Programska knjižnica 9. Lošinjskih dana bioetike - Hrvatsko ...

ka atipija epitela maternice, suglasnost se može dobiti i na osnovi informiranog
izbora koji se temelji na relevantnom znanju.
Prije uzimanja citološkog brisa, u komunikaciji između liječnika i pacijentice
sve više vremena se posvećuje razmatranju pitanja vezanih uz
humani papiloma virus (HPV). Infekcija humanim papiloma virusom najčešća
je spolno prenosiva bolest i odgovorna je za nastanak karcinoma
cerviksa, vagine i vulve, te za pojavu genitalnih bradavica.
Na incidenciju karcinoma vrata maternice utječu brojni čimbenici. Prvi
korak u sprječavanju te bolesti je dobar probir, stalna edukacija liječnika za
uzimanje obrisaka, dobro opremljeni i organizirani laboratorij, te edukacija
žena s ciljem njihova preuzimanja odgovornosti za svoje zdravlje.
WOMEN’S INFORMATION AND CYTOLOGICAL
SCREENING OF THE CERVIX UTERI
There are numerous bioethical dilemmas in all branches of medicine,
thus in cervical cytology as well. When taking a sample for cytologic analysis,
the patient must be well informed on the method of taking samples and
the diagnostic accuracy of the examination, in order to give consent. For
the methods used as screening tests, such as cytodiagnostics of the atypia
of the cervical epithelium, the consent can be obtained on the basis of informed
choice based upon relevant knowledge.
Before taking a cytological smear, increasingly more time is paid in
doctor–patient communication to the questions regarding the human papillomavirus
(HPV). Human papillomavirus infection is the most frequent
sexually transmitted disease, which can lead to the development of cervical,
vaginal and vulvar carcinoma, as well as genital warts.
The incidence of cervical cancer is affected by numerous factors. The
first steps in preventing this disease are good screening, constant education
of the physician on taking the smear, well equipped and organized laboratory,
and education of women in order for them to take responsibility for
their health.
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