{"id":182,"date":"2017-01-12T13:31:50","date_gmt":"2017-01-12T12:31:50","guid":{"rendered":"http:\/\/www.mojidoktori.rs\/blog\/?p=182"},"modified":"2017-01-12T13:56:28","modified_gmt":"2017-01-12T12:56:28","slug":"papa-test","status":"publish","type":"post","link":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/","title":{"rendered":"Papa test"},"content":{"rendered":"

Papa test<\/strong><\/a><\/h4>\n

Pap-a test<\/a> nije dijagnosti\u010dki test. Neophodno je naglasiti da on ne\u00a0 mo\u017ee da isklju\u010di postojanje karcinoma grli\u0107a kod pacijentkinja koje imaju simptome karcinoma grli\u0107a. Ina\u010de, Pap-a test se radi kod \u017eena koje nemaju simptome cervikalnog karcinoma (odnosno kod zdrave populacije).<\/span><\/p>\n

Ukoliko \u017eena ima simptome ili nalaze koji bi ukazivali na mogu\u0107e prisustvo cervikalnog karcinoma, mora da se uradi dijagnosti\u010dki test – radi isklju\u010denja ili potvrde potencijalne dijagnosti\u010dke nedoumice. Dijagnosti\u010dki test naj\u010de\u0161\u0107e podrazumeva proceduru izvo\u0111enja biopsije.<\/span><\/p>\n

<\/p>\n

Na \u0161ta mo\u017ee da uka\u017ee abnormalan Pap-a test?<\/strong><\/span><\/a><\/p>\n

U najve\u0107em broju slu\u010dajeva, abnormalan Pap-a test ukazuje na dijagnozu minornih promena grli\u0107a. Nekolicina mo\u017ee da uka\u017ee na premaligne promene, ali ih je ve\u0107ina minimalnog klini\u010dkog zna\u010daja. Sve promene moraju da budu pra\u0107ene, dijagnostifikovane i tretirane. S obzirom da se sporadi\u010dno mo\u017ee na\u0107i prava kancerska promena, u tome i jeste zna\u010daj ovog testa. Naime, najve\u0107i broj kancera je vidljiv na pregledu, ali ima i onih koje nije mogu\u0107e videti – pa je abnormalni Pap-a test jedini merodavan u dijagnostifikovanju kada se radi o takvim slu\u010dajevima.<\/span><\/p>\n

Pap-a test se preporu\u010duje svim seksualno aktivnim \u017eenama. Skrining intervali variraju u razli\u010ditim sredinama, ali po najnovijim preporukama, taj interval se skra\u0107uje sa \u0161est meseci na tri meseca, uz napomenu – ukoliko je prethodni nalaz bio normalan.<\/span><\/p>\n

Kako se sprovodi ovaj test?<\/strong><\/span><\/p>\n

Pap-a test se izvodi laganim \u00abgrebanjem\u00bb \u0107elija povr\u0161inskog dela grli\u0107a i njihovim nano\u0161enjem na mikroskopsku plo\u010dicu, a potom slanjem u patolo\u0161ku laboratoriju na dalju procenu (evaluaciju<\/a>).<\/span><\/p>\n

U opticaju su dva sistema klasifikovanja Pap-a testova. Prema starijem, nalazi se prezentuju u pet klasa, a on je zamenjen Bethesda<\/em> klasifikacijom. Po dobijanju nalaza patologa, ordiniraju\u0107i lekar je du\u017ean da pacijentkinji podrobno objasni o \u010demu se radi i da se odredi prema daljem toku i ishodu eventualnog tretmana. \u00a0<\/span><\/p>\n

\u0160ta zna\u010di uzimanje uzorka Pap-a testa?<\/strong><\/span><\/p>\n

On\u00a0podrazumeva uzimanje uzorka \u0107elija dobijenih sa spolja\u0161nje povr\u0161ine cerviksa (otvora grli\u0107a materice), kao i iz cervikalnog kanala, pri \u010demu uzorci moraju da budu jasno obele\u017eeni i propra\u0107eni adekvatnom dokumentacijom. Ina\u010de, cerviks je prekriven epitelnim slojem, koji se sastoji od 12-24 redova gusto zbijenih \u0107elija. Epitelni sloj se oslanja na bazalnu membranu, ispod koje se nalazi tkivo od kojeg je izgra\u0111en grli\u0107 materice.<\/span><\/p>\n

Za procenu eventualnih promena cervikalnog nivoa bazalne membrane<\/a>, u savremenoj dijagnostici se koriste ultrazvu\u010dni aparati visokih performansi. Pregled mora da bude ra\u0111en na adekvatan na\u010din – intrakavitalnom (vaginalnom) sondom, uz upotrebu CPA moda, kao i trodimenzionalnom obradom vaskularizacije cerviksa (protkanost krvnim sudovima) na nivou bazalne membrane.<\/span><\/p>\n

\u0160ta se dalje radi ako test poka\u017ee promene?<\/strong><\/span><\/p>\n

Ukoliko nalaz Pap-a testa odstupa od normale, patolog \u0107e mo\u0107i da prepozna da se radi o promeni, ali ne mo\u017ee da da zavr\u0161nu dijagnozu bez uzimanja adekvatnog uzorka tkiva. To uzimanje je \u00a0rezultat uporedne analize grli\u0107a materice<\/a>, koja sledi posle dobijanja abnormalnih rezultata Pap-a testa. Premaligne promene mogu jedino da budu dijagnostifikovane biopsijom grli\u0107a materice. Patologu je neophodno da ima uzorak tkiva, a ne samo \u0107elije zagrebane sa povr\u0161ine.<\/span><\/p>\n

Da li je potrebno ponoviti nalaz Pap-a test?<\/strong><\/span><\/p>\n

Ukoliko nalaz Pap-a testa<\/a> ukazuje na premaligno ili maligno stanje, potrebno je ponoviti nalaz. Neophodno je da se cerviks pogleda pod uveli\u010danjem, uz pomo\u0107 opti\u010dkog instrumenta – kolposkopa (po\u0161tovati principe based evidence medicine<\/em>, pa \u00a0pacijentkinji dati adekvatnu dokumentaciju o izvr\u0161enom pregledu). \u00a0U toku pregleda, aplikuje se sir\u0107etna kiselina, \u0161to uzrokuje da nukleus (jedro) \u0107elija nabubri, usled \u010dega ne propu\u0161ta svetlo. Cerviks<\/a> se potom osvetli svetlom kolposkopa. Povr\u0161ine koje su nepropusne za svetlost, reflektuju nazad svetlost doktoru.\u00a0 Reflektovana svetlost je bela, pa su takve povr\u0161ine vidljive. \u0106elije spoljnog sloja zdrave povr\u0161ine cerviksa imaju mala jedra, pa \u0107e propu\u0161tati svetlo. Bela polja su reoni displazije. \u0160to je polje belje, to je stupanj displazije te\u017ei.<\/span><\/p>\n

\u0160ta se jo\u0161 mo\u017ee videti kolposkopskim pregledom?<\/strong><\/span><\/a><\/p>\n

Kolposkopskim pregledom se mo\u017ee registrovati i abnormalna vaskularizacija. Neoplazija ozna\u010dava novi rast, a on je povezan sa novom vaskularizacijom, pri \u010demu se kao osnovna karakteristika pojavljuju novonastale vaskularne \u0161are, \u0161to je nepravilno (abnormalno) grananje krvnih sudova. \u0160to je vaskularizacija\u00a0 abnormalnija, to je displazna promena te\u017ea.<\/span><\/p>\n

Ukoliko je kolposkopija<\/a> adekvatno izvedena, \u0161to ozna\u010dava vizuelizaciju svih abnormalnih polja, tada se uzima biopsija abnormalnih polja i \u0161alje na patolo\u0161ku pretragu. Na osnovu dobijenog nalaza patologa i postavljanja dijagnoze, ordiniraju\u0107i lekar \u0107e da isplanira dalji tok i adekvatan individualni tretman grli\u0107a<\/a>.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Papa test Pap-a test nije dijagnosti\u010dki test. Neophodno je naglasiti da on ne\u00a0 mo\u017ee da isklju\u010di postojanje karcinoma grli\u0107a kod pacijentkinja koje imaju simptome karcinoma grli\u0107a. Ina\u010de, Pap-a test se radi kod \u017eena koje nemaju simptome cervikalnog karcinoma (odnosno kod zdrave populacije). Ukoliko \u017eena ima simptome ili nalaze koji bi…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[128,132,135,131,134,130,133,127,129],"class_list":["post-182","post","type-post","status-publish","format-standard","hentry","category-blog","tag-abnormalan-pap-a-test","tag-analize-grlica-materice","tag-cervikalni-karcinom","tag-cerviks","tag-displazija","tag-karcinom-grlica-materice","tag-kolposkopija","tag-papa-test","tag-promena-grlica"],"yoast_head":"\nPapa test - Popusti i kuponi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Papa test - Popusti i kuponi\" \/>\n<meta property=\"og:description\" content=\"Papa test Pap-a test nije dijagnosti\u010dki test. Neophodno je naglasiti da on ne\u00a0 mo\u017ee da isklju\u010di postojanje karcinoma grli\u0107a kod pacijentkinja koje imaju simptome karcinoma grli\u0107a. Ina\u010de, Pap-a test se radi kod \u017eena koje nemaju simptome cervikalnog karcinoma (odnosno kod zdrave populacije). Ukoliko \u017eena ima simptome ili nalaze koji bi…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/\" \/>\n<meta property=\"og:site_name\" content=\"Popusti i kuponi\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/mojidoktori.rs\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-01-12T12:31:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-01-12T12:56:28+00:00\" \/>\n<meta name=\"author\" content=\"Ordinacije@\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@MojiDoktori\" \/>\n<meta name=\"twitter:site\" content=\"@MojiDoktori\" \/>\n<meta name=\"twitter:label1\" content=\"\u041d\u0430\u043f\u0438\u0441\u0430\u043d\u043e \u043e\u0434\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ordinacije@\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u041f\u0440\u043e\u0446\u0435\u045a\u0435\u043d\u043e \u0432\u0440\u0435\u043c\u0435 \u0447\u0438\u0442\u0430\u045a\u0430\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 \u043c\u0438\u043d\u0443\u0442\u0430\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/\"},\"author\":{\"name\":\"Ordinacije@\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#\\\/schema\\\/person\\\/299c5a1124d6a5f07b551b49e3187e6e\"},\"headline\":\"Papa test\",\"datePublished\":\"2017-01-12T12:31:50+00:00\",\"dateModified\":\"2017-01-12T12:56:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/\"},\"wordCount\":774,\"publisher\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#organization\"},\"keywords\":[\"abnormalan Pap-a test\",\"analize grli\u0107a materice\",\"cervikalni karcinom\",\"cerviks\",\"displazija\",\"karcinom grli\u0107a materice\",\"kolposkopija\",\"Papa test\",\"promena grli\u0107a\"],\"articleSection\":[\"blog\"],\"inLanguage\":\"sr-RS\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/\",\"url\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/\",\"name\":\"Papa test - Popusti i kuponi\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#website\"},\"datePublished\":\"2017-01-12T12:31:50+00:00\",\"dateModified\":\"2017-01-12T12:56:28+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/#breadcrumb\"},\"inLanguage\":\"sr-RS\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/papa-test\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Papa test\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/\",\"name\":\"Popusti i kuponi\",\"description\":\"Popusti Beograd\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"sr-RS\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#organization\",\"name\":\"Mojidoktori\",\"url\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sr-RS\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/222-1.jpg\",\"contentUrl\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/222-1.jpg\",\"width\":180,\"height\":88,\"caption\":\"Mojidoktori\"},\"image\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/mojidoktori.rs\\\/\",\"https:\\\/\\\/x.com\\\/MojiDoktori\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#\\\/schema\\\/person\\\/299c5a1124d6a5f07b551b49e3187e6e\",\"name\":\"Ordinacije@\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Papa test - Popusti i kuponi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/","og_locale":"sr_RS","og_type":"article","og_title":"Papa test - Popusti i kuponi","og_description":"Papa test Pap-a test nije dijagnosti\u010dki test. Neophodno je naglasiti da on ne\u00a0 mo\u017ee da isklju\u010di postojanje karcinoma grli\u0107a kod pacijentkinja koje imaju simptome karcinoma grli\u0107a. Ina\u010de, Pap-a test se radi kod \u017eena koje nemaju simptome cervikalnog karcinoma (odnosno kod zdrave populacije). Ukoliko \u017eena ima simptome ili nalaze koji bi…","og_url":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/","og_site_name":"Popusti i kuponi","article_publisher":"https:\/\/www.facebook.com\/mojidoktori.rs\/","article_published_time":"2017-01-12T12:31:50+00:00","article_modified_time":"2017-01-12T12:56:28+00:00","author":"Ordinacije@","twitter_card":"summary_large_image","twitter_creator":"@MojiDoktori","twitter_site":"@MojiDoktori","twitter_misc":{"\u041d\u0430\u043f\u0438\u0441\u0430\u043d\u043e \u043e\u0434":"Ordinacije@","\u041f\u0440\u043e\u0446\u0435\u045a\u0435\u043d\u043e \u0432\u0440\u0435\u043c\u0435 \u0447\u0438\u0442\u0430\u045a\u0430":"4 \u043c\u0438\u043d\u0443\u0442\u0430"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/#article","isPartOf":{"@id":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/"},"author":{"name":"Ordinacije@","@id":"https:\/\/www.mojidoktori.rs\/blog\/#\/schema\/person\/299c5a1124d6a5f07b551b49e3187e6e"},"headline":"Papa test","datePublished":"2017-01-12T12:31:50+00:00","dateModified":"2017-01-12T12:56:28+00:00","mainEntityOfPage":{"@id":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/"},"wordCount":774,"publisher":{"@id":"https:\/\/www.mojidoktori.rs\/blog\/#organization"},"keywords":["abnormalan Pap-a test","analize grli\u0107a materice","cervikalni karcinom","cerviks","displazija","karcinom grli\u0107a materice","kolposkopija","Papa test","promena grli\u0107a"],"articleSection":["blog"],"inLanguage":"sr-RS"},{"@type":"WebPage","@id":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/","url":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/","name":"Papa test - Popusti i kuponi","isPartOf":{"@id":"https:\/\/www.mojidoktori.rs\/blog\/#website"},"datePublished":"2017-01-12T12:31:50+00:00","dateModified":"2017-01-12T12:56:28+00:00","breadcrumb":{"@id":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/#breadcrumb"},"inLanguage":"sr-RS","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.mojidoktori.rs\/blog\/papa-test\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.mojidoktori.rs\/blog\/papa-test\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.mojidoktori.rs\/blog\/"},{"@type":"ListItem","position":2,"name":"Papa test"}]},{"@type":"WebSite","@id":"https:\/\/www.mojidoktori.rs\/blog\/#website","url":"https:\/\/www.mojidoktori.rs\/blog\/","name":"Popusti i kuponi","description":"Popusti Beograd","publisher":{"@id":"https:\/\/www.mojidoktori.rs\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.mojidoktori.rs\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"sr-RS"},{"@type":"Organization","@id":"https:\/\/www.mojidoktori.rs\/blog\/#organization","name":"Mojidoktori","url":"https:\/\/www.mojidoktori.rs\/blog\/","logo":{"@type":"ImageObject","inLanguage":"sr-RS","@id":"https:\/\/www.mojidoktori.rs\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.mojidoktori.rs\/blog\/wp-content\/uploads\/2017\/08\/222-1.jpg","contentUrl":"https:\/\/www.mojidoktori.rs\/blog\/wp-content\/uploads\/2017\/08\/222-1.jpg","width":180,"height":88,"caption":"Mojidoktori"},"image":{"@id":"https:\/\/www.mojidoktori.rs\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/mojidoktori.rs\/","https:\/\/x.com\/MojiDoktori"]},{"@type":"Person","@id":"https:\/\/www.mojidoktori.rs\/blog\/#\/schema\/person\/299c5a1124d6a5f07b551b49e3187e6e","name":"Ordinacije@"}]}},"_links":{"self":[{"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/posts\/182","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/comments?post=182"}],"version-history":[{"count":0,"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/posts\/182\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/media?parent=182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/categories?post=182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mojidoktori.rs\/blog\/wp-json\/wp\/v2\/tags?post=182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}