Dzidza nezvekuti munhu papillomavirus (HPV) inopararira sei
Ipapillomavirus yemunhu ( HPV ), iyo ine marwadzo anopfuura zana akasiyana-siyana, inowanzobatwa nehutachiwana hunowanzobata maAmerica anopfuura mamiriyoni makumi maviri. Kunyange zvazvo vanhu vakawanda vachitakura chirwere ichi uye vasina ruzivo kana matambudziko ezvoutano, mamwe maitiro ehutachiona anogona kukonzera mamiriro ezvinhu ehutano, kusanganisira wart genital uye kenza. Kunyange zvazvo vanhu vakawanda vachiziva kuti HPV inogona kupararira nekubatana pabonde, mubvunzo unowanzobvunzwa ndewokuti "Iko HPV chirwere chepabonde (STD) here?
Mhinduro yacho yakaoma kupfuura yekuti hongu uye kwete. Ngatitaurei nezvekuti nei zvakadaro.
Ndeye Papillomavirus (HPV) yeHIV (Sexually Transmitted Disease) (STD) here?
Pasinei nokuti papillomavirus (HPV) yezvirwere zvepabonde (STD) inoda kutarisa mibvunzo miviri. Imwe ndiyo nzira iyo inoparidzirwa nayo. Hasi dzose dzeSDD dzinoparidzirwa nevakadzi, uye isu tichatarisa nyaya iyi. Zvimwe zvinonetseka kana HPV ichokwadi (kana nguva dzose) chirwere.
Zvirwere zvepabonde Zvirwere nezvirwere zvepabonde
Zvirwere zvepabonde ( zvirwere zvepabonde ) zvirwere zvinoparadzirwa kuburikidza nezvimwe zvepabonde. Mazvirwere zvepabonde anouya mumhando dzakawanda uye zvinogona kukonzerwa neBhakitiriya, mavairasi, kana kunyange zvirwere. Ipapillomavirus yevanhu inoonekwa seimwe yezvirwere zvinotapurirana zvepabonde. Inoparidzirwa kuburikidza neganda rekuita zvepabonde (kwete kuburikidza nemuna), izvo zvinoreva kuti hakufaniri kuve kupinda mukati kuitira kuti ipfuure kubva kune mumwe munhu kune mumwe.
Ita zvakawanda zvishoma, papillomavirus yevanhu inopararira kuburikidza neganda-ne-pepa. Kubata-ku-ku-genital rubbing kunogona kukwana kuparadzira utachiona. Mune mamwe mazwi, mhandara dzinogona kutapukirwa neHIVV.
Vaginal uye anal sex ndezve nzira dzekutapurira kweHIV, sezvinongoita zvepabonde pabonde , kunyange zvisiri zvishoma.
Kunyange zvazvo HPV inofungidzirwa kuva chirwere chepabonde pamusana payo nzira yekuendesa, haisi nguva dzose sechirwere chepabonde (STD). Ichi ndechokuti izwi rokuti "chirwere" rinogona kuratidza dambudziko rehutano rakajeka rine zviratidzo zvakajeka kana zviratidzo. Kana munhu ane HPV asina zviratidzo, HPV inogona kurondedzerwa sehutachiona hunogona kana kuti husingaiti chirwere . Inofanira kuonekwa, zvisinei, kuti havasi vese vezvokurapa vanoita izvi zvakasiyana.
Zvizhinji zvehutachiona neHIVV zvakanatswa mukati memwedzi 12 kusvika ku24 uye hazvipfuuri kuparadza chirwere.
Nzira Yokuderedza Nengozi Yako Yokupindira HPV
Sezvo pillomavirus yevanhu inogona kupfurikidza nekungoona kweganda chete uye kwete nekupinda mukati, kudzivirira kunogona kuva kwakaoma. Nzira chete inoratidzirwa yekudzivirira papillomavirus yevanhu ndeyekudzivisa zvachose (kwete kubatanidzwa mune chero nzira ipi yekuita zvepabonde); zvisinei, izvi hazvina musoro kune vakawanda.
Makondomu anogona kubatsira (uye anokurudzirwa kana uchida kubatsira kudzivirira dzimwe zvirwere zvepabonde zvepabonde, pamwe nekuzvitakura), asi ramba uchiyeuka kuti dzinopa chete kudzivirirwa kubva kuHIVV nokuti kune zvikamu zvezvibereko zvemashure zvinosara zvisina kudzivirirwa panguva zvepabonde.
Pamusana pokuoma kunodzivirira HPV mumuviri, "kudzivirira hutano" kunoitika. Izvi zvinoreva kuedza kuziva mumwe munhu waunofambidzana naye musati wava nehupi hwehukama hwepedyo. Kurambidza nhamba yevamwe vaunobata iwe unosangana nayo inobatsirawo. Uye kune avo vanogona kutapukirwa, kurega kusvuta kunokosha, sezvo zvichiita kuti vanosvuta vangangodaro vane utachiona huri chirwere (kusvuta kunogona kuderedza kukwanisa kwemuviri kubvisa chirwere chacho).
Mushonga weKVV unobatsirawo, asi kuti unzwisise zvirwere zvakasiyana, zvakakosha kunzwisisa zvirwere zvakasiyana zvehutachiona.
Mitauro uye Strains yeHIVV
Iko kune mazana ane zana emaronda eAVV, asi izvi zvinokonzera zvakanyanya mukukwanisa kwavo kukonzera zvirwere. Izvo zvinoputsika kusvika mumatambudziko akakwirira uye ari pasi pengozi zvakadai sokuti:
- Matambudziko anokonzera kenza (matambudziko akawanda). HPV 16 ne18 inoratidzira inenge 70 muzana yekenza yekondomu. Mukuwedzera kune HPV 16 ne18, matambudziko e HPV anokonzerwa nekenza inosanganisira 31, 33, 35, 39, 45, 51, 52, 56, 58, uye 59. Kune mamwe marariya anobatanidzwa neHIVV zvirwere, kusanganisira musoro uye mishonga yemukati (kunyanya rurimi uye marariya ematoni, akawanda anowanzobatanidzwa neHIVV 16), kenza yemunhu, kenza yemukomana, chirwere chekenza, uye kenza yepenile. Mibvunzo iri kukurudzirwa nezvemamwe makondombera zvakare, zvakadai sokukwanisa kuwirirana pakati peHIVV nemukenza wemapapu.
- Chigamba chechirwere chinokonzera marwadzo (zvinetso zvisingabatsiri). HPV 6 ne11 inoratidzira makumi mapfumbamwe makumi mapfumbamwe kubva muzana emagetsi emagetsi mumarume nevakadzi. Izvi zvinogona kuitika pamakumbo, mumuromo, kana pamutsipa. Nzira dzisinganyanyi kunetseka dzeHIVV dzinogonawo kukonzera kuporesa papillomatosis , mamiriro ayo mavhambeti anowanika pamaketani ezwi zvichiita kuti pfufufema uye dzimwe zviratidzo zvirwe.
Ivhavha yeHIVV
Ivhavha yeHIVV imwe nzira inobatsira kudzivirira utachiona. Zvakakosha kucherechedza kuti kune zvirwere zvitatu zvakasiyana siyana zvinobudirira kurwisana nematambudziko akasiyana-siyana ehutachiona, uye hapana yemishonga inochengetedza kurwisa kwose kweHIVV iyo inogona kuuraya munhu. Iyi inzira yakareba yekureva kuti nzira dzokudzivirira dziri pamusoro apa dzichiri kukosha kunyange kana iwe uchiporwa mune zvimwe zvinokonzera HPV. Parizvino zvirongwa zvinowanikwa zviripo:
- Gardasil. Yakagamuchirwa muna 2006, Gardasil ndiyo yakatanga kugadziriswa neHIVV. Iyo inoshanda kubudikidza neHIVV 6 ne11, iyo inokonzera 90 muzana yemaritete emudzimai, uye HPV 16 ne18, iyo inokonzera 70 muzana yekenza yemukondombera. Iyo FDA-inogamuchirwa kune vose vakadzi nevanhurume pakati pemakore 9 ne26.
- Cervarix. Cervarix ndiyo yepiri yechirwere inotenderwa uye yave iripo kubva muna 2009. Inoshanda pakurwisa HPV 16 ne18. Inogamuchirwa kune vakadzi vane makore 9 kusvika ku25.
- Gardasil 9. Gardasil 9 yakagamuchirwa mugore ra2014 ine kupararira kwakawandisa kwemishonga yeHIVV. Inobatsira kurwisa HPV 6, 11, 16, 18, 31, 33, 45, 52, uye 58. Ichi chirwere chinogamuchirwa kune vakadzi pakati pemakore 9 ne26 kuti vadzivirire chirwere chechirwere, vhuvha, chikadzi, uye kenza yemunhu, uye mune varume pakati pemakore 9 ne15 ekudzivirira kenza yemunhu.
Zvakakosha kuti zvirwere zvakasiyana siyana zvinopa kuparadzaniswa kwakasiyana, uye imwe inogamuchirwa chete yevakadzi. Chisarudzo chako pamusoro pekushandisa chirwere chinonyanya kukoshesa iwe chinogona kutsanangurwa neinishuwarenzi yako yekuvhara (kunze kwekuti iwe uchida kuzvibhadhara kune chirwere chakasiyana). Mamwe makambani emishuwarisi anofukidza imwe yemishonga asi kwete yevamwe. Usati waita musangano nechiremba wako, chengeta nekambani yako ye inshuwarisi pamusoro pekuparidzira.
Chero chero mushonga weKVV unoshanda zvikuru kana uchipiwa musati wamboita zvepabonde uye unogona kuonekwa nehutachiona.
Kuongorora kweHIVV-Related Disease
Kuwana vaccided dhidi yeHIVV uye kushandisa kondomu nguva dzose apo iwe uchiita zvepabonde zvose zvakanaka nzira dzekuderedza dambudziko rako rokubata papillomavirus yevanhu. Asi kunyange nemitemo iyi, zvakanakisisa kuti ugare nekutarisa kwako nguva dzose uye kuongorora-kunyanya kana zvinosvika kune vakadzi uye Pap smears.
Semuenzaniso, mumadzimai, kunyange kana HPV inokonzera kuchinja kusina kukwana mumuviri wechibereko uyo unogona kuva chirwere chemuviri wemukomana, chirwere cheP Pap smear nguva dzose kubva kune gynecologist yako inogona kubatsira kubata izvi pakutanga kuitira kuti ugone kurapwa musati matambudziko ehutano angangova kutyisa upenyu uye zvakaoma kurapa.
Ramba uchifunga kuti varume vanoda kuziva zvakare. Inofungidzirwa kuti inenge 2 muzana yekenza mabiko mune varume yakabatana neHIVV. Chero kusakanganiswa kwema genitalia kana musoro nemutsipa kunofanira kuongororwa nachiremba, sezvo mazhinji emamiriro ezvinhu aya ane matanho anonyanyisa.
Pasi pepamusoro paHIVV sezvirwere zvepabonde
HPV inowanzoonekwa sechirwere chepabonde, asi tsanangudzo chaiye inonyanya kuoma. Vanhu vazhinji vanovaka hutachiona hweHIVV (chirwere chepabonde) hachienderera mberi kukurudzira zvirwere zvakasangana neHIVV, zvakadai semakumbo emudzimai kana kuti zvipembenene zvisinganzwisisiki / kenza zvechibereko chechibereki, chirwere, chikadzi, anus, peni, kana musoro nemutsipa.
HPV inowanzoparidzirwa nehukama hwepedyo hwevanhu, asi kubuda kwepachikadzi hakudi kuwanikwa nehutachiona. Pamusana pekuparidzirwa neganda kunosangana (kusanganisira iyo mumuromo uye munharaunda), makondomu angave asingabatsiri mukudzivirira utachiona. Kurora neimwe yemishonga yeHIVV inogona kudzivirira zvirwere zvakasangana neHIVV, zvichienderana nekugoverwa kwechirwere chaicho.
Kuongorora pamwe neP Pap smear nguva dzose, uye kubvunza chiremba ane zviratidzo zvinogona kuratidza kuchinja kunokonzerwa neHIVV, zvinokosha kune ani zvake anoita zvepabonde, kana kuti ane hukama hwepedyo hwevanhu.
> Sources:
> de Sanjose, S., Brotons, M., uye M. Pavon. The Natural History of Human Papillomavirus Infection. Maitiro Akanakisisa uye Ongororo. Clinical Obstetrics uye Gynecology . 2018. 47: 2-13.
> Serrano, B., Brotons, M., Bosch, F., naL. Bruni. Epidemiology uye Burden yeHIVV-Related Disease. Maitiro Akanakisisa uye Ongororo. Clinical Obstetrics uye Gynecology . 2018. 47: 14-26.
> Ventimiglia, E., Hornblas, S., Muneer, A., uye A. Salonia. Human Papillomavirus Infection uye Vaccination muMurume. European Urology Focus . 2016. 2 (4): 355-362.