Countermeasures Against Cervical Cancer Through Detection of Fluor Albus Characteristic in Women at Medan, North Sumatera

Abstract

Cervical cancer is the first health problems for women in Indonesia with the highest risk of death. Delay diagnosis in late-stage cancer, vulnerable state, social status, low financial status, limited resource and facilities, type of histopathology and level of education determine patients’ prognosis. Fluor Albus is not a type of disease. It is a symptom of disease in female reproductive organs which can cause cervical cancer if it is not treated. Predisposition factors of Fluor Albus are including age, marital status, parity of menstrual cycle, contraception method, history of reproductive disorder, education, and job status. This community service aims to detect characteristic of fluor albus and to treat those identified with fluor albus atearly stage. The predisposition characteristics of fluor albus were collected from anamnesis while the Fluor Albus characteristic data were collected through direct observation of portio state of the uterian cervix. The activity was conducted from July to August 2017 in 3 different areas in Medan, North Sumatra with a total of 40 samples of women in their fertile age. Based on the analysis, 15 respondents (37.5%) found to suffer from Fluor Albus. Every woman is expected to be able to have early detection of Fluor Albus or symptoms of inflammatory infection of reproductive organs in order to prevent complication caused by Fluor Albus by paying more attention to personal hygiene, early screening by Pap Smear, IVA, and IHC (Immunohistochemistry).

Cost effectiveness of cervical cancer prevention strategies in Indonesia

“…Procedure) is an examination and treatment of cervical cancer patients by removing abnormal cells or cancer cells in the cervical area. 6 Prevention of an infectious disease can be done by vaccinating, including cervical cancer. The implementation of HPV vaccine vaccination can reduce or prevent an increase in morbidity, mortality and disability due to cervical cancer.…”

“…The IVA test is an early detection method that can be carried out by early-level health facilities because the IVA test method can be carried out by nurses, midwives or general practitioners at a reasonably affordable cost and only requires simple tools. 6 Pap smear examination is an examination procedure to determine the presence or absence of potential cervical cancer to find abnormal cells that can develop into cancer cells. Pap smear examination can be done in hospitals, laboratories or institutions that provide pap smear examinations.…”

“…Prompt and appropriate treatment measures to achieve healing and increase life expectancy will be obtained if cervical cancer detection can be carried out at an early stage. 6 The increase in the incidence and mortality of cervical cancer can be avoided by taking preventive measures and early detection. Preventive measures can be done by giving vaccines.…”

“…Early detection of cervical cancer is often used, namely the IVA test, because it is the simplest method and can be carried out by basic health services. 6 In addition, the Indonesian government has included the provision of the HPV (Human Papilloma Virus) vaccine into the national immunization program targeting adolescent girls aged 9-14 years. 7…”

Perubahan Citra Tubuh dan Daya Tarik Seksual Pasca Kanker Ginekologi: Perspektif Seorang Wanita

“…Selain menjadi gejala, fluor albus yang tidak diobati dapat menjadi penyebab kanker cervix. Faktor predisposisi fluor albus pada wanita meliputi umur, status pernikahan, paritas, siklus menstruasi, metode kontrasepsi, riwayat gangguan reproduksi, tingkat pendidikan, dan pekerjaan (Imelda & Nurbaiti, 2018). Fluor albus merupakan gejala kedua terbanyak yang dialami oleh para wanita penderita kanker cervix setelah perdarahan pervaginam (Savira, et al, 2022).…”