{"id":7929,"date":"2021-10-04T08:05:08","date_gmt":"2021-10-04T08:05:08","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=7929"},"modified":"2021-10-04T08:05:08","modified_gmt":"2021-10-04T08:05:08","slug":"cancerul-de-col-uterin","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/cancerul-de-col-uterin\/","title":{"rendered":"Lupta \u00eempotriva cancerului de col uterin prin preven\u021bie"},"content":{"rendered":"

Ce este HPV, care sunt riscurile<\/u><\/strong> sale \u0219i modalit\u0103\u021bi de depistare ale cancerului de col, toate explicate de medicii Royal Hospital<\/u><\/strong><\/p>\n

–\u00a0 99% din cazurile de cancer de col uterin au ca surs\u0103 infec\u021bia cu HPV, conform statisticilor OMS<\/strong><\/p>\n

–\u00a0 \u00a0Cancerul de col uterin este al treilea cel mai comun \u00een r\u00e2ndul femeilor din Rom\u00e2nia, reprezent\u00e2nd 7,5% din num\u0103rul total de cancere depistate \u00een 2020<\/strong><\/p>\n

–\u00a0 \u00a0Anual, conform Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103, sunt diagnosticate 4.300 de cazuri noi de cancer de col uterin, iar 1.900 de femei pierd anual lupta cu boala<\/strong><\/p>\n

–\u00a0 \u00a0Rom\u00e2nia are cea mai mare rat\u0103 de mortalitate, atunci c\u00e2nd vine vorba despre cancerul de col uterin, din Europa \u2013 14,2 la 100.000 de femei<\/strong><\/p>\n

–\u00a0 \u00a0 \u00a020% din infec\u021biile cu HPV ce au evoluat \u00eentr-o form\u0103 de cancer au ca subiect b\u0103rba\u021bii<\/strong><\/p>\n

–\u00a0 \u00a0 Exist\u0103 peste 100 de tulpini de HPV dintre care 15 sunt asociate cu risc oncogen pentru colul uterin<\/strong><\/p>\n

Problema vaccin\u0103rii \u00eempotriva HPV este din nou \u00een aten\u021bia publicului \u0219i a autorit\u0103\u021bilor. Dup\u0103 mai multe campanii e\u0219uate de combatere \u0219i prevenire a virusului, \u00een spa\u021biul public \u0219i media problema cazurilor numeroase de cancer de col uterin reapare. Conform informa\u021biilor publicate de Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii, 99% din cazurile de cancer de col uterin au ca surs\u0103 infec\u021bia cu HPV. \u00cen Rom\u00e2nia sunt depistate anual peste 4.300 de cazuri noi de boal\u0103, iar 1.900 de femei pierd anual lupta \u00eempotriva cancerului de col. Royal Hospital, prin medicii s\u0103i, dore\u0219te s\u0103 informeze publicul cu privire la boal\u0103, cum apare, cine o produce, cum sunt diagnosticate leziunile colului, stadiile cancerului \u0219i simptomatologia sa.<\/p>\n

\u00cen acest context, medicii Royal Hospital<\/a> organizeaz\u0103 o serie de webinarii pentru a informa pacien\u021bii, iar primul episod este dedicat cancerului de col, care afecteaz\u0103 via\u021ba a mii de femei anual: \u201e\u00cen \u021b\u0103rile dezvoltate, inciden\u021ba acestei boli a sc\u0103zut foarte mult. De aceea trebuie s\u0103 discut\u0103m \u0219i s\u0103 g\u00e2ndim \u00eempreun\u0103 metodele \u0219i c\u0103ile pe care le putem utiliza pentru ca inciden\u021ba s\u0103 scad\u0103 la acela\u0219i nivel. Spre deosebire de alte cancere care sunt la alte organe, cel de col este o boal\u0103 ce poate fi prevenit\u0103. Poate fi \u00eendep\u0103rtat\u0103 \u0219i s\u0103 nu mai apar\u0103. \u021aine de m\u0103surile de preven\u021bie pe care le lu\u0103m sau nu le lu\u0103m<\/em>\u201d, explic\u0103 Dr. Ioan Stoian, medic primar obstetric\u0103-ginecologie \u0219i fondatorul Royal Hospital.<\/p>\n

\u201e<\/em>Cancerul de col<\/em><\/a> este o afec\u021biune malign\u0103 care se localizeaz\u0103 la nivelul colului uterin sau cervixului. Este o afec\u021biune care are o evolu\u021bie lent\u0103, poate evolua mult timp f\u0103r\u0103 simptomatologie, iar \u00een peste 90% din cazuri exist\u0103 un factor cunoscut sau demonstrat, infec\u021bia HPV. Exist\u0103 \u0219i forme mai rar \u00eent\u00e2lnite, mai dificil de diagnosticat, care se localizeaz\u0103 \u00een interiorul colului, dar factorul cel mai important \u0219i asupra c\u0103ruia pot exista mijloace de preven\u021bie este aceast\u0103 infec\u021bie, HPV<\/em>\u201d, completeaz\u0103 Dr. Mirela Vasile, medic specialist obstetic\u0103-ginecologie.<\/p>\n

HPV-ul, cea mai comun\u0103 infec\u021bie cu transmitere sexual\u0103<\/strong><\/p>\n

Conform statisticilor, aproximativ 80% din femeile care sunt activ sexual vor contacta, la un moment dat \u00een via\u021ba lor, virusul HPV. \u00cen prima campanie de vaccinare \u00eempotriva sa, desf\u0103\u0219urat\u0103 \u00een anul 2008 \u00een Rom\u00e2nia, doar 2,5% din femeile eligibile s-au vaccinat. Aceast\u0103 problem\u0103 a fost mai degrab\u0103 con\u0219tientizat\u0103 peste ani, c\u00e2nd Rom\u00e2nia a ajuns una dintre \u021b\u0103rile care stau cel mai prost la nivelul Uniunii Europene c\u00e2nd vine vorba despre politicile de preven\u021bie a cancerului de col. Astfel, am ajuns s\u0103 avem cea mai mare mortalitate din Europa c\u00e2nd vine vorba despre aceast\u0103 boal\u0103: 14,2 cazuri la 100.000 de femei. 7,5% din noile cazuri de cancer de col uterin din Europa se depisteaz\u0103 la noi \u00een \u021bar\u0103.<\/p>\n

\"\"<\/a>\u201e\u00centr-adev\u0103r, vorbim despre cea mai frecvent\u0103 patologie \u00een sfera genital\u0103, infec\u021bia cu HPV, un virus extrem de transmisibil, mai ales pe cale sexual\u0103. Undeva la 80% din persoanele active sexual au aceast\u0103 infec\u021bie. Este de punctat faptul c\u0103 infec\u021bia cu HPV nu \u00eenseamn\u0103 cancer. Cursul de la infec\u021bie la a ajunge la o leziune precanceroas\u0103 este de lung\u0103 durat\u0103. Avem metode de preven\u021bie, modalit\u0103\u021bi de a putea salva partea genital\u0103. Dintre toate tulpinile cu HPV, peste 100 descoperite la acest moment, doar anumite tulpini sunt \u00eent\u00e2lnite \u00een sfera genital\u0103 \u0219i pot produce cancer de col. Sunt \u00eemp\u0103r\u021bite \u00een dou\u0103 categorii: unele cu risc crescut pentru apari\u021bia cancerului de col \u0219i unele cu risc sc\u0103zut<\/em>\u201d, explic\u0103 Dr. George Diaconu, medic specialist obstetric\u0103-ginecologie \u00een cadrul Royal Hospital.<\/p>\n

Virusul Human Papilloma (HPV) este localizat la nivelul aparatului genital feminin \u0219i masculin \u2013 vulv\u0103, vagin, col, endocol. Foarte rar se \u00eent\u00e2mpl\u0103 s\u0103 apar\u0103 \u0219i cancerul la nivel oral, la nivel de laringe. Pe de alt\u0103 parte, exist\u0103 \u0219i infec\u021bia HPV<\/a> la b\u0103rba\u021bi \u2013 cancerul penian. Conform CDC, \u00een Statele Unite ale Americii, 4 din 10 cazuri de cancer sunt cauzat de HPV \u00een r\u00e2ndul b\u0103rba\u021bilor, reprezent\u00e2nd un num\u0103r de 14.000 de cazuri depistate anual. La nivel european, 20% din infec\u021biile cu HPV evolueaz\u0103 \u00eentr-o form\u0103 de cancer ce are ca subiect sexul masculin. Vaccinul \u00eempotriva HPV este recomandat at\u00e2t femeilor, c\u00e2t \u0219i b\u0103rba\u021bilor, afla\u021bi \u00eentre v\u00e2rstele de 9 ani \u0219i 45 de ani, \u00eens\u0103 majoritatea statelor din Europa vaccineaz\u0103 numai tinerele.<\/p>\n

\"\"<\/a>\u201eVirusul ca s\u0103 se dezvolte p\u0103trunde \u00een celule. Dac\u0103 celula este puternic\u0103 \u0219i reu\u0219e\u0219te s\u0103 \u00eenving\u0103 virusul, infec\u021bia se opre\u0219te aici. Apare doar o inflama\u021bie care de multe ori nu este tradus\u0103 prin simptomatologie \u2013 femeia (sau b\u0103rbatul) nici nu \u0219tie c\u0103 este infectat\u0103 cu acest virus. Dac\u0103 virusul este mai agresiv, dac\u0103 este dintre tulpinile cu risc mai mare pentru evolu\u021bia unui cancer, organismul se lupt\u0103 \u0219i mai tare cu virusul. Celula \u00ee\u0219i schimb\u0103 morfologia, lucru ce se vede la microscop, \u0219i apar leziunile displazice sau precanceroase. Eu evit s\u0103 spun leziuni precanceroase, deoarece femeia se g\u00e2nde\u0219te c\u0103 va ajunge la cancer implacabil, ceea ce nu este deloc adev\u0103rat. Nu este obligatoriu ca o leziune displazic\u0103 s\u0103 dezvolte un cancer<\/em>\u201d, explic\u0103 Dr. Ioan Stoian, medic primar obstetric\u0103-ginecologie.<\/p>\n

Modalit\u0103\u021bile de preven\u021bie a cancerului de col<\/strong><\/p>\n

Vaccinul \u00eempotriva infec\u021biei HPV este folosit la nivel interna\u021bional drept principala modalitate de preven\u021bie a cancerului de col. Anul trecut se lansa The Cervical Cancer Prevention Policy Atlas, o hart\u0103 comparativ\u0103 care analizeaz\u0103 politicile de preven\u021bie ale bolii la nivel european. Belgia, Danemarca, Irlanda \u0219i Marea Britanie ocup\u0103 primul loc, cu scoruri de 100% pentru realiz\u0103rile lor \u00een r\u00e2ndul luptei \u00eempotriva virusului HPV. Scoruri mai slabe se \u00eenregistreaz\u0103 \u00een Europa de Est \u0219i Sud, unde \u021b\u0103ri precum Rom\u00e2nia sau Bulgaria se afl\u0103 la cap\u0103tul clasamentului. Rom\u00e2nia, spre exemplu, a primit un scor de 37% pentru politicile de preven\u021bie a cancerului de col, afl\u00e2ndu-se pe ultimul loc dintre statele membre ale Uniunii Europene. Exist\u0103, totu\u0219i, mai multe modalit\u0103\u021bi de prevenire a bolii:<\/p>\n

\"\"<\/a>\u201eTestul de screening pentru acest tip de cancer este examenul Babe\u0219 Papanicolau. Ca indica\u021bie, trebuie ini\u021biat\u0103 testarea de la v\u00e2rsta de 21 de ani sau cel mult 3 ani de la debutul vie\u021bii sexuale. Ghidurile recomand\u0103 ca testarea HPV s\u0103 se asocieze examenului Papanicolau dup\u0103 v\u00e2rsta de 30 de ani. Eu recomand pacientelor mele ca \u00eentre 20 \u0219i 30 de ani s\u0103-\u0219i fac\u0103 cel pu\u021bin un test HPV, \u00een condi\u021biile \u00een care exist\u0103 parteneri sexuali multipli, sunt fum\u0103toare, utilizeaz\u0103 contraceptive perioade \u00eendelungate de timp. Din punctul meu de vedere, testul HPV este un examen foarte important, deoarece este etapa ini\u021bial\u0103 a evolu\u021biei c\u0103tre un cancer de col. \u00cen momentul \u00een care noi decel\u0103m un examen Papanicolau modificat, este clar consecin\u021ba unei infec\u021bii HPV cu risc crescut care a persistat ani de zile<\/em>\u201d, explic\u0103 Dr. Mirela Vasile, specialist al Royal Hospital.<\/p>\n

Pentru o preven\u021bie c\u00e2t mai eficient\u0103 a bolii, speciali\u0219tii Royal Hospital recomand\u0103 ca examenul Babe\u0219 Papanicolau s\u0103 fie f\u0103cut anual de c\u0103tre paciente. Chiar dac\u0103 \u00een prim\u0103 faz\u0103 rezultatele pot semnala numai normalit\u0103\u021bi, este totodat\u0103 recomandat\u0103 \u00een completare examenul colposcopic.<\/p>\n

\u00cen urma unui test Papanicolau modificat, investiga\u021bia se poate completa cu testul HPV, cu colposcopia, cu testul cintec Plus. \u00cen func\u021bie de concluziile celor 3 evalu\u0103ri, medicul stabile\u0219te ce este de f\u0103cut \u00een continuare cu pacienta.<\/p>\n

Webinarul Royal Hospital poate fi vizionat pe pagina de Facebook a Royal Hospital<\/a>. Cei trei participan\u021bi sunt doctorii Ioan Stoian, Mirela Vasile \u0219i George Diaconu, speciali\u0219ti \u00een obstetric\u0103-ginecologie, care prezint\u0103 pe larg toate detaliile despre infec\u021bia cu HPV, efectele sale asupra organismului, riscurile apari\u021biei cancerului de col \u0219i manifestarea sa prin simptome.<\/p>\n

\n

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Ce este HPV, care sunt riscurile sale \u0219i modalit\u0103\u021bi de depistare ale cancerului de col, toate explicate de medicii Royal Hospital –\u00a0 99% din cazurile de cancer de col uterin […]<\/p>\n","protected":false},"author":4,"featured_media":7930,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7929","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"\nLupta \u00eempotriva cancerului de col uterin prin preven\u021bie - Jurmed - Pacienti<\/title>\n<meta name=\"description\" content=\"cancerulu de col uterin in \u021b\u0103rile dezvoltate, inciden\u021ba acestei boli a sc\u0103zut foarte mult. infec\u021bia cu HPV, se transmisite mai ales pe cale sexual\u0103\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/cancerul-de-col-uterin\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lupta \u00eempotriva cancerului de col uterin prin preven\u021bie - 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