Kungozi yemukondombera inowanikwa ka 150 pane varume vanoita zvepabonde vane HIV
Overview
Kenza yeAIDS inonyadzisa uye inokura kunetseka pakati pevanhu vanogara neHIV, vanonyanya kurara nevarume vanoita zvepabonde. Zviratidzo zvinogona kutanga zvisinganzwisisiki pakutanga, kazhinji nekutsvaira zvakapoteredza anus, zvakadai sokudengenyeka kunogona kuwirirana nehemorrhoids.
Gare gare inogona kurwadza kana kuratidza zviratidzo zvekubuda ropa. Pakupedzisira, chironda chekenza chinogona kuzarura, zvichiita kune izvo zvinozivikanwa semvura inosvibisa.
Zvinosuruvarisa, ichi ndicho chinangwa apo vanhu vazhinji vanozopedzisira vachisarudza kuona chiremba, panguva iyo kenza inowanzoenda.
Kanzira inotsanangurwa sekukura kusina kujairika kwemasero anoramba achiwedzera pasina nzira yehupenyu yekuisa. Kenza yeAIDS inorwarisa inowanikwa mu anus, inowanzozviratidza necheonous tumorous. Kanzera dzechirwere dzinowanzokura mumucheka we anus kana mumuganhu wakare unosangana neganda.
Kanzera yeAIDS ndeyekukura kwevanhu vari kurarama neHIV. Munharaunda yakawanda, kenza yemunhu inofungidzirwa isingawanzoitiki, inoitika mune imwe yevanhu 100 000. Zvisinei, mune varume vanoita zvepabonde nevarume (MSM) , chiitiko chacho chinokwira kusvika kumusoro kwemashure makumi mana nemakumi mana nemakumi mashanu. Uyezve, MSM vane HIV vane huwandu hwekuwana kenza yemaronda kune MSM vasina HIV.
Nepo isu tisinganyatsonzwisisi kuti nei ichi chiri, zvinofungidzirwa kuti kupera kusingaperi kunobatanidza nehutachiona hweHIV chaizvoizvo kune imwe sero nguva isati yasvika.
Apo izvi zvinenge zvichiitika, tichawanzoona zvirwere zvinowedzera kune vanhu vane HIV kusvika makore gumi nemashanu vasati vazoitika kune vanhu vakawanda. Kanzera yeAIDS inomumwe wevanhu vazhinji vanorwara nekenza vanotenda kuti inobatanidza neizvi.
Risk Factors
Kune hukama hwepedyo pakati pekenza yemuviri uye papillomavirus yevanhu (HPV) , hutachiona hunoita kuti hutachiona hwepabonde asi hunobatanidzwawo nekukura kwekenza yemukomana.
Mukuwedzera kune HPV neHIV, zvinowanzotaurwa nezvengozi zvinosanganisira kusvuta, vazhinji vanoita zvepabonde, zvepabonde dzakagamuchirwa zvepabonde , nhoroondo yehemorrhoids, uye fistulas akafananidzwa kana fistulas.
Zviratidzo nezviratidzo
Chimwe chezvinhu zvinokonzera kenza yemunhu yakaoma ndeyekuti vanhu vazhinji vanoratidza vashomanana, kana zvimwe, zviratidzo zvisati zvaonekwa. Kunyanya pamusoro pacho, vanhu vanowanzotadza kuona chiremba vachinyadziswa, kunyanya kana zviratidzo zvisingaoneki zvakakomba.
Kana zviratidzo zviripo zvinowanzobatanidza:
- Warts pane anus kana mazamu
- Zvironda kana mabhuni zvakakomberedza anus kana mumugwagwa wakare
- Kuchengeta mukati uye kwakapoteredza anus
- Kubuda kana kubuda kubva kune anus
- Urombo kana kushungurudzwa zvakakomberedza anus
- Nzvimbo dzinosuruvarisa dzakakomberedza anus mukusabatwa kwezvibhakera zvinooneka kana zvipembenene
- Vhura maronda panopoteredza anus isingaporese
Kuziva
Nyanzvi dzakawanda zvino dzinokurudzira chirwere chekenza chiyeuchidzo chekuona vanhu vari pangozi yakawanda. Miedzo inorayirwa inosanganisira kuonekwa kwegore negore uye kuongorora kwejw.org, pamwe chete neAn year pap smear .
Iyo yekupedzisira inotora shanduko yemasero kubva kumativi ose einus uye inoiongorora iyo pasi pemasikroscope kuti ione kushanduka kwemagetsi kunoenderana nekenza yemuviri. Abnormal Pap smears inowanzoenderana nechepamusoro-sarudzo yakagadziriswa (chiyero chechiri) kana biopsy.
Mishonga
Kurapa kwechirwere chekare kunowanzoenderana nekukwira kwakaita kenza. Mushure mekuongorora kuongorora chirwere chechirwere, chirongwa chekurapa chinogadzirwa nebhodhi-yakagadziriswa oncologist.
Munyaya ye squamous cell carcinoma (SCC) , chemotherapy uye mazairo anowanzokurudzirwa sekutanga kurapa. Muchiitiko cheAdenocarcinoma , kurapa kunogona kusanganisira chirwere.
Kudzivirira
Sezvo HPV inonzi ndiyo inowanzoisa pangozi yekugadzirwa kwekenza yakaita, kudzivirira kunofanira kunyanya kuisa pfungwa kuHIVV kudzivisa. HPV vachakurudzirwa vana nevechidiki, vakapiwa mumapfupa matatu pamusoro pemwedzi mitanhatu.
ICentral for Disease Control and Prevention ikozvino inokurudzira kupemerwa kwemapoka anotevera:
- Vose vana 11 kana makore gumi nemaviri
- Vakomana vaduku nevasikana vasati vatanga kana kupedza mutsara we HPV pavakanga vari vaduku
- Vasikana vaduku vari nemakore makumi maviri nemaviri
- Varume vechidiki kuburikidza nemakore makumi maviri nemaviri
- MSM kuburikidza nemakore makumi maviri nemaviri
- Varume vane HIV avo vasina kutanga kana kupedzisa mishonga yezvirwere zveHIVV pavakanga vari vaduku
Vanhu vane pangozi yepamusoro vanofanira kupiwa zano rokuti vashandise makondomu nemukomana mumwe nomumwe uye zvepabonde uye kuderedza nhamba yevakomana.
Mukuwedzera, ani naani ane nhoroondo yezvipembenene zvinorwara anofanira kuongororwa nguva dzose. An anal Pap inogona kuona kushanduka kwemashure ekutanga kufanana nekukura kwekenza yemunhu, zvichibvumira kupindira kwekutanga uye kuderedza dambudziko rekuwedzera kwezvirwere.
> Sources:
> Centres for Disease Control and Prevention. "HPV Zvirwere: Kuvhara Zvokutanga Zvako Nevana." Atlanta, Georgia; access December 7, 2015.
> Dhipatimendi reVeteran Affairs. "Anal Dysplasia neHIV: Kuchengetedza Zvikuru Kune Veterans vane HIV." Washington, DC; yakasvika panaNovember 25, 2016.
> Goldstone, S. "Kuwanda kwezviitiko uye njodzi dzeHuman Papillomavirus (HPV) Kuvhara pakati pevarwere vane HIV-Seronegative Vanoita Zvepabonde Nevanhu." Zvinyorwa zveHIV Zvinotapukira. 2011; 203 (1): 66-74.
> Hleyhel, M .; Belot, A .; Bouvier, A., et al. "Njodzi yeAIDS-kujekesa kanzera mune varwere vane HIV-1 (1992-2009): migumisiro kubva ku FHDH-ANRS CO4." Zvinyorwa zveSouth AIDS AIDS Society. & November 11, 2012; 15 (4).