Kazhinji Viral Infect Infection inobatanidza neCervical and Anal Cancer
Ipapillomavirus (HPV) yevanhu inowanzozivikanwa nehutachiona hwepabonde munyika nhasi. Iko chaizvoizvo inoumbwa nemapurogiramu anopfuura 150 akabatana, makumi matatu ayo anosangana nemhando dzakasiyana dzekenza. Zvichienderana nekutambudzika kwaunoita, HPV inogona kukonzera warts kumativi akasiyana emuviri, kusanganisira anus uye marudzi, kunyange zvazvo vakawanda vane chirwere ichi vasingazivi.
Parizvino hapana mushonga weHIVV.
Vanopfuura 50 muzana yevanhu vakuru vanoita zvepabonde vanotenda kuti vane utachiona hwehutachiona humwe hutachiona hwehutachiona, asi kusvika makumi mapfumbamwe kubva muzana zvevakadzi vanoita zvepabonde vacharatidzwa nehutachiona panguva iyo vanosvitsa 50.
Maererano nehuwandu hunobva kuCenters for Disease Control nekudzivirira, vanopfuura 30 000 kancita muUnited States vanonyatsotsanangurwa neHIVV gore negore. Kunyange zvazvo HPV inowanzobatanidzwa nekenza yekenza uye marariya anamatani (96 muzana uye 93 muzana yematambudziko, zvichienderana), yakave yakabatanidzwa nekenza yepenile, kenza yehuro , uye kunyange nekenza yemapapu .
Ngozi yekenza iyi yakabatana, pakati pezvimwe zvinhu, kushungurudzwa kweHIVV uye nzira yekutengesa zvepabonde. Zvimwe zvinhu zvinokonzera njodzi, zvakadai sokuputa uye zvirwere zvinopararira zvepabonde (kusanganisira HIV), zvinogona kuwedzeredza mukana wekudzidzira kenza.
Kana iwe kana munhu waunoda akaonekwa kuti ane HPV, zvinogona kukonzera kushushikana uye kunyange alarm, asi pane zvinhu zvaunogona kuita kuti usangoderedza ngozi yako asi urege kudzivirira kupararira kwehutachiona. Ikoko kune zvirwere zvinogona kubatsira kudzivirira utachiona munzvimbo yekutanga.
Kudzidza chokwadi chiri chiito chekutanga chekupedza dambudziko rako rehutachiona kana kurwara.
Zviratidzo
Zviratidzo zveHIVV , kana zvikasimuka, zvinowanzoonekwa sechimiro chekurairi-kufanana nekudai kunonzi genital warts. Warts inogonawo kuva yakazara. Inogona kuwanikwa mukati kana kumativi ose emudzimai, anus, muromo, uye nehuro, pamwe chete nepenis nekugomera. Iko kukura kunogona kutora mavhiki kana kunyange makore kukura mushure mekutanga kuonekwa.
Kusavapo kwehondo hakurevi kuti iwe uri pachena neHIVV, zvakadaro. Warts inogona kuiswa mukati-yega-uye, saka, haigone kuonekwa-uye, pane dzimwe nguva, pangave pasina kuonekwa kwechirwere zvachose.
Sezvo zvakadaro, kuonekwa kana kuvapo kwechigamba (kana kushayikwa kwayo) haisi iyo nzira yakanaka yekuona kana iwe usina kutapukirwa neHIVV, uye zvimwe chete zvinowanikwa kune mumwe wako. Kuongororwa kwedzidzo chete kunogona kukuudza izvozvo.
Zvinokonzera
HPV inokonzerwa nevakadzi, vakomana, kana kuti muromo wepabonde nemumwe wako wave atova, uye ndiani anobva atumira, chirwere ichi kuburikidza neganda nemuviri.
Dambudziko re HPV ndiro rinotarisa dambudziko rehutachiona hunoenderera mberi nekenza. Mitsetse inogona kuparadzaniswa zvikaita zvikamu zviviri:
- Dambudziko risina ngozi rinogona kukonzera zvipembenene zvepabonde asi zvinonzi "kwete-oncogenic" nokuti hazvibatanidzi nekukura kwekenza yemukomana kana kenza yemunhu.
- Dambudziko repamusoro-dambudziko rinonyanya kunetsa, sezvo rinogona kukonzera kenza-sangano rine chokuita nekenza kuchinja ( dysplasia ).
Kana warts ichioneka, hazvirevi kuti iwe uchawana kenza. Muzvokwadi, huwandu hwakawanda hwehutano hwepabonde hwakanaka uye husingatyisidzi.
Kuziva
Chimwe chezvinhu zvinokosha zveHIVV kuongororwa ndiPap smear-kune varume nevakadzi. Mazano ekuongororwa anosiyana pane chimwe nechimwe:
- Kune vakadzi , kuongorora kwepilvic uye Pap smear ndiyo nzira yakanakisisa yekuona hutachiona hweHIV. Kuongororwa kweHIV, iyo inotarisa hutachiona chaiwo, inogona kuitwa pamwe chete.
- Kune varume , kuongorora muviri uye anal Pap smear kunogona kuitwa; Izvi zvinowanzoitwa nevarume vanoita zvepabonde kana varume vanoita zvepabonde vanenge vari pangozi yakakura yekenza yemuviri. Zvinosuruvarisa, hapana hutachiona hweHIV hunobvumirwa nevarume. Uyezve, chirwere chekenza chakaonekwa hachina kukurudzirwa kune ani zvake kunze kwekuti, zvichida, varume vanoita zvepabonde nevarume (MSM) vanoita zvepabonde rekunamatwa.
Kana muchengeti achiita seanoshungurudza, chiremba anogona kuita biopsy . Izvi zvinosanganisira kubviswa kwemasu ekuongororwa mubazi. Bhiopsy inowanzoitwa sechikamu chekuona kuonekwa kwechibereko chechivharo, vagina, uye chevha (kushandisa colposcope ) kana chirwere chakakonzerwa (kushandisa ancope).
Kurapa
Kurapa kweHIVV kunobva pane zviratidzo uye zvipatara zvinowanikwa. Muzviitiko zvakawanda, chiremba achatora nzira yekurinda-uye-kumirira uye anopa mazano ekutsvakurudza nguva dzose.
Kunyange zvazvo kazhinji kusingaoneki uye kusagadzikana, huwandu hwemagetsi ehutano hahukonzeri matambudziko makuru ehutano. Vakawanda vanogona kurapwa pamba nemapurogiramu ezvigadzirwa zvakataurwa nachiremba. Mimwe nzira inosanganisira kusviba (cryotherapy), kupisa (cautery), kana kubvisa chirwere. Laser uye trichloroacetic acid mazamuro anowanikwawo.
Kusiyana nedzimwe mhando dzehutachiona hunoita ganda, hapana mishonga yemishonga inogona kuwanikwa yekurapa zvipembenene zvemuviri.
Uyezve, kubviswa kwechigamba hakurevi kurwara. Kubviswa kunongobata chiratidzo, kwete chirwere. Mune zvimwe zviitiko, ganda rinogona kudzoka. Nokudaro, chinangwa chekurapa ndechekucherechedza zvinetso zveHIVV chirwere chinosanganisira kukura kwehondo, dysplasia, uye kenza.
Muchiitiko chisingaiti kuti kenza inoratidzwa, iwe ungadai uchitumirwa kune oncologist kuti ugadzirise chirwere chacho uye usarudze pane nzira yakakodzera yekurapa.
Kudzivirira
Kudzivirira kweHIVV kunokosha pakuderedza ngozi yako yehutachiona kana kupararira kwehutachiona.
Kuita zvepabonde zvakachengeteka kunogona kuderedza zvakanyanya ngozi yekutapurirwa. Izvi zvinosanganisira kuchengetedza nhamba yakaderera yevabonde uye kushandiswa kwekondomu nguva dzose (kunyange panguva yepabonde romuviri).
Panewo zvirwere zvitatu zvakasiyana siyana zvinowanikwa kudzivirira vazhinji vehutachiwana hweHIVV:
- Cervarix , inochengetedza HPV 16 ne18
- Gardasil , inochengetedza HPV 6, 11, 16, uye 18
- Gardasil 9, inodzivirira neHIVV 6, 11, 13, 31, 33, 45, 52, uye 58
HPV vachengetedzwa haisi kukurudzirwa kune munhu wose. Inowanzopiwa zano kune vasikana nevakomana kubva pamakore gumi nemana (uye kunyange vaduku sevapfumbamwe). Inogona kushandiswa nguva dzose kusvika kuzera remakumi maviri nemaviri muvakadzi uye 21 muvarume. Vanhu vakawanda vane ngozi, vakadai seMSM uye vanhu vane HIV, vanogona kupemerwa chero panguva ipi zvayo.
Shoko Rinobva
Nepo zvisizvo kuti unzwe uchinetseka paunotarisana nechigamba chepabonde, zvakakosha kuti usambofungidzira. Pane kudaro, ona chiremba wako nokukurumidza kana zvichibvira uye uchitarisa.
IHIVV kuongororwa chirongwa ichi chinokurumidza uye chinorwadza-pasina. Uye kana iwe ukaedza kuve wakanaka, zviri pachena kuti nyaya yako haisi yakakomba. Muchiitiko chisingambofungidziri icho chiri, mishonga inobudirira yekenza inowanikwa iyo inopa mushonga mukuru wehutano kana yakatanga kutanga.
Chinhu chimwe chete chausingafaniri kumboita hachina hanya nechigamba chepabonde. Semhando ipi neipi yekenza, kutaridzirwa kwekutanga nguva dzose kunoshandura pakubudirira kwekurapa kukuru.
> Sources:
> Centres for Disease Control and Prevention. "Mazhinji emaratani anowirirana neHIVV Gore Rose?" Atlanta, Georgia; yakarongwa musi waMarch 3, 2017.
> Meites, E ;; Kempe, A .; uye Markowitz, L. "Kushandiswa kwema 2-Dose Schedule for Human Papillomavirus Vaccination-Mhinduro Dzakagadziriswa dzeKomiti Yemazano Pamitambo Yokudzivirira." MMWR Morb Mortal Wkly Rep 2016; 65 (49); 1405-8.
> National Cancer Institute. "The Link Between HPV neCarcer." Rockville, Maryland; yakagadziridzwa musi wa16, 2016.