Greater Surveillance Inodiwa muSMSM seArt Cancer Rates Soar
Kwemakore gumi, vakadzi vane ruzivo rwemuedzo unobatsira kuona chirwere chemukondombera mukati mekutangira kwoutachiona. Iyo inyanzvi, inozivikanwa sePap smear , yakachengetedza upenyu husingaverengeki kuburikidza nekuvimbisa kuongorora nekupindira kwokutanga, zvinoshamisa kuderedza chiitiko chekufa kwevakadzi.
Nhasi, teknolojia yave ichiwedzerwa kuitira kuti kuve nekuonekwa kwokutanga kwekenza yemunhu mucheche uye murume nemudzimai, pamwe chete nevakadzi vari pangozi.
Chii chinonzi Anal Pap Smear?
The anal Pap smear chiyero chakafanana nemakadzi ePine smear pamwe chete nesamuenzaniso shoma remasero inounganidzwa kubva kune anus uye rectum. Ivo vanozoongororwa pasi pe microscope kuti vaone chero shanduko yezvakagadzirwa mumasero. Kuchinja uku kunowanzozivikanwa sevanopfurikidza nekenza yemuviri, chirwere chekenza iyo inoparadzanisa varume vanoita zvepabonde nevarume vanoita zvepabonde.
The Link Between HPV and Cancer
Kenza yeAIDS uye chirwere chemukondombera zvose zvinosanganiswa nepapillomavirus yevanhu (HPV) , utachiona hunogona kukonzera maitiro emagetsi anoshandiswa nyore nyore kubva kuvanhu nemunhu kuburikidza nepabonde.
Gay uye varume vane hutano hwepabonde vane HIV vanowanzova pangozi nokuti vari pangozi yepamusoro yehutachiona hweHIVV huripo, iyo inogona kuratidza nekuwedzera kwema40 pangozi yekenza yakafanana nekuenzaniswa nehuwandu hweUnited States. Uye zvakasiyana nezvimwe zvirwere zvepabonde zvinopararira, makondomu haasi kunyatsoshanda mukudzivirira kupararira kwehutachiona.
Zvidzidzo zvinoratidza kuti chiitiko chekenza yemunhu yakakura kwazvo mumarume avo vanoita zvepabonde nevarume (MSM) vane HIV, vane uchapupu huripo hunoratidza kuti
- 35 kubva kune 100 000 000 MSM ichava nekenza yemuviri.
- 8 vevakadzi vese 100 000 vachawana kenza yemukomana,
Kazhinji kutaura, hutachiona hweHIV hunobatanidzwa nehutano hwakanyanya hwekugadzirwa kwemhando dzakawanda dzekenza , zvose zvinokonzerwa neHIV-pamwe chete uye zvisina HIV.
The Anal Pap Procedure
The anal Pap smear inokurumidza zvikuru, inorwadza uye iri nyore. Kushandisa Dacron swab, chiremba anounganidza sampuli yesero kubva munharaunda yakakonzerwa nokuputira nzvimbo dzose dze anus uye rectum. Aya masero esero anobva atumirwa kubasa apo nyanzvi dzinogadzira zvidzidzo uye dzinozviongorora pasi pecroscope kuti dzione chero shanduko dzinoshandiswa dzinogona kuratidza kenza. Kazhinji mukati memazuva mashomanana, chiremba achava nemigumisiro uye anokwanisa kukurukura navo newe.
Kuita kuti chirongwa chakarurama chiite, mazano anoratidza kuti varwere vanonamatira kuti zvimwe zvidzidzo zvinotorwa maawa makumi maviri asati apera Pap smear yakaitwa inoitwa:
- Usave nehupombwe hwakanaka hwepabonde
- Usaisa chero zvigadzirwa, mafuta kana mishonga munyu yako
- Usaisa zvekuita zvepabonde kana zvimwe zvinhu mukati mako
- Usapfeke kana kutora nyota
Inowanzoita Sei Unoda Ip Anonzi?
Sue Goldie, MD, MPH, munyori wemufananidzo wePAP akaongorora paHarvard School of Public Health akawana kuti kuongorora varume vanoita zvepabonde nevarume vanoita zvepabonde kwemakore matatu oga oga kwaizoziva zvirwere zvakawanda zvekenza yekare-apo pavanogona kunyanya kurapwa kubudirira.
Vamwe vanachiremba, zvisinei, vanorayira gore negore vaine Pap smears yeMSM, kunyanya avo vane HIV. Kune rumwe rutivi, kunyange neCenters for Disease Control and Prevention (CDC) kana US US Preventive Services Task Force (USPSTF) ikozvino inopa chero mazano pamusoro pekugadzirisa kwepad kuonekwa kwepana mumurume kana mukadzi.
Mukuwedzera kune MSM, chero vanhu vane nhoroondo yeanogenital uye vulvovaginal condylomas (warts) inofanira kugara ichiongororwa. Ona kuti wart yebonde inoratidzika sei .
Kana iyo Pap smear isingawanzoitiki, masero ari munharaunda yakakonzera ichakura zvisina kufanira, kusati kwanyangadza kuchinja kunonzi intraepithelial neoplasms . Izvi zvishoma nezvishoma zvinowedzera uye, kana zvisingabhadharwi, zvinogona kukura kuva kenza inoparadza.
Kana kushandiswa kusina kushandiswa kunoonekwa, kuongororwa kwakaitwa kunoitwa uye, kana zvichiratidzwa, kushandiswa kwemalasi okuvhiya kunogona kushandiswa kubvisa maviri akabatwa.
Kunobva:
Dhipatimendi reU.S. reVeteran Affairs. "Anal Dysplasia neHIV: Kuchengetedza Zvikuru Kune Veterans vane HIV." Gumiguru 8, 2011; Washington, DC; yakasvika musi waFebruary 9, 2016.