Ngaba ukungabikho kwepenisi kukubeka engozini encinane?
AmaLesbi ayaziwa ngokuba nomngcipheko ophantsi kakhulu wokufumana intsholongwane kaGawulayo ngenxa yenxalenye enkulu kwiintlobo zesenzo sezesondo (kubandakanywa nesondo somlomo) esingaphantsi ngokuqhelekileyo enxulumene nosulelo.
Abanye baye bathabatha oku kuthetha ukuba i-lesbians, ngokuqhelekileyo, ayifumananga nakwezinye iintlobo zesifo esithathelwana ngesondo ezifana ne- papillomavirus yabantu (HPV) , intsholongwane ehlanganiswe nophuhliso lomhlaza wesibeleko.
I-HPV isasazeka njani
Umahluko phakathi kwe-HIV kunye ne-HPV kukuba umngcipheko we-HIV unxulumene ngokukodwa ngezinto ezimbini: ubulili besini kunye nobulili obufanayo. Ngokwahlukileyo, i-HPV isasazeka ngoqhagamshelwano olusondeleyo lolusu, olubandakanya ukudlwengula (into eyenza ingozi yokungathinteli kwe-HIV).
Ngaloo ndlela, i-HPV ingadluliselwa phakathi kwabasetyhini ababini ngokulula phakathi kwamadoda amabini okanye indoda kunye nomfazi. Ukungena kwePenile akudingeki. Ukuthintana kwesikhumba nomnxeba nomntu onesifo kukho konke okufunekayo.
Ukuthinteka okufanayo kwi-HPV kumabhinqa esinikwa ngokwesini kunye noomama kukhoyo kuma-lesbians. Ngethuba lezenzo zesini, ezo zinto zinika ithuba elikhulu lokudluliselwa kwizantshi zezi:
- Ukuqhagamshelana ngokocwangciso lomzimba
- ukuchukumisa izitho zangasese zomntu osulelekileyo kunye neyakho
- ukwabelana ngamathoyizi esondo angafaniyo
Ezinye iiprogram ziye zacetyiswa ukuba i-HPV inokudluliselwa ngomnxeba-ngomlomo (cunnilingus) okanye ngokumanga kancinci, nangona kukho ukungqinelana okunzulu malunga nokuthembeka kwezifundo.
Ukunciphisa ingozi ye-HPV
Kukho iindlela ezimbalwa ezilula ukuba i-lesbians inokunciphisa ingozi yokufumana okanye yokusasaza i-HPV:
- usebenzisa iikhondom kwiimidlalo zeesondo xa uceba ukuwabelana nabo
- usebenzisa iiglavu ( ityiti yomnwe ) xa uthintela izitho zomzimba
- kunqanda inani lamalingani olwabelana ngesondo
- esele ebudlelwaneni bomntu oyedwa
- usebenzisa amantombazana amazinyo xa ufumana nantoni na malunga nezilonda okanye iimfazwe ezijikelezayo malunga nesini okanye isondo
Ukuzilahla kuyinto enokukhetha nangona kunjalo ingenangqiqo kubantu abaninzi abadala.
Indlela yokufumanisa ukuba unayo i-HPV
Abafazi abane-HPV bavame ukufumana i-HPV ngexesha le-Pap smear. I-Pap smear iyakwazi ukubona utshintsho lwentsholongwane olubangelwa yintsholongwane, ezinye zazo ezinokubangela umdlavuza wesibeleko. Kwezinye iimeko, i-wart yomzimba ingaba khona (impawu eqhelekileyo idibene neentlobo ezithile ze-HPV).
Ukungaqhelekanga kwimizimba yomlomo wesibeleko (ebizwa ngokuba yi-dysplasia) akuthethi ukuba uya kuba nomhlaza. Iintlobo ezincinci ze-HPV ezincinci zihambelana nomhlaza kwaye nokuba nomphumo omncinci ngeemfazwe zesisu. Kwiimeko ezininzi, i-HPV iza kuzilungisa ngokwazo ngaphandle kokonyango.
Ngelishwa, kukho ukungaqondi kakuhle phakathi kwezinye izinto ukuba i-lesbians ayidingi i-Pap smears. Oku ku buxoki. Bonke abesifazana kufuneka babe nesicwangco sePap rhoqo, ngokungakhathaliseki ukuba nesondo. Izikhokelo zangoku ezivela kwi-American Cancer Society zincoma ukuba bonke abafazi baqale iPsm smear yokuqala iminyaka emithathu emva kokuqalisa umsebenzi wesondo okanye ngeminyaka yobudala engama-21, nokuba yiyiphi into eza kuqala.
Uvavanyo lwe-HPV lenye indlela yokufumana i-HPV. Ngokuchasene nokutshintshwa kweenguqu, olu vavanyo lukhangele ukuba khona kwintsholongwane yesifo sengculaza kwi-swab yomlomo wesibeleko.
Bobabini uvavanyo lwePap kunye ne-HPV lwenziwa ngexesha elifanayo. Abasetyhini abaneminyaka engama-30 ubudala nangaphezu kwayo bayacetyiswa ukuba baphinde babuyele emva kweminyaka emithathu. Abasetyhini abasemngciphekweni ophezulu okanye abo abane-dysplasia baya kufuna ukubeka iliso rhoqo.
Izifo ezibangelwa yi-HPV Strains
Kukho iintlobo ezi-150 ezahlukeneyo zegciwane le-HPV apho 30 okanye ngaphezulu zidluliselwa ngesondo. Kucingelwa ukuba phantse wonke umntu osebenza ngesondo - ingaba yindoda okanye isetyhini, ulwabelana ngesondo okanye u-gay - uya kufumana ubuncinane uhlobo olulodwa lwe-HPV ngexesha lokuphila.
Kwiintlobo eziqhelekileyo ezichanekileyo nomdlavuza kunye neengxabano zomzimba:
- I-HPV 16 kunye ne-18 zidibaniswe ubuncinane kuma-70 ekhulwini kuwo wonke umhlaza wesifo somhlaza wesibeleko. I-HPV 16 yinkxalabo eqhelekileyo enxulumene nekhanda nentloko yomhlaza. Amanye ama-20 ekhulwini axhumene ne-HPV 31, 33, 34, 45, 52, no-58.
- I-HPV 6 kunye ne-11 i-akhawunti malunga neepesenti ezingama-90 zazo zonke iziqhwenga zomzimba.
Ukugonya I-HPV
Kubantu abaphakathi kweminyaka engama-9 kunye no-26, ukugonywa kuyafumaneka kwaye kunokukhusela ngokubhekiselele kwezinye zeengxaki eziphezulu ze-HPV. Ezi ziquka:
- I-Gardasil (ivunyiwe ngo-2006) ekhusela i-HPV 6, 11, 16 ne-18
- I-Cervarix (evunywe ngo-2009) ekhusela i-HPV 16 ne-18
- I-Gardasil 9 (ivunyiwe ngo-2014) ekhusela i-HPV 6, 11, 16, 18, 31, 33, 45, 52, neye-58
ILizwi
AmaShbibi asemngciphekweni omkhulu we-HPV njengabesifazane abasetyhini kuphela. Musa ukucingela ukuba ubulili obungenayo ukungena kwi-HPV. Qinisekisa ukuba uhlolwe rhoqo kwiintsholongwane kwaye nokuba nayiphi na utshintsho kwimizimba yomlomo wesibeleko. Ngokwenza njalo, unokwandisa kakhulu umngcipheko wesibeleko somlomo wesibeleko, kunye nezinye izilwanyana ezinxulumene ne-HPV.
> Imithombo
- > Amasebe okuLawula nokuVimbela (iCCDC). "Yintoni i-HPV?" I-Atlanta, eGeorgia; ihlaziywe ngoDisemba 20, 2016.
- > Potter, J .; Peitzmeier, S .: Bernstein, I. et al. Ukuhlolwa kweNtsholongwane kaCervical Screening for Patients kwiNgqungquthela yabesifazana ukuya kwindoda: UkuHlola okuBalwayo kunye neKhokelo yeeNklinikhi. "I- Journal of General Medicine . 2015; 30 (12): 1857-1864.