Ulwaphulo lujolise kwiimpawu kunye nokuPhepha kweengxaki
Kwiimeko ezininzi, isistim somzimba siya kukwazi ukususa i- papillomavirus yabantu (HPV) kwinyanga ezili-18 ukuya kwezi-24, ngokuqhelekileyo kungekho miphumo yesikhathi eside, nangona kunjalo akusoloko kunjalo. Ngenxa yokuba akukho ziyobisi ezikhoyo ukunyanga ukusuleleka kwe-HPV, unyango lwe-HPV lubandakanya ukusombulula iimpawu ze-HPV kunye nokubeka iliso nasiphi na utshintsho kwesikhumba okanye kwiiseli ze-mucosal; Ukongeza ngaphezu kokubangela iilts, kubangaphezu kwama-30 kwii-virus eziyi-150 ezenza i-HPV zidibaniswe kwi-cervical, anal, nezinye i-cancer.
Izinketho zonyango lwe-HPV zixhomekeke ekubeni umntu unalo okanye ngaphezulu kwezi zinto zilandelayo:
- Usulelo lwe-Asymptomatic
- Iimfazwe zesini
- Utshintsho olungaqhelekanga kwiseli ( dysplasia ) yomlomo wesibeleko, isondo, isifo, i-anus, ipeni, umlomo, okanye umqala
Makhe sijonge nganye kwezi zinto.
Unyango lwe-Asymptomatic Infection
Xa unyango lwe-HPV lugxininisa (ngaphandle kwempawu), akukho unyango oluthile olucetyiswayo. Ezi zifo zihlala zichongwa ukuba iqabane lomntu lalingqinileyo liye laphuhlisa imilenze yomzimba.
Ukuba umhlolokazi wesifazane unesifo sokusuleleka kwi-HPV yomhlaza wesibeleko kodwa uneP smear eqhelekileyo, ugqirha unokukwenza enye yezinto ezimbini:
- Hlela olunye ujikelezo lweemvavanyo kwiinyanga ezili-12. Ukuba iziphumo ziqhelekileyo, unokubuyela kwisicatshulwa esiqhelekileyo. Ukuba azinjalo, uvavanyo olongezelelweyo luya kufuneka.
- Yenza uvavanyo lwe-HPV ukuchonga ii-HPV ezi-high-risk strains (HPV 16 kunye ne-HPV 18) ezenza iipesenti ezingama-70 zazo zonke iintsholongwane zomhlaza wesibeleko. Ukuba iziphumo zibi (oko kuthetha ukuba awusuleleki le ntsho longwane), unakho ukuphindwa emva kweenyanga ezili-12 njengokhuseleko. Ukuba iziphumo zilungile, uvavanyo olongezelelweyo luya kufuneka.
Nangona kungekho ziphakamiso ezithile okanye iimvavanyo ze-HPV ezifumanekayo kumadoda, abo bacinga ukuba basengozini enkulu-okuthi, amadoda alala ngesondo kunye nabesilisa (MSM) abandakanyekayo kwisini esilumkileyo esilumkileyo- angaphumelela kwi- Pap smear engumzekelo ukujonga i-dysplasia. Oku kuyinyani ngokukodwa kwi-MSM ene-HIV.
Ukuba uqinisekisiweyo ukuba unayo i-HPV kodwa ungenayo impawu, unokucetyiswa ukuba ufumane igciwane le- HPV ukukhusela kwiimeko eziqhelekileyo zengozi ye-HPV.
Inconywayo inconywa ukufikelela kwi-26 yobudala yabasetyhini kunye nama-21 amadoda.
Abantu abasengozini enkulu banokugonywa nanini na. Abalingani bezesondo kufuneka baqwalasele nokugonywa.
Unyango lweeNtsholongwane zoLuntu
Nangona kungabonakali kwaye kungenakukhuseleka, iimbambano zobunini ngokubanzi azibandakanyi nayiphi na ingozi enkulu yempilo. Uninzi lubangelwa ziintlobo ezimbini zengozi ephantsi, ezaziwa njenge-HPV 6 kunye ne-HPV 11, apho i-akhawunti malunga neepesenti ezingama-90 yazo zonke iziqhumane zomzimba zesisu.
Ezinye iintsholongwane zentsapho zobudlobongela zihamba ngokwazo, ngokuqhelekileyo zingakapheli unyaka. Abanye bangadinga ukunyangwa ekhaya kunye nama-cream creams anikwe ngugqirha.
Ezinye iindlela zonyango lokwabelana ngesondo lubandakanya:
- I-Cryotherapy (inqabisa i-nitrogen enefuthe)
- I-Electrocautery (usebenzisa umbane ukutshisa iinqwelo)
- Ukuhlinzwa
- Unyango lwe laser
- I-Trichloracetic acid (isetyenziswe kwi-topically ukuze isuse kancane isalathisi)
Izigulane zomzimba akufanele zithathwe njengesiqhelo, kwaye akufanele ubenzame ekhaya ngaphandle kokubona kuqala ugqirha. Ngelixa ezininzi iimfazwe ziza kuba zizintlu, abanye banokufuna uphando olungakumbi, ngokukodwa xa bephuma, batshabalalisa, basasazeka, banqabile unyango, okanye banokubonakala kwintsholongwane.
Unyango lweDysplasia
Usulelo lwezifo ezithile ze-HPV ezinobungozi obuphezulu zingakhokelela ekutshintsheni okungavumelekanga kwizicubu zomzimba okanye i-anus.
Eyaziwa ngokuba yi-dysplasia, ezi zinguqu zinokuhluka ngokubaluleka ukusuka kumgangatho ophantsi ( kwibakala eliphantsi ) ukuya kwi-grade-high). Nangona i-dysplasia enobubele isoloko isombulula ngokwayo, i-dysplasia enomdareyitha inokuthi iqhubekele phambili kwimeko yomhlaza obizwa ngokuba yi- carcinoma in situ (CIS) .
Ukuxilongwa kungenziwa ngokwenza i-biopsy kunye nokuhlalutya iifom e-lab.
- Kwabantu abane-dysplasia ephantsi, oogqirha baya kuthatha indlela yokulinda nokulinda.
- Kwabantu abane-dysplasia enomgangatho ophezulu ukuya kwizinga eliphezulu, unyango luya kubandakanywa ukususwa kweethambo ezichaphazelekayo ngokusebenzisa inkqubo ye-electro-gurry-excision procedure (LEEP) , i- cone biopsy , i-cryotherapy, okanye ezinye iindlela zokuhlinzwa.
Kubalulekile ukuba ukhumbule ukuba i-dysplasia ayinomdlavuza. Ukususwa kweethambo kukunciphisa ingozi yamaseli e-dysplastic abe yi- neoplastic (umdlavuza).
Ukunyanga i-dysplasia (ingaba i-cervix, i-anus, i-penis, okanye i-larynx) ithatha kuphela iimpawu zentsholongwane, kungekhona isifo ngokwazo. Abantu abaye bafumanisa ukuba banesifo se-dysplasia kuya kufuneka bajongwe ngokukhawuleza ukuphindaphinda. Oku kuyinyani ngokukodwa ukuba usulelo lwe-HPV luhlala iminyaka engaphezu kwembini.
Ingqwalasela yonyango
Ngoxa i-HPV isifo sinokubandezeleka, inika ithuba lokubamba ingxaki ngaphambi kokuba ibe yinto ebalulekileyo okanye nokuba isongela ubomi.
Ngokubanzi, unyango lwe-HPV lunemiqobo embalwa. Zininzi zonyango zihlanganiswe, ubuncinci inxalenye, yinshuwalense yezempilo. Uncedo lwezonyango kunye neenkqubo zokuhlawula i-co-pay are available to assist with the cost of vaccination .
Abasetyhini abafuna unyango oluthe gqolo kunye ne-biopsies banokungena kwengozi yokwenza umsebenzi wexesha elide okanye abantwana abancinci bokuzalwa. Kodwa, ngokwabo, unyango lwe-HPV aluyi kuchaphazela ngqo ithuba lomfazi lokukhulelwa. Ukongezelela, i-HPV ayidluliyo isuka kumama ukuya kwintsana ngexesha lokukhulelwa.
Kwiimeko ezingenakwenzeka ukuba umdlavuza ufunyanwe, khumbula ukuba ukufumana unyango lokuqala kukunika ithuba elihle kwisiphumo esihle kakhulu. Njengoko ulungisa i-HPV yakho yokuxilongwa, qiniseka ukuba uxelele abo ubathandayo malunga neendlela zokukhusela ezingabancedisa ukuba bahlale kakuhle.
> Imithombo:
> I-American Cancer Society. Uvavanyo lwe-HPV ne-HPV. Atlanta, Georgia; hlaziywa ngoOktobha 9, 2017.
> Khan, M. kunye noSmith-McCune, K. "Unyango lwabaxhamli beCervical: Back to Basics." Gstecol Obstet. 2014; 123 (6): 1339-43. INGXELO: 10.1097 / AOG.0000000000000287.
> Lopaschuk, C. "Indlela entsha yokulawula iimfazwe zesini." Ngaba Unogqirha weNtsapho. 2013; 59 (7): 731-36.