Cervical Cancer Screening in Nepal

Cervical Cancer Screening in Nepal
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尼泊尔的宫颈癌筛查

DOI:
10.3126/hprospect.v12i1.8723
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发表时间:
2013
期刊:
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影响因子:
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通讯作者:
Sr Mishra
Sr Mishra
中科院分区:
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文献类型:
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作者:
M. Joshi;Sr Mishra

文献摘要

被引文献

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宫颈癌筛查是使用子宫颈抹片检查来识别宫颈细胞和组织的癌前和潜在癌前变化的过程。宫颈癌是尼泊尔女性最大的杀手,也是最容易预防的癌症。本文试图简要概述尼泊尔的宫颈癌筛查项目。从国际期刊、当地报纸和书籍中获取和审查了各种已发表和未发表的文献。所有文献均经过系统回顾和分析。人乳头瘤病毒(HPV)感染是宫颈癌的主要原因。在大多数情况下,过早发生性行为、多个性伴侣和成瘾被认为是危险因素。在尼泊尔等发展中国家,宫颈癌筛查对于高危人群来说并不容易。有一种疫苗可以降低感染 HPV 的风险。如果在性活动发生前 9 至 13 岁接种疫苗,该疫苗将有效。宫颈癌筛查项目存在诸多困难,医疗服务有限,地理条件复杂,医疗服务提供困难。需要设计并向人群提供特别计划,重点关注减轻宫颈癌的负担。 DOI:http://dx.doi.org/10.3126/hprospect.v12i1.8723 健康展望:公共卫生杂志 Vol.12(1) 2013:18-20
Cervical cancer screening is a process using the Pap smear to identify precancerous and potentially precancerous changes in cervical cells and tissue. Cervical cancer acts as the biggest killer and most preventable cancer in Nepalese women. This paper tries to give a brief overview of cervical cancer screening program in Nepal. Various published and unpublished literatures were obtained and reviewed from international journals, local newspapers and books. All literatures were systematically reviewed and analyzed. Human papilloma virus (HPV) infection is chiefly the reason for cervical cancer. In majority cases, early exposure to sexual intercourse, multiple sex partners and addiction are considered as risk factor. In Developing country like Nepal, screening for cervical cancers is not easily available to people at risk. A vaccine is available which reduces the risk of HPV. The vaccine will be effective if received before the onset of sexual activities 9-13 years. Cervical cancer screening program has many difficulties in terms of limited medical services, difficult geographical terrain creating difficulties in delivering health services. Special programs needs to be designed and delivered to population focusing on reducing burden of cervical cancer. DOI: http://dx.doi.org/10.3126/hprospect.v12i1.8723 Health Prospect: Journal of Public Health Vol.12(1) 2013: 18-20