Kusukela ngeminyaka yama-1960, ngenxa yokuthandwa kokuhlolwa, ukufa komdlavuza womlomo wesibeletho kwehle kakhulu. E-United States, umdlavuza wesibeletho uyimbangela yeshumi nesishiyagalombili kakhulu yokufa komdlavuza. Kulindeleke ukuthi kube namacala amasha ayi-18 ngonyaka ka-13,240, okubandakanya ukufa kwabantu abangu-2018. Ukufa okuningi okubangelwa umdlavuza womlomo wesibeletho kwenzeka kubantu abangahlolisiswa ngokwanele. Abesifazane emiphakathini ehola kancane, abesifazane abanemibala, nabesifazane abahlala ezindaweni ezikude noma ezisemakhaya bakha lokhu kufa okuhlobene nomdlavuza wesibeletho.
I-United States Preventive Services Task Force (USPSTF) inikeza izincomo ezintsha zokuhlolelwa umdlavuza womlomo wesibeletho futhi inikeza abesifazane izinketho eziningi zokuhlola. Ushintsho olukhulu ukuthi abesifazane abaneminyaka ephakathi kuka-30-65 bangakhetha ukuyeka ngokuphelele ukuhlolwa komlomo wesibeletho. Ubufakazi obusha bukhombisa ukuthi i-human papillomavirus (HPV) ithathelwana ngocansi futhi cishe wonke umdlavuza womlomo wesibeletho udalwa yi-HPV. I-HPV idala izinguquko kumaseli omlomo wesibeletho, okungaholela kumdlavuza womlomo wesibeletho. Abesifazane abaneminyaka yobudala engama-30-65 bangakhetha ukuhlolwa i-HPV njalo eminyakeni emihlanu ukuze bahlole umdlavuza womlomo wesibeletho, esikhundleni sokwenza ukuhlolwa komlomo wesibeletho njalo eminyakeni emithathu. Gwema ukuhlolwa okungadingekile. Ngakho ukugwema izindleko ezengeziwe kanye nezinkinga ezengeziwe zokulandelela. Kungokokuqala ngqa ukuthi kunconywe ukuhlolwa okuhlukile kwe-HPV ukuze kuhlolwe umdlavuza womlomo wesibeletho, futhi lokhu kuhlolwa kuyanconywa kungakhathaliseki umlando wezocansi. Kodwa uBruder ubikezela ukuthi ama-Pap smear ngeke ashintshwe maduze.
Esikhathini esedlule, izincomo zabesifazane baleli banga lobudala kwakuyi-smear yomlomo wesibeletho, eyaziwa nangokuthi i-exfoliative cytology, i-smear yomlomo wesibeletho njalo eminyakeni emithathu noma ihlanganiswe nokuhlolwa kwe-HPV njalo eminyakeni emihlanu (ukuhlola ndawonye). Abesifazane basengakhetha ukusebenzisa le ndlela ukuhlola umdlavuza wesibeletho. Kwabesifazane abaneminyaka engama-21-29, kusanconywa ukuthi kwenziwe iPap smear njalo eminyakeni emithathu. Akunconyelwa abesifazane abangaphansi kweminyaka engama-21 ubudala ngoba umdlavuza womlomo wesibeletho ongaphansi kweminyaka engama-21 uyivelakancane. Ngokufanayo, abesifazane abahlolwa ngokwanele umdlavuza wesibeletho abangaphezu kweminyaka engama-65 abadingi ukuhlolwa. Labo asebeneminyaka engaphezu kwengama-65 ubudala futhi abenze ama-smear amathathu omlomo wesibeletho noma izivivinyo ezihlanganisiwe ezi-3 abanayo imiphumela emibi, futhi abakaze babe nemiphumela emibi eminyakeni eyishumi edlule, futhi abasadingi ukuhlolelwa umdlavuza womlomo wesibeletho, noma ngabe umlingani omusha ocansini. Imihlahlandlela emisha ingeyabesifazane kuphela abangenayo imiphumela emibi yokuhlolwa. Abantu okutholwe ukuthi banezilonda ezingakashayi isikhathi noma umdlavuza wesibeletho kufanele babonane nodokotela wabo ukuze baxoxe ngezindlela zabo zokuthola.
