used to increase potency.
Aluminum-containing adjuvant.
Inoculation method
Intramuscular injection.
Intramuscular injection.
Usage
Take the first dose first, then the second dose 1 month later, and the third dose 6 months after the first dose (***three doses ).
The first dose should be vaccinated first, the second dose should be given 2 months later, and the third dose (third dose) should be given 6 months after the first dose.
The best target for the injection is
Women aged 10 to 25 years old.
Females aged 9 to 26 and males aged 16 to 26.
Effect
It has a preventive effect on cervical cancer caused by HPV types 16 and 18; in addition, it also has a cross-protective effect on HPV types 31 and 45, and overall prevents type 14 The cancer effect is 93%.
It has a preventive effect on cervical cancer caused by HPV types 16 and 18; it also has a preventive effect on genital warts (commonly known as cauliflower) caused by HPV types 6 and 11.
Protective power
At least 9.4 years
At least 5 years
A statement issued by the World Health Organization in 1998 pointed out that currently Interaction or repeated administration of the two vaccines is not recommended. In addition, you should still not have multiple mothers after vaccination, and you must have regular Pap smears.
Cai Mingsong Education: Bachelor of Medicine, Private China Medical University, researcher at Mayo Clinic in Minnesota, USA Current position: Director of Obstetrics and Gynecology, Cathay General Hospital, Chairman of the Taiwan Perinatal Medicine Association, Prenatal Genetic Diagnosis at Cathay General Hospital Director of the Center, full-time associate professor at the Department of Medicine, Fu Jen Catholic University, and adjunct associate professor at Taipei Medical University