Kutadza kwepenisi kunokuisa pangozi shoma here?
Nyanzvi dzevabhangi dzinozivikanwa kuva nedambudziko rakanyanya kudarika rekuwana HIV nekuda kwechikamu chikuru kumarudzi ezvokuita zvepabonde (kusanganisira zvepabonde mumuromo) zvishoma zvinowanzobatanidzwa nehutachiona.
Vamwe vakatora izvi kuti zvinoreva kuti vakadzi vechibharo ndivo, kazhinji, vasati vasvike kune mamwe maitiro ezvirwere zvepabonde zvakadai sepillomavirus yavanhu (HPV) , hutachiona hunobatanidza nekukura kwekenza yemukomana.
Iyo HPV Inopararira sei
Misiyano pakati peHIV neHIVV ndeyokuti njodzi yeHIV inobatanidza zvakasimba nezvinhu zviviri: zvepabonde nemurume uye zvepabonde. Kusiyana neizvi, HPV inopararira kuburikidza nehukama hwepedyo hweganda-kune-ganda, kusanganisira kubatana kwepabonde (rimwe basa rinotakura mungozi yeHIV).
Sezvo zvakadaro, HPV inogona kupfuudzwa pakati pevakadzi vaviri nyore nyore sepakati pevarume vaviri kana murume uye mukadzi. Penile kupinda mukati hazvidiwi. Ganda-ku-ganda kusangana nemunhu ane utachiona ndizvo zvinotora.
Izvo zvinokonzerwa neHIVV muvakadzi vanoita zvepabonde varipo mune zvebibi. Mumazuva ekuita zvepabonde, izvo zvinopa huwandu hukuru hwekuparidzirwa mune zvebibi ndezvekuti:
- chibereko chepabonde-ku-genital contact
- kubata mazamu ehutachiwana ane HIV uye iwe pachako
- kugovana zvigaro zvepabonde zvisina kufanana
Zvimwe zvidzidzo zvakare zvakaratidza kuti HPV inogona kupfuudzwa kuburikidza nemuromo-kubatana kumurume (cunnilingus) kana nekutsvoda kwakadzama, kunyange kune kukakavara kwakasimba sekuvimbika kwezvidzidzo.
Deredza Dambudziko reHIVV
Kune nzira dzakawanda dzakajeka dzinoti vakadzi vanogona kuderedza dambudziko ravo rokuwana kana kuparadzira HPV:
- kushandisa makondomu pane zvekuita zvepabonde kana uchida kugovana navo
- achishandisa magirafu (ainwa yemunwe ) paunobata mazamu
- kuvhara nhamba yevakomana pamwe navo
- kuramba uri muukama humwechete
- uchishandisa madhenari emamenzura kana iwe ukawana chero upi zvake pamusoro pezvipembenene kana mawarts zvakapoteredza marital or anus
Kuzvidzivirira zvakarewo chisarudzo asi zvisingawanzoitiki kune vakawanda vakura.
Nzira Yokuwana Nayo Kana Une HPV
Vakadzi vane HPV vanowanzoziva kuti vane HPV munguva yeP Pap smear. Ipap smear inokwanisa kuona kuchinja kwechibereki kunokonzerwa nehutachiona, zvimwe zvacho zvinogona kutungamirira kukenza yemukomana. Mune zvimwe zviitiko, chigamba chepabonde chinogona kuvapo (chiratidzo chinowanzobatanidzwa nemamwe marudzi eVVV).
Kuva nekusawirirana mumishonga yepervical (inozivikanwa saDysplasia) hazvirevi kuti uchawana kenza. Chero shoma shoma yeHIVV inosanganiswa nekenza uye kunyange zvishomanana chibereko nemakumbo emudzimai. Muzviitiko zvizhinji, HPV ichazvigadzirisa pachavo pasina kurapwa.
Zvinosuruvarisa, kune chirevo chakakurumbira chisinganzwisisiki pakati pevamwe kuti vakadzi vechibharo havadi Pap smears. Izvi zvachose zvenhema. Vose vakadzi vanofanira kuva nePep nguva dzose kuongorora, zvisingaiti zvepabonde. Nhasi mazano anobva kuAmerican Cancer Society anorayira kuti vakadzi vose vatange kutanga Pap smear makore matatu mushure mekutanga kuita zvepabonde kana nezera remakore makumi maviri nemaviri, chero chii chinouya pakutanga.
Kuongorora kweHIV ndeimwe nzira yekuona HPV. Kusiyana nekutarisa kuchinja, iyi yero inotarisa kuvepo kwehutachiona mumushonga wekervical.
Zvose zviviri zvePap uye HPV zvinogona kuitwa panguva imwe chete. Vakadzi vane makore makumi matatu namapfumbamwe uye vanopfuura vanorayirwa kuti vadzoke shure kwemakore matatu oga oga. Vakadzi vari pangozi yakakura kana avo vane dysplasia vachawanzodikanwa kuongorora nguva dzose.
Zvirwere Zvinokonzerwa neHVV Strains
Kune marwadzo anopfuura 150 akasiyana-siyana eVVV iyo iyo 30 kana kupfuura inotapurirwa zvepabonde. Zvinofungidzirwa kuti anenge munhu wese anoita zvepabonde - angave ari murume kana mukadzi, wepabonde kana murume wega-achawana imwe yerudzi rweHIVV munguva yeupenyu hwose.
Pakati pemhando dzinowanzobatanidzwa nekenza uye marital warts:
- HPV 16 ne18 dzinobatanidzwa nevanenge makumi manomwe kubva muzana zvevose vanorwara nekenza yengororo. HPV 16 ndiyo inowanzosangana nematambudziko anokonzerwa nemusoro nehuro. Imwe 20 muzana yakabatanidzwa neHCV 31, 33, 34, 45, 52, uye 58.
- HPV 6 ne11 inodarika makumi mapfumbamwe kubva muzana emakumbo ose emakumbo.
Kuchengetedza HPV
Kune vanhu vari pakati pemakore mapfumbamwe ne26, zvirongwa zvinowanikwa zvinogona kudzivirira kune dzimwe dzepamusoro dambudziko re HPV dambudziko. Izvi zvinosanganisira:
- Gardasil (yakabvumirwa muna 2006) iyo inodzivirira HPV 6, 11, 16 uye 18
- Cervarix (inogamuchirwa muna 2009) iyo inodzivirira HPV 16 ne18
- Gardasil 9 (yakagamuchirwa muna 2014) inodzivirira neHIVV 6, 11, 16, 18, 31, 33, 45, 52, uye 58
Shoko Rinobva
Nyanzvi dzevabhangi dziri pangozi yakawanda yeHIVV semadzimai evanhukadzi. Usafungidzira kuti zvepabonde zvisiri zvepakati zvinokuisa iwe pangozi shoma ye HPV. Iva nechokwadi chokuti iwe unowanzoongororwa kuti uwane hutachiona uye kuti chero shanduko yemukati mutsvuku inonyatsoongororwa. Nokuita kudaro, unogona kuwedzera zvikuru mungozi yekenza yemukomana, uyewo mamwe maHIV-related malignancies.
> Sources
- > Centers for Disease Control and Prevention (CDC). "Chii chinonzi HPV?" Atlanta, Georgia; yakagadziridzwa musi waDecember 20, 2016.
- > Potter, J .; Peitzmeier, S .: Bernstein, I. et al. "Chirwere cheCervical Cancer Screening for Patients paMukadzi-ku-Male Spectrum: Chiitiko Chinyorwa uye Murairo weVachipatara." Journal of General Internal Medicine . 2015; 30 (12): 1857-1864.