Ngaphandle kwesitofu sokukhusela intsholongwane, isondo esilondekileyo sihlala sisona sinye indlela yokuphepha ukufumana i-syphilis. Oku kuyinyani ngokukodwa ukuba ukhona okanye uzimisele ukukhulelwa. Nangona i-syphilis ye-congenital (i-syphilis idlulayo ukusuka kumama ukuya kumntwana ngexesha lokukhulelwa) isengavamile e-United States, isantya sentsholongwane sanda ngamaphesenti angaba ngu-800 phakathi ko-2015 no-2016 yedwa, ngokwemibare evela kumaziko okuLawula nokuLawulwa kwezifo (CDC). ).
Ulwabelana ngesondo
Isondo esingakhuselekanga kunye namaqabane amaninzi ezesondo zizinto ezibini zokubeka ingozi yokufumana isifo kunye nezinye izifo / izifo ezithathelwana ngesondo (i-STIs / STDs). Ulwabelana ngesondo ngokukhuselekileyo, ngoko, luquka izinto ezimbini ezilula: ukusetyenziswa ngokuthe rhoqo kweikhondom kunye nokunciphisa ngokukodwa kwinani lakho lesini esiniqabane.
Iikhondom
Iikhondom zibhekwa njengendlela yokukhusela yokuqala yokulwa nezifo ezithathelwana ngesondo. Ngelixa bengenakwenzeka-ngokukodwa xa ungayisebenzisi ngokuchanekileyo- bahlala beyona ndlela inokuthenjwa yokunqanda ukukhawuleza. Gweba iikhondom ezinomdla okanye ezithandekayo, ezingakhange zenzelwe ukukhusela ii-STD, kwaye ufunde indlela yokuphakamisa ikhondom ngokufanelekileyo ukukhusela ukuba ungaphuli okanye uphume. Sebenzisa kuphela i-lubricants-based based water; abanye bahlaziye iikhondom.
Amasamente amazinyo kufuneka aqwalaselwe ngetyala lomlomo-ngokwesini (cunnilingus) okanye ngesondo somlomo (analingus, okanye "rimming"). Iikhondom zesifazana , ezingabanjwanga ngokubanzi eMelika, nazo zinendawo yazo.
Njengekhuselo olongezelelweyo, sebenzisa iikhondom kumathoyizi ekwabelwana ngesondo kunye nokwenene ukuba uhlaziye ii-toys imidlalo phakathi kokusetyenziswa.
Abalingani bezesondo
Okubalulekayo kukunciphisa inani lamadoda axhatshazwa ngesondo, ingakumbi abo abangabonakaliyo okanye odibana nabo kwi-intanethi. Ekugqibeleni, abantu abaninzi olala nabo, baninzi amathuba okungafumaneki kuphela i-syphilis kodwa ezinye ii-STD apho iikhondom zingasebenzi kakuhle, njenge- papillomavirus yabantu (HPV) .
Ukuba udibana nomntu omtsha, kuyona nto inomdla ukuxoxisana nemithetho yokuziphatha ngokwesondo ngokukhuselekileyo ngaphambi kokuba udibanise. Njengoko kungenakwenzeka njengoko kunjalo, zama ukushiya izinto ezingenakucatshulwa okanye uzibuze ukuba ngubani omele afumane iikhondom. Ukuba iqabane lakho lingathandi okanye lithengele ukusebenzisa iikhondom, uya kuba neenkcukacha ezifunekayo ukuze wenze ukhetho olunolwazi.
Kufuneka wenze kwakhona iphuzu lokubuza malunga nembali yesondo yomlingani wakho nokuba ngaba uwake wavavanywa kwi-STDs. Uyakwazi ukuvula intetho ngokutyhila isimo sakho kuqala. Ukwenza njalo kunokukhuthaza umlingane wakho ukuba alandele ukhokelo lwakho kwaye uvavanywe, naye.
Ekugqibeleni, xa ulala ngesondo, gwema ukusebenzisa iziyobisi okanye utywala, oko kungonakalisa isigwebo sakho kwaye kukhokelela ekukhuselweni ngokwesondo .
Iingcebiso zoKhenketho
Indlela efanelekileyo yokuguqula umzila wamathambo amasha kukuqinisekisa ukuba nabani na osemngciphekweni we-syphilis kunye nezinye ii-STD ezihlolwe kakuhle. Iimvavanyo zikhawuleza kwaye zilula ukwenza, kwaye ziyakwenziwa ngokufihlakeleyo kwikliniki, i-lab kunye neefama-pharmacy ezininzi. Ekhaya-okanye kwiimvavanyo zeeposi nazo ziyafumaneka.
Iziza zokuvavanya (kubandakanya iikliniki zomntu eziphantsi kweendleko kunye nezindleko) zingatholakala kwi-locator ye-CDC.
Ngo-2016, i-US Preventive Services Task Force (USPSTF) ikhuphe izikhokelo ezihlaziyiweyo kwi-screening ye-STD kula maqela alandelayo:
- Isikrini se- chlamydia kunye ne- gonorrhea kubasetyhini abasetyhini abaneminyaka engama-24 nangaphantsi, kunye nabasetyhini abasakhulayo kwingozi enkulu yokwanda
- Isikrini se-syphilis, i- hepatitis B kunye ne- HIV kubo bonke abafazi abakhulelweyo (ngaphezulu nangaphezulu apha ngezantsi)
- Isikrini seNtsholongwane kaGawulayo kubo bonke abantu aba-15 ukuya ku-65 njengenxalenye yokutyelela ngogqirha
- Isikrini se-syphilis, i-HIV, kunye ne-hepatitis B kunoma yimuphi umntu kwingozi enkulu
Ngokutsho kwe-USPSTF, abantu abasengozini enkulu bayabandakanyeka abo baneqabane elingaphantsi kwesini, umlingane omtsha wesini, okanye iqabane lomlingani kunye nabalingani ngokufanayo, okanye abo bangekho ubudlelwane bomntu oyedwa kunye nokusebenzisa iikhondom ngokungahambisani.
Abasebenzisi bokusetyenziswa kweziyobisi kunye nabasetyhini abalala ngesondo kunye nabesilisa (MSM) abangabonakaliyo okanye amaqabane amaninzi kufuneka bahlolwe rhoqo ngonyaka.
Abafazi abakhulelweyo
I-syphilis yokuzalwa engqalileyo iyakhuselwa ngokupheleleyo xa ifunyanwe kwangaphambili. I-CDC icebisa ukuba bonke abafazi abakhulelweyo bahlolwe i-syphilis ekutyekeni kwabo kokuqala kokubeletha. Abo bahlala besengozini yokunyuka okanye baqhubekeka ukuhlaselwa kufuneka bahlolwe kwakhona kwiiveki ezingama-28. Nayiphi na isiphumo esiphumeleleyo siya kuthathwa ngokukhawuleza nge penicillin , kuphela i-antibiotics eyaziwayo ukukhusela ukuhanjiswa kwe-syphilis kumntwana.
Umlingani wakho kufuneka ahlolwe, ngakumbi ukuba akakaze enze njalo. Ngale ndlela, ukuba kukho isifo se-STD, unokufumana unyango kwaye uphathwe ngokukhawuleza. Isikhuselo simele sisetyenziswe xa kukho nayiphi na ithuba lokusuleleka.
> Imithombo:
> Amasebe okuLawula nokuVimbela (iCCDC). "2016 Ukunyamekwa kwezifo zoTyhulwa ngezesondo: I-Syphilis." E-Atlanta, eGeorgia; hlaziywa ngoSeptemba 26, 2017.
> CDC. "Izikhokelo Zengqondo Ezidluliswa Ngama-Sexually Transmitted 2015: I-Syphilis yaseCongress." Kukhishwe ngoJuni 4, 2015.
> Lee, K .; I-Nyo-Metzger, Q. Wolff, T. et al. Izifo ezithathelwana ngesondo: Iziphakamiso ezivela kwi-US Preventive Services Task Force. "I- American Family Physician. 2016; 94 (11): 907-915.