जेके लोन अस्पताल में स्पेशलिटी सेंटर की स्थापना के साथ महिलाओं में सर्वाइकल कैंसर की जांच और स्क्रीनिंग की सुविधा उपलब्ध हो गई है। यह सेंटर पीजी अपग्रेडेशन योजना के तहत स्थापित किया गया है, जिससे समय रहते कैंसर का पता लगाना और उसका इलाज संभव होगा। डॉक्टरों के अनुसार, यदि कैंसर का प्रारंभिक चरण में निदान हो जाए, तो 80 से 100 प्रतिशत मामलों में इसे ठीक किया जा सकता है। भारत को 2030 तक सर्वाइकल कैंसर मुक्त बनाने का केंद्र सरकार का उद्देश्य इस दिशा में बड़ी पहल है।
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00:00We have opened a multi-specialty centre. What are the facilities and how will we get them?
00:15We used to provide these facilities at a grassroots level.
00:20Since the start of our PG programme, the government has provided us with the latest facilities.
00:30Our wing is run by various specialist clinics like STD clinic, infertility clinic.
00:41For artificial reproductive technology, we have started an ART level 1 clinic called IUI clinic.
00:50We also have adolescent clinics like Kishore Awastha.
00:55We do separate counselling for them.
01:00We also have a down-staging cancer clinic where we do screening of women patients.
01:10We also do screening of women patients and their attendants.
01:14We do screening of women patients and their attendants.
01:19This is an opportunity for us to do mass screening.
01:23Since women are coming from villages, it reflects that area.
01:27We check up those women who are between 40-50 years of age.
01:33They are more likely to have cancer at this age.
01:39If a woman is coming from a village, we don't show her to get a cancer test done.
01:46But if she is having a childbirth, she comes with her.
01:50We have made this our target.
01:52We check up all the women who come with their children.
02:00We do a visual inspection of the cervix.
02:11We can see that the cervix is not good.
02:17We test the cervix with acetic acid.
02:21It is done on the same table.
02:23It is done on the same table.
02:29We test the cervix with acetic acid.
02:34We apply Lugolse hydride.
02:37We perform colposcopy.
02:39Colposcopy is a very good thing.
02:42The possibility of cancer developing in the cervix through colposcopy is picked up.
02:53The pictures are taken.
02:55We can make pictures.
02:58We can compare the pictures with the software.
03:03If it is possible to develop cancer in the cervix through colposcopy,
03:07we can print out the pictures.
03:09We can talk to the specialists at Tata Memorial.
03:11We can talk to their stage and follow up.
03:15We are doing all these things because
03:17It takes 15 to 20 years for full blown cancer to occur.
03:23This is called window period.
03:25This is a very good thing.
03:27Screening of a woman is very important.
03:29Under this, the government has started a program called Downstaging Cancer Cervix.
03:34The woman who was coming to us with stage 4 of cancer,
03:39stage 3 of cancer, and stage 2 of cancer,
03:43the cancer is caught up to stage 1.
03:46With this, we do surgical treatment.
03:50So, there is no need for radios and chemo.
03:52Otherwise, of 5 years survival,
03:54due to screening and our downstaging,
03:58the number of cancer patients has increased by 80 to 100 percent.
04:02One more good thing here is that
04:04when a woman comes to see a doctor,
04:07she tells everything openly.
04:10So, we take their history in detail.
04:12When there is a high-risk woman,
04:14we make her understand that
04:16her neighbor is also a high-risk woman,
04:18got married early,
04:20had children early,
04:22has many children,
04:24or has multiple sexual partners.
04:26So, all these come under high risk.
04:28So, we make these high-risk women understand.
04:31So, it is possible that
04:32they go home and discuss in their village,
04:34in the neighborhood,
04:36that there is someone like this,
04:38I will show you.
04:40The second thing is that
04:42we also examine her breast at any time.
04:44If there is any lump in the breast,
04:46then we get her sonography done immediately
04:49and refer her to the surgical department.
04:51So, here we catch two things at the same time,
04:54through screening.
04:56And there are only two cancers in women
04:58which are very lethal.
05:00And the government has also kept that
05:02through screening,
05:04there should be a good screening soon
05:06and by self-prevention,
05:08cancer, cervical cancer should be free by 2030.
05:11So, one is prevention
05:13and the other is curation
05:15and early detection.
05:17In prevention, there is vaccination
05:19which is done for girls
05:21at the age of 9 to 13
05:23when the cells are developing.
05:26And it is not that
05:28women do not get the cancer vaccine later,
05:31but after that the dose increases.
05:34At the age of 13 to 25,
05:36we have to give 3 doses
05:38and then at the age of 25 to 45,
05:40we have to give 3 doses.
05:42And nowadays,
05:44earlier there was only a bivalent vaccine,
05:46now there is a pentavalent vaccine,
05:48now there is a nanovalent vaccine
05:50which covers all the variants
05:52of the HPV virus.
05:54But I would like to say one thing
05:56that after applying the vaccine,
05:58women should not think
06:00that I do not need anything.
06:02At this reproductive age,
06:04when a woman is 35 years old,
06:06above 35,
06:08then she must do her screening.
06:10This yearly screening,
06:12then 5 yearly,
06:14that there should never be any
06:16cancer-like development.
06:18And this vaccine should also be
06:20given to children, males.
06:22It will reduce penile cancer,
06:24other genital warts, diseases,
06:26they also reduce.
06:28Colonic cancers are reduced,
06:30large cancers are also reduced.
06:32So the vaccine is a very good thing.
06:34And the second thing is that
06:36screening is important.