Chimwe chezvinhu zvinoshamisa zvesayenzi zvemakore makumi mashanu apfuura ndechekuti kenza inogona kuva chirwere chinotapukira - kunyanya, chinokonzerwa nepapillomavirus yevanhu, kana HPV. Kune marudzi anopfuura zana eHIVV, makumi matatu ematatu ayo anoparadzirwa nehutano hwepabonde . HPV yakabatanidzwa kune mamwe marudzi ekenza yeganda uyewo:
Mamwe masayendisiti akafungidzira kuti vazhinji vanoita mashanu muzana yevanhu vose vanokwanisa kukonzerwa neHIVV !
HPV Basics
HPV iyi inowanzozara nehutachiona. Vanopfuura 50 muzana yevanhu vakuru vanoita zvepabonde vanofungidzirwa kuti vane utachiona hwehutachiona humwe hutachiona hwehutachiona, uye kusvika makumi mapfumbamwe kubva muzana zvevakadzi vanoita zvepabonde vachave vakatarisana nehutachiona panguva yavanotendeuka makumi mashanu.
Vanhu vazhinji vane HPV havazombotori zviratidzo. Vamwe vachave nekuputika kana kuputika kwezvirwere zvepabonde , ruzivo rwekare rwechirwere chechirwere chekuchinja, kana kuti kunyange kukura imwe kana zvimwe zvinokonzera kenza yeHIVV. Nokuti vanhu vakawanda vane utachiwana havazombotambudziki nehutachiona, vanachiremba havawanzovharidzira HPV .
Kungoziva kuti iwe wakaedzwa kuti uve nehutachiona hweHIVV hazvireve kuti iwe uchawana kenza kana marital warts , zvinongoreva kuti iwe wakanga uine hutachiona uye uri pangozi.
Ichokwadi, kutsvakurudza kwakaratidza kuti vazhinji vevanhu vane utachiona vachabvisa hutachiwana mukati memakore maviri vari voga.
Migumisiro yeHIVV
Pamberi pemakore ekuma1980, pfungwa yokuti vanhu vanogona kuendesa kenza mhirizhonga yaionekwa seinodikanwa nevanhu vazhinji vari munharaunda yekutsvakurudza nezvezvokurapa. Zvisinei, sehupupuriro hwakatungidzirwa uye nzira dzekutsvakurudza dzakatanga kuvandudza, vanhu vakanonoka vakava nechokwadi.
Iko zvino yakawanda yakagamuchirwa kuti HPV inokonzera inofungidzirwa 99 muzana yemukondombera yemukondombera. Pakutanga kwegore ra2007, pepanhau rezvokurapa rakakurumbira rakabudisa pepa rinoratidza kuti HPV inogonawo kuve nekukonzera kuwedzerwa mumiromo yekenza yemuromo uye yehuro . Zvimwe zvinokonzera makondombera aya ave nekusvuta uye kushandiswa kwehuputa hwemuromo.
Chirwere chemukombomu chakanga chiri chikonzero chinonyanya kukonzera kufa kwekenza pakati pevakadzi muUnited States Kunyange zvazvo nhamba yevakadzi veAmerica vachifa nehosha iyi yakaderera pamusana pekuwedzera kweP Pap smears , iyo ichiri chechishanu chinokonzera kukonzera kufa nekenza pakati pevakadzi munyika yose.
Hapana mukadzi anofanira kuurayiwa nekenza yemukomana. Nguva dzose Pap smears inogona kuona HPV-yakagadziridzwa kuchinja kumuromo wechibereko pakutanga kana ichiri kurapwa zvikuru. Zvisinei, pane vakadzi vasingamboongorori nguva dzose. Izvi zvinonyanya kuoma pakati pevakadzi vari munyika dzepasi-pasi uye vemisha yakaderera mari, uye pakati pevakadzi vakapedza makore ekubereka kwavo. Imwe yevatungamiri vakuru vevakadzi kuenda kune gynecologist ndeyekudiwa kwepiritsi yekuzvidzivirira kuberekwa, uye vazhinji vanomira vachitsvaga kutarisira kuchengetedza nguva dzose kana vasingachadi mutemo wavo. HPV inogona kurara kwemakore mazhinji isati yatanga kuchinja kenza mumuviri.
Zvakakosha kuti vakadzi varambe vachiwana Pap smear nguva dzose muupenyu hwavo hwose.
HPV Kudzivirira
Masayendisiti ari kuwedzera kuisa pfungwa pakudzivirira HPV . HPV inoparadzirwa nemukati munyaya dzepabonde , zvepabonde, uye zvepabonde zvekare , pamwe chete nehuputi nehupano hune hutachiwana nzvimbo. Sezvo utachiona hwapararira kubva paganda kuenda kune ganda, kwete chete kuburikidza nemuviri wemvura , zvinokwanisika kuparadzira hutachiona kunyange kana kondomu inoshandiswa. Makondomu anoita, zvisinei, kuderedza dambudziko rekutapurirwa. Kuwanda kwehutachiona hwehutachiona, huri pamwe chete nekuti makondomu haapi kupa kudzivirirwa zvakakwana, zvakaita kuti masayendisiti aongorore dzimwe nzira dzokudzivirira.
Imwe yenzira dzavari kutsvaga zvirwere.
Zvirwere zvakawanda zvekenza yakawanda kwazvo uye marital wart-zvichikonzera mishonga yeVHV inenge iri mukuvandudzika kana kuti ikozvino pamusika. Zvisinei, nokuti HPV inotapukirwa nehutachiona , kukurukurirana pamusoro pemishonga iyi inowanzova yezvematongerwe enyika pane kupesana kwezvesayenzi. Mishonga inonyanya kubudirira munhu asati asangana nehutachiona, asi vabereki vakawanda nevanyori vezvematongerwo enyika vanopesana nepfungwa yekupora vasikana vaduku nokuda kwezvirwere zvepabonde nekuda kwekutya kuti zvingavakurudzira kuti vaite zvepabonde zvisina kudzivirirwa .
Chirwere chikuru kune vakawanda, zvisinei, ndechokuti vakadzi vakagamuchira chirwere vanogona kumira vachitsvaga Pap smears nguva dzose. Aya majekiseni anochengetedza chete pane zvinowanzosangana neHIVV, uye haadziviriri vakadzi vakatove vakananga neHIVV. Saka vakadzi vachiri kuda kutevera mazano ekugadzirisa Pap smears nguva dzose - zvinowanzova zvishoma kuti vagova nemuedzo wakanaka.
> Sources:
> Neilson, CM et al. "Kushandisa Kondomu Yakabatana Inosanganiswa neKuwandisa Kwakawanda kweHuman Papillomavirus Infection Marume" Journal of Infectious Diseases 2010; 202: 445-451
> CDC HPV Fact Sheet
> World Health Organisation Cancer Fact Sheet
> Wright JD, Herzog TJ. "Human papillomavirus: inobuda mumamiriro ezvinhu ekucherechedza nekutarisa." Curr Mens Health Health Rep. 2002 Aug; 2 (4): 259-65.
> Stanley MA, Winder DM, Sterling JC, Goon PK. Hupukamu hweHIVV, anal an intra-epithelial neoplasia (AIN) uye kenza yemuviri: zvinoitika. BMC Kanzura. 2012 Sep 8; 12: 398.
> Stoler MH. "Mutsara muchidimbu webasa remapillomaviruses yevanhu mumushonga wemakondomu carcinogenesis." Am J Obstet Gynecol. 1996 Oct; 175 (4 Pt 2): 1091-8.