巴西将子宫颈抹片检查作为预防宫颈癌的工具:文献综述

Maria EDUARDA SILVA ASSUNÇÃO, Laila AMABILLE FERREIRA CHAGAS, Victor BERNARDO DOS SANTOS, Luciana Vieira Queiroz Labre
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摘要

宫颈癌是由人类乳头瘤病毒(HPV)的致癌亚型持续感染引起的,是巴西妇女最常见的癌症类型之一。这种疾病的特点是进展缓慢,在初发阶段没有任何症状。这种疾病是通过子宫颈抹片检查来诊断的,即从子宫颈采集细胞来检测异常情况。本文旨在结合社会、地区、文化和经济因素,确定和认识巴氏涂片作为巴西不同年龄段女性预防宫颈癌工具的重要性。我们利用国家癌症研究所 (INCA)、科学电子图书馆在线 (Scielo)、拉丁美洲和加勒比健康科学文献 (Lilacs)、谷歌学术和南太平洋大学 VHL 门户网站的数据库,开展了一项探索性文献综述研究。大多数研究表明,妇女对作为预防工具的子宫颈抹片检查的依从性很低。不舒服、缺乏关于检查、周期及其重要性的信息、受教育程度低、收入低和宗教信仰是导致不接受检查的主要因素。宫颈涂片检查是预防宫颈癌的重要工具,因为定期检查能够及早发现病变,从而开始治疗并治愈疾病。
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EXAME PAPANICOLAU COMO FERRAMENTA DE PREVENÇÃO DO CÂNCER CÉRVICO UTERINO NO BRASIL: REVISÃO DE LITERATURA
Cervical cancer is caused by a persistent infection with oncogenic subtypes of the human papillomavirus (HPV) and is one of the most common types of cancer among women in Brazil. The disease has the characteristic of progressing slowly, with no symptoms in the primary phase. The disease is diagnosed through the Pap smear, where cells are collected from the cervix to detect abnormalities. This article aims to identify and recognize the importance of the Pap smear as a tool for preventing cervical cancer in Brazil in the different female age groups, taking into account social, regional, cultural and economic factors. An exploratory literature study was carried out in the category of a bibliographic review, using the databases of the National Cancer Institute (INCA), Scientific Electronic Library Online (Scielo), Latin American and Caribbean Literature in Health Sciences (Lilacs), Google Scholar and USP's VHL Portal. The majority of the studies showed that there is low adherence among women to the Pap smear as a preventive tool. The discomfort, lack of information about the test, periodicity and its importance, low schooling, low income and religion are the main factors related to not having the test. The Pap smear is an important tool for the prevention of cervical cancer, because when it is carried out periodically it is able to detect lesions early, and consequently start treatment and cure the disease.
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