Volume 15, No 15,January 2002

ByShahida Nisar
In most of teh developed countries,women have their first gynachological examnination in 10 years.The importance of regular visits and testy cannot br ignored.The test like mammography and Pap test;a quick and simple procedure,developed fifty years ago,by George Papanicolaou,M . D .,remains one of our weopons against cervical cancer.Pap test is used to detect cervical cancer or pre-cancerous changes in cells that line the cervix;the neck or lower part of the uterus. Cervical cancer grows slowly, taking years to develop into invasive cancer.This makes the test even more vital;we can catch a problem before its major.
The Pap test is one of the most common and effective tests done by doctors If there s a problem tie test detects it ahout 85 percent of the time, and it can be re-ordered when results are unclear. The test is an excl.llent device tar detecting a problem before any symptoms appear. Still, far too many women don't see a doctor and don't get a Pap test. Many mistakenly believe they only need a Pap test during childbearing years. About 35 percent of womri belween ages 15 and 44 never have a Pap test. The truth is that women need routine Pap tests, beginning when they become sexually active (or after they begin menstruating) and continuing throughout their lives.

For most women, an annual Pap test is best. Talk to your doctor to determine how often you need to be screened. Women who have had abnormal Pap tests, or who have other risk factors for cervical cancer (smoking, certain types of human papilloma virus, exposure to the drug DES, a family history of disease), may need more frequent screening. A swab or brush is used gently to sample different sections of the cervix. Most women report no pain. The test is prepared on a glass slide to be read by a pathologist. Newer technologies use special solutions and computers. In case of any suspicion the results of the tests can be obtained within 24 hours. Most times, however, the results are achieved within 30 days.

The Pap test is an excellent tool, but it only works if we use it. If you're a woman and you haven't seen a gynecologist in a year or more, schedule a visit. If you're a man, remind the women in your life about this very important test. YOU might be ensuring the health of your loved ones.


Drug-drug interactions occur when one drug interacts or interferes with another drug.
Such interactions are dangerous because they can alter the way one or both of the drugs act in the body. They can also cause unexpected side effects.

"A common misperception is that only prescription medications have the potential to interact with each other. But the truth is, over-the-counter medicines also may result in drug-drug interactions when combined with prescription medications or with other over-the-counter medicines, vitamins or herbal products," says Steve Clement, R.Ph., a pharmacist at Copper Bend Pharmacy in Belleville, Ill., and a spokesman for the American Pharmaceutical Association. The following information can help you avoid drug-drug interactions.
Common Interactions. Not all drug-drug interactions are alike. Sometimes when two drugs interact, the overall effect of one or both of the drugs may be greater than desired. For example, both aspirin and blood thinners such as warfarin, taken to protect against heart attack, help prevent blood clots from forming. Using these medications together, however, may cause excessive bleeding. With other combinations of medicine, the effectiveness of one or both of the drugs may be reduced. Certain antacids can prevent many medicines from being absorbed into the bloodstream. If this happens, the medicine may not work as well, or may not work at all. Some of the more common symptoms of drug-drug interactions include nausea or upset stomach, headache, heartburn and dizziness. If you experience any reaction that seems out of the ordinary after taking any medication, consult your local pharmacist and make him or her aware of all of the medicines and remedies you're taking. Herbal supplements can add to the risk of drug-drug interactions
.Read the Label. If you don't, you may take an incorrect dosage or overlook potential side effects.
Know the Risks. Make sure you know the benefits and the potential risks of medications you take. Look specifically for the section called "warnings" on the labels of over-the-counter medicines.
Ask Questions. Talk to your doctor or pharmacist before taking any new medication. Ask whether it's safe to take the new medicine with other medications, vitamins or herbal products you already take, regularly or even occasionally. Keep a list of all the drugs you take and share it with your doctors and your pharmacist.
Pick a Pharmacy. Use one pharmacy for all of your family's medication needs. Doing so allows your pharmacist to look for and help you avoid drug-drug interactions.

 

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