Izigidi ezingamashumi amabini anesine amaMerika zinokuba ne-papillomavirus yabantu (HPV), kodwa ngaphezulu kwama-76 ekhulwini kwabasetyhini baseUnited States abazange bavelele ngolu hlobo lwegciwane lesandulela ngculaza oludala malunga neepesenti ezingama-100 zazo zonke iintsholongwane zomhlaza wesibeleko.
Iingcali zenzululwazi ziye zafumanisa iintlobo ezingamashumi mathandathu zegciwane le-papillomavirus. Iimbambano zobuncwane ezingabonakaliyo zenzeke kuphela kwipesenti enye yabantu abadala abaxhatshazwa ngokwesondo ne-HPV, ngelixa ezinye iindidi ze-HPV ziyi-inflinic infections.
Iindidi ze-HPV ezibangelwa iimfazwe zesini somzimba azihambelani nemingcipheko yomhlaza kwaye zibangelwa yi-HPV iintlobo ze-6 kunye ne-11. Iifom ze-HPV 16, 18, 31, 33, kunye ne-35 zidibene nomhlaza wesibeleko. Ezi HPV ezinobungozi obuphezulu zinokudibaniswa nomngcipheko ophezulu weengcingo ze-vulva, i-anus, ne-bladder.
Ziziphi iimpawu ze-HPV kunye ne-Genital Warts?
Ngokuqhelekileyo, ngaphandle kokuba iiltshi zomzimba zitholakala kwindawo apho unokuzibona okanye uzive, ungazi ukuba unesifo. Ngezinye izihlandlo zempi zengqondo zingabonakali ngenxa yokuba zingaphakathi kwisini, kwi-cervix, okanye kwi-anus.
I-HPV isoloko ilukhuni ukuyijonga ngenxa yokuba iimvulo zesisu zisoloko zinemibala kwaye zingenabuhlungu, kwaye ziqabana zibangele iimpawu. Kufuneka uqhagamshelane nodokotela wakho nanini na ukubona ukukhula okungaqhelekanga, izibonda, okanye ezinye iimpawu ezingabonakaliyo, kunye nokuba ufumana ukubetheka, intlungu, okanye ukuphuma kwegazi ngokungavamile.
Ukuchonga i-HPV
Izilwanyana zomzimba okanye i-HPV ii-virus zivame ukufunyanwa ngexesha lokuhlolwa kwe-GYN yonyaka; nangona kunjalo, i-Pap smear ayikho isixhobo sokuhlola i-HPV okanye nayiphina i-STD okanye isifo.
Nangona i-HPV eninzi ingaphumeleli kumhlaza, kubaluleke kakhulu kubafazi bafumana i-HPVs ukuba babe neeP smears eziqhelekileyo.
Nangona i-Pap smear ayilungiselelwe ukufumanisa i-HPV (kuphela inguqu engavamile yenguqu) inguqu engaqhelekanga ingabonisa ukusuleleka kwe-HPV okanye olunye usulelo lwesisu. Ugqirha wakho uya kulandela inkqubo yokujonga ukulandelelana njenge-colposcope okanye ikulandele ngokukhawuleza ukufumana nayiphi na inguqu yentsholongwane yesibeleko xa kukho iziphumo ezingavamile zePap .
Ukuba isiphumo sakho sePap smear sibonisa i-dysplasia, kubalulekile ukuqaphela ukuba i-dysplasia yesibeleko ayithethi umhlaza wesibeleko. Nangona kunjalo, i- dysplasia yesibeleko kucatshangelwa ukuba yimeko ye-carcinoma in situ (CIS) kunye nomhlaza wesifo somlomo wesibeleko. Amaninzi amaninzi e-dysplasia agxininisa ixesha kunye nezinto ezikhokelela ekuqhubekeni kwintsholongwane yomhlaza wesibeleko.
Kwi-CIS, uluhlu lwangaphandle lweeseli eziqhelekileyo luthatyathwa ngamaseli omhlaza. I-CIS malunga neepesenti ezingama-95 zonyango kwaye zonyango. Umhlaza wesibeleko womlomo wesibeleko uyenzeka xa iiseli zeomhlaza zihlasela izicubu ezisezantsi zomlomo wesibeleko. I-CIS ngokuqhelekileyo ivela kubasetyhini phakathi kwama-25 no-34, ngelixa i-invvive umdlavuza wesibeleko ivela kubasetyhini ngaphezu kweminyaka engamashumi amahlanu.
Ukuxela umhlaza wesifo somhlaza wesibeleko kuncinci kuxhomekeke kwisikhululo sesifo ngexesha loxilongo lokuqala. Umlinganiselo wokufa wamanje wesibeleko somlomo wesibeleko uhlala uphezulu kunokuba umele ube ngowesithathu kwisithathu sabasetyhini abangenayo rhoqo i-Pap smears yonyaka. Ipesenti ezimangalisa ezingama-90 zesifo somhlaza wesibeleko singasuswa ngokufunyanwa kwangaphambili kunye nePap smear.
I-HPV ithathwa njani?
Ukunyanga i-HPV kudla nzima kwaye kuphazamisekile kokubili isigulane kunye nodokotela.
Unyango lwezilwanyana ezibonakalayo zomzimba zesigulane kwisigulane esiphakathi sifuna unyango oluninzi ngaphambi kokuba iimpawu ziphephe. Ezi zonyango aziphilwanga. Emva kwonyango, intsholongwane ingahlala kwisikhumba esiseduze kwaye ilala iinyanga okanye nokuba yiminyaka ngaphambi kokuba ibonakale kwakhona, kwaye kwezinye iimeko, iimfazwe ezibonakalayo aziyi kubuya.
I-CDC icebisa ukuba unyango lwe-HPV yezilwanyana zesifo somzimba ezibonakalayo zihluke kwizigulane ezisetyenziswe ngesigulane ezifana ne-podofilox kunye ne-imiquimod kwiinkqubo ezilawulwa ngumboneleli ezifana ne-cryotherapy, i-podophyllin resin, i-trichloroacetic acid (i-TCA), i-bicholoracetic acid (BCA), i-interferon kunye nokuhlinzwa.
Ukukhusela i-HPV, ukukhusela umdlavuza wesibeleko
Ngenxa yokuba siyazi ukuba uhlobo lwegciwane lesandulela ngculaza ngaphandle kwemibhobho yomzimba yimbangela yentsholongwane yomhlaza wesibeleko, kwaye akukho unyango lwalo hlobo lwe-HPV, ukukhusela i-HPV yinto ebalulekileyo ekukhuselweni komhlaza wesibeleko. Ukuthintela i-HPV kubandakanya iziphakamiso ezifanayo njengokuthintela ezinye izifo ezithathelwana ngocansi (STDs), ngokusetyenziswa ngokuthe ngqo kwekhondom ngabantu ngabanye abangaxhatshazwayo.
Ukunciphisa inani labalingani bezesondo ngexesha lakho lokuphila linokuba yinto ebalulekileyo ekukhuseleni i-HPV kunye nomngcipheko ongenamdla wesibeleko somlomo wesibeleko (ubungqina bubonisa ukuba abantu abanamaqela amaninzi eentlobano zesini baneengxaki eziphezulu kakhulu ze-HPV kunye nomhlaza wesibeleko ).
Akufuneki ukuthetha, ukuba iqabane lakho lezesondo likuxelela ukuba unayo i-HPV, i-warts yomzimba, okanye nayiphi enye i-STD, yabona ugqirha wakho ngokukhawuleza.