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g;;#*is;l - s;ivh**ks;cy;; (cervix -g;B;;*x;y;;cy;; t;;e]#;cy;; -) k:|ns;rc;; p;>it;k:;r k:r[;;re p;ihle vh|iks;n;
k|:ns;r h; d;e{;I j;n;uk:;m;uLe (genes) in;m;;*[; h;e[;;r; re;g; a;he. hI j;n;uk:e p;ex;I]n;; c;uk:Ic;I p;>iq;n;e Wtp;nn; k:r;y;c;; s;]dex; det;;t; ty;;m;uLe k|:ns;rc;; p;>;duB;;*v; h;et;;e. j;r k:|ns;r v;eLcy;;v;eLI lZ;;t; y;eW:n; ty;;v;r Wp;;y; y;;ej;n;; z;;lI n;;hI t;r ty;;m;uLe m;&ty;UhI y;eW: x;k:t;;e.
j;n;uk:;t;Il #I. aen;. ae iv;{;y;I im;L;leDy;; n;v;In; N;n;;m;uLe x;;sF;N k:|ns;rc;I n;v;n;v;In; j;n;uk:e x;;eQ;Un; k:;$;y;l; l;g;le a;het;. an;ek: n;v;In; k:|ns;riv;r;eQ;I a;E{;Q;;]c;I in;im;*t;I s;ur: z;;lI as;Un; ik:ty;eek: a;E{;Q;e x;;eQ;;cy;; p;ihDy;; p;;y;rIv;r a;het;. j;rI hI n;v;In; a;E{;Q;e k:|ns;rcy;; iv;r;eQ;;t; p;ir[;;m;k:;rk: @rlI as;lI, t;rI ty;;]c;e du{p;ir[;;m; K;Up; a;het; . t;s;ec; t;I a;E{;Q;e K;Up; m;h;g;hI a;het;. k:;hI v;{;;*]p;Uv;I* j;g;;t;Il an;ek: dex;;]cy;; x;;sF;N;]c;I p;I.b;I.aes;. c;|n;elv;r n;v;In; k:|ns;rp;>it;b;]Q;k: a;E{;Q;;]s;b];Q;I c;c;;* z;;lI. ty;; c;c;e*t; s;v;;*n;um;t;e as;] @rl] k:I k:|ns;rv;rIl s;v;;e*T;m; wl;j; mh[;j;e k:|ns;rc;; p;>it;b;]Q; k:r[;e. v; t;e k:r[y;;s;;@I aek: k:|ns;riv;r;eQ;I ls; x;;eQ;Un; k:;$[;e j;r:r a;he. p;r]t;u k:|ns;r h; aek: ait;x;y; g;hn; iv;{;y; a;he a;i[; ty;;l; p;>it;b;]Q;k: a;E{;Q; g;eDy;; j;Un; p;y;*]t; aist;tv;;t; n;vht;e.
j;Un; 8 2006 re;j;I aef: #I ae (FDA) n;e g;;#*is;l n;;v;;c;ee , HPV (hy;Um;n; p;|ip;l;em;; vh;y;rs;) c;; p;>it;b;]Q; k:r:n; s;ivh*ks;cy;; k:|ns;rp;;s;Un; b;;y;k:;]n;; v;;c;iv;[;;re, m;k:* x;;p;* a|]# #;em; k:]p;n;In;e b;n;iv;lele vh|iks;n; b;;j;;r;t; a;[;;y;l; p;rv;;n;g;I idlI. f:T;: am;eirk:et; s;vhI*ks;cy;; k:|ns;rc;e dr v;{;I* 9,700 n;v;In; p;ex;]! v; 3,700 m;&ty;U b;G;;y;l; im;Lt;;t;. s;ivh*ks;c;; k:|ns;r h; j;g;;t;l; n;]. 2 c;; k:|ns;r a;he. dr v;{;I* y;; k:|ns;rm;uLee 47,000 r;eg;I v; 233,000 m;&ty;U h;et;;t;. Hy;;t;le j;v;Lj;v;L aek: t;⁢y;];x; m;&ty;U f:T;: B;;rt;;t; h;et;;t;. Hy;; B;y;;n;k: k:|ns;rc;; p;>it;b;]Q; k:r[;;rI aek: ls; v;y; v;{;* n;W: t;e s;vv;Is; y;; v;y;;eg;!;t;Il b;;y;k:;m;ulI]n;; de[y;;s;;@I p;rv;;n;g;I de[y;;t; a;lI a;he. gl|ks;;e, ism;q; kl;wn; Hy;; p;>it;sp;Q;I* k:]p;n;In;e x;;eQ;Un; k:;$lelI s;vh*irks; n;;v;;c;I aek: ls;hI a;|k!;eb;rm;Qy;e FDA k:#e m;]j;UrIs;;@I j;;w*l. y;; d;enhI ls;I HPV cy;; iv;r;eQ;;t; r;eg;p;>it;k:;rk: x;iT;: v;;$v;t;;t;. hI ls; h; s;Qy;;cy;; j;g;;t;l; f:;rc; m;;e@; x;;eQ; as;] m;;n;l] j;;t; a;he. hy;;m;uLe s;v;* j;g;;t;Dy;; isF;y;;]c;e a;re;gy; s;uQ;;rle j;;w*l. aef:.#I.ae. c;e k:im;x;n;r mh[;t;;t; k:I s;]p;U[;* j;g;;t;Il isF;y;;]c;e a;re;gy; a;Sc;y;*k:;rk: irt;In;e s;uQ;;r[;;r; s;m;;j;x;;sF;;t;Il p;ihl; x;;eQ; mh[;j;e hI ls;. y;U. aes;. v;D#* a;I[; ny;Uz; irp;;e!*cy;; v;;i{;*k: ahv;;l;t; ilhIle a;he k:I h; x;;eQ; aEit;h;is;k: a;he k:;r[; Hy;; x;;eQ;;m;uLe j;g;;cy;; n;k:;x;;v;r:n; s;ivh*ks;c;; k:|ns;r n;;m;x;e{; h;e[;;r a;he.
p;;iSc;m;;ty; dex;;t; in;y;im;t; v;;i{;*k: p;|p; sm;Iy;rcy;; t;p;;s;[;Im;uLe s;ivh*ks;c;; k:|ns;r ag;dI p;>;q;im;k: av;sq;et; s;;p;#t;;e . ty;;m;uLeee ty;; k:|ns;rn;e m;&ty;U p;;v;[;;Ry;; b;;y;k:;]c;e p;>m;;[; ait;x;y; k:m;I z;;lele a;he. p;[; j;g;;t;Dy;; wt;r dex;;t;Il b;;y;k:;- iv;x;e{;t;/ B;;rt;Iy; b;;y;k:; - p;|p; !es! s;;@I in;y;im;t; j;;t; n;;hIt;. hI ls; s;h; m;ihny;;]t; @r;iv;k: a]t;r;n;e t;In;d; de[y;;t; y;e[;;r as;Un; lx;Ic;I ik:]m;t; 360 #;|. a;he mh[;Un; Hy;; ls;Il; j;g;;t;l] s;v;;*t; m;h;g;#] vhi|ks;n; m;;n;l] j;;t;].
s;ivh*ks;c;; k:|ns;r v; HPV c;; s;]b;]Q; s;v;*p;>q;m; h;#elb;g;*m;Q;Il j;m;*n; k:|ns;r wins;!y;U!c;e #;y;rek!r h|r;D# v;ur h;|s;en; Hy;; j;m;*n; vh;y;r;|l;|ij;s!n;e 1957 s;;lI d;K;v;Un; idl;.p;r]t;U ty;;]cy;; k:#e x;;sF;x;uà Wp;k:r[; n;s;Dy;;m;uLe t;e wt;r x;;sF;N;]n;; hI g;;e{! p;!v;Un; deW: x;k:le n;;hIt;. p;r]t;u 1980 m;Qy;e b;;y;;|l;|j;Im;Qy;e m;;|ilky;ulr b;;y;;|l;|j;I hI x;;K;; s;ur: z;;lI ty;;m;uLe t;e p;;|ilm;rez; c;en; ira|kx;n; he t;]F; v;;p;r:n; (PCR), k:|ns;rc;I l;g;[; z;;leDy;; p;ex;]!cy;; y;;en;Im;;g;;*m;Q;Un; im;L;leDy;; vh;y;rs;cy;; #I. aen;. A. c;I HPV cy;; #I. aen;. A. x;I t;uln;; k:r: x;k:le.
wt;r vh;y;r;|l;|ij;s!n;I hec; t;]F; v;;p;r:n; j;g;;t;Il 25 dex;;]t;Il , s;ivh*ks;c;; k:|ns;r as;leDy;; 3,000 p;ex;]!cy;; g;B;;*x;y;;t;Dy;; p;ex;I]m;Q;Il #I. aen;. ae c;I c;;c;[;I k:r:n; #;|. h;|s;en;c;; is;à;]t; t;p;;s;Un; p;;ihl;. ty;;]n;;hI 99.99 !kk:e b;;y;k:;]m;Q;e HPV DNA im;L;le. ty;;m;uLe ty;;]n;IhI HPV cy;; p;>dIG;* s;]s;g;;*m;Le s;ivh*ks; k:|ns;r h;et;;e h;c; in;{k:{;* k:;$l;.
HPV vh;y;rs;cy;; j;v;Lj;v;L 100 j;;t;I a;het;. ty;;t;Il 40 p;;e!j;;t;I s;ivh*ks;cy;; p;ex;I]n;; v;e$Un; !;k:t;;t; p;[; ty;; s;g;Ly;;c; Q;;ek:;d;y;k: n;s;t;;t;. jy;; d;en; p;;e!j;;t;I , 70 !kk:e p;ex;]!cy;; k:|ns;rl; k:;r[;IB;Ut; a;het; ty;; mh[;j;e 16 v; 18. wt;r 5 p;;e!j;;t;I WrleDy;; 20 !kk:e k:|ns;rl; k:;r[;IB;Ut; a;het;. Hy;; !kk:ev;;rIt; k:;hIhI B;;Eg;;eilk: f:rk: a;$Llel; n;;hI.
HPV m;uLe g;B;;*x;y;;cy;; t;;e]#;c;; k:|ns;r k:s;; h;et; as;el ?
hy;Um;n; p;|ip;l;em;; vh;y;rs; (HPV)h; x;;irirk: s;]B;;eg;;m;uLe p;s;rl; j;;t;;e. jy;; aeip;q;elIy;l p;ex;I my;uk:;ez;;cy;; K;;lI as;t;;t; ty;; p;ex;I]m;Q;e s;v;*p;>q;m; k:|ns;rc;; p;>;duB;;*v; h;et;;e. s;v;*s;;Q;;r[;p;[;e 25 !kk:e b;;y;k:; v; m;ulI]n;; HPV c;I l;g;[; z;;lelI as;t;e. h; vh;y;rs; g;;el;k:;r as;Un; ty;;l; b;;her aek: a;v;r[; as;t;e . ty;;t; L1, E 6 , E7 ax;I p;>iq;n;e as;t;;t;. vh;y;rs;cy;; a;t; as;lele DNA hI p;>iq;n;e b;n;v;t;;t;. n;x;Ib;;n;e a;p;Dy;; x;rIr;t;Un; as;e r;eg; a;p;;ea;p; n;;hIs;e h;et;;t;. a;p;lI tv;c;;hI s;t;t; z;#t; as;Dy;;m;uLe as;e r;eg; i!k:U x;k:t; n;;hIt;. p;r]t;u k:Q;Ik:Q;I m;;F; y;; re;g;;c;I l;g;[; !LU x;k:t; n;;hI v; t;;e r;eg; v;;$U l;g;t;;e. vh;y;rs;cy;; 16 v; 18 Hy;; p;;e!j;;t;I s;ivh*ks;cy;; p;ex;Im;Q;e j;;W:n; p53 v; ny;Ur;ebl;s!;em;; p;>;e!Ins; Hy;; d;en; p;>iq;n;;]n;; v;e$t;;t;. hI d;en; mh[;j;e p;ex;I]c;; b;c;;v; k:r[;;rI p;>iq;n;e as;Dy;;m;uLe ty;;]n;; !y;Um;r s;p;>es;r mh[;t;;t;. hI de;n; p;>iq;n;e m;;[;s;;l; k:|ns;r h;e[y;;p;;s;Un; v;;c;v;t;;t;. p;[; HPV m;Q;e as;lelI E6 E7 p;>;e!Ins; Hy;; !YUm;r s;p;;e!s;*c;; n;;x; k:r: l;g;t;;t;. ty;;m;uLe p;ex;I v;e#y;;v;;k:#y;; v;;$U l;g;t;;t;. j;evh; ty;;]c;; s;ivh*ks;cy;; b;es;l s!em; s;elx;I s;]p;k:* h;et;;e t;evh; k:|ns;rc;I s;ur:v;;t; h;et;e.
p;ihlI k:;hI v;{;*] r:g[;;l; k:;hIhI v;eg;Le v;;!t; n;;hI. ty;;m;uLe g;B;;*x;y;;cy;; t;;e]#;j;v;L as;[;;Ry;; Hy;; v;e#Y;v;;k:#Y; v;;$[;;Ry;; p;ex;I x;;eQ;Un; k:;$[y;;s;;@I p;|p; !es! hI aek:c; !es! Wp;y;;eg;I p;#t;e. ty;;n;]t;r s;]p;U[;* s;ivh*ks;c;; k:|ns;r h;e[y;;s;;@I j;v;Lj;v;L 12 t;e 15 v;{;* l;g;t;;t;. t;;e k:|ns;r wt;rF;hI p;s;r: x;k:t;;e v; ty;;m;uLe m;&ty;UhI y;eW: x;k:t;;e. ag;dI n;uk:ty;; y;;Ev;n;;t; p;;W:l !;k:leDy;; m;ulI]n;; y;; k:|ns;rc;I s;v;;*t; j;;st; l;g;[; h;eW: x;k:t;e v; it;x;Icy;; h;ewp;y;*t; ty;;]c;; k:|ns;r s;g;LIk:#e p;s;r: x;k:t;;e.
m;k:* v; j;Iaes;k:e Hy;; k:]p;ny;;]n;I he vh|iks;n; k:s;e x;;eQ;le as;el ?
y;; d;en; k]:p;ny;;]m;Q;Il x;;sF;N;]n;I aêy;;v;t; ae]ij;n;Iy;ir]g; Wp;k:r[;e v;;p;On; HP vh;y;rs;m;Q;Il L1 j;n;uk: , y;Is!cy;; j;n;uk:;l; ix;v;Un; !;k:le (m;k:*) v;; dus;Ry;; vh;y;rs;l; ix;v;le (j;Iaes;k:e). ty;;m;uLe k:|ns;rc;I l;g;[; k:r[;;r; p;ex;Icy;; a;t;l; #I aen; ae n;;hIs;; h;eW:n; L1 c;e p;;ek:L g;;el;k:;r a;v;r[; t;ev;$e r;ihle.
hI ls; p;;elIy;;e, dev;I, flU y;; ls;I]p;eZ;; q;;e#I v;eg;LI a;he . ty;; ls;I]m;Q;e t;;tp;urt;; in;k:;m;I k:elel; vh;y;rs;c;; #I aen; ae as;t;;e p;r]t;u ty;;m;ULe t;;e s;]s;g;*j;ny; isq;t;Il; k:Q;IhI p;;ec;;y;c;I x;ky;t;; as;t;e.
HPV vh\iks;n; he t;y;;r k:r[y;;s; s;;ep;e as;Un;, ty;;c;e w]j;ekx;n; k:;e@Dy;;hI sn;;y;Ut; idDy;;s; ty;;m;uLe HPV m;Q;Il L1 Hy;; p;>iq;n;;iv;r:à ait;x;y; p;>K;r ax;I a|]!Ib;;|#I ira|kx;n; s;ur: h;eW: x;k:t;e. Hy;; a|]i!b;;|#I s;ivh*ks;cy;; b;;hercy;; a;v;r[;;t;Il b;es;l s;eDs; cy;; a;j;Ub;;j;Ul; -ij;q;e k:|ns;rc;I s;ur:v;;t; h;et;e- p;s;rt;;t; v; HP vh;y;rs;l; p;ex;Ij;v;L j;;y;cy;; a;Q;Ic; p;k:#t;;t;.
Hy;; d;en; vh|iks;n;m;Q;e ait;x;y; f:rk: a;he. m;k:* k:]p;n;In;e 16 v; 18 Hy;; p;;e!j;;t;Ib;r;eb;rc; 6 v; 11 Hy;; p;;e!j;;t;I]c;;hI s;m;;v;ex; k:el; a;he.mh[;j;e he vh|iks;n; p;ur:{;;]m;Q;ehI v;;p;rt;; y;ewl. Hy;; vh|iks;n;n;e k:;hIhI ap;;y; h;et; n;;hI t;s;ec; t;e 100 !kk:e p;ir[;;m;k:;rk: a;he. he vh|iks;n; j;rI G;et;l] t;rI b;;y;k:;]n;I in;y;im;t; p;|p; !es! k:r[;e c;uk:v;t;; k:;m;; n;y;e. k:;r[; p;|p; !es!m;uLe l;g;[; h;eW:n; b;dlleDy;; p;ex;I p;>;q;im;k: p;;y;rIl; k:Lt;;t; v; hI g;;e{! k:|ns;rc;; p;>it;b;]Q; k:r;y;l; aty;]t; j;r:rIc;I as;t;e. j;r k:;e[;; vy;T;:It; p;|p; !es! p;;|iz;!Ivh a;lI as;el t;r ty;;]n;; vh|iks;n;c;; k:;hI Wp;y;;eg; h;et; n;;hI. ix;v;;y; vh|iks;n;m;Q;e n;s;leDy;; p;;e!j;;t;Im;uLe k:|ns;r h;eW: x;k:t;;e.
j;rI Hy;; vh|iks;n;c;e an;ek: c;;]g;le g;u[; as;le t;rI K;;lIl k:;hI g;;e{!I]m;uLe b;;y;k:;]n;; q;;e#I k:;Lj;I v;;![;e x;ky; a;he.
1) Hy;; vh|iks;n;m;uLe f:T;: 3 1«2 v;{;* f:;y;d; im;LU x;k:t;;e, ty;;m;uLe Hy;; k:;L;n;]t;r b;Us!r x;;|! de[y;;c;I j;r:r as;t;e.
2) he vh|iks;n; ait;x;y; m;h;g; a;he (t;In; w]j;ekx;ns;n;; 360 #;|.) ty;;m;uLe t;e p;>ty;ek: b;;w*l; p;rv;#el as;] n;;hI. he vh|iks;n; G;e[;e j;r:rIc;] a;he as;; a;dex; p;>ty;ek: r;jy; de[y;;c;I x;ky;t;; a;he. t;s;] z;;l] mh[;j;ec; he vh|iks;n; r;jy;s;rk:;rk:#Un; k:m;I ik:m;t;Il; Wp;lbQ; k:r:n; G;et;; y;ew*l.
3) K;Up;x;; a;w*v;#Il;]n;; he vh|iks;n; a;p;Dy;; m;ul;]n;; de[;e n;;p;s;]t; as;el.
4) K;Up;s;e Q;;im;*k: v;; p;>it;g;;m;I iv;c;;r;c;e l;ek: k:]p;Ds;rI vh|iks;n;ex;n; de[y;;l; iv;r;eQ; k:rt;Il k:;r[; ty;;m;uLe t;r:[; m;ulI]n;; x;;irirk: s;]b;Q; k:r;y;l; ihrv;; b;;v;!; d;K;v;Dy;;s;;rKe; h;ew*l. p;r]t;u sF;Ip;ursk:t;e* m;;F; b;;y;k:;]n;; he vh|iks;n; l;Ek:r;t; l;Ek:r de[y;;s;;@I ait;x;y; a;g;>h Q;rt;;het; k:;r[; ty;;m;uLe an;ek: b;;y;k:;]c;e j;Iv; v;;c;;y;c;I x;ky;t;; a;he.
dus;Ry;; b;;L]t;p;[;;n;]t;r k:|ns;rc;I l;g;[; z;;Dy;;m;uLe g;B;;*x;y; k:;$;y;l; l;g;lelI aek: b;;w* a;p;Dy;; s;h; v;{;;*cy;; m;ulIl;, he vh|iks;n; G;e[y;;c;; a;g;>h Q;rt; a;he. it;cy;; m;t;e m;Ul vh;y;cy;; v;y;;t; b;;y;k:;]n;; k:|ns;r m;ukt; k:r:n; ty;;]n;; m;Ul h;eW: de[;] , ty;;]n;; m;ul;c;I k:;Lj;I G;eW: de[;e he j;r:rIc;e a;he. y;;s;;@I he vh|iks;n; de[;] ait;x;y; g;rj;ec;e a;he.
1) ij;q;e s;ivh*ks;cy;; k:|ns;rm;uLe K;Up; b;;y;k:; dg;;v;t;;t; ax;; j;g;;t;Dy;; aek:; dex;;l; Hy;; vh|iks;n;m;uLe K;Up;c; f:;y;d; h;e[;;r a;he. t;;e dex; mh[;j;e B;;rt;. m;k:* k:]p;n;Ic;e k:;hI p;>v;T;:e w]i#y;n; m;ei#k:l irs;c;*cy;; m;;[;s;;]b;r;eb;r t;s;c; g;e!s; f:;W}#ex;n; m;Q;Il m;;[;s;;]b;re;b;r B;;rt;Iy; isF;y;;]n;; he vh|]iks;n; k:m;I ik]:m;t;It; Wp;lbQ; k:r:n; de[y;;s;;@I b;;el[;I k:rt; a;het;. p;e!]!cy;; a;#k:;@Iix;v;;y; B;;rt;;t;Il Wtp;;dk:;]n;; he vh|iks;n; b;n;v;[y;;s;;@I m;k:* k:]p;n;Ik:#Un; p;rv;;n;g;I idlI j;;[y;;c;I x;ky;t;; a;he. t;s;] z;;l] t;r vh\iks;n;c;I ik:]m;t; K;Up;c; k:m;I h;eW: x;k:el.
2) he vh|iks;n; he t;]F;ä{!y;; ait;x;y; v;eg;L] as;Un; t;e aty;]t; p;ir[;;m;k:;rk: a;he, ty;;n;e k:;hIhI ap;;y; h;et; n;;hI t;s;]c; Hy;;m;uLe aek: ait;x;y; m;htv;;c;; s;;m;;ij;k: x;;eQ; l;g;lel; a;he . jy;;m;uLe an;ek: b;;y;k:;]c;; j;Iv; v;;c;[;;r a;he. Hy;; vh|iks;n;c;; x;;eQ; l;v;;y;l; m;k:* k:]p;n;Il; 15 v;{;e* v; 800 im;lIy;n; #;|lr l;g;le. k:ev;L Hy;; vh|iks;n;m;uLe m;k:* k:]p;n;Il; a]d;j;e dr v;{;I* 4 ib;lIy;n; #;|lr im;L[y;;c;I x;ky;t;; a;he.
* leK;k: m;k:* k:]p;n;Ic;e m;;j;I se;v;;in;v;&T; k:m;*c;;rI as;Un; Hy;; vh|iks;n;c;; x;;eQ; l;v;[y;;t; ty;;]c;; s;ik>:y; s;hB;;g; a;he.
leK;k: - #;|. y;x;v;]t; k:;rK;;n;Is;
an;uv;;d - #;|. m;In;; n;eork:r
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